4 medical diet (table 4) is prescribed for colitis in the acute and chronic form, enterocolitis, in the early stages of acute gastroenterocolitis, as well as dysentery, typhoid and intestinal tuberculosis.Diet helps reduce fermentation and putrefaction in the intestines, to stop the inflammatory process and to restore the broken functions of the digestive tract, as well as to translate his work into a more gentle treatment.Diet 4 assigned physicians to reduce the amount of fats and carbohydrates in the food diet of the patient.A diet formulated to ensure the delivery of the food that will not cause thermal or mechanical irritation of the digestive system, and will not increase the secretion of bile.At 4 diet food is cooked or steamed.To the food easier to digest and quickly digested, it is ground or mashed.
Energy dietary value in table 4 should be about 8583 kJ (2050 kcal not more).Of these fats should make up no more than 70 grams (50 grams of butter), protein - 100 grams (about 70% of anima
When diet 4 allowed the use of thinly sliced and toasted crumbs of two hundred grams of white bread, biscuits nesdobnoe.Prohibited and fresh rye bread, pastry products, cakes, pancakes.
allowed the use of boiled pasta, rice, semolina, herculean, pureed buckwheat porridge, cooked in low-fat broth or water, as well as in the form of steam puddings.You can not in the diet 4 has barley, barley porridge, beans, pasta casseroles.
permitted use low-fat varieties of veal, beef, rabbit meat, turkeys, chickens.Meat previously degreased, tendons and fascia removed.From meat to cook boiled water or steam meatballs, dumplings, meatballs.In the beef for hamburgers instead of bread add the cooked rice, and then pass it through a fine grating grinder three or four times.Of cooked meat cooked souffle.During the diet 4 (table 4) in cooking is prohibited to use the fatty species and varieties of meat, roast and stew with a piece, smoked meats, sausages.
Soups in the diet 4 cook on low fat-free fish or meat broth with rice or semolina, grated and boiled meat, meatballs and quenelles steam, egg flakes.It is impossible to use for a given diet dairy soups, as well as soups and alcoholic fatty broth c vegetables, pasta.
The diet menu 4 may include low-fat dishes of fish species (in the form of a quenelle, meatballs, hamburgers).Fish can be boiled in water or steamed.You do not eat salted fish, fatty fish species, canned, caviar.Permission is granted on a daily basis to eat one or two eggs.Eggs can be boiled soft-boiled, prepare them to steam scrambled eggs, add to various dishes.
The ready-made meals, you can add a small piece of butter (5 g).For cooking you can not use cooking oils and animal fats.
In table 4, dieting is prohibited to include dairy products.You can only eat freshly grated fresh cheese or calcined.
is impossible at 4 medical diet eat berries and fruit in its natural form, as well as fruit drinks, dried fruit, jam, honey and other sweets.From dogwood, blueberries, quince, pear, wild cherry can be cooked jelly and jelly.Sugar can be added to food in a limited number (no more than 50 grams a day).Vegetables can be eaten only in the form of broths, added to soups.Appetizers, spices and sauces from the diet are excluded.
Drink permitted tea, cocoa, water, coffee, juices, non-acidic fruits and berries, diluted with water.Allowed the use of a decoction of dried blueberries, dogwood, wild rose, quince, black currant.You can not drink the cocoa and coffee with milk, and cold soft drinks, wine, kvass.
diet Menu 4 might look like this:
4b therapeutic diets prescribed for exacerbations of chronic intestinal diseases, as well as in acute intestinal diseases at the stage of improvement.4b diet helps to reduce inflammation and normalization of the digestive system.If this diet is forbidden foods aggravate fermentation and putrefaction in the intestinal area, liver and annoying dramatically stimulate the secretion of pancreatic and gastric.4b Diet involves a six-or five-single food.The energy value of the diet diet 4b shall be not more than 2600 kcal.Of these proteins should have to 100-110 grams for fat - 80-90 grams for carbohydrates - 350-400 grams, 8-10 grams of salt and half a liter of free liquid.According to chemical composition and therapeutic value of the energy value of the diet 4b is not complete, but it slightly increased the amount of protein.
When diet 4b are allowed to use the dried or yesterday's white bread flour first or higher grades, dry biscuit, biscuits.Prohibited rye bread, puff or rich products, white bread from wheat flour.
recommended to use low-fat soups fish, meat broth or vegetable broth.Banned milk soups, soups with legumes, rassolnik, cabbage, beetroot, hash.
allowed to eat low-fat and low-fat types and grades of meat.Therapeutic diets 4b banned fatty varieties and types of meat.It is not allowed the consumption of goose or duck meat, a variety of sausages, smoked products, canned food.In the diet, you can add the cutlets, dumplings, meatballs of lean varieties of fish.It is forbidden to use salty, smoked, fatty fish, canned.The dishes can add milk, cream, sour cream.You can eat acidophilus milk, kefir and other fermented beverages.Allowed the use of curd paste, fresh cheese, puddings, mild cheese.Allowed good boiled porridge.When cooking porridge in the water you can add a third of the milk.When diet 4b are allowed to eat fresh and ripe tomatoes (50-100 grams per day).Recommended to eat sweet and ripe fruit, pre-peeled (up to 100 g per day).Recommended sauces vegetable broth or meat broth weak.Allowed fruit sauces, dairy sauces.The dishes can add dill, parsley, cinnamon, vanilla, bay leaf.
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