Рекомендации по диете при приеме варфарина
Общие сведения
Функция витамина К — это обеспечение свертывания крови и поддержание плотности костей человека. Если больной принимает антикоагуляционный препарат варфарин (Варфарин Никомед), то необходимо поддерживать постоянный уровень витамина К в его ежедневном рационе. Если уровень витамина К в организме колеблется, то доктор будет вынужден часто менять дозировку препарата.
Большинство людей при приеме варфарина могут питаться в своем обычном режиме. Но при этом важно помнить, что не следует употреблять значительно больше или значительно меньше витамин К- содержащих продуктов, чем обычно ест пациент. Следите за тем, чтоб уровень получаемого ежедневно витамина К был приблизительно одинаков. Подробнее: Витамин К .
- Ключевые моменты
- Варфарин помогает предотвратить тромбообразование.
- Варфарин действует лучше если уровень витамина К поддерживается на постоянном уровне каждый день.
- Надо знать какая пища содержит витамин К, чтобы следить за постоянным уровнем витамина К в рационе и, соответственно, создать условия для наилучшего действия лекарства.
- Пища с высоким содержанием витамина К
- Зеленые листовые овощи, например, капуста, шпинат, зеленая редька, швейцарский мангольд, листовая горчица, морская капуста и листья свеклы.
- Брокколи, свежая или термически обработанная.
- Свежая петрушка.
- Зеленый чай.
- Пища со средним содержанием витамина К
- Свежая листовая зелень, шпинат, салат-латук, ромайн-латук, кочанный латук, а также цикорный салат.
- Брюссельская капуста, цветная капуста, а также спаржа.
- Витамин К также входит в состав многих поливитаминных комплексов, пищевых добавок и лекарственных сборов.
- Почему важно поддерживать уровень витамина К в организме на одном уровне?
Варфарин (Варфарин Никомед) — это антикоагулянт. Антикоагулянты часто называют препаратами, разжижающими кровь, однако, они не разжижают кровь в прямом смысле этого слова. Они просто повышают время, необходимое для образования тромба. Это помогает снизить риск возникновения инфаркта, инсульта, тромбоза глубоких вен или тромбоэмболии легочной артерии.
Варфарин действует путем уменьшения эффекта витамина К. Витамин К способствует остановке кровотечений из ран.
Когда принимается варфарин, необходимо, чтобы витамин К содержался в рационе. Однако важно, чтобы содержание витамина К в дневном рационе не менялось. Это будет способствовать улучшению действия варфарина.
Получение с пищей витамина К намного больше, чем обычно, может привести к снижению эффекта варфарина, что может привести к усилению тромбообразования.
Получение с пищей витамина К намного меньше, чем обычно, может привести к усилению эффекта варфарина и повышению риска кровотечения.
Нет необходимости отказываться от витамин-К-содержащих продуктов при приеме варфарина. Но необходимо ежедневно получать их в примерно одинаковом количестве. Для этого нужно:
- Знать, сколько витамина К содержится в рационе.
- Не менять резко содержание витамина К в диете. Стараться поддерживать его одинаковое количество в дневном рационе.
Если вы регулярно едите свежую зелень, например, шпинат, не следует его есть намного больше или намного меньше, чем обычно. Для поддержания постоянного уровня витамина К можно употреблять:
Диета при приеме Варфарина — это вспомогательный способ основного лечения. Данное лекарственное средство назначается в том случае, если у человека присутствуют сердечные заболевания, либо он перенес операции на сердце.
Основная суть питания при диете — поддержание стабильного уровня витамина К, а также солей и микроэлементов. Врачи назначают дозировку лекарства, отталкиваясь от суточного потребления витамина К. Именно по этой причине диета очень важна для людей.
Общие характеристики питания
Диета предусматривает ограничения в потреблении поваренной соли (суточная норма до 7 г.), жидкости (до 1,3 л. в том числе первые блюда, напитки). Полностью исключаются из рациона питания продукты, способствующие возбуждению ЦНС, сердечнососудистой системы.
