Treatment table number 10: salt, chocolate, plenty of fluids and others “not to” in the diet of “cores”

Therapeutic diet number 10 is one of the corrective nutritional options developed by the famous physician Manuel Pevzner. The tenth table is aimed at improving the condition of the myocardium, blood vessels and nervous system. Diet increases the effectiveness of therapy for heart and vascular diseases.
Vinaigrette in a plate

The heart is the motor of the body. His work depends on many factors. Among the main ones are the composition of the blood, the state of the vessels, normal nervous and humoral regulation. With the help of proper food, you can positively affect all of these "links". Table number 10 is designed to adjust myocardial function and blood biochemical parameters. Improving blood flow, the work of detoxification organs and the nervous system, therapeutic nutrition has a beneficial effect on the state of the whole organism.

Reasons for Appointment

Unhealthy food speeds up the process of body wear, provokes the appearance of diseases, and violates the ratio of incoming nutrients. As a result, diseases appear and progress. A proper diet will eliminate the mechanism of disturbances at the cellular level, enhance the positive effect of drugs. If the doctor has prescribed a special diet, the patient’s recovery rate depends on its observance. Indications diet number 10 waiting for cardiac patients. List:

  • congenital and acquired heart defects;
  • progressive cardiosclerosis;
  • hypertension with circulatory disorders.
A moderate restriction of salt and fat, as well as a decrease in the load on the excretory organs, make this nutrition plan suitable for the treatment of other diseases. In particular, of autoimmune origin.

Varieties of therapeutic diet number 10

There are several variations of the tenth table. The differences are not global, but important. Diets, depending on the assigned letter, provide an individual approach to the treatment of patients with various diseases and differences in their course.

  • BUT. If cardiac pathology has led to circulatory disorders of the second and third degree, a diet No. 10a is prescribed.
  • B. If rheumatism goes into remission, and its acute course did not provoke serious blood flow disorders, apply table No. 10b.
  • WITH. In the complex treatment of coronary heart disease, hypertension, atherosclerotic lesions of the peripheral and central vessels, a diet No. 10c is prescribed.
  • R. With rheumatoid arthritis in any phase, as well as regardless of the localization of foci of inflammation, a table No. 10p is prescribed.
  • G. A prolonged and persistent excess of normal blood pressure indicators is called essential hypertension. For treatment, table No. 10g is shown.
  • AND. After a heart attack, a person needs not only medical assistance, but also a restorative diet No. 10i.
The main requirement that combines all the options of the tenth table: to comply with the ratio of proteins, fats, carbohydrates (BJU) in the diet. Each "letter" has its own ratio.

The effect of medical nutrition on the course of pathology

The main purpose of appointing treatment table No. 10 is to normalize coronary and peripheral blood flow. This will ensure proper nutrition of all body tissues, accelerate the attenuation of inflammatory processes, bring closer the cure of the disease or its transition to the phase of remission.

Also, the tenth table is designed to normalize the metabolism and prevent disorders in it, which will protect against the appearance of concomitant diseases and metabolic disorders.In addition, each diet option is required to provide the patient with the necessary nutrients and energy for normal life.

To "relieve" the body, the diet involves reducing the daily volume of fluid and salt. The result of the introduction of such restrictions:

  • pressure stabilization;
  • prevention of jumps in the tone of the vascular walls;
  • decrease in burden on the kidneys;
  • optimization of the volume of the bloodstream;
  • normalization of electrolyte balance;
  • elimination of edema;
  • improvement of the nervous system.

The specific goals of the appointment of subspecies of the tenth table are achieved due to the following features.

  • Number 10a. Relieves the heart by reducing the amount of salt and water, severely restricting the intake of extractive substances with food.
  • No. 10b. Thanks to the correction of the amount of consumed proteins, it reduces the reactivity of the immune system and reduces the activity of foci of inflammation.
  • No. 10c. It fights against atherosclerosis by regulating lipid metabolism, removing excess cholesterol.
  • No. 10r. It spares the body as much as possible, but retains the nutritional value of the patient’s food, this contributes to the attenuation of inflammation.
  • No. 10g. Corrects the level of blood pressure by limiting or introducing certain vitamins and minerals into the diet.
  • No. 10i. It accelerates the recovery of the body after a heart attack, but implies a decrease in the calorie content of the diet.

