Proper nutrition in pulmonary tuberculosis. Nutrition for tuberculosis to restore the body

Content

An important part of the treatment of pulmonary tuberculosis is nutrition. During illness, a person loses weight, his immunity is weakened. The diet provides the patient with all the necessary nutrients, vitamins, minerals. Compliance with the rules of nutrition will help to quickly restore strength, to cope with pulmonary tuberculosis.

The Importance of Diet in Tuberculosis

Therapeutic nutrition for tuberculosis is aimed at increasing the body's immune forces, restoring the functionality of organs, accelerating regenerative processes and reducing the load on the liver. To do this, the patient's diet should contain vitamins A, C, K, B1, B12, which have immunogenic potential. With tuberculosis, the protein breaks down faster, so the diet is aimed at the constant presence of the required amount of protein in the patient's daily menu.

Fats, especially linoleic acid, accelerate the process of regeneration of tissues affected by tuberculosis. For this reason, pork should be consumed. Simple and complex carbohydrates in pulmonary tuberculosis help maintain a normal pancreas. Diet number 11 increases diuresis, which contributes to the resorption of fluid accumulated in the lungs. As a result, the inflammatory processes gradually fade.

Nutrition rules

1. The protein content in the diet of a patient with pulmonary tuberculosis is at least 130 g, fats - 100 g, carbohydrates - 450 g. If the patient has anemia, proteins increase to 140 g, fats decrease to 80 g, because. they interfere with the absorption of iron.
2. Calorie content of food - 3600 kcal. During the period of exacerbation and bed rest - 2700 kcal.
3. Daily consumption of fruits, vegetables, juices, dairy products is necessary to restore the vitamin and mineral balance (calcium, iron, magnesium, potassium).
4. The amount of salt in the daily diet is 15 g. With an exudative form and a serious condition of the patient, salt is minimized.
5. Taking or supplementing with fish oil, which speeds up recovery.
6. Fractional meals 5 times a day, every 3-4 hours at the same time.
7. Water consumption per day - up to 2 liters. If there are problems with the kidneys - 1 liter.
8. Food should not be cold or hot, so as not to irritate the digestive tract.
9. Ways of cooking - stewing, steaming, baking, frying with a small amount of oil.

Diet for pulmonary tuberculosis

The goal of the pulmonary tuberculosis diet is to help the patient regain strength with a balanced, high-protein menu. To do this, you need to eat healthy foods throughout the course of treatment and after it, because. high chance of relapse.

During an exacerbation of the disease, you should follow a diet for no more than 2 weeks.

Prohibited Products

People suffering from pulmonary tuberculosis should not overeat and exceed the daily calorie intake. What should be excluded:

• hot sauces, seasonings, spices;
• fatty varieties of fish, meat;
• semi-finished products, canned food, refined products, smoked products;
• bread, pastries with cream;
• sugar;
• animal fats;
• rich broths, fried foods;
• alcohol, strong coffee, tea.

Allowed

Nutrition for pulmonary tuberculosis should be plentiful, easy to digest. For this we recommend:

• greens, vegetables, mushrooms;
• berries, fruits;
• nuts, dried fruits;
• oatmeal, buckwheat, pearl barley, rice, millet, corn grits;
• dairy products;
• honey, chocolate, jam, jelly, marshmallow, jam, marshmallows;
• eggs, cottage cheese, caviar;
• bread, flour products;
• meat (pork, beef, rabbit) and fish (hake, pollock, salmon);
• fats (margarine) and oils (olive, vegetable, corn);
• mineral water, weak tea, fruit drink, juices.

