Inflammation of the pancreatic or pancreatitis is a serious disease that can significantly reduce the quality of human life.
It can be caused by many different reasons and acts in different forms, but in all cases, pancreatitis causes problems with digestive enzyme production, which means that food digestion function and nutrient absorption and nutrient absorption.
Doctors have developed a special treatment regimen for this disease, which is an important place where it requires proper nutrition.
Basic power rules in case of pancreatitis
The pancreas is one of the main members of the digestive process.Enzymes developed by her active distributed dishes, promoting quick and more complete assimilation.Healthy iron easily handles this task, creating the right amount of pancreatic enzyme (enzyme).But in the case of inflammation, too fat or heavy food causes excessively higher organ load, further worsening its condition.
In any form of pancreatitis, you should follow not only strict rules when choosing the products we will talk about below, but also special food principles designed to help the pancreas easier to cope with its main function.
- First of all, you need to follow a fractional dietary rules, that is, often eating five to six times a day in small parts up to 300 g.
- Second, chemical protection of the pancreas and other digestive organs is definitely a chemical.In this regard, everything that can cause their irritation and causes too active enzyme production is excluded from the diet.Most products are cooked or fried.
- Third, it is necessary to protect the gastrointestinal tract, that is, eating food in crushed or even wiped form (acute pancreatitis or exacerbation of the disease).
Important!
The use of too long -term wiped vessels can also cause appetite and weight loss, so removing the exacerbation and improving the patient's condition is transferred to a waterproof version as soon as possible.
- Fourth, the diet should be up to 60% of animal protein, that is, about 200 grams a day.
- Fifth, the amount of fat up to 50 g per day is limited to their smooth food distribution during the day.Fat allows for cooking only as independent food, they are prohibited.For example, you will have to give up sandwiches with butter, as excessive fat load with high probability will cause the disease to exacerbate and worsen.
- The sixth, sugar and sugar -containing foods up to 30-40 g per day should be limited, while the carbohydrate content should remain normal, up to 350 g per day.Sugar is allowed to be replaced by xylitol or other sugar substances.
- The use of products that cause increased gas formation (bloating) is unsuccessful.
- Vosmys, salt consumption is limited.The permitted norm is three to five grams of the day.
We will tell you below which products are allowed with inflammation of the pancreas and which are strictly prohibited.
What can be eaten with pancreatitis depending on the form of the disease
In the case of chronic pancreatitis, the patient should eat under the basic requirements, but the food should not be crushed or perceived.The aim of chronic pancreatitis is to ensure good nutrition, a reduction in the inflammatory process in the pancreas and its function to restore its function.
Fried foods, products that promote intestinal fermentation and rich in essential oils, are excluded from the diet, as well as all irritating stomach -narrow spices and spices, extraction substances.For example, meat contains extraction substances that are divided into nitrogen and nonsense.One kilogram of meat has an average of 3.5 g of nitrogen extraction.Most nitrogen extractions in pork: their total content reaches 6.5 g per kilogram of muscle tissue.The smallest amount of extraction substances is observed in the lamb - 2.5 g per kilogram of muscle.In this regard, low Fat lamb may be recommended when it is necessary to limit the extraction substances.
Nitrogen extractions are carnosine, creatine, asernive, purine -based (hypoxanthine), etc.The main value of extraction substances is their taste and stimulating effect on the secretion of digestive glands.
Forgive extraction substances - glycogen, glucose, lactic acid - is found in the meat about 1%.In their activity, they are significantly lower than nitrogen extraction.
Adult animals are richer than extraction substances and have a more pronounced taste than young animals.This explains the fact that strong broths can only be obtained from adult animals.Meat extraction substances are energetic pathogens on gastric secretion pathogens, and therefore strong broths and fried meat are most concerned about the removal of digestive juices.Boiled meat does not have these properties and is therefore widely used in diet, chemically spared diet, gastritis, ulcerative diseases, liver disease and other digestive organs.
The dishes are steamed or fried.This type of power is usually recommended for a long time so that the pancreas can recover.The list of products allowed for chronic pancreatitis is quite wide, so the patient has the ability to eat not only properly but also delicious.
The therapeutic diet in the form of acute pancreatitis and the exacerbation of chronic pancreatitis is almost the same.On the first day of the disease, it is included in an emergency system with an attack and aims to reduce pain and pancreatic activity.The traditional formula - "cold, hunger and peace" - perfectly reflects the principles of treatment of acute pancreatitis and exacerbation of chronic form.
To create the pancreas, the patient's functional gland provides the necessary nutrients (usually amino acids and vitamins) using such a so -called parenteral diet, that is, with intravenous infusion (administration) by bypassing the gastrointestinal tract.In some cases, if the patient has no signs of vomiting and gastrostasis, that is, a slowdown in gastric activity, it is allowed to drink alkaline mineral water or weak tea, about 1.5 liters a day.On about the second or third day, the patient is gradually transferred to a limited intestinal surface and then complete.
