Ukudla kwesibindi sokuqina kwesibindi

-Delile

• Ukudla kufanele kube kanjani
• Ukudla Okufanele Kugwenywe
• Imenyu yokudla kwesibindi
• Ungakulawula kanjani ukugcinwa koketshezi
• Ukondla i-cirrhosis yesibindi esithuthukile

Isibindi sokuqina kwesifo yisifo lapho isibindi sisebenza khona ngobunzima obukhulu, futhi singabangelwa ukuphuza ngokweqile, isifo sokusha kwesibindi noma ezinye izifo. Kulezi zimo, ukudla okwanele kubalulekile, ngoba imvamisa lezi zimo zihambisana nokuncipha kakhulu kwesisindo, ukwehla kwemisipha, ukuqongelela uketshezi nokushoda kwezakhi ezithile zomzimba, okuholela ekutheni kungondleki, okungagcina kubhebhethekisa lesi sifo.

Ukudla okufanele kudliwe ekudleni ukwelapha i-cirrhosis yizithelo, imifino, okusanhlamvu okuphelele nenyama enamafutha aphansi, ngoba kungukudla okunikeza izakhamzimba ezibalulekile futhi okulula ukukugaya, kungadingi umsebenzi omningi wesibindi ukuthi wenziwe umzimba.

Ukulimala kwesibindi okubangelwa i-cirrhosis akukwazi ukubuyiselwa emuva, kuphela uma kwenziwa ukufakelwa kwesibindi, noma kunjalo, uma kutholakala kusenesikhathi futhi kwelashwa ngemithi nangokudla okwanele, ukuvela kwesifo kungabambezeleka.

Ukudla kufanele kube kanjani

Ukudla kwesibindi sokudla kwesibindi kufanele kube nenani elifanele lezakhamzimba, ngakho-ke kubalulekile ukuthi umuntu adle ukudla okuyi-5 kuye kwayi-6 ngosuku, ezingxenyeni ezincane, ikakhulukazi uma enesifiso sokudla esincane noma uma ezizwa aneliseka ngokushesha okukhulu.

Ukudla kufanele kufake ama-carbohydrate ayinkimbinkimbi, amafutha amahle namaprotheni anenani eliphakeme lezinto eziphilayo. Ekuqaleni, bekucatshangwa ukuthi ukudla kufanele kuvimbele ukusetshenziswa kwamaprotheni ngangokunokwenzeka, kodwa-ke, izifundo zamanje zikhombisile ukuthi umthelela wamaprotheni ekwakhiweni kwe-hepatic encephalopathy mncane, nokuthi amaprotheni angafakwa ekudleni.

Kubalulekile futhi ukufaka izithelo, imifino nezinhlamvu ezigcwele ekudleni, njengelayisi, ipasta, isinkwa nofulawa kakolweni ophelele. Izinhlanzi, amaqanda, inyama emhlophe enamafutha amancane kanye noshizi onamafutha amancane kanye namafutha amancane, njenge-ricotta ne-cottage, isibonelo, kufanele kufakwe. Ukusetshenziswa kobisi nemikhiqizo yobisi kufanele kucwecwe futhi, esimweni samafutha, uwoyela womnqumo ungadliwa ngamanani amancane, kanye nembewu namantongomane.

Ngaphezu kwalokho, uma isazi sokudla sikubona kunesidingo, singakhombisa ukwengeza nge-calcium, uvithamini D nezinye izakhi zomzimba, kanye nokusetshenziswa kwefomula yokudla okunempilo ukwandisa inani lamakhalori asetshenzisiwe.

Ukudla Okufanele Kugwenywe

Ukulawula ukuqina kwesibindi nokuvimbela isibindi ekwenzeni umzamo omkhulu wokugaya ukudla, kunconywa ukuthi ugweme:

• Inyama ebomvu;
• Inyama eyomile noma ebhemayo, ubhekeni kanye ne-offal;
• Amasoseji, afana nesoseji nesalami;
• Ubisi lonke kanye nokuphuma (ubisi olusikiwe kanye neziphuzo kungadliwa noma nini lapho umuntu ebekezelela okuhle);
• Ophuzi, ushizi onamafutha aphezulu njenge-cheddar, i-brie, i-feta, i-parmesan;
• Amasosi afana nemayonnaise, ketchup kanye nesinaphi;
• Ukudla okuthosiwe;
• Okheniwe njengosardini, ituna neminqumo;
• Ama-pasties, ama-croissants, amakhukhi agxishiwe, iziphuzo ezithambile namajusi asezimbonini;
• Ibhotela, ukhilimu nobisi olujiyile;
• Ukudla okufriziwe njengama-pizza, amagugu, i-hamburger noma i-lasagna, isibonelo;
• Ukudla okusheshayo.

