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

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

This can be caused by various reasons and continue in different forms, but in all cases, pancreatitis causes problems with the production of digestive enzymes, which means that the digestive function of food and nutritional absorption and nutritional absorption.

The doctor has developed special treatment regimens for this disease, an important place where he needs the right nutrition.

Basic power rules for pancreatitis

The pancreas is one of the main participants in the digestive process.The enzymes developed by their actively active foods contribute to rapid and more complete assimilation.Healthy iron easily overcome this task, producing the right amount of pancreas enzymes (enzymes).But in the case of inflammation, too fat or heavy food causes too much burden on organs, even more worsening conditions.

In the case of pancreatitis in any form, you must obey not only strict rules in the choice of products that we will discuss below, but also the special food principles specifically designed to help the pancreas easier to overcome their main function.

• First, you must comply with fractional nutritional rules, that is, often eating, five to six times a day in small portions up to 300 g.
• Second, the chemical saving of pancreas and other digestive organs is of course chemicals.For this, everything that can cause their irritation and provoke the production of enzymes that are too actively excluded from the diet.Most of the products are boiled or baked.
• Third, it is necessary to save mechanically from the digestive tract, which is eating plates in the form of chopped or even shining (for acute pancreatitis or chronic exacerbation of the disease).

Important!

The use of too long periods of time can also cause inhibition of appetite and weight loss, so when eliminating exacerbations and improving the patient's condition is transferred as soon as possible to the waterproof food version.

• Fourth, diet must contain up to 60% of animal protein, namely, around 200 grams every day.
• Fifth, the amount of fat to 50 g per day is limited by the distribution of their uniform food during the day.Fat is permitted to be used only for cooking, as an independent dish, they are prohibited.For example, sandwiches with butter must be abandoned, because excessive fat loads with high probability will trigger the exacerbation of the disease and worsen the direction.
• Sixth, the amount of food and food containing sugar up to 30-40 g per day must be limited, while the carbohydrate content must remain ordinary, up to 350 g per day.Permitted to replace sugar with xylitol or other sugar substitution.
• In seventh, the use of products that cause increased gas formation (flatulence) is excluded.
• Vosmy, Limited salt consumption.The permitted norms are three to five grams of days.

About which products are permitted with pancreas inflammation, and which ones are strictly prohibited, we will tell you below.

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

In chronic pancreatitis, at a persistent remission stage, patients must eat according to basic requirements, but food does not have to be chopped or deleted.The purpose of the chronic pancreatitis diet is to ensure good nutrition, a decrease in the inflammatory process in the pancreas, and recovery of its function.

Fried plates, products that contribute to fermentation in the intestine and are rich in essential oils are excluded from the diet, as well as all annoying mucous membranes of the digestive channel spices and spices, extractive substances.For example, meat contains extractive substances that are divided into nitrogen and bullshit.One kilogram of meat contains an average of 3.5 g of extractive nitrogen.Most nitrogen extractive substances in pork: the total content reaches 6.5 g in one kilogram of muscle tissue.The smallest number of extractive substances observed in sheep - 2.5 g per kilogram of muscles.In this case, in cases where it is necessary to limit extractive substances, low -fat sheep can be recommended.

Nitrogen extractive substances are carnosine, creatine, assenive, purine base (hypoxantin), etc.The main value of extractive substances is the nature of the taste and the effect of stimulating the secretion of the digestive glands.

Extractive substances - glycogen, glucose, lactic acid - found in meat in an amount of about 1%.In their activities, they are significantly lower than nitrogen extractive substances.

Adult animals meat is richer than extractive substances and has a clearer taste than young animal flesh.This explains the fact that strong broth can only be obtained from adult animals.Meat extractive substances are energetic pathogens from gastric gland secretion, and therefore strong broth and the most excited fried meat with the separation of digestive juice.Boiled meat does not have this property, and is therefore widely used in food, chemical saving diet, for gastritis, ulcerative diseases, liver disease and other diseases of the digestive organs.

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

Therapeutic nutrition in the form of acute pancreatitis and with a chronic pancreatitis exacerbation is almost the same.On the first day of this disease, including in an emergency system with attacks and aimed at reducing pain and pancreas activity.Traditional Formula - "Cold, Hungry and Peace" - Perfectly reflects the principles of acute pancreatitis treatment and chronic exacerbation.

To make a pancreas, the patient's functional gland is equipped with the necessary nutrients (usually amino acids and vitamins) using parenteral nutrition called SO, namely, with intravenous infusion (administration), through the digestive tract.In some cases, if the patient does not have vomiting and signs of gastrostasis, that is, slowing gastric activity, permitted to drink alkaline mineral water or weak tea, about 1.5 liters per day.On the second or third day, the patient was gradually moved to a limited enteric diet, and then to the full one.

Therapeutic nutrition in acute pancreatitis and chronic exacerbation is different in a number of features.First, it is necessary to introduce the right amount of protein to patients as soon as possible, because they are needed for the synthesis of the enzyme inhibitors that suppress the last pancreas production.To reduce the burden on organs, special mixtures for enteric nutrition are sometimes used through probes or tubes.About two weeks later, patients are allowed to become an expanded diet with chemical and mechanical organs.

