Cov khoom noj muaj txiaj ntsig rau kab mob gallstone thiab pancreatitis

Kev piav qhia cuam tshuam rau 08.06.2017

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Cov kev cai dav dav

Cov kab mob Gallstone suav tias yog kev ua haujlwm dysmetabolic nyob rau hauv uas gallstones ua rau keeb kwm ntawm keeb kwm ntawm ntshaus plab tsis txaus siab roj lossis bilirubinCov. Cov pob zeb yog cov roj (cholesterol), xim (lossis bilirubin), calcium thiab sib xyaw.

Cov roj cholesterol thiab cov xim dub yog tsim ntau dua rau hauv lub zais zis, thiab xim av - hauv cov ducts. Qhov laj thawj rau lawv qhov tsim yog ntau dhau los ntawm cov kua tsib. Hauv lub zais plab, cov txheej txheem ntawm cov tuab ntawm cov kua tsib tas li tshwm sim, thiab nws yuav ntau dua nrog cov roj (cholesterol).

Kev tsim cov pob zeb yog cov txheej txheem muaj zog thiab cov nag lossis daus ntawm cov muaju hloov pauv nrog lawv cov kev sib cais, tab sis qee qhov. Hauv pob zeb tsim, ntau npaum li cas ntawm cov soluble cholesterol tas li nce, thiab nws nce ntxiv. Hauv ib xyoos, kev loj hlob ntawm pob zeb txawv ntawm 1 mus rau 4 hli, cov tshiab tau tsim tsuas yog hauv 14% ntawm cov neeg mob.

Hauv kev tshwm sim ntawm cov roj (cholesterol) mob cholelithiasis tsev neeg predisposition, tsis xws luag nyob rau hauv cov synthesis ntawm solubilizers, thaj chaw, rog dhau, mob ntsws, cev xeeb tub, mob ntshav qab zib mellitusstasis ntawm bile hauv lub zais zis, dyslipoproteinemia (txhawb cov ntshav roj). Ib qhov chaw tshwj xeeb yog noj los ntawm kev noj zaub mov tsis zoo: dhau mus ntawm kev noj haus ntawm cov carbohydrates thiab tsiaj cov protein, tsis muaj cov nroj tsuag fibers thiab cog cov protein.

Hauv cov theem pib ntawm tus kab mob, kev kuaj kab mob ultrasound ntawm lub bile rau ob peb xyoos yuav qhia cov kua tsib tuab uas muaj cov roj (biliary sludge) Yog lub caij nyoog ntawm kev ua txhaum ntawm nws lub cev cov yam ntxwv ntawm lub cev. Tsis muaj qhov kev kuaj mob tshwm sim ntawm tus kab mob thiab lub sijhawm no yog qhov muaj txiaj ntsig zoo tshaj plaws rau kev saib xyuas kev kho mob (txo qis lithogenicity ntawm bile thiab normalization ntawm bile secretion).

Yog hais tias kev hloov pauv ntawm cov tshuaj lom neeg cov kua tsib tsis tau tshem tawm, thiab qhov mob ntawm mucosa koom thiab hypomotor tsis ua haujlwm ntawm lub zais zis, kev tsim cov microliths txog 5 hli pib. Lub sijhawm no tseem taug qab uas tsis muaj kev kuaj mob hauv tsev kho mob. Kev txuag txhawm tshuaj muaj txiaj ntsig zoo (chenotherapy).

Tom qab ntawd lub microlites lo ua ke los ua cov macrolites uas loj dua 5 hli. Kev mob o thiab lub cev tsis tuaj yeem yog lub zais plab yog hnyav dua. Qee qhov tsis yog-tshwj xeeb cov tsos mob twb tshwm sim: mob siab, hnov ​​qhov ncauj ntawm qhov ncauj, hnyav nyob rau hauv txoj cai hypochondrium, uas tshwm sim los ntawm qhov tsis tseeb hauv cov zaub mov noj, ib qho nyiam mus flatulencenquag zawv plab thiab cem quavCov. Nrog kev tawm tsam, mob siab, tsis muaj kev mob siab tshwm sim sai sai, sib zog rau sab tes xis thiab lub xub pwg hniav, nrog cov xeev siab, rov ntuav, uas tsis coj kev mob siab. Kev haus dej haus cawv thiab kev nqus ntawm cov zaub mov muaj roj, tshee tshee, caij tsheb, kev ntxhov siab ntxhov siab lossis hnav lub cev hnyav dhau los ua rau muaj kev tawm tsam.

Cov neeg mob uas tau kuaj pom macrolite yog muab cov roj ntsha lithotripsy (tawg nyob ib puag ncig ntawm ib qho thiab ob peb lub pob zeb) lossis tiv tauj kev tshem tawm ntawm cov lej (hu rau litholysis). Nrog rau hom no, cov kuab tshuaj tau nkag mus rau hauv lub zais zis lossis ducts. Tsuas yog cov roj (cholesterol) pob ntawm ib qhov loj me. Rau cov txheej txheem, siv ether methyltertbutyl nyob hauv muaj cov pob zeb hauv cov npuas thiab ether tshaj tawm - hauv cov kua tsib ducts.

Raws li twb tau sau tseg, kev noj cov zaub mov muaj cov roj (cholesterol), cov rog thiab cov ua kom zoo ntxiv, ua zaub mov tsis haum thiab noj tsis txaus rau lub pob zeb. Nrog rau cov tsos mob ntawm cholelithiasis, kev kho mob kev noj haus yog qhov tsim nyog nyob rau txhua theem ntawm tus kab mob. Raws li tau hais los saum toj no, thaum ntxov ntawm biliary sludge, muaj pes tsawg leeg ntawm cov kua tsib tuaj yeem ua tiav thiab cov pob zeb tuaj yeem tiv thaiv tau. Nyob rau theem microlith, los ntawm kev pub mis thiab siv tshuaj, koj tuaj yeem hloov pauv cov kua tsib thiab yaj lawv, thiab nrog cov pob zeb tsim, ruaj khov lawv txoj kev loj hlob thiab tiv thaiv exacerbations (biliary colic).

