Nutrition for pancreatitis: We find out what you can eat and what is impossible

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

This can be caused by many different reasons and can proceed in different forms, but in all cases, pancreatitis causes problems with the production of digestive enzymes, which means that food digestion and nutrient absorption and nutrients absorption.

Doctors have developed a special treatment diet for the disease, an important place in which it takes proper nutrition.

Basic strength rules for pancreatitis

The pancreas is one of the main participants in the digestive process.The enzymes developed by its actively divided food contribute to rapid and more complete assimilation.Healthy iron easily combats this task, producing the correct amount of pancreatic enzymes (enzymes).But in the case of inflammation, too much more fat or heavy food produces a very large load on the organ, and its condition worsens.

In the case of pancreatitis in any form, you should not only follow strict rules in the choice of products that we will talk below, but also specially designed special food principles are specially designed to make it easier for the pancreas to deal with its main function.

• First of all, you should follow the rules of differential nutrition, that is, often to eat, five to six times a day in small parts, up to 300 grams.
• Secondly, a chemical Bakhanana of the pancreas and other digestive organs is necessarily chemical.For this, whatever can cause their irritation and provoke the very active production of enzymes, it is kept out of the diet.Most products are boiled or ripened.
• Third, it is necessary for mechanical sparing of the gastrointestinal tract, namely, chopped or even wipes in the form of wipes (for acute pancreatitis or for the chronic form of the disease).

Important!

Very prolonged use of wipe dishes can also lead to prohibition of appetite and weight loss, so when exercise is removed and improvement in the patient's condition is transferred to the earliest diet's waterproof version as soon as possible.

• Fourth, the animal in the diet should be up to 60% of the protein, ie about 200 grams per day.
• Fifth, up to 50 grams of fat per day is limited with equal distribution of food during the day.Fat is allowed to be used only for cooking, as an independent dish, they are prohibited.For example, a sandwich with butter will have to leave, as excessive fat loads with high probability will provoke an exaggeration of the disease and spoil its course.
• The volume of sixth, sugar and sugar-rich foods should be limited to 30–40 grams per day, while the carbohydrate content should remain normal, up to 350 grams per day.This is allowed to replace sugar with xylitol or other sugar -substites.
• Seven-seven, the use of products that cause an increase in gas formation (flatulence).
• Vose, salt consumption is limited.The permissible criteria is of three to five grams of day.

Which products are allowed with inflammation of the pancreas, and which are strictly prohibited, we will tell you below.

What can be eaten with pancreatitis depending on the forms of the disease

In chronic pancreatitis, in the constant discount phase, the patient should eat according to the basic requirements, but the food should not be chopped or wiped.The purpose of diet in chronic pancreatitis is to ensure a good nutrition, decrease inflammatory process in the pancreas, and restoration of its functions.

Furious dishes, products that contribute to the intestines and are rich in essential oils are kept out of the diet, as well as all gastrointestinal tract seasoning and disturbing the mucous membrane of spices.For example, the meat contains extracts that are divided into nitrogen and nonsense.One kilogram of meat contains an average of 3.5 grams of nitrogenous extractive substances.Most nitrogenous extractive substances in pork: Their total content reaches 6.5 grams in one kilogram of muscle tissue.The smallest amount of extractive substances is seen in memes - 2.5 grams per kilogram of muscles.In this regard, in cases where it is necessary to limit the extracting substances, low -lumbar can be recommended.

Nitrogenous extractive substances are carnosine, creatin, donkey, pureen base (hypoxantine), etc.The main value of extracting substances has stimulating effects on their taste properties and secretions of digestive glands.

Sorry extractive substances - Glycogen, glucose, lactic acid - are found in about 1%in meat.In their activity, they are quite inferior to nitrogen extracts.

Adult animal animal is rich in compared to substances that removes and have a more pronounced taste than the flesh of young animals.This explains the fact that strong broth can only be obtained from adult animals.Meat extract substances are energetic pathogens of secretions of gastric glands, and therefore stronger broth and fried meat are most excited by the separation of digestive juices.Boiled meat is not entitled to this property, and therefore it is widely used for a diet, chemically spared diet, gastritis, ulcerative diseases, liver diseases and other diseases of digestive organs.

The dishes are boiled or cooked.This type of power is usually recommended for a long time so that the pancreas can get the ability to recover.The list of products allowed for chronic pancreatitis is quite wide, so the patient has not only the right to eat, but also delicious.

The rapid form of pancreatitis is almost identical with the expansion of therapeutic nutrition and chronic pancreatitis.On the first day of the disease, it is involved in an emergency system with an attack and aims to reduce pain and pancreatic activity.Traditional formula - "Cold, Hunger and Peace" - reflects the principles of treatment of completely acute pancreatitis and reflects the expansion of an old form.

To create a pancreas, the patient's functional gland is provided with essential nutrients (usually amino acids and vitamins), which is performed by intravenous infusion (administration), bypassing the gastrointestinal tract.In some cases, if the patient does not vomit and there are signs of gastrostasis, that is, the recession in abdominal activity, then it is allowed to drink alkaline mineral water or weak tea, about 1.5 liters per day.On the second or third day, the patient is gradually shifted to a limited active diet, and then a completely.

