Diet No. 7b is indicated for acute and chronic glomeralonephritis with concomitant kidney failure. The doctor prescribes medical nutrition as a continuation of table No. 7a. The purpose of such a diet is to maximize the sparing of kidney activity, help the body in removing metabolic products, and reduce edema and hypertension.

Diet - 5-6 meals a day. The chemical composition of diet number 7b:

  • 40-50 g proteins (30-40% vegetable)
  • 85-90 g fat (75-80% animal origin)
  • 400-450 g carbohydrates (up to 100 sugars)
  • energy value - 2500-2600 kcal

The amount of proteins in the diet of table No. 7b is reduced. Caloric content due to the content of carbohydrates and fats is within the physiological norm. Food is prepared without salt. The daily amount of free fluid is controlled by the amount of urine.

Recommended and prohibited foods for therapeutic diet No. 7b

The list of products for this treatment table is the same as for diet No. 7a, with the exception of some nuances. Thus, a doubled amount of protein is achieved by increasing the consumption of fish and meat to 125 grams gross, 1 egg per day, and 125 grams of milk or sour cream. Cottage cheese is also included in the menu only if meat and fish are not present in the patient's diet.

Protein-free and salt-free bread per day can be consumed up to 150. The daily norm of fresh vegetables and potatoes has also been increased (up to 650 g and 300 g, respectively). To ensure the proper amount of carbohydrates and fats, the diet should be enriched with an adequate amount of vegetable oil and sugar. Cereals are gradually introduced.

Diet number 7b: one day menu

Breakfast 1: vegetable salad, rice pudding, tea

Breakfast 2: grated carrots sprinkled with granulated sugar

Lunch: vegetable soup, boiled chicken with potatoes, compote

Afternoon snack: decoction of wheat bran

Dinner: soft-boiled egg, apple pancakes, tea

Before bed: fruit juice

Diet table 7 is a food that is prescribed for diseases of the excretory system. The diet of diet No. 7 is selected in such a way as to relieve the burden on the kidneys. That is why it is prescribed for kidney disease: chronic and acute nephritis.

In chronic nephritis, it is necessary to adhere to table 7 if there are no exacerbations. If the nephritis is of an acute nature, then the patient is first prescribed a treatment menu 7a and 7b. The transition to menu 7 is carried out when there are no acute manifestations of inflammation, and the disease enters the stage of attenuation.

The effectiveness of table 7 for jade is that such a menu relieves the excess load from the kidneys. Facilitating the work of the kidneys allows the excretory system to work more efficiently, ridding the body of harmful substances of its vital activity. Using only wholesome food and controlling the drinking regime, you can significantly reduce puffiness. Thus, just a diet with the rules of what is possible and what is not can help get rid of the disease.

Table features 7

To reduce the load on the kidneys, you need to change your diet and stick to a certain diet. To do this, limit protein products to 60-70 grams of protein per day (this means that the patient can eat 150 grams of meat or fish). Fats and carbohydrates are consumed in the physiologically necessary amount - 80 grams and 400 grams, respectively. Calorie diet - 2500 cal.

It is important to say about the drinking regimen: you need to drink up to 1 liter of liquid per day. All liquids are taken into account here, namely soups, drinks and water. The amount of water is very important in nephritis as it puts extra stress on the body's excretion system.

The amount of salt is limited: you can use no more than 6 grams of salt. In order to control the amount of salt, it is necessary to salt the dish already prepared on a plate. It is necessary to allocate the allowed rate every day so that the patient has the opportunity to regulate the process of adding salt to food.

What is limited in this diet? As with all therapeutic diets, alcoholic and carbonated drinks, spicy, overcooked, salty, smoked foods are prohibited. Food should be as simple and healthy as possible.

Diet 7 table - what is possible, what is not (table)

In order to correctly compose a menu of clinical nutrition, you must be guided by a table from which you will learn what is possible and what is not possible for a patient with nephritis. Nutrition should be not only useful, but also varied, contain the necessary nutrients.

Products What can you eat What not to eat
Bread and flour Salt-free bread. Fritters with yeast without salt Regular bread. Baking with salt
Meat and poultry Low-fat varieties: veal, rabbit, turkey, chicken Fatty meats and poultry. Fried, stewed, smoked, salted meat and poultry. Sausages. canned food
Fish Low-fat varieties: hake, blue whiting, silver carp Oily fish. Salted, smoked fish. Canned food. Caviar
Dairy On Diet 7, almost all dairy dishes and sour-milk drinks are allowed. Cheese
Eggs Up to 2 eggs per day (with restriction of other protein products) soft-boiled or in the form of an omelet
cereals All types of cereals. Pasta Legumes
Soups Soups with vegetable broths Broths: meat, fish, mushroom, bean
Vegetables Almost all vegetables in raw and thermally processed form Onion, garlic, radish, spinach, sorrel. Mushrooms. Salted, pickled, pickled vegetables
Fruits All fruits
Dessert Jelly, popsicles, honey, jelly, jam, sweets Chocolate
Beverages Weak coffee, teas. Juices from fruits and vegetables Strong coffee, cocoa. Salt mineral water

Diet table 7: menu for the week

After looking at the table, we can conclude that there are a lot of allowed products. In order for the medical nutrition to be varied and healthy, make a menu for a while, from 3 to 7 days. When you see lists of dishes in front of you, you can really appreciate the usefulness and variety of the diet.