Cia peb pom tias yuav noj cov zaub mov twg tuaj yeem kho tau rau tus mob gallstone? Cov zaub mov tseem ceeb yog Rooj ntawv 5 thiab nws cov ntau nyob ntawm theem ntawm tus kab mob. Yog lawm, nrog cholelithiasis, cov zaub mov uas muaj cov cholesterol yuav tsum tsis txhob siv, thiab kev noj haus fiber ntau tau kev pom zoo. Cov roj ntsha hauv cov pob zeb yog pom nyob rau hauv cov tib neeg kev txom nyem los ntawm kev ua kom dhau, tsim txom cov tsiaj rog, rog cov rog, qe thiab caviar. Cov ntsim thiab cov khoom noj muaj roj, qe qe yog tseem tsis suav nrog thiab, nrog kev ua tsis tau zoo, cov roj zaub tsis muaj qhov txwv, uas muaj lub suab nrov choleretic thiab tuaj yeem ua rau muaj kev tawm tsam cholelithiasis ntawm lub zais plab.

Kev kho tshuaj kho tus kab mob gallstones suav nrog:

• Txwv txiav cov rog kom tsawg 80 g (75% ntawm cov tsiaj, zaub - 25%).
• Kev nce hauv kev noj haus muaj fiber ntau (vim zaub thiab txiv hmab txiv ntoo).
• Ua kom cov ntsiab lus ntawm cov khoom lag luam nrog cov ntsev ntsev.
• Txhawm rau tshem tawm stagnation ntawm bile, noj haus ntau txog 6 zaug hauv ib hnub.
• Nws tsis pom zoo kom haus dej haus cawv (txawm tias "me" tsawg).
• Lub cev hnyav yuav tsum tsis txhob tso cai. Nrog rau concomitant rog dhau kev noj zaub mov muaj txiaj ntsig yuav tsum ua kom tsawg zog los ntawm kev txiav cov roj ntau ntau (70 g) thiab carbohydrates (250-300 g). Kev poob ceeb thawj yuav cuam tshuam rau chav kawm ntawm kab mob pob zeb.
• Lithogenicity ntawm bile yog tshem tawm los ntawm kev siv lub sijhawm ntev chenodeoxycholic acid thiab ursodeoxycholic acid (tsawg kawg 6 lub hlis).

Nyob rau thawj theem ntawm tus kabmob, tsis muaj cov khoom noj uas txwv, tab sis nws yog ib qho tsim nyog yuav tau soj ntsuam kev noj zaub mov, txij thaum noj ib lub sijhawm twg ua rau lub plab zais thiab ua haujlwm ntawm lub zais zis.

Yog tsis muaj exacerbation, muaj kev maj mam dhau los ntawm lub zais zis thiab lub siab, qhov ua haujlwm ntawm lub sijhawm cov kua tsib thiab cov roj (cholesterol), uas yog cov zaub mov tseem ceeb. Ntxhuav tooj 5Cov. Qhov no yog physiologically ua tiav khoom noj khoom haus, nyob rau hauv uas yog ib feem zaub mov tau muab rau, pab txhawb rau cov niaj zaus tawm ntawm cov kua tsib. Calorie kom tsawg yog 2400-2600 kcal (cov protein - 80 g, rog - 80 g, carbohydrates - 400 g).

Kev siv ntsev (10 g), cov rog (tshwj xeeb tshaj yog cov refractory) yog qhov txwv, cov kua yog nyob rau hauv qhov ntau ntawm 1.5-2 litres. Cov tais diav ua siav siav, muab cub thiab ci tsis tas yuav ua tau. Cov zaub rau cov tais diav tsis dhau thiab zom tsuas yog cov zaub nplua nuj hauv fiber ntau, nrog rau nqaij sinewy. Ib qho kev qhia meej thiab kev noj zaub mov kom tsim nyog yuav tsum tau 5-6 zaug hauv ib hnub.

Txij li nws yog qhov yuav tsum tau tsim kho kom nruab nrab cov kua tsib tso pa tawm thiab tiv thaiv cov ntsej muag ntawm cov pob zeb, cov zaub mov muab:

• Qhov ntau ntawm cov fiber ntau (vim yog siv cov zaub thiab txiv hmab txiv ntoo), uas yog qhov tshwj xeeb tshaj yog nyob rau hauv kev muaj cem quav. Ib qho ntxiv, xau tau qhia rau hauv cov khoom noj.
• Cov lav thiab vinaigrettes hloov nrog cov roj zaub uas tsis tau hloov (lawv xav tau hloov, cov roj txiv roj yog qhov muaj txiaj ntsig).
• Txhua zaub, txiv hmab thiab txiv hmab txiv ntoo.
• Kev siv cov khoom siv mis ua kua thiab cog cov khoom noj kom tau cov kua tshuaj alkaline bile. Hauv qhov no, cov khoom noj ua haus thiab hmoov nplej uas ua kom cov kua tsib muaj txiaj ntsig tsis muaj txiaj ntsig; hais txog qhov no, cov khoom no yuav tsum muaj tsawg, tshwj xeeb tshaj yog tias muaj qhov hnyav dua.
• Nyuaj nyom, hmoov nplej, oat thiab barley groats thiab mov ci yuav tsum yog qhov zoo tshaj, uas, ntawm lwm yam, muab lub cev nrog magnesium.
• Kev qhia ntawm cov protein ntau txaus (cov ntses tsis muaj roj, nqaij, tsev cheese, nqaij qaib protein) thiab roj zaub, uas txhim kho cov tsim muaj cov kua roj endogenous acids. Cov zaub mov ua los ntawm qe qe tso cai, kev txwv txiav siv rau yolks - nrog rau qhov muaj mob ntau dua, tsuas yog 0.5 yolk raug tso cai nyob rau ib pluas noj txhua hnub.
• Noj Ntau Yam Khoom Noj Muaj Ntau vitamin a (mis nyuj, Lee, tsev cheese, qaub cream, butter).
• Ua raws li cov cai tswj kev haus dej kom ntau (txog li 2 litres ib hnub), uas tiv thaiv kom tsis txhob tso kua tsib, nrog rau cov ntsiab lus ntawm kev noj zaub mov kom tsawg thiab tsis pub tsawg.

Los ntawm cov khoom noj tsis suav nrog:

• cov khoom lag luam nrog cov roj tseem ceeb (qej, cov txiv hmab txiv ntoo),
• heev muab tais diav (txhua cov kua zaub, zaub qhwv),
• zaub nrog ib cov ntsiab lus siab ntawm oxalic acid (sorrel, spinach),
• butter, shortbread thiab puff pastry,
• cov rog ua rog thiab cov muaj cov roj (ua kom lub siab, raum, hlwb), tag nrho cov khoom kib,
• cawv
• yooj yim digestible carbohydrates (qab zib, jam, confectionery, zib ntab, khoom qab zib) muaj tsawg.

