Pancreatitis Nutrition: We see 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.

This may be caused by many different reasons and go through in different forms, but in all cases, pancreatitis causes the production of digestive enzymes, which means that the digestive function and the absorption of nutrients and the absorption of nutrients.

Doctors have developed a special treatment regimen for this disease, an important place in which it receives proper nutrition.

Pancreatitis Basic Energy Rules

The pancreas is one of the main participants in the digestive process.Its actively divided food enzymes, which promote rapid and more complete assimilation.Healthy iron is easily served by this task, producing the correct number of pancreatic enzymes (enzymes).But in the case of inflammation, very fat or heavy foods cause excessive load on the body, which will deteriorate its condition.

In the case of pancreatitis in any form, you must follow not only the strict rules of choosing the products we will talk about below, but also on the special principles of special foods that are specially designed to handle the pancreas more easily.

• First, you need to follow fractional nutritional rules, that is, often eating, five to six times a day in a small portion of 300 g.
• Secondly, the chemical saving of the pancreas and other digestive organs is necessarily chemical.To do this, everything that can cause their irritation and provoking very active production of enzymes is excluded from the diet.Most products are cooked or baked.
• Third, it is necessary to mechanical robbery of the gastrointestinal tract, that is, to eat the vessels in a cut or even deleted form (for acute pancreatitis or exacerbation of chronic form of the disease).

Important!

Very long -term use of cleansed dishes can also cause appetite and weight loss, so when exacerbating exacerbations and improving the patient's condition, the diet will be transmitted as soon as possible.

• Fourth, the diet should contain 60% of animal protein, or about 200 grams per day.
• Fifth, the amount of fats up to 50 g per day is limited by their uniform distribution during the day.Fat is permitted only for cooking as an independent dish, they are prohibited.For example, a sandwich should be abandoned with butter, as the fat load -related load will exacerbate the disease and worsen its course.
• Sixth, the amount of sugar and sugar containing up to 30-40 g per day should be limited, and the carbohydrate content should remain ordinary, up to 350 g per day.Sugar replacement of xylitol or other sugar substitutes is allowed.
• Seven, products that cause gas production (plane) are excluded.
• Vosms, salt consumption is limited.The norm is allowed for three to five grams per day.

Which products are allowed with pancreatic inflammation and which is strictly prohibited, I will tell you below.

What can you eat with pancreatitis, depending on the forms of the disease

In chronic pancreatitis, at a constant remission stage, the patient should eat according to basic requirements, but the food should not be cut or deleted.In chronic pancreatitis, the purpose of diet is to provide good nutrition, to reduce the inflammatory process during the pancreas and to restore its functions.

Roasted dishes, products that promote intestinal fermentation and essential oils are excluded from diet, as well as all irritating membranes of the mucous membranes of the gastrointestinal tract and spices, extractive substances.For example, meat contains extracts that are divided into nitrogen and nonsense.One kilogram of meat contains an average of 3.5 g of nitrogen extracts.Most nitrogen extractive substances in pigs: their total content reaches 6.5 g of muscles per kilogram.The smallest amount of extracted substances is observed in lamb - 2.5 g per kilogram of muscles.In this sense, in cases where it is necessary to limit extracts, low lamb lamb may be recommended.

Nitrogen extracts are carnosine, creatine, associated, purine bases (hypoxanthin), etc., the key importance of extracts is their taste properties and stimulating effects on the secretion of the digestive glands.

Forgive extracts - glycogen, glucose, lactic acid - are found in about 1%in meat.In their work, they are significantly subordinate to nitrogen extractive substances.

Adult animals are richer than extracts and have a more pronounced taste than young animals.This explains the fact that strong broths can only be obtained from adult animals.Meat extracts are vigorous pathogens of the secretion of gastric glands, and therefore strong broth and fried meat are most excited by the release of digestive juices.Boiled meat does not possess this property and, consequently, it is widely used in dietary, chemically damaged diet, gastritis, ulcerative diseases, liver diseases and other digestive diseases.

The dishes are evaporated or baked.This type of power is usually recommended for a long time to give the pancreas to 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.

Therapeutic nutrition in the acute form of pancreatitis and exacerbation of chronic pancreatitis are almost the same.On the first day of the disease, it enters the ambulance attack and aims to reduce the action of pain and pancreas.The traditional formula - "Cold, Hunger and Peace" - perfectly reflects the principles of treatment of acute pancreatitis and exacerbation of chronic form.

To create a pancreas, the patient's functional gland is given the necessary nutrients (usually amino acids and vitamins) using so -called parenteral nutrition, ie intravenous infusion (administration) bypassing the gastrointestinal tract.In some cases, if the patient has no vomiting and gastrostasis signs, that is, the slowdown of gastric activity, he or she is allowed to drink alkaline mineral water or weak tea, about 1.5 liters per day.About the second or third day, the patient is gradually transferred to a limited enterer diet and then fully.