In order to make table 7 balanced and healthy, use several standard dishes that will be repeated every day, but with different ingredients. For example, if this is a soup, then let rice, buckwheat, barley alternate. If you add to this a few more types of soup-puree from different vegetables, then this will already be the lunch menu for the whole week.

When compiling a menu, remember about the limitations of protein foods. Once a day, meat or fish is allowed in the amount of 100-150 grams. As for cottage cheese, use it to make casseroles, lazy dumplings, or mousse. Also limit eggs.

If there is kidney disease, table 7 has very strict recommendations regarding meat products. Remember that in one day you can not eat everything together: meat, cottage cheese, and eggs. If the menu is meat or fish, then it is better to exclude eggs and limit cottage cheese. The less meat dishes - the more cottage cheese. Eggs have their own norm: no more than 2 eggs per day. But the yolks can be used in cooking even on "meat" days.

Cooking meat mainly consists of boiling in water, steaming, and then you can bake in the oven. It is characteristic that you can fry a piece of meat or fish after cooking, but it is impossible to fry and bake initially raw. In this case, certain substances are released in the dish, which are very difficult for the kidneys to remove from the body. For the same reason, meat and fish broths are completely excluded from the diet.

Table menu example 7 for the day

  • Breakfast: oatmeal with berries and banana, tea.
  • Lunch: pancakes without salt with jam.
  • Lunch: zucchini soup, grilled fish fillet (150 grams), rice with vegetables, fruit juice.
  • Snack: cereal-curd casserole (with a small amount of cottage cheese), dried fruit compote.
  • Dinner: vegetable salad, ryazhenka.

Dish recipes

Since the therapeutic diet table number 7 has a lot of allowed foods in the diet, this makes it possible to cook a lot of new dishes every day. All kinds of soups from all possible cereals, casseroles, vegetable purees, fruits and almost all desserts with the exception of chocolate. The only thing to watch out for is the lack of salt in the cooking process.

Vegetable ragout

To prepare this healthy and simple dish for a healing diet, you will need the following ingredients:

  • potatoes (300 grams);
  • zucchini (400 grams);
  • white cabbage (400 grams);
  • carrots (1 pc.);
  • bell pepper (2 pcs.);
  • sunflower oil.

Wash and clean vegetables. Cut potatoes and zucchini into cubes. Grate carrots on a medium grater. Pour 2 tablespoons of sunflower oil into a saucepan with a thick bottom and pour in the carrots. Stir it. After 2 minutes, add potatoes and zucchini to the pan. Add water to cover the vegetables. Chop cabbage and bell pepper into strips. Add to saucepan. Simmer vegetables for 20-30 minutes. Make sure the water doesn't boil away completely. At the end of cooking, add black ground pepper, dill. To control the amount of salt on meal table 7, salt the stew in portions before serving.

Pancakes with jam

For the effectiveness of the therapeutic diet table 7, it is necessary to limit fried foods, but pancakes can be cooked every few days. Make sure they are not too fried. To do this, use a small fire and turn the pancake over in time.

For the test you will need:

  • flour (one and a half glasses);
  • milk (glass);
  • 2 yolks;
  • sugar (2 tablespoons);
  • sunflower oil;
  • vanilla sugar.

Prepare the dough by mixing flour, sugar and vanilla sugar, then add 2 egg yolks, milk. Using a blender or whisk, mix the adze so that there are no lumps. If it's too thick, add water. The dough should have the consistency of thin sour cream. Lastly, pour 4 tablespoons of sunflower oil into it. Fry the pancakes over low heat.

Serve pancakes with jam. Table 7 should be varied: you can eat pancakes with sour cream, different varieties of jam, fresh fruits and berries. For example, use such pancakes as pita bread, in which you can wrap a banana and strawberry fruit salad.

With numerous kidney diseases, such as: pyelonephritis, chronic and acute nephritis, nephropathy, glomerulonephritis, as well as a tendency to edema, a therapeutic diet Table 7b, developed by a dietitian M.I. Pevzner. Therapeutic diet 7b is designed for a long course and is aimed at improving metabolic processes in the body, reducing swelling and inflammation in the kidney area.

