Diet for pancreatitis
term "pancreatitis" taken generically denote a whole group of diseases and syndromes, which brings together the inflammation of the pancreas.This inflammation of the enzymes secreted by the body is not released into the duodenum and are forced to operate within the body itself.Begins "self-digestion" gland.At the same time produce toxins that pose serious risk to other bodies (if get into the bloodstream).
Depending on the nature of the disease it is customary to distinguish acute and chronic forms.
Acute pancreatitis - a serious inflammatory disease of the pancreas.At the end of the last century, from him every fifth patient died.Today, doctors were able to halve the mortality rate, and yet it is impossible to underestimate the disease: it is deadly.
In acute pancreatitis, the body increases in size, edema.Sometimes the gland begins to break down and partially melted (there are so-called pancreatic necrosis - dead areas).When this infection may extend beyond the affected organ.Toxins released into the
Over the past two decades the number of patients with this disease increased by more than two times.At the same time experts are well known causes that trigger the development of acute pancreatitis.The main risk factor is the abuse of alcohol and its consumption in the country has increased substantially in recent years.As a result, 40% of the total number of diseases - it's acute alcoholic pancreatitis.
mechanism of acute alcoholic pancreatitis is well known.Abundant intake of fatty, protein-rich food while eating a fair amount of alcohol provokes enhanced production of pancreatic enzymes that should act on its channels in the intestine and involved in the digestion of food.If the pancreas does not manage to cope with the huge volume of work, it can clog ducts protein plugs.Then enzymes nothing remains as to penetrate into the breast tissue, damaging it, causing inflammation.Damages iron and alcohol itself (and especially its breakdown product acetaldehyde), entering into the pancreas from the blood.Develops acute alcoholic pancreatitis.
Another common cause of pancreatitis - cholelithiasis (gallbladder disease).Comes from a gland duct, which is connected to the bile duct is formed ampoule.By her bile and pancreatic juice coming into the duodenum.If a person suffers from gallstones, the stones from the gall bladder may enter the ampoule and clog it.Then the juice and bile gland comprising enzymes can not flow away into the duodenum, and the pressure of the permeate ducts in pancreatic tissue.In this case, it is developing an acute biliary pancreatitis.
Other risk factors: abdominal trauma, intake of harmful drugs for the pancreas, endocrine diseases, infections, and even allergies.All this can also be a cause of serious illness, whose name - acute pancreatitis.
Acute pancreatitis usually occurs with pain in the upper abdomen radiating to the back.Patients complain of nausea, vomiting, bloating, loss of appetite.Moreover, in contrast to vomiting in case of poisoning, pancreatic vomiting does not relieve the pain subsides when it is not.There may be fever, tachycardia, and severe weakness.In some instances, bleeding ulcers gut opening, which in turn deliver additional problems to the patient.
Power in inflammation of the pancreas - an important element of comprehensive treatment.If pancreatitis is a diet number 5P (pancreatic), excluding products with a pronounced stimulating effect on the secretion of gastric and pancreatic glands.
disease is so serious that about any self-medication can be no question.Patients should be under the direct supervision of a specialist, who will deliver an accurate diagnosis and determine the treatment strategy.
But some medicines not solve the problem.A special role is played by dietary nutritional therapy in acute pancreatitis.The basic principle of treatment of acute pancreatitis with diet - to ensure the pancreas rest as much as possible by removing from it the load.
In the early days of the disease the patient should avoid solid food.His watered alkaline mineral water without gas.Sometimes (usually in the case of children) and your doctor may prescribe a decoction of rose hips.Drinks allowed in the form of heat, often but in small portions.The duration of fasting depends on the patient's condition (typically 1 - 3 days).
After the doctors allowed to finish the hungry period, a period of a sparing diet.It usually lasts a couple of days.These days allowed to drink weak tea with croutons and grated slimy concoctions (usually without salt).
On the third day, the menu gradually expanding: allowed to eat pureed porridge with milk (buckwheat and rice), which is diluted with water 1: 1.You can also have mucous soups and steam protein omelet.
On the fourth day, your doctor may allow porridge, cooked on whole milk.The diet is added stale white bread (hardness - a must!) And mashed with milk curd.
Two days later allowed to be added to food butter, cook vegetable soups (without cabbage, it is contraindicated in pancreatitis) and pureed vegetable side dishes: mashed carrot and beet, in small quantities - potatoes.
At the end of the week in the diet added pureed meat and fish low-fat varieties, of which make steam souffle.After another couple of days allowed to eat meatballs steam.In such a discharge diet the patient must be before the end of the second week.
