Если у человека имеется васкулит геморрагический, диета должна быть направлена на исключение из рациона продуктов-аллергенов. Какой-либо специальной диеты при этом заболевании не разработано. Геморрагический васкулит является системным заболеванием, при котором поражаются мелкие сосуды организма. Второе название этой патологии — болезнь Шенлейна Геноха. Данная патология нередко выявляется у маленьких детей. Какова этиология, клиника и лечение геморрагического васкулита?
Особенности заболевания
Геморрагический васкулит — это болезнь, при которой поражаются стенки мелких кровеносных сосудов. Васкулит подразделяется на следующие формы:
- кожную;
- суставную;
- абдоминальную;
- почечную;
- комбинированную.
Данная классификация основана на клинических проявлениях. В зависимости от активности воспалительного процесса в суставах различают васкулит малой, средней и высокой активности. Васкулит может протекать и быстро, и очень долго.
Молниеносная форма воспаления длится несколько суток. Острая форма продолжается 1-1,5 месяца. В случае если симптомы васкулита наблюдаются на протяжении 2 месяцев и более, имеет место затяжной геморрагический васкулит. У некоторых больных заболевание становится хроническим.
В списке заболеваний, согласно МКБ 10, васкулит именуется как аллергическая пурпура. От данного недуга чаще всего страдают дети младше 14 лет. Аллергическая пурпура встречается и у взрослых. В большинстве случаев заболевание развивается в осенне-зимне-весенний период. Как и любое другое системное заболевание, геморрагический васкулит приводит к поражению сразу нескольких органов. Особенность геморрагической пурпуры в том, что при ней страдает не только стенка сосудов, но и формируются мелкие тромбы. Последние образуются в сосудах кожи или внутренних органов.
Этиологические факторы
Болезнь Шенлейна Геноха до конца не изучена. Точная причина этой патологии не известна. Возможными причинами заболевания является:
- перенесение вирусной или бактериальной инфекции дыхательных путей;
- наличие брюшного тифа и паратифа;
- желтая лихорадка;
- прием некоторых лекарств («Эналаприла», «Эритромицина», «Стрептомицина», пенициллина, сульфаниламидов);
- пищевая аллергия.
К предрасполагающим факторам поражения сосудов относится переохлаждение организма, укусы насекомых, вакцинация или введение сывороток, ожоговая болезнь. Примерно у половины больных прослеживается связь между появлением симптомов болезни и перенесенной незадолго до этого инфекцией.
Наибольшее значение имеют такие болезни, как ангина, туберкулез, грипп, ОРВИ, отит, хроническая форма тонзиллита. Немаловажное значение имеет наследственная предрасположенность. Поражение сосудов при геморрагическом васкулите связано с циркуляцией в крови и отложением на стенке сосудов иммунных комплексов.
Клинические симптомы
Проявления аллергической пурпуры определяются формой заболевания. Все симптомы васкулита можно объединить в следующие синдромы:
Практически у всех больных выявляется поражение кожных покровов. На коже обнаруживается геморрагическая сыпь. Экзантема при васкулите имеет следующие особенности:
- возвышается над кожей;
- представлена петехиями;
- чаще всего локализуется на нижней половине тела человека (на бедрах, ягодицах, голени);
- имеет красный или розовый цвет;
- быстро бледнеет;
- не образует рубцов.
Сыпь очень редко выявляется в области живота, спины и рук. У некоторых больных наблюдается некроз тканей в месте воспаления сосудов. Наряду с кожей при геморрагическом васкулите могут поражаться суставы. У детей суставы поражаются реже, нежели у взрослых. При наличии суставного синдрома больные могут предъявлять жалобы на:
- боль в области суставов;
- отечность;
- боли в мышцах.
Воспаление суставов не связано с органической патологией. Это преходящее явление, которое исчезает примерно за неделю. Нередко при васкулите появляются признаки поражения органов ЖКТ. При этом больных может беспокоить боль в животе, тошнота, рвота. В тяжелых случаях при отсутствии должной терапии возможно развитие перфорации и перитонита. На фоне поражения сосудов желудка и кишечника может возникать гастродуоденит. В процессе исследования кишечника можно обнаружить язвы или эрозии.
