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Nutrition for pancreatitis: let's find out 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 proceed in different forms, but in all cases, pancreatitis causes problems with the production of digestive enzymes, which means that the function of the digestion of food and the absorption of nutrients and the absorption of nutrients.

The doctors have developed a special treatment regime for this disease, an important place where correct nutrition takes on.

Basic power rules for pancreatitis

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 easily faces this task, producing the right amount of pancreatic enzymes (enzymes).But in case of inflammation, too fat or heavy foods causes an excessively larger load on the organ, even more worsening his condition.

In case of pancreatitis in any form, you should adhere not only to rigorous rules in the choice of products we will talk about below, but also special food principles designed specifically to help the easiest pancreas to face its main function.

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

Important!

The too long use of brushes dishes can also lead to the inhibition of appetite and weight loss, therefore when you remove the exacerbation and improvement of the patient's condition, you are transferred as soon as possible to a waterproof version of the diet.

  • Fourth, the diet should contain up to 60% of the animal protein, i.e. about 200 grams per day.
  • In fifth place, the quantity of fat up to 50 g per day is limited with their uniform distribution of meals during the day.Grasso can only be used to cook, as an independent dish, they are prohibited.For example, a butter sandwich must be abandoned, since the excessive load of fat with a high probability will cause an exacerbation of the disease and worsens its course.
  • In sixth place, the amount of foods containing sugar and sugar up to 30-40 g per day should be limited, while the carbohydrate content should remain ordinary, up to 350 g per day.It is allowed to replace the sugar with xylitol or other sugar substitutes.
  • In September, the use of products that cause greater gas formation (flatulence) is excluded.
  • Vosmys, salt consumption is limited.The permitted rule is three to five grams during the day.

Information on which products are allowed with inflammation of the pancreas and which are severely prohibited, we will tell you below.

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

In chronic pancreatitis, in the persistent remission phase, the patient should eat according to the basic requirements, but the food must not be cut or deleted.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.

Fried dishes, the products that contribute to fermentation in the intestine 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, the meat contains extractive substances that are divided into nitrogen and nonsense.A kilogram of meat contains an average of 3.5 g of nitrogen extractive substances.Most nitrogen mining substances in the pork: their total content reaches 6.5 g in a kilogram of muscle tissue.The smallest amount 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 the extractive substances, the low -fat lamb can be recommended.

Nitrogen extractive substances are carnosine, creatine, purines of purines (hypoxantine), etc.The main value of the extractive substances are their properties of taste and the stimulating effects on the secretion of the digestive glands.

Forgive mining substances - glycogen, glucose, lactic acid - are found in meat in an amount of about 1%.In their activity, they are significantly lower than nitrogen extractive substances.

Adult animals The meat is richer than the extractive substances and has a more pronounced taste of the meat of young animals.This explains the fact that strong broths can only be obtained by adult animals.The extractive substances of the meat are energy pathogenic agents of the secretion of the gastric glands, and therefore strong broths and fried meat are more excited by the separation of digestive juices.Boiled meat does not have this property, and therefore it is widely used in a dietary diet and chemically spared, for gastritis, ulcerative diseases, liver diseases and other diseases of the digestive organs.

The dishes are steamed or oven.This type of power is generally recommended for a long time to give pancreas the ability to recover.The list of products allowed for chronic pancreatitis is quite large, so the patient has the opportunity to eat not only, 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 is aimed at reducing pain and pancreatic activity.The traditional formula - "cold, hunger and peace" - perfectly reflects the principles of the treatment of acute pancreatitis and the exacerbation 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 parenteral nutrition thus called, that is, by intravenous infusion (administration), circumventing the gastrointestinal tract.In some cases, if the patient has not vomited and signs of gastrostase, that is, a slowdown in the activity of the stomach, drinking alkaline mineral water or weak tea, about 1.5 liters per day is allowed.In about the second or third day, the patient is gradually transferred to a limited enteric diet and therefore to full full.

Therapeutic nutrition in acute pancreatitis and the exacerbation of the chronic form differ a series of characteristics.First of all, it is necessary to introduce the right amount of protein in the patient as soon as possible, since they are necessary for the synthesis of enzyme inhibitors who suppress the production of this last pancreas.To reduce the load on the organ, special mixtures for enteric nutrition are sometimes used through the probe or tube.About two weeks later, the patient can be a diet expanded with chemical and mechanical savings of the organs.

