Nutrition for pancreatitis: we understand what you can eat and what is impossible

Inflammation of 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 progress in different forms, but in any case, pancreatitis causes problems with the production of digestive enzymes, which means the absorption of the digestion function of food and absorption of nutrients and absorption of nutrients.

Doctors have developed a special treatment regime for this disease, which is an important place in which it requires correct nutrition.

Basic power rules for pancreatitis

The pancreas is one of the main participants of the digestive process.Enzymes developed by actively divided foods contribute to fast and more complete assimilation.Healthy iron easily cope with this task and produces the right amount of pancreatic enzymes (enzymes).However, in the case of inflammation, multi -fat or heavy food causes an extremely larger load on the organ, and becomes even worse.

If there is a pancreatitis in any way, you should not only select the products we will talk about below, but also to specially designed special food principles specially designed to help the pancreas cope with the main function.

• First, you should comply with fractional nutrition rules, that is, for frequent food, in small portions of 300 g of five to six times a day.
• Second, chemical protection of pancreas and other digestive organs is absolutely chemical.For this, everything that may cause irritation and provoking very active enzyme production is removed from the diet.Most products are boiled or cooked.
• Thirdly, mechanical protection of the gastrointestinal tract, ie diced or even erased form, should eat food (for the exacerbation of acute pancreatitis or chronic form of the disease).

Important!

Very long -term use of deleted dishes can also lead to inhibition of appetite and weight loss, so it is transferred to a waterproof version of the diet as soon as possible when relieving the exacerbation and improving the patient's condition.

• The fourth should contain 60% of the diet animal protein, ie about 200 grams per day.
• As fifth, the amount of fat up to 50 g per day is limited to the uniform distribution of meals during the day.They are allowed to be used only to cook the oil, they are prohibited as an independent plate.For example, a sandwich with butter will need to be abandoned, because highly excessive fat load will provoke the exacerbation of the disease and worsen its course.
• The amount of foods containing sugar and sugar up to 30-40 g per day should be limited and the carbohydrate content should be ordinary up to 350 g per day.It is allowed to replace sugar with xylitol or other sugar -Substants.
• Within seven, the use of products that cause increased gas formation (bloating) is excluded.
• Vosmys, salt consumption is limited.The allowed norm is three to five grams of the day.

We will tell you below which products are allowed by inflammation of the pancreas and which ones are strictly banned.

What can be eaten with pancreatitis depending on the forms of the disease?

In chronic pancreatitis, during the permanent remission phase, the patient should eat according to the basic requirements, but food does not need to be chopped or erased.The aim of the diet in chronic pancreatitis is to provide a good nutrition, a decrease in the inflammatory process of the pancreas and the restoration of its functions.

Red food excludes all irritating mucosal membranes of gastrointestinal tract spices and spices, and all irritating mucosal membranes of gastrointestinal tract spices and spices, as well as diet, rich in volatile oils that contribute to fermentation in the intestines.For example, meat contains nitrogen and extracting substances reserved for nonsense.One kilogram of meat contains an average of 3.5 g nitrogen extracting substances.Most nitrogenous extraction agents in pork: Total content reaches 6.5 g in one kilogram of muscle tissue.The minimum amount of extract substances are observed in the lamb - 2.5 g per kilogram of muscle.In this context, low -fat lamb may be recommended in cases where limitation of subtraction agents is required.

Nitrogen extracts are carnosine, creatine, low, purine bases (hypoxanthine) and so on.The main value of the subtraction is the taste properties and the stimulating effects on the secretion of digestive glands.

Forgive the extract substances - glycogen, glucose, lactic acid - about 1%in meat.In their activities, they are significantly lower than nitrogen extracts.

Adult animals are richer than meat, extraction agents and have a more pronounced taste than the meat of young animals.This explains that strong broth can only be obtained from adult animals.The subtraction of meat is the energetic pathogens of secretion of gastric glands, and therefore strong broth and fried meat are most excited by the separation of digestive juices.Boiled meat does not have this feature and therefore gastritis, ulcerative disease, liver diseases and other diseases of digestive organs are widely used in a diet that protects diet.

Food is steamed or cooked.Such a power is often recommended for a long time to give the pancreas the ability to heal.The list of products permitted for chronic pancreatitis is quite wide, so the patient is not just right, but also the opportunity to eat delicious.

Therapeutic nutrition is almost the same as the exacerbation of chronic pancreatitis in the form of acute pancreatitis.On the first day of the disease, it is included in the emergency system by an attack and aims to reduce pain and pancreatic activity.Traditional formula - “cold, hunger and peace” - perfectly reflects the principles of acute pancreatitis treatment and exacerbation of a chronic form.

To create a pancreas, the patient's functional gland is provided by the so -called parenteral nutrition, ie intravenous infusion (application) and necessary nutrients (usually amino acids and vitamins) and jumps gastrointestinal tract.In some cases, if the patient does not have symptoms of vomiting and gastrostasis, that is, a slowdown in the activity of the stomach is allowed to drink approximately 1.5 liters of alkaline mineral juice or weak tea per day.On the second or third day, the patient is gradually transferred to the limited enteric diet and then fully covered.