The norm of salt intake on the tenth diet is no more than 2 g per day. Such an amount goes into the body along with “clean”, unsalted food. But if there is no tendency to edema, the patient is allowed to add up to 5 g of salt in dishes at his discretion.

An excessive amount of sodium chloride in the diet provokes edema, fluid retention, an increase in the volume of the bloodstream and a persistent increase in pressure. All of these conditions are unacceptable on the way to recovery from cardiac pathologies.

Chicken bouillon

Energy, calorie, calculation BZhU

The calorie content of the generalized form of the table No. 10 is 2800 kcal. This is an average indicator for a person with reduced physical activity and moderate mental stress, as happens with cardiac pathologies. General prohibitions look like this:

  • irritants of the nervous system - coffee, strong tea, energy;
  • irritants of the excretory organs - chocolate, hot spices;
  • vascular tone stimulants - nicotine, alcohol;
  • liquid - restriction to 1.5 liters per day and a minimum of salt;
  • fried food- and oily.

Not only the quality and quantity of food affects the state of health, but also the ways of its use. The principle of the tenth diet: moderate and stable intake of nutrients in the body. This provides a reduction in the load on it. The rules of dining on a diet number 10:

  • fractional diet - up to six meals per day in small portions;
  • equal intervals between meals - better every two to three hours;
  • reduced dinner volume - The last snack no later than two hours before bedtime.

Together with food, the patient's body should receive:

  • 90 g protein - a large half - of animal origin;
  • 70 g fat - a third are vegetable fats;
  • 400 g carbohydrates - mostly complex.

Saturation of the diet with coarse dietary fiber ensures normal digestion and intestinal motility, and also cleanses the blood of excess sugar and cholesterol. As part of the diet, raw vegetables play the role of fiber sources.

The differences in the nutritional scheme for the specific options of the tenth table are as follows.

  • No. 10a. Reduced calorie intake (2000 kcal) due to changes in the ratio of BZHU. Protein comes in 70 g, fat - 70 g, and carbohydrates - about 300 g.
  • No. 10b. Moderately reduced daily dietary value up to 2600 kcal. An increased amount of protein (120 g), fat (100 g). Carbohydrates remain at the level of 300 g.
  • No. 10c. Calorie content 2100 kcal. Energy is reduced due to carbohydrates (300 g), while maintaining the normal rate of proteins and fats. Relative to the latter, changes are introduced - vegetable prevail.
  • No. 10r. With a diet value of 2100 kcal, the amount of carbohydrates (250 g) and fats (60-70 g) is minimized. Proteins are used within the physiological norm. The sparing of the body occurs by eliminating mechanical and chemical stimuli. Only neutral warm food is used, preferably in grated form.
  • No. 10g. It implies the use of a normal amount of protein and carbohydrates, with a reduced amount of fat. The vitamin and mineral value of the diet increases. A huge role is given to the use of vegetables and seafood.
  • No. 10i. A post-infarction condition requires a small amount of food with a total energy value of about 1200 kcal. The distribution of nutrients occurs according to the scheme 60/30/120. All food is grated and semi-liquid. In the diet, gas formation stimulants are excluded. The average diet is ten days.
According to doctors, for each version of the tenth table one, a standard list of products is suitable. Only the volume of servings and the saturation of each of them with nutrients change.

The table of "good" products ...

For the tenth table, recipes are considered permitted, which include cooking, baking or steaming products. In the chemical composition of meat and fish, an increased amount of extractive substances is observed. To get rid of them, the product is first boiled until cooked, and then baked. The following table of products will tell you in detail about what you can eat on diet No. 10.