Restoring kidney function with dietary table 7b

The therapeutic diet table 7b according to Pevzner has a gentle load on the kidneys, reduces swelling and hypertension, and helps to remove toxins from the body.

The basic rules of the Pevzner therapeutic diet Table 7b:

  • Fractional meals (4-5 times a day) in small portions;
  • Reducing the consumption of protein foods;
  • Limiting the intake of fats and carbohydrates. Animal fats should be no more than 70% fat;
  • Exclusion from the diet of spices and table salt;
  • Reducing fluid intake to 1 liter per day in order to. To reduce the burden on the kidneys;
  • Meat, poultry and fish must first be boiled, and then you can stew, fry, bake;
  • The calorie content of the daily diet with the diet Table 7b should be 2500-3000 Kcal.
  • Long-term adherence to diet 7b until complete recovery. It is recommended to continue diet 7b for the next 2-3 weeks after complete recovery.

Grocery list



The list of products for the diet Table 7b is quite wide, which will allow you to follow therapeutic nutrition for a long time, which is necessary for a full recovery.

Allowed foods for the diet Table 7b according to Pevzner:

  • Lean meat, poultry and fish. At the beginning of diet 7b, their use is limited, which is associated with a toxic effect on the kidneys of protein breakdown products;
  • Bread and bakery products (all kinds, not containing salt);
  • Pasta. Consume in limited quantities;
  • Cereals and cereals (oats, buckwheat, millet, rice);
  • Dairy and dairy products. Consume in limited quantities;
  • Eggs (hard-boiled or cooked in the form of an omelet) no more than 2 pieces per day;
  • Vegetables (potatoes, carrots, tomatoes, beets, cucumbers, zucchini, pumpkin, cauliflower, lettuce);
  • Greens (dill, parsley);
  • Fruits and berries (raw and baked). Limited consumption of watermelons;
  • Fruit, vegetable and berry juices;
  • Rosehip decoctions, dried fruit compotes, black tea, weak brewed coffee.

Prohibited foods for diet Table 7b according to Pevzner:

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  • The first dishes cooked on the broth of meat, beans, mushrooms, fish;
  • Meat and vegetable canned food;
  • Legumes (beans, peas, beans, lentils);
  • Smoked and salted fish, as well as caviar;
  • Smoked meats, sausages;
  • Radishes, garlic, onions, mushrooms;
  • Pickled vegetables;
  • Cheese (all varieties);
  • Strong coffee, cocoa;
  • Carbonated and alcoholic drinks.

How much fluid should you drink?



The amount of fluid in the Pevzner 7b diet should be limited to 1 liter per day. Restriction of fluid intake during a therapeutic diet Table 7 b is aimed at reducing swelling and inflammation in the kidney area. The volume of liquid consumed per day should be equal to or be 300 ml more than the amount of urine excreted for the previous day.

The shown daily rate of liquid during the diet Table 7b consists of pure water without gas, as well as soups, juices, tea, compote. In order not to exceed the indicated norm, it is necessary to limit first courses in your diet. This restriction will help reduce the burden on the kidneys.

Menu for the week



Diet 7b - menu for the week (breakfast, lunch, afternoon snack, dinner):
Monday:

  • Omelet from 2 eggs. Tomato;
  • Lean vegetable soup. Boiled chicken fillet. 2 slices of rye bread;
  • Berries;
  • Mashed potatoes. Steamed beef cutlets. Grated carrot salad.

Tuesday:

  • Buckwheat porridge with butter. Apple;
  • Lenten borscht. Boiled turkey fillet. 2 slices of bread;
  • A glass of kefir;
  • Vegetable stew. Rabbit stewed in sour cream sauce.

Wednesday:

  • Muesli with prunes. Kissel;
  • Pumpkin porridge with milk;
  • 1 hard boiled egg;
  • Squash caviar. Boiled fish fillet.

Thursday:

  • Cottage cheese casserole with raisins;
  • Broccoli soup. 2 slices of bread. Boiled chicken breast;
  • Tomato juice;
  • Rice. Veal goulash. Cabbage salad.

Friday:

  • 2 hard boiled eggs. Cucumber tomato;
  • Buckwheat soup. 2 slices of bread. Boiled rabbit meat;
  • 1 glass of milk;
  • Roast beef. Salad "Brush".

Saturday:

  • Cheesecakes with raisins and sour cream;
  • Vegetable rice soup. 2 slices of bread. A piece of fish;
  • Hard boiled egg;
  • Lenten pilaf. Beef steak. Cucumber and tomato salad.

Sunday:

  • Milk soup with vermicelli;
  • Mashed potatoes. Beef medallions. beetroot salad;
  • Kissel;
  • Boiled fish. Baked potato. Cabbage salad.

