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

Inflammation of the pancreas or pancreatitis is a serious disease that can reduce human life's quality.

It may 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 function of digesting food and absorption of nutrients and absorption of nutrients.

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

Basic Power Rules for PanCreatitis

PanCreas is one of the greatest participants in the digestive process.The enzymes developed by her active split food, which contributes to the fast and more complete assimilation.Healthy iron easily handles this task and produces the right amount of pancreas (enzymes).However, in case of inflammation, too fat or heavy food causes an excessive greater strain on the organ, even more aggravated its condition.

In the case of pancreatitis in any form, you must comply with not only strict rules in the choice of products that we will talk about below, but also special food principles designed specifically to help the pancreas easier to tackle its main function.

• First, you must comply with the rules of fractional nutrition, ie to eat often five to six times a day in small portions to 300 g.
• Secondly, a chemical saving of the pancreas and other digestive bodies is necessarily chemically.For this, all that can cause their irritation and provoke for active production of enzymes is excluded from the diet.Most products are cooked or baked.
• Third, it is necessary to mechanical saving of the gastrointestinal tract, that is, eating dishes in the minced or even dried form (for acute pancreatitis or worsening of the chronic form of the disease).

Important!

Too long time use of dried dishes can also lead to inhibition of appetite and weight loss, so that when removing the deterioration and improving the patient's condition is transferred as soon as possible to a waterproof version of the diet.

• Fourth, the diet must contain up to 60% of animal protein, ie approx.200 grams daily.
• Fifth, the amount of fat is up to 50 g per day.Day limited with their uniform distribution of meals during the day.Fat should only be used for cooking, as an independent dish they are forbidden.For example, a sandwich with butter should be left, as the excessive fat load is likely to provoke a deterioration of the disease and aggravate its course.
• Sixth, the amount of sugar and sugary foods of up to 30-40 g mustDay be limited, while carbohydrate content must remain common, up to 350 g per day.Day.It is allowed to replace sugar with xylitol or other sugar substituts.
• In seven, the use of products that cause increased gas formation (flatulence) is excluded.
• Vosmys, salt consumption is limited.The permissible norm is three to five grams of day.

About which products are allowed with pancreatitis and which is 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 sustained remission, the patient should eat in accordance with the basic requirements, but foods do not need to be chopped or dried.The purpose of the diet of chronic pancreatitis is to ensure a good nutrition, a decrease in the inflammatory process of the pancreas and the restoration of its functions.

Fried dishes, 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 gastrointestinal spices and spices, extraction substances.For example, the meat contains extraction substances that are divided into nitrogenous and rubbish.A kilogram of meat contains an average of 3.5 g of nitrogenous extraction substances.Most nitrogenous extractive substances in pork: Their total content reaches 6.5 g in a kilo of muscle tissue.The smallest amount of extraction substances is observed in lamb - 2.5 g per day.Kg of muscles.In this regard, in cases where it is necessary to limit extraction substances, low -fat -fat is recommended.

Nitrogen -containing extraction substances are carnosine, creatine, assernive, purine bases (hypoxantine), etc.

Forgive extraction substances - glycogen, glucose, lactic acid - is found in meat in an amount of approx.1%.In their activity, they are significantly inferior to nitrogen -containing extraction substances.

Adult animals' flesh is richer than extraction substances and has a more pronounced taste than the flesh of young animals.This explains the fact that strong broth can only be obtained from adult animals.The meat extractions are energetic pathogens of the secretion of gastric glands, and therefore strong broth and fried meat are most excited about the separation of digestive juices.The cooked meat does not possess this property, and therefore it is widely used in a diet, chemically sparse diet, for gastritis, ulcerative disease, liver disease and other diseases of the digestive organs.

The dishes are steamed or baked.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 tasty.

Therapeutic nutrition in the acute form of pancreatitis and with worsening 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 aims to reduce pain and pancreatic activity.The traditional formula - "cold, hunger and peace" - perfectly reflects the principles of treating acute pancreatitis and worsening of a 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) that bypasses the gastrointestinal tract.In some cases, if the patient does not have vomiting and signs of gastrostasis, that is, a slowdown in the stomach, it is allowed to drink alkaline mineral water or weak tea, approx.1.5 liters perDay.On about the second or third day, the patient is gradually transferred to limited enteric diet and then to a full -derived.

Therapeutic nutrition in acute pancreatitis and worsening of the chronic form differs a number of traits.First of all, it is necessary to introduce the right amount of proteins to the patient as soon as possible as they are necessary for the synthesis of enzymer inhibitors that suppress the production of the latter pancreas.To reduce the load on the organ, sometimes special mixtures are used for enteric nutrition through the probe or tube.About two weeks later, the patient is allowed to be an extended diet with chemical and mechanical saving of organs.