Sample menu for the week

Nutrition for pulmonary tuberculosis during and after treatment is highly energy value. Complete meal options for the week:

	Options	Breakfast, g/ml	Snack, g/ml	Lunch, g/ml	Afternoon snack, g/ml	Dinner, g/ml	At night, 250 ml
		Wheat porridge - 200, cheese - 70, egg - 1 pc., Coffee with milk - 150	Orange - 1 pc., Cookies - 100	Borsch - 150, boiled fish - 120, mashed potatoes - 80, beets - 60, compote - 150	Cheesecakes - 150, honey - 15, milk - 150	Meat casserole - 200, vegetable salad - 120, bread - 30, juice - 150
		Cottage cheese - 150, honey - 10, sour cream - 20, sandwich - 1 pc., fruit drink - 150	Dried fruits - 100, cake - 1 pc.	Vegetable soup - 150, chicken meatballs - 100, buckwheat - 80, spinach - 20, jelly - 150	Carrot-apple puree - 150	Pollock in milk sauce - 150, pasta - 100, baked pumpkin - 100, compote - 150
		Omelet - 200, vegetable salad - 100, compote - 200	Nuts - 100, honey - 200	Solyanka - 180, fish meatballs - 120, lettuce - 2 pieces, rosehip broth - 200	Fruit salad - 200	Potato casserole with minced meat and mushrooms - 200, stewed vegetables - 150, fruit drink - 150
		Buckwheat with butter - 180, vinaigrette - 120, cookies - 2 pcs., tea - 150	Berry yogurt - 180	Pea soup - 150, vegetable stew - 100, steak - 120, compote - 150	Cake - 1 piece, fruit drink - 200	Fish in batter - 180, puree - 100, fresh salad - 100, jelly - 150	Serum
		Oatmeal - 200, toast - 2 pieces, jam - 30, tea - 200	Grapefruit - 250, gingerbread - 2 pcs.	Okroshka - 150, beef stroganoff - 120, noodles - 80, vegetable caviar - 60, jelly - 150	Fritters - 200, sour cream - 20, honey - 10	Cottage cheese with berries and jam - 200, bread - 30, butter - 15, tea - 150
		Charlotte - 150, scrambled eggs - 150, cheese - 30, tea - 200	Toast with jam - 2 pcs.	Ear - 150, millet porridge - 100, beef meatballs - 120, compote - 150	Pastila - 150, fruit drink - 200	Vegetable cabbage rolls - 200, mushrooms with melted cheese - 100, chamomile broth - 200
		Fruit salad - 200, cheese croutons - 2 pieces, coffee with cream - 120	Banana - 1 pc., Raspberry - 150	Rassolnik - 150, dumplings - 180, vinaigrette - 80, compote - 150	Lazy dumplings - 200, kissel - 200	Sea fish - 200, vegetables - 150, bread - 20, tea - 150
		Cottage cheese with dried fruits - 200, orange juice - 200, croissant - 1 pc.	Baked pumpkin with nuts - 200	Vermicelli soup - 150, stewed cabbage with meat - 200, chamomile broth - 200	Lemon pie - 200, compote - 150	Puree - 80, liver stewed in sour cream - 120, salad - 150, mineral water - 150	curdled milk
		Millet porridge - 200, vinaigrette - 150, juice - 200	Cottage cheese with dried apricots and honey - 200	Vegetable sauce - 180, buckwheat with rabbit - 180, rosehip broth - 200	Cheesecake - 200, cocoa - 200	Vareniki - 200, butter - 20, bread - 300, cheese - 30, tea - 150	water with honey
		Wheat porridge - 100, goulash - 150, bread - 30, fruit drink - 150	Pancakes with jam - 2 pcs.	Mushroom soup - 150, fried chicken - 120, rice - 80, chamomile decoction - 200	Crispbread - 4 pieces, carrot juice - 200	Meat zrazy - 180, carrot puree - 80, buckwheat casserole - 100, bran decoction - 150
		Omelette - 150, fruit puree - 120, bun - 1 pc., juice - 200	Cookies - 3 pcs., Kissel - 150	Noodle soup - 150, fish cutlet - 100, mashed potatoes - 80, bread - 20, juice - 200	Berries with cream - 200	Meat in French - 150, stewed vegetables - 150, crackers - 3 pcs., Cocoa - 150
		Buckwheat with vegetable sauce - 120, chicken cutlets - 130, jelly - 200	Nuts - 100, yogurt - 150	Rassolnik - 150, meat goulash - 120, millet porridge - 80, kvass - 150	Biscuit - 150, milk - 200	Steamed omelette - 120, kohlrabi cutlets - 150, mashed potatoes - 80, chicory drink - 150
		Milk wheat porridge - 200, cabbage salad - 100, sour cream - 20, fruit drink - 150	Dried fruits - 100, apple - 1 pc.	Lentil soup - 150, potato patties with fish - 200, jelly - 200	Pumpkin-apple casserole - 200	Vareniki with potatoes and mushrooms - 250, sour cream - 20, juice - 150	curdled milk
		Omelette with tomatoes - 250, bread - 30, butter - 20, cheese - 30, tea - 150	Banana milkshake - 250	Bean soup-puree - 150, sandwich with black caviar - 1 pc., Ham - 80, fruit drink - 200	Semolina cutlets with fruit sauce - 200	Fish soufflé - 200, beet-apple puree - 100, crispbread - 2 pcs., compote - 150	Serum