According to the rules of the diet Table 7b, the volume of liquid consumed per day should be no more than 1 liter, along with first courses, dairy and sour-milk products (milk, kefir, fermented baked milk), juices, teas and water.

Recipes

Recipes for diet 7b:

Lenten pilaf with dried fruits



Lenten pilaf with dried fruits

Ingredients:

  • Rice 2 cups;
  • Carrots 2 pieces;
  • Prunes;
  • Dried apricots;
  • Raisin;
  • Water.

Cooking method:

  1. Rinse rice and dried fruits.
  2. Pour boiling water over dried fruits to swell.
  3. Peel the carrots from the peel, cut into strips.
  4. Fry the carrots in a pan until golden brown, then add chopped dried fruits to it, simmer over low heat for 5 minutes.
  5. Pour washed rice, carrots with dried fruits into a cauldron, pour water so that it covers the rice by 3 cm.
  6. Cook pilaf over low heat for 45-50 minutes until cooked. Stir occasionally.

According to the rules of the diet Table 7b, it is forbidden to add salt and spices to lean pilaf with dried fruits. Pilaf will turn out crumbly and sweetish in taste.

Roast beef



Roast beef

Ingredients:

  • Beef 500 gr;
  • Potatoes 500 gr;
  • Carrots 2 pcs;
  • Vegetable oil;
  • Water.

Cooking method:

  1. According to the therapeutic diet of Pevzner Table 7b, it is necessary to boil the beef first. Cook the meat on low heat for 30 minutes until tender, then cool.
  2. Cut the meat into medium pieces, throw into the pan.
  3. Peel carrots and potatoes. Cut the potatoes into small cubes, carrots into strips.
  4. Fry the carrots in a pan until browned, throw into a pan with meat and potatoes.
  5. Pour the meat with vegetables with water so that it completely covers them.
  6. Bring to a boil, reduce the gas and simmer over low heat for 20-25 minutes until the vegetables are fully cooked.

According to the rules of the diet Table 7b, it is forbidden to add spices and salt when cooking.

Broccoli soup



Broccoli soup

Ingredients:

  • Broccoli;
  • Cream 0.5 l;
  • Butter 20 gr;
  • Water.

Cooking method:

  1. Rinse the broccoli, cut off the legs, divide the head of cabbage into inflorescences.
  2. Melt the butter in a saucepan, throw in the chopped broccoli, add water, bring to a boil.
  3. Simmer the soup on low heat for 20 minutes (until the legs are fully cooked).
  4. Remove from heat and puree broccoli in a blender until smooth.
  5. Pour the resulting puree into a clean saucepan, add cream, bring to a boil and turn off.

You can serve broccoli soup with therapeutic diet Pevzner Table 7b with herbs (parsley, dill) or crackers to taste.

Cheesecakes with raisins



Cheesecakes with raisins

Ingredients:

  • Cottage cheese 200 gr;
  • 1 egg;
  • Raisin;
  • Sugar 2 tablespoons;
  • Flour 2 tbsp;
  • Vegetable oil.

Cooking method:

  1. Put the cottage cheese in a container, add the egg, sugar.
  2. Pour boiling water over the raisins, let it brew until it swells.
  3. Add raisins to the curd mass, mix thoroughly.
  4. Form small cutlets, roll them in flour and fry them in a pan with hot vegetable oil.

Treat yourself to tender cheesecakes with raisins for breakfast while following the Pevzner's therapeutic diet Table 7b.

The kidneys are an important filtering organ that rids the body of toxins, poisons and harmful components. Of course, such elements eventually settle in the cells of the kidneys, causing inflammation, stones, and even insufficiency. The revision of nutrition during the treatment of kidney diseases is a key point in order to provide the body with mechanical and chemical sparing, natural cleansing and temporary unloading.

The therapeutic diet No. 7 B according to Pevzner is a sparing version of the diet No. 7 A, which is prescribed from the first days of diseases such as glomerulonephritis and chronic nephritis. It is its gentle continuation and provides the convalescent patient with a rational, satisfying and balanced diet with moderate kidney sparing.

As we have already found out, diet No. 7 B is prescribed immediately after the primary option No. 7 A, approximately on the 18-21st day of the disease. A diet is indicated in the presence of acute manifestations of glomerulonephritis with possible renal failure, as well as in the case of chronic nephritis with the same symptoms. Diet No. 7 B is prescribed when the patient moves to the next stage of the above diseases.

