Nutrition for Pancreatitis: We understand what you can eat and what is impossible

Inflammation of pancreatic or pancreatitis is a serious illness that can significantly reduce the quality of human life.

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

Doctors have developed a special therapeutic regimen for this disease, a significant part in which proper nutrition needs.

Basic rules of power for pancreatitis

The pancreas is one of the main participants in the digestive process.The enzymes developed by its actively separated food, contributing to the rapid and more complete assimilation.Healthy iron easily treats this project, producing the correct amount of pancreatic enzymes (enzymes).But in the event of inflammation, very fat or heavy foods causes too much load on the organ, it even exacerbates its condition.

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

• First, you should comply with the rules of fractional diet, that is, eating frequently, five to six times a day in small portions up to 300 g.
• Second, a chemical savings of the pancreas and other digestive organs is necessarily chemical.Therefore, all that can cause irritation and cause excessively active enzyme production is excluded from diet.Most products are boiled or baked.
• Third, it is necessary to mechanical saving the gastrointestinal tract, that is, eating dishes in chopped or even wiping (for acute pancreatitis or worsening chronic form of the disease).

Great!

Excessive long -term use of rubbish can also lead to inhibition of appetite and weight loss, so when removing deterioration and improve the patient's condition is transferred as soon as possible to a waterproof version of the diet.

• Fourth, the diet should contain up to 60% of the animal protein, that is, about 200 grams daily.
• Fifth, the amount of fats up to 50 g per day is limited with the uniform distribution of meals during the day.Fat is allowed to be used only for cooking, as an independent dish, prohibited.For example, a butter sandwich should be abandoned, as excessive fat loading is highly likely to deteriorate the disease and worsen its course.
• Sixth, the amount of foods containing sugar and sugar up to 30-40 g daily should be limited, while the carbohydrate content must remain common, up to 350 g daily.Allowed to replace sugar with xylitol or other sugar.
• In seven, the use of products that cause increased gas formation (flatulence) is excluded.
• Vosmys, salt consumption is limited.The permitted rule is three to five grams of the day.

About the products allowed by inflammation of the pancreas and which are strictly forbidden, we will tell you below.

What can be eaten with pancreatitis according to the forms of the disease

In chronic pancreatitis, at the stage of persistent recession, the patient should eat according to the basic requirements, but the food does not need to be chopped or wiped.The purpose of nutrition in chronic pancreatitis is to ensure a good diet, a decrease in the inflammatory process in the pancreas and to repair its functions.

Fried dishes, products that contribute to fermentation in the intestines and essential oils are excluded from diet, as well as all irritating mucous membranes of spices and gastrointestinal spices, mining substances.For example, meat contains mining substances that are divided into nitrogen and nonsense.A kilo of meat contains an average of 3.5 g of nitrogen ministers.Most nitrogen mining substances in pork: their total content reaches 6.5 g in a kilogram of muscle tissue.The smaller amount of mining is observed in lamb - 2.5 g per kilogram of muscle.In this respect, in cases where it is necessary to limit mining substances, a low lamb can be recommended.

Nitrogen mining substances are carnosin, creatine, suffocating, purine bases (hypoxantine) etc. The main value of mining substances are their flavors and stimulant effects on digestive glands.

Forgive the mining substances - glycogen, glucose, lactic acid - are in meat at about 1%.In their activity, they are significantly inferior to nitrogen ministers.

Adult meat animals are richer than mining substances and have a more intense taste than the meat of young animals.This explains the fact that strong broth can only be obtained from adult animals.Extracurricular substances of meat are energy -efficient pathogens of secretion of gastric glands and therefore strong broth and fried meat are more excited about the separation of digestive juices.Boiled meat does not have this property and is therefore widely used in dietary, chemical diet, gastritis, ulcerative disease, liver diseases 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 ability to recover.The list of products allowed chronic pancreatitis is quite wide, so the patient has the opportunity to eat not only properly but also delicious.

The therapeutic diet in the acute form of pancreatitis and with the deterioration 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 the treatment of acute pancreatitis and the deterioration of a chronic form.

To create a pancreas, the patient's functional gland has the necessary nutrients (usually amino acids and vitamins) using the so -called perentrition, that is, with intravenous infusion (administration), bypassing the gastrointestinal tract.In some cases, if the patient has no vomiting and signs of gastrostic, that is, slowing the activity of the stomach, he may drink alkaline mineral water or weak tea, about 1.5 liters a day.On the second or third day, the patient is gradually transferred to a limited intestinal diet and then in complete.