Kev noj zaubmov magnesium rau cholelithiasis (tshwj xeeb yog qhia yog tias muaj cem quav, thiab ua rau dyskinesia tsis muaj lub zog txaus ntawm lub zais zis) yog raws li cov lus 5, tab sis tseem ntxiv nrog cov khoom uas muaj cov magnesium: bran qhob cij thiab wholemeal mov ci, cov khoom lag luam los ntawm cov ceg hauv av, buckwheat thiab millet groats, bran broth, zaub thiab txiv hmab txiv ntoo, suav nrog cov txiv hmab txiv ntoo qhuav).

Tag nrho cov khoom no txhawb cov kua tsib tso pa tawm, txhim kho lub cev muaj zog ntawm lub zais zis thiab txoj hnyuv, uas qhov kawg yuav pab tshem cov cholesterol, los ntawm cov pob zeb uas ua rau hauv lub zais zais nrog stagnation ntawm bile. Txawm li cas los xij, kev noj zaub mov hauv magnesium tsis tau hais tseg yog tias muaj mob plab, enterocolitis nrog fermentation thiab zawv plab, thiab thaum lub sij hawm exacerbation.

Kev noj haus rau tus kab mob gallstone thaum lub sij hawm exacerbation

Nrog exacerbation ntawm cholelithiasis rau thawj hnub nyob rau hauv thiaj li yuav ua rau siab mob plab hnyuv sparing, ua tiav kev tshaib plab yog ua. Txog rau hnub no koj tuaj yeem haus cov tshuaj yej uas tsis muaj zog, kua nyeem, kua txiv ntawm cov tsiaj qus sawv. Rau 2-3 hnub, ib qho kev tiv thaiv kev tiv thaiv kev xaj yog tshuaj - Noj cov zaub mov naj npawb 5Vtsis suav nrog txhua yam tshuab thiab tshuaj ua xua. Nws raug pom zoo rau lub sijhawm luv li 5 hnub.

Nws txwv tsis pub muaj carbohydrates txog 200 g (vim tias yooj yim - qab zib, jams, zib ntab, jam), txo cov protein ntau (txog 80 g), nrog rau cov rog. Cov zaub mov npaj tau yam tsis muaj ntsev thiab tsuas yog mashed: hauv daim ntawv ntawm soufflé, mashed qos thiab kua zaub. Nws yog ib qho tseem ceeb uas yuav tau soj ntsuam qhov tawg ntawm cov khoom noj (tsawg kawg 5 zaug) thiab lees txais sau ua ntu me me. Cov ntsiab lus calorie ntawm 1,600 kcal; kev ua kua muaj rau (2-2.5 l / hnub).

Tsuas yog:

• lub teeb mashed zaub mov rau hauv dej thiab tsis muaj roj,
• cov kua dej xoos (raws li oat, mov thiab semolina),
• ua kua zom kom zoo nkauj (oatmeal thiab mov) nrog ntxiv rau mis nyuj,
• jelly, cov kua txiv, kua txiv hmab txiv ntoo compotes,
• maj mam qhia cov nqaij ua kom siav (ib me ntsis), nqaij qaib muaj roj tsawg, hau ntses,
• cov mov ci los yog cov ntuag.

Tom qab qhov no, kev noj haus kho kom zoo dua qhov qub thiab yim hnub ntawm tus neeg mob pauv mus rau Noj 5A, thiab tom qab ntawd mus rau puag Rooj ntawv 5.

Nrog mob cholelithiasis, lub plab zom mov, lub plab zom mov thiab hnyuv koom nrog hauv cov txheej txheem pathological. Kev mob caj dab ntau yam nyob rau hauv cov poj niam 50-60 xyoo nrog rog thiab hyperlipidemia. Nrog muaj tus kab mob gallstone thiab pancreatitis, ib qho kev hloov pauv ntawm Daim Ntawv 5 yog siv - Rooj №5PCov. Nws yog qhov tshwj xeeb tshaj yog kev txwv ntau dua ntawm cov rog thiab carbohydrates, uas ua rau lub cev ua haujlwm pancreatic. Cov tshuaj rho tawm (kua zaub ntawm cov zaub qhwv, nqaij thiab ntses cov nqaij ntses) thiab cov roj ntxaij ntawm cov zaub kom muaj ntau. Hauv kev rog, txo qis hauv calorie kom tsawg vim muaj kev txwv tseem ceeb ntawm carbohydrates yog qhov pom zoo. Tag nrho cov tais diav yog siav hauv daim ntawv rhaub lossis faus thiab txhoov.

Ntawm suav cholecystitis, tsis tu ncua rau feem ntau exacerbations, pom zoo kev phais mob. Hauv lub sijhawm ua haujlwm rov qab tom qab rov qab, tus neeg mob khoom noj khoom haus yog qhov tseem ceeb heev. 12 teev tom qab kev ua haujlwm, nws tau tso cai rau cov dej haus tsis muaj roj hauv cov kua me me (txog li 500 ml ib hnub). Txog rau hnub thib ob, cov roj nyeem tsawg-rog, tsis muaj qab haus tshuaj yej, thiab cov khoom noj haus zoo noj rau hauv cov zaub mov hauv feem tsis pub tsawg tshaj 0.5 khob nrog zaus ntawm 3 teev.

Rau 3-4 hnub, cov zaub mov twb tau tso cai thiab cov zaub mov tau teeb tsa txog li 8 zaug hauv ib hnub, hauv ntu ntawm 150 g: cov qos yaj ywm mos (ib nrab kua), cov kua zaub mos, qe dawb omelette, mashed boiled ntses, txiv hmab txiv ntoo jelly. Los ntawm cov kua, koj tuaj yeem haus cov kua txiv (kua, taub dag) thiab tshuaj yej nrog qab zib. Hnub thib tsib, cov ncuav qab zib biscuit thiab cov mov ci qhuav tau qhia. Tom qab ib lub lim tiam, ntxiv cov zaub mov grated (buckwheat, oatmeal), hau cov nqaij ua kom sov, tsev cheese, kefir, yogurt thiab zaub puree. Tom qab qhov no, tus neeg mob tuaj yeem xa mus rau Rooj tus lej 5A, tom qab me ntsis - rau Rooj ntawv 5.

Tom qab cov sijhawm ua haujlwm, raws li qhov tshwm sim ntawm nws, qhov mob txhab ntawm biliary yog ua tau: cholangitis thiab choledocholithiasis - Kev tsim cov pob zeb nyob hauv cov kev nqaj uas ib txwm, uas tau pom los ntawm kev mob plab, dajntoo, npaws thiab ua daus no. Yog hais tias choledocholithiasis daws tsis tau kho sai, tom qab ntawd nce ntxiv cholangitis.