This diet option is also characterized by a reduced protein content, as well as a strict restriction in the menu of salt and salt-containing foods. Lipids and carbohydrates in the menu remain unchanged in the usual volume. However, this diet is not able to fully satisfy the physiological needs of an active person for nutrients. That is why the menu should include a sufficient amount of natural and synthetic vitamins, minerals, antioxidants and amino acids. Nitrogenous and extractive components, salty, fatty and spicy foods, protein-containing ingredients (meat, dairy, cereals) should be removed from the diet.

The chemical composition of the diet is more complete than in the previous version. The amount of proteins increases from 20 to 40-60 g per day (up to 70% animals). We consume up to 30 g of vegetable lipids and about 50-60 g of animal origin. Carbohydrates in the menu should be up to 450 g, mostly complex (slow) and no more than 100 g of them - sugar.

The main rules of clinical nutrition on diet No. 7 B:

  • culinary processing of products remains unchanged as for diet No. 7 A, namely: cooking, parka, stewing, frying, baking, drying, drying, languishing;
  • during cooking, salt and pepper food is strictly prohibited;
  • for the kidney diet, crushing and mashing food is not required, you can serve it in the usual way;
  • daily diet habitual - 4-6 meals per day, and each portion should be small;
  • the last time you should have a snack a couple of hours before bedtime, and before going to bed you can take a glass of a permitted drink;
  • during the diet, overeating, fasting, breakdowns are not welcome, try to adhere to the prescribed daily calorie range - 2200-2600 kcal;
  • no more than 1 liter of any liquid should be consumed per day, including broths, dairy and sour-milk products, juices and teas;
  • on average, the volume of fluid intake should depend on the amount of urine excreted and other clinical signs;
  • diet No. 7 B should be carried out in strict sequence after diet No. 7 A and only with the approval and appointment of the attending physician;
  • There are no restrictions on the temperature of ready meals, but the optimal temperature can be considered 15-60 degrees Celsius.

The goals of prescribing a sparing diet No. 7 B:

  • reduction of inflammatory processes in the kidneys, restoration of their normal functioning;
  • unloading of the kidneys and sufficient sparing of their main function;
  • stimulating the cleansing of the body and kidneys, in particular, from metabolic products and protein deposits;
  • reduction in the manifestation of arterial hypertension;
  • reduction of swelling of tissues, removal of excess water from the body;
  • reduction of symptoms of the above diseases;
  • supporting the body during the period of active treatment, providing it with the necessary energy components and vitamins.

Recommended Ingredients and Dishes on The 7B Health Diet, Healthy Menu Option

As we have already found out, the diet should be low in protein, with a sharp restriction of salt, extractive and nitrogenous components, oxalic acid, and essential oils. Lipids and carbohydrates are not prohibited, on the contrary, you, more than ever, can afford enough natural sweet foods (fruits, berries, jams, jams, sugar, honey).

Flour products, pastries.
As always, any pastries that do not contain eggs, salt and proteins are allowed (up to 150 g per day). Therefore, bread should be made at home or bought from trusted diet departments. For cooking, it is better to use corn starch and wheat flour, less often bran or rye. Butter, yeast and shortbread cookies, pies and casseroles prepared in compliance with the above conditions are also allowed.

Cereals, pasta.
During diet number 7 B, we stop at cereals and pasta with a reduced protein content. Sago starch is best, less often rice and other cereals. You can make your own homemade noodles and pasta by controlling the addition of salt and protein products.

Soups, broths.
Nothing has changed here, you can only use vegetarian broths. When cooking, you can add various vegetables, natural non-sharp and unsalted spices, permitted cereals and pasta. You can fill the salad with butter or vegetable oil, lemon juice, garden herbs, sour cream, cream, tomato paste. Remember that soups and any liquid should be limited to 1 liter per day in total.

Vegetables, garden greens.
Products from the garden are very useful in plant fiber and vitamins, so eat enough vegetables and herbs, both fresh and steamed, boiled, stewed and baked (up to 300 g of potatoes, up to 700 g of other vegetables). Make salads by dressing them with low-fat sour cream or vegetable oil, lemon juice and natural unsalted spices. Salted, pickled, canned, pickled and lightly salted vegetables will have to be abandoned for a while. Legumes, peas, beans, lentils, as well as mushrooms, some types of cabbage, sorrel, garlic, horseradish, mustard, radish, radish are categorically contraindicated.

Berries and fruits.
The general requirements for diet number 7 carry over here. Eat any fruit and I years in various culinary processing and in the absence of it. From fruits and berries, you can prepare nectars, fresh juices, fruit drinks, smoothies, kissels, cocktails, compotes. You can also afford natural desserts - jellies, mousses, jams, preserves, marmalade, sauces, fruit salads with yogurt dressing.

Dessert.
In addition to the above, you can enjoy other natural options, such as marshmallows, meringues, dried fruits, sugar, soufflé, marmalade, casseroles, puddings, marshmallows, gozinaki, honey, Turkish delight, halva.

