Food for pancreatitis: We understand 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.

It can be caused by many different 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 and nutrient absorption and the absorption of nutrients.

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

Basic Power Rules for Pancreatitis

The pancreas is one of the main participants in the digestive process.The enzymes developed from its active food, contributing to faster and more complete assimilation.Healthy iron easily withstands this task, producing the right amount of pancreatic enzymes (enzymes).But in the event of inflammation, too much fat or heavy food causes a very greater load on the body, even more exacerbation of its condition.

In the case of pancreatitis in any form, you should adhere to not only the strict rules in choosing the products we will talk about below, but also the special food principles specially designed in order to help the pancreas easier to cope with its main function.

• First, you need to adhere to the rules of partial food, that is, to eat frequently, five to six times a day in small portions up to 300 g.
• Second, a chemical saving of the pancreas and other digestive organs is necessarily chemical.For this, everything that can cause their irritation and provoke the very active production of enzymes is excluded from the diet.Most products are boiled or baked.
• Third, it is necessary that mechanical saving of the gastrointestinal tract, ie.

Important!

Very long use of deleted dishes can also lead to inhibition of appetite and weight loss, so when removing irritation and improvement of the patient's condition is transferred as soon as possible to a dietary waterproof version.

• Fourth, the diet should contain up to 60% of animal protein, that is, about 200 grams per day.
• Fifth, the amount of fats up to 50 g per day is limited by their uniform meal distribution during the day.Fat is allowed to be used only for cooking, as a standalone dish, they are prohibited.For example, a butter sandwich will have to be abandoned, as excess fat load with high probability will provoke a deterioration of the disease and worsen its course.
• Sixth, the amount of sugar and sugar foods containing up to 30-40 g per day should be limited, while carbohydrate content should remain common, up to 350 g daily.Allowed to replace sugar with xylitol or other sugar -Subststivestites.
• In seven, the use of products that cause increased gas formation (Flatulence) is excluded.
• Vosmys, salt consumption is limited.The permitted rate is three to five grams of the day.

About which products are allowed with inflammation of the pancreas, and which are strictly prohibited, we will show you below.

What can be eaten with pancreatitis depending on forms of disease

In chronic pancreatitis, at the stage of continuous remission, the patient should eat in accordance with the basic requirements, but the food does not have to be shredded or hidden.The purpose of the diet in chronic pancreatitis is to provide good food, a decrease in the inflammatory process in the pancreas and restore its functions.

Dishes of fried, products that contribute to intestinal fermentation and rich in essential oils are excluded from the diet, as well as all the irritating mucosa of spices and spices of the gastrointestinal tract, extractive substances.For example, meat contains extractors that are divided into nitrogen and nonsense.One kilo of meat contains an average of 3.5 g of nitrogen extractive substances.Most nitrogen extractive substances in the pig: their total content reaches 6.5 g per kilo of muscle tissue.The smallest amount of extractive substances is observed in lamb - 2.5 g per kilo of muscle.In this regard, in cases where it is necessary to limit the extractive substances, low lamb may be recommended.

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

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

Adult animal meat is richer than extractive substances and has a more pronounced taste than the meat of young animals.This explains the fact that strong soups can only be obtained from adult animals.The extractive substances of the meat are energetic pathogens of secretion of the stomach glands, and therefore strong soups and fried meat are more excited by the separation of digestive fluid.Boiled meat does not possess this property, and is therefore widely used in a dietary, chemically frugal diet, for gastritis, ulcerative disease, liver disease and other diseases of the digestive organs.

The dishes are evaporated or mature.This type of power is usually recommended for a long time to give the pancreas the opportunity to recover.The list of products allowed for chronic pancreatitis is quite wide, so the patient has the opportunity to eat not only right but also delicious.

Therapeutic nutrition in the acute form of pancreatitis and with the irritation of the chronic pancreatitis is almost the same.On the first day of the disease, it is included in the emergency system with an attack and aims to reduce the pain and activity of the pancreas.Traditional formula - "cold, hunger and peace" - perfectly reflects the principles of treating acute pancreatitis and deteriorating a chronic form.

To create a pancreas, the patient's functional gland is provided with the necessary nutrients (usually amino acids and vitamins) using so -called parenteral nutrition, that is, from intravenous infusion, bypassing the gastrointestinal tract.In some cases, if the patient has no vomiting and signs of gastrostasis, that is, a slowdown in stomach activity, it is allowed 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 to a complete.

Therapeutic nutrition in acute pancreatitis and the deterioration of chronic form changes a number of features.First of all, it is necessary to introduce the right amount of protein in the patient as soon as possible, as they are needed for the synthesis of enzyme inhibitors that suppress the production of the last pancreas.To reduce the load on the body, special mixtures for enteric nutrition are sometimes used through the probe or tube.About two weeks later, the patient is allowed to be a diet extended with chemical and mechanical organs.

