ʻO Cystic fibrosis - ka meaʻai

ʻO Cystic fibrosis (CF) kahi maʻi hoʻoweliweli e hoʻoweliweli i nā mū a paʻa e kūkulu i loko o nā akemāmā a me nā wahi digestive. Pono nā poʻe me CF e ʻai i nā meaʻai i kiʻekiʻe i ka nui o nā calories a me nā protein i loko o ka lā.

ʻO ka pancreas kahi lālā i loko o ka ʻōpū ma hope o ka ʻōpū. ʻO kahi hana nui o ka pancreas ka hana ʻana i nā enzymes. Kōkua kēia mau ʻōhua i ke kino e ʻeli a omo i ka protein a me nā momona. ʻO ke kūkulu ʻana o ka mucus sticky i ka pancreas mai CF hiki ke alakaʻi i nā pilikia koʻikoʻi, e like me:

• Nā ʻūhū i loko o ka ʻūhū, pilau, a lana paha
• Gas, bloating, a i ʻole distended ʻōpū
• Loaʻa nā pilikia i ka lawa ʻana o ka protein, momona, a me nā calorie i ka papaʻai

Ma muli o kēia mau pilikia, paʻakikī paha ka poʻe me CF e noho i kahi kaupaona maʻamau. ʻOiai ke kaumaha ka maʻamau, ʻaʻole paha e loaʻa i kahi kanaka ka meaʻai kūpono. ʻAʻole ulu a ulu kūpono paha nā keiki me CF.

Eia nā ala i ka hoʻohui ʻana i ka protein a me nā calorie i ka papaʻai. E mālama pono i nā ʻōlelo kikoʻī ʻē aʻe mai kāu mea mālama ola.

Nā enzim, nā wikamina, a me ka paʻakai:

• Pono ka hapa nui o ka poʻe me CF e lawe i nā enzyme pancreatic. Kōkua kēia mau ʻōhua i kou kino e omo i ka momona a me ka protein. ʻO ka lawe ʻana iā lākou i nā manawa āpau e hōʻemi a hemo paha i nā noho hohono, ʻāpala, a me ka momona.
• Lawe i nā enzyme me nā meaʻai āpau a me nā meaʻai māmā.
• E kamaʻilio i kāu mea hāʻawi e pili ana i ka hoʻonui a hoʻemi ʻana paha i kāu mau enzyme, e pili ana i kāu mau ʻōuli.
• E noi i kāu mea hāʻawi e pili ana i ka lawe ʻana i nā wikamina A, D, E, K, a me ka calcium ʻē aʻe. Aia kekahi hana kūikawā no ka poʻe me CF.
• Pono paha ka poʻe e noho ana i nā ani wela i kahi paʻakai o ka pākaukau keu.

Nā lauʻai ʻai:

• ʻAi i ka wā pōloli. ʻO ka manaʻo paha o kēia ka ʻai ʻana i kekahi mau meaʻai liʻiliʻi a puni ka lā.
• E mālama i nā ʻano meaʻai māmā pono a puni. E hoʻāʻo e ʻai māmā i kekahi mea i kēlā me kēia hola, e like me ka tī a me nā pahū, nā muffins, a i ʻole ka mix mix.
• E hoʻāʻo e ʻai mau, ʻoiai inā he nahu wale kēia. A i ʻole, hoʻopili i kahi mea hoʻopihapiha a i ʻole ka milkshake.
• Hoʻololi. Inā ʻaʻole ʻoe pololi i ka manawa ʻaina awakea, e hana i ka ʻaina kakahiaka, nā pōʻai waena o ke kakahiaka, a me ka ʻaina awakea i kāu papaʻai nui.

Ke kiʻi nei i nā calorie a me nā protein:

• E hoʻomoʻi i ka tī kuʻu i nā kopa, nā mea ʻai, nā casseroles, nā mea kanu, nā ʻuala i kāwili ʻia, ka laiki, nā noodles, a me nā berena ʻai.
• E hoʻohana i ka waiū holoʻokoʻa, hapa a me ka hapalua, holika, a i waiū momona paha i ka kuke ʻana a i nā mea inu paha. Hoʻopili ʻia ka waiū momona i ka waiū maloʻo malo ʻole nonfat.
• E hohola i ka waiūpī pīpī ma nā huahana berena a hoʻohana paha iā ia e like me ka ʻūlū no nā mea kanu maka a me nā hua. Hoʻohui i ka waiūpī pīpī i nā mea ʻai a hoʻohana paha i nā waffles
• Hoʻohui ka pauka waiū Skim i ka protein. E hoʻāʻo e hoʻohui i 2 punetēpu (8.5 gram) o ka waiū skim waiū maloʻo a hoʻohui i ka nui o ka waiū maʻa mau i nā meaʻai.
• Hoʻohui i nā marshmallow i ka huaʻai a kokoleka wela paha. E hoʻomoʻi i nā hua hua waina, nā lā, a i ʻokiʻoki ʻia hoʻi a me nā kō kōpaʻa i nā cerealia wela a anuanu hoʻi, a i ʻole ia no nā meaʻai māmā.
• ʻO kahi teaspoon (5 g) o ka waiūpaka a i ʻole ka margarine e hoʻohui i nā calorie he 45 i nā meaʻai. Hoʻohui iā ia i loko o nā meaʻai wela e like me ka soups, nā mea ʻai, kaʻuala, ka palaʻai i kuke ʻia, a me ka laiki. E lawelawe iā ia ma nā meaʻai wela. Hoʻokomo nā berena wela, pancakes, a i ʻole nā ​​waffles i ka waiū hou.
• E hoʻohana i kaʻaila kawa a yogurt paha i nā mea kanu e like me kaʻuala, pīni, kāloti, a me ka palaʻai. Hiki nō ke hoʻohana i ka lole no ka hua.
• ʻOi aku ka nui o nā calories i kā ka palaoa kāwili ʻia, ka moa, a me ka iʻa ma mua o ka hoʻomoʻa ʻana a i hoʻomoʻa ʻia paha.
• Hoʻohui i ka tī hou ma luna o ka pizza i hoʻomākaukau ʻia.
• E hoʻomoʻi i ka hua moa moa i kālai ʻia me ka ʻono.
• E lawelawe i ka tī liʻiliʻi me ka hua kini a i ʻole ka huaʻai hou.
• E hoʻomoʻi i nā paʻi wai i wili ʻia, tuna, ʻōpae, crabmeat, pipi bipi, diced ham a i ʻoki ʻia i mau hua i hoʻolapalapa ʻia i nā sausa, ka laiki, nā casseroles, a me nā noodles.

ʻO Egan ME, Schechter MS, Voynow JA. ʻO Cystic fibrosis. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 432.

Hollander FM, de Roos NM, Heijerman HGM. ʻO ke ala kūpono loa i ka meaʻai a me nā cystic fibrosis: nā hōʻike hou loa a me nā ʻōlelo aʻoaʻo. ʻO Curr Opin Pulm Med. 2017; 23 (6): 556-561. PMID: 28991007 pubmed.ncbi.nlm.nih.gov/28991007/.

ʻO Rowe SM, Hoover W, Solomon GM, Sorscher EJ. ʻO Cystic fibrosis. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 47.