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Saturday, July 18, 2015

But what about a pearl in diet?

NUTRITION children with high fever, the general condition, intestinal illness, after fasting (during which BOLNOMUDAETSYA ONLY DRINK)
Diet zero is given mainly in hospital rarely at home for 1-3 days. With this sharply reduced calorie diet - up to 15-20% of the daily value (due to the reduction of protein and fat and 15% carbohydrates and 50% - age norms in Table. 1).
In this diet foods is given in the form of a liquid or jelly 7-8 times a day, or even 0.5 to 0.25 servings of age (see. Table. 2).
A child gets a zero diet, given the weak low-fat broth, mucous broths of groats, mucous soups vegetable broth and cream, and fruit and berry juices, jellies, jelly.
Excluded: whole milk, soft drinks.
While improving the condition of patients added liquid pureed cereals - buckwheat, rice, oats out, steam protein scrambled eggs, boiled egg (the egg before cooking should be well washed, and can not be used if damaged shell), steam souffle of lean meat or fish mousses of sour grapes, baked apples, grated cheese.
Missing amount of dishes you can make up for tea, juice, and drink it is necessary to give the baby often, slowly.


FOOD for stomach
Diet № 1-2 is used for acute and chronic diseases of the stomach and peptic ulcer disease, and, like all other diets, they are divided even on a more or less strict, each of which is marked with the letters.
But as during exacerbations children tend to be in the hospital, here we consider the food just outside of exacerbations, or immediately after them, if the child is at home with the aggravation, the doctor will make the necessary adjustments to his diet.
Diet number 1 is different from the diet number 2 only in that in the first case we are talking about gastritis with acidity of gastric juice, and the second - with reduced. Children, unlike adults more likely to have low acidity, which is indirectly may indicate a poor appetite.
Both of these diets are aimed at mechanical sparing stomach.
When diet number 1 must take place and chemical sparing, and the second is sparing should be moderate, because the child must be obtained from food substances that stimulate the secretion of gastric juice. The content of nutrients and energy value (calorie) diet should conform to the baby's age. The food receiving (number 1 in the diet) 5-6 times a day, and therefore, the daily amount of food is stored, and a one-time decreases as the daily amount is divided into a larger number of meals.
The child receiving the diet number 2 should have 4-5 times per day. The amount of salt per day should not exceed 12 g, 3-4 g of which is contained in foods, and 8-9 grams eaten. Free liquid (soups, fruit drinks, juices, tea, milk and other drinks for children 10-12 years) should not exceed 1.5 liters for preschoolers correspondingly less.
The temperature of the food, as in the other diets, no more than 40-50 ° C and 15 ° C. Need to know: hot food activates the secretion of gastric juices and reduces the motility (contraction) of the stomach and intestines, the cold has the opposite effect.
The food is steamed or boiled and then crushed or rubbed. In diet is  number 2 food stew, baked and even lightly fried without breading.
The bread can be eaten only white, not too fresh, and  not pastry  dry. It should give up the rye bread, pancakes, pies, cakes, muffins.
In meat and poultry removed tendons and films, then boil. It does not harm diet cooked sausage, and in  their absence can give homemade chicken sausage (see recipes). It is not excluded, and fish boiled.
Contraindicated in fatty meats, poultry, fish, smoked, canned, salted fish.
Eggs can only be cooked and boiled in a steam omelettes.
When diet number 2 shows the fried eggs and the number 1 in the diet can not give it, as well as the raw egg white, and hard-boiled eggs.
Milk any, cottage cheese, cream, low-fat sour cream, yogurt and sour day.
You can not eat fried cheese cakes, dumplings (except for the lazy), sharp cheese (can be a diet number 2) ice cream. Cream and sour cream is recommended in the diet number 2 only add to dishes, including tea.
Fats - unsalted butter (a 'number 2 in the diet ghee) and vegetable oil. Instead, the oil can be added to food or sour cream. In their absence - margarine.
Cereals - in the form boiled out  cereals, casseroles, puddings, macaroni noodles and chopped (in the diet may be the whole number 2).
It should give up the millet, pearl barley, barley and buckwheat, legumes.
Vegetables (beets, potatoes, carrots, cauliflower, green peas), - in the form of puree, souffle pudding. Squash and pumpkin - chopped. Occasionally - not sour tomatoes (at a diet number 2 tomatoes without restrictions).
Contraindicated: cabbage, cucumbers, radishes, radish, turnips, peppers, mushrooms, and marinated and pickled vegetables.
Soups - fasting or pre-digested meat or chicken, mashed. They refuel butter, sour cream, egg yolk in a bowl (with a diet number 2 resolved low-fat broth) .Borsh  even pureed vegetarian contraindicated.
Fruits and sweets - raw ripe fruits and berries, pureed or soft, without skin ", stewed fruit, jelly, jelly, mousse of raw or pureed dried fruit, baked apples, sugar, honey, jam, marshmallows, jellies (number 2 in the diet sweets, limit). You can not use the red and white currants, raspberries, gooseberries, figs, dates, halva.
Sauces - milk, sour cream, egg -but-oil. Spices: chopped fennel, vanilla, cinnamon, cloves, bay leaf (number 2 in the diet - sauces broth).
Drinks - tea, cocoa and milk on the water, a decoction of wheat bran, fruit and vegetable juices (juices are particularly recommended in the diet number 2).
Contraindicated: grape juice, kvass, soft drinks (with diet number 1 should not be given strong tea and organic coffee).
19 hours: meat patties steam,
mashed porridge with milk, jelly, dry
ri.
20 hours: boiled egg, semolina,
fruit puree.
21 hours 30 minutes: a glass of jelly.
With the improvement of
Breakfast: boiled egg, rice pro
grated milk porridge, tea with milk.
11:00: baked apple.
Lunch: soup pureed oatmeal, chicken meat with steam milk sauce, mashed potatoes with vegetable oil, apple jelly and berries.
17 hours: a decoction of rose hips, sweet crackers.
Dinner: meat or fish steam meatballs, cream of milk porridge, tea with milk, or pudding.
At night: milk.
The rate for the day: white bread, stale - 300 g sugar - 30 g butter - '30
Here and below, the recommended standards are based on pre-teen.


