Diet for pancreatitis - clinical nutrition

Pancreatitis is an unpleasant disease that can occur slowly (chronic), and can sharply, causing extreme pain, from which patients are literally lose consciousness. Such conditions often result in necrosis of the pancreas - a state of extreme danger to life.

Pancreatitis - an inflammation of the pancreas caused by exposure to her own pancreatic enzymes are prematurely activated both in the cancer tissue and its ducts.

Pancreatitis can be acute or chronic. The cause of acute pancreatitis may be infections (influenza, dysentery, etc.), pancreatic duct obstruction, different poisoning, including alcohol, etc. Chronic pancreatitis is usually caused by pancreatic insufficiency due to atrophy (shrinkage) or stagnation in the pancreas the formation of stones therein.

Therapeutic nutrition in acute pancreatitis

In acute pancreatitis, the first 4-5 days, the patient receives parenteral (not supplied through the gastrointestinal tract) nutrition. For this purpose, it is administered intravenously different nutrient solutions (glucose, saline, etc.). Appointed as rich alkaline water: mineral water without gas (Smirnovskaya Slavyanovskaya, Essentuki 17, etc.)

When calming painful manifestations are allowed to receive sour 100 ml every 30 minutes (up to a liter a day if tolerated). The next day, add 200-250 grams of cheese, then gradually introduce other products, maintaining the principle of maximum mechanical and chemical schazheniya as the outflow of pancreatic juice in these patients is difficult.

A diet enriched with such patients 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, etc.), as the gas produced during fermentation increases intracolonic pressure, increasing pain and breaking free outflow of pancreatic juice.

Supply part, up to 6 times a day, a fraction (in small portions).

Principles of diet at an exacerbation of chronic pancreatitis

During exacerbation of chronic pancreatitis power is the same as in the subacute pancreatitis. The food is given in the form of shabby and only at improving the condition of moving to a less strict cooked products, but also to the exclusion of roasting and stewing to reduce sokogonnym action. Food is cooked on the first couple, and then allowed food boiled. Eating a six-prohibited hearty meal.

The composition of diet in chronic pancreatitis includes 120-140 g protein, of which the majority (60-70%) of animal origin, mainly dairy products (fresh grated cheese), lean meat and fish. The amount of fat is limited to 50-60 grams, and carbohydrates - up to 300-350, the Calorie such a diet - 2400-2800 kcal.

Nutrition in chronic pancreatitis in remission

In remission (without exacerbation) in nutrition of patients with chronic pancreatitis include white bread, cereals (buckwheat, oats, rice, semolina, and others. - Boil water, rub, add milk), carrots and mashed potatoes, cutlets of meat and vegetables, lean boiled fish, boiled meat, tea, sugar and honey. Vegetables (potatoes, carrots, beets, cauliflower Cauliflower: Queen vegetable table , Squash and pumpkin) better to boil, then wipe and bake. Butter or oil can be added to ready-made meals, but not more than 20 g per day.

As first courses are recommended vegetable and cereal soups (also wiped). On the second, you can use low-fat boiled meat, chicken, fish. It is recommended to use fresh fruits, berries, jellies, compotes.

For dinner you can eat boiled potatoes, carrots, fish, egg white omelette, cereal, etc. Before going to bed - a cup of yogurt Kefir: a unique drink for health and harmony   or yogurt. This diet is designed for sparing pancreatic function, inhibition of its secretion, reduction of gas formation in the intestine and timely emptying.

What should be excluded from the diet of patients with pancreatitis

You can not eat foods that are able to negatively affect the activity of the gastrointestinal tract, including aggravate the course of chronic pancreatitis. This alcoholic drinks, coffee, cocoa, soda (especially sweet), fresh bread and pastry. Irritation may cause soup, pickle Pickle or Kalia? , Strong meat and fish broth. Canned food, offal (liver, brain, kidney), eggs, boiled eggs, fried foods also can cause exacerbation of the disease. You should not eat bananas, grapes, figs, dates - they can cause flatulence. Sweets, chocolate, ice cream must also be deleted.

Do not be afraid that such restrictions will affect your health, it's just a healthy food that will contribute to the overall improvement of the body.

  Galina Romanenko

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