Dairy and sour-milk products. Given the requirements for limiting proteins and fluids, you can consume low-fat milk, cream, sour cream in small quantities. Cottage cheese can be eaten instead of meat or fish dishes up to 125 g per day. Sometimes you can afford unsalted and mild cheese in small quantities.

animal food.
Red meat and poultry are important in the diet, but during kidney disease they should be limited due to their excess protein content. It is allowed to choose either meat, or fish or sour-milk (cottage cheese) meals per day in the amount of 125 g. It is better to limit offal, especially fatty ones. It is allowed to eat jelly, boiled beef tongue, stewed chicken liver and ventricles, hearts, pates, as well as chicken eggs in the amount of 2 pcs. per week (soft-boiled or in the form of an omelette). Offal restrictions are the same - up to 125 g per day. For the duration of the diet, you should abandon smoked meats, sausages, fatty and dried meat, canned food and stews.

Fish and seafood.
Choose lean fish for your diet, preferably sea fish. During cooking, fish can be boiled, baked, stewed and fried without breading, salt, hot spices. Meal per day does not differ from meat - 125 g. Offal should be discarded, as well as canned food, salted and soaked fish, herring under a fur coat, smoked and dried products. In addition to fish, you can afford seafood in the same volume and with the same salt requirements.

Sauces and gravies.
To add flavor to the finished dish, you can cook tomato, soy, sour cream, creamy, dairy, vegetarian sauces. Also use butter and vegetable oil, garden greens, natural spices, garden greens. Sauces on meat, fish, mushroom broth, as well as ketchups, adjika, mayonnaise, wasabi, mustard are prohibited. Fruit salads are best dressed with cream, yogurt, buttercream or jam.

free liquid.
Strictly observe the daily norm of 1-1.2 liters of liquid. You can use a weak decoction of tea or herbal infusions, milk and sour-milk drinks, rosehip or bran broth, juices, nectars, kissels, smoothies, fruit drinks, green smoothies, compotes, ordinary purified water. You should refuse any coffee drinks, sodium mineral water, sweet soda, energy drinks and alcohol, strong tea, cocoa, salted vegetable juices, industrial drinks from sticks and bags, broths from cubes.

An example of a rational day of treatment table No. 7 B:
Breakfast is a spring vegetable salad with olive oil, rice pudding with raisins and an apple. We drink everything with weak green tea with lemon or milk.
The snack consists of a soufflé (carrot plus beets or pumpkin).
Lunch includes vegetable soup with potatoes, beef stew with buckwheat porridge. We wash everything down with a knot of dried fruits.
Snack - berry jelly or mousse, rosehip broth.
For dinner, we cook a soft-boiled egg, protein-free pancakes with a pear or an apple. We drink everything with citrus juice diluted with water.
Before going to bed, you can drink a glass of bran decoction, eat an apple.

Compliance with such a menu categorically excludes various stressful situations, weight lifting, any physical activity and sports. Lead a quiet lifestyle, often lie or just walk in the fresh air.

Restriction in the menu can lead to depletion of muscle mass and a decrease in athletic performance, as well as adversely affect the condition of hair, nails, teeth, and skin. All these are temporary phenomena associated with a therapeutic diet. Additionally, you can take multivitamins for problem areas, fish oil, brewer's yeast.

Also, during the diet, a slight weight loss is possible within the normal range due to the transition to a healthy and moderate calorie diet. If other unpleasant symptoms are observed for a sufficient time, you should contact your doctor to adjust the diet. The same correction is required in case of an allergy to a certain group of products or substances in them.

Only the attending physician has the right to prescribe or cancel a diet after an examination, prescribing tests and functional studies of the kidneys.

04/19/2019 Article

In medical and preventive and sanatorium-and-spa institutions, the traditional numbered diet system of M.I. Pevzner is used for nutrition in certain diseases. The 7th table diet is indicated for kidney diseases, such as acute and chronic nephritis (pyelonephritis, glomerulonephritis).

Diet No. 7, complete in energy value, is limited in the intake of free fluid, salt (sodium chloride) and all substances that irritate the kidneys, stimulate the cardiovascular and central nervous system, meat, milk and mushroom broths, foods rich in essential oils and oxalic acid.

Depending on the severity and specifics of the condition, there are varieties of this diet.

Diet "Table number 7"

Diet number 7 is prescribed for diseases:

  • chronic nephritis (glomerulonephritis) without exacerbation and kidney failure;
  • acute nephritis (glomerulonephritis) during the recovery period (from the 3rd-4th week of treatment);
  • nephropathy of pregnant women;
  • other diseases in which a low-salt diet is indicated.

