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

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

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

Doctors have developed a special treatment diet for this disease, an important place in which it takes appropriate nutrition.

Basic rules of power for pancreatitis

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

In the event of pancreatitis in any form whatsoever, you must adhere not only to 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 cope with its main function.

• First, you must adhere to the rules of fractional nutrition, that is to say to eat often, five to six times a day in small portions at 300 g.
• Second, a chemical savings in the pancreas and other digestive organs is necessarily chemical.For this, everything that can cause their irritation and cause too active production of enzymes is excluded from the diet.Most products are boiled or baked.
• Third, it is necessary to save mechanical gastrointestinal tract, that is to say, eat dishes in chopped or even suffered form (for acute pancreatitis or exacerbation of the chronic form of the disease).

Important!

Too much long -term use of the wiped dishes can also lead to an appetite inhibition and weight loss, therefore when removing exacerbation 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 proteins, that is to say around 200 grams per day.
• Fifthly, the amount of fat up to 50 g per day is limited with their uniform distribution of meals during the day.Fat can only be used for cooking, as an independent dish, they are prohibited.For example, a butter sandwich will have to be abandoned because the excessive fat load with a high probability will cause exacerbation of the disease and aggravate its course.
• Sixthly, the amount of sugar and food containing sugar up to 30 to 40 g per day should 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 stays.
• In seven, the use of products which cause an increase in gas formation (flatulence) is excluded.
• Vosmys, salt consumption is limited.The authorized standard is three to five grams by day.

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

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

In chronic pancreatitis, at the stadium of persistent remission, the patient must eat in accordance with the basic requirements, but the food does not have to be chopped or wiped.The diet in chronic pancreatitis is to ensure 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 intestines and rich in essential oils are excluded from the diet, as well as all the irritating mucous membranes of the seasoning and gastrointestinal tracks, extractive substances.For example, meat contains extractive substances that are divided into nitrogen and nonsense.One kilogram of meat contains an average of 3.5 g of nitrogen extractive substances.Most nitrogen extractive substances in the pork: their total content reaches 6.5 g in a kilogram of muscle tissue.The smallest quantity 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 extractive substances, lamb with low fat content can be recommended.

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

Forgive extractive substances - glycogen, glucose, lactic acid - are in meat in quantity of about 1%.In their activity, they are significantly lower than nitrogenous extractive substances.

Adult meat animals are richer than extractive substances and have a more pronounced 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 meat are energetic pathogens of the secretion of the gastric glands, and therefore strong broths and fried meat are the most excited by the separation of digestive juices.Bouillé meat does not have this property, and therefore it is widely used in a diet and chemically saving for gastritis, ulcerative diseases, liver diseases and other diseases of the digestive organs.

The dishes are steamed or cooked.This type of power is generally recommended for a long time to give the pancreas the possibility of recovering.The list of products authorized for chronic pancreatitis is quite wide, so the patient has the possibility of eating not only properly, but also tasty.

Therapeutic nutrition in acute form of pancreatitis and with the exacerbation of chronic pancreatitis is almost the same.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 treatment of acute pancreatitis and exacerbation of a chronic form.

To create a pancreas, the patient's functional gland is equipped with the necessary nutrients (generally amino acids and vitamins) using Parenteral Nutrition so, that is to say by intravenous infusion (administration), bypassing gastrointestinal tract.In some cases, if the patient has no vomiting and signs of gastrostasis, that is to say a slowdown in stomach activity, it is allowed to drink alkaline mineral water or weak tea, about 1.5 liters per day.About the second or third day, the patient is gradually transferred to a limited enteric diet, then to a full folded.

Therapeutic nutrition in acute pancreatitis and exacerbation of the chronic form differ a number of characteristics.First of all, it is necessary to introduce the right amount of protein into the patient as soon as possible, because they are necessary for the synthesis of enzymes inhibitors which delete the production of the latter pancreas.To reduce the load on the organ, special mixtures for enteric nutrition are sometimes used by the probe or the tube.About two weeks later, the patient is authorized to be an extended diet with chemical and mechanical savings of the organs.

During this period, patients recommend various types of mucous soups on the decoctions of cereals or vegetable broths, minced steam boxes of weak meat and fish, steam protein omelets, vegetables and fruit puree, freshly prepared cottage cheese, a little tea, rosvi broth, compotes.Salt for cooking dishes is not used.