MENUS FOR DIET number 2
Breakfast: boiled tongue, or fish, buckwheat groats, or mashed oatmeal and tea.
Lunch: rice soup with pureed vegetables, meat steam souffle, mashed potatoes, fruit jelly and berries.
Afternoon snack: cheese, broth hips.
Dinner: Baked noodles , chops carrots and apples (fresh or dry), tea.
At night: cranberry jelly, barberry or other acidic fruits.
The rate for the day: bread - 250 g sugar - 40, oil - '10


Sample menu for the diet number 1
7-8 hours: steam scrambled eggs, biscuits, butter, a glass of milk.
10-11 hours: jelly or jelly, milk.
13-14 hours: slimy pureed soup (rice, oat or wheat bran) for vitamins B, steam dumplings with mashed potatoes, fruit puree or grated apple, crackers.
16 hours: boiled egg, butter, biscuits, a glass of milk.


Nutritional therapy for constipation (without hitting the stomach and intestines)
The number 3 is recommended diet foods rich in crude fiber, stimulate peristalsis and the intestine. Diet - 4 times a day, and caloric food ingredients - according to the age norm. Salts - 12-15 grams a day, plenty of fluids.
Rye bread and wholemeal.
Sinewy meat, poultry with skin, fish, sausages, sausages. Preparation anyone.
Hard-boiled eggs, fried eggs.
Dairy products and fats either.
Cereals - millet, barley, buckwheat, barley (friable porridge), all legumes.
Contraindicated: rice, oats, semolina, pasta, sago.
Vegetables: any, especially beets, cabbage, radish, cucumber, including canned. Salads and vinaigrettes (coarsely chopped vegetable oil), caviar from seaweed.
Soups: vegetable, fruit, and legumes, beetroot soup, hash, better cold.
Contraindicated mucous soups.
Fruits and sweets: fruits and berries (except blueberries, quince, pomegranate, dogwood, cranberries, pears), dried fruits (especially prunes), jellies, baked apples, fruit, ice cream, jam, honey, syrups.
Contraindicated jelly.
Sauces and spices all.
Drinks: fruit and vegetable juices (especially beet, carrot, plum, apricot), kvass, weak tea and coffee, cold soda.