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Tuberculosis is a chronic infectious disease caused by the appearance of a bacterium in the body, discovered back in 1882 by Robert Koch.

Most often, the disease affects the respiratory organs and lymph nodes, less often - the eyes, bones, joints or genitourinary system. In addition to medical treatment, it is vital to follow a diet that helps to alleviate symptoms and strengthen the immune system.

What should be the diet for pulmonary tuberculosis ^

Tuberculosis is called the “plague of the century” for good reason, because according to statistics, it causes even more complications, even death, than AIDS. Most often, they become infected by airborne droplets or after drinking homemade milk from a sick cow, but there are other reasons:

• Improper nutrition;
• Weak immune system;
• Smoking;
• Physical or emotional exhaustion;
• HIV infection;
• Addiction.

Symptoms of tuberculosis, regardless of the lesion, are identical:

• Weakness and fatigue;
• increased sweating;
• Lack of appetite, sudden weight loss;
• Dyspnea;
• Cough with bloody sputum;
• Feverish gleam in the eyes.

Do I need a diet for tuberculosis

Doctors usually prescribe complex treatment for such a disease, and this includes the following:

• Chemotherapy;
• Taking antibacterial drugs;
• Compliance with a therapeutic diet.

In rare cases, radical measures can be taken - surgery, but it is only appropriate when conservative treatment does not help.

The main principle of therapeutic dietary nutrition is the presence of a large number of foods containing vitamins, because they are necessary to strengthen the immune system.

The diet for tuberculosis patients includes the following:

• Biscuits, crackers, white bread;
• Pureed soups;
• Lean meat;
• River fish;
• Dairy products;
• Eggs;
• Milk porridge;
• Mousses and kissels;
• natural juices;
• Fruits, berries and vegetables;
• Butter and vegetable oils.

The purpose of following such a diet is to strengthen the immune system and restore the affected organs, and in order for this to happen faster, you should give up alcohol and eat dishes mainly in a pureed form, but in no case should you cut the calorie content of the diet - nutrition should be complete.

Diet for tuberculosis: menu and features of clinical nutrition ^

Nutrition rules

• Most dishes should be pureed, and you need to sit down at the table every 2-3 hours;
• During the day, you need to “eat” at least 2700 Kcal, and if you feel worse and have a sharp decrease in weight, increase it to 3500 Kcal;
• If there are allergic reactions, then honey, chocolate and other foods with fast carbohydrates should be limited.

Therapeutic diet - table number 11 for tuberculosis

The diet of a patient with tuberculosis should consist of the following products:

• Wheat or rye bread, flour products;
• Any kind of fish and meat, except for too fatty;
• Dairy and sour-milk products;
• Fried, steamed or boiled eggs;
• All cereals;
• Fruits, berries and vegetables in any processing, but some of them should be served raw;
• Spices and sauces - limited.

