Ambiri aife tili ndi matenda amodzi kapena angapo a nthawi yayitali monga matenda a shuga, kuthamanga kwa magazi, cholesterol, eti? Chifukwa chake, madokotala nthawi zonse amatilangiza kuti tizisamala kwambiri ndi zomwe timadya ndi kumwa tikamamwa mankhwala a izi. Ndipotu, kodi mumadziwa kuti chinthu ichi cha 'chakudya ndi chakumwa', ngati chikukonzekera bwino malinga ndi sayansi ya zamankhwala, chingakhale chithandizo champhamvu kwambiri chokha? Njira yapadera yochiritsira imeneyi ndi yomwe timaitcha "Medical Nutrition Therapy" kapena Medical Nutrition Therapy (MNT) .
Kodi chithandizo cha zakudya m'thupi (Medical Nutrition Therapy) n'chiyani kwenikweni?
Mwachidule, MNT ndi chithandizo chamankhwala chomwe chimagwiritsa ntchito zakudya ndi zizolowezi zodyera kuti chichepetse kapena kupewa matenda. Sikuti ndi nkhani yokhudza "kudya zakudya zochepa chabe." Ndi nkhani ya Katswiri Wolembetsa Zakudya, motsogozedwa ndi dokotala wanu, amene amaphunzira za matenda anu, zosowa za thupi lanu, zolinga zanu, ndi moyo wanu, ndikupanga dongosolo la zakudya lomwe likugwirizana ndi inu .
Adzakuthandizaninso kukhazikitsa dongosololi. Nthawi zina, ngati mankhwalawa aphatikizidwa ndi mankhwala omwe mukumwa, zimakhala zosavuta kuwongolera matendawa. Nthawi zina, ngati mutsatira njira iyi molondola, mutha kupewa kumwa mankhwala. Komanso, njira iyi yochiritsira ndi yofunika kwambiri kwa iwo omwe sangathe kumeza ndi kugaya chakudya bwino chifukwa cha matenda enaake.
Zinthu zina zomwe zingachitike panthawi ya chithandizo cha MNT:
- Mungafunike kusiya kapena kuchepetsa kudya zakudya zina.
- Mungalangizidwe kuti mupeze zakudya ndi michere yokwanira .
- Mungafunike kumwa zowonjezera zakudya.
- Nthawi zina, zingakhale zofunikira kupereka zakudya, monga saline, kudzera mu mtsempha (parenteral nutrition) kapena kudzera mu chubu (enteral nutrition).
Ndi matenda ati omwe angathetsedwe ndi MNT?
Njira yochizira iyi imathandiza kuthana ndi matenda osiyanasiyana. Gome ili pansipa likutchula ochepa mwa iwo.
| Mkhalidwe | Kufotokozera kosavuta |
|---|---|
| Matenda a shuga (Mtundu 1, Mtundu 2, mimba) ndi matenda a shuga asanakwane | Kukonzekera chakudya kuti muchepetse kuchuluka kwa shuga m'magazi. |
| Matenda a Impso Osatha (CKD) | Kulamulira zinthu monga mchere ndi mapuloteni kuti muchepetse kuthamanga kwa magazi pa impso. |
| Kuthamanga kwa Magazi Kwambiri | Chepetsani kudya mchere wambiri ndipo onjezerani zakudya zokhala ndi potaziyamu wambiri. |
| Cholesterol yambiri ndi triglycerides (Dyslipidemia) | Kudya zakudya zomwe zimachepetsa mafuta owopsa m'magazi. |
| Kulephera kwa Mtima | Kulamulira kuchuluka kwa madzi ndi mchere m'thupi ndikuchepetsa mtolo pamtima. |
| Matenda a m'mimba (monga matenda a Celiac, matenda a Crohn, IBS) | Pewani zakudya zomwe zimawonjezera zizindikiro ndipo idyani zakudya zosavuta kugaya. |
| Kunenepa Kwambiri ndi Kunenepa Kwambiri | Kuchepetsa ma calories ndi kudya zakudya zopatsa thanzi ndikofunikira kwambiri kuti muchepetse thupi bwino. |
| Kusowa zakudya m'thupi (monga mwa odwala khansa) | Kulimbitsa thupi mwa kupatsa thupi mphamvu ndi zakudya zofunikira. |
Kodi njira imeneyi ya chithandizo imachitika bwanji?
