I-cystic fibrosis - ukudla okunomsoco

ICystic fibrosis (CF) yisifo esisongela impilo esibanga amafinyila aminyene, anamathelayo ukwakha emaphashini nasemgudwini wokugaya ukudla. Abantu abane-CF badinga ukudla ukudla okunama-calories amaningi namaprotheni usuku lonke.

Ama-pancreas isitho esiswini esiswini ngemuva kwesisu. Umsebenzi obalulekile wamanyikwe ukwenza ama-enzyme. La ma-enzyme asiza umzimba ukuthi ugaye futhi umunce amaprotheni namafutha. I-mucus enamathele kuma-pancreas avela ku-CF ingaholela ezinkingeni ezinkulu, kufaka phakathi:

• Izindle eziqukethe amafinyila, zinuka kabi, noma ziyantanta
• Igesi, ukuqunjelwa, noma isisu esikhubazekile
• Izinkinga zokuthola amaprotheni anele, amafutha, namakhalori ekudleni

Ngenxa yalezi zinkinga, abantu abane-CF bangaba nobunzima bokuhlala esisindweni esijwayelekile. Ngisho noma isisindo sivamile, umuntu kungenzeka ukuthi akatholi umsoco ofanele. Izingane ezine-CF kungenzeka zingakhuli noma zikhule kahle.

Okulandelayo izindlela zokwengeza amaprotheni nama-calories ekudleni. Qiniseka ukuthi ulandela eminye imiyalo ethile evela kumhlinzeki wakho wezokunakekelwa kwempilo.

Ama-enzyme, amavithamini, nosawoti:

• Abantu abaningi abane-CF kumele bathathe ama-enzyme e-pancreatic. La ma-enzyme asiza umzimba wakho ukumunca amafutha namaprotheni. Ukuwathatha ngaso sonke isikhathi kuzonciphisa noma kususe indle enephunga elibi, igesi nokuqunjelwa.
• Thatha ama-enzyme nakho konke ukudla nokudla okulula.
• Khuluma nomhlinzeki wakho ngokwandisa noma ukunciphisa ama-enzyme akho, ngokuya ngezimpawu zakho.
• Buza umhlinzeki wakho mayelana nokuthatha amavithamini A, D, E, K, kanye ne-calcium eyengeziwe. Kunamafomula akhethekile kubantu abane-CF.
• Abantu abahlala ezindaweni ezishisayo bangadinga inani elincane likasawoti wethebula owengeziwe.

Amaphethini wokudla:

• Yidla noma nini lapho ulambile. Lokhu kungasho ukudla ukudla okuncane okuncane usuku lonke.
• Gcina izinhlobonhlobo zokudla okulula okunomsoco nxazonke. Zama ukudla okuthile ngehora ngalinye, njengoshizi nama-crackers, ama-muffin, noma i-trail mix.
• Zama ukudla njalo, noma ngabe ukulunywa okumbalwa kuphela. Noma, faka isengezo sokudla okunempilo noma i-milkshake.
• Vumelana nezimo. Uma ungalambile ngesikhathi sedina, yenza ukudla kwasekuseni, ukudla okulula kwaphakathi naphakathi kwasekuseni, kanye nesidlo sasemini ukudla kwakho okuyinhloko.

Ukuthola ama-calories amaningi namaprotheni:

• Faka ushizi ogayiwe kumasobho, amasoso, ama-casseroles, imifino, amazambane acubuziwe, ilayisi, ama-noodle, noma isinkwa senyama.
• Sebenzisa ubisi lonke, uhhafu nengxenye, ukhilimu, noma ubisi olunothile ekuphekeni noma eziphuzweni. Ubisi olucebisiwe lunobisi olomile olungenawo amafutha olungeziwe kulo.
• Sabalalisa ibhotela lamantongomane kwimikhiqizo yesinkwa noma ulisebenzise njengediphu yemifino eluhlaza nezithelo. Faka ibhotela lamantongomane kumasoso noma uwasebenzise kuma-waffles.
• Ubisi oluyimpuphu luyengeza amaprotheni Zama ukufaka izipuni ezi-2 (8.5 amagremu) ka-powder owomile we-skim milk ngaphezu kwenani lobisi olujwayelekile kuzindlela zokupheka.
• Faka ama-marshmallows esithelweni noma kushokoledi oshisayo. Faka omisiwe, izinsuku, noma amantongomane aqoshiwe noshukela onsundu kokudla okusanhlamvu okushisayo noma okubandayo, noma ubenzele ukudla okulula.
• Isipuni (5 g) sebhotela noma imajarini sinezela ama-calories angu-45 ekudleni. Hlanganisa nokudla okushisayo okunjengesobho, imifino, amazambane acubuziwe, okusanhlamvu okuphekwe nelayisi. Kuphake ekudleni okushisayo. Isinkwa esishisayo, ama-pancake, noma ama-waffle amunca ibhotela eliningi.
• Sebenzisa ukhilimu omuncu noma iyogathi kwimifino enjengamazambane, ubhontshisi, izaqathe noma isikwashi. Ingasetshenziswa futhi njengokugqoka izithelo.
• Inyama enesinkwa, inkukhu nenhlanzi inamakhalori amaningi kune-broiled noma i-plain eyosiwe.
• Faka ushizi owengeziwe ngaphezulu kwe-pizza elungiselelwe efriziwe.
• Faka iqanda eliphekwe kanzima eliqwengwe kanzima kanye namabhisikidi eshizi kwisaladi ephoswayo.
• Khonza i-cottage shizi ngezithelo ezisemathinini noma ezintsha.
• Faka ushizi ogayiwe, i-tuna, imfanzi, inkalankala, inyama yenkomo egayiwe, i-ham noma amaqanda abilisiwe asikiwe kumasoso, irayisi, i-casseroles, nama-noodle.

U-Egan ME, uSchechter MS, uVoynow JA. ICystic fibrosis. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 432.

IHollander FM, de Roos NM, uHeijerman HGM. Indlela efanelekile yokudla kanye ne-cystic fibrosis: ubufakazi bamuva nezincomo. I-Curr Opin Pulm Med. 2017; 23 (6): 556-561. I-PMID: 28991007 pubmed.ncbi.nlm.nih.gov/28991007/.

URowe SM, uHoover W, uSolomon GM, uSorscher EJ. ICystic fibrosis. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 47.