Nutrition for pancreatitis: we discover what it can eat and what is impossible

The inflammation of the pancreas, or pancreatitis, is a serious illness that can significantly reduce the quality of human life.

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

Doctors have developed a special treatment regime for this disease, an important place in which adequate nutrition is needed.

Basic power rules for pancreatitis

The pancreas is one of the main participants in the digestive process.The enzymes developed by its actively divided food, contributing to rapid and more complete assimilation.Healthy iron faces this task, producing the correct amount of pancreatic enzymes (enzymes).But in the case of inflammation, food too fatty or heavy causes an excessively greater load in the organ, even more worse.

In the case of pancreatitis in any way, not only to strict rules in the choice of products that we will talk about below, but also special food principles specifically designed to help the pancreas easier to deal with their main function must be adhered not only.

• First, you must adhere to the rules of fractional nutrition, that is, to eat often five to day in small portions up to 300 g.
• Secondly, a chemical savings of the pancreas and other digestive organs is necessarily chemical.For this, everything that can cause its irritation and cause too active enzyme production is excluded from the diet.Most products are boiled or baked.
• Third, the mechanical savings of the gastrointestinal tract, that is, eating dishes in a minced or even clean form (for acute pancreatitis or exacerbation of the chronic form of the disease) is necessary.

Important!

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

• Fourth, the diet must contain up to 60% of the animal protein, that is, approximately 200 grams per day.
• Fifth, the amount of fats up to 50 g per day is limited with its distribution of uniform foods during the day.Fat is allowed to be used only for cooking, as an independent dish, they are prohibited.For example, a butter with butter will have to be abandoned, since excessive fat load with high probability will cause an exacerbation of the disease and worsen its course.
• Sixth, the amount of sugar and food containing sugar up to 30–40 g per day must be limited, while the carbohydrate content must remain ordinary, up to 350 g per day.It is allowed to replace sugar with xylitol or other sugar substitutes.
• In seven, the use of products that cause greater gas formation (flatulence) is excluded.
• Vosmys, salt consumption is limited.The allowed standard is three to five grams of day.

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

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

In chronic pancreatitis, in the stage of persistent remission, the patient must eat according to the basic requirements, but the food does not have to be chopped or cleaned.The purpose of the diet in chronic pancreatitis is to guarantee good nutrition, a decrease in the inflammatory process in the pancreas and the restoration of its functions.

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

Nitrogen extractive substances are fleshy, creatine, asersive bases, purines (hypoxantine), etc.The main value of extractive substances is their flavor properties and stimulating effects on the secretion of digestive glands.

Forgiving extractive substances (glycogen, glucose, lactic acid) are found in meat in an amount of approximately 1%.In their activity, they are significantly lower than nitrogen extractive substances.

The meat of adult animals is richer than extractive substances and has a more pronounced flavor than the meat of young animals.This explains the fact that strong broths can only be obtained from adult animals.Extractive meat substances are energy pathogens of the secretion of gastric glands and, therefore, strong broth and fried meat are more excited by the separation of digestive juices.Boiled meat does not possess this property and, therefore, is widely used in a dietary diet, chemically saving, gastritis, ulcer diseases, liver diseases and other diseases of digestive organs.

The dishes are steamed or baked.This type of power is generally recommended for a long time to give the pancreas the ability to recover.The list of products allowed for chronic pancreatitis is quite wide, so the patient has the opportunity to eat not only well, but also tasty.

Therapeutic nutrition in the acute form of pancreatitis and with exacerbation of chronic pancreatitis is almost the same.The first day of the disease, 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 the treatment of acute pancreatitis and exacerbation in a chronic way.

To create a pancreas, the patient's functional gland is provided with the necessary nutrients (usually amino acids and vitamins) using the qualified parenteral nutrition of SO, that is, by intravenous infusion (administration), without going through the gastrointestinal tract.In some cases, if the patient does not have vomiting and signs of gastastasis, that is, a slowdown in stomach activity, he is allowed to drink alkaline mineral water or weak tea, approximately 1.5 liters per day.In approximately the second or third day, the patient gradually transferred to a limited enteric diet, and then a complete.

Therapeutic nutrition in acute pancreatitis and the exacerbation of the chronic form differs a series of characteristics.First, it is necessary to introduce the correct amount of proteins in the patient as soon as possible, since they are necessary for the synthesis of enzyme inhibitors that suppress the production of the latter pancreas.To reduce the load in the organ, sometimes special mixtures are used for enteric nutrition through the probe or the tube.Approximately two weeks later, the patient is allowed to be an expanded diet with the chemical and mechanical ascent of the organs.