Patients during this period recommend different types of mucous soups on decoction of grain or vegetable broth, chopped steam dishes from low fat fat meat and fish, steam rotein omelets, vegetable and fruit puree, freshly made cottage cheese, some tea, rosehip broth, combine, jelly.Salt for cooking dishes is not used.

Therapeutic Diet "Table # 5 P": List of products

When diagnosing pancreatitis, the patient, together with drug treatment, receives a recommendation for therapeutic nutrition.Especially for patients with pancreatitis, a special version of diet # 5, which was recommended for diseases of the liver and gallbladder, developed - Diet No. 5 S.

There are two options for this diet.The first is indicated for acute pancreatitis and worsening 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 in the remission step is characterized by a high content of proteins, the daily diet with this diet must have an energy foremost of approx.2440–2680 kcal.

Approximate menu for a day according to diet # 5 p (other option):

• Breakfast: Oatmeal porridge on the water, cottage cheese souffle, carrot juice;
• Other breakfast: Baked apple;
• Lunch: Zucchini and carrots, beef roll with pumpkin puree, berry jacket;
• Afternoon snack: non -troubled cookies, weak tea;
• Dinner: Pike Perch chops with cauliflower, compott.

The list of products allowed with diet # 5 p is as follows:

1. Porridge and grain: Semolina, oatmeal, buckwheat core, rice prepared on the water.
2. Dairy products: Cottage Cheese 1% fat, yogurt and low fat kefir, low -fat varieties of cheeses.
3. Soups: Mucous membranes of grain decoction, vegetable soups, soups based on secondary meatbuljong, soup-puree.
4. Meat and fish: chicken (breast), rabbit, fatty beef, turkey, cod, hack until, pike, pike perch, flounder and other varieties with low fat fat, cooked or steamed in the form of tags, chops, meatballs, rolls.
5. Vegetables and fruits: Zucchini, potatoes, broccoli cabbage, colored cabbage, carrots, tomatoes (with caution), cucumbers, pumpkin, sweet apples and pears (preferably baked shape), dried fruits.Cook vegetables, sometimes dried.
6. SAUSES: Emergency white sauces like Behamel, on a vegetable decoction, fruit-berry.
7. Sweet: Fruit and berry jelly, mousses, jelly, marshmallows (in small quantities), honey, pastille, some varieties of non -troubled cookies.
8. Other products: butter and vegetable oil for cooking, chicken eggs (proteins), wheat bread yesterday.
9. Drinks: Juice - Carrot, Pumpkin, Apricot, Rosewood, Mineral Water, Pain Tea.

The expansion of the diet with improvement of well -being may only be performed on the list of permitted dishes without violating the cooking technology and not exceeding the recommended volume.

Products prohibited during inflammation of the pancreas

Diet # 5 P is strictly prohibited to eat the following products:

1. Porridge and grain: Peas, beans, barley and corn grains.
2. Dairy products: milk, cream fraiche, cream with increased fat content, hard cheeses, fat hut cheese.
3. Soups: Based on strong meat and fish broth as well as with over -vegetable vegetables as a gas station: borsch, pier, cabbage soup, ear.
4. Meat and fish: greasy varieties of fish - salmon, trout, salmon caviar, smoked and salty fish, canned fish, fat pork and beef, sausages, smoked meat, goose, duck, canned meat.
5. Vegetables and fruits: all vegetable and fruit-treated food, cabbage, onions, radishes, eggplant, paprika.
6. SAUSES: ketchup, adjika, mustard and all acute sauces.
7. Sweet: Chocolate, ice cream, sand dough, confectionery creams.
8. Other products: Animal fat, rye bread and any sdoba, mushrooms in any form.
9. Drinks: Juice - Orange, grape, cherry, tomato, carbonated drinks, any alcohol, strong tea and coffee.

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

The meaning of enzymes when digesting food

Graving of food in the body goes with the participation of enzymes of several types produced by the abdomen, pancreas and small intestine.Each of the enzymes is responsible for the division of certain components into foods.In this case, enzymes are produced, division:

• Proteins - Proteases (Thripsin, Chiriperips);
• nucleic acids - nucleases;
• Fat - Lipaser (Steapsin);
• Carbohydrates are amylase.

In case of pancreatitis occurs, its ability to synthesize enzymes is significantly reduced, enzymatic deficiency occurs.This condition is manifested by a violation of the digestive functions of the body and the absorption of nutrients to them, a variety of unpleasant symptoms, such as fluid stools, dehydration of the body, symptoms of vitamin deficiency and anemia.Body weight can fall sharply, often heartburn, nausea, vomiting, flatulence occur.Prolonged enzyme deficiency is very dangerous as it leads to a complete depletion of the body without proper treatment.

So proper nutrition, combined with enzyme therapy aimed at replenishing the lack of EZIMs, is quite capable of reducing unpleasant manifestations of pancreatitis and enzyme errors.The most important thing is to clearly meet all appointments from the attending physician and avoid amateur performance.