Ngaphezu kwalokho, kubalulekile ukugwema ukuphuza iziphuzo ezidakayo, ngoba zingenza isimo sibe sibi kakhulu. Ngaphezu kwalokho, kwabanye abantu abane-cirrhosis yesibindi, kungavela ukungabekezelelani kokudla okuvumelekile, okungadala ukungaphatheki kahle noma ubuhlungu lapho kukudla, ikakhulukazi lokho okubangela igesi, kubalulekile ukukhomba ukuthi yikuphi ukudla okufanele kukugwebe.

Imenyu yokudla kwesibindi

Ithebula elilandelayo likhombisa isibonelo semenyu yezinsuku ezi-3 yomuntu onesifo sokuqina kwesibindi:

Inani elifakiwe ekudleni nenani leziphuzo okufanele zisetshenziswe ziyahlukahluka ngokushuba kwesifo, ubudala nobulili. Ngakho-ke, inhloso ukubheka isazi sokudla okunempilo ukuze kwenziwe ukuhlolwa okuphelele futhi kuchazwe nohlelo lokudla okunempilo oluhambisana nezidingo. Ngaphezu kwalokho, kubalulekile futhi ukukhumbula ukuthi imishanguzo kufanele isetshenziswe kuphela ngaphansi kokuqondisa kukadokotela.

Ungakulawula kanjani ukugcinwa koketshezi

Ukulawula ukugcinwa koketshezi okwenzeka ngokwejwayelekile ku-cirrhosis futhi okubizwa ngokuthi ama-ascites, ukusetshenziswa kasawoti kufanele kuncishiswe, kugwenywe ukukufaka ekudleni nasekudleni ukudla okukuqukethe kakhulu, njengamasoseji, isalami, inyama yamacube, ukudla okulungile, okusheshayo ukudla, usoso waseWorcestershire, isosi yesoya kanye nezimpahla ezisemathinini.

Ngenye indlela, ukukhetha kufanele kunikezwe ukusetshenziswa kwamakhambi emvelo ekudleni kwesizini, njengegalikhi, u-anyanisi, upelepele, iparsley, i-basil, i-coriander, i-oregano, phakathi kwabanye. Ngaphezu kwalokho, kunconywa ukuthi uthinte isazi sokudla okunempilo ukuze wazi ukuthi kufanele ube namandla okuphatha uketshezi noma cha, ngoba kuya ngezinga lama-ascites kungadingeka.

Ukondla i-cirrhosis yesibindi esithuthukile

Lapho isifo sokuqina kwesibindi sesisesigabeni esithuthuke kakhulu, ukudla kufanele kuvunyelwe ukwenziwa esibhedlela, ngoba kuyadingeka ukunxephezela ukusilela kokudla okunomsoco nokulawula izinguquko emzimbeni, okwenziwa ngokuhlaziywa kwamasampuli egazi avumelekile ukuhlola isimo sempilo yomuntu.

Abantu abane-cirrhosis yesibindi esithuthukile bavame ukuba nokushoda kwamaminerali afana ne-potassium, i-magnesium ne-phosphorus, kanye namavithamini B, ikakhulukazi lapho i-cirrhosis inomsuka wotshwala. Ezimweni ze-steatorrhea, ezihambelana nokuhamba kwamathumbu oketshezi nokunamafutha, ukushoda kwamavithamini ancibilika okunamafutha (A, D, E noK) nakho kungaphawulwa. Ngaphezu kwalokho, zingabonisa nokugcinwa kwe-sodium, ukulahleka kwemisipha kanye ne-hypoalbuminemia.

Ngakho-ke, uma umuntu ebekezelela umzila womlomo, ukudla kufanele kuhlose ukuvikela isibindi, futhi kufanele kufakwe namavithamini namaminerali. Ezimweni lapho umzila womlomo ungavunyelwa, indlela yokudla kufanele inikezwe ngamafomula wokudla okunempilo ngokusebenzisa ithubhu ye-nasogastric noma i-nasoenteric noma ngemithambo, okuvumela isazi sezomsoco ukuthi silawule kangcono izakhamzimba kanye nenani loketshezi abalitholayo, ukugwema ukulayishwa kwesibindi nokwenza ngcono ukubikezela kanye nesimo somsoco somuntu.

Lawa mafomula wokudla okunempilo ngokuvamile acebile ngama-amino acid (BCAA) angama-branched-chair futhi aphansi kuma-amino acid (AA) anephunga elimnandi. Ama-BCAA ngokusobala avimbela izinto ezinobuthi ukuthi zingene ebuchosheni, zinciphise ubungozi kanye nokuwohloka kwe-hepatic encephalopathy, ukuvimbela ukwehla kwesisindo semisipha futhi kungasetshenziswa njengomthombo wamandla yimisipha, ubuchopho, inhliziyo nesibindi lapho umzimba ungakwazi ukusebenzisa i-glucose noma amafutha ukukhiqiza amandla.

Bheka ukuthi ukwelashwa kwesibindi sokuqina kwesibindi kufanele kube kanjani.