Cystic fibrosis - chikafu

Cystic fibrosis (CF) chirwere chinotyisidzira hupenyu chinokonzera mukobvu wakakora, unonamira kuvaka mumapapu uye nemudumbu. Vanhu vane CF vanoda kudya chikafu chine macalorie mazhinji uye mapuroteni mukati mezuva rese.

Iyo pancreas inhengo iri mudumbu kuseri kwedumbu. Basa rakakosha repancreas kugadzira ma enzymes. Aya ma enzymes anobatsira muviri kugaya uye kutora mapuroteni nemafuta. Kuvaka kwemukati unonamira mupancreas kubva kuCF kunogona kutungamira kumatambudziko akakomba, anosanganisira:

• Masturu ane mucus, ane hwema hwekunhuwa, kana kuyangarara
• Gasi, kuputika, kana dumbu rakapunzika
• Zvinetso kuwana zvakakwana mapuroteni, mafuta, uye macalorie mune chikafu

Nekuda kwematambudziko aya, vanhu vane CF vanogona kuwana nguva yakaoma yekugara pahuremu hwakajairika. Kunyangwe kana huremu hwakajairika, munhu anogona kunge asiri kuwana chikafu chakakodzera. Vana vane CF vanogona kusakura kana kukura nenzira kwayo.

Dzinotevera nzira dzekuwedzera mapuroteni uye macalorie kuchikafu. Ive neshuwa yekutevera mimwe yakatarwa mirairo kubva kune wako wehutano mutapi.

Enzymes, mavitamini, uye munyu:

• Vanhu vazhinji vane CF vanofanirwa kutora enzyme yepancreatic. Aya ma enzymes anobatsira muviri wako kutora mafuta uye mapuroteni. Kuvatora nguva dzese kunoderera kana kubvisa zvituru zvinonhuwirira, gasi, uye kuzvimba.
• Tora ma enzymes nezvikafu zvese uye tudyo.
• Taura nemupi wako nezve kuwedzera kana kudzikisa ma enzymes ako, zvichienderana nezviratidzo zvako.
• Kumbira mupiki wako nezve kutora mavitamini A, D, E, K, uye imwe calcium. Iko kune akakosha mafomula kune vanhu vane CF.
• Vanhu vanogara munzvimbo dzinopisa vangangoda imwe shoma yekuwedzera tafura yemunyu.

Kudya maitiro:

• Idya pese paunenge uine nzara. Izvi zvinogona kureva kudya zvidiki zvidiki zuva rese.
• Chengetedza zvakasiyana siyana zvinovaka muviri zvekudya zvekudya zvekudya. Edza kubaya pane chimwe chinhu awa imwe neimwe, senge chizi uye maputi, muffin, kana musanganiswa wenzira.
• Edza kudya nguva dzose, kunyangwe zvichingoruma zvishoma. Kana, sanganisira chinowedzera chikafu kana mukaka.
• Iva anochinjika. Kana iwe usina nzara panguva yekudya kwemanheru, gadzira chisvusvuro, pakati-mangwanani zvekudya, uye masikati chikafu chako chikuru.

Kuwana akawanda macalorie uye protein:

• Wedzera grated chizi kumasobho, sauces, casseroles, miriwo, mbatatisi yakachekwa, mupunga, manoni, kana chingwa che nyama.
• Shandisa mukaka wakazara, hafu nehafu, kirimu, kana mukaka wakafumiswa mukubika kana zvinwiwa. Mukaka wakagadziriswa une nonfat yakaoma mukaka weupfu wakawedzerwa pauri.
• Paradzira nzungu ruomba pazvigadzirwa zvechingwa kana kuti rishandise sedipiti yemiriwo miriwo nemichero. Wedzera nzungu ruomba kumasukisi kana kushandisa waffles.
• Skim mukaka weupfu unowedzera mapuroteni. Edza kuwedzera 2 mashupuni (8.5 magiramu) eakaomeswa skim mukaka upfu kuwedzera kune huwandu hwemukaka wenguva dzose mumarepeke.
• Wedzera marshmallows kune michero kana chokoreti inopisa. Wedzera mazambiringa akaomeswa, mazuva, kana nzungu dzakatemwa uye shuga tsvuku kune zviyo zvinopisa kana zvinotonhora, kana kuva nazvo zvekudya.
• Teasipuni (5 g) yemafuta kana majarini inowedzera macalorie makumi mashanu kuzvikafu. Sanganisa izvo muzvikafu zvinopisa senge masobho, miriwo, mbatatisi yakachekwa, zviyo zvakabikwa, uye mupunga. Shumira iyo pazvikafu zvinopisa. Chingwa chinopisa, mapani, kana waffles zvinonwisa mafuta akawanda.
• Shandisa mukrimu wakasviba kana yogati pane miriwo yakaita sembatatisi, bhinzi, karoti, kana squash. Inogona zvakare kushandiswa sekupfekedza michero.
• Chingwa chakabikwa nyama, huku, uye hove zvine macalorie akawanda pane akafuridzirwa kana akagochwa.
• Wedzera imwe cheese pamusoro pechando yakagadzirirwa pizza.
• Wedzera zvakaomeswa zvakaomeswa zai rakabikwa uye chizi cubes kune yakakandwa saradhi.
• Shumira kottage cheese nemichero yakakanyiwa kana mitsva.
• Wedzera grated cheeses, tuna, shrimp, crabmeat, pasi nyama yemombe, yakachekwa nyama kana akachekwa akachekwa mazai kumasukisi, mupunga, casseroles, uye maoodles.

Egan ME, Schechter MS, Voynow JA. Cystic fibrosis. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsamba 432.

Hollander FM, de Roos NM, Heijerman HGM. Maitiro akasarudzika ezvekudya zvinovaka muviri uye cystic fibrosis: huchangoburwa humbowo uye mazano. Curr Opin Pulm Med. 2017; 23 (6): 556-561. PMID: 28991007 pubmed.ncbi.nlm.nih.gov/28991007/.

Rowe SM, Hoover W, Soromoni GM, Sorscher EJ. Cystic fibrosis. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 47.