Pancreatitis Nutrition: We find out 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 can be caused by many different causes and in different forms, but in all cases pancreatitis causes problems with digestive enzyme production problems, which means digestive function and nutrient absorption and nutrient absorption.

Doctors have created a special treatment regimen for this disease - an important place where it takes properly.

Basic rules of pancreatitis power

The pancreas is one of the main participants in the digestive process.Enzymes created by its actively divided food that contributes to fast and detailed assimilation.Healthy iron easily copes with this task by producing the right amount of pancreatic enzymes (enzymes).However, in case of inflammation, too fat or heavy food causes excessive organ load and further worsens its condition.

In the case of any form of pancreatitis, you should follow not only strict rules on how to choose the products we will talk about below, but also the special food principles created specifically to help the pancreas are easier to cope with its main function.

• First, you should follow the rules of a fractional diet, that is, often eat five to six times a day in small portions to 300 g.
• Second, the chemical savings of the pancreas and other digestive organs are necessarily chemical.As a result, everything that can cause irritation and provoke excessively active enzyme production is not included in the diet.Most products are cooked or baked.
• Third, it is necessary to mechanically save the gastrointestinal tract, that is, to eat dishes in a crushed or even cleaned form (an exacerbation of acute pancreatitis or chronic disease).

Important!

Too long -the use of funded dishes can also inhibit appetite and weight loss, resulting in transfer to a waterproof diet version as soon as possible after eliminating the exacerbation and improvement of the patient's condition.

• Fourth, the diet should contain up to 60% of animal protein, that is, about 200 grams a day.
• The fifth, that the fat content of up to 50 g per day is limited because they distribute the meals equally during the day.Fat is only allowed to be used in cooking as an independent dish, they are prohibited.For example, butter will need to be abandoned, as a high fat content with high probability will provoke exacerbation and worsen its course.
• The sixth, the amount of sugar and sugar containing sugar up to 30-40 g per day should be limited and the carbohydrate levels should remain common-350 g per day.He is allowed to replace sugar in xylitol or other sugar -buildings.
• The use of the products that cause increased gas formation (flatulence) are not excluded.
• Vosmys, salt consumption is limited.The allowed rate is three to five grams of day.

We will tell you below about these products and which are strictly prohibited.

What can be eaten with pancreatitis, taking into account the forms of the disease

The patient should eat according to the basic requirements at the stage of permanent remission, but the food should not be sliced or wiped out in the permanent remission stage.The purpose of the chronic pancreatitis diet is to ensure a good diet, a reduction in the inflammatory process of the pancreas and the restoration of its functions.

Baked dishes, products that contribute to fermentation in the intestine and rich in essential oils are not included in the diet, as well as all irritating mucous membranes of gastrointestinal spices and spices, extraction substances.For example, meat contains extraordinary substances divided into nitrogen and nonsense.One kilogram of meat contains an average of 3.5 g of nitrogen extraction.Most nitrogen receipts in pork: the total amount is 6.5 g per kilogram of muscle tissue.The lowest amount of extraction of materials is noticeable in lamb - 2.5 g per kilogram of muscles.In this regard, when it comes to limiting extraction materials, it may be recommended to use a low fat lamb.

Nitrogen extraction substances include carnosine, creatine, fastening, purine base (hypoxantine) and others.

Forgive extraction substances - glycogen, glucose, lactic acid - are found in about 1%meat.In their activities, they are significantly inferior to nitrogen extraction materials.

Adult animal meat is richer than extraction materials and has a brighter taste than the meat of young animals.This explains the fact that strong broths can only be obtained from adult animals.Meat extraction materials are energy gastric secretion pathogens, so strong broth and fried meat are most excited about the separation of digestive juice.Cooked meat does not have this feature, so it is widely used in a diet, a chemically saving diet, gastritis, ulcerative diseases, liver diseases and other digestive organs.

The dishes are cooked or baked.This type of power is usually recommended for a long period of time at the box office to recover.The list of products allowed in chronic pancreatitis is quite wide, so the patient has the ability to eat not only correctly but also delicious.

Therapeutic nutrition in the acute form of pancreatitis and the exacerbation of chronic pancreatitis is almost the same.On the first day of illness, it is included in an emergency system with an attack and aims to reduce pain and pancreatic activity.The traditional formula - "cold, hunger and tranquility" - perfectly reflects the principles of acute pancreatitis treatment and exacerbation of chronic form.

To create a pancreas, the patient's functional glands contain the necessary nutrients (usually amino acids and vitamins) using the so -called parenteral nutrition, that is, intravenous infusion (consumption) bypassing the gastrointestinal tract.In some cases, if the patient does not have signs of vomiting and gastrostasis, that is, slowed stomach activity, he 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 enteral diet and then full.