Therapeutic nutritionitis and exacerbation of chronic form vary in many characteristics.First of all, it is necessary to introduce the correct amount of proteins in the patient as soon as possible, as they are necessary for the synthesis of enzymes inhibitors that inhibit the production of the latter pancreatic.To reduce the load of the body, special mixtures of enteric nutrition are sometimes used through a probe or tube.After about two weeks, the patient is entitled to an enlarged diet, with chemical and mechanical damage to the organs.

During this period, patients recommend various mucosal soups on cereal or vegetable broth decorations, chopped steam dishes from low meat and fish, steam protein omelets, vegetable and fruit puree, freshly prepared curd, somewhat tea, pink broth.Salt is not used for cooking.

Therapeutic Diet "Table 55 P": Product List

When diagnosing pancreatitis, the patient, along with the drug treatment, recommends therapeutic nutrition.Especially for patients with pancreatitis, 55 special versions of the diet recommended for liver and gall bladder diseases - diet 55 p.

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

The second option for chronic pancreatitis at the stage of remission is characterized by a high content of protein, with a daily diet of this diet should have an energy value of about 2440–2680 kcal.

Estimated menu for one day according to diet, 55 P (second option):

• Breakfast: oatmeal on water, cheese cheese, carrot juice;
• Second Breakfast: baked apples;
• Lunch: zucchini and carrots, beef ring with pumpkin pure, berry jacket;
• Afternoon food: unwanted cakes, weak tea;
• Dinner: Pike perch cutlets with cauliflower, compote.

The list of products allowed with 55 P diet is as follows:

1. Porridge and grain: semolina, oatmeal, buckwheat core, water prepared rice.
2. Dairy products: Curd 1% fat, yogurt and kefir with low fat content, low varieties of cheese.
3. Soups: Mucous membranes on the basis of grain, vegetable soups, soups, secondary meat broth, soup-bread.
4. Meat and fish: chicken (breasts), rabbits, low beef, turkey, code, hack, tone, pike, pike, sheet and other low -lying varieties, cooked or steam, tags, cutlets, meat balls.
5. Vegetables and fruits: zucchini, potatoes, broccoli cabbage, colored cabbage, carrots, tomatoes (with caution), cucumbers, pumpkin, sweet apples and pears (preferably baked), dried fruits.Boil the vegetables, sometimes deleted.
6. Relief: Emergency white sauces such as Behamel, vegetable decoration, fruit berry.
7. Sweet: Fruit and berries jelly, mousse, jelly, marshals (in small quantities), honey, passion, some species of non -non -biscuits.
8. Other products: butter and vegetable oil for cooking, chicken eggs (proteins), wheat bread yesterday.
9. Drinks: Juices - carrots, pumpkin, apricot, pink, mineral water, weak tea.

Expansion of diet by improving well -being is allowed only to list the dishes, without breaking kitchen technology and does not exceed the recommended volume.

Products that are prohibited during pancreatic inflammation

Diet 55 P is strictly forbidden to eat the following products:

1. Porridge and cereals: peas, beans, barley and corn grains.
2. Dairy products: milk, sour cream, cream with fat, solid cheese, fat curd.
3. Soups: Based on strong meat and fish broth, as well as excessive vegetables as a gas station: Borsi, Pierre, cabbage soup, ear.
4. Meat and fish: Fish fat varieties - salmon, trout, salmon caviar, smoked and salty fish, canned fish, fat pork and beef, sausage, sausage, smoked meat, duck, canned meat.
5. Vegetables and fruits: Canned foods, white cabbage, onions, radishes, eggplant, bell pepper.
6. Relief: Ketchup, Achia, Mustard and all heated sauces.
7. Sweet: chocolate, ice cream, sand dough, pastry creams.
8. Other products: animal fats, rye bread and any pleasure, mushrooms in any form.
9. Drinks: Juices - Oranges, Grapes, Cherries, Tomatoes, Carbonated Drinks, Any Alcohol, Strong Tea and Coffee.

Diet disorders can cause an attack, even if the patient's condition has been stable for a long time.

The meaning of enzymes in the digestive

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

• Proteins - Protases (thripsin, chiriperipsin);
• Nucleic acids - nuclei;
• Fats - lipazine (stepsin);
• Carbohydrates are amylase.

In the case of inflammation of the pancreas, the ability to synthesize enzymes is significantly reduced, enzymatic deficiency.This condition is manifested by disorders of the body's digestive functions and the absorption of nutrients, with many unpleasant symptoms such as abundant stools, dehydration of the body, symptoms of vitamin deficiency and anemia.Body weight can fall sharply, often with heartburn, nausea, vomiting, and flatness.The prolongation of the enzyme is very dangerous, as without proper treatment it causes complete decline in the body.

So, proper nutrition, along with enzymatic therapy aimed at filling the lack of zeim, can quite reduce unpleasant manifestations of pancreatitis and enzyme failure.The most important thing is to clearly comply with all appointments of the attending physician, avoiding amateur performances.