Diet for pulmonary tuberculosis: menu

A sample menu for tuberculosis patients looks like this:

• We have cabbage salad, scrambled eggs for breakfast, oatmeal and tea with the addition of milk;
• For lunch we eat a piece of cheese, drink tea;
• We dine with borscht rice porridge, fried chicken and compote;
• We have an afternoon 250 g of rosehip broth;
• We have dinner with meat zrazy, carrot puree, cottage cheese casserole and tea.

Diet for intestinal tuberculosis

With such a disease, the patient is allowed to eat only mashed and easily digestible food:

• Low-fat soups or broths;
• Cutlets;
• Pates and soufflés;
• boiled fish;
• Cottage cheese, sour cream;
• Omelettes and soft-boiled eggs;
• Milk, kefir, curdled milk;
• Kissels, jelly, mousses.

Diet for tuberculosis in children

Cases of the disease in childhood are not uncommon, and children's nutrition should be built according to the following rules:

• Norm daily calories- 3000-4000 Kcal;
• In the diet, preference should be given to products containing animal proteins, trace elements and vitamins;
• You need to limit too fatty foods and confectionery with cream.

Diet for kidney tuberculosis

If the kidneys are affected by the disease, then you need to eat according to the following principles:

• It is necessary to reduce the amount or refuse salt;
• Only a doctor should determine the desired proportion of protein in food;
• You can not eat spicy foods and spices.

Diet for tuberculosis and malnutrition

With a sharp weight loss, it is enough to eat as follows:

• Increase the caloric content of the diet to 3700 Kcal;
• Eat food 6 times a day;
• Observe daily allowance BJU: 150 g, 130 g and 500 g, respectively.

Products prohibited for tuberculosis

In general, the diet of tuberculosis patients is varied and does not provide for strict restrictions, but there are foods that can aggravate the course of the disease: vinegar, mustard, horseradish, pepper, hot spices. Also, you can not eat too cold or vice versa - hot dishes.

It is not uncommon for people to be cured of tuberculosis, but this is possible only on early stage. If the disease is already running, then you can only achieve remission and relieve symptoms, but in the future you will need constant medical supervision, treatment and proper nutrition. Positive results diets for tuberculosis make themselves felt after 1-2 weeks, when strength appears and health improves.

• Try not to contact sick people;
• Strengthen immunity by taking vitamin complexes and proper nutrition;
• Stop smoking and drinking alcohol.

For the prevention of tuberculosis, you should use the tips presented above, as well as undergo an annual medical examination in order to identify the disease in time.

Pulmonary tuberculosis is an infectious disease caused by the tubercle bacillus (also known as Koch's bacillus), an aggressive and resistant microbe. This disease is characterized by the formation of foci of specific inflammation in the affected tissues, as well as a pronounced general reaction of the body. Koch's wand is able to survive for a long time in the soil, on the surface of contaminated objects, dried sputum and is resistant to many disinfectants.

The main mode of transmission of pulmonary tuberculosis is aerogenic, i.e. The bacterium enters the body with the inhaled air. In addition to the aerogenic method of infection, it is also possible to become infected with food or by contact with objects infected with Koch's wand. Under certain conditions, human disease can be caused by a microbacterium contained in the body of cattle.

Symptoms

Quite often, pulmonary tuberculosis occurs without visible symptoms and can be detected by chance, for example, when undergoing fluorography. One of the first symptoms of the disease are: weakness, weight loss, poor sleep, increased sweating, loss of appetite, dizziness, fever (about 37 degrees), an increase in groups of lymph nodes. If at this stage of the disease you do not seek medical help, then over time, the above symptoms will be added to: cough with sputum, shortness of breath, chest pain, coughing up blood. The last two symptoms are a sign of a complex form of the disease and require immediate treatment.

Useful products for pulmonary tuberculosis

Features of nutrition in pulmonary tuberculosis

Proper nutrition with this disease, it can not only normalize the weight of the patient, but also significantly reduce the intoxication of the body, as well as increase the resistance to the disease. Based on this, we can conclude that proper nutrition is important elements in anti-tuberculosis treatment.

