Dietary treatment. Dietetic therapy at a chronic gastritis

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The chronic gastritis is a long inflammatory condition of a mucous membrane of a stomach at which function is broken it sekretornaja: in one cases secretion raises, allocated excessively a lot of gastric juice; in others allocation of gastric juice and the maintenance in it of hydrochloric acid, on the contrary, decreases.

At a chronic gastritis with the raised allocation of gastric juice the diet should be calculated on mechanical shchazhenie a stomach, braking sekretornoj functions (chemical shchazhenie) and on acceleration of evacuation from a food stomach. It is carried out by corresponding selection of a foodstuff and their culinary processing.

Mechanical shchazhenie assumes reduction every portion food at simultaneous increase in number of its receptions to 5-6 times a day. The food should not be rough, i.e. Should not contain many food fibres (kletchatki) and difficultly acquired fats (fat, the mutton and beef fats, kombizhira, etc.). It is necessary to avoid the use of too cold or hot food. The food should be well crushed, for this purpose foodstuff razvarivajut, wipe through a sieve or pass through a meat grinder.

In order to avoid chemical irritation of a stomach from food exclude substances and the products raising sekretornuju activity of a stomach: alcoholic drinks, beer, smoked products, marinades, a pickles, cocoa, spices, fried meat and fish, cheese, canned food, meat and fish broths (broths), bread from the rye flour, the aerated drinks, strong tea and coffee, cabbage, cucumbers, vegetable juice.

Weak activators of secretion (boiled vegetables and fruit, boiled meat, a pumpkin, carrots) and the substances, braking secretion (cream, fat milk, fat cottage cheese, soft-boiled eggs, vegetative fats, sugar, starch, steam cutlets, boiled fish, the white dried bread, cottage cheese, tvorozhno-carrot puddings) Are recommended.

At the expressed aggravation of a gastritis treatment usually begin with introduction of a strict diet (a diet № 1а) and in process of health improvement pass to less strict (a diet № 16), gradually adapting digestion bodies to the expanded balanced diet. At first in a diet include separate dishes of the general food, then a food approach to the usual. Within 2-3 days in a week use a contrast food with the subsequent returning to a diet.

Strict diets (№№ 1а and 16), naturally, limit the use of some foodstuff, therefore such diets are appointed to short time with the subsequent transition to more various assortment of products and dishes.

The Gastritis with the lowered secretion demands mechanical shchazhenija a stomach and its stimulation sekretornoj activity (enter a diet № 2). Therefore in a diet include meat, fish and vegetable broths, kefir, in the limited quantity solenja.

Forbid fresh bread and other fresh products from the test, fat grades of meat and fish, sharp, salty dishes, cold drinks, ice-cream. Principles mechanical shchazhenija a stomach and a diet remain same, as well as at a chronic gastritis with the raised secretion.

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