Gqirha, ngaba unayo ne-'Exocrine Pancreatic Insufficiency' okanye i-EPI njengoko siyibiza ngokufutshane? Ngoko ke mhlawumbi uyazi ngamava akho ukuba kufuneka uqaphele kangakanani ngokutya kwakho kunye nesiselo sakho. Kufuneka uthathe amayeza amiselweyo rhoqo xa usitya. Ngoko ke, ngexesha elinje, xa ufumana isimemo somsitho womhla wokuzalwa womhlobo, okanye ukuphuma uye kudla isidlo sangokuhlwa nosapho lwakho, kuyinto eqhelekileyo ukuziva usoyika kwaye unexhala. Imibuzo efana nethi "Ngaba kuya kubakho ukutya okufanelekileyo kum?", "Ngaba ndiza kukwazi ukuthatha amayeza am ngexesha?", "Ngaba ukutya kuya kuba nencasa kakhulu kwaye kuphazamise isisu sam?" ifika engqondweni, akunjalo? Kodwa ungoyiki konke konke. Akunyanzelekanga ukuba uyeke ukuchitha ixesha nabahlobo kwaye wonwabe kuba nje une-EPI. Ngokulungiselela okuncinci kunye nokucwangcisa okuhle, sinokuyoyisa le nto ngokulula. Masibone ukuba kuhamba njani?
Inyathelo 1: Masenze uphando oluncinci malunga nendawo yokutyela.
Oku kufana nokuhlola okuncinci ngaphambi kokuba uye kwimishini. Kuthetha ukuphanda indawo okhethe ukuyityela ngaphambi kokuba uye kuyo. Oku kuya kunceda kakhulu ekwenzeni isidlo sakho sibe yimpumelelo.
Khawuthelekelele ulungiselela ukuya kwindawo yokutyela edumileyo eColombo nabahlobo bakho. Zama ezi zinto usuku okanye ezimbini ngaphambi kokuba uhambe.
| Kwenziwe ntoni | Iyintoni inzuzo yoko? |
|---|---|
| Jonga imenyu kwi-intanethi. | Iindawo zokutyela ezininzi ngoku zinemenyu yazo kwiwebhusayithi yazo okanye kumaphepha e-Facebook. Ungazijonga ukuze ufumane umbono wokuba zeziphi izitya ezifanelekileyo kuwe. Ekubeni une-EPI, ukhetho olufanelekileyo kukutya okunamafutha aphantsi . Oko kuthetha ukukhangela intlanzi eyosiweyo okanye eyosiweyo, inkukhu, imifuno emitsha, kunye neziqhamo. |
| Tsalela umnxeba kwindawo yokutyela. | Ukuba awukwazi ukufumana into ekufanelayo kwimenyu, okanye ukuba awuqinisekanga, batsalele umnxeba ngqo ubuze. Bachazele nje imeko yakho yempilo ("Andikwazi ukunyamezela izinto ezifana neoyile, ibhotolo, okanye itshizi, ngoko ungazenzela ukutya okundifanelayo?"), kwaye ubuze ukuba banokukunceda na. Uninzi lwexesha, baya kukunceda ukuba ubazise kwangaphambili. |
| Iphi indlu yokuhlambela emva kokuhamba? | Wakuba nje usiya kwindawo yokutyela, qiniseka ukuba ujonga apho igumbi lokuhlambela likhoyo. Oku kuya kukunceda uphephe ingxaki yokufuna igumbi lokuhlambela ukuba ukutya kuneziqholo kakhulu, ukuba unesisu esibuhlungu, okanye ukuba unemeko engxamisekileyo. |
Masilungiselele ngolu hlobo ekhaya ngaphambi kokuba siphume.
Ukulungiselela kancinci ekhaya ngaphambi kokuba uye kwindawo yokutyela kungenza amava akho abe yimpumelelo ngakumbi. Ezi zizinto ezilula kakhulu, kodwa zibaluleke kakhulu.
