Pancreatitis Nutrition: We figure 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.

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

Doctors have developed a special treatment regimen for this disease, an important place where proper nutrition is required.

Basic Power Power rules for pancreatitis

The pancreas is one of the main participants in the digestive process.The enzymes developed by her actively split food, contributing to the quick and more full assimilation.Healthy iron can easily handle this task, producing the exact amount of pancreatic enzymes (enzymes).But in the case of inflammation, too much fat or heavy food cause too much more load on the organ, even more influential its condition.

In the case of pancreatitis in any form, you should adhere not only to the strict rules when choosing products that we will talk about, but also special principles of food, created specifically to help the pancreas more easily to cope with its main function.

• First, you should adhere to the rules for fractional nutrition, that is, to eat frequently, five to six times a day in small portions up to 300 g.
• Second, the chemical happiness of the pancreas and other digestive organs is necessarily chemical.For this, everything that can cause their irritation and provoke too active enzyme production is excluded from the diet.Most products are cooked or baked.
• Third, mechanical happiness of the gastrointestinal tract is needed, that is, eating dishes in sliced or even wipe form (for acute pancreatitis or exacerbation of the chronic form of the disease).

Important!

Too long -term use of deleted meals can also lead to inhibition of appetite and weight loss, so when you remove the exacerbation and improvement of the patient's condition is transferred to a waterproof version of the diet as soon as possible.

• Fourth, the diet should contain up to 60% of the animal protein, that is, about 200 grams a day.
• In the fifth place, the amount of fat up to 50 g per day is limited by their even distribution of meals during the day.Fat is left to use only for cooking, as an independent dish, they are prohibited.For example, an oil sandwich will need to be abandoned as excessive fat loads will be likely to cause the disease to exacerbate and worsen its course.
• Sixth, the amount of foods containing sugar and sugar up to 30-40 g per day should be limited, while the carbohydrate content should remain plain, up to 350 g per day.It is allowed to replace sugar with xylitol or other sugars.
• In seven, the use of products that cause increased gas formation (flatulence) is excluded.
• Vosmys, salt consumption is limited.The authorized rate is three to five grams per day.

Which products are allowed with pancreatic inflammation and which are strictly forbidden, we will tell you below.

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

In chronic pancreatitis, at the stage of persistent remission, the patient should be fed in accordance with the basic requirements, but the food should not be cut or deleted.The purpose of the diet for chronic pancreatitis is to ensure good nutrition, reduce the inflammatory process in the pancreas and restore its functions.

Fried dishes, the products that contribute to fermentation in the intestine and rich in essential oils are excluded from the diet, as well as all irritating mucous membranes of the spices of the gastrointestinal tract and spices, extractive substances.For example, meat contains extractive substances that are divided into nitrogen and stupidity.One kilogram of meat contains an average of 3.5 g of nitrogen extractive substances.Most nitrogen extractive substances in pork: their total content reaches 6.5 g in one kilogram of muscle tissue.The least amount of extractive substances is observed in lamb - 2.5 g per kilogram of muscles.In this regard, in cases where it is necessary to limit the extractive substances, a low fat lamb may be recommended.

Nitrogen extractive substances are carnosine, creatine, appeal, purine bases (hypoxanthin) and others.The main value of extractive substances is their taste properties and stimulating effects on the secretion of the digestive glands.

Forgive the extractive substances - glycogen, glucose, lactic acid - are found in meat in an amount of about 1%.In their activity, they are significantly smaller than nitrogen extractive substances.

The meat of elderly animals is more rich than extractive substances and has a more expressed taste than the meat of young animals.This explains the fact that strong broths can only be obtained from adult animals.The extractive substances of the meat are energy pathogens of the secretion of the gastric glands, and therefore the strong broth and fried meat are most excited by the separation of digestive juices.Boiled meat does not have this property and is therefore widely used in dietary, chemically sparing diet, for gastritis, ulcer, liver disease and other diseases of the digestive organs.

The dishes are stewed or baked.This type of power is usually recommended for a long time to allow the pancreas to recover.The list of products authorized for chronic pancreatitis is quite wide, so the patient has the ability to eat not only properly but also delicious.

The therapeutic nutrition in the acute form of pancreatitis and with exacerbation of chronic pancreatitis is almost the same.On the first day of the disease, it is included in the emergency system with an attack and is aimed at reducing the pain and activity of the 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 provided with the necessary nutrients (usually amino acids and vitamins), using the so -called parenteral nutrition, that is, by intravenous infusion (administration), bypassing the gastrointestinal tract.In some cases, if the patient does not have vomiting and signs of gastrostasis, that is, a delay in the activity of the stomach, it is left to drink alkaline mineral water or weak tea, about 1.5 liters per day.On approximately the second or third day, the patient is gradually transferred to a limited enteric diet and then complete.