Muab qhov tshwj xeeb ntawm qhov pib lossis kab mob sib kis yog raug kho Ntxhuav No. 5A lossis No. 5VCov. Tsis suav cov khoom noj uas muaj cov roj cholesterol, roj fiber ntau, roj yam tseem ceeb uas ua rau muaj kev sib txawv, cov khoom siv ntawm cov khoom siv ntxiv. Tsuas yog npaj zaub mov siav. Nqaij cov nqaij yog tsuas yog txhoov lossis ci, thiab muab cov nqaij ntses tso rau hauv ib qho. Txwv tsawg tus naj npawb ntawm cov zaub mov tais thiab cia lawv tsuas yog nyob rau hauv daim ntawv ntawm boiled mashed qos yaj ywm. Txiv hmab txiv ntoo nyob rau hauv daim ntawv ntawm jelly, stewed txiv hmab txiv ntoo nrog mashed berries thiab txiv hmab txiv ntoo, thiab txiv apples tsuas yog ci.

Tom qab cholecystectomy yog tias tam sim no duodenitis thiab pancreatitis sau maj mam kho Noj cov zaub mov naj npawb 5SCCov. Nws siv txog li 3 asthiv ua ntej kev mob thiab mob dyspeptic tsis poob qis. Tom ntej no, taw ib lub rooj rau tus lej 5.

Yog tias bile stasis tshwm sim tom qab cholecystectomy, nws tau pom zoo Rooj Kab Ntawv 5 L / F - lipotropic rog. Nws txhim kho cov kua tsib tso pa tawm, muaj cov nyhuv lipotropic. Qhov no yog physiologically ua tiav kev noj haus, tab sis cov ntsiab lus ntawm cov carbohydrates yooj yim tsuas yog muaj tsawg tsawg thiab cov ntsiab lus ntawm cov rog yog nce ntxiv (cov tsiaj thiab cov nroj tsuag muaj sib npaug). Ntxiv rau cov tais diav ua mov, cov ci tseem tau ua kom paub, thiab kom noj cov kua tsib kom muaj kev zais, tsis yog ntsim thiab qhia rau cov khoom noj txom ncauj. Tso cai rau siv cov nplej zom thiab zom zom zias, ci zaub thiab txiv hmab txiv ntoo tshiab. Khoom noj tsis tws. Nws tsis suav nrog kib. Cov zaub mov hauv qhov me me.

Cov hau kev kho

Qhov txiaj ntsig zoo tshwm sim pab ua tiav kev noj zaub mov rau pancreatitis thiab cholelithiasis, kev noj zaub mov zoo tsim nyog zam kev phais thiab tshem tawm ntawm lub cev. Kev noj haus tsis tseem ceeb rau kev kho mob thiab phais mob.

Txhawm rau tshem tawm qhov teeb meem, tshuaj antispasmodics (kom tshem tawm qhov mob), tshuaj tua kab mob (kom tshem tawm tus mob), hepatoprotectors (tiv thaiv daim siab los ntawm stagnation ntawm cov kua tsib, puas tsuaj) pom zoo.

Thaum kev saib xyuas kev kho mob tsis nqa tawm qhov kev cia siab tshwm sim, muaj ib qho kev tawm tsam hnyav ntawm tus kab mob, ib qho kev ua haujlwm kom tshem tawm lub zais plab yog qhia. Tom qab kev cuam tshuam, tus neeg mob yuav tsum ua raws li cov zaub mov noj zaub mov naj npawb 5 raws li Pevzner siv sijhawm ntev.

Nws yog khoom noj khoom haus thiab khoom noj uas dhau los ua lub hauv paus tseem ceeb ntawm kev rov zoo los, thiab tsis hais txog:

1. qhov mob hnyav heev ntawm tus kab mob
2. cov yam ntxwv ntawm tus neeg mob lub cev,
3. theem ntawm tus kab mob.

Txo qhov txaus ntshai ntawm kev tawm tsam zaum ob, koj yuav tsum ua txhua yam khoom noj uas txwv tsis pub noj, ua raws li cov lus qhia ntawm tus kws qhia noj haus hais txog cov hau kev ua kom sov ntawm kev kho zaub mov.

Yuav noj li cas nrog tus mob gallstone

Cov khoom noj muaj txiaj ntsig rau kab mob gallstone thiab pancreatitis tuaj yeem hloov pauv thaum tus neeg mob rov zoo. Lub sijhawm dhau los ntawm kev npau taws, nws yuav tsum zam ntawm cov tais diav uas tuaj yeem noj thaum muaj kev sib zam.

Nws yog ib qho tseem ceeb kom paub tias cov tais diav yog faus lossis rhaub nrog ib ntsev kom tsawg. Fried thiab smoked khoom raug tshem tawm tag nrho. Nrog kev zam, txhua yam zaub mov yuav tsum yog hauv av, noj qhov me me tsawg kawg yog 5-6 zaug hauv ib hnub. Nws yog qhov tsis zoo rau noj thaum mus pw, kom maj thiab ntxo cov zaub mov tsis zoo.

Nws raug tso cai kom noj cov nqaij ntawm nqaij qaib, luav, nqaij nyuj, ntses ntawm cov nqaij ntshiv, nrog rau cov hav dej.Qhov txiav npluav suav nrog nqaij npuas, nqaij nqaij thiab nqaij hnyuv ntxwm. Raws li rau nqaij qaib thiab quail qe, lawv noj tsuas yog hauv daim ntawv ua noj hau, nws tseem raug tso cai rau ua noj cov protein ua pa omelet.

Cov rog cov zaub tuaj yeem suav nrog kev noj zaub mov noj, butter raug tso cai thaum lub sijhawm noj tshuaj, tsis pub ntau tshaj 15 gram nyob rau ib hnub. Cov txiv roj roj nrog cholecystitis thiab pancreatitis yog noj tsis ntau tshaj ib diav hauv ib hnub.

Kev puas tsuaj yuav tshwm sim los ntawm kib kib, lub khob cij dawb hmoov, ncuav qab zib, ncuav ncuav, ncuav ci nrog cij.

Kev noj zaub mov rau lub plab zom mov thiab mob hnyuv taum yog ua raws li kev siv cov zaub mov, lawv noj yuav luag txhua hom zaub mov, tsuas yog nplej zom uas ua los ntawm cov hmoov mos. Cereals thiab vermicelli yog ntxiv rau cov kua zaub kua zaub nrog meatballs, zaub, ntses kua zaub.

