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Nutrition for chronic pancreatitis
Chronic pancreatitis occurs most often after acute, but can also be primary, for example, in patients with cirrhosis of the liver, chronic hepatitis, with duodenal ulcers, with stones in the biliary tract, sometimes with atherosclerosis and malnutrition in alcoholics, allergic diseases, etc.
The most important in the treatment of chronic pancreatitis is a properly constructed and organized therapeutic diet. What are its features?
In the period of improvement, the calming down of the process, the calorie content of food must correspond to the intensity of labor. Food is taken 5-6 times, evenly distributing the daily diet. At the same time, products that have a laxative effect are used.
Of great importance is the content of proteins in the diet. It should be high, as it enhances the recovery processes in the pancreas. In the diet should be 120-130 g of proteins, with 60-70% protein should be of animal origin, the rest - vegetable.
RATION OF NUTRITION IN CHRONIC PANCREATITIS
In the diet for chronic pancreatitis should include foods rich in protein: beef, veal, rabbit, chicken,
turkey, low-fat pork. You can not eat lamb, fat pork, goose, duck, game. With pain, nausea, discomfort in the abdomen, it is necessary to cook meat in chopped form, boiling in water or steam. Products can not be baked in the oven, stew, fry. If you feel better (pain disappears, discomfort in your stomach), you can use lean and non-fat meat with a piece, but only boiled or steamed.
You can eat lean fish in chopped form or a piece, but also only boiled or cooked for a couple. Low-fat meat and low-fat fish have the ability to prevent fatty degeneration of the liver, which is very important for chronic pancreatitis.
The same ability is possessed by cottage cheese. It should be non-acidic, fresh. It should be prepared either by precipitation of milk protein with calcium salts or table vinegar, or from milk and kefir. Store cottage cheese is better not to use. Cottage cheese prepared at home can be used in its natural form, wiped with milk and sugar, and as a steam pudding.
Milk in chronic is usually poorly tolerated, so it is better to use it when preparing cereals, soups, jelly, jelly. If the milk is tolerated well, then you need to use it for a quarter or half a glass of warm and small sips. When bloating or diarrhea, milk from the diet should be excluded. Sour-milk drinks can only be used fresh. Cheese in the acute stage is contraindicated. With good health, you can eat a bit of lightly low-fat cheese. Whole eggs are prohibited. But steam protein omelettes, dishes from whipped proteins, as well as eggs as an additive to dishes can be included in the daily diet.
Of the vegetable proteins in the menu can be rice, white yesterday's bread, rusks from it, semolina, oatmeal, buckwheat, small pasta, vermicelli, noodles. They can be prepared in the form of soufflé, porridges, steam puddings. Legumes are prohibited.
The amount of fats is limited to 70 g. Of these, 80% must be fats of animal origin, which are recommended to be taken only together with other foods and dishes. The oil must be added to the ready meals, side dishes. Vegetable oil can be consumed only with good tolerability. You can not eat cooking fats, margarine, lamb, beef, pork fat. Oil is best added to the dish before serving.
The amount of carbohydrates should be reduced to 350 g, mainly due to digestible carbohydrates (sugar, honey, jam, syrups.)
Of carbohydrate products are allowed to crackers, manna, oats, buckwheat, pearl barley, rice, vermicelli, horns.
Of these, you can make slimy, rubbed soup, soup - cream, porridge, souffle, steam pudding. Potatoes, carrots, beets, pumpkins, zucchini, and squash are allowed. Vegetables should be cooked on steam or in water. You can make a vegetable steam pudding. Welded vegetables should be wiped or cut and added to the cereal broth.
From fruits in the diet you can use non-acid ripe apples in baked form or grated, cook compote from them. Recommended compotes of dried fruits. Sour berries and sour fruit can not be consumed. You can use non-acidic juices.
From sauces, béchamel sauce from flour and milk is allowed, and the flour can not be steamed. Salt - 8-10 g.
Prohibited abundant food, so one of the features of nutrition in chronic pancreatitis is a reduction in the daily volume of food. In chronic pancreatitis, the daily volume of food should be 2-2.5 kg. This volume also includes liquid. Food should be taken often and in small portions.
PRODUCTS RECOMMENDED IN CHRONIC PANCREATITIS
bread white dried or yesterday, white bread;
Soups from vegetables, various cereals, vermicelli, vegetarian;
low-fat meat (beef, veal, rabbit, chicken, turkey, mashed potatoes, souffle, meatballs, tender meat with a piece), prepared by boiling in water or steam;
low-fat varieties of fish (cod, pike perch, pike, navaga, carp, bream) boiled or cooked steamed, chopped and chopped;
Milk - for tolerance, it is better to add to dishes; freshly prepared low-fat non-acid curd, as well as dishes made from it, steam cooking; fermented milk drinks (kefir, yogurt, ryazhenka), mild cheese, Russian, Uglich, Yaroslavl;
eggs in the form of protein omelettes;
various cereals, especially oatmeal and buckwheat, in the form of puddings, porridges, soufflé; boiled noodles and vermicelli;
various vegetables in a grated kind, boiled in water or steam; sweet apples and dried fruits, mashed, baked, in the form of juices, compotes, jelly, mousse;
dairy sauces, fruit and berry sauce; tea, tea with milk, broth of dogrose, non-acidic juices;
The butter is added to the prepared dish.
rye and fresh bread, puff and dough, soups on meat, fish, chicken and mushroom broths, cabbage soup, borsch, beetroot, okroshka, fatty meat, fish, poultry, smoked meat, pickles, marinades, liver, kidneys, brains, cream , fatty creams, sour cream, spicy cheese, eggs, legumes, millet, cabbage, radish, radish, onions, garlic, sorrel, spinach, cold snacks, honey, jam, ice cream, sauces on meat and fish broth, spices, black coffee , cocoa, carbonated and cold drinks, grape juice.
Therapeutic diet should contain 120 - 130 g of proteins, 70 - 80 g of fats, 350 g of carbohydrates. Caloric content of the diet is 2700 - 2800 kcal. Table salt 8-10 g, free liquid 1.5 liters. Weight of the ration is 2.5 kg.
Food is prepared by boiling in water or steam, given in a grinded and crushed form. Eating 4-5 times a day.
With chronic pancreatitis, well-being depends directly on persistence and patience with nutritional restrictions. Proper nutrition significantly increases the effectiveness of treatment in general.
EXAMPLE MEASURE IN CHRONIC PANCREATITIS
First breakfast: boiled meat with mashed potatoes, tea with milk.
The second breakfast: cottage cheese skim, apple baked.
Lunch: soup of Hercules mucous (half portion), soufflé meat steamed with vermicelli, fruit jelly.
Snack: omelette protein steam, broth of wild rose.
Dinner: souffle curd steam, tea with milk.
For a day: bread white yesterday 250 g, sugar 30 g, oil 15 g.
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Nutrition for chronic pancreatitis
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