Therapeutic regime "Table n ° 5 p": List of products

During the diagnosis of pancreatitis, the patient, as well as drug treatment, receive a recommendation of therapeutic nutrition.Especially for patients with pancreatitis, a special version of diet n ° 5 recommended for liver and gallbladder diseases has been developed - diet n ° 5 p.

There are two options for this diet.The first is indicated for acute pancreatitis and chronicle exacerbation, 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 the stage of remission, is characterized by a high protein content, the daily diet with this diet should have an energy value of approximately 2440–2,680 kcal.

Approximate menu for a day according to diet n ° 5 p (second option):

• Breakfast: oat boil on water, cottage cheese, carrot juice;
• Second breakfast: cooked apple;
• Lunch: zucchini and carrots, beef roller with pumpkin puree, bay jacket;
• Afternoon snack: non-precise cookies, weak tea;
• Dinner: Pike chops with cauliflower, compote.

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

1. Porridge and cereals: Semoline, oats, buckwheat core, rice prepared on the water.
2. Dairy products: Cottage cheese 1% of fat, yogurt and kefir with a content of fat and low varieties of cheeses with low -fat content.
3. Soups: mucous membranes on the decoctions of cereals, vegetable soups, soups made from secondary meat broths, pure soups.
4. Meat and fish: chicken (chest), rabbit, weak beef, turkey, cod, piracy, till, pike, perch, paw and other low varieties, boiled or steamed in the form of labels, chops, meatballs, rollers.
5. Vegetables and fruits: zucchini, potatoes, broccoli cabbage, colored cabbage, carrots, tomatoes (with prudence), cucumbers, pumpkin, soft and pears (preferably cooked shape), dried fruits.Boil vegetables, sometimes wiped.
6. SAINS: white emergency sauces like Behamel, on a vegetable decoction, fruit-cost.
7. Sweet: Fruit and Berry Jelly, Mosses, Jelly, Guimaisse (in small quantities), honey, pastille, some varieties of unprecise 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, weak tea.

The expansion of the diet with the improvement of well-being can only be carried out in the list of authorized dishes, without violating the cooking technology and not exceeding the recommended volume.

Prohibited products during inflammation of the pancreas

Diet n ° 5 p is strictly prohibited to eat the following products:

1. Porridge and cereals: peas, beans, barley and corn cereals.
2. Dairy products: milk, sour cream, cream with an increased fat content, hard cheeses, fatty cottage cheese.
3. Soups: on the basis of strong broths of meat and fish, as well as with surfed vegetables as a service station: Borsch, pier, cabbage soup, ear.
4. Meat and fish: fatty varieties of fish - salmon, trout, salmon caviar, smoked and salty fish, canned fish, fatty pork and beef, sausages, smoked meats, goose, duck, canned meat.
5. Vegetables and fruits: all canned vegetables and fruit dishes, white cabbage, onions, radishes, eggplant, pepper.
6. SAINS: ketchup, adjika, mustard and all acute sauces.
7. Sweet: chocolate, ice cream, sand paste, confectionery creams.
8. Other products: animal fats, rye bread and all sdoba, mushrooms in any form.
9. Drinks: juice - orange, grapes, cherry, tomato, soft drinks, all alcohol, strong tea and coffee.

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

The importance of enzymes during food digestion

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

• Proteins - proteases (Thripsin, chiriperipipsin);
• nucleic acids - nucleases;
• Fats - Lipases (steapsin);
• Carbohydrates are amylase.

In the event of inflammation of the pancreas, its ability to synthesize enzymes is considerably reduced, an enzymatic deficiency occurs.This condition is manifested by a violation of the digestive functions of the body and the absorption of nutrients, a certain number of unpleasant symptoms, such as abundant liquid stools, dehydration of the body, the symptoms of vitamins and anemia.Body weight can drop sharply, often stomach burns, nausea, vomiting, flatulence occur.A prolonged enzyme deficiency is very dangerous, because without appropriate treatment, this leads to complete depletion of the body.

Thus, good nutrition, combined with enzymatic therapy aimed at reconstructing the lack of ezims, is quite capable of reducing the unpleasant manifestations of pancreatitis and enzymatic failure.The most important thing is to clearly fill all the appointments of the attending physician, avoiding amateur performance.