Sometimes doctors are allowed to extend the diet and more rapidly.For example, when calming painful manifestations doctor may allow for the second or third day of the reception of sour 100 ml every 30 minutes (up to a liter per day if tolerated).The next day, add 200 - 250 grams of curd.But in most cases the first 2 - 3 days would have to starve, taking for their thirst mineral waters.And in the following days, eat slowly, and at least 5 - 6 times a day.
But care must be taken so that the fat content was limited to '60 Make it should be due to the exclusion of animal fats (beef and pork).
main requirement for nutrition - most spare your digestive system - both from the mechanical point of view (not to eat roughage) and chemical (to give up foods that require much effort to digest), because pancreatic juice outflow in acute pancreatitis complicated.
diet should be based on easily digestible and digestible protein products.The diet is limited fat content, which has a choleretic effect and stimulate the secretion of bile acids, pancreatic juice, thereby exacerbating the patient's condition.Limited reception also easily digestible, fermentable carbohydrates are prone to (jam, sugar, honey and so on. D.) As formed in the fermentation gas increases intracolonic pressure, increasing pain and breaking free outflow of pancreatic juice.
Meals should be frequent and fractional - ie it is necessary to eat 6 times a day in small portions.And another important point: during each meal dishes should be consumed only in the warm, warmed form.Remember, and that the amount of salt should be restricted, - it will help to quickly remove the swelling of the pancreas.
Attention!Before using any of these dishes in acute pancreatitis, consult with your doctor!Diet is extended only under the supervision of a specialist!
mucous soups are very suitable dish as spare mucosa of the gastrointestinal tract.Prepare them on the basis of cereal concoctions.Before cooking cereals, be sure to sort and wash in warm water.
Cook grits and covered in boiling water, and closing the bowl with a lid at low boil.Depending on the cereal soup cooking process can take anywhere from one to three hours.After that, it is necessary to strain the soup through a double layer of cheesecloth.It does not require straining only soup semolina.
After protsezhen soup, it can add a little warm (but not hot) milk (be sure to ask your doctor whether you have dairy products, or have to wait a couple of days, until the condition is normalized).Pour the milk should be in small portions.
soup while to stand in a water bath.At the end of cooking, you can add a little salt and mix thoroughly.Make sure that the soup had a smooth consistency without lumps.
Attention!With regard to the use of salts of the last word rests with the doctor!In some cases, it is necessary to abandon it!
Pureed soups.Pureed soups made from vegetables, grains (cereals flour), meat, poultry, fish.Please note that the basis for acute pancreatitis should be no meat or fish broth and vegetables.
Included in the pureed soup boiled products, pripuskayut or stew until cooked and crushed blender.Products which are hard boiled soft, first passed through a grinder, and then rubbed.Puree combined with broth (bouillon), bring to a boil, remove from the surface of the resulting foam.To particles pureed soups and products contained in them, do not settle to the bottom and evenly distributed in a broth soup seasoned white sauce and boil for 10 - 15 minutes.
Attention: white sauce that is made from flour and water, the doctor may prohibit, depending on the patient's condition.In this case, it is possible to replace boiled rice rubbed.To improve the taste on the advice of a doctor (!) Administered lezon (milk-egg mixture).
Pureed soups should have a smooth consistency, reminiscent of the density of heavy cream.It is impossible to come across pieces in a soup not minced meat, fish or vegetables or flakes of coagulated egg white.
puree soup with beef.
Ingredients: 150 ml of vegetable broth, 30 g of boiled beef, no fat and films, and salt.
Boil vegetable broth of available products (carrots, turnips, parsley root, parsnips, celery, cauliflower).Boiled beef 2 times through a meat grinder and put in vegetable ready (!) Broth, stir.In consultation with the doctor and apply salt to the soup crackers.
puree soup with cod.
Ingredients: 500 grams of fish, 8 glasses of water, 2 cups vegetable broth, 1 teaspoon of butter, 50 ml of milk, and salt..
fish is cleaned, cut into small pieces and cook for 30 minutes.Then, remove the bones from the fish and rub through a sieve or grind pulp blender.Oil diluted in warm milk, pour vegetable broth, bring to a boil, but do not boil.Reduce heat and add the mashed fish.Continue to cook the soup over low heat, stirring, for another minute.
Attention!Salt should be added only at the doctor's permission.
Ingredients: 300 g boiled white chicken meat, 100 grams of milk sauce, 40 g butter, 2 eggs, salt.
Separate the whites from the yolks, put the whites in the fridge.Meat twice boiled chicken mince, whip sauce with milk, butter and egg yolks.Add whipped to a froth with a pinch of salt proteins.Mass Stir, put into a greased mold and cook for a couple.Before serving you can pour the melted butter.
