Basic diet for pancreatic necrosis

The diet for pancreatic necrosis is included in the complex of compulsory medical measures.

Pancreatonecrosis is the necrosis of pancreatic tissue, after which this organ ceases to cope with its function.

Sites of the gland die due to the fact that it begins self-digestion under the action of its own enzymes.

The patient experiences unbearable pain and needs emergency hospitalization and surgery.

Nutrition for pancreatic necrosis

On the first day of the disease, the patient should not eat or drink anything, this is the so-called "zero table".You'll have to starve yourself before the operation and even a few days after it.

When the food does not enter the stomach, the gland does not secrete enzymes, i.e. the process of self-digestion stops.

It is important that the patient not only refrain from eating, but did not even see it and did not feel mouth-watering smells.

The appearance and smell of food can trigger the process of enzyme isolation, and the disease will progress.

So that the patient does not attain complete exhaustion in the few days that the iron rest and be restored, he is injected with nutrients directly into the bloodstream, through the vein.

This food is called parenteral. Parenteral nutrition allows you to get the necessary substances and water for the body bypassing the gastrointestinal tract.

Parenteral nutrition for a specific patient is developed by a special nutritional physician. He calculates the caloric density of the diet, the composition and the daily amount of substances administered.

On average, for every kilogram of the patient's weight, from 30 to 60 calories per day is administered.

Nutrient solutions are diluted glucose in water, an oil emulsion and liquid amino acids.

Simultaneously with glucose, an insulin solution is injected into the bloodstream, as in pancreatic necrosis, the pancreas that must produce this enzyme is in an inactive state.

The patient can receive the most energy from fat emulsions. Most often in the diet after pancreatic necrosis, Lipofundin, Intralipid preparations are used, since they have high energy value.

Fatty preparations not only support the strength of the patient, but also prevent further destruction of pancreatic cells by stabilizing the cell membranes.

Cells are destroyed not only by enzymes, but also by free radicals, which in pancreatonecrosis appear in large numbers.

Healthy membranes protect the contents of cells from radicals, so membrane repair is one of the top priorities of treatment.

An essential component of a diet after necrosis of the pancreas are typical solutions of amino acids, suitably balanced in composition and concentration.

They include interchangeable and essential amino acids. Typical or standard solutions completely cover the patient's need for proteins.

There are a lot of standard solutions - Aminoplasmal and German-made InfeSol, Serbian Aminosol and a lot of other compounds.

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Preparations of this type allow the introduction directly into the blood of a patient with an amino acid - substances from which the body can independently synthesize the desired types of proteins, so the parenteral nutrition standard solutions are included without fail.

Some amino acid solutions contain a number of additional components, such as sorbitol or other sugar substitutes.

Sugar substitutes do not need insulin for digestion, so these energy sources are called insulin-independent.

Insulin independence is a very important property of sugar substitutes, as in pancreatic necrosis insulin in the body can not be produced in sufficient quantity, and its introduction from the outside, in the form of an insulin solution, can lead to further blocking the production of its own insulin.

The diet in the first weeks after pancreatic necrosis is very gentle. After the operation, the patient's condition gradually returns to normal. You can also gradually expand the menu.

As the symptoms of pancreatonecrosis become dampened, the patient is allowed to drink. Usually it occurs on the fifth day from the onset of the disease.

First it is allowed to drink one glass of water four times a day. Instead of water, you can drink alkaline mineral water without gas or briar infusion.

If the body reacts normally to the liquid that enters the stomach, then on the sixth day you can enter into the menu liquid dishes without salt and fat.

They should not contain products provoking gas formation. Prepare meals in ways that exclude increased secretion of gastric juice: boil in water or steam, stew.

Gradually, the patient with pancreatic necrosis is transferred to the first version of the Pevsner's diet number 5.

According to this diet, the patient should eat 5 times a day, of which 3 times are the main meals, and 2 times - light snacks.

Foods that are part of the food must be ground or mashed. All dishes should have a moderate temperature, you can not eat cold and hot.

Diet № 5 allows you to exclude from the diet of the patient the main causes of pancreatic necrosis: alcohol, spicy, fried and fatty foods.

Nutrition after attenuation of necrotic process

Unfortunately, the diet of a patient who underwent pancreatonecrosis can not be called diverse. But a diet for such people is vital.

Usually, the gastroenterologist at discharge recommends patients to follow the second variant of diet number 5.

This food is specially developed for people who have undergone pancreatic necrosis, who are currently in remission at this stage.

According to this diet, food should enter the body in small portions, so as not to irritate the stomach and not to provoke excessive secretion of the pancreas.

When preparing the ration, the doctors took into account that the main cause of inflammation of the pancreas and the subsequent pancreatic necrosis are alcohol, fatty, spicy and fried foods.

According to the rules of diet number 5, after pancreatic necrosis, you have to forget about such dishes forever.

Fans of flour and freshly baked bread will have to severely restrict themselves. After pancreatic necrosis, you can eat only breadcrumbs and stale wheat bread.

Baked and other unsweetened and low-fat cookies are allowed from baking.

The first place in the diet for pancreonecrosis is given to soups. Soup is prepared from cereals or pasta and mashed vegetables.

Season dishes with sour cream or butter, adding a teaspoon of one of these products directly to the plate.

However, immediately after discharge, add fats to the soup is forbidden - must pass a minimum of 3 weeks after the operation. Soups are prohibited on meat, fish and mushroom broths.

If before the diagnosis of "pancreatonecrosis" a person could not do without meat and fish, then he can not worry - the diet for pancreatic necrosis allows the use of meat, only it should be, like all meals included in diet number 5, low-fat, Steamed or boiled.

A few months after discharge, you can make casseroles with minced meat or stew it.

The diet for pancreatic necrosis is an extremely important factor contributing to the preservation of pancreatic health.

On fried steaks and shish kebabs on diet number 5 will have to be forgotten forever, but the patient will be able to save his life.