MENUS FOR DIET number 3
Breakfast: salad with sour cream, boiled meat or fish, barley or buckwheat crumbly porridge with vegetable oil, tea
11:00: raw grated carrots, sour cream or yogurt one day.
Lunch: Cold beetroot soup, grilled meat or fish with boiled potatoes and vegetable oil, fresh fruit.
17 pm: grilled fish or poultry with potatoes, cucumbers, vegetable oil, apples (or prunes).
At night: a puree of cooked beets with vegetable oil.
The rate for the day: white bread - 150 g, Black - 200 g butter - 25 g vegetable - '35


When bowel disease, accompanied by diarrhea
Diet number 4 is used for gastroenteritis, colitis, or after hospital discharge of patients with acute intestinal infections. Food provides complete in 5-6 receptions. Salts - 8-10 g (of which 3-4 g of product), 1.5 liters of liquid. The principle diet is moderate and sparing the mechanical restriction of substances that irritate the mucous membrane of the stomach, liver and pancreas.
Bread: white only, yesterday. Biscuit - 1-2 times a week. Allowed well non pastry  baked scones, baked cakes with cream cheese, cooked meat and eggs, apples.
Meat and fish: all except fat, poultry - lean, without skin, chopped and mashed form. Cutlets lightly fried without breading.
Contraindicated: duck, goose, sausage, smoked, canned, salted and pickled fish. After an acute intestinal disease diet is observed in two weeks is absolutely normal chair. As with other diets 1-2 times a month, sometimes more often, you can keep your child one day at a light diet, and the other day, on the contrary - to more advanced. Give meat (fish) is not pureed, and a piece of well-boiled, chopped vegetables.
Eggs - cooked or boiled in a bag, and a steam omelettes.
Milk: Fresh and cream only dishes, tea or coffee, dairy products 2-3-day-old, sour cream, cottage cheese with high acidity in a shabby, cheesecake.
Fat: only butter or cream as a substitute, at least margarine.
Cereal: Kashi to 0.5% or even 0.25% strength milk, viscous, boiled, chopped vermicelli and noodles, puddings, casseroles with cheese rice, oatmeal, buckwheat.
Contraindicated in all other cereals, pasta and beans.
Vegetables: Only with delicate fiber: carrots, cauliflower, zucchini, pumpkin, potatoes (limited) boiled, mashed a souffle. Ripe fresh tomatoes without skin and seeds - 50-100 g
Soups: skim over low broth, vegetable broth with noodles ,, permitted cereals, noodles and chopped vegetables.
Contraindicated: milk soups, soups with legumes, pickle, soup, borscht, beetroot.
Sauces: all except acute and fatty. Can dill and parsley, cinnamon and spices, vanilla.
Fruits and sweets: fruit, sweet, ripe, soft (for portability).
Contraindicated: apricots, raspberries, red and white currants, dried fruit, honey, ice cream, cream dishes, even homemade.
Apples: mashed or baked, the butter, jelly, mousse, compote of non-acidic pureed berries and fruits. Snowballs and meringue (meringue), jam, jam, sugar (limited). It should give up the chocolate,
Drinks: tea, coffee, juice, diluted with water.
Contraindicated: grape juice and cold sodas.


Sample menu for the diet number 4
Breakfast: porridge rice with grated boiled meat (pate), tea with sugar.
11:00: grated cheese, baked apple.
Lunch: meat broth with egg flakes: Steam meat or fish croquettes souffle, jelly.
17 hours: a decoction of rose hips.
Dinner: Steam chicken dumplings with mashed boiled rice, semolina pudding, pudding.
Before bedtime: kefir.
- The rate for the day: white bread - 250 g sugar - 50 g butter - '10