Patients during this period recommend various types of mucous soups on decorations of cereals or vegetable broths, steam dishes chopped by low -fat meat and fish, frowry of steam protein, vegetable and fruit puree, freshly prepared cheese cottage, a little tea, pink broth.The salt for cooking dishes is not used.

Therapeutic diet "Table n. 5 P": list of products

In the diagnosis of pancreatitis, the patient, together with pharmacological treatment, receives a recommendation for therapeutic nutrition.Especially for patients with pancreatitis, a special version of diet was developed n.5 Registered for liver and gallbladder diseases: Diet n.5 p.

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

The second option, prescribed for chronic pancreatitis during the remission phase, is characterized by a high protein content, the daily diet with this diet should have an energy value of about 2440-2680 kcal.

Approximate menu for a day according to Diet n.5 p (second option):

  • Breakfast: porridge of oatmeal on the water, cottage souffles, carrot juice;
  • Second breakfast: oven apple;
  • Lunch: courgettes and carrots, beef roll with pumpkin puree, berries jacket;
  • Afternoon snacks: not accurate biscuits, weak tea;
  • Dinner: Persian fish cutlets with cauliflower, composed.
Zucchini and carrots

The list of products allowed by diet n.5 P is as follows:

  1. Porridge and cereals: semolina, oat flour, core of buckwheat, rice prepared on the water.
  2. Lattiero -Caseari products: 1% fat cottage cheese, yogurt and kefir with low fat, variety of low fat cheeses.
  3. Soups: mucous membranes on decorations of cereals, vegetable soups, soups based on secondary meat broths, soups.
  4. Meat and fish: chicken (breast), rabbit, beef with low fat, turkey, cod, hack, till, pike, perch, passers and other low -fat varieties, boiled or steamed in the form of labels, cutlets, meatballs, rolls.
  5. Vegetables and fruit: zucchini, potatoes, broccoli cabbage, colored cabbage, carrots, tomatoes (with caution), cucumbers, pumpkin, sweet and pears apples (preferably cooked shape), dried fruits.Boil the vegetables, sometimes dried.
  6. SAUS: white emergency sauces like Behamel, on a decoction of vegetables, fruit sedan.
  7. Sweet: fruit and bacca gelatin, mousses, jelly, marshmallow (in small quantities), honey, fears, some varieties of unconcented biscuits.
  8. Other products: butter and vegetables for cooking, chicken eggs (proteins), wheat bread yesterday.
  9. Drinks: juices: carrot, pumpkin, apricot, rosewood, mineral water, weak tea.

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

Products prohibited during the inflammation of the pancreas

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

  1. Porridge and cereals: peas, beans, barley and cereals of corn.
  2. Dairy products -Caseari: milk, sour cream, cream with an increase in fat content, hard cheeses, fat cheese.
  3. Soups: Based on strong broths of meat and fish, as well as with vegetables too infected as petrol station: borsch, pier, cabbage soup, ear.
  4. Meat and fish: variety of fish fat - salmon, trout, salmon caviar, smoked and salty fish, canned fish, fatty pork and meat, sausages, smoked meats, goose, duck, canned meat.
  5. Vegetables and fruit: all the food in a box of vegetables and fruit, white cabbage, onions, radishes, aubergines, pepper.
  6. Saus: ketchup, Adjika, mustard and all acute sauces.
  7. Sweet: chocolate, ice cream, sand paste, pastry chefs.
  8. Other products: animal fats, rye bread and any swarm, mushrooms in any form.
  9. Drinks: juices: orange, grapes, cherry, tomato, carbonated drinks, alcohol, strong tea and coffee.

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

The importance of enzymes when they digest food

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

  • Proteins - Proteases (Tonipsin, ChiriperperPipsin);
  • nucleic acids - nucleasis;
  • Fats - Lipasi (Steapsin);
  • Carbohydrates are amylase.

In case of inflammation of the pancreas, its ability to synthesize enzymes is significantly reduced, an enzymatic deficiency occurs.This condition occurs with 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, body dehydration, symptoms of vitamin and anemia deficiency.Body weight can fall sharply, often burning stomach, nausea, vomiting, flatulence.The lack of prolonged enzymes is very dangerous, since without adequate treatment leads to a complete exhaustion of the body.

Therefore, correct diet, combined with enzymatic therapy aimed at reintegrating the lack of Ezim, is quite capable of reducing the unpleasant manifestations of pancreatitis and enzyme insufficiency.The most important thing is to clearly satisfy all the events of the attending physician, avoiding amateur performance.