Dietary tables Characteristics of clinical diets

According to A.A. Pokrovsky et al.

Diet No. 1a

Indications. Peptic and duodenum ulcer disease in the period of acute aggravation with pronounced symptoms of "irritable stomach" and others diseases accordingly to diet prescription aim.

Prescription aim. To promote ulcers and erosions healing, to reduce mucous inflammatory processes of upper part of digestive tract as a result of normalization of mucous reparation and decreasing of stomach and duodenum receptors apparatus irritation, regulation of secretory and motor-evacuatory stomach function. To provide physiological requirements of organism in nutrients in condition of strict bed regimen.

General characteristic. Diet with physiological content of proteins and fats, restriction of carbohydrates and salt, considerable restriction of chemical and mechanical irritators of mucous membrane and receptor apparatus of upper part of digestive tract and substances that stay too long in the stomach and stimulate gastric secretion.

Calorie level and content. Proteins - 100 g, fats - 90-100 g, carbohydrates - 200 g, calorie level -2000-2200 kcal, free fluid -1.5-2 L, salt - not exceed 8 g per 24 hours, mass of 24 hours ration nearly 2.5 kg.

Nutrition regimen. Fractional (6-7 times per 24 hours).

Diet No. 1b

Indications. Peptic and duodenum ulcer disease in the period of pronounced aggravation with pronounced symptoms of "irritable stomach" and others diseases accordingly to diet prescription aim.

Prescription aim. To promote ulcers and erosions healing, to reduce mucous inflammatory processes of upper part of digestive tract as a result of normalization of mucous reparation and decreasing of stomach and duodenum receptors apparatus irritation, regulation of secretory and motor-evacuatory stomach function. To provide physiological requirements of organism in nutrients in condition of strict bed regimen.

General characteristic. Diet with physiological content of proteins and fats, restriction of carbohydrates and salt, pronounced restriction of chemical and mechanical irritators of mucous membrane and receptor apparatus of upper part of digestive tract and substances that stay too long in the stomach and stimulate gastric secretion.

Diet No. 1

Indications. Peptic and duodenum ulcer disease in the period of aggravation without symptoms of "irritable stomach", chronic gastritis with preserved secretion during aggravation period, and others diseases accordingly to diet prescription aim.

Prescription aim. To promote ulcers and erosions healing, to reduce mucous inflammatory processes of upper part of digestive tract as a result of normalization of mucous reparation and decreasing of stomach and duodenum receptors apparatus irritation, regulation of secretory and motor-evacuatory stomach function. To provide physiological requirements of organism in nutrients during treatment in the hospital or during the work that is not connected with physical exertion.

General characteristic. Diet with physiological content of proteins, fats, and carbohydrates, restriction of salt, moderate restriction of chemical and mechanical irritators of mucous membrane and receptor apparatus of upper part of digestive tract and substances that stay too long in the stomach and stimulate gastric secretion.

Culinary processing. All dishes are boiled or cook on steam, meat and fish of not rough quality are permitted by piece. Some baked dishes can intake without rough core.

Calorie level and content. Proteins - 100-120 g, fats - 100-120 g, carbohydrates - 400-450 g, calorie level - 3000-3500 kcal, free fluid -1.5 L, salt - 8-10 g per 24 hours, mass of 24 hours ration - 3 kg.

Nutrition regimen. Fractional (5-6 times per 24 hours).

Diet No. 2

Indications. Acute gastritis, enteritis and colitis in reconvaliscation period as transition to rational nutrition; chronic gastritis with secretory failure, enteritis, colitis in remission period without concomitant diseases of liver, bile excretion system, duodenum, gastritis with preserved secretion.

Prescription aim. To provide full value nutrition, normal restoring of affected digestive organs function in acute and compensation preserving in chronic diseases of stomach and intestines.

General characteristic. Diet in accordance with physiological requirements, with rational culinary products processing, exclusion of products and dishes that are exertional for digestive tract, stay too long in the stomach, digested with difficulty, and are irritators of mucous membrane and receptor apparatus of gastro­intestinal tract.

Calorie level and content. Proteins - 100-120 g, fats - 100-120 g, carbohydrates - 400-450 g, calorie level - 3000-3500 kcal, free fuid - 1.5 L, salt to 15 g per 24 hours, mass of 24 hours ration - 3 kg.

Nutrition regimen. Fractional (4-5 times per 24 hours).

Diet No. 3

Indications. Chronic intestinal diseases with prevalence of dyskinesia symptom in the period of non acute aggravation and remission, and also in combination of these diseases with stomach, liver, bile ducts, pancreas affection.

Prescription aim. To provide full value nutrition and compensation preserving in chronic intestinal diseases with prevalence of dyskinesia symptom, and also in involving of stomach, liver, bile ducts, pancreas in the pathological process. To promote maximal restoring of affected function of intestines and others digestive organs. To stimulate regeneration processes, to promote elimination of metabolic changes and reducing of dystrophic processes in organs that arise in affected digestion in small intestines.

General characteristic. Diet in accordance with physiological requirements, with normal contents of protein, fats, carbohydrates, salt, minerals and others food ingredients, increased intake of mechanical and chemical stimulators of motor intestinal function with exclusion of products and dishes that increase fermentation and putrefaction processes in intestines, and strong stimulators of bile secretion, stomach and pancreas secretion, substances that negative influence on functional condition of liver and bile excretion organs.

Calorie level and content Proteins - 100-120 g, fats - 100-120 g, carbohydrates - 400-450 g, calorie level-3000-3500 kcal, free fluid-1.5 L, salt to 12-15 g per 24 hours, mass of 24 hours ration-3 kg.

Diet No. 4

Indications. Acute and chronic intestinal diseases in the period of profuse diarrhea and significantly pronounced dyspeptic signs.

Prescription aim. To provide nutrition of the patient in condition of signififcantly pronounced inflammatory process in gastro-intestinal tract and therefore affected digestion. To promote reducing of inflammatory process and normalization of the functional intestinal condition, and also of that organs which are more frequently involve in pathological process in intestinal diseases (stomach, liver and bile ducts, pancreas).

General characteristic. Diet with restriction of fats and carbohydrates to lower range of physiological norm and with normal contents of protein, hypochloric, with significant restriction of mechanical and chemical irritators of mucous membrane and receptors apparatus of gastro-intestinal tract, with exclusion of products and dishes that increase fermentation and putrefaction processes in intestines, and also strong stimulators of bile secretion, stomach and pancreas secretion, substances that irritate liver.

Calorie level and content. Proteins - 100 g, fats - 70 g, carbohydrates - 250 g, calorie level - 2100 kcal, free fluid - 1.5-2 L, salt to 8-10 g per 24 hours, mass of 24 hours ration - 3 kg.

Nutrition regimen. Fractional (5-6 times per 24 hours).

Дата добавления: 2015-10-29