First of all, the patient's diet should contain an increased amount of calories, but you should not overfeed the patient. Only when the patient is exhausted should a diet with an increased (by 20-25% of the daily norm) calorie content be prescribed. In other cases, preference should be given to a balanced diet rich in vitamins A, B and C. A long-term diet with an excess of calories can lead to obesity.

Healthy foods

• Foods high in protein. In the patient's body, proteins break down faster than in healthy person so it needs to be included in the diet. increased content squirrel. These are: dairy products, eggs, fish, poultry, veal.
• Foods containing fats. The content of fat in the diet of the patient should be slightly more than normal, but do not forget that the excess fat in the diet can lead to indigestion, liver disease. A sufficient amount of fat is found in olive oil, fish oil, butter. It is not recommended to use pork, beef and mutton fat.
• Foods rich in carbohydrates. Carbohydrates are found in cereals, various flour products, sugar. It is recommended to include buckwheat, rice, semolina in the diet, wheat bread, honey, jam.
• Vegetables, fruits, berries. During illness, the patient's body needs vitamin C in large quantities. Vitamin C is found in lemons, kiwi, oranges, strawberries. Vegetables rich in vitamin C are: cabbage, onion, bell pepper, etc. Vegetables can be consumed both fresh and in the form of stews, mashed potatoes, soups, etc. Vegetables do not carry any contraindications.

Sample diet for the day:

• Breakfast: fried fish with mashed potatoes, various vegetables, butter(about 20 grams), tea.
• Dinner: borsch with sour cream, baked meat with peas or porridge, vegetables, vegetable or fruit juice.
• Dinner: cottage cheese with sour cream, fruit puree or jam, butter (about 20 grams), coffee with milk or tea.
• Before bedtime: a glass of kefir.

Folk remedies for the treatment of pulmonary tuberculosis

Useful products beekeeping, with pulmonary tuberculosis, is not only honey, but also propolis, perga, drone milk, honeycomb, bee pollen, wax moth tincture. Bee products are strong immunostimulants that increase the body's defenses.

• Wax Moth Larvae Extract. Has an anti-inflammatory effect.
• Propolis which is a natural antibiotic. It should be consumed in two ways: as alcohol tincture or stick a small pinch to the gum for three days. Tincture (20-40 drops) is added to milk or water and taken three or four times a day, an hour and a half before meals. Propolis prevents inflammation and removes toxins from the body.
• Perga contains a lot of potassium, thanks to which the work of the heart improves, metabolism normalizes. Perga is taken three times a day in 3 grams.

Also, with pulmonary tuberculosis, it is worth taking various herbal decoctions or tinctures. They help in the fight against cough and hemoptysis.

Dangerous and harmful products for pulmonary tuberculosis

The diet for malnutrition and pulmonary tuberculosis allows you to eat any food, but very fatty fish and poultry, mutton, beef and cooking fats should be removed from the diet. In addition, spicy and fatty sauces, cakes and pastries with a lot of cream should be abandoned.

Nutrition for tuberculosis is an important component of the successful treatment of this infectious pathology.

The main tasks of diet therapy are to supply the body with nutrients, increase the activity of immune system cells, normalize metabolism, accelerate the regeneration of damaged tissues, and reduce the toxic load on the liver (endogenous and exogenous).

Clinical picture

The digestibility of proteins of animal origin is 94%, vegetable - 70%.

1. . Toxins released by mycobacteria cause profound changes in the structure of cell membranes. This leads to the activation of peroxidation, and, as a result, a violation of fat metabolism. Against the background of these processes, a person loses his appetite and rapidly loses weight. In addition, in 50% of cases, dysfunctions of internal organs occur, in which many lipoproteins are concentrated (liver, adrenal glands, brain).

To compensate for the lack of body weight, the daily menu of tuberculosis patients is enriched with fats based on the calculation: 1.2 grams of triglycerides should be per kilogram of weight (this is 100-110 grams). However, excess of the daily portion of lipids has the opposite effect: digestive disorders occur, appetite decreases, detoxification functions of the liver worsen. In addition, during exacerbations of pathology, it is important to consume no more than 70 - 80 grams of the element per day.