К ним относятся: алкогольные, кофеинсодержащие напитки, энергетики, шоколад, какао, крепкие бульоны (жирная рыба, мясо, грибы), жирные продукты, копчености, маринады, острые приправы, продукты с высоким содержанием холестерина.
Потребление блюд, вызывающих метеоризм, сводится к минимуму, но не ограничивается совсем.
Энергетическая ценность потребляемых в сутки продуктов не должна превышать 2355 — 2595 ккал. Содержание белков не должно быть более 85 г. (животные — 45 г.), жиров 60-67 г. (растительные — 18 г.), углеводов — 345-405 г.
Блюда готовятся без добавления соли. Принимать в пищу можно только продукты, приготовленные на пару, вареные, запеченные. Жареная пища полностью исключается.
Пища принимается через каждые два часа, последний прием должен осуществляться не менее, чем за три часа до сна.
Какие продукты разрешены
Не нужно думать, что придерживаясь диеты, человек не сможет принимать в пищу вкусные блюда. С перечнем разрешенных продуктов можно сделать огромное количество не только вкусных, но и полезных блюд.
Диета предусматривает включить в рацион питания следующие продукты:
- гречневая, ячневая, рисовая, овсяная каши — источник углеводов;
- цельнозерновые макаронные изделия;
- отварной картофель;
- зелень, овощи, сладкие фрукты — источник клетчатки;
- нежирные сорта рыб, нежирное мясо;
- 1 яйцо в сутки;
- кисломолочные продукты обезжиренные;
- растительное и оливковое масло;
- чай некрепкий черный, зеленый, отвар шиповника, фруктовые компоты, компот с сухофруктами;
- сладости: диетические бисквиты, пряники, печенье;
- диетические хлебцы, ржаной хлеб.
Так как диета предусматривает потребление большого количества витамина К, то в рацион ежедневного питания должны быть обязательно включены зеленые овощи, петрушка, укроп, зеленый лук. Овощи в приоритете: брокколи, салат, капуста, зеленый чай, клюква.
Запрещенные продукты при приеме Варфарина
Как говорилось выше, многие продукты запрещены при приеме данного лекарственного препарата. Чтобы диета была действенна и результативна, необходимо сократить прием в пищу следующих продуктов питания:
- сдобные, мучные изделия, в том числе белый хлеб;
- консервы;
- сосиски, сардельки;
- колбаса копченая и вареная;
- торты, печенье, шоколадные конфеты;
- жирные сорта сыров;
- фаст-фуд;
- щавель, редис, капуста, репчатый лук, чеснок;
- цитрусовые, кислые яблоки;
- жирные молочные, мясные, рыбные продукты;
- заварной кофе, шоколад;
- блюда из теста.
Принимаемая пища не должна быть ни в коем случае горячей или наоборот холодной.
Если человек решил самостоятельно составить ежедневный рацион, то ему необходимо обязательно посоветоваться с лечащим врачом, чтобы питание не спровоцировало обострение заболевания.
Доктора не советуют допускать значительного изменения рациона питания. Недопустимо при сердечных болезнях применять диеты для похудения. Если есть желание ввести новые продукты в рацион, добавить витамины или биодабавки, то перед употреблением их консультация со специалистом строго обязательна.
Прием Варфарина — меню на две недели
Неделя № 1.
09.00 — запеканка с творогом, кофе некрепкий с молоком.
11.00 — диетический бисквит, стакан компота фруктового.
13.00 — овощное рагу из кабачка, баклажана, моркови, картофеля, приготовленное на пару.
15.00 — стакан кефира.
17.00 — запеченная речная нежирная рыба, рис, компот.
19.00 — салат: огурцы, помидоры, зелень, салатные листья.
09.00 — стакан нежирного молока, сырники, приготовленные в пароварке.
11.00 — салат, сыр с хлебом.
13.00 — вегетарианский борщ, пюре, паровая котлета с говядиной.
15.00 — фруктовый салат, стакан компота с сухофруктами.
17.00 — мясное суфле, рис.
19.00 — 1 яйцо всмятку, чай с лимоном.
Среда.
09.00 — кофе с молоком, хлеб, сыр.