Cov zaub mov noj yuav tsum muaj cov khoom noj siv mis, koj yuav tsum muaj cov nqaij nyuj uas tsis muaj roj, mis nyuj, fermented ci cov mis thiab kefir hauv cov zaub mov. Koj tsis tuaj yeem noj cov khoom noj uas haus, salted cheese, tag nrho thiab haus mis nyuj. Thaum siv cov khoom noj mis nyuj, koj yuav tsum mloog koj lub cev, nrog kev zam zoo ib txwm nws raug tso cai noj zaub ntau hauv tsev, tsis txhob hnov ​​qab txog mis nyuj yogurt, qaub qab zib ntawm cov roj tsawg cov ntsiab lus.

Thaum lub sijhawm tshem tawm ntawm tus txheej txheem mob mus ntev, cov zaub thiab txiv hmab txiv ntoo tuaj yeem muab ntxiv rau hauv cov khoom noj, tsuas yog muaj ntau cov kua qaub thiab cov txiv hmab txiv ntoo (txiv kab ntxwv qaub, txiv kab ntxwv, mandarin). Ib qho kev zam ntawm txoj cai yuav muaj zaub ntsuab:

Cov xim ntsuab no muaj cov acids uas ua rau cov xaum ntawm lub plab thiab cov hnyuv.

Nws yog ib qho tseem ceeb los saib xyuas kev noj haus, koj tuaj yeem haus cov dej ntsuab uas tsis muaj zog thiab dub, diluted nrog cov dej npau, zaub thiab kua txiv txiv (tsis txhob ua cov txiv kab ntxwv qaub, txiv lws suav, kua txiv kab ntxwv). Nws yog txwv tsis pub haus dej cawv thiab haus dej nrog qee tus cawv, tshwj xeeb yog muaj cawv kab mob pancreatitis.

Koj tuaj yeem tsis ntxiv cov kua qaub, mustard, dub thiab allspice, kua ntses, mayonnaise thiab lwm yam ntsim ntsim ntxiv rau lub lauj kaub tais diav.

Nws puas muaj zib ntab, kas fes?

Nrog rau cov kab mob ua rau pancreatitis thiab mob qog, cov khoom qab zib raug tso cai, tab sis nyob rau hauv cov khoom tsawg. Zib ntab ntuj yuav muaj txiaj ntsig rau lub cev, nws muaj ntau yam khoom muaj txiaj ntsig thiab qhov tsis tseem ceeb hauv tib neeg kev noj haus. Txawm li cas los xij, ib qho yuav tsum tsis txhob hnov ​​qab tias muaj kev pheej hmoo ntawm kev fab tshuaj tsis haum rau cov khoom lag luam beekeeping no.

Kev kuaj xyuas tus neeg mob tau hais tias tseem muaj ntau cov ntawv qhia rau kev kho mob ntawm tus mob pob zeb. Koj tuaj yeem haus 2-3 zaug hauv ib hnub zib ntab, diluted nrog ib khob ntawm dej sov npau npau.

Tawm tsam stagnation ntawm bile, ib qho tshuaj ntsuab infusion nrog zib ntab yog coj, qhov tshuaj yog npaj los ntawm hops, valerian paus, clover. Yog tias koj sib xyaw cov kua txiv radish dub nrog zib ntab, koj yuav tau txais cov tshuaj lom thiab tiv thaiv kab mob tawm tsam pancreatitis, cholecystitis thiab lwm yam kev cuam tshuam. Ib khob kua txiv ntawm radish yog sib xyaw, zoo ib yam li cov zib ntab, noj hauv ib tablespoon ob zaug hauv ib hnub.

Ua ntej ua ntawv thov cov zaub mov txawv, nws yog qhov yuav tsum tau kuaj xyuas seb puas muaj qee tus neeg tsis kam haus rau zib ntab.

Kev noj zaub mov nrog duodenitis thiab pancreatitis tsis suav nrog kev haus kas fes:

• soluble
• muaj cai saib xyuas
• haus dej muaj caffeine.

Kev haus kas fes thiab haus dej haus sai, uas muaj cov ntaub ntawv teev cov khoom qab zib, yog qhov muaj kev phom sij tshwj xeeb.

Thaum ib tug neeg mob tiv kev txom nyem tam sim ntawd los ntawm tagnrho cov pob “paj” ntawm kab mob, kas fes tau cais tawm ntawm daim ntawv qhia zaub mov. Yog hais tias tus cwj pwm ntawm invigorating tus kheej nrog xws li haus dej tsis tawm ib tus neeg, lawv haus kas fes nrog mis nyuj skim thiab tsuas yog thaum sawv ntxov.

Cov khoom siv muaj txiaj ntsig thiab tsis zoo, cov txiv ntoo

Gallstone muaj tus kab mob, gastroduodenitis thiab mob txhawm rau mob leeg tas kom tus neeg mob noj ntau yam txiv hmab txiv ntoo thiab zaub, qee qhov txawm tias nws yuav dhau los ua kev kho mob. Cov tshuaj ib txwm muaj lub plab khoob haus dej haus ob peb dia kua txiv pos nphuab, hauv daim ntawv qhia yuav pab tua cov pob zeb hauv lub zais zis, ua haujlwm hauv cov kua txob. Tsis tas li, txiv pos nphuab yuav pab ua kom cov ntshav cov roj ntshav tsawg.

Cov kws qhia kev noj qab haus huv tsis txwv tsis pub noj cov qhob noom, dib liab, txiv tsawb, txiv avpaus, avocados, txiv ntoo, txiv duaj thiab ntau yam txiv ntoo. Ib qho zam yuav muaj acidic ntau yam ntawm txiv apples, berries, piv txwv li, cranberries.

Kev noj haus suav nrog kev siv beets, txiv lws suav siav, qos yaj ywm, carrots, taub thiab zucchini. Nrog ceev faj noj txhua yam ntawm zaub qhwv, tshwj xeeb tshaj yog dawb thiab savoy. Cov zaub qhwv tuaj yeem siv tau thaum lub sijhawm kho, tsuas yog muab daim ntawv rhaub lossis muab cub.

Kev siv cov txiv lws suav ua rau muaj kev sib cav ntau, cov kws kho mob pom zoo tias txiv lws suav yuav tsum siav, tsis muaj kua qaub, lawv cov xim tuaj yeem yog ib qho twg. Txhawm rau kev ntseeg siab nyob rau hauv kev zam niaj zaus ntawm cov khoom, nws tsis ua mob rau tev zaub, noj zaub ntsuab nkaus xwb.