Replenishment of lipid reserves is carried out at the expense of consumption, which are part of vegetable oils(linen, camelina, cedar), seafood,.

1. . In active forms of tuberculosis (accompanied by a febrile state), the function of the insular apparatus of the pancreas is inhibited, which leads to a decrease in glycogen synthesis in the liver. To prevent metabolic disorders, the patient's body should receive at least 500 grams of carbohydrates per day. In severe forms of pathology (exudative pleurisy, fibro-cavernous tuberculosis, caseous pneumonia, meningitis), the daily portion of saccharides is reduced to 350 grams.

Dinner: 200 grams of vegetable stew, 100 grams of boiled fish, 15 milliliters of sea buckthorn oil.

An hour before bedtime: 250 milliliters of serum.

Saturday

Breakfast: 200 g of buckwheat, 100 g of chicken cutlets (steam), 50 milliliters of vegetable sauce (stewed).

Lunch: 100 g natural dried fruits (dried apricots, cranberries, raisins), 50 g raw nuts (cashews, almonds, walnuts, hazelnuts).

Lunch: 300 g of lentil soup, 100 g of meat dumplings, 50 g of leafy greens (cilantro, dill, basil, parsley), 30 milliliters of homemade sour cream.

Snack: 200 g seasonal berries (strawberries, raspberries, blueberries, blackberries), 30 milliliters.

Dinner: 150 g of cottage cheese, 50 g of bananas, 30 g of raisins, 30 g, 20 milliliters of sour cream.

An hour before bedtime: 25 milliliters of fermented baked milk.

Sunday

Breakfast: 150 g apple-rice pudding, 50 g Dutch cheese, 30 g rye toast, 10 g butter.

Lunch: 200 milliliters of berry compote, 100 g of biscuits, 15 milliliters of May honey.

Lunch: 200 g of puree soup, 150 g of beet and cabbage salad, 30 g of leafy greens.

Afternoon snack: 200 g banana milkshake.

Dinner: 200 g of fish with vegetables (baked), 20 milliliters of sea buckthorn oil.

An hour before bedtime: 250 milliliters of curdled milk.

Output

Nutrition for tuberculosis is the most important component of therapeutic therapy aimed at suppressing a bacterial infection caused by Koch's bacillus. When infected, a large amount of toxic poisons (waste products of microorganisms) are released into the blood. As a result, oxidative processes in tissues slow down, the exchange of essential structures is disrupted, the enzymatic secretion of the pancreas decreases, and blood circulation worsens. To minimize these problems, the diet of tuberculosis patients is enriched with nutritional components that have detoxifying activity.

Speciality: infectious disease specialist, gastroenterologist, pulmonologist.

General experience: 35 years .

Education:1975-1982, 1MMI, san-gig, highest qualification, infectious disease physician.

Science degree: doctor the highest category, Candidate of Medical Sciences.

Proper nutrition in pulmonary tuberculosis helps not only to normalize the patient's weight, but also to reduce the intoxication of the body, and, of course, increase the resistance to infection. Thus, appropriate nutrition in tuberculosis can be called an important component of complex anti-tuberculosis therapy.

Principles of nutrition in tuberculosis

The organization of proper nutrition in the treatment of pulmonary tuberculosis is the key to successful treatment of the disease. The purpose of the "anti-tuberculosis diet" is to provide the body with good nutrition, to achieve normal weight for patients, to increase the body's resistance to infection, and to reduce the intoxication associated with tuberculosis.

The nutrition of a patient with pulmonary tuberculosis, first of all, should be high-calorie, but this does not mean at all that it is necessary to strive for overfeeding the patient. The opinion about the need for super-enhanced nutrition of a patient with pulmonary tuberculosis is a relic: only when the patient is depleted, a diet is prescribed that exceeds the daily calorie intake by 20-25%. In other cases, it is enough to give preference to good nutrition, rich vitamins C, B and A, as well as minerals.