Chithandizochi nthawi zambiri chimakhala ndi magawo anayi, koma izi zimatha kusiyana malinga ndi munthu.
| Gawo | Kodi chikuchitika ndi chiyani apa? |
|---|---|
| 1. Kuyesa Zakudya | Apa ndi pomwe dokotala wanu ndi katswiri wa zakudya amaphunzira za inu. Amayang'ana zolemba zanu zachipatala, malipoti a labu, ndikukambirana nanu kuti asonkhanitse zambiri zokhudza zomwe mumadya, moyo wanu, ziwengo, ndi mavuto aliwonse ophikira omwe mungakhale nawo. |
| 2. Kuzindikira Zakudya | Izi ndi zosiyana ndi matenda a zachipatala. Zimene mukuchita pano ndi kuzindikira vuto lalikulu la zakudya. Mwachitsanzo, mwina muli ndi matenda a shuga (matenda a zachipatala), kotero mwina mukudya chakudya chambiri (matenda a zakudya). |
| 3. Kuthandizira pa Zakudya | Pofuna kuthetsa vutoli, gawo ili likuphatikizapo kupanga dongosolo la zakudya zomwe mukufuna kudya tsiku lililonse. Dongosololi likuphatikizapo chilichonse kuyambira zomwe muyenera kudya tsiku lililonse, zomwe muyenera kupewa, komanso momwe mungakonzekerere chakudya chanu. |
| 4. Kuyang'anira ndi Kuwunika | Mukayamba dongosololi, tidzapitiriza kuliyang'anira kuti tiwone ngati likugwira ntchito, ngati zizindikiro zanu zikuchepa, komanso ngati malipoti anu a labu akuchepa. Tidzasintha dongosololi ngati pakufunika kutero. |
Chofunika kwambiri ndichakuti zonsezi zichitike motsogozedwa ndi dokotala wanu. Choncho musachite zinthuzi nokha, kaya kungoyang'ana pa intaneti kapena kumva zinazake.
Kodi ubwino wa MNT ndi wotani?
Ngati mutsatira njira imeneyi ya chithandizo molondola, mudzapeza zabwino zambiri.
- Mudzalandira zakudya zomwe mukufunikira kuti muchepetse zizindikiro ndi zotsatira za matenda anu.
- Zingabweretse zinthu monga shuga m'magazi ndi cholesterol pamlingo wabwino .
- Wonjezerani kupambana kwa chithandizo kuwonjezera pa mankhwalaInde, n'zotheka. Zingachepetsenso kufunika kwa mankhwala.
- Mudzaphunzira njira zothandiza zothetsera mavuto pokonzekera chakudya chabwino (monga kusowa nthawi, mavuto azachuma).
- Mumakhala wothandiza kwambiri pa thanzi lanu.
Kodi pali zoopsa zilizonse ndi chithandizochi?
Bola ngati mutsatira malangizo a dokotala wanu, palibe chiopsezo chachikulu pakusintha zakudya zanu. Komabe, nthawi zina zapadera, pakhoza kukhala zoopsa zina.
- Ngati mwapatsidwa zakudya zopatsa thanzi: Pali chiopsezo chochepa cha majeremusi kulowa m'magazi.
- Ngati mukupatsidwa chakudya kudzera mu chubu: Pakhoza kukhala matenda pamalo omwe chubucho chili, kutupa m'mimba, komanso kudzimbidwa.
Koma gulu lanu lachipatala likusamalira bwino zonsezi, kotero palibe chodetsa nkhawa nacho.
Kodi ndingathandize bwanji kuti chithandizochi chikhale chosavuta kwa ine?
Pali zinthu zomwe mungachite kuti ulendowu ukhale wopambana.
1. Kambiranani momasuka: Musamachite manyazi ndi mavuto kapena zopinga zilizonse zomwe muli nazo (monga kusowa nthawi yophika, kulephera kugula zakudya zinazake) ndipo lankhulani ndi dokotala wanu. Pokhapokha mutapeza yankho labwino kwambiri lomwe lingagwire ntchito kwa inu.
2. Sungani buku la chakudya: Lembani chilichonse chomwe mumadya ndi kumwa tsiku lililonse, komanso nthawi zomwe mumadya. Izi zithandiza dokotala wanu kumvetsetsa vuto lanu.
3. Khalani oleza mtima: Kusintha zizolowezi kumatenga nthawi. Khalani oleza mtima nazo. Yambani ndi kusintha pang'ono.
Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi dongosolo lanu la zakudya, musaope kulankhula ndi dokotala nthawi iliyonse. Iye adzakupatsani malangizo omwe mukufuna.
Uthenga Wopita Nawo Kunyumba
- Chithandizo cha Zakudya Zamankhwala (MNT) si chakudya chokha, koma ndi chithandizo chamankhwala chomwe chimakuthandizani kuthana ndi vuto lanu lachipatala.
- Chithandizochi n'chofunika kwambiri polimbana ndi matenda angapo a nthawi yayitali monga matenda a shuga, kuthamanga kwa magazi, matenda a impso, ndi cholesterol.
- Chithandizochi chiyenera kuchitika nthawi zonse moyang'aniridwa ndi dokotala wanu, ndipo ndi katswiri wa zakudya yekha. Musayese nokha.
- Kutenga nawo mbali kwanu mwachangu komanso kulankhulana momasuka ndi dokotala wanu ndikofunikira kwambiri kuti chithandizochi chipambane.
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