| Indlela yokulungiselela | Inkcazo kunye nokubaluleka |
|---|---|
| Yitya kancinci ngaphambi kokuba uhambe. | Musa ukuya kwindawo yokutyela ulambile. Yitya ukutya okuncinci okanye isidlo esilula ngaphambi kokuba uhambe. Kungenjalo, indlala yakho iya kukulawula kwaye ungagqibela unqwenela ukutya okungenampilo okufana nezinti zetshizi eziqhotsiweyo kwimenyu. Ukuba utya into eneproteni eninzi (iqanda elibilisiweyo, iitshizi), awuyi kufuna ukuzitya kuba isisu sakho siya kuba sigcwele. |
| Lumka ngeepilisi. | Gcina unyango lwakho lokutshintshwa kwe-enzyme yepancreas (PERT) kwibhegi okanye kwisikhongozeli esikhuselekileyo. Ubushushu abulungelanga la mayeza. Ukuba uphuma emini, musa ukuwashiya amayeza akho kwindawo eshushu, njengakwideshibhodi okanye kwindawo yeglavu yemoto yakho. Amaqondo obushushu angaphezu kwama-25 degrees Celsius (77 F) anokonakalisa la mayeza aze angasebenzi kakuhle. Ubushushu begumbi bungcono. |
| Lungisa izinto ezongezelelweyo ezifunekayo. | Abanye abantu banengxaki yokuginya amayeza. Ukuba uxuba umgubo okwibhotile yakho yamayeza nento efana ne-applesauce okanye iyogathi, yigcine kwisitya esincinci. Kukwangcono nokuba uphathe ibhotile yamanzi eyongezelelweyo, kuba kusenokufuneka ulinde iseva ukuba izalise iglasi yakho yamanzi. |
Cinga ngezi zinto xa u-odola ukutya.
Kulungile, ngoku uye kwindawo yokutyela. Unemenyu esandleni. Ngoku kuza inxalenye ebalulekileyo. Kubaluleke kakhulu ukuba nobuchule xa u-odola ukutya.
Musa ukoyika ukubuza imibuzo kumlungiseleli.
Ukuba unomdla wokwazi ngesidlo esithile, ungabi nazintloni zokubuza ukuba senziwe njani okanye ukuba siphekwa njani.
- "Ingaba ufaka ikhrimu/oyile eninzi kule curry?"
- "Ingaba le ntlanzi iqhotsiwe okanye itshisiwe?"
- "Kukho ntoni kwisosi yesaladi?"
Buza imibuzo efana nale uze ukhethe eyona ikufaneleyo.
Cela utshintsho ekutyeni
Amaxesha amaninzi, umpheki uya kukulungela ukwenza utshintsho oluncinci kwisitya ngokweemfuno zakho.
- "Ungazizisa i-dressing/sauce kwikomityi encinci eyahlukileyo?" (Emva koko ungongeza kangangoko ufuna).
- "Ungayigrila okanye uyipheke ngomphunga le nto endaweni yokuyiqhotsa?"
- "Ungayenza imifuno ngaphandle kwebhotolo?"
Khumbula, impilo yakho yeyona nto ibalulekileyo, ngoko ungoyiki ukucela into oyifunayo ngokucacileyo, kodwa ngentlonelo.
Ungalibali ukusela amayeza akho!
Lo ngumthetho obaluleke kakhulu xa usitya ngaphandle une-EPI. Ufanele uthathe amayeza e-enzyme (PERT) anikwe ngugqirha wakho xa ulunywa okokuqala ngqa .
Ngamafutshane, la mayeza aqulathe ii-enzymes ezikunceda ekugayeni ukutya okutyayo. Ukuba usela la mayeza ngaphambi kokuba uqale ukutya, ii-enzymes ziya kudibana kakuhle nokutya kwaye zincede kwinkqubo yokugaya ukutya. Ukuba usela amayeza emva kokuba ugqibile ukutya, akuyi kuba luncedo kangako. Ngoko ke, qiniseka ukuba uwasela amayeza akho kwangoko nje ukuba ukutya kusekho, ngaphambi kokuba ulume okokuqala.
Musa ukuba neentloni ngokuthatha amayeza akho phambi kwabanye abantu etafileni. Kubalulekile kwimpilo yakho. Ungakwenza ngokulula, ngaphandle kokubangela ingxaki nakubani na.
Umyalezo Wokuya Ekhaya
- Ukuba ne-EPI akuthethi ukuba kufuneka uyeke ukonwaba ngobomi bakho bentlalo kunye nabahlobo.
- Yenza isicwangciso esincinci ngaphambi kokuba uye kutya ngaphandle. Jonga imenyu yevenkile yokutyela uze utsalele umnxeba ukuba kuyimfuneko.
- Ngaphambi kokuba uphume ekhaya, yitya ukutya okuncinci, upakishe amayeza akho kakuhle, uze uthathe ibhotile yamanzi eyongezelelweyo.
- Xa uodola ukutya, ungoyiki ukubuza imibuzo nokucela utshintsho oluza kukulungela.
- Okubaluleke kakhulu: Ungalibali ukuthatha amayeza akho e-enzyme (PERT) xa ulunywa okokuqala esidlweni sakho.
- Ukuba usenamathandabuzo okanye imibuzo malunga noku, qiniseka ukuba uthetha nogqirha wakho kwaye ucele ingcebiso.
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