На поздних стадиях васкулита возможно поражение почек. Иногда развивается нефротический синдром. Для него характерно появление эритроцитов в крови, отеки, протеинурия. При осложненном течении возможно развитие гломерулонефрита. При геморрагическом васкулите могут страдать и другие органы: мошонка, легкие, нервная система. У детей болезнь Шенлейна Геноха склонна к рецидивам. Развивается она в большинстве случаев остро, что требует неотложной помощи.
Диета при геморрагическом васкулите
При васкулите геморрагическом диета является важным компонентом лечения. Особенно она важна при абдоминальном синдроме, который нередко характеризуется нарушением стула и появлением крови в кале. Врач может назначить диету № 1. Далее ребенка переводят на стол №5. В случае поражения почек диета должна быть направлена на ограничение в рационе соли, так как она способствует задержке в организме жидкости.
При наличии нефротического синдрома назначается стол №7. При любой форме геморрагического васкулита требуется исключить из употребления продукты, способные спровоцировать аллергические реакции. Из рациона исключается какао, цитрусовые (апельсины, лимоны, мандарины, грейпфруты), ананасы, персики, манго, гранаты, виноград, ягоды (земляника, клубника, смородина), шоколад, яйца.
Потребляемая пища должна быть тщательно пережеванной. Большое значение имеет режим питания. Кушать рекомендуется 5-6 раз в день небольшими порциями. Не нужно потреблять слишком горячую или холодную пищу. Пища должна быть витаминизированной. Известно, что витамины C и P укрепляют сосуды. Список разрешенных продуктов и блюд включает в себя:
- растительные масла;
- пудинги;
- овощные пюре;
- нежирное мясо и рыбу в отварном или тушеном виде;
- яйца всмятку;
- фрукты (зеленые яблоки, бананы, груши);
- кисели;
- компоты;
- овощные супы;
- супы из круп;
- белый хлеб;
- молоко, кефир и творог с низким процентом жира.
Еда должна готовиться на пару или употребляться в отварном виде. Требуется снизить потребление пищевой соли до 8 граммов в сутки и менее и исключить из употребления консервированные продукты. После излечения еще на протяжении года дети должны придерживаться диеты.
Основные методы лечения
Диета при васкулите должна сочетаться с приемом лекарственных средств. Назначаются следующие лекарственные препараты:
- антиагреганты («Трентал» или «Курантил»);
- «Гепарин»;
- активаторы фибринолиза.
Антиагреганты и антикоагулянты препятствуют формированию микротромбов. Для уменьшения аллергических реакций применяются антигистаминные средства («Тавегил», «Супрастин»). При тяжелом течении васкулита показаны глюкокортикостероиды системного действия («Преднизолон). Для уменьшения спазма кровеносных сосудов рекомендуется прием спазмолитиков. Иммунодепрессанты назначаются очень редко. На протяжении всего периода лечения детям показан постельный режим.
Немаловажное значение в лечении и выздоровлении больных имеет исключение основных провоцирующих факторов и лечение хронических заболеваний (тонзиллита, отита). Дети не должны переохлаждаться. В случае развития абдоминального синдрома используются энтеросорбенты, антибиотики. Для устранения воспаления и болей могут применяться обезболивающие из группы НПВС. Оперативное вмешательство применяется только в случае развития тяжелых осложнений.
Васкулит может привести к следующим осложнениям: кровотечению, прободению кишечника, перитониту, хронической почечной недостаточности, анемии, кишечной непроходимости.
При поражении почек проводится гемодиализ (очищение крови). Все больные обязательно подлежат диспансерному наблюдению на протяжении двух лет. При отсутствии лечения и частых рецидивах с поражением внутренних органов имеется риск того, что человек останется инвалидом. При своевременном лечении прогноз благоприятный.
Основные принципы питания при васкулите
Диета при васкулите строится на полном исключении продуктов-аллергенов. К ним относятся:
- шоколад;
- лимоны, апельсины и другие виды цитрусовых;
- сырые яйца;
- какао.
Также диета при васкулите подразумевает изменение графика приема пищи.