Patients during this period recommended various types of mucus soup in cereal stew or vegetable broth, chopped steam dishes from low -fat meat and fish, steam protein omelette, pure vegetables and fruit, newly prepared cottage cheese, tea, roseship tea, compotions, jelly.Salt for cooking dishes is not used.

Diet Therapy "Table No. 5 P": List of Products

When diagnosing pancreatitis, patients, along with drug treatment, receive recommendations for therapeutic nutrition.Especially for patients with pancreatitis, a special version of diet No.5 recommended for liver disease and bladder bile developed - Diet No.5 p.

There are two choices for this diet.The first is indicated for acute pancreatitis and chronic exacerbations, it is prescribed after fasting for about one week.The calorie content of the diet is 2170-2480 kcal.

The second choice, which is prescribed for chronic pancreatitis at the remission stage, is characterized by a high protein content, a daily diet with this diet must have an energy value of around 2440-2680 kcal.

Estimated menu for one day according to diet No.5 P (Second option):

• Breakfast: oatmeal porridge on water, souffle cheese cottage, carrot juice;
• Second breakfast: Apple Bake;
• Lunch: zucchini and carrots, beef rolls with pumpkin pure, berry jackets;
• Afternoon snack: inaccurate cakes, weak tea;
• Dinner: picket perched pike with cauliflower, compot.

List of products permitted by Diet No.5 P is as follows:

1. Porridge and cereal: semolina, oatmeal, soba nucleus, rice is prepared on water.
2. Dairy products: 1% fat cottage cheese, yogurt and kefir with low fat levels, low -fat cheese varieties.
3. Soup: mucous membrane in cereal stew, vegetable soup, soup based on secondary meat broth, soup.
4. Meat and fish: chicken (chest), rabbits, low -fat beef, turkey, cod, hack, till, spear, spear spears, Flunder and other low -fat varieties, boil or steamed in the form of tags, rhythm, meatballs, rolls.
5. Vegetables and fruit: zucchini, potatoes, broccoli cabbage, colored cabbage, carrots, tomatoes (carefully), cucumbers, pumpkins, sweet apples and pears (preferred shape to roasted), fruits dry.Boil vegetables, sometimes swept away.
6. Sausage: emergency white sauce such as behamel, in vegetable stew, fruits.
7. Sweet: fruit and berry jelly, mousses, jelly, marshmallow (small amounts), honey, pastille, some non -accurate cake varieties.
8. Other products: oil and vegetable oil for cooking, chicken eggs (protein), wheat bread yesterday.
9. Drinks: juice - carrots, pumpkin, apricots, rosewood, mineral water, weak tea.

Expansion of diet with an increase in welfare is permitted to be done only in the list of permitted dishes, without violating cooking technology and not exceeding the recommended volume.

Products are prohibited during pancreas inflammation

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

1. Porridge and cereal: peas, beans, wheat and corn cereal.
2. Milk products: milk, sour cream, cream with increased fat content, hard cheese, fat cottage cheese.
3. Soup: Based on strong meat and fish broth, as well as with too many vegetables as a gas station: borsch, dock, cabbage soup, ears.
4. Meats and Fish: Fish fat varieties - Salmon, Trout fish, salmon caviar, smoked and salted fish, canned fish, fat pork and beef, sausages, smoked meat, geese, ducks, canned meat.
5. Vegetables and Fruits: All canned foods of vegetables and fruits, white cabbage, onions, turnips, eggplants, paprika.
6. Sausage: Kecet, Adjika, Mustard and all acute sauce.
7. Sweet: chocolate, ice cream, sand dough, candied cream.
8. Other products: Animal fat, wheat bread and any sdoba, mushrooms in any form.
9. Drinks: juice - oranges, grapes, cherries, tomatoes, carbonated drinks, any alcohol, strong tea and coffee.

Diet violations can provoke attacks even if the patient's condition is stable for a long time.

The importance of enzymes when digesting food

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

• Protein - Protease (Thripsin, Chirperipsin);
• Nucleic acids - nucleases;
• Fat - lipase (steapsin);
• Carbohydrates are amylase.

In the case of pancreas inflammation, its ability to synthesize enzymes is significantly reduced, enzymatic deficiency occurs.This condition is manifested by violations of the body's digestive function and the absorption of nutrients to them, a number of unpleasant symptoms, such as abundant feces, body dehydration, symptoms of vitamin lack and anemia.Weight weight can go down sharply, often heartburn, nausea, vomiting, flatulence occurs.Lack of prolonged enzymes is very dangerous, because without proper care it causes thinning of the body.

So, the right nutrition, combined with enzyme therapy aimed at replenishing the lack of Ezymes, is quite able to reduce the manifestation of pancreatitis and unpleasant enzyme failures.The most important thing is to fulfill all the promises of the doctor present, avoiding amateur performances.