Yuav ua li cas noj nrog ZhKB thiab pancreatitis yuav qhia tus kws tshaj lij hauv video hauv kab lus no.

Cov hauv paus ntsiab lus ntawm kev noj zaub mov rau kab mob sib koom tes

Kev sib xyaw ntawm cholelithiasis thiab pancreatitis yuav tsum ua raws li cov qauv kev noj haus uas nruj me ntsis:

• Kev zam rau cov zaub mov noj zaub mov muaj roj ntau
• txo qis bile concentration,
• kev xaiv ntawm cov khoom muaj cov txiaj ntsig zoo ntawm cov ntsev ntsev thiab cov roj nyeem tsis muaj roj, txhawm rau tshem tawm cov roj ntau dhau,
• nce rau hauv cov kev faib ua feem ntawm cov zaub tshiab ntawm cov zaub mov,
• hloov txhua txoj kev ntawm kev kho cua sov ntawm cov khoom siv nrog ib qho - muab cub.

Cov khoom noj yuav tsum muaj feem me me - zaub mov yuav tsum noj 6 zaug hauv ib hnub, tab sis hauv feem me me. Kev haus dej yuav tsum nce ntxiv mus rau tsawg kawg 2 litres ib hnub.

Yuav siv cov khoom noj dab tsi hauv cov khoom noj?

Cov zaub mov noj zaub mov uas pom zoo nrog kev sib xyaw ntawm cholelithiasis thiab pancreatitis yuav tsum muaj cov khoom noj uas muaj cov tshuaj fiber, cov vitamins thiab cov ntsev qab ntsev. Nyob rau tib lub sijhawm, cov zaub mov yuav tsum tau muab so, thiab haus yuav tsum ua kom sov. Xws li cov pluas noj muab:

• stimulation ntawm plab hnyuv peristalsis,
• txo qis hauv o,
• weakening ntawm cramps.

Cov lus hauv qab no qhia cov khoom lag luam twg thiab nyob rau hauv daim ntawv zoo li cas tuaj yeem lees txais rau cov neeg uas tau kuaj pom muaj tus kabmob gallstone nrog cov kabmob ua ke:

Los ntawm cov dej qab zib teas, compotes thiab kua txiv yog haum. Nrog rau lub cev nyhav dhau los, tus neeg mob yuav tsum txo qis cov khoom qab zib, cereals, khoom ci.

Cov khoom uas siv pathological

Nrog kev sib xyaw ua ke ntawm pathologies, kev noj haus yuav tsum tsis txhob suav cov khoom lag luam hauv qab no:

• rog
• kas fes
• zaub ntsuab
• nqaij npuas
• cov hnyuv ntxwm
• cawv
• margarines
• muab nqaij noj
• tawm tsam,
• rog mis
• qaub ntau yam ntawm berries,
• nplua nuj muaj kua,
• rog khaws cia
• haus luam yeeb,
• haus dej haus
• Cov nplej zom nyuaj
• muffin, pies, ntau yam ntawm cov ncuav dawb.

Tab sis kuj muaj nyob hauv cov zaub mov yuav tsum tsis txhob muaj cov kev nyab xeeb xws li kua txob, vinegar thiab mustard. Tam sim ntawd ua ntej mus pw, nws tsis pom zoo kom noj, thiab pluas su yuav tsum ua kom qeeb qeeb.

Qauv ntawv qhia zaub mov rau LCD thiab kab mob pancreatitis

Rau cov neeg mob uas raug mob los ntawm kev sib xyaw nrog cov kab mob no, cov zaub mov sib txawv yog siv, nyob ntawm seb theem twg tus kab mob nyob hauv.

Rau ib lub sijhawm ntawm kev zam txim, piv txwv li, cov ntawv qhia zaub mov no tsim nyog:

1. Pluas tshais: nqaij ntuag cov nqaij xyaw xyaw nrog zaub ntug hauv paus.
2. Noj su: hau zaub lossis mov ci tsev nrog zaub xam lav.
3. Noj su: steamed ntses ncuav nrog mov.
4. Khoom txom ncauj: protein omelet.
5. Noj hmo: qos kua zaub nrog taub dag thiab kua zaub.

Haus dej haus tom qab noj mov tau tso cai tsis pub ntxov tshaj ib hlis plaub ntawm ib teev (tshwj tsis yog noj su thiab ua khoom txom ncauj thaum tav su) uas yog:

Sai li ib lub lim tiam ntawm kev noj mov tau dhau los, tus neeg mob yuav tsum npaj lub hnub yoo mov nrog cov hnub nyoog tsawg dua: kom noj tshais, noj su, noj su, tav su khoom noj thiab hmo, 0.9 l ntawm kefir thiab sib xyaw 0.15 kg ntawm qab zib nrog 0.3 kg ntawm tsev cheese sib luag.

Nyob rau lub caij ntuj sov thiab lub caij nplooj zeeg, lub hnub ceev tshaj plaws yuav yog qhov zoo tshaj plaws, thaum lub sijhawm cov khoom noj tsuas yog cov txiv hmab txiv ntoo.

Nyob rau hauv rooj plaub thaum tus kab mob loj tuaj, thiab muaj qhov mob ua kom muaj tus mob, noj mov tau raug txwv. Tus neeg mob yuav tsum txwv nws tus kheej tsis haus dej rau ob mus rau peb hnub. Nyob rau lub sijhawm no, cov neeg ua haujlwm hlab ntsha thiab vesica biliaris muaj sijhawm so, kev tso tawm cov kua tsib ua tsawg dua. Txog hnub 4, tus neeg mob tuaj yeem hloov mus rau lub rooj No. 5. Nyob rau tib lub sijhawm, zaub mov yuav tsum muab faib ua ntu me me, thiab cov nqaij thiab kua zaub tau muab cais tawm.

Piv txwv 5 zaub mov noj lub rooj rau mob gallstone

Zaub mov noj tshiab tshiab, hau siav lossis ci. Xws li cov khoom lag luam muaj qhov kev cog lus cog lus rau lub plab zom mov, ua rau lub cev tawm ntawm cov kua tsib tsis tuaj yeem, tsis pub muaj kev ntxhov siab ntau dhau ntawm lub cev thiab muab kev thaj yeeb rau nws.