Вместо обычных 2-3 раз врачи рекомендуют есть чаще — 5 или 6 раз в течение дня. При этом надо кушать медленно, тщательно пережевывать пищу, которая не должна быть холодной или горячей. Принимать надо исключительно теплую еду, количество соли в которой должно быть минимальным.
Если у больного диагностирован геморрагический васкулит, его диета должна быть более эффективной, в ней должны присутствовать различные витамины (группы А и В), иногда включают С и К. Учитывая, что васкулит у детей и взрослых приводит к вымыванию кальция, врачи советуют употреблять большое количество:
Эти продукты отлично помогают при восстановлении мелких сосудов. Важно, чтобы процент жирности этих продуктов не был высоким.
Для восстановления запасов калия нужно принимать сухофрукты, к которым относятся:
Но их употреблять нельзя, если больные страдают различными степенями почечной недостаточности.
Как готовить продукты
При васкулите стоит есть много овощей, которые нужно готовить на пару, варить, а потом делать из них различные пюре. Важно кушать супы, которые протирать не нужно. Это могут быть обычные бульоны, молочные супы, или те, в которых есть капуста.
Из мучного разрешаются белый хлеб, сухари либо черствый хлеб. Из фруктов и ягод допускаются:
Достаточно много питательных элементов находится в кашах, которые должны присутствовать в рационе больного. Заправлять их нужно либо растительным, либо сливочным маслом.
Не стоит исключать и мясо с рыбой, но тут надо быть очень осторожным. Во-первых, мясо разрешается только отварное, с которого нужно снимать кожицу. Лучше всего использовать куриное филе или грудинку. Во-вторых, рыба подходит только нежирных сортов.
Дополнительными элементами питания являются яйца, которые советуют кушать всмятку или в виде омлетов. Готовить их надо на пару, а не жарить.
Диета при геморрагическом васкулите
Питание при геморрагическом васкулите определяется для каждого пациента индивидуально, что зависит от симптоматики и места заражения. Но для всех людей отлично подходят богатые витаминами и полезными веществами:
Они должны быть натуральными, приготовленными из фруктов и овощей. Допускается употребление:
Кофе и черный чай стоит исключить, заменив их отваром из шиповника и травяными чаями. Категорически запрещается пить алкоголь, чтобы не вызвать ухудшения метаболизма и обострения болезни.
Если у пациента геморрагический васкулит, его диета должна включать прием различных трав, но только при условии, что больные не страдают аллергией, астмой, гиперчувствительностью к чаям и отварам. Поэтому принимать травы можно только с разрешения врача.
Чаще всего прописываются отвары, чтобы улучшить свертываемость крови. Их готовят дома на основе:
Они отлично восстанавливают уровень калия в организме. Прием таких чаев должен контролировать врач, чтобы вы могли избежать образования тромбов.
Для снятия воспаления используют настойки из других лекарственных трав: брусники, полевого хвоща, корня солодки, календулы, листьев черной смородины, подорожника, бадана.
Большой проблемой при васкулите и его лечении является аллергическая реакция, которую можно убрать с помощью отвара из каланхоэ, крапивы, мяты, горькой полыни, пустырника, валерианы, мелиссы. Укреплению сосудов способствуют черная рябина, клюква, смородина.
Из каждого вида трав чаи можно варить как по отдельности, так и в виде сборов, что не повредит пациенту, поскольку они содержат все необходимые микроэлементы.
Правильное питание поможет всегда быть в тонусе. Соблюдайте при необходимости диету и будьте здоровы!
Васкулит – это целая группа заболеваний, характеризующихся воспалением стенок кровеносных сосудов. При такой болезни нарушается кровоснабжение органов и тканей, что в конечном итоге приводит к их гибели.
Чтобы замедлить и предотвратить этот процесс, необходимо не только принимать выписанные врачом препараты, но и придерживаться специальной диеты.
Особенности питания при васкулите у взрослых и детей ^
Всего выделяют несколько форм васкулита в зависимости от области поражения:
- Артериит: задействуются артериальные стенки;
- Флебит: страдают венозные стенки;
- Артериолит: повреждаются мелкие артерии;
- Капиллярит: воспаление концентрируется на капиллярах.