Overfeeding only leads to obesity and overload of the digestive system. Despite the wide variety of factors characterizing the course of tuberculosis in each case (the nature of the disease, complications, age, degree of exhaustion, occupation, comorbidities), there are general principles organization of dietary nutrition for patients with pulmonary tuberculosis.

On the role of tasty and healthy food in daily nutrition in pulmonary tuberculosis

Most patients with tuberculosis have no appetite at all, and the correct diet for tuberculosis requires eating at least 4-5 times a day. The conclusion suggests itself: food should be as tasty as possible and have an appetizing look and smell. Of course, for its preparation it is recommended to use exclusively fresh produce.

The nutrition of patients with pulmonary tuberculosis also involves the supply of food to the table immediately after its preparation. Moreover, stale and heated food, in principle, is generally nonsense for dietary nutrition.

A separate secret of healing nutrition in pulmonary tuberculosis can be considered the satisfaction of "food whims", i.e. following the rule: "Let better man who needs to eat, at will, will eat a dish that is not quite ideal from the point of view of nutrition, which stubbornly refuses the food prescribed to him by doctors (and impeccably cooked!) Food.

Nutrition for pulmonary tuberculosis: proteins

Due to the fact that in patients with pulmonary tuberculosis, the breakdown of proteins occurs faster than in a healthy person, and they are absorbed worse, an increased amount of protein food should be included in the diet for tuberculosis. And since the proteins obtained with food should be as easily assimilated, the nutrition of tuberculosis patients is characterized as “a diet with an increase in the amount of proteins due to easily digestible proteins contained in dairy products.”

In other words, when organizing the nutrition of tuberculosis patients, milk, yogurt, acidophilus milk, kefir, sour cream, cottage cheese, and cheese are recommended as optimal sources of protein. Eggs, fish, seafood, poultry, veal, rabbit meat, soups on low-fat meat broths are no less necessary. And remember that it is advisable to serve meat, fish and poultry boiled, baked, stewed, and also in the form of jellied dishes.

A less desirable source of protein is fatty meats and poultry, meat products (sausage, sausages, ham) and some fish products (herring, smoked, canned food).

Nutrition for pulmonary tuberculosis: fats

Fats in the diet of a patient with tuberculosis should be slightly more than normal. At the same time, it must be remembered that an excess of fat leads to indigestion, liver diseases, gives rapid satiety, and the patient no longer wants to eat food rich in essential proteins, vitamins and minerals. So "more" does not mean "a lot".

Nutrition for pulmonary tuberculosis: carbohydrates

When catering for tuberculosis, carbohydrates are given within the age norms of a healthy person, and in any form: cereals (including those cooked in milk), flour products, bread, sugar.

As for contraindications, in fact, there are practically none against carbohydrates. The only exceptions are cakes with a high content of oil or custard. But this is solely due to reasonable restrictions frills: after all, the nutrition of patients with pulmonary tuberculosis is considered dietary!

Nutrition for pulmonary tuberculosis: vegetables, fruits and berries

Of course, nutrition for pulmonary tuberculosis involves eating raw fruits, vegetables and berries, but there are no objections to them either. cooking. Which vegetables and fruits to include in the patient's diet can be decided on an individual basis, depending on taste preferences and the amount of vitamins contained in certain products.

Remember: with proper nutrition, a patient with pulmonary tuberculosis should receive two more vitamins than a healthy person. in in large numbers found in lemons, oranges, tangerines, kiwi, strawberries, gooseberries, black currants. From vegetables - in cabbage, onions, bell peppers, etc.

So, in the nutrition of patients with pulmonary tuberculosis (and with all other forms of tuberculosis), it is possible and necessary to include fruit drinks, mousses, jellies, juices, decoctions of wild rose and other fruit and berry “drying”. Do not forget about casseroles containing vegetables, fruits and berries, stews, mashed potatoes, as well as vegetable soups and various salads (including leafy greens), vinaigrettes. And vegetables in general! Pickled, boiled, stewed and steamed vegetables.

Moreover, there are no contraindications in this section of nutrition.