Dietetic therapy at rheumatism
Dietoterapija at rheumatism pursues the aim to reduce the inflammatory phenomena and metabolism infringements, to raise efficiency of medicamentous treatment and to lower collateral action of some medical means.
In an active phase of rheumatism when inflammatory defeats of joints are sharply expressed, hearts, other bodies and the patient the confinement to bed should observe, energotsennost food it is necessary to reduce essentially - to 7536-8374 kdzh. Thus carbohydrates (to 200, especially simple, it it is a little bit less - fats (till 70-80) and fibers (to 70 80) are considerably limited. Food prepare without salt (3-4 g give on hands to the patient), meat and fish boil or slightly roast after cooking, vegetables well razvarivajut. The liquid Total in a daily diet taking into account the first dish does not exceed 1 l. Food accept in the small portions of 5-6 times in day. A diet enrich ascorbic acid, vitamin R by introduction of fruit and juice, and also broth of a dogrose, lemons, a black currant.
Usually at rheumatism treatment by modern medical means activity of process and the basic symptoms of illness essentially decrease for 6-12th day. Therefore in 12-14 days with sick rheumatism gradually expand a diet, basically at the expense of increase in the maintenance of fiber, at first to 120 g, and then to 130-140 g a day (to 50% of this quantity make animal protein). This diet use long time, the most minimum signs of activity of rheumatism will not disappear yet. If process becomes inactive, the quantity of fibers in a diet can be reduced to 110 g a day. During time protivoretsidivnogo its treatments again should be increased - to 130 g a day. Dishes from meat and a bird, fish, eggs, milk and dairy products, bakery products and bean can be the basic sources of fibers.
Carbohydrates in a diet sick of rheumatism are limited to 250-300 g for the long period with a view of the prevention of an aggravation of illness under their influence. Sahara is authorised to use 30 g a day, it is possible to replace it with corresponding quantity of honey, jam, jam, jam.
Carbohydrates should arrive in an organism mainly in the form of starch (with porridges, a potato, fruit, vegetables and bakery products).
The Quantity of fats in a diet in unsharply expressed activity of rheumatism is possible to 100 g a day. It is authorised to include sour cream, cream, creamy and vegetable oils (30 g a day). The mutton, pork, beef and goose fats are limited.
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