Также васкулит делится на первичный и вторичный. В первом случае причины появления до сих пор не выяснены, а во втором болезнь может быть следствием других факторов:
- Инфекционных острых процессов;
- Наследственной предрасположенности;
- Негативной реакции на введение вакцины;
- Интоксикации организма;
- Длительного нахождения при низких или наоборот – высоких температурах;
- Солнечных ожогов и механических повреждений кожи.
Овен
Телец
Близнецы
Рак
Лев
Дева
Весы
Скорпион
Стрелец
Козерог
Водолей
Рыбы
Симптомы васкулита в основном у всех проявляются одинаково:
- лихорадка,
- повышение температуры тела,
- быстрая утомляемость,
- слабость,
- потеря аппетита,
- психические нарушения,
- рвота,
- кашель с кровью,
- обмороки,
- снижение остроты зрения,
- язвы на половых органах.
Нужна ли диета при васкулите
Самой главной задачей лечения и диеты для больных васкулитом является продление ремиссии, предотвращение поражения внутренних органов и снижение вероятности осложнений, которыми чревата данная болезнь:
- умственной отсталости,
- поражения легких, печени, почек и других жизненно важных органов.
Некоторые препараты способствуют вымыванию кальция из организма, поэтому лечебная диета при васкулите у детей и взрослых также способствует предотвращению столь негативного процесса.
В рацион лечебного диетического питания при системном васкулите рекомендуется включать следующие продукты:
- Вареные или паровые овощи;
- Супы;
- Каши;
- Нежирные сорта рыбы и мяса;
- Растительные масла;
- Вареные всмятку яйца или паровые омлеты;
- Сладкие ягоды и фрукты;
- Вчерашний белый хлеб или сухари;
- Соки, смузи, кисели, компоты.
Диета при васкулите: меню и особенности лечебного питания ^
Как правильно питаться при васкулите: отзывы врачей и результаты пациентов
Правила диеты при васкулите
- Во время острой стадии все блюда должны подвергаться термической обработке и в протертом виде. По мере улучшения состояния можно переставать перетирать пищу;
- При геморрагическом васкулите необходимо убрать из рациона все аллергенные продукты;
- Во время приема глюкокортикоидов нужно ограничить количество соли;
- Нельзя употреблять при васкулите грейпфрутовый сок и другие продукты, которые могут спровоцировать обострение: приправы, шоколад, спиртные напитки и слишком жирные блюда.
Диета — стол №1 при васкулите: меню
В самом начале врачи обычно назначают эту гипоаллергенную диету при васкулите, которая предусматривает следующие принципы питания:
- Пищу нужно подавать в протертом виде, а запеченные блюда должны быть без корочки;
- Нельзя употреблять слишком холодные или горячие блюда;
- За сутки организм должен получать 400 г медленных углеводов, 90 г белка, 100 г жиров и до 3000 Ккал.
Диета при геморрагическом васкулите
Особых ограничений в такой диете нет, однако есть ряд продуктов, которые нужно исключить:
- Цитрусовые;
- Какао и шоколад;
- Манго, гранаты, ананасы, персики;
- Яйца;
- Сладкие ягоды.
Диета при аллергическом васкулите
Если была диагностирована такая форма болезни, то необходимо убрать из рациона все тугоплавкие жиры и продукты, перечисленные выше, а свое меню планировать примерно так:
- Завтракаем овощным салатом, чаем и сухарем;
- На ланч кушаем фрукт;
- Обедаем супом с нежирным мясом, паровыми котлетами и овощами;
- На полдник пьем отвар шиповника;
- Ужинаем тефтелями, запеченными овощами и стаканом кефира.
Диета при холодовом васкулите
Если васкулит сопровождается появлением холодовой крапивницы, то достаточно соблюдать простые правила питания:
- Не употреблять продукты-аллергены;
- Стараться не использовать при готовке соль;
- Обогатить рацион термически обработанными овощами.
