The inflammation of the pancreas or pancreatitis is a serious disease that can significantly reduce the quality of human life.
It can be caused by many different reasons and continued in different forms, but in all cases pancreatitis causes problems with the production of digestive enzymes, which means that the function of digestion of food and the absorption of nutrients and the absorption of nutrients.
Doctors have developed a special treatment scheme for this disease, an important place where it occupies the right nutrition.
Basic power rules for pancreatitis
The pancreas is one of the main participants in the digestive process.The enzymes that were developed by their actively split food and contribute to the fast and more complete assimilation.Healthy iron is easy with this task and creates the right amount of pancreatic enzymes (enzymes).But in the event of inflammation, fat or heavy food causes an excessive greater load on the organ, which is still deteriorating.
With pancreatitis in any form, you should not only adhere to strict rules for the selection of products that we talk about below, but also special special feed principles that help to master more easily for the pancreas.
- First, you should adhere to the rules of fractional nutrition to often eat up to 300 g in small parts five to six times a day.
- Second, a chemical savings power of the pancreas and other digestive organs are necessarily chemically.For this, everything that causes your irritation and can cause active production of enzymes are excluded from nutrition.Most products are cooked or baked.
- Third, it is necessary to save the mechanical savings power of the stomach intestine mechanically, ie dishes in chopped or even jamed form (for acute pancreatitis or deterioration in the chronic form of the disease).
Important!
Long -term use of wiping dishes can also lead to an inhibition of appetite and weight loss.So if you are transferred to a waterproof version of the nutrition as soon as possible.
- Fourth, diet should contain up to 60% of the animal protein, i.e. about 200 grams a day.
- Fifth, the amount of fats is limited up to 50 g a day with the uniform distribution of meals during the day.Fat may only be used as an independent dish for cooking, they are prohibited.For example, a sandwich with butter has to be abandoned, since the excessive fat load causes with a high probability causing a deterioration in the disease and worsening its course.
- The amount of sugar and sugar -containing foods of up to 30 to 40 g per day should be limited, while the carbohydrate content should usually remain up to 350 g a day.It can replace sugar with xylitol or other sugar substitutes.
- Seven excludes the use of products that cause increased gas formation (flatulence).
- Vosmys, limited salt consumption.The permissible standard is three to five grams.
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 forms of the disease
In chronic pancreatitis, the patient should eat in the stage of continuing remission in accordance with the basic requirements, but the food does not have to be hacked or wiped off.The purpose of nutrition in chronic pancreatitis is to ensure good nutrition, decrease in the inflammatory process in the pancreas and to restore its functions.
Fried dishes, products that contribute to fermentation in the intestine, and rich in essential oils are excluded from nutrition as well as all irritating mucous membranes of the stomach intestine tractors and spices.For example, the meat contains extractive substances that are divided into nitrogen and nonsense.A kilogram of meat contains an average of 3.5 g nitrogen -containing raw material substances.Most nitrogen -containing raw material substances in pork: their overall content reaches 6.5 g in one kilogram of muscle tissue.The smallest amount of extractive substances is observed in lamb kilometers - 2.5 g per kilogram of muscles.In this regard, in cases in which it is necessary to limit extractactive substances, a low fat lamb can be recommended.
Stick-rogue extractive substances are carnosine, creatine, Aspurine, purin bases (hypoxantine) etc. The main value of the extractactive substances are their taste properties and stimulating effects on the secretion of digestive glands.
Forgive raw material substances - glycogen, glucose, lactic acid - are found in meat in a lot of about 1%.In their activity, they are significantly inferior to nitrogen -containing raw material substances.
Adult animals meat are richer than extractive substances and have a more pronounced taste than the meat of young animals.This explains the fact that strong brewing can only be obtained from adult animals.The raw material substances of meat are energetic pathogens for the secretion of the stomach glands, and therefore strong brewing and fried meat are most stimulated by the separation of digestive juices.The cooked meat does not have this property and is therefore often used in dietary, chemically saving nutrition, gastritis, ulcerative diseases, liver diseases and other diseases of the digestive organs.
The dishes are steamed or baked.This type of performance is usually recommended for a long time to give the pancreas the opportunity to recover.The list of chronic pancreatitis products is quite far, so the patient has the opportunity not only to eat properly, but also delicious.
The therapeutic diet in the acute form of pancreatitis and when the chronic pancreatitis aggravates is almost the same.On the first day of the disease, an attack in the emergency system was included and aims to reduce pain and pancreatic activities.The traditional formula - "cold, hunger and peace" - perfectly reflects the principles of the treatment of acute pancreatitis and aggravation of a chronic form.
In order to produce a pancreas, the patient's functional gland with the necessary nutrients (normally amino acids and vitamins) using the so -called parenteral diet is provided by intravenous infusion (administration) that deals with the gastrointestinal tract.In some cases, it can slow down the activity of the stomach if the patient has no vomiting and signs of gastrostasis, alkaline mineral water or weak tea, about 1.5 liters a day.Around the second or third day, the patient is gradually transferred to a limited enterful diet and then to a full figure.