Therapeutic nutrition in acute pancreatitis and exacerbation of chronic forms differ in several signs.First of all, the patient should be introduced to the patient's right protein as soon as possible, as they are needed for the synthesis of enzyme inhibitors, which suppresses the formation of the last pancreas.Special intestinal diet mixtures are sometimes used to reduce organ load.After about two weeks, the patient is allowed to be an extended diet with chemical and mechanical organs.
Patients during this period recommend various types of mucosal soups in cereals or vegetable broths, chopped steam containers of low -fat meat and fish, steam protein omelettes, vegetable and fruit puree, freshly cooked cottage cheese, a little tea, zipper broth, companters, gel.Salt cooking dishes are not used.
Therapeutic Diet "Table 5 P": List of Products
When diagnosing pancreatitis, the patient, together with the treatment of drugs, receives a recommendation on the therapeutic diet.Special diet no.Version 5 recommended for liver and gallbladder diseases - Diet no.5 p.
This diet has two options.The first is indicated for acute pancreatitis and exacerbation of the chronicle, which is prescribed after fasting for about a week.The calorie content of the diet is 2170-2480 kcal.
The second variant, prescribed for chronic pancreatitis in the remission phase, is characterized by high protein content, the daily diet with this diet should have an energy value of approximately 2440-2680 kcal.
Approximate menu for one day according to diet no.5 P (second option):
- Breakfast: oatmeal on water, cottage cheese leak, carrot juice;
- Second breakfast: fried apple;
- Lunch: zucchini and carrots, beef roller with pumpkin puree, berry jacket;
- Afternoon snacks: inaccurate biscuits, weak tea;
- Dinner: pike tear cutlets with cauliflower, compote.
Diet no.The list of 5 P permitted products is as follows:
- Porridge and cereals: Manin, Oatmeal, Buckwheat Kernel, Rice prepared on the water.
- Dairy products: cottage cheese 1% fat, yogurt and low -fat kefir, low -fat cheese.
- Soups: mucous membranes of cereals, vegetable soups, soup decoctions based on secondary meat broths, soup county.
- Meat and fish: chicken (breast), rabbit, low -fat beef, turkey, cod, haker, up to, pike, pike perch, flounder and other low fatas varieties, boiled or steamed tags, kotlets, meatballs, rollers.
- Vegetables and fruits: zucchini, potatoes, broccoli cabbage, colored cabbage, carrots, tomatoes (cautious), cucumber, pumpkin, sweet apples and pears (preferably fried shape), dried fruits.Boil vegetables, sometimes wiped.
- Sea: Emergency white sauces such as Behamel, on a vegetable decoction, fruit berry.
- Sweet: fruit and berry jelly, mice, jelly, marshmallows (small quantities), honey, pastile, some varieties that are not accurate cookies.
- Other products: butter and vegetable oil for cooking, chicken eggs (protein), wheat bread yesterday.
- Beverages: juices - carrot, pumpkin, apricot, rosewood, mineral water, weak tea.
Extending the diet, improving well, allows you to take the list of authorized food only, not violating the cooking technology and not exceeding the recommended volume.
Products prohibited during pancreatic inflammation
Diet no.5 P is strictly forbidden to eat the following products:
- Porridge and cereals: peas, beans, barley and corn cereals.
- Dairy products: milk, sour cream, high fat cream, hard cheese, fat cottage cheese.
- Soups: based on strong meat and fish broths, as well as excessive vegetables as a gas station: borsch, berth, cabbage soup, ear.
- Meat and fish: Fish fat varieties - salmon, trout, salmon caviar, smoked and salty fish, canned fish, fat pork and beef, sausages, smoked meat, goose, duck, canned meat.
- Vegetables and fruits: all vegetable and fruits, white cabbage, onions, radishes, eggplants, peppers.
- Sea: ketchup, adjika, mustard and all acute sauces.
- Sweet: chocolate, ice cream, sand dough, pastry creams.
- Other products: animal fat, rye bread and any sdoba, mushrooms in any form.
- Beverages: juices - orange, grapes, cherry, tomato, carbonated drinks, any alcohol, strong tea and coffee.
Dietary violation can cause an attack even if the patient's condition was stable for a long time.
The importance of enzymes by digesting food
Food digging in the body occurs by the participation of several types of enzymes produced by the stomach, pancreas and small intestine.Each of the enzymes is responsible for the division of certain food ingredients.In this case, enzymes are produced by dividing:
- Protein - protease (trypsin, chiriperipsin);
- Nucleic acids - nuclease;
- fats - lipase (Steapon);
- Carbohydrates are amylase.
In the case of inflammation of the pancreas, its ability to synthesize enzymes is significantly reduced, and enzymatic deficiency occurs.This condition is manifested by the digestive function of the body and the absorption of nutrients against them, several unpleasant symptoms such as liquid abundant stool, body dehydration, symptoms of vitamin deficiency and anemia.Body weight can decrease rapidly, heartburn, nausea, vomiting, bloating.Prolonged enzyme deficiency is very dangerous because, without proper treatment, it leads to complete depletion of the body.
Thus, proper nutrition combined with enzyme therapy, which aims to supplement the deficiency of the hedgehog, is quite capable of reducing unpleasant manifestations of pancreatitis and enzyme failure.The most important thing is to clearly execute the appointment of all the visiting physician, avoiding amateur performances.