Diet in rheumatoid arthritis. Rheumatoid arthritis is a disease of the whole body with lesions, mainly, musculoskeletal system infectious-allergic origin. Sick pains in the joints, their tight mobility, especially in the morning, strain some joints, atrophy of certain muscles.
Features diet in rheumatoid arthritis at different stages of the disease. Products suppress inflammation and activating the regenerative processes in the joints. Specifics of diet for different types of drug therapy of rheumatoid arthritis. Noticed that if you eat foods that contribute to allergic reactions, the course of rheumatoid arthritis is flaring up.
As in the case of ordinary allergies, that is dangerous for one, quietly tolerated by others. During exacerbation of rheumatoid arthritis amount of protein in the diet is reduced to 1.0-1.5 g per 1 kg of body weight.
Diet in rheumatoid arthritis is an important component of the treatment of the disease. To understand the features of diet in rheumatoid arthritis, you need to remember especially in the treatment of rheumatoid arthritis.
With modern positions rheumatoid arthritis this is a chronic, relapsing, systemic autoimmune connective tissue disease that affects the joints and sometimes other organs and systems.
Diet in rheumatoid arthritis based on diet No. 10, taking into account characteristics of the disease and its phases, the presence of disorders in other organ systems and therapy.
For rheumatoid arthritis in the acute stage, characterized by marked inflammation in the joints (arthritis), sometimes accompanied by fever, swollen lymph nodes and splenomegaly. In this stage of rheumatoid arthritis there is a violation of metabolic processes, mostly carbohydrate and water-salt, which in combination with increased vascular permeability leads to tissue retention of fluid and sodium. In the period of pronounced exacerbation of rheumatoid arthritis it is advisable to use as a basic diet, No. 10A.
If diet in rheumatoid arthritis allowed:
- milk, milk drinks, cheese, cheese, eggs;
- meat, fish (boiled in water, steamed, baked in the oven, after boiling fry);
- vegetables, fruits, berries, teas;
- buckwheat, oats and millet;
- bran and bread with added bran, greens.
The amount of fat should be about 1 g per 1 kg of body weight. About 15% of the total accounted for by vegetable oil. In acute severely limit carbs (2-2. 5 g per 1 kg of body weight), especially easily digestible sugar, honey, jam, syrups.
The consumption of salt is reduced to 4-5 g per day, i.e. in the preparation of food is not salted and lightly sprinkle with salt ready meals (1.5-2 g per day).
If diet in rheumatoid arthritis excludes:
- spinach, sorrel, rhubarb, broth, cauliflower, cocoa, chocolate;
- sweets, bread;
- alcohol (causes exacerbation of rheumatoid arthritis).
In the diet of the patient in increased amounts of injected vitamins, osobonno B1, B2, B6, PP, C, P, V. the Reception antirheumatoid drugs causes features cooking (as in peptic ulcer disease). The use of such drugs as aspirin, reopirin, phenylbutazone, cyclophosphamide, requires the inclusion in the diet large amounts of protein, vitamins, and hormone therapy accompany foods rich in potassium.
In the acute phase of rheumatoid arthritis prescribed a salt-free diet with a sharp restriction of carbohydrates in sufficient quantity vegetables, fruits and berries (No. 10).
In the acute phase of rheumatoid arthritis allowed:
- a sufficient amount of vegetables, savory fruit and berries;
- by lowering the appetite, marked changes in the joints, their deformation, changes in the blood recommend high-calorie diet with increased protein, normal-fat, moderate restriction of carbohydrate and salt.
Outside of an exacerbation, when antirheumatoid drugs are not accepted, the food should still contain a sufficient amount of protein.
In rheumatoid arthritis without exacerbation resolved:
- lean meats, fish, eggs (particularly milk and milk product, curd, cheese);
- bread wheat, rye 200 g;
- soups meat, fish, vegetables, dairy;
- buckwheat and oats (in small amounts and not daily);
- vegetables, fruits, berries and different dishes from them;
- tea, coffee with milk, vegetable, fruit and berry juices.
In rheumatoid arthritis without exacerbation excluded:
- borscht, soups of sauerkraut, kidney, eggs, cereals and puddings of semolina and rice cereals, condensed milk.
- meat internal organs (liver, kidneys, brains, etc.), meat of small animals;
- alcoholic drinks, fruit drinks, cakes, pastries.
Diet in rheumatoid arthritis in the active phase
1-y Breakfast. Omelet 2 eggs, buckwheat porridge, tea with milk.
2 eggs, 30 ml milk, 10 g butter.
Beat eggs with milk, pour into the pan, greased, and bring under cover until tender.
2-nd Breakfast. Baked apples without sugar.
Lunch. Vegetarian soup without salt (1/2 servings), boiled meat with vermicelli, jelly, fruit.
1 bunch young beets, 3 potatoes, 1 carrot, 1 tbsp finely chopped celery greens, 1 tomato, 100 g zucchini, vegetable broth, 2 tbsp. finely chopped green onion, 1 Bay leaf, 1 tbsp of sour cream.
Washed beets peel and cut into strips and the stems into several parts. In the boiling broth to put the beet, carrot and cook for 10-15 min. Then put the blanched and chopped spinach leaves, cleaned and chopped zucchini, tomatoes and potatoes, onion, celery, Bay leaf and cook until tender. Soup to fill with sour cream.
An afternoon snack. Broth hips.
Dinner. Fish boiled with boiled potatoes, tea with lemon.
For the night. Yogurt.
For the whole day. 100 g of white bread.
Diet in rheumatoid arthritis in inactive phase
1-y Breakfast. 2 boiled eggs, cottage cheese noodles, tea with milk.
Cottage cheese pancakes with sour cream
100 g cheese, 10 g wheat flour, 1/4 eggs, 10 g butter, prunes (dried apricots, stewed apples), sour cream.
Grated cheese to combine with flour and egg, mix well, and cut into a small pellet with a thickness of 1 cm On the middle to put the stuffing – steamed prunes (dried apricots, stewed apples), edge stung. The product to give a flat look and fry (or bake). When serving, pour the dish with sour cream.
2-nd Breakfast. The meat is boiled, the yeast the drink without sugar. Lunch. Beetroot soup (1/2 servings), goulash from boiled meat, rice porridge with butter, jelly fruit.
100 g of beet, 75 g of potatoes, 50 g cucumber, 50 grams of cooked lean meat, 1/2 boiled egg, 3 g of citric acid.
Beets clean, cut into strips (or grate it) and pour hot water. Add citric acid and cook over low heat 20 min. to Withstand 2-3 hours boil Potatoes and peel. All the ingredients cut into small cubes, pour the beet broth and stir.
Goulash from boiled meat
300 g of boiled meat, 1 tbsp flour, 1 tbsp. margarine, 1 onion, salt, parsley.
Meat is divided into small pieces, salt and fry in a pan. Then take out “but, in the remaining fat spasserovat finely chopped onion and flour. Again to put the pieces of meat in a pan and pour boiling water so that their surface was covered with water. Carefully mix everything and simmer until tender. Before serving, add the greens.
An afternoon snack. Broth hips.
Dinner. Meat balls with carrot puree.
80 g of minced meat, 6 grams of rice, 20 ml milk, 1 egg white, salt.
Rinse and cook until tender. In the beef add boiled rice, milk, egg white, salt and mix well. Molded meatballs. Cook them for a couple.
For the night. Yogurt.
For the whole day. 150 g white bread, 100 g rye bread 30 g of sugar.