Cov ntawv qhia zaub mov kwv yees rau ib hnub:

1. Noj tshais: ntxiv rau oatmeal nrog ib qho hlais ntawm ncuav ntawm rye cij.
2. Noj su: muaj kua pear.
3. Noj su: hau mov nrog ntses meatballs ntxuav nrog txiv hmab txiv ntoo compote.
4. Khoom txom ncauj: mos tawg pleb nrog lub khob mis tsis muaj roj.
5. Noj hmo: ntxiv vinaigrette hauv zaub roj nrog hau qe qe thiab haus nrog ib khob kefir nrog rau kev ntxiv cov paj npleg qhuav.

Ib qho kev ua kom qaug zog ntawm kev sib txuam ntawm cov pathologies yuav tsum tau nyob ntawm cov khoom noj ntawd kom tsawg nyob rau ib lub lim tiam. Ntau tshaj ib qhov kev tshuaj xyuas los ntawm cov neeg raug kev txom nyem los ntawm cov kab mob no thov tias ntev dua thiab nruj me ntsis rau kev noj haus, qhov kev ncua ntev yuav nyob ntev.

Qhov tshwm sim ntawm kev tsis zoo rau tus neeg mob

Yog hais tias tus neeg mob ua yuam kev hauv cov zaub mov noj, thiab, ntau dua yog li, sim qee cov ntawv qhia nrov rau cov khoom noj muaj roj ntsim, tom qab ntawd nws feem ntau yuav cia siab rau exacerbate ntev pathologies. Ua ntej, raws li txoj cai, tsib lub zais zis tso pa tawm, uas yog ua kom pom los ntawm cov tsos mob hauv qab no:

1. Kev mob hnyav rau qhov mob nyob hauv txoj kev hypochondrium lossis epigastrium, nrog rau ntau yam irradiation, mus txog qhov mob siab.
2. Kev xav ntawm lub siab lub ntsws.
3. Hyperthermia.

Lub sijhawm siv ntawm kev tawm tsam tuaj yeem yog ob feeb thiab hnub. Qhov mob xaus tom qab lub pob zeb nkag mus rau lumen ntawm duodenum.

Cov mob nqaij hlav ntawm tus txiav yog tsawg dua. Nws pib tuaj yeem txiav txim los ntawm cov tsos mob hauv qab no:

• mob hnyav nrog ntau yam irradiation,
• flatulence
• nplawm
• zawv plab
• xeev siab hloov mus rau hauv ntuav
• muaj zog rog ntau zuj zus.

Txhawm rau tiv thaiv cov kev tawm tsam no sai thiab tiv thaiv lawv los ntawm kev yuav rov tshwm sim yav tom ntej, koj tsuas tuaj yeem ua raws li kev noj haus kom raug. Ib qho tshuaj twg uas tsis tau txais kev txhawb los ntawm kev noj zaub mov zoo yog ua kom tiav.

Yam khoom twg tau tso cai

Khoom noj khoom haus nrog kev sib xyaw ua ke ntawm pancreatitis thiab cholelithiasis yuav tsum muaj fiber ntau ntxhib, vitamins, thiab ntau cov magnesium.

Muaj ib qho cuam tshuam ntawm lub pob zeb hauv cov roj nrog qus sawv. Nrog ZhKB, koj yuav tsum haus dej haus li no txhua hnub.

Cov zaub mov yuav tsum yog neeg kho tshuab sparing: mashed, minced hauv nqaij grinder, tws nrog rab. Haus dej yuav tsum yog sov tsis qab zib. Cov zaub mov zoo li no yuav muab:

• kev zom plab zom mov
• anti-inflammatory siv
• antispasmodic nyhuv.

Cov zaub mov raug tso cai rau mob pancreatitis thiab ZhKB:

• cov nqaij ntshiv: nqaij qaib (nqaij ntses (tsis muaj tawv nqaij), luav, nqaij nyuj tawv, nqaij me me,
• ntses: hake, pollock, halibut,
• qe nyob rau hauv daim ntawv ntawm cov protein omelet,
• cov rog zaub: txiv ntseej, txiv maj phaub, linseed, paj noob hlis,
• butter nrog pheej kev zam txim,
• cereals: buckwheat, oatmeal, mov,
• mov ci crackers,
• ci txiv hmab txiv ntoo, zaub,
• zaub kua zaub, nqaij qaug zog nqaij,
• tsev cheese khoom noj zaub mov cij,
• mos nplej zom.

Koj tuaj yeem haus cov txiv hmab txiv ntoo stewed, tshuaj yej uas tsis muaj zog, haus dej qab zib, sov dej ntxhia, kua txiv txiv.

Tag nrho lossis ib nrab cov khoom lag luam

Yog tias mob plab hnyuv, cov khoom lag luam hauv qab no yuav tsum raug cais kom meej:

• rog rog
• rog
• kas fes
• cov hnyuv ntxwm
• ntsuj plig
• margarine, kis,
• muab nqaij noj
• nqaij tshem tawm (mob siab, raum, hlwb),
• cov khoom noj muaj rog (tsev cheese, cheese, qaub cream, qab zib, mis nyuj tag nrho),
• zaub ntsuab
• qaub txiv hmab txiv ntoo thiab txiv ntoo,
• haus dej qab zib
• nplej tshauv nplej zom,
• kev txuag, txawm nyob hauv tsev,
• hmoov.

Yog tias noj cov zaub mov 5 tau raug xaj, ces koj tuaj yeem tsis ua phem rau cov txuj lom, txuj lom. Ntau cov kua ntsw nrog cov txuj lom thiab vinegar - ib qho ntxiv rau ntawm lub tsev txiav.

Zib ntab thiab lwm yam khoom siv muv tuaj yeem noj tau hauv qee qhov ntau.

Piv Txwv Noj Txhua Lis Piam

1. Pluas tshais: biscuit ncuav qab zib nrog ib qho hlais ntawm cov rog zom zom zom, zaub ntsuab tsis muaj zog.
2. Noj su: protein omelet, 50 g ntawm crackers dawb, ib me nyuam diav ntawm zib ntab, ib tug decoction ntawm txiv hmab txiv ntoo qhuav.
3. Noj su: mucous nplej porridge seasoned nrog txiv ntseej roj, ncu nqaij qaib cutlet, ci kua, kas fes nqaij.
4. Khoom txom ncauj: muaj roj tsawg-tsev cheese.
5. Noj hmo: porridge los ntawm oat bran, zaub xam lav ntawm carrots thiab txiv apples, berry compote.

