Nutrition for peptic ulcer of stomach and duodenum
The purpose of the therapeutic diet in the most frequent cases is due to peptic ulcer of the stomach and duodenum. The generally accepted fact is the assertion about the need for a full-fledged medical diet for peptic ulcer, both on energy and food indices. Only in this case it is possible to ensure the best condition of the patient, as well as creating the optimal conditions for restorative processes in the stomach. It is necessary to take into account the fact that the development and chronic course of peptic ulcer leads to the need of patients in constant diet therapy, since even minor disturbances in nutrition are the key to mandatory aggravation of this disease.
Special importance is currently attached to the presence in the patient's diet of the required amount of protein, which is a guarantee of protection of the gastric mucosa from self-digestion by gastric enzymes and hydrochloric acid. In addition, it is necessary to supply a sufficient amount of fats, especially butter, which in most cases is well tolerated by patients. It is also claimed that butter suppresses the secretion of hydrochloric acid in the stomach, promoting the production of a special enzyme in the intestine. It is necessary to remember about the obligatory provision of the patient at all stages of diet therapy with vitamins of group B and C in excess physiological doses. Particular attention should be paid to vitamin U, contained in cabbage and an antiulcer factor.
The main requirement of diet therapy in the treatment of peptic ulcer of the stomach and duodenum is the restriction of mechanical, chemical and thermal stimuli of the stomach. In most cases, diets № 1а, №1б and №1 are used, each of which is quite diverse and full-fledged in terms of protein, fat, carbohydrates, minerals and vitamins content.
Used in the case of treatment of peptic ulcer of the stomach, diets characterized by varying degrees of sparing regimes of the main functions of the stomach, are designed for use by certain cycles. Thus there is a gradual transfer of the patient from more strict diets on approaching on the structure to usual food.
From the diet should be excluded products that have a sokonnom action and contain in its composition of coarse plant fiber.
A prerequisite is the restriction of eating table salt. Gentle mode of operation of the gastric mucosa and shortening of the time of food in it, which causes a decrease in the secretion of gastric juice, is ensured by sufficient grinding of the food consumed.
Materials used:
Shilov VN, Mits'yo VP"Healthy Nutrition"