The therapeutic diet in acute pancreatitis and the deterioration of the chronic form differs from a number of features.First of all, it is necessary to introduce the correct amount of protein into 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 instrument, special mixtures for intestinal diet are sometimes used through the catheter or tube.About two weeks later, the patient is allowed to be an extensive diet with chemical and mechanical organ saving.

Patients during this period constitute various types of mucous soup in cereal or vegetable broth, chopped steam dishes from meat and low rejection fish, vapor protein omelets, vegetables and puree fruits, freshly prepared, chopped, freshly prepared cheese.No salt used for cooking dishes.

Therapeutic Nutrition "Table No. 5 P": Product Catalog

When diagnosed with pancreatitis, the patient, together with drug therapy, receives recommendation for therapeutic diet.Especially for patients with pancreatitis, a special version of the diet was developed.

There are two options for this diet.The first is indicated for acute pancreatitis and deterioration of chronic, 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 recession stage, is characterized by a high protein content, daily diet with this diet should have an energy value of about 2440-2680 kcal.

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

• Breakfast: Water oat mat, Souffle cottage cheese, carrot juice.
• Second breakfast: roasted apple.
• Lunch: zucchini and carrots, beef roll with pumpkin bird, berry jacket.
• Afternoon snacks: non -expensive cookies, weak tea.
• Dinner: Cauliflower sprouts, compost.

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

1. Porridge and cereals: semolina, oats, buckwheat core, rice made in water.
2. Dairy products: 1% fat cottage cheese, yogurt and low fat, low varieties of cheese.
3. Soups: mucous membranes in cereal decays, vegetable soups, soups based on secondary meat broth, soups.
4. Meat and fish: chicken (chest), rabbit, low beef, turkey, cod, hack, till, pike, pike perch, gooseberry and other low -pound varieties, boiled or steam in the form of labels, chickens, cylinders.
5. Vegetables and fruits: zucchini, potatoes, broccoli cabbage, colored cabbage, carrots, tomatoes (caution), cucumbers, pumpkin, sweet apples and pears (preferably baked form), dried fruits.Boil vegetables, sometimes wiped.
6. Sauses: white emergency sauces such as Behamel, in a vegetable decoction, fruit-berry.
7. Sweet: Fruit and jelly berries, mousses, jelly, marshmallows (in small quantities), honey, pastil, some varieties of non -expensive cookies.
8. Other products: butter and vegetable oil for cooking, chicken eggs (protein), wheat bread yesterday.
9. Drinks: juices - carrot, pumpkin, apricot, rose, mineral water, weak tea.

The expansion of diet by improving wellness is permitted only in the list of permitted dishes, without violating cooking technology and not exceeding the recommended volume.

Products are prohibited when pancreatic inflammation

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

1. Porridge and cereals: peas, beans, barley and corn cereals.
2. Dairy products: milk, sour cream, cream with increased fat content, hard cheeses, oily cottage cheese.
3. Soups: Based on strong meat and fish broth, as well as with excessively contaminated vegetables as a gas station: Borsch, Pier, cabbage soup, ear.
4. Meat and fish: Fish varieties - salmon, trout, salmon caviar, smoked and salty fish, canned fish, pork fat and beef, sausages, smoked meat, goose, duck.
5. Vegetables and fruits: All herbal and fruits canned foods, white cabbage, onions, radishes, eggplant, pepper.
6. Sauses: ketchup, neighborhood, mustard and all acute sauces.
7. Sweet: chocolate, ice cream, sand dough, pastry creams.
8. Other products: animal fats, rye bread and any SDOBA, mushrooms in any form.
9. Drinks: juices - orange, grapes, cherry, tomato, carbonated drinks, alcohol, strong tea and coffee.

A breach of the diet can cause attack even if the patient's condition has been stable for a long time.

The importance of enzymes when digestion of food

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

• Proteins - Protees (Lypin, ChiriPeripsin);
• Nucleic acids - nucleas.
• fats - steapsin;
• Carbohydrates are amylase.

In the event of an inflammation of the pancreas, its ability to synthesize enzymes decreases significantly, enzymatic failure occurs.This condition is manifested by violating the digestive functions of the body and the absorption of nutrients in them, some unpleasant symptoms, such as liquid stools, dehydration of the body, symptoms of vitamin deficiency and anemia.Physical weight can fall abruptly, often heartburn, nausea, vomiting, flatulence.Prolonged enzyme deficiency is very dangerous, since without proper treatment it leads to complete exhaustion of the body.

Thus, proper nutrition, coupled with enzymatic therapy aimed at replenishing ezims, is quite capable of reducing the unpleasant manifestations of pancreatitis and enzyme failure.The most important thing is to clearly fulfill all the appointments of the treating physician, avoiding amateur performances.