Cystic fibrosis - oriri na-edozi

Cystic fibrosis (CF) bụ ọrịa na-eyi ndụ egwu nke na-eme ka imi siri ike, nke na-arapara n'ahụ tolite na ngụgụ na akụkụ nri. Ndị nwere CF kwesịrị iri nri nwere nnukwu kalori na protein n’ụbọchị niile.

Pancreas bụ akụkụ dị n’afọ n’azụ afọ. Ọrụ dị mkpa nke pancreas bụ ime enzymes. Enzymes ndị a na-enyere ahụ aka ịgbari ma na-amị protein na abụba. Mkpokọta nke imi nke na-esi na pancreas site na CF nwere ike ibute nnukwu nsogbu, gụnyere:

• Ndabere nwere imi, na-esi ísì ọjọọ, ma ọ bụ na-ese n'elu mmiri
• Gas, bloating, ma ọ bụ afọ distended
• Nsogbu inweta protein, abụba, na calorie zuru oke na nri

N'ihi nsogbu ndị a, ndị nwere CF nwere ike isiri ha ike ịnọ na ịdị arọ nkịtị. Ọbụna mgbe ibu dị nkịtị, mmadụ nwere ike ọ gaghị enweta nri na-edozi ahụ. Withmụaka nwere CF nwere ike ọ gaghị eto ma ọ bụ tolite nke ọma.

Ihe ndị a bụ ụzọ maka ịgbakwunye protein na calorie na nri. Jide n'aka na ị gbasoro ntuziaka ndị ọzọ akọwapụtara site n'aka onye nlekọta ahụike gị.

Enzymes, vitamin, na nnu:

• Imirikiti ndị mmadụ nwere CF ga-ewere enzymes pancreatic. Enzymes ndị a na-enyere ahụ gị aka ịnabata abụba na protein. Iwere ha oge niile ga-ebelata ma ọ bụ kpochapụ stool ọjọọ, gas, na bloating.
• Were enzyme niile na nri na nri.
• Gwa onye na-enye gị ọrụ gbasara ịbawanye ma ọ bụ belata enzymes gị, dabere na mgbaàmà gị.
• Jụọ onye na-enye gị ọrụ gbasara ị vitaminsụ vitamin A, D, E, K, na calcium. Enwere usoro pụrụ iche maka ndị nwere CF.
• Ndị bi na ọnọdụ ihu igwe na-ekpo ọkụ nwere ike ịchọ ntakịrị ntakịrị nnu nnu ọzọ.

Patternskpụrụ iri nri:

• Rie oge ọ bụla agụụ gụrụ gị. Nke a nwere ike ịpụta iri obere obere nri ụbọchị niile.
• Debe nri nri dị iche iche na-edozi ahụ gburugburu. Gbalịa iri nri na ihe ọ bụla kwa awa, dị ka cheese na crackers, muffins, ma ọ bụ nzọ ụkwụ mix.
• Gbalịa iri nri mgbe niile, ọbụlagodi na ọ bụ naanị ole na ole ka ị na-ata ata. Ma ọ bụ, tinye mgbakwunye nri na mmiri ara ehi.
• Na-agbanwe agbanwe. Ọ bụrụ na agụụ anaghị agụ gị n’oge nri abalị, mee nri ụtụtụ, nri ụtụtụ, na nri ehihie isi nri gị.

Inwetakwu calorie na protein:

• Tinye grated grated na ofe, sauces, casseroles, inine, poteto ghere eghe, osikapa, noodles, ma ọ bụ ogbe achịcha.
• Jiri mmiri ara ehi, ọkara na ọkara, ude, ma ọ bụ mmiri ara ehi bara ụba na isi nri ma ọ bụ ihe ọ beụveraụ. Enwetara mmiri ara ehi nwere mmiri ara ehi na-enweghị mmiri ara ehi agbakwunye na ya.
• Gbasaa butter bred na ngwaahịa nri ma ọ bụ jiri ya dị ka ntanye maka akwụkwọ nri na mkpụrụ osisi. Tinye ahuekere butter na sauces ma ọ bụ jiri waffles.
• Skim mmiri ara ehi ntụ ntụ na-agbakwunye protein. Gbalịa ịgbakwunye tablespoons 2 (gram 8.5) nke okpukpu kpụkọrọ mmiri ara ehi na mgbakwunye na mmiri ara ehi na usoro nri.
• Tinye marshmallows na mkpụrụ osisi ma ọ bụ chocolate dị ọkụ. Tinye mịrị, ụbọchị, ma ọ bụ mkpụrụ akụ na mkpụrụ aja aja na ọka na-ekpo ọkụ ma ọ bụ oyi, ma ọ bụ nwee ha maka nri.
• Otu ngaji (5 g) nke butter ma ọ bụ margarine na-agbakwunye calorie 45 na nri. Gwakọta ya na nri dị ọkụ dị ka ofe, akwụkwọ nri, poteto a sụrụ asụ, ọka esi esi, na osikapa. Nye ya nri dị ọkụ. Achịcha na-ekpo ọkụ, pancakes, ma ọ bụ waffles na-etinyekwu butter.
• Jiri ude gbara ụka ma ọ bụ yogọt na akwụkwọ nri dị ka poteto, agwa, karọt, ma ọ bụ skwọsh. Enwere ike iji ya dị ka ihe mgbakwasa maka mkpụrụ osisi.
• Achịcha eghere eghe, ọkụkọ na azụ̀ nwere calorie karịa nke a broara n'ọkụ ma ọ bụ nke a plainara n'ọkụ.
• Add extra cheese n'elu nke oyi kpọnwụrụ kwadebere Pizza.
• Add coarsely chopped ike esie ya àkwá na cheese cubes ka tossed salad.
• Na-efe chiiz ụlọ na mkpọ ma ọ bụ mkpụrụ ọhụrụ.
• Tinye chiiz grated, tuna, oporo, nshịkọ, anụ ehi anụ, ham diced ma ọ bụ àkwá sie sie na sauces, osikapa, akpu, na noodles.

Egan ME, Schechter MS, Voynow JA. Ọrịa Cystic. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 432.

Hollander FM, de Roos NM, Heijerman HGM. Zọ kachasị mma maka nri na cystic fibrosis: ihe akaebe kachasị ọhụrụ na aro. Curr Opin Pulm Ahụike. Ọrịa. 2017; 23 (6): 556-561. PMID: 28991007 pubmed.ncbi.nlm.nih.gov/28991007/.

Rowe SM, Hoover W, Solomon GM, Sorscher EJ. Ọrịa Cystic. Na: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Akwụkwọ ọgụgụ Murray na Nadel nke Medicine Respiratory. Nke isii. Philadelphia, PA: Elsevier Saunders; 2016: isi 47.