Purpose: moderate sparing of night function, reduction of hypertension and edema, improved excretion of nitrogenous and other metabolic products from the body.

general characteristics: the content of proteins is somewhat limited, fats and carbohydrates - within physiological norms. Food is prepared without salt. Salt is given to the patient in the amount indicated by the doctor (3-6 g). The amount of free fluid is reduced to an average of 1 liter. Exclude extractive substances of meat, fish, mushrooms, sources of oxalic acid and essential oils. Culinary processing without mechanical and with moderate chemical sparing. Meat and fish (100-150 g per day) are boiled. Food temperature is normal.

The chemical composition and calorie content of the dietary table No. 7: carbohydrates - 400-450 g (80-90 g of sugar); proteins - 80 g (50-60% animals), fats - 90-100 g (25% vegetable), calories - 2700-2900 kcal; free liquid - 0.9-1.1 l.

Diet: 4-5 times a day.

Do's and Don'ts

Products and dishes What can What is not allowed
Soups Vegetarian with vegetables, cereals, potatoes; fruit, limited - dairy. Seasoned with butter, sour cream, dill, parsley, citric acid, vinegar; onions after boiling and sautéing. Meat, fish and mushroom broths, from legumes.
Bread and flour products Salt-free bread, pancakes, pancakes with yeast and without salt. Bread of ordinary baking, flour products with the addition of salt.
Meat and poultry Lean beef, veal, meat and trimmed pork, lamb, rabbit, smoked, turkey, boiled or baked, lightly fried after boiling. Piece or chopped. Boiled tongue. Fatty varieties, fried and stewed dishes without boiling. Sausages, sausages, smoked meats, canned food.
Fish Low-fat, boiled, followed by light frying or baking, a piece and chopped, stuffed, aspic after boiling. Fatty species, salted, smoked fish, caviar, canned food.
Dairy Milk, cream, sour-milk drinks, cottage cheese and cottage cheese dishes with carrots, apples, rice; sour cream. Cheeses.
Eggs Yolks added to dishes. Whole eggs - up to 2 per day (soft-boiled, scrambled eggs) - with a decrease in meat, fish or cottage cheese. -
cereals Various cereals (in particular, sago, rice, corn, barley) and pasta in any preparation. Legumes.
Vegetables Potatoes and vegetables are widely used in any cooking. Legumes, onions, garlic, radishes, radishes, sorrel, spinach, salted, pickled and pickled vegetables, mushrooms.
Snacks Vinaigrettes without pickles, salads from fresh vegetables and fruits. -
Fruit Sweet food and sweets. Various fruits and berries, raw, boiled, compotes, jelly, jelly, honey, jam, sweets, fruit ice cream. Chocolate.
Sauces and spices Tomato, dairy, sour cream, fruit and vegetable sweet and sour sauces, onion from boiled and fried onions. Vanillin, cinnamon. citric acid, vinegar. Meat, fish and mushroom sauces, pepper, mustard, horseradish.
Beverages Tea, weak coffee, fruit and vegetable juices. Rosehip decoction. Strong coffee, cocoa, mineral water rich in sodium.
Fats Creamy unsalted, ghee and refined vegetable oils; limited - lard. -

  • First breakfast: soft-boiled egg, loose buckwheat porridge, tea;
  • Second breakfast: baked apples;
  • Lunch: vegetarian borsch with sour cream (1/2 portion), boiled meat with fried potatoes, dried fruit compote;
  • Afternoon snack: rosehip broth;
  • Dinner: baked apple and carrot meatballs, noodles with cottage cheese, tea.

Diet "Table No. 7a"

Diet No. 7a is prescribed in the following cases:

  • acute nephritis (glomerulonephritis) in severe form after unloading days and moderate severity from the first days of illness;
  • chronic nephritis (glomerulonephritis) with severe renal failure.

Purpose

general characteristics: predominantly plant-based diet with a sharp restriction of proteins, with the exception of sodium chloride. The amount of fats and carbohydrates is moderately reduced. Exclude products rich in extractives, essential oils, oxalic acid. Culinary processing without mechanical sparing: boiling, baking, light frying. Food is cooked without salt, bread is salt-free. The amount of liquid should correspond to or not more than 300-400 ml exceed the amount of urine of the patient for the previous day.

Chemical composition and caloric content of the dietary table No. 7A: carbohydrates - 350 g (80 g of sugar); proteins - 20 g (50-60% animals, and in chronic kidney failure - 70-75%), fats - 80 g (15% vegetable), 8, 8-9, 2 MJ (2100-2200 kcal); sodium chloride, free liquid - 1.5-2 liters or more.

Diet: 5-6 times a day.