11.00 — творожная запеканка с курагой, яблочный сок.
13.00 — бульон с куриной грудкой, рагу с овощами и зеленью, шпинатом, брокколи, с телятиной. Чай.
15.00 — творог с нежирной сметаной и сахаром, компот с сухофруктами.
17.00 — салат с овощами.
19.00 — омлет, чай.
09.00 — фруктовый салат с биойогуртом, стакан кефира.
11.00 — хлеб с сыром, кофе с молоком.
13.00 — овощной суп с картофелем и зеленью. Картофельное пюре, телячий биток.
15.00 — овсяная каша, стакан молока.
17.00 — запеченная в духовке с овощами говяжья печень, отвар шиповника.
19.00 — рыбный салат с овощами.
Пятница.
09.00 — запеканка с творогом, стакан молока.
11.00 — куриное филе с пшеничной кашей, компот.
13.00 — рисовый суп с зеленью, 1 яйцо, отварной картофель, салат из овощей.
15.00 — печеная телятина, рис, огурец.
17.00 — стакан биойогурта, бисквит.
19.00 — салат из овощей с зеленью, гречневая каша.
09.00 — молочная вермишель, чай.
11.00 — творог с обезжиренной сметаной, компот.
13.00 — вегетарианские щи, запеченный кролик, салат овощной, чай.
15.00 — овощной плов, фруктовое пюре, чай.
17.00 — перец, фаршированный овощами и куриной грудкой, салат овощной, яблочный сок.
19.00 — гречневая молочная каша, чай.
Воскресенье.
09.00 — овсянка на молоке с сахаром, компот из сухофруктов.
11.00 — творожная запеканка, компот.
13.00 — суп из овощей на курином бульоне. Запеченная рыба с овощами, чай.
15.00 — кефир, бисквит.
17.00 — «зеленый» овощной салат. Стакан чая.
19.00 — рыбная котлета паровая, рис.
09.00 — гречка с молоком, чай.
11.00 — творог со сметаной, кефир.
13.00 — салат овощной с зеленью, запеченная говядина с овощами, чай.
15.00 — овощной бульон с яйцом и зеленью.
17.00 — салат из овощей, хлеб с сыром.
19.00 — стакан биойогурта, бисквит.
Вторник.
09.00 — омлет, чай.
11.00 — сырники, компот.
13.00 — гречневый суп, пюре, говяжья котлета, компот.
15.00 — овощное рагу, чай.
17.00 — салат из овощей.
19.00 — хлеб с сыром, чай.
09.00 — овсяная каша на молоке, чай.
11.00 — гречка с запеченной говядиной, компот.
13.00 — овощной салат, суп с фрикадельками из говядины, вермишель с сыром, чай.
15.00 — фруктовый салат, компот.
17.00 — стакан кефира с бисквитом.
19.00 — 1 яйцо с салатом из овощей и зеленью.
Четверг.
09.00 — творожная запеканка, чай.
11.00 — бисквит, стакан йогурта без добавок.
13.00 — борщ овощной с отварной куриной грудкой, макароны «по-флотски», компот.
15.00 — фруктовый салат.
17.00 — запеченная рыба с овощами, чай.
19.00 — стакан кефира или ряженки.
09.00 — гречка с молоком, чай.
11.00 — компот с бисквитом.
13.00 — рисовый суп, пшеничная каша с куриными биточками, овощной салат, компот яблочный.
15.00 — хлеб с сыром, чай с лимоном.
17.00 — запеченный картофель с овощами, стакан кефира.
Суббота.
09.00 — яйцо, хлеб, сыр, чай.
11.00 — творог со сметаной, компот.
13.00 — бульон из куриной грудки с домашней лапшой, овощной салат с зеленью, гречневая каша с куриной грудкой.
15.00 — фруктовый салат, сок яблочный.
17.00 — запеканка из творога, чай с лимоном.
19.00 — запеченная рыба с рисовой кашей.
09.00 — молочная вермишель, чай.
11.00 — салат из овощей, хлеб, сыр.
13.00 — рисовый суп на курином бульоне, салат овощной, компот.
