Pancreas disease of inflammatory character is called pancreatitis. Iron performs a secretory function: produces insulin and glucagon, and the part in digestion is the secretion of pancreatic juice. The reasons for the defeat of its diversity: the toxic poisoning, trauma, pancreatic duct obstruction, vascular disturbances, diseases of the gallbladder and ducts, the impact of medicines, infectious and parasitic diseases.
There are acute and chronic pancreatitis. Acute pancreatitis is associated with self-digestion of pancreatic enzymes and in severe cases, there is necrosis of the tissues of the prostate and nearby organs. Often develops when medication. In half of the cases the reason is its development of cholelithiasis, and some associated with alcohol abuse.
Chronic pancreatitis — long-term current and progressive disease who are prone to exacerbations. There are several clinical forms:
In the acute form of the disease, there was intense pain, increasing the level of enzymes gland in the blood and in the urine.
The basic principles of nutrition in this period are:
Further the power depends on the patient's condition, and sequentially assigned to two diet.
The first option is shown after acute pancreatitis and in severe exacerbation of chronic. This version of the diet recommended after the hungry days (usually three days), because it creates the maximum rest the gland and eliminates pain.
After a bout of necessary frequent meals (up to 8 times) and in very small amounts, ranging from 50-100 g. the First time is assigned a low-calorie food (fat 50 g protein 60 g). It does not correspond to physiological norms, so it is recommended that a period of 4-7 days.
The diet consists of cooked products having semi-liquid consistency, and only to the 6th day allowed the use of semi viscous food. Less carbohydrate food stimulates the secretion pancreaticum, so it is recommended immediately after the famine.
When you decrease pain and improve digestion the diet is expanded and assigned as the second option (it is also used in not sharp exacerbation of chronic pancreatitis). After acute pancreatitis the patient should be in the diet of 6-12 months. All dishes are prepared in boiled or steam form, first RUB on a grater, and a few days later just crushed. Since the older principles magania food does not cause excessive stimulation of the body.
In adults, the disease becomes chronic, this means that nutrition should be given due attention because it is able to prevent aggravation. Each exacerbation entails the replacement of a normally functioning gland tissue and fibrous. So over the years, the patient developed insufficiency of the gland externally and inside secretory secretory.
Key features of a second embodiment Diet 5P:
In the period of remission expands the list of products and shows the inclusion of vegetables and fruits for raw. Vegetables used in salads, side dishes, salads and as a separate dish. In addition to kas you can make pilaf with dried fruit and boiled meat, pasta. The soup, not pureed and carefully introduced soups made from beets, borscht and cabbage soup. To improve the taste of the sauces used are homemade and the spices.
Are prohibited cocoa, coffee, drinks with gas and alcohol. In remission is shown taking low - and middle-mineralized mineral waters. They are accepted in the form of heat the course of 3-4 weeks. Diet in chronic pancreatitis is observed for life.
A healthy diet for pancreatitis of the pancreas include:
Diet for inflammation of the pancreas should not contain:
Menu nutrition in acute pancreatitis are scarce. At the initial stage of diet meals in the diet are only present in boiled and mashed form. Allowed the use of 50 g of breadcrumbs from white bread. Menu for the week can be varied, if you include liquid and poloveckie porridge from different cereals (except millet), souffle and mashed vegetables are allowed.
Every day you need to prepare fresh cheese. It is prepared from milk by adding during boiling of calcium chloride, thus, it turns out not sour, calcined cottage cheese. On its basis it is possible to make a dough, bake and steam puddings. Milk is only allowed as an additive in foods (cereals with milk, cream soups). Allowed 1-2 eggs a day boiled, the protein omelets or steam.
For dessert, brunch or afternoon tea, the patient can be offered baked apples or stewed in a puree, jelly, fruit jelly, pureed fruit drinks (can use dried and fresh fruit). Butter in small quantity is added to the finished dish. If you think of it by day, it will look like this:
Further, the diet involves the expansion of the diet. When moving to the extended main dishes are the same but produce (vegetables and fruits) you can already use is not rubbed, and a few days later raw. An increasing number of wheat bread, 300 grams of butter to 20-30 g per day are allowed unsweetened biscuits.
Added to the diet of casseroles from cereals, semolina, cream and cooked pasta. Continue to limit crisp cereal, barley, corn, barley, etc. From vegetables is added cauliflower, beets, pumpkin, green peas. pureed raw ripe fruits and berries. Dairy products take low-fat, non-acidic yogurt, sour cream in dishes. Sample menu diet for pancreatitis of the pancreas might look like this:
Acute pancreatitis in children is relatively rare. Its development is possible in children of substance abusers, people with viral infections, septic conditions, poisonings, against medication and after injuries of the abdomen. For the most part acute pancreatitis is found in the age category 11-15 years. The clinical picture is dominated by pain (from mild pain to cramping and strong), localized in the epigastrium, left hypochondrium and around the navel.
The correction of disorders of the gland function should include the treatment of the disease, which led to its development. An important aspect is diet, the nature of which is also determined by the underlying disease. It is recommended to use age amount of fat. Baby food should not contain reduced amounts of fat, as highly effective drugs replacement therapy can compensate for the lack of lipase. This approach to power allows to improve nutritionis status, which is very important for a growing child's body.
Chronic pancreatitis involves the observance of a strict diet during the exacerbation, then made a gradual transition to less sparing diet (not only mechanical sparing), but the food must be selective and keep his need for life.
In remission in the diet are fresh fruits (sweet apples, melons, apricots, plum, cherries, strawberries, grapes, currants, raspberries, citrus, pineapple), vegetables (carrots, greens, cucumbers, tomatoes). The number is limited and give the child can not every day. Occasionally you can consume cabbage, young corn and eggplants. Basic menu consists of milk porridge, a dish of minced meat, chicken and Turkey, vegetarian soups, roasted fish, boiled vegetables and dairy products. Allowed sweets: jam, marshmallow, jams, honey, marmalade, sugar, but in moderation.
After acute pancreatitis and in chronic excludes:
In the case of reactive pancreatitis recommended diet observed for 2 weeks, after which stringent restrictions are not required, but you need to provide the child with food, age appropriate.