Therapeutic nutrition for acute pancreatitis and exacerbation of the chronic form differs a number of characteristics.First, it is necessary to introduce the right amount of protein in the patient as soon as possible, as they are necessary for the synthesis of enzyme inhibitors that suppress the production of the last pancreas.To reduce the load on the organ, special mixtures for enteric nutrition are sometimes used through the probe or tube.About two weeks later, the patient is left to expand a diet with chemical and mechanical organ savings.

Patients during this period recommend different types of cereal decoction or vegetable broth, sliced steam meals of low fat meat, omelets for steam protein, vegetable and fruit puree, freshly made homemade cheese, somewhat tea, broth for utensils, compotes, jelly.Cooking salt is not used.

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

When diagnosing pancreatitis, the patient, along with medication treatment, receives a recommendation for therapeutic nutrition.Especially for patients with pancreatitis, a special version of diet # 5, recommended for diseases of the liver and gall bladder - diet # 5 p, has been developed.

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

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

Approximate menu for one day according to diet # 5 p (second option):

• Breakfast: oatmeal porridge of water, cottage cheese cheese, carrot juice;
• Second breakfast: roasted apple;
• Lunch: zucchini and carrots, beef roller with pumpkin puree, berry jacket;
• Afternoon snack: inaccurate cookies, weak tea;
• Dinner: Pike Cutrom Cutters with cauliflower, compote.

The list of products authorized by diet # 5 p is as follows:

1. Porridge and cereals: header, oatmeal, buckwheat core, rice prepared on the water.
2. Dairy products: Villa cheese 1% fat, yogurt and kefir low in fat, varieties of low -fat cheeses.
3. Soups: mucous membranes on a decoction of cereals, vegetable soups, soups based on secondary meat broths, soups.
4. Meat and fish: chicken (breasts), rabbit, beef with low fat, turkey, fever, hack, pike, pike perch, riding and other varieties of low fat, boiled or stewed in the form of labels, cutlets, meatballs, rollers.
5. Vegetables and fruits: zucchini, potatoes, broccoli cabbage, colored cabbage, carrots, tomatoes (with caution), cucumbers, pumpkin, sweet apples and pears (preferably baked form), dried fruits.Boil vegetables, sometimes deleted.
6. Colors: emergency white sauces such as white, on vegetable decoction, fruit-berries.
7. Sweet: jelly of fruit and berries, flush, jelly, rose (in small quantities), honey, pastel, some varieties of inaccurate cookies.
8. Other products: butter and vegetable oil for cooking, chicken eggs (proteins), wheat bread yesterday.
9. Drinks: juices - carrot, pumpkin, apricot, palissar, mineral water, weak tea.

The expansion of the diet with improving well is done only in the list of allowed dishes without disturbing the cooking technology and not exceeding the recommended volume.

Products prohibited during pancreatic inflammation

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

1. Porridge and cereals: peas, beans, barley and corn cereals.
2. Dairy products: milk, sour cream, cream with high fat content, hard cheeses, fat villa cheese.
3. Soups: Based on strong meat and fish broths, as well as over -growing vegetables such as a gas station: borscht, harbor, cabbage soup, ear.
4. Meat and fish: Fat varieties - salmon, trout, salmon caviar, smoked and salt fish, canned fish, fat pork and beef, sausages, smoked meats, goose, duck, canned meat.
5. Vegetables and fruits: all food and fruit foods, white cabbage, onions, radishes, eggplant, black pepper.
6. Cars: ketchup, adjika, mustard and all sharp sauces.
7. Sweet: chocolate, ice cream, sand dough, pastry creams.
8. Other products: animal fat, rye bread and all sorts of mushrooms in any form.
9. Drinks: juices - orange, grapes, cherry, tomato, carbonated drinks, all alcohol, strong tea and coffee.

Disital impairment can cause an attack, even if the patient's condition is stable for a long time.

The importance of enzymes in the absorption of food

The excavation of food in the body goes with the participation of enzymes of several species produced by the stomach, pancreas and small intestine.Each of the enzymes is responsible for dividing certain components of food.In this case, enzymes are produced, dividing:

• Proteins - proteases (trypsin, hyperipsin);
• nucleic acids - nucleases;
• Fats - lipases (steasin);
• Carbohydrates are amylase.

In the case of inflammation of the pancreas, its ability to synthesize enzymes is significantly reduced, enzyme deficiency occurs.This condition is manifested by impaired digestive functions of the body and the absorption of nutrients for them, a number of unpleasant symptoms, such as fluid abundance of stool, dehydration of the body, symptoms of vitamin deficiency and anemia.Body weight can drop sharply, often acids, nausea, vomiting, flatulence.The prolonged deficiency of the enzyme is very dangerous because without proper treatment, this leads to complete depletion of the body.

So, proper nutrition, combined with enzyme therapy aimed at filling in the absence of ezims, is quite capable of reducing the unpleasant manifestations of pancreatitis and enzymatic insufficiency.Most importantly, it is clear to fulfill all the appointments of the attending physician, avoiding amateur performances.