Inflammation of the pancreas is a long-term and complex disease of the pancreas with multifactorial causes. One: a sharp violation of the consumption standards of fatty foods, overeating, alcohol dependence. Adherence to specific dietary rules for pancreatitis is half the success of treatment.
The purpose of a pancreatitis diet is to supplement and supplement the menu with substances that are poorly processed due to a lack of pancreatic enzymes.
Some patients believe that nutritional therapy for pancreatitis is no different from diet 5a and continue to follow its recommendations. This is understandable because most individuals initially received long-term treatment for cholecystitis, gallstone disease, or hepatitis. The 5a. And Table 5, which sets out the nutritional standards required for these diseases.
But if pancreatitis is detected, diet 5a should be modified. Changes in pancreatic damage require correction of protein, fat and carbohydrate content. The diet of patients with inflammation of the pancreas is called "5p". It increased the protein content to 150 g (No. 100 in 100-120 g), decreased the amount of fat (at least 70 g in 5) and carbohydrates (at least 300 g in 5). Rules for cooking and restricting food choices remain general.
Basic dietary requirements
The proposed 5p. dietary rules do not preclude the use of diseases of the gastrointestinal tract. They are important in creating maximum unloading of the pancreas.
- Only cook cooked, steamed, fried or steamed food. The baking method is completely forbidden.
- Observe the sparing of the damaged organ by grinding all the vessels in the most severe stage of the disease.
- Moderate temperature control is required (no sharp fluctuations from cold to warm).
- The patient should be fed a small amount of food, but every 3-4 hours.
- Avoid plenty of one-time meals, overeating even diet foods.
- Maintains a daily caloric intake of at least 3000 kcal.
The dietary tables proposed by Povzner take into account the possibilities of exacerbation and subsequent periods when the pain has subsided, but in pancreatitis, maintaining and continuing proper nutrition is very important.
5p diet option with worsening pancreatitis
Clinical manifestations of acute and chronic pancreatitis in the exacerbation stage (sharp pain, vomiting, nausea, diarrhea) do not allow the patient to eat as usual. The treatment regimen requires complete starvation for two to four days. You can’t drink either, in the first few days the fluid is injected intravenously.
After stopping vomiting and pain, an initial 5p diet is prescribed. It aims to reduce the production of stomach acid and allow the pancreas to focus all its strength on the process of fighting for survival.
The diet can be used for up to two weeks because its composition is unbalanced (proteins are reduced to 60 g, fats to 50 g, carbohydrates to 200-280 g, total calories are 1800 kcal). Of course, bed rest and lack of physical activity are recommended.
The menu of the diet table of a patient with pancreatitis is made of mashed mucous grain soups, liquid cereals in water (wheat groats and rice excluded), mashed potatoes or carrots, zucchini, zucchini, all kinds of boiled pumpkin, boiled pumpkinstands. with some white biscuits. Everything is served and cooked without oil. You can drink 2 liters of water, rosehip decoction, slightly sweet weak tea. After this option, they switch to the second type of food on the recommendation of a doctor.
Diet without exacerbation of pancreatitis
The onset of an effective healing process is judged by the normalization of temperature, the reduction in the frequency of diarrhea, and the absence of pain. The diet for pancreatitis is expanding, but maximum standards for proteins, fats, and carbohydrates are being adhered to. It is necessary to include a vitamin supply in the current therapeutic diet to activate the body’s defenses. The patient should follow this diet throughout his life.
The pancreatitis diet categorically prohibits:
- fatty meat, fish and rich vegetarian (cabbage or mushroom) soups;
- beef and pork fatty meat, duck;
- fat and cooking oil;
- smoked meats, hot snacks, sauces, canned food in any form, sausages; rich cakes, culinary creams, chocolate, pies, black bread;
- vegetables in the diet for pancreatitis do not recommend radish, cabbage, turnips, sorrel, spinach;
- carbonated drinks, beer, alcohol, coffee.
- dried white bread or croutons, dry biscuits;
- steamed, oven-baked lean meat and poultry dishes, meatballs, meatballs and meatballs;
- soups made from cereals, pasta, sour cream can be flavored;
- non-acid curd, hard cheeses;
- Butter or vegetable oil should be added directly to the plate, with a maximum of one tablespoon per day;
- semi-liquid porridge cooked in water or dilute milk;
- unsweetened baked apple, jelly or fruit compote;
- Lightly sweetened tea lightly brewed in milk or rosehips.
The remodeling pancreatitis diet recommends the following sample menu for a working person that day:- Before breakfast - you can make a steam protein omelette from two eggs or some milk from oatmeal with milk.
- Breakfast 2 (lunch time) - take boiled meat with mashed potatoes or vegetables, half a pack of cottage cheese, if you have the opportunity to heat it in the microwave at work, be sure to use it.
- Slightly sweet tea.
- Lunch (after work at home) - vegetarian potato soup half a plate, stewed meatballs with vegetable puree, apple jelly on xylitol.
- Dinner - a piece of boiled chicken, curd curd, tea with milk.
- Fruit jelly on xylitol at night (no later than 21 hours).
Intake of unpolished vegetables and fruits, as well as dietary expansion is possible only with the consent of a doctor, after examination, in order to restore the enzymatic activity of the pancreas and prevent inflammation.