Do's and Don'ts

Table "Do's and Don'ts"
Products and dishes What can What is not allowed
Bread and flour products Protein-free salt-free bread on corn starch - 100 g, in its absence 50 g of salt-free wheat bread or other flour products baked with yeast without salt. Ordinary bread, flour products with the addition of salt.
Soups Taking into account the permitted liquid - with sago, vegetable, potato, fruit. Seasoned with boiled browned onions, sour cream, herbs. Meat, fish, mushroom broths, dairy, cereals (except sago) and legumes.
Meat, poultry, fish Up to 50-60 g gross of lean beef, veal, meat and trimmed pork, rabbit, chicken, turkey, fish. After boiling, you can bake or lightly fry, in pieces or chopped. All meat and fish products (sausages, canned food, etc.)
Dairy 60 g (or more due to meat and fish) milk, cream, sour cream. Cottage cheese - with the exception of meat and fish. Cheese
Eggs In meals - 1/4-1/2 eggs per day or 2-3 per week (soft-boiled, scrambled eggs) -
cereals Sago, limited - rice, protein-free pasta. On water and milk in the form of cereals, puddings, casseroles, pilaf, cutlets. Other cereals and pasta, legumes.
Vegetables Potatoes and fresh vegetables (respectively 200-250 g and 400-450 g gross) in the form of various dishes. Boiled and fried onions - in dishes. Dill, parsley. Salted, pickled and pickled vegetables, legumes, spinach, sorrel, cauliflower, mushrooms, radish, garlic.
Snacks Vegetable salads and vinaigrettes with vegetable oil. -
Fruits, sweet dishes and sweets Various fruits and berries. Raw, dried, baked. Kissels, compotes and jelly. Sugar, honey, jam, not chocolates. Chocolate, milk jelly, ice cream.
Sauces and spices To “mask” salt-free diets: sweet and sour sauces, tomato, sour cream, vegetable and fruit sauces, vanillin, cinnamon, citric acid. Boiled, fried onions. Meat, fish, mushroom sauces; mustard, pepper, horseradish.
Beverages Weak tea with lemon, juices of fruits and berries, tomato, rosehip broth. Cocoa, natural coffee, mineral water rich in sodium.
Fats Creamy unsalted, cow ghee, vegetable oils. Other fats.

Example of dishes for the day from the weekly menu

  • First breakfast: carrot-apple cutlets baked in vegetable oil, sago milk porridge, tea.
  • Second breakfast: fresh fruit.
  • Lunch: vegetarian vegetable soup (1/2 portion), boiled meat with tomato sauce, boiled potatoes, jelly.
  • Dinner: sago pilaf with fruit, vegetable salad with vegetable oil, tea.
  • At night: fruit juice. If necessary, reduce the amount of free liquid (tea, jelly).

Diet "Table No. 7b"

Diet No. 7b is used for:

  • acute nephritis after diet No. 7A or immediately with a mild form;
  • chronic nephritis with moderately severe kidney failure.

Appointments: maximum sparing of kidney function, improved excretion of metabolic products from the body, reduction of hypertension and edema.

general characteristics: a diet with a significant decrease in protein and a sharp restriction of sodium chloride. Fats, carbohydrates and calories are within the physiological norm. Exclude products rich in extractives, essential oils, oxalic acid. Culinary processing without mechanical sparing: boiling, baking, light frying. Food is cooked without salt, bread is salt-free. Food is prepared without salt. Compared with diet No. 7A, the amount of protein was doubled, mainly due to the inclusion of 125 g (gross) of meat or fish, 1 egg, up to 125 g of milk and sour cream. Meat and fish can be replaced with cottage cheese, taking into account the protein content in these products. Diet No. 7B also increased to 150 g the amount of protein-free salt-free bread on corn starch, sago (or rice), as well as potatoes and vegetables (respectively 300 g and 650 g gross), sugar and vegetable oil to ensure the proper content of fats and carbohydrates.

The chemical composition and caloric content of the dietary table No. 7B: proteins - 40-50 g (50-60% animals, and in chronic kidney failure - 70-75%), fats - 85-90 g (20-25% vegetable), carbohydrates - 450 g (100 g sugar), calories - 2600-2800 kcal, Free fluid under the control of the amount of urine and other clinical indicators (see diet No. 7A), on average 1-1.2 liters.

Diet: 5-6 times a day.

Example of dishes for the day from the weekly menu

  • First breakfast: vegetable salad with vegetable oil, rice pudding with apples, tea.
  • Second breakfast: raw grated carrots with sugar. Lunch: vegetable soup, boiled chicken in milk sauce, boiled potatoes, dried fruit compote.
  • Snack: a decoction of wheat bran with sugar.
  • Dinner: one soft-boiled egg, apple pancakes, tea.
  • At night: fruit juice.

Diet therapy contributes to the rapid recovery of the body. Adhering to nutrition, the patient in a short time normalizes the functioning of the body.