ICystic fibrosis - isondlo

ICystic fibrosis (CF) sisifo esisesichengeni sobomi esibangela ukungunda okuncinanana, okuncamathelayo emiphungeni nakwindlela yokwetyisa. Abantu abane-CF kufuneka batye ukutya okuneekhalori ezininzi kunye neeprotheyini imini yonke.

Ipancreas lilungu esiswini ngasemva kwesisu. Umsebenzi obalulekileyo wepancreas kukwenza ii-enzymes. Ezi enzymes zinceda umzimba ukwetyisa kwaye uthathe iprotein kunye namafutha. I-mucus enqabileyo kwi-pancreas evela kwi-CF ingakhokelela kwiingxaki ezinkulu, kubandakanya:

• Ilindle eliqukethe i-mucus, linuka kakubi, okanye liyadada
• Irhasi, ukudumba, okanye isisu esikhubazekileyo
• Iingxaki zokufumana iiprotein ezaneleyo, amanqatha, kunye neekhalori ekudleni

Ngenxa yezi ngxaki, abantu abane-CF kunokuba nzima ukuhlala kubunzima obuqhelekileyo. Naxa ubunzima buqhelekile, umntu usenokungafumani sondlo sifanelekileyo. Abantwana abane-CF abanakukhula okanye bakhule ngokuchanekileyo.

Ezi zilandelayo ziindlela zokongeza iiproteni kunye neekhalori kukutya. Qiniseka ukuba ulandela eminye imiyalelo ethile evela kumboneleli wakho wezempilo.

Ii-enzyme, iivithamini kunye netyuwa:

• Uninzi lwabantu abane-CF kufuneka bathathe ii-enzymes zepancreatic. Ezi enzymes zinceda umzimba wakho ukuba uthathe amafutha kunye neeproteni. Ukuwathatha lonke ixesha kuya kuncipha okanye kulahle izitulo ezinukayo, irhasi kunye nokudumba.
• Thatha ii-enzymes nako konke ukutya kunye nokutya okulula.
• Thetha nomboneleli wakho malunga nokwandisa okanye ukunciphisa ii-enzymes zakho, kuxhomekeke kwiimpawu zakho.
• Buza umboneleli wakho malunga nokuthatha iivithamini A, D, E, K, kunye ne-calcium eyongezelelweyo. Kukho iifomula ezizodwa zabantu abane-CF.
• Abantu abahlala kwimozulu eshushu banokufuna isixa esincinci setyuwa eyongezelelweyo.

Iipateni zokutya:

• Yitya xa ulambile. Oku kunokuthetha ukutya ukutya okuncinci okuncinci ngalo lonke usuku.
• Gcina iintlobo ngeentlobo zokutya okunezakha-mzimba. Zama ukutya into ngeyure nganye, enje ngeshizi kunye nabaqhekezi, iimuffins, okanye umxube wendlela.
• Zama ukutya rhoqo, nokuba kukulunywa nje okumbalwa. Okanye, faka isongezelelo sesondlo okanye ubisi.
• Yiba bhetyebhetye. Ukuba awulambanga ngexesha lesidlo sangokuhlwa, yenza isidlo sakusasa, ukutya okuphakathi kwasekuseni, kunye nesidlo sasemini okona kutya kwakho.

Ukufumana iikhalori ezingaphezulu kunye neeprotein:

• Yongeza itshizi egreyithiweyo kwisuphu, iisosi, iicasseroles, imifuno, iitapile ezicujiweyo, irayisi, iiodles, okanye isonka senyama.
• Sebenzisa ubisi olupheleleyo, isiqingatha nesiqingatha, ukhilimu, okanye ubisi olutyebileyo ekuphekeni okanye kwiziselo. Ubisi olucebileyo lune-nonfat yobisi olomileyo olongezwe kulo.
• Sasaza ibhotolo yamandongomane kwiimveliso zesonka okanye uyisebenzise njengediphu yemifuno eluhlaza kunye neziqhamo. Yongeza ibhotolo yamandongomane kwiisosi okanye usebenzise iiwaffles.
• Ubisi olungumgubo olungumgubo longeza iproteni. Zama ukongeza amacephe ama-2 (8.5 amagremu) obisi olomileyo lomgubo ukongeza kwinani lobisi oluqhelekileyo kwiiresiphi.
• Yongeza i-marshmallows kwisiqhamo okanye kwitshokholethi eshushu. Yongeza iidiliya, imihla, okanye amandongomane aqingqiweyo kunye noshukela omdaka kwiisiriyeli ezishushu okanye ezibandayo, okanye ubenako ukutya okulula.
• Isipuni (5 g) sebhotela okanye imajarini songeza iikhalori ezingama-45 kukutya. Xuba ukutya okutshisayo okunje ngeesuphu, imifuno, iitapile ezicujiweyo, ukutya okuziinkozo okuphekiweyo kunye nerayisi. Yiphake kukutya okushushu. Izonka ezishushu, iikeyiki, okanye iiwaffles zifunxa ibhotolo engaphezulu.
• Sebenzisa ukhilimu omuncu okanye iyogathi kwimifuno enje ngeetapile, iimbotyi, iminqathe, okanye isikwashi. Ingasetyenziselwa ukunxiba iziqhamo.
• Inyama enesonka, inyama yenkuku, kunye nentlanzi zineekhalori ezininzi kunokuba zosiwe okanye zosiwe ngokulula.
• Yongeza ushizi ngaphezulu kwepitsa elungiselelwe iqabaka.
• Yongeza iqanda eliphekiweyo elilukhuni kunye neetyhubhu zesonka kwisaladi ephosiweyo.
• Khonza i-cottage cheese ngesiqhamo esenziwe ngetoti okanye esitsha.
• Yongeza iitshizi ezigayiweyo, ityhuna, i-shrimp, i-crabmeat, inyama yenkomo yomhlaba, i-ham okanye i-sliced ​​amaqanda abilisiweyo kwiisosi, irayisi, i-casseroles kunye nee-noodle.

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

IHollander FM, de Roos NM, uHeijerman HGM. Indlela efanelekileyo yokutya kunye ne-cystic fibrosis: ubungqina bwakutsha nje kunye neengcebiso. I-Curr Opin Pulm Med. Ngo-2017; 23 (6): 556-561. IINKCUKACHA: 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, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 47.