Диета при васкулите у детей
У детей, больных васкулитом, принципы питания схожи со взрослыми:
- Пища должна подаваться в протертом виде;
- Из рациона нужно убрать смородину, клубнику, землянику, хурму, цитрусовые, яйца, молоко, сгущенку, сыры, свинину, курицу, мед, конфеты, шоколад, пряники, чай с ароматизаторами и лимонад.
Диета для профилактики васкулита
Чтобы предотвратить васкулит или продлить ремиссию тем, кто уже им болеет, достаточно ограничить употребление продуктов, способных вызвать обострение:
Рецепты диеты при васкулите
Рецепт паровых котлет:
- Делаем говяжий фарш, смешиваем его с измельченным луком, натертой морковью и зеленью;
- Добавляем немного муки, вымешиваем все с сырыми яйцами до однородности, ставим на полчаса в холодильник;
- Формируем круглые котлетки, готовим на пару 45 минут.
Рецепт салата из вареных овощей:
- Отвариваем картофель, свеклу и морковь, очищаем от кожуры и режем на кубики;
- Посыпаем зеленью, для заправки используем оливковое масло.
Рецепт фруктового салата:
- Мелко нарезаем очищенное яблоко, грушу и банан;
- Все фрукты перемешиваем, заправляем несладким йогуртом без добавок.
Результаты, отзывы и рекомендации врачей о правильном питании при васкулите ^
Данная болезнь обычно хорошо поддается лечению, если нет осложнений, к тому же результаты диеты при геморрагическом васкулите выглядят многообещающе: воспаления и высыпания начинают проходить уже спустя неделю после ее начала, а через месяц можно заметить значительное облегчение симптомов.
Советы как избежать заболевания васкулитом
- Не допускать перегревания или переохлаждения;
- Защищать свою кожу от ожогов;
- Правильно питаться.
Простая профилактика васкулита позволяет также предотвратить и его повторное появление, поэтому она необходима всем, кто уже перенес такую болезнь.
Отзывы врачей о диете при васкулите
Ольга, 39 лет, терапевт:
«Рацион питания нужно подбирать индивидуально, ведь он напрямую зависит от формы болезни. В большинстве случаев исключаются продукты-аллергены, ну а в целом диета не является строгой»
Екатерина, 35 лет, ревматолог:
«Лечение васкулита должно быть комплексным и проводиться под наблюдением нескольких врачей: дерматолога, ревматолога и невропатолога, если болезнь имеет первичную форму. Вне зависимости от области поражения, диета нужна в любом случае, т.к. она хорошо усиливает эффективность лекарств и предотвращает осложнения»
Дарья, 43 года, дерматолог:
«Чаще всего васкулит проявляется на кожном покрове, и в этом случае желательно не только пить таблетки, но и соблюдать диету. Также хорошо помогают народные средства на основе травм, но такое лечение нужно согласовывать с врачом».
Оцените статью, нам очень важно Ваше мнение:
Сосуды никакой диетой не вылечить. Вот чтобы не заработать васкулит, нормальное питание точно нужно, а для профилактики лучше иногда и диетическое. А если уже есть заболевание сосудов, то диета может помочь лишь не усугубить ситуацию и притормозить развитие патологии. Давно уже страдаю флебитом, мало что помогает даже из медикаментов, а от диеты при васкулите вообще толку никакого не заметила.
Сюзанна, но ведь все зависит от стадии заболевания. У меня, например, тоже повреждены венозные стенки. Так мой врач даже словом не обмолвился о питании. Все лечение сводится к уколам и таблеткам. Результата я не вижу. Поэтому обязательно сяду на диету, протестирую и этот способ.
Возможно, в моем случае именно этого компонента лечения и не хватает, так сказать, для полного комплекса. А вообще хорошо сосудистые стенки укрепляет черноплодная рябина. Это единственное из народного, что я сейчас использую. Советую и вам попробовать, может быть, сдвинете болезнь с мертвой точки.
Катя, не всем врачи при болезнях сосудов прописывают диету. Некоторые ее вообще не понимают, потому что и диетой это назвать можно с натяжкой. По сути, просто выдают перечень запрещенной пищи. Мне такую распечатку сразу выдали, как обнаружили васкулит.
