Cystic fibrosis - khoom noj khoom haus

Cystic fibrosis (CF) yog ib yam kab mob tuag taus uas ua rau tuab, hnoos qeev ua rau lub ntsws thiab lub plab zom mov. Cov neeg mob CF yuav tsum noj zaub mov uas muaj calorie ntau thiab protein ntau hnub.

Qhov txiav ua kab yog ib yam khoom hauv lub plab tom qab lub plab. Ib txoj haujlwm tseem ceeb ntawm kev ua tiav ntawm kab xev yog ua kom muaj enzymes. Cov enzymes pab lub cev zom thiab nqus cov protein thiab cov rog. Ib txoj kev tsim cov hnoos qeev hauv lub qhov quav ntawm CF tuaj yeem ua rau muaj teeb meem loj, suav nrog:

• Cov quav uas muaj cov hnoos qeev, hnov ​​tsw phem, lossis ntab
• Roj, tsam plab, lossis plab plab
• Teeb meem tau txais protein txaus, rog, thiab calories ntau nyob hauv cov zaub mov

Vim tias cov teeb meem no, cov neeg mob CF tuaj yeem nyuaj rau lawv nyob hauv lub cev hnyav. Txawm tias thaum lub cev hnyav li qub, ib tus neeg yuav tsis tau txais cov khoom noj khoom haus zoo. Cov menyuam yaus mob CF yuav tsis loj hlob los yog tsim kho kom raug.

Hauv qab no yog cov hauv kev rau kev ntxiv cov protein thiab calories rau hauv zaub mov. Nco ntsoov ua raws li lwm cov lus qhia tshwj xeeb los ntawm koj tus kws kho mob.

Enzymes, vitamins, thiab ntsev:

• Cov neeg feem ntau uas muaj tus mob CF yuav tsum siv tshuaj tua kab mob pancreatic enzymes. Cov enzymes pab koj lub cev nqus cov rog thiab protein. Coj lawv txhua lub sijhawm yuav txo qis lossis tshem tawm cov quav zoo, tso pa tawm, tsam plab.
• Nqa cov enzymes nrog txhua pluas noj thiab khoom noj txom ncauj.
• Tham nrog koj tus kws kho mob txog kev nce lossis txo qis ntawm koj cov enzymes, nyob ntawm koj cov tsos mob.
• Nug koj tus kws kho mob txog kev noj cov vitamins A, D, E, K, thiab cov calcium ntxiv. Muaj cov qauv tshwj xeeb rau cov neeg mob CF.
• Cov neeg uas nyob rau ntawm huab cua sov yuav xav tau me me ntawm lub rooj ntsev ntxiv.

Noj cov qauv:

• Noj thaum twg koj tshaib plab. Qhov no txhais tau tias koj noj ntau pluas mov me rau ib hnub.
• Khaws ntau cov khoom noj khoom noj txom ncauj rau ib puag ncig. Sim ua khoom txom ncauj rau ib qho dab tsi txhua txhua teev, xws li cheese thiab crackers, ncuav qab zib, los yog sib tov.
• Sim noj mov tsis tu ncua, txawm hais tias nws yog ob peb qho xwb. Lossis, suav nrog kev noj zaub mov ntxiv lossis milkshake.
• Yuav tsum hloov pauv. Yog koj tsis tshaib plab thaum txog noj hmo, ua tshais, khoom noj tshais thaum nruab nrab, thiab ua su rau koj noj.

Tau txais cov calories ntau thiab muaj protein:

• Ntxiv cov taum grated mus rau kua zaub, kua ntsw, khaub noom, zaub, zaub qos, mov, mov, lossis nqaij lo nqaij.
• Siv cov mis, ib nrab thiab ib nrab, qab zib, lossis ntxiv mis nyuj rau hauv kev ua noj lossis dej haus. Cov mis ntxiv yog cov mis tsis muaj hmoov qhuav ntxiv rau nws.
• Kis cov txiv laum huab xeeb rau cov khoom siv qhob cij los yog siv nws ua lub dob rau zaub thiab txiv hmab txiv ntoo. Ntxiv cov txiv laum huab xeeb rau hauv cov kua ntsw lossis siv rau hauv cov hmoov av.
• Skim mis hmoov ntxiv protein ntxiv. Sim muab ntxiv 2 dia (8.5 grams) ntawm cov hmoov mis nyuj qhuav ua ntxiv nrog cov mis nyuj hauv cov zaub mov txawv.
• Ntxiv marshmallows rau cov txiv hmab txiv ntoo lossis kub chocolate. Ntxiv cov raisins, cov hnub tim, lossis cov noob txiv taum pauv thiab qab zib suab thaj rau cov zaub mov ua kom sov lossis txias, lossis muaj rau cov khoom txom ncauj.
• Ib me nyuam diav (5 g) ntawm butter los sis margarine ntxiv 45 calories rau cov zaub mov. Sib tov nws rau hauv cov zaub mov kub xws li kua zaub, zaub, qos yaj ywm ci, zaub mov siav, thiab mov. Ua nws rau cov zaub mov kub. Kub cij, ncuav qab zib, los yog waffles nqus ntau cov butter.
• Siv cov qaub los sis cov kua mis nyeem qaub rau cov zaub xws li qos yaj ywm, taum, carrots, lossis taub dej. Nws kuj tseem siv tau ua khaub ncaws hnav rau cov txiv hmab txiv ntoo.
• Nqaij cij, nqaij qaib, thiab ntses muaj calories ntau dua li ci nqaij lossis ci nqaij.
• Ntxiv cheese ntxiv rau sab saum toj ntawm cov npaj khov pizza.
• Ntxiv coarsely tws nyuaj siav qe thiab cheese ntsuas rau tossed zaub xam lav.
• Ua cov tsev cheese nrog cov kaus poom lossis txiv hmab txiv ntoo tshiab.
• Ntxiv cov cheese yoov, tuna, cws, crabmeat, nqaij nyuj hauv av, nqaij tsuav nqaij los yog sawb muab hau siav rau cov kua ntses, mov, khaub noom, thiab cov mij noj.

Egan ME, Schechter MS, Voynow JA. Cystic fibrosis. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 432.

Hollander FM, de Roos NM, Heijerman HGM. Qhov zoo tshaj plaws ze rau kev noj haus thiab cystic fibrosis: cov ntaub ntawv pov thawj tseeb thiab cov lus pom zoo. Curr Opin Pulm MedCov. 2017; 23 (6): 556-561. PMID: 28991007 pubmed.ncbi.nlm.nih.gov/28991007/.

Rowe SM, Hoover W, Solomon GM, Sorscher EJ. Cystic fibrosis. Hauv: Broaddus VC, Mason RJ, Ernst JD, li al, eds. Murray thiab Nadel Cov Ntawv Phau Ntawv Qhia Txog Cov PaCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 47.