Patients during this period recommend different types of mucous soups in decoction of cereals or vegetable soups, low -meat steam and low fish, steam protein omelets, vegetables and fruit puree, freshly prepared cottage cheese, tea, rose soup, composition, jelly.Salt for cooking dishes is not used.

Therapeutic Diet "Table No. 5 P": Product List

When diagnosing pancreatitis, the patient, along with the treatment of medication, receives a recommendation for therapeutic nutrition.Especially for patients with pancreatitis, a special version of diet no.5 Recommended for liver and gall bladder diseases - diet no.5 p.

There are two options for this diet.The former is shown for acute pancreatitis and the deterioration of the chronicle, it is described after fasting for about a week.The diet's calorie content is 2170–2480 kcal.

The second option, described for chronic pancreatitis in the phase of remission, is characterized by a high protein content, the daily diet with this diet should have a power value of about 2440–2680 kcal.

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

• Breakfast: oat porridge in water, souffle curd, carrot juice;
• Second Breakfast: Roasted Apple;
• Lunch: zucchini and carrots, flip beef with pumpkin puree, berry jacket;
• Afternoon snack: incorrect biscuits, weak tea;
• Dinner: Pike Perch Cutlets with cauliflower, compost.

List of products allowed by diet no.5 p is as follows:

1. Porridge and cereal: semolin, oatmeal, buckwheat core, water -prepared rice.
2. Dairy products: 1% fat cheese, yogurt and kefir with low fat content, low cheese varieties.
3. Soups: Member mucous over cereal decoction, vegetable soups, soups based on secondary meat soups, soups-poures.
4. Meat and fish: chicken (breast), rabbit, low beef, turkey, cod, hack, up, pike, pike perch, flounder and other low low varieties, boiled or steamed in the form of labels, cutlets, meatballs, with scrolls, rolls.
5. Vegetables and fruits: zucchini, potatoes, broccoli cabbage, colored cabbage, carrots, tomatoes (carefully), cucumbers, squash, sweet apples and pears (preferably mature), dried fruits.Simmer the vegetables, sometimes wiped.
6. Sauss: White Emergency Sales as Behamel, in a vegetable decoction, breas-boser.
7. Sweet: Jelly Fruit and Berry, Mousses, Jelly, Marshmallows (in small quantities), honey, pastry, some types of incorrect cookies.
8. Other products: butter and vegetable oil for cooking, chicken eggs (protein), wheat bread yesterday.
9. Drinks: juices - carrots, squash, apricots, rose, mineral water, poor tea.

Expanding the diet with the improvement of well -being is allowed to be performed only within the list of permitted dishes, without violating the cooking technology and not exceeding the recommended volume.

Products prohibited during inflammation of the pancreas

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

1. Porridge and cereal: peas, beans, barley and corn cereals.
2. Dairy products: milk, sour cream, cream with increased fat content, strong cheeses, greasy cottage cheese.
3. Soup: Based on strong meat and fish soups, as well as overloaded vegetables as a fuel station: Borsch, Wharf, cabbage soup, ear.
4. Meat and fish: Fish fat varieties - salmon, trout, salmon caviar, smoked and salted fish, canned fish, fat pork and beef, sausages, smoked meat, goose, duck, canned meat.
5. Vegetables and fruits: all canned vegetables and fruits, white cabbage, onions, radishes, eggplant, bell pepper.
6. Sauses: Ketchup, Adjika, Mustard and all acute sauces.
7. Sweet: chocolate, ice cream, sand dough, dessert cream.
8. Other products: animal fats, rye bread and any sdoba, mushrooms in any form.
9. Drinks: juices - orange, grapes, cherries, tomatoes, carbonated drinks, any alcohol, strong tea and coffee.

A diet violation can provoke an attack even if the patient's condition was stable for a long time.

The importance of enzymes during digestion

Excavation of food in the body goes with the participation of enzymes of some species produced by the stomach, pancreas and small intestines.Each of the enzymes is responsible for separating certain food components.In this case, enzymes are produced, separation:

• Protein - protein (trypsin, chiriperipsin);
• nucleic acids - nucleas;
• fats - lipases (steapsin);
• Carbohydrates are amylase.

In case of pancreatic inflammation occurs, its ability to synthesize enzymes is significantly reduced, enzymatic deficiency occurs.This condition is manifested by a violation of the body's digestive functions and the absorption of nutrients to them, a number of unpleasant symptoms, such as abundant liquid excrement, dehydration of the body, symptoms of vitamin deficiency and anemia.Body weight can drop significantly, often heartfelt, nausea, vomiting, flat.Prolonged lack of enzyme is very dangerous, as without proper treatment it leads to complete body impoverishment.

So, proper nutrition, combined with enzyme therapy aimed at recharging the lack of ezims, is quite capable of reducing unpleasant manifestations of pancreatitis and enzyme failure.The most important thing is to clearly meet all the appointments of the doctor who participates, avoiding amateur shows.