15.00 — говяжьи паровые котлеты, рис, отвар шиповника.
17.00 — фруктовый салат с клюквой, клюквенный сок.
19.00 — запеченная рыба с овощами, чай.
Необходимо запомнить, что диета при приеме Варфарина будет действенна только в том случае, если ее придерживаться регулярно.
Варфарин – это препарат, который предотвращает образование тромбов. Он назначается при мерцательной аритмии, тяжелых формах тромбоза, заболеваниях сердца, а также после операций. Диета во время приема лекарства – не прихоть, а жизненная необходимость.
Принцип диеты при приеме варфарина
Механизм действия варфарина заключается в замедлении свертываемости крови посредством воздействия на организм. Для определения свертываемости крови назначается анализ МНО. У здорового человека показатель колеблется в пределах единицы. Целевые значения при различных заболеваниях отличаются, и только врач может определить в индивидуальном порядке, каких норм надо придерживаться.
В процессе свертывания крови принимает участие витамин К. Вещество поступает в организм преимущественно из растительной пищи и вырабатывается бактериями в кишечнике. Затем витамин всасывается в кровь и транспортируется в печень, где происходит синтез факторов свертывания крови, принимающих участие в образовании тромбов. Варфарин снижает формирование этих факторов. При регулярном поступлении лекарства увеличивается время свертывания крови, тем самым предотвращая образование тромба.
На активность препарата влияет поступление витамина К. Его избыток или недостаток способен изменить действие варфарина. Поэтому во время приема медикамента назначается специальная диета, цель которой заключается в скрупулезном контроле поступления витамина К.
Обязательно стоит учитывать, что эффект варфарина снижается или усиливается от взаимодействия с большим количеством препаратов и лекарственных трав. С подробным перечнем можно ознакомиться в инструкции по применению лекарства.
Список разрешенных продуктов
Диета при приеме варфарина должна обеспечивать ежедневное равномерное поступление витамина К и способствовать нормализации сосудов. Категорически нельзя вносить резкие изменения в рацион.
Чтобы лечение было эффективным, следует придерживаться нескольких правил:
- Отказ от продуктов с высокой концентрацией витамина К. Пренебрежение этим правилом приведет к изменению дозировки медикамента и может спровоцировать развитие тромбоза.
- Источником углеводов должны стать цельнозерновые крупы, макароны твердых сортов. Разрешаются отварной картофель в умеренном количестве, ржаные сухарики без примесей и зерновой хлеб без витаминных добавок.
Источник белка – птица, говядина, крольчатина без видимого жира и нежирная рыба, куриное яйцо, но не более одного в день. Блюда должны готовиться на пару, на гриле, запекаться, тушиться. Жарка и использование приправ противопоказаны.
- Клетчатка – обязательный компонент лечебного питания. Тыква, кабачки, свежие помидоры, яблоки, свекла в небольшом количестве, цветная капуста, сладкие фрукты.
- Не ограничивается употребление нежирной кисломолочной продукции.
- Жиры должны быть исключительно растительного происхождения. Изредка разрешается сливочное масло в ограниченном количестве.
- Если риск развития тромбоза высок, пища должна быть перетертой, без соли и комнатной температуры.
- Соль строго дозируется.
- В качестве десертов разрешены кисели, желе, мармелад.
- Из напитков позволительны настой шиповника, некрепкий чай, фреши из сладких фруктов.
- Ограничение соли, в некоторых случаях полный отказ.
Перечень запрещенных продуктов
При формировании меню следует учитывать, что лечебное питание отличатся строгостью и налагает вето на несколько категорий продуктов. В черный список попали:
любая сдоба, включая хлеб из белой муки, выпечка из слоеного теста, торты, пирожные;
- шоколад и все продукты, в состав которых входит какао;
- консервы, колбасы всех видов;
- первичные грибные, мясные бульоны, рыбные бульоны, допускается только вегетарианский вариант приготовления первых блюд;
- все жирные сорта сыров;
- маринованные, соленые, квашеные заготовки овощей;
- все бобовые культуры;
- репчатый лук, чеснок, редька;
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