Из строгого табу – только алкоголь, соль и тугоплавкие жиры. Но эти продукты и для здорового человека опасны, поэтому еще вопрос, что в этом питании диетического. При запущенном васкулите уже идет строгая диета – все протертое. Поэтому, если вам врач не рекомендовал определенный рацион, то он вам и не нужен.
При васкулите назначается диета, направленная на ограничение количества продуктов, способных вызвать аллергическую реакцию. Одна из них стол № 1 – диета Певзнера. Она полностью построена по данному принципу. Поэтому, если кушать овощи и фрукты, то только белого и зеленого цвета, они несут минимальную угрозу.
По этой же причине хочу оградить всех от лечения травами. Слышала от многих, что пытались вылечить васкулит именно таким народным способом. Может быть, при каких-то болезнях он и работает, но только не при патологии сосудов. Абсолютно все травы – сильные аллергены, никогда не знаешь, какая именно сыграет коварную роль.
Редко когда васкулит поддается лечению. Обычно болезнь переходит в хроническую форму, на некоторый период затухая. Затем начинаются временные обострения. Поэтому очень важно правильно питаться, если уж началось поражение сосудов. Здесь нужно понимать, что дальнейшее качество жизни зависит только от вашего образа жизни и рациона. В ином случае болезнь поразит и внутренние органы.
Обнаружили васкулит полгода назад. У меня пока начальная форма. Доктор сразу сказал забыть о таких аллергенах, как цитрусовые и шоколад. Это номер 1 в списке. То есть, забыть насовсем. А касаемо остальных продуктов, диета пока не нужна.
По словам моего лечащего врача, сильно сужать рацион при васкулите необходимо только во время обострений. При ремиссии же достаточно не есть аллергенную пищу.
Виктория, а мне сказали, что если есть проблемы с сосудами, то грейпфруты нельзя есть не потому, что они аллергию вызывают, а потому что нейтрализуют действие лекарственных средств. А по поводу аллергической реакции при васкулите говорили, что просто нельзя есть один и тот же продукт чаще, чем 1 раз в 3 дня. Таким образом, вероятность аллергии сильно понижается.
Еще много споров идет по поводу рыбы и морепродуктов. Одни специалисты рекомендуют употреблять некоторые сорта (нежирные), а другие запрещают это совсем. Но необходимость диеты – это 100%. Лекарства для лечения васкулита мешают усваиваться очень многим необходимым для правильного функционирования организма веществам. Диета и направлена именно на их постоянное восполнение.
Девочки, острая форма васкулита предполагает наижесточайшую диету. Абсолютно вся пища измельчается в пюре. И думать забудьте при обострении болезни есть фрукты и овощи в свежем виде. Совершенно все варим и тушим. А потом, конечно, перетираем в кашу. Уж я несколько лет борюсь с васкулитом, знаю, как в ремиссию перейти. От соли, кстати, не всегда нужно отказываться, а только в том случае, если в вашем списке медикаментов есть глюкокортикоиды.
Я уже приспособилась к диете. У меня давно васкулит, и он не лечится. По крайней мере я таких историй с хорошим концом не знаю. Но вернуться к нормальной жизни можно, главное – соблюдать все правила диеты. Кто считает, что диета при васкулите не приносит пользу, очень ошибается.
Часто заболевание протекает с воспалениями, поэтому пища должна быть гипоаллергенной. Отказ от сахара я пережила с помощью стевии. Во время перекусов тоже нашла, чем поживиться – мой выбор хлебцы из цельных злаков, запеченное зеленое яблоко без кожуры, а еще иногда беру кокосовые чипсы.
Васкулит бывает разный, и лечится он разными наборами препаратов и диет, в зависимости от вида. Чтобы правильно определить точный диагноз, недостаточно одного специалиста, нужно обойти флеболога, дерматолога, иммунолога, ревматолога и т.д.
Моему мужу выписали Преднизолон, от которого он сильно растолстел. Эффект же от лекарства в отношении васкулита был не долгий. А о диете этого сказать не могу. Сейчас муж пришел в форму, и васкулит проявляется на поверхности кожи только при сильных переохлаждениях.
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