Ingredients: 500 grams of beef, 3 eggs, 500 ml milk sauce, 200 g of soft cheese, 150 grams of butter, 250 g sour cream, salt to taste.
Boiled veal pulp miss twice through a meat grinder or chop the blender.The proteins separate from the yolks.Put the whites in the fridge.The ground meat combine with a thick hot milk sauce, then add one raw egg yolk, butter, half the grated cheese and mix well.Just before baking Whip chilled whites with a pinch of salt in a solid foam and gently stirring (bottom to top) to bring them into meat weight portions.Share mass into greased with butter form, smooth the surface, sprinkle with the remaining grated cheese, drizzle with butter and bake in the Ovens.Separately, apply the cream.
Warning: be sure to ask your doctor whether you can already use the egg yolk;if not - will have to do some proteins.
Ingredients 1 serving: 100 grams of lean beef, 20 ml of ready bechamel sauce, 20 ml milk 5 g flour, 5 g of butter, 7 g of egg and salt.
meat cook until tender, clean from the films and tendons, 2 - 3 times mince with frequent bars.Connect beef with béchamel sauce, mix, add egg yolk (consult your doctor), butter.If you have already started to improve, it is possible and a little salt.Thoroughly stir, then very carefully put in a lot of whipped to a froth protein.Stir and put in a form, greased.Bring to a readiness in a water bath.
Steam cutlets of chicken.
Ingredients: 150 g chicken fillets, 40 g of white bread, 30 ml milk, 30 g butter, salt to taste.
Chicken fillet mince, add soaked in milk and squeezed bread, butter, salt (to resolve the physician) and mince again.From cutlet mass form patties or meatballs, and not paniruya, put in a greased saucepan.Add broth and simmered for 15 - 20 minutes.
Warning: be sure to check with your doctor whether or not to add the cutlets white bread;- if not, you can replace it or pureed buckwheat porridge.
Ingredients: 800 g of fish (preferably cod or walleye), 1 egg, salt.
clean fish, remove the skin, remove bones.The pulp is passed through a meat grinder, add 1 egg and salt (if the doctor has allowed you to salt the food).All mix well and beat a wooden spatula until a homogeneous fluffy mass.From the prepared mass sculpt small balls and cook them for a couple.
Steam fish sauce.
Ingredients: 150 g fillet of cod or pollack, 1/2 cup milk, salt.
Fish fillets without bones placed in a steam basket and cook for 15 minutes.Then cool and grind into a puree (this can be done in a blender).The finished puree diluted milk.According to the resolution of the doctor a little salt.If necessary, puree can be stored in the refrigerator in a tightly sealed container, not more than a day.
puree of boiled fish and vegetables.
Ingredients: 500 grams of lean sea fish, 2 carrots, 100 g cauliflower, 2 tbsp.tablespoons butter, salt.
carcass wash in running water, remove the skin and gut.Carrots cut into circles, the cauliflower into florets to disassemble.Vegetables mixed, divided into two parts.One part to lay out the bottom of the steam basket on top to put a fish, is even higher - the remaining vegetables.Cook 15 - 20 minutes.Prepare fish separated from the bones.Ostuzhennoy fish and vegetables mince.Add to mash the softened butter and salt and place the dish in a double boiler for 5 - 7 minutes.
Ingredients: 1.5 cups buckwheat (slipped), 4 - 5 cups of water (liquid water for cooking porridge required 3 - 4 times larger than grains), butter, milk and salt to taste.
Groats to sort, sift flour dust from (but not washed), cover with cold water and place over high heat, cover.After boiling, the fire abated half and cook for 10 minutes until thick.Then reduce the heat and cook over low heat to boiling water (5 - 7 minutes).After the end of the cooking pot in a warm place, having covered with a towel, and let the porridge will be rested.Serve cold or hot.It is recommended that the hot porridge butter to the cold - milk.
Ingredients: 1 cup semolina, 5 glasses of milk, 1/2 teaspoon salt, to taste the oil..
Boil the milk, then a thin stream, stirring constantly, pour into it the rump.Add salt (do not forget to ask about the use of salt doctor) and cook until thickened about 10 minutes.Recommended to be served with butter.
Steam protein omelet.
Ingredients: 3 eggs, 3 tbsp.spoons of milk, and salt.
proteins separated from the yolks, a little salt, beaten with milk.The unit dose mold, grease, put the protein-milk mixture, cook an omelet in a water bath.
Mashed carrots and zucchini.
Ingredients: 1 medium carrot, 1 medium zucchini, salt.
Carrots and zucchini to clean, remove seeds from the zucchini, cut into pieces on average.All dishes are prepared without salt.Season with olive oil.Mix.Add salt.Take 1 tbsp.l.l.1 tbsp.l.1 tbsp.l.n.e.