Table - Products permitted by table No. 10

CategoryProduct ListNotes
Bakery products- Yesterday's first-class wheat bread;
- wheat crackers;
- inedible cookies
- Yesterday's bread is consumed or dried in the oven;
- when cooking on their own, the dough is not salted
Pasta and cereals- Semolina;
- buckwheat;
- oatmeal;
- high-quality pasta;
- egg noodles
- Porridge is cooked in water with the addition of oil;
- make casseroles and puddings;
- when overweight is consumed in very limited quantities
Milk and eggs- Whole milk;
- all types of dairy products;
- cottage cheese (daily);
- eggs (up to 5 pieces per week, 1 per day)
- Milk is added to drinks, they drink just like that;
- cottage cheese pancakes, casserole, pudding, lazy dumplings are prepared from cottage cheese;
- boiled soft-boiled eggs and make an omelet
Vegetables and fruits- Mild and non-acidic vegetables;
- moderately sweet fruits and berries
- Use raw or conduct heat treatment;
- prepare salads with vegetable oil;
- make jelly, jelly, mousse
Meat and fish- lean meat;
- low-fat river and sea fish;
-seafood
Use chopped and a piece
First meal- Vegetable;
- dairy;
fruit
- Moderately add vegetable fats and butter;
- in the presence of edema, liquid dishes do not eat
Sweets- Sugar;
- jam;
- honey;
- homemade fruit desserts
Use no more than 50 g of simple carbohydrates per day
The "core" can be pampered with low-fat cooked sausage, as well as fat-free fresh varieties of hard or soft cheese. From drinks, weak milk tea is allowed. Coffee will have to be replaced chicory. Recommended products include rosehip broth, which saturates the body with vitamins and eliminates edema.

Oatmeal

... and what cardiologists do not recommend

Excluded products for diet No. 10 (table number 10) are all that the modern world considers harmful: pickles and marinades, smoked meats, snacks with food additives, industrial desserts containing trans fats. But you can’t eat on a diet number 10 and some “healthy” foods for other dietary regimes. The reason for this is the content of extractive substances that can irritate the mucous membranes of the stomach and intestines, as well as the kidneys and liver. The list of harmful products is presented in the table.

Table - Prohibited products for “cores”

Relative contraindicationAbsolute contraindication
- Beans;
- beans;
- green pea;
- radish;
- radish;
- spinach;
- sorrel
- Smoked sausage;
- smoked and salted fish;
- chocolate;
- biscuit;
- spices;
- fibrous meat;
- fat meat;
- baking;
- fresh bread
These prohibitions are not forever. As the patient's condition improves, they transfer to other types of diets that are more adapted to the patient’s food habits. With a favorable outcome, the patient will be recommended diet No. 15, the contraindications of which include fast food and refractory fat.

Menu example

After agreeing with the doctor on general and specific aspects of the tenth table, the patient is better to think through a menu for himself. If sticking to a weekly plan is quite difficult, then planning a meal the next day is quite realistic. You can focus on the available products available in the refrigerator and mentioned in the table. An approximate diet menu number 10 for one day may look like this.

  • First meal. Boiled chicken omelette. Tomato and cucumber salad with bell pepper. Everything is prepared without salt. Dessert - sweet tea with milk.
  • Snack. A serving of calcined cottage cheese with chopped fruits of moderate sweetness.
  • Dinner. Borsch on a vegetable broth without meat. The second is mashed potatoes with fish meatballs. Dessert - berry jelly with a moderate amount of sugar.
  • Snack. Fruit jelly. Cottage cheese or apple baked with cottage cheese and a spoon of honey.
  • Evening meal. Oven-baked fish with tomato and lemon slices. Cabbage salad with corn oil. Weak tea.
Before going to bed, a glass of kefir or fruit juice is allowed. The exception is apple, due to its high sugar content. For the whole day should distribute 150 g of stale bread or crackers.

If you carefully follow the recommendations, the diet improves blood composition, normalizes the patency of blood vessels and strengthens their walls. The treatment table number 10 improves myocardial trophism, unloads the heart and creates optimal conditions for its recovery. Strict dietary restrictions are used for a short time, however, with severe cardiac pathologies, the doctor may recommend adhering to certain principles of the diet throughout life.

Steamed fish

Reviews

My aunt has a husband’s core, where the doctor just didn’t advise him, and diet table 10 and some other specially designed food systems, but it’s very difficult to constantly monitor this, especially considering that other people are also in the house. Their children love something more juicy, more fat, all kinds of sausages and all that.

And the poor aunt is trying to please everyone, so that this was respected according to the rules, and so it was delicious. Sometimes it’s a pity even to look at her. Exhausted with them, but to no avail. All the same, he most often does not eat as he needs, although his heart hurts, and not hers. Here you go. ((((

Julia Moscow, http://www.divo-shop.info/1553-ira

I can’t eat without salt. Almost starving. Calorie intake less than 1000 kcal. I can’t get used to it for a year now. No recommended ways to improve the taste (spices, spices, lemon juice) help, anyway the food is fresh, tasteless, it puffs me. Often my meal is a pile of bread with a clove of garlic or a tomato and a glass of tea. ((

Vera, http://www.neboleem.net/dieta-10.php

Article updated: 09.06.2019

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