Nutrition for pancreatitis: We think of what you can eat and what is impossible

Inflammation of the pancreas, or pancreatitis, is a serious disease that can significantly reduce the quality of human life.

It can be caused by a variety of causes and continues with different forms, but in all cases, pancreatitis causes problems with the production of digestive enzymes, which means that the function of digesting food and nutrient absorption and nutrient absorption.

Doctors have developed a special treatment regimen for the disease, an important place where it requires proper nutrition.

The basic power rules for pancreatitis

The pancreas is one of the main participants in the digestive process.The enzymes are developed by its actively fragmented foods, contributing to rapid and more complete assimilation.Healthy iron easily overcomes this task, producing the right amount of pancreatic enzyme (enzyme).But in the case of inflammation, too fat or heavy foods cause a greater burden on the organs, even worse.

In the case of pancreatitis in any form, you must adhere to not only the strict rules of the product selection that we will discuss below, but also specialty food principles designed to help the pancreas easier to overcome its main function.

• First, you must adhere to the rules of the breakdown, that is, to eat often, five to six times a day in small portions of up to 300 g.
• Second, the pancreatic chemicals and other digestive organs are certainly chemical.For this, everything that can cause their irritation and trigger the production of excessive enzymes is exempt from diet.Most products are boiled or burned.
• Third, it is necessary to release the mechanical gastrointestinal tract, that is, eating dishes in chopped or even eliminated (for acute pancreatitis or chronic form of disease hunting).

IMPORTANT!

Excessive use of dishes can also lead to appetite and weight loss, so when it comes to severity and improves the patient's condition is transferred as soon as possible to a waterproof version of the diet.

• Fourth, the diet should contain up to 60% of animal protein, that is, about 200 grams daily.
• Fifth, the amount of fat up to 50 g per day is limited to the uniform distribution of their food during the day.Fat is allowed to be used only for cooking, as a free meal, they are prohibited.For example, sandwiches with butter need to be abandoned, as excessive fat loads with a high probability will cause disease problems and worsen.
• Sixth, the amount of sugar and foods containing sugar up to 30-40 g a day should be limited, while the carbohydrate content should remain normal, up to 350 g a day.It is allowed to replace sugar with xylitol or other sugars.
• In seven, the use of products that cause increased gas (bloating) formation is excluded.
• Vosmys, salt use is limited.The allowable norm is three to five grams of a day.

About which product is allowed with pancreatic inflammation, and which is strictly prohibited, we will tell you below.

What can be eaten with pancreatitis depends on the form of a disease

In chronic pancreatitis, at a continuous level of forgiveness, patients should eat according to basic needs, but foods should not be chopped or eliminated.The purpose of diet in chronic pancreatitis is to ensure good nutrition, decrease in inflammation in the pancreas, and recovery of its function.

Fried dishes, products that contribute to intestinal fermentation and rich in essential oils are excluded from the diet, as well as all the irritating mucous membranes of the seasoning and spices -gastrointestinal tract, extractive substances.For example, meat contains extracted substances that are divided into nitrogen and absurd.One kilogram of meat contains an average of 3.5 g of nitrogen extractive substance.Most extracted nitrogen ingredients in pork: the total content reaches 6.5 g in one pound of muscle tissue.The smallest amount of extractive ingredients is observed in the goat - 2.5 g per kilogram of muscles.In this case, in cases where it is necessary to limit the extractive material, low goats may be recommended.

Nitrogen extractive materials are carnosine, creatine, assernive, purine base (hypoxantin), and others.The main value of the extractive substance is their taste and stimulates the effect on the secretion of the digestive gland.

Forgive extractive ingredients - glycogen, glucose, lactic acid - found in meat in about 1%.In their activities, they are much lower than the extract of nitrogen.

Adult animal meat is richer than extractive ingredients and has a more significant taste than young animal meat.This explains the fact that strong soup can only be obtained from adult animals.The extractive ingredients of the meat are pathogens that are energetic from the secretion of the gastric gland, and therefore strong gravy and the most excited fried meat with the separation of digestive juices.Boiled meat does not have this property, and therefore it is widely used in diet, chemical diet, for gastritis, ulcerative disease, liver disease and other digestive organs.

The dishes are steamed or roasted.This type of power is usually recommended for a long time to give the pancreas the ability to recover.The list of products allowed for chronic pancreatitis is quite broad, so patients have the opportunity to eat not only right, but also delicious.

Therapeutic nutrition in the form of acute pancreatitis and with the severity of chronic pancreatitis.On the first day of the disease, it is included in the emergency system with attacks and aims to reduce pain and pancreatic activity.Traditional formulas - "cold, hunger and peace" - perfectly reflect the principles of acute pancreatitis treatment and chronic form severity.

To create a pancreas, the patient's functioning gland is provided with the necessary nutrients (usually amino acids and vitamins) using coordinated parenteral nutrition, that is, by intravenous infusion (administration), which goes beyond the gastrointestinal tract.In some cases, if the patient does not have vomiting and signs of gastrostasis, which is moisture in stomach activity, it is allowed to drink alkaline mineral water or weak tea, about 1.5 liters per day.About the second or third day, the patient gradually transferred to a limited enteric diet, and then full.