Therapeutic nutrition in acute pancreatitis and exacerbation of chronic form varies in many properties.First of all, it is necessary to introduce the right amount of protein to the patient as soon as possible, as they are necessary for the synthesis of enzyme inhibitors, inhibiting the production of the latter.Special intestinal nutrition mixtures are sometimes used to reduce the organ load, the probe or tube.After about two weeks, the patient is allowed to be expanded with a diet with chemical and mechanical organ savings.

During this period, patients recommend various types of mucus soups on grain or vegetable broth decoctions, chopped steam dishes made of low fat meat and fish, steam protein omelet, vegetable and fruit purees, freshly prepared curd cheese, some tea, thorn broth, compass, jelly.Salts are not used during cooking during cooking.

Therapeutic Diet Table No 5 P: Product List

By diagnosing pancreatitis, the patient, along with drug treatment, receives a recommendation for therapeutic nutrition.Especially in patients with pancreatitis, special diet no.Version 5, recommended for liver and gallbladder disease - diet no.5 p.

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

The second option set for chronic pancreatitis in the remission stage is characterized by a large amount of protein, the daily diet, following this diet, the energy value should be around 2440-2680 kcal.

Approximate one -day menu according to diet no.5 p (second option):

• Breakfast: oatmeal porridge on water, curd souffle, carrot juice;
• Second breakfast: fried apple;
• Lunch: zucchini and carrots, beef roll with pumpkin puree, berry jacket;
• Afternoon snack: no -is -precious biscuits, weak tea;
• Dinner: "Pike Perch" with cauliflower, compote.

Diet no.The 5p product list is as follows:

1. Porridge and grain: semolina, oatmeal, buckwheat kernel, rice.
2. Dairy products: cottage cheese 1% fat, yogurt and kefir with low fat, low fat cheeses.
3. Soups: mucous membranes on grain decoctions, vegetable soups, soups based on secondary meat broths.
4. Meat and fish: chicken (chest), rabbit, low fat beef, turkey, cod, hack, so far, pike, perch, flounder and other low -fat varieties, cooked or cooked labels, cutlets, cutlets, rollers.
5. Vegetables and fruits: zucchini, potatoes, broccoli cabbage, color cabbage, carrots, tomatoes (carefully), cucumbers, pumpkins, sweet apples and pears (preferably baked), dried fruits.Cry the vegetables, sometimes cleaned.
6. Daughters: Emergency white sauces such as Behamel, on vegetable decoction, fruit-worth.
7. Sweet: fruit and berry jelly, embankments, jelly, marshmallows (in small quantities), honey, lozenges, several non -strait biscuit varieties.
8. Other products: butter and vegetable oil cooked, chicken eggs (protein), wheat bread.
9. Drinks: juice - carrots, pumpkin, apricot, rose, mineral water, weak tea.

Expanding the diet, when it is improving, is only allowed to make a list of allowed meals without prejudice to the cooking technology and within the recommended volume.

Products prohibited by ignition of the pancreatic inflammation

Diet no.5 p strictly forbidden to eat the following products:

1. Porridge and grain: peas, beans, barley and corn grain.
2. Dairy products: milk, cream, cream with increased fat, hard cheese, fat curd.
3. Soups: Based on strong meat and fish broths, as well as overcrowded vegetables like a gas station: Borsch, Pier, Cabbage Soup, Ears.
4. Meat and fish: fatty fish varieties - salmon, trout, salmon caviar, smoked and salty fish, canned fish, fatty pork and beef, sausages, smoked meat, goose, duck, canned meat.
5. Vegetables and fruits: all canned vegetables and fruits, white cabbage, onions, radish, eggplant, peppers.
6. Daughter: Ketchup, Adjika, mustard and all acute sauces.
7. Sweet: chocolate, ice cream, beige dough, pastry creams.
8. Other products: animal fat, rye bread and any sdoba, any form of mushrooms.
9. Drinks: juice - orange, grape, cherry, tomatoes, carbonated drinks, any alcohol, strong tea and coffee.

Diet damage can provoke an attack, even if the patient's condition has long been stable.

The importance of enzymes in digesting food

Food digging in the body are the involvement of several species produced by the stomach, pancreas and small intestines.Each enzyme is responsible for the division of certain food components.In this case, the enzymes are produced, divided:

• Protein - protease (cripsin, chiriperipsin);
• Nucleic acids - nuclease;
• Fat - lipase (steapsin);
• Carbohydrates are amylase.

In the event of inflammation of the pancreas, its ability to synthesize enzymes significantly reduces and enzymatic deficiency occurs.This condition occurs in violation of the digestive functions of the body and to absorb nutrients, with a number of unpleasant symptoms such as liquid stools, body dehydration, vitamin deficiency and anemia.Body weight can be drastically reduced, frequent heartburn, nausea, vomiting, flatulence.The long -term disadvantage of the enzyme is very dangerous because, without proper treatment, it leads to complete depletion of the body.

Thus, proper nutrition, along with enzyme therapy to supplement Essians deficiency, is quite capable of reducing the unpleasant manifestations of pancreatitis and enzyme insufficiency.The key is to clearly fulfill all meetings of the doctor, avoid amateur performances.