1. Pluas tshais: buckwheat porridge hauv lactose tsis muaj mis nyuj nrog zib ntab, tshuaj yej ntsuab.
2. Noj su: ci kua.
3. Noj su: zaub puree los ntawm zucchini thiab zaub cob pob, hau veal.
4. Khoom txom ncauj: khob ntawm tsawg-rog kefir.
5. Noj hmo: zaub kua zaub, ib khob ntawm Greek yogurt, khob cij.

1. Pluas tshais: oatmeal nyob rau hauv cov mis nyuj diluted (1: 1), ib rab diav ntawm zib ntab, biscuits, tshuaj yej ntsuab.
2. Noj su: ib khob kefir thiab khob cij.
3. Noj su: qaug zog nqaij qaib broth, qhob cij, rosehip broth.
4. Khoom txom ncauj: khob ntawm tsawg-rog muag curd.
5. Noj hmo: steamed ntses nrog ci zaub, txiv hmab txiv ntoo qhuav compote.

1. Pluas tshais: steamed protein omelet, biscuit ncuav qab zib, ntsuab tshuaj yej.
2. Noj su: tsev me cheese nrog tshuaj yej.
3. Noj su: nqaij qaib fillet ci nrog zaub.
4. Khoom txom ncauj: cream kua zaub nrog zaub.
5. Noj hmo: ci kua txiv av, tshuaj yej nrog zib ntab.

1. Pluas tshais: tsev me cheese txau nrog tshuaj yej.
2. Noj su: mov ci thiab rosehip broth.
3. Noj su: ib lub phaj ntawm cov zaub kua zaub nrog cov nplawm dawb, cov roj txiv ntoo butter lossis qab zib ntxiv tau ntxiv rau cov kua zaub nrog lub cim ua kom ruaj khov.
4. Khoom txom ncauj: Greek yogurt, txiv hmab txiv ntoo qhuav compote.
5. Noj hmo: nqaij qaib dumplings, zaub ntug hauv paus nyias, ntsuab tshuaj yej.

1. Noj tshais: oatmeal, zib ntab, tshuaj yej.
2. Noj su: mov ci thiab kua zaub los ntawm pob tw kub.
3. Noj su: ntses kua zaub, ib feem ntawm cov keej ua kom tau ntawm khob cij dawb, compote.
4. Khoom txom ncauj: ib khob ntawm tsawg-rog ryazhenka.
5. Noj hmo: stewed zaub, ib daim ntawm hau veal, ntsuab tshuaj yej.

1. Noj tshais: txiv ntoo jellies, biscuits, chicory kas fes.
2. Noj su: ntses dumplings, zaub ntug hauv paus zaub xam lav.
3. Noj su: nqaij souffle, qhob cij, compote.
4. Khoom txom ncauj: ua kua.
5. Noj hmo: ntses casserole, ib txhais tes ntawm raisins, ntsuab tshuaj yej.

Xws li kev noj haus zoo rau cov kab mob gallstone thiab pancreatitis. Cov tais diav tuaj yeem pauv tau nyob ntawm seb nyiam saj thiab theem ntawm kab mob.

Yuav ua li cas ua noj haus rau cov zaub mov noj qab haus huv

Nws yooj yim dua rau cov neeg mob ua raws li kev noj haus yog tias cov tais diav hauv nws muaj ntau yam thiab qab. Nws yog ib qho tseem ceeb kom ua raws li cov cai ntawm kev ua noj thiab muab khoom noj.

Cov zaub mov hauv qab no yog tsim rau cov neeg mob uas noj zaub mov 5P thiab 5A:

1. Zog txiav tawm ntawm qaib cov txwv. Cov khoom xyaw: 200 g ntawm qaib cov txwv fillet, 30 g ntawm qhob cij dawb, 50 ml ntawm mis nyuj, 3 diav ntawm cov roj zaub, ntsev kom saj. Soak lub khob cij nqaij rau ib nrab ib teev nyob rau hauv cov mis nyuj. Npaj minced nqaij los ntawm nqaij, ntxiv butter, ntsev, khob cij nrog mis nyuj. Sib tov zoo, daim ntawv txiav. Muab tso rau ntawm daim phiaj sib txuas ob chav npau npau, ua noj 30-40 feeb.
2. Ntses nyob rau hauv Bechamel mis ntses. Ci cov ntses rog muaj roj tsawg hauv ntawv ci. Rau cov kua ntses koj xav tau 150 ml ntawm mis nyuj (cov ntsiab lus rog mus txog 3.2%), ib me nyuam diav butter, ib me nyuam diav hmoov nplej, txhuv qab zib, qab ntsev kom saj. Qhuav butter nyob rau hauv ib lub lauj kaub, ncuav hmoov nrog sieve. Fry hmoov li 2 feeb. Ncuav mis nyuj (yuav tsum tau kub) hauv ib kwj nyias. Tom qab npau npau, ua noj ntxiv rau lwm 10 feeb. Ntxiv qab zib thiab ntsev. Ncuav cov ntses hauv cov ntses tiav.
3. Noj cov zaub mov Olivier. Rau ua noj ua haus, koj xav tau ib nrab zaub txhuv, ob lub qos yaj ywm, ob lub qe, 300 g ntawm nqaij qaib hau, dib tshiab, ib diav roj qab zib tsawg.Tev qos yaj ywm thiab carrots, boil hauv salted dej. Hard-boiled qe. Tev lub dib. Txiav tag nrho cov khoom xyaw rau hauv cubes, sib tov, ntsev, lub caij nrog qaub cream.
4. Txiv hmab txiv ntoo ncuav mog qab zib tsis muaj ci. Cov khoom xyaw: 1 txiv tsawb siav, ib poom txiv duaj tuaj yeem (koj tuaj yeem noj 2 lub txiv tshiab), 300 ml ntawm cov kua mis uas tsis muaj qab zib, khob noom biscuit, 200 ml dej, ib lub hnab ntawm gelatin. Ncuav gelatin nrog dej sov, cia kom yaj. Ntxiv cov yogurt thiab sib tov. Npog hauv qab ntawm lub lauj kaub nrog parchment. Txhaum cov ncuav qab zib rau hauv cov kab ntaug. Nthuav cov khoom xyaw hauv txheej. Xa cov ncuav qab zib tiav rau hauv lub tub yees hmo ntuj. Thaum sawv ntxov, cov khoom qab zib yog npaj tau.

Cov khoom ua noj yuav tsum yog tshiab. Tsis txhob yuav cov nqaij thiab cov ntses hauv kev lag luam ntuj. Mis nyuj thiab tsev cheese yuav tsis tuaj yeem noj nyoos.