Diet in diseases of the liver and gallbladder
Diet number 5 is used after an exacerbation, or discharge from the hospital. When Botkin's disease (infectious hepatitis) for the successful outcome observed for at least 6 months, and in chronic process as long as the course of the year will not be complaints and the presence of inflammatory process on laboratory data obtained in the study of blood and bile.
The food is given full, 5-6 times a day (in order to depart the bile).
Substance is added to help bind bile flow and fat that they are not deposited in the liver cells. Salt - 10 g (7 g on hand for salting ), liquid - 1.8-2.5 liters to flush the body of toxic products.
With simultaneous disease of the stomach, intestine or pancreas diet number 5 adapts to the needs of the sick child, on the recommendation of the attending physician Bread: anyone dried  can  non pastry  dough.
Contraindicated: fresh bread, pastry, toast (fried bread).
Meat, poultry and fish: lean, boiled or baked after boiling, dietary cooked sausage.
Contraindicated: fresh bread, pastry, toast (fried bread).
Meat, poultry and fish: lean, boiled or baked after boiling, dietary cooked sausage.
Contraindicated: geese, ducks, brain, liver, kidney, canned, smoked, salted fish.
Eggs: Protein | scrambled eggs, 1 egg yolk a day dishes, rarely natural.
Contraindicated: hard-boiled eggs and fried eggs.
Fats: in the form of butter or oil in its natural form, you can replace sour cream.
Cereal and pasta: any. Particularly useful are buckwheat and oatmeal. Porridge, pudding with cheese, carrots and fruit, fruit pilaf. Noodles, noodles.
Contraindicated: legumes (peas, beans).
Vegetables: raw and boiled, baked, steamed. Onions - only after boiling. Sour sauerkraut.
Contraindicated: radishes, radish, oxalic! Vel, spinach, turnips, garlic, mushrooms, pickled vegetables.
Soups: milk, cereals, vegetable broth on. Dressed oil, egg yolk, sour cream in a bowl.
Contraindicated: any broth, green soup, hash.
Fruits and sweets: almost everyone except sour fruits, chocolate, ice cream, cream products.
Sauces: all except acute broth with fried flour. * "
Drinks: tea with lemon, substitutes, coffee with milk, vegetables, fruit, berry juices.
Contraindicated: coffee, cocoa, cold sodas.


MENUS FOR DIET number 5
Breakfast: carrot and apple salad, semolina porridge, cottage cheese, butter bread, coffee.
Lunch: vegetable soup with green peas vegetarian (it can be grown in the area around the house), boiled fish with mashed potatoes, tomato compote of dried fruits.
7:00: yogurt, apples or berries.
Dinner: lazy cabbage rolls, buns (morning pastries).
Before bedtime: kefir.
The rate on the day of bread 250g (including buns), sugar - 70 g


Diet for patients with obesity and diabetes
Diets number 8 and 9 are similar. So, a diet number 8 aims to prevent or eliminate the accumulation of body fat, and number 9 - normalize all kinds of exchanges, especially carbohydrates. Diet number 9 is also used for allergic conditions and diseases, including rheumatism (when there is no serious damage to the heart), infectious nonspecific (rheumatoid) arthritis, asthma, angioedema, urticaria, and others. If both obesity and diabetes, the child has diseases of the stomach, intestines, liver or kidney problems, then, as in all other cases combined, the diet should be selected by the attending physician with an individual approach to the patient.
Diet number 8 - salt and 5 g of fluid - up to 1.5 liters, at a diet number 9 - Salt - 12 g, liquids - 1.5 L for children 10-11 years. For younger children accordingly all reduced. It excludes all that appetizing, especially obesity.
In all cases (this is especially important in the diet number 9) instead of sugar are substitutes - sorbitol, xylitol, saccharin. At number 8 diet of protein is increased by 13% over the age norm, fats are reduced to 80%, carbohydrates - up to 30% of calories - up to 56-%. When protein diet number 9 - 100% fat - 70%, carbohydrate - 25% of calories - 46%.
If it turns out that the child is not sufficient for normal development, it would increase the dose (or changing) drug regulating carbohydrate metabolism, and add nutrients. Patients with obesity increase physical activity.
Food diets with these take to 6 times per day. Roasted, chopped, pureed meals severely limit, prepare food without spices and salt. When diet number 9 can be roasted, salted food, and you can add spices.
Bread: rye and wheat wholemeal, but rather a special bread for diabetics - protein-millet , protein and bran.
Contraindicated: white bread and any dough.

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