Patients during this period recommend several types of mucous soups on decoctions of cereals or vegetable broths, chopped steam plates of low -fat meat and fish, steam proteins, vegetable and fruits puree, newly prepared cabin cheese, some tea, pink broth, compotes, jelin.NO SALS TO COOKING PLATES IS USED.

Therapeutic diet "Table No. 5 P": Product list

As pancreatitis, the patient, together with pharmacological treatment, receives a recommendation for therapeutic nutrition.Especially for patients with pancreatitis, a special version of diet No. 5 recommended for liver diseases and gallbladder - diet No. 5 p.

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

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

Approximate menu for one day according to diet No. 5 P (second option):

• Breakfast: oat oatmeal in the water, cottage cheese, carrot juice;
• Second breakfast: baked apple;
• Lunch: zucchini and carrots, meat roll with pumpkin puree, berry jacket;
• Jocadura of the afternoon: not precise cookies, weak tea;
• Dinner: Lucio's hanger chops with cauliflor, compote.

The list of products allowed by diet No. 5 P is as follows:

1. Gachas and cereals: semolina, oatmeal, sarracene wheat nucleus, rice prepared in the water.
2. Dairy products: 1% fat, yogurt and kefir clock with low fat content, low -fat cheese varieties.
3. Soups: mucous membranes in cereal decoctions, vegetable soups, soups based on secondary meat broths, soups-pure.
4. Meat and fish: chicken (breast), rabbit, beef, turkey, cod, hack, hack, even, lucio, lucio hanger, platii and other varieties of low fat, boiled or vaporized in the form of labels, chops, meatballs, rolls.
5. Vegetables and fruits: zucchini, potatoes, broccoli cabbage, color cabbage, carrots, tomatoes (with caution), cucumbers, pumpkin, sweet and pears apples (preferably baked), dry fruits.Boil vegetables, sometimes cleaned.
6. Sauses: emergency white sauces such as Behamel, in a decoction of vegetables, fruits.
7. Sweet: fruit and berries, mouses, gelatin, marshmallow (in small quantities), honey, pill, some varieties of non -accessory cookies.
8. Other products: butter and vegetable oil for cooking, chicken eggs (protein), wheat bread yesterday.
9. Drinks: juices: carrot, pumpkin, apricot, pink stick, mineral water, weak tea.

The expansion of the diet with the improvement of well goods can be carried out only within the list of allowed dishes, without violating cooking technology and not exceeding the recommended volume.

Prohibited products during the inflammation of the pancreas

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

1. Gachas and cereals: peas, beans, barley and corn cereal.
2. Dairy products: milk, sour cream, cream with higher fat content, hard cheeses, cottage cheese.
3. Soups: Based on strong meat and fish broths, as well as with supercharged vegetables such as a service station: Borsch, spring, 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 meats, goose, duck, canned meat.
5. Vegetables and fruits: All canned foods of vegetables and fruits, white cabbage, onions, radishes, eggplants, pepper.
6. Sauses: ketchup, adjika, mustard and all acute sauces.
7. Sweet: Chocolate, ice cream, sand dough, confectionery creams.
8. Other products: animal fats, rye bread and any sdoba, fungi in any form.
9. Drinks: juices: orange, grapes, cherry, tomato, carbonated drinks, any alcohol, strong tea and coffee.

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

The importance of enzymes when digesting food

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

• Proteins: Proteases (Tripsin, Quiriperipsin);
• nucleic acids: nucleasas;
• Fats - Lipasas (Steepsin);
• Carbohydrates are amylase.

In case of inflammation of the pancreas, its ability to synthesize enzymes is produced significantly, enzymatic deficiency occurs.This condition is manifested by a violation of the digestive functions of the body and the absorption of nutrients for them, a series of unpleasant symptoms, such as abundant liquid feces, dehydration of the body, symptoms of vitamin deficiency and anemia.Body weight may fall sharply, stomach acidity, nausea, vomiting, flatulence are often produced.The prolonged enzymatic deficiency is very dangerous, since without the proper treatment it leads to a complete exhaustion of the body.

Therefore, adequate nutrition, combined with enzymatic therapy aimed at replacing the lack of ezims, is quite able to reduce unpleasant manifestations of pancreatitis and enzymatic failure.The most important thing is to clearly fulfill all the appointments of the attending physician, avoiding amateur actions.