In acute pancreatitis, therapeutic nutrition and exacerbation of chronic form are different.First of all, since they are necessary for the synthesis of enzyme inhibitors suppressing the production of the last pancreas, the right amount of protein should be added to the patient.To reduce the load on the organ, special mixtures for enteric nutrition are sometimes used from the probe or tube.About two weeks later, the patient is allowed to be an expanded diet by protection of chemical and mechanical organs.

Patients in this period recommend boiling cereal or vegetable broth, low -fat meat and chopped steam dishes, steam protein omelets, vegetables and fruit mashed, freshly prepared cottage cheese, some tea, doubt water, compoting, jelly.Salt is not used for cooking.

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

When diagnosing pancreatitis, the patient receives a suggestion for therapeutic nutrition with medication.Especially for patients with pancreatitis, recommended for liver and gallbladder diseases 5.A special version of 5 has been developed - Diet No.5 p.

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

The second option prescribed for chronic pancreatitis during the remission phase is characterized by a high protein content, which must have approximately 2440-2680 kcal energy value of the daily diet with this diet.

Diet No.Approximately menu (second option) for one day according to 5 P:

• Breakfast: Oatmeal in water oatmeal porridge, cottage cheese souffle, carrot juice;
• Second breakfast: cooked apple;
• Lunch: Pumpkin and carrot, pumpkin puree and beef roll, berry jacket;
• Snack in the afternoon: Inappropriate cookies, weak tea;
• Dinner: Cauliflower with Pike Pirzola Pirzola, Compote.

Diet No.The list of the products permitted by 5 P is as follows:

1. Oat porridge and cereals: Nothing, oatmeal, buckwheat seeds, rice prepared on water.
2. Dairy products: Cottage cheese 1% oil, yogurt and low -fat content kefir, low -fat cheese varieties.
3. Soups: Grain, vegetable soups, secondary meat broth, soups based on broth, mucous membranes on soup-puree boiling.
4. Meat and fish: Chicken (breast), rabbit, low -fat beef, turkey, cod, hack, till, pie, pique sea bass, pin fish and other low -fat varieties, labels, pyrzolas, meatballs, roller boiled or steamed.
5. Vegetables and Fruits: Pumpkin, potatoes, broccoli cabbage, colored cabbage, carrots, tomatoes (careful), cucumbers, pumpkin, sweet apple and pear (preferably cooked form), dried fruits.Boil the vegetables, sometimes wipe.
6. Sauslar: Emergency white sauces such as Behamel, boiling vegetables, fruit-mixture.
7. Dessert: Fruit and fruit jelly, mice, jelly, marshmallows (small amounts), honey, lozengers, some non -sensitive cookies.
8. Other products: Butter and vegetable oil, chicken eggs (proteins), wheat bread yesterday.
9. Beverages: Fruit juices - carrots, pumpkin, apricot, rosewood, mineral juice, weak tea.

The expansion of the diet with good improvement is allowed to be performed only in the list of permissible dishes without violating the cooking technology and exceeding the recommended volume.

Products prohibited during inflammation of the pancreas

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

1. Oat porridge and cereals: peas, beans, barley and corn flakes.
2. Dairy products: Milk, sour cream, cream with increased oil content, hard cheeses, oily cheese.
3. Soups: Based on strong meat and fish broth and vegetables that are extremely affected as a gas station: Borsch, scaffold, cabbage soup, ear.
4. Meat and Fish: Fish Types of Fish - Salmon, trout, salmon caviar, smoked and salty fish, canned fish, fat pork and beef, sausage, smoked meat, goose, duck, canned meat.
5. Vegetables and Fruits: All vegetables and fruit canned foods, white cabbage, onion, radish, eggplant, pepper.
6. Sauce: ketchup, Adjika, mustard and all acute sauces.
7. Dessert: chocolate, ice cream, sand dough, confectionery creams.
8. Other products: Animal oils, rye bread and any SDOBA, mushrooms in any form.
9. Beverages: Fruit juices - orange, grapes, cherries, tomatoes, carbonated drinks, any alcohol, strong tea and coffee.

The violation of the diet may provoke an attack even if the patient's condition is fixed for a long time.

The importance of enzymes while digesting food

Food digging in the body goes with the participation of enzymes of various types produced by stomach, pancreas and small intestines.Each of the enzymes is responsible for the division of certain food components.In this case, enzymes are produced and divided:

• Proteins - Proteases (Thripsin, Chiriperipsin);
• Nucleic acids - nucleases;
• Oils - lipases (Steapsin);
• Carbohydrates are amylase.

In the event of inflammation of the pancreas, the ability to synthesize enzymes decreases significantly, enzymatic deficiency occurs.This is manifested by a number of unpleasant symptoms, such as violations of the body's digestive functions and absorption of nutrients to them, abundant fluid feces, dehydration of the body, vitamin deficiency and anemia symptoms.Body weight can fall sharply, usually heartburn, nausea, vomiting, bloating occurs.Long -term lack of enzymes is very dangerous because it causes the body to exhaust without proper treatment.

Therefore, when combined with enzyme therapy aiming to renew the lack of oppression, it can reduce the unpleasant manifestations of pancreatitis and enzyme failure.The most important thing is to clearly fulfill all the appointments of the physician to avoid amateur performances.