Therapeutic nutrition in acute pancreatitis and exaggeration of chronic form distinguishes many characteristics.First of all, it is necessary to introduce the right amount of protein in the patient as soon as possible, as they are essential for the synthesis of enzyme inhibitors that suppress the production of the latter pancreas.To reduce the load on the limb, special mixture for active nutrition is sometimes used through tube or tube.After about two weeks, the patient is allowed to have an extended diet with chemical and mechanical sparing of the organs.

During this period, patients recommended a variety of mucous soup on a decoction of grain or vegetative broth, low -bans and fish, steam protein omelets, vegetables and fruit puree, freshly prepared cheese, some extent tea, rose broth, compots, jelly chopped steam dishes.Salt is not used for cooking.

Medical diet "Table No 5 P": List of Products

When diagnosing pancreatitis, the patient, with drug treatment, receives a recommendation for medical nutrition.Especially for patients with pancreatitis, a special version of diet number 5 recommended for liver and gall bladder diseases was developed - diet number 5p.

There are two options for this diet.The first is indicated for acute pancreatitis and exercise of chronic, it is determined 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 remuneration stage is characterized by a high content of protein, with this diet the daily diet should have a energy value of about 2440–2680 kcal.

According to the diet number 5P (second option) an estimated menu for one day:

• Breakfast: porridge on water porridge, cheese paneer sole, carrot juice;
• Second breakfast: baked apple;
• Lunch: zucchini and carrots, beef rolls with pumpkin puree, berry jacket;
• Non -noon breakfast: non -unknown cookies, weak tea;
• Dinner: Pike perch cutlets with cauliflower, compot.

The list of products allowed by diet number 5P is as follows:

1. Oatmeal and grains: Semolina, porridge, a type of grain nuclei, rice prepared on water.
2. Dairy products: Cottage cheese 1% fat, yogurt and kefir with low fat content, less varieties of cheese.
3. Soup: Cereals, vegetable soup, secondary meat broth, mucous membrane on a decoction of soup based on soup-pure.
4. Meat and fish: chicken (breast), rabbits, low -fat beef, turkey, cod, hack, til, pike, pike perch, flounder and other low -fot strands, boiled or tag, cutlets, meatball, boiled or steamed as rolls.
5. Vegetables and fruits: zucchini, potato, broccoli, colored cabbage, carrots, tomatoes (with caution), cucumbers, pumpkins, sweet apples and pears (preferably cooked forms), dried fruits.Boil vegetables, sometimes erased.
6. Sauses: Emergency white sauce such as a vegetable decoction, fruit-bearry, fasting.
7. Sweet: Fruit and berry jelly, mousse, jelly, marshmollo (in small quantities), honey, pastil, some varieties of non -unknown cookies.
8. Other products: butter and vegetable oil, chicken eggs (protein), wheat bread tomorrow.
9. Drinks: Juice - Carrot, Pumpkin, Apricot, Rosewood, Mineral Water, Weak Tea.

The expansion of the diet with well improvement can only be done within the list of permissible dishes, without violating cooking techniques and not exceeding the recommended volume.

Stringer

Diet number 5P is strictly banned by eating the following products:

1. Oatmeal and grains: peas, beans, barley and corn grains.
2. Dairy products: milk, sour cream, cream with increased fat material, hard cheese, fat cheese cheese.
3. Soup: With strong meat and fish broth -with overfied vegetables in the form of gas stations: bors, pear, cabbage soup, ear.
4. Meat and fish: Fish fat strands - salmon, trout, salmon caviar, smoked and salty fish, canned fish, fat pork and beef, sausage, smoked meat, goose, duck, canned meat.
5. Vegetables and fruits: all vegetables and fruits canned food, white cabbage, onion, radish, brinjal, bell chili.
6. Sosses: ketchup, Edzika, Mustard and all acute sauce.
7. Sweet: chocolate, ice cream, sand flour, confectionery cream.
8. Other products: animal fat, rye bread and any sdoba, mushroom in any form.
9. Drinks: Juice - orange, grapes, cherries, tomatoes, carbonated drinks, any alcohol, strong tea and coffee.

Violation of the diet can integrate an attack, even if the patient's condition is long stable.

Importance of enzymes while digesting food

Food digging in the body goes with the participation of many types of enzymes produced by the stomach, pancreas and small intestines.Each enzyme is responsible for the division of certain components of food.In this case, enzymes are produced, divided:

• Protein - Protease (thripsin, chirpteripin);
• Nucleic acid - nucleis;
• Fat - Lipis (stepsin);
• There are carbohydrates.

In the case of inflammation of the pancreas, its ability to synthesize enzymes is significantly reduced, enzymatic deficiency.The condition is manifested by the body's digestive functions and a violation of the absorption of nutrients for them, many unpleasant symptoms, such as liquid abundant stool, body dehydration, vitamin deficiency and anemia.Body weight can fall rapidly, often resentment, nausea, vomiting, flatulence.Long -term enzyme deficiency is very dangerous, because without proper treatment it leads to a complete deficiency of the body.

So, the combined with proper nutrition, enzyme therapy, is quite capable of reducing the unpleasant manifestations of pancreatitis and enzyme failure.The most important thing is that to avoid amateur performance, all appointments of the attending physician have to be clearly completed.