Therapeutic nutrition in acute pancreatitis and the severity of chronic forms vary in several features.First and foremost, it is necessary to introduce the right amount of protein into the patient as soon as possible, as it is necessary for the synthesis of the inhibitor enzyme that suppresses the last pancreatic production.To reduce the burden on the organs, a special mix for entering the nutrition is sometimes used through investigation or tube.About two weeks later, patients are allowed to be a diet expanded with chemicals and mechanical organ.

Patients during this period recommend various types of mucous soups on cereal decoctions or vegetable soups, chopped steam dishes from low meat and fish, steam protein omelets, vegetables and fruits, newly prepared hut cheese, tea, tea, rosehip soup, compotes, jelly.Salt for cooking dishes is not used.

Therapeutic diet "Table No. 5 P": Product List

When diagnosing pancreatitis, the patient, along with drug treatment, receives recommendations for therapeutic nutrition.Especially for patients with pancreatitis, a special version of Diet No.5 Recommended for liver disease and gall bladder has been developed - Diet No.5 p.

There are two options for this diet.The first is shown for acute pancreatitis and chronic severity, it is prescribed after fasting for about a week.The calorie content of the diet is 2170-2480 kcal.

The second option, prescribed for chronic pancreatitis in the remission, is characterized by high protein content, a daily diet with this diet should have about 2440-2680 kcal energy.

One day's estimated menu according to Diet No.5 p (second option):

• Breakfast: oat porridge on water, cottage cheese souffle, carrot juice;
• Second Breakfast: Bake Apple;
• Lunch: zucchini and carrots, beef rolls with pumpkin pumpkin, berry jacket;
• Evening snacks: uneducated cookies, weak tea;
• Dinner: Pike perch cutlets with cauliflower, compot.

List of Products Authorized by Diet No.5 p is as follows:

1. Porridge and cereals: semolina, oatmeal, buckwheat nucleus, rice prepared on water.
2. Dairy products: 1% fat cottage cheese, yogurt and kefir with low fat content, low -fat cheese varieties.
3. Soup: mucous membranes on decoction of cereals, vegetable soup, secondary meat soup, soup.
4. Meat and fish: chicken (breast), rabbit, low beef, turkey, cod, hack, up to, pike, pike perch, flounder and other types of low, boiled or steamed in the form of tags, cuts, meatballs, rolls.
5. Vegetables and fruits: zucchini, potatoes, broccoli cabbage, colored cabbage, carrot, tomatoes (carefully), cucumbers, pumpkin, sweet apples and pears (best baked), dried fruits.Boil the vegetables -sometimes, sometimes eliminated.
6. Sauses: Emergency white sauce like Behamel, on boiling vegetables, fruits.
7. Sweet: fruits and berries, mousses, jelly, marshmallow (in small quantities), honey, pastille, some types of cookies that are not confident.
8. Other products: butter and vegetable oils for cooking, chicken eggs (protein), wheat bread yesterday.
9. Drinks: juice - carrot, pumpkin, apricot, rosewood, mineral water, weak tea.

The development of diet with increased well -being is allowed to be carried out only on the list of allowed dishes, without violating cooking technology and not exceeding the recommended amount.

Products prohibited during pancreatic inflammation

Diet No.5 P is prohibited from consuming the following products:

1. Porridge and cereals: nuts, nuts, barley and corn cereals.
2. Dairy products: milk, sour cream, cream with increased fat content, hard cheese, fat cottage cheese.
3. Soup: based on strong meat and fish soup, as well as with excess vegetables as a gas station: borsch, pier, cabbage soup, ear.
4. Meat and fish: Fish fat varieties - salmon, trout, salmon caviar, salty and salted fish, canned fish, fat pigs and beef, sausages, smoked meat, geese, ducks, canned meat.
5. Vegetables and fruits: All vegetables and canned fruits, white cabbage, onions, radish, eggplant, bell pepper.
6. Sauses: tomato sauce, adjika, mustard and all acute sauce.
7. Sweet: chocolate, ice cream, sand dough, sugar cream -gula.
8. Other products: animal fat, rye bread and any of them, mushrooms in any form.
9. Drinks: juice - orange, grapes, cherries, tomatoes, carbonated drinks, any alcohol, tea and coffee.

Dietary violations can cause attacks even when the patient's condition is stable for a long time.

The importance of enzymes when digesting food

Digging food in the body goes with the participation of enzymes of several types produced by the stomach, pancreas and small intestine.Each enzyme is responsible for the separation of certain food components.In this case, the enzyme is produced, split:

• Protein - protease (thripsin, chiriperipsin);
• nucleic acid - nucleus;
• fat - lipase (steatsin);
• Carbohydrates are amylase.

In the event of pancreatic inflammation, its ability to synthesize enzymes decreases, enzymatic deficiency occurs.This condition is characterized by violations of the body's digestive function and the absorption of nutrients to them, some unpleasant symptoms, such as large fluid stools, body dehydration, vitamin deficiency symptoms and anemia.Weight can fall sharply, often heartburn, nausea, vomiting, bloating.Prolonged deficiency of enzymes is very dangerous, because without proper treatment it leads to complete thinning of the body.

Therefore, proper nutrition, combined with enzyme therapy aimed at increasing Ezyme deficiency, can only reduce manifestations of pancreatitis and unpleasant enzyme failure.The most important thing is to clearly fulfill all the appointments of the attending physician, avoiding an amateur presentation.