Cystic fibrosis - abinci mai gina jiki

Cystic fibrosis (CF) cuta ce mai barazanar rai wanda ke haifar da danshi mai laushi mai laushi don tarawa a cikin huhu da hanyar narkar da abinci. Mutanen da ke da CF suna buƙatar cin abincin da ke cike da adadin kuzari da furotin a cikin yini.

Pancreas wani gabobi ne a ciki bayan ciki. Muhimmin aiki na pancreas shine yin enzymes. Wadannan enzymes suna taimakawa narkewar jiki da kuma shan furotin da mai. Ofarin dunƙulewar gamsai a cikin pancreas daga CF na iya haifar da manyan matsaloli, gami da:

• Kujerun da ke dauke da gamsai, suna da ƙamshi, ko iyo
• Gas, kumburin ciki, ko cikin ciki
• Matsalolin samun isasshen furotin, mai, da kalori a cikin abinci

Saboda waɗannan matsalolin, mutanen da ke da CF na iya samun wahalar kasancewa a mizanin da ya dace. Ko da lokacinda nauyi ya zama al'ada, mutum bazai sami cikakkiyar abinci mai gina jiki ba. Yaran da ke da CF bazai yi girma ko haɓaka daidai ba.

Wadannan hanyoyi ne don ƙara furotin da adadin kuzari a cikin abincin. Tabbatar bin wasu takamaiman umarni daga mai ba da lafiyar ku.

Enzymes, bitamin, da gishiri:

• Yawancin mutane da ke da CF dole ne su sha enzymes na pancreatic. Wadannan enzymes suna taimakawa jikinka ya sha mai da furotin. Shan su a kowane lokaci zai rage ko kawar da kujerun wari, gas, da kumburin ciki.
• Enauke enzymes tare da dukkan abinci da abinci.
• Yi magana da mai ba ka sabis game da haɓaka ko rage enzymes ɗinka, gwargwadon alamunka.
• Tambayi mai ba ku sabis game da shan bitamin A, D, E, K, da ƙarin alli. Akwai fannoni na musamman don mutanen da ke da CF.
• Mutanen da ke zaune a cikin yanayi mai zafi na iya buƙatar ƙaramin adadin gishirin tebur.

Tsarin cin abinci:

• Ci a duk lokacin da kake jin yunwa. Wannan na iya nufin cin ƙananan ƙananan abinci a cikin yini.
• Kiyaye abinci iri-iri masu gina jiki kewaye da su. Yi ƙoƙarin cin abinci a kowane abu kowane sa'a, kamar su cuku da fasa, muffins, ko kuma hanyar haɗuwa.
• Yi ƙoƙari ka ci abinci a kai a kai, koda kuwa 'yan cizon kaɗan ne. Ko, haɗa da ƙarin abinci mai gina jiki ko shayarwa.
• Kasance mai sassauci. Idan ba ku da yunwa a lokacin abincin dare, ku yi karin kumallo, tsakar dare, da abincin rana babban abincinku.

Samun karin adadin kuzari da furotin:

• Graara cuku cakulan a cikin kayan miya, kosai, kosai, kayan lambu, dankalin turawa, shinkafa, taliya, ko wainar nama.
• Yi amfani da madara cikakke, rabi da rabi, cream, ko madara mai wadata a girki ko abubuwan sha. Ingantaccen madara yana da non madarar busassun madara da aka saka a ciki.
• Yada man gyada akan kayayyakin burodi ko amfani da shi azaman tsoma don ɗanyen kayan lambu da 'ya'yan itace. Butterara man gyada a biredi ko amfani da waffles.
• Skim madara foda yana kara furotin. Gwada ƙara cokali 2 (gram 8.5) na busasshiyar madarar garin madara ban da adadin madara na yau da kullun a girke-girke.
• Maara marshmallows zuwa 'ya'yan itace ko cakulan mai zafi. Sanya zabibi, dabino, ko yankakken goro da sukari mai ruwan kasa a cikin hatsi mai zafi ko sanyi, ko kuma a basu su a ci.
• Karamin cokali (5 g) na man shanu ko margarine yana ƙara adadin kuzari 45 ga abinci. Hada shi cikin abinci mai zafi kamar su miya, kayan lambu, dankalin turawa, dafaffun hatsi, da shinkafa. Yi amfani da shi akan abinci mai zafi. Gurasa masu zafi, fanke, ko waina suna shan man shanu.
• Yi amfani da kirim mai tsami ko yogurt akan kayan lambu kamar su dankali, wake, karas, ko squash. Hakanan za'a iya amfani dashi azaman suturar 'ya'yan itace.
• Burodin da aka dafa, kaza, da kifi suna da adadin kuzari fiye da wanda aka dafa dafafaffen nama.
• Extraara ƙarin cuku a saman pizza mai sanyi da aka shirya.
• Choppedara dafaffun kwai dafaffun daɗaɗe da cuku cuku zuwa salatin da aka jefa.
• Ku bauta wa cuku na gida tare da gwangwani ko sabbin 'ya'yan itace.
• Graara cuku cuku, tuna, jatan lande, kaguwa, naman sa, naman alade ko yankakken ƙwai a biredi, shinkafa, casseroles, da noodles.

Egan ME, Schechter MS, Voynow JA. Cystic fibrosis. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 432.

Hollander FM, de Roos NM, Heijerman HGM. Hanyar mafi dacewa ga abinci mai gina jiki da cystic fibrosis: sabbin shaidu da shawarwari. Curr Opin Pulm Med. 2017; 23 (6): 556-561. PMID: 28991007 pubmed.ncbi.nlm.nih.gov/28991007/.

Rowe SM, Hoover W, Solomon GM, Sorscher EJ. Cystic fibrosis. A cikin: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Littafin rubutu na Murray da Nadel na Magungunan numfashi. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 47.