Typhoid and paratyphoid - similar mechanismdevelopment and manifestations of acute infectious diseases, which are characterized by severe intoxication of the organism and the predominant bowel lesions. The latter determines the particular importance of clinical nutrition in the complex treatment.
The diet intended to remove toxins andenhance the body's defenses, eliminate metabolic disorders, stimulation of recovery processes. Clinical nutrition is built taking into account the current stage of typhoid and paratyphoid, severity of the infection and body condition.
In the first 2 weeks of the disease is a dietcontent of 70-80 grams of protein, 60-70 grams of fat and 350-400 g of carbohydrates. To increase the body's defenses, stimulation of regenerative processes in the intestine and removes toxins from the body requires that the diet was rich in vitamins (especially vitamins A, C, B). In order to remove toxins and eliminate dehydration at a frenetic period it is important to ensure that the use of increased amounts of fluid (up to 2-2.5 liters per day).
Due to the deterioration of activity ofdigestion, bowel lesions food should be consumed in liquid, pasty and puree form. In order not to overload the work of the intestine and stomach, food intake should be made in small portions - not less than 5, and in severe cases - 6-7 times a day.
Allowed: broth, soups, cereals, meat and fish souffle, boiled fish, steam cutlets, steam scrambled eggs, boiled eggs, mashed cooked vegetables, puddings, cereals (rice, semolina), grated cheese, sour cream, butter, yogurt, fruit jelly , jelly, pureed fruit drinks, fruit and vegetable juices, wheat crackers, cocoa and tea.
excluded are: foods rich in crude vegetable fiber (cabbage, radish, turnip, etc..), savory, snacks, spices and condiments, canned foods, sausages, beans, high-melting fats, fatty meats and fish, pastry.
In severe cases, the general condition of patients withblackout when receiving solid food is not possible, it should be short-term (1-2 days) to feed patients only liquid food. Used mucous broths from groats, weak broth, fruit and berry juices, tea and sugar, broth hips.
When intestinal bleeding during the first dayrecommended to periodically use small sips of cold drinks to 500-600 ml per day (milk, broth hips, compotes, etc..). Then, the volume and variety of food consumed liquid expands - patients receive slimy concoctions with whipped cream, fruit and berry jelly, etc. With the 3-4-day courses can include semi-liquid consistency (liquid porridge, boiled eggs, vegetable soup, etc.)... A week later, again allowed to transfer patients on a diet that is used in uncomplicated fever.
In the recovery period (5-6 days after reduction of body temperature) allowed the gradual inclusion of solid food (boiled meat, white bread, and so on. D.).