The therapeutic diet in acute pancreatitis and deterioration of the chronic form distinguishes a number of characteristics.First, it is necessary to introduce the right amount of proteins into the patient as quickly as possible, as they are required for the synthesis of enzyme inhibitors that suppress the production of the latter pancreas.In order to reduce the load of the organ, special mixtures are sometimes used for enteric nutrition by the probe or the tube.About two weeks later, the patient may be an extended nutrition with chemical and mechanical savings of organs.
During this time, patients recommend various types of mucous membrane soups for cooling of grain or vegetable broth, chopped steam shells made of low-fat meat and fish, steam protein omeletts, vegetable and fruit puree, freshly prepared cuff cheese, some tea, roschrost, compota, jelly.Salt for cooking dishes is not used.
Therapeutic diet "Table No. 5 P": List of products
When diagnosing pancreatitis, the patient, together with drug treatment, receives a recommendation for therapeutic nutrition.A special version of diet No. 5 for diseases of the liver and gallbladder was developed in particular in patients with pancreatitis - diet No. 5 p.
There are two options for this diet.The first is indicated for acute pancreatitis and aggravation of the chroniclers.It is prescribed after about a week.The calorie content of the diet is 2170–2480 kcal.
The second option prescribed for chronic pancreatitis in the remission stage is characterized by a high content of proteins.The daily diet with this diet should have an energy value of around 2440–2680 kcal.
Approximately menu for a day according to diet No. 5 P (second option):
- Breakfast: oat porridge on the water, cottage cheese -suffle, carot juice;
- Second breakfast: baked apple;
- Lunch: zucchini and carrots, cowhide roll with pumpkin puree, berry jacket;
- Afternoon snack: non -corrected cookies, weak tea;
- Dinner: Pike -Barsch -Schnitzel with cauliflower, compota.
The list of products permitted by diet No. 5 P is as follows:
- Break and grain: semolina, oatmeal, buckwheat core, rice prepared on the water.
- Dairy products: Cottage cheese 1% fat, yogurt and kefir with little fat content, low fat fat varieties of cheese.
- Soups: mucous membranes for decoctions of cereals, vegetable soups, soups based on secondary meat broth, soup puree.
- Meat and fish: chicken (chest), rabbits, low -fat beef, turkey, cod, hack, till, pike, pike -strap, flounder and other low fat types, cooked or damped in the form of tags, schnitzel, meatballs, rolls.
- Vegetables and fruit: zucchini, potatoes, broccoli -cabbage, colored cabbage, carrots, tomatoes (with caution), cucumber, pumpkin, sweet apples and pears (preferably baked), dried fruits.Cooking vegetables, sometimes wiped.
- Wausles: emergency-white sauces such as the help, on a vegetable boiling, fruit berry.
- Sweet: fruit and berry jelly, mousse, jelly, marshmallows (in small quantities), honey, pastille, some varieties of non -accommodation cookies.
- Other products: butter and vegetable oil for cooking, chicken eggs (proteins), wheat bread yesterday.
- Drinks: juices - carrots, pumpkin, apricot, rosewood, mineral water, weak tea.
The expansion of the diet by improving the well may only be carried out within the list of permissible dishes without violating the cooking technology and not exceeding the recommended volume.
Products that are prohibited during inflammation of the pancreas
Diet No. 5 P is strictly prohibited from eating the following products:
- Break and grain: peas, beans, barley and maismüsli.
- Dairy products: milk, sour cream, cream with an increased fat content, hard cheese, fat hut cheese.
- Soups: Based on strong meat and fish roasts and with over-prepared vegetables as a gas station: Borsch, pier, cabbage soup, ear.
- Meat and fish: fat varieties of fish - salmon, trout, salmon caviar, smoked and salty fish, canned fish, fat pork and beef, sausages, smoked meat, goose, duck, meat in canned food.
- Vegetables and fruits: all vegetables and fruit sorves, white cabbage, onions, radishes, eggplants, paprika.
- Cetchup, Adjika, mustard and all acute sauces.
- Sweet: chocolate, ice, sandy dough, confectionery creams.
- Other products: animal fats, rye bread and all Sdoba, mushrooms in any form.
- Drinks: juices - orange, grape, cherry, tomato, carbonated drinks, alcohol, strong tea and coffee.
A violation of the diet can provoke an attack, even if the patient's condition was stable for a long time.
The importance of enzymes when digesting food
The digging of food in the body is with the involvement of enzymes of different types that are generated by stomach, pancreas and small intestine.Each of the enzymes is responsible for the distribution of certain food components.In this case, enzymes are generated, which has divided:
- Proteins - Proteases (Thripsin, Chiriperipsin);
- Nucleic acids - nuclases;
- Fat - lipases (steaps);
- Carbohydrates are amylase.
In the event of inflammation of the pancreas, its ability to synthesis enzymes significantly reduces enzymatic deficiency.This condition is shown by a violation of the body's digestive functions and the absorption of nutrients for you, a number of unpleasant symptoms, such as:The body weight can drop sharply, often heartburn, nausea, vomiting and bloating occur.A longer enzyme deficiency is very dangerous because it leads to a complete exhaustion of the body without proper treatment.
Therefore, a proper diet in combination with an enzyme therapy that aims to replenish the lack of Ezims is definitely able to reduce unpleasant manifestations of pancreatitis and enzyme failure.The most important thing is to clearly fulfill all appointments from the appealing doctor and avoid amateur services.