What not to do with pulmonary sarcoidosis. Are there any benefits from folk remedies in the treatment of pulmonary sarcoidosis? Features of nutrition in sarcoidosis

According to the results of studies by many specialists, it has been proven that pulmonary sarcoidosis can be transmitted through a genetic pathway. Sometimes the cause of the disease in question is a disruption of the human immune system.

That is, the disease appears under the influence of exogenous bacteria, dust, viral infections, and toxins. Endogenous factors (manifestation of autoimmune reactions) also influence the occurrence of pathology.

According to doctors, there is reason to believe that sarcoidosis is a disease of polyetiological origin associated with an immune, morphological, and biochemical disorder. The disease is not considered a contagious (infectious) process that is not transmitted from a carrier to a healthy body.

There are cases when there is a tendency of illness in people performing certain work in agriculture, chemical production, marine industry, postal services, fire service, metallurgy. The likelihood of sarcoidosis increases in people who are addicted to alcohol, drugs or nicotine.

The disease in question has a multiorgan course. Development begins with damage to the alveolar tissue, accompanied by the development of alveolitis or pneumonitis. Over time, granulomas develop in the subpleural or peribronchial tissues.

Granulomas can resolve or undergo fibrotic changes (a mass of acellular hyaline structure appears in the affected area). If the pathology is advanced and not treated in time, then pulmonary ventilation and other disorders develop.

The cause of sarcoidosis remains unknown. It is precisely established that it is impossible to become infected with this disease - therefore, it does not belong to infectious diseases. There are a number of theories that believe that the occurrence of granulomas may be associated with exposure to

Most scientists believe that sarcoidosis occurs as a result of a complex of causes, which may include immunological, environmental and genetic factors. This view is supported by the existence of familial cases of this disease.

Principles of healthy nutrition

As you know, sarcoidosis is a disease that is characterized by the appearance of small inflammatory foci. Typically, such neoplasms occur on various tissues and organs, but most often the organs of the respiratory system, namely the lungs, are affected. All the reasons for its appearance also affect the patient’s diet.

A diet diagnosed with sarcoidosis requires the patient to adhere to the following rules:

• limit the amount of foods consumed that can cause or intensify an existing inflammatory process;
• significantly reduce the intake of foods that contain calcium;
• focus on vitamin E and significantly expand the range of products containing this vitamin.

Sarcoidosis is an inflammatory process. It is known to intensify when taking simple carbohydrates, so experts recommend reducing their consumption as much as possible, since in large quantities they provoke the development of the disease. If you have pulmonary sarcoidosis, you need to limit yourself to sugar, flour and confectionery products.

Classification of sarcoidosis according to the ICD

All classification data are based mainly on radiological data. Pulmonary sarcoidosis is divided into three stages.

Stage I

This pathological period, in other words, is called the initial intrathoracic lymphoglandular form. Bilateral symmetrical damage to the bronchial nodes occurs. There are cases of disease of the tracheobronchial and paratracheal lymph nodes. Lesions may extend into the area of ​​the pulmonary arterial branch.

Stage II

The period of pathology is called the mediastial-pulmonary form, during which the lung tissues and lymph nodes located inside the chest are damaged.

The second stage is divided into two types:

1. In the first one, many affected lymph nodes appear. They are located at the root of the lungs. Also, focal opacities are detected in the middle part of the lungs.
2. During the development of the second type of pathology, there is no enlargement of the hilar intrathoracic lymph nodes. In the finely looped, subcortical or hilar region, the lung tissue has finely focal darkening.

Basically, the affected area is the entire lungs, excluding the supraclavicular area.

Stage III

Pronounced tissue changes occur without increase. Dense dissemination of the middle sections can be detected in the lung tissue. This occurs against the background of pathological processes such as pneumosclerosis or emphysema.

As the disease progresses, a certain number of focal and conglomerating changes develop throughout the lung tissue. There is an increase in pneumofibrosis and emphysema.

Many complications of pulmonary sarcoidosis involve problems with the respiratory system. Emphysema or bronchial obstruction syndrome may also occur. It happens that against the background of the disease, signs of aspergillosis, pulmonary tuberculosis and other nonspecific infections appear.

Depending on the degree of development of the granuloma, about 10-15% of patients may experience manifestations of diffuse interstitial pneumosclerosis. It can provoke the formation of “honeycomb” lungs.

Often, along with the symptoms of pathology, other signs of damage to organs and tissues appear: peripheral lymph nodes, eyes, skin, salivary glands, bones. This greatly complicates treatment and preventive work. To prevent the process in question from occurring, it is important to apply for an examination on time.

The International Classification of Diseases (ICD) classifies sarcoidosis in Class III, namely “selected disorders involving the immune mechanism.” According to the ICD, sarcoidosis has the code D86, and its varieties range from D86.0 to D86.9.

Foods for saroidosis

Nutrition during the treatment of this pulmonary disease should be balanced and nutritious. Experts recommend eating at least 5 times a day in small portions. This regime can normalize not only the digestive system, but also stop the development of inflammatory processes in other organs.

It is very useful for sarcoidosis to eat lean types of meat. As a rule, these are chicken, beef and diet rabbit. You should not deny yourself legumes and nuts, even though they are nutritious. Low-fat sea fish will be quite useful. All these food products contain a sufficient amount of vitamin E, which makes them especially in demand for this diagnosis. Don't forget about various cereals and fresh vegetables and fruits.

The diet should be based on more sunflower and olive oil than lard and other animal fats.

In addition, you should focus on consuming complex carbohydrates, but not simple ones. Fresh white bread should be replaced with coarse bread. Fruits can be consumed dried, as they contain fewer easily digestible carbohydrates. Complex carbohydrates help the body function normally without raising existing blood sugar levels.

Scientists have proven that it is especially important during illness to consume onions and garlic, which kill all harmful bacteria and infections that enter our body.

Eating absolutely all red berries will be no less beneficial. It can be currants, gooseberries, cherries, raspberries, rowan and even viburnum. From most of these berries, special tinctures are made, which, according to doctors, heal inflammatory processes and serve to prevent the appearance of new ones.

It is very important to regularly consume seaweed and other products of marine origin (fish, seafood). All these components of a normal person enrich his body with potassium, magnesium, iodine and other very useful microelements. Thanks to such proper nutrition, inflammatory wounds will soon disappear and will never bother you again.

Diagnosis of the disease

If you suspect pulmonary sarcoidosis, it is important to consult a doctor for examination. This issue is mainly dealt with by pulmonologists, who, if necessary, involve other specialists.

These activities are most often carried out in a hospital clinic. It is worth understanding that it is difficult to determine the disease at an early stage, but there is such a possibility.

Before treatment, specialists carry out the following diagnostic measures:

• Surveying patients to clarify information about the manifestations of the disease (paying attention to insomnia or fatigue).
• Laboratory tests of blood and urine composition.
• Examination of lung and bone tissue using X-rays (this method gives highly accurate results).
• Obtaining additional information using MRI and CT (used in the study of lymph nodes and tissue changes).
• Mantoux (the importance of this method is to exclude tuberculosis from the chain of suspicion).
• Obtaining an analysis of fluid taken from the lungs. This is done using a device such as a bronchoscope.
• Examination of lung tissue using a biopsy (using special needles or a bronchoscope).

Each examination method carries important information that will be needed when making a diagnosis and prescribing treatment.

• Stage 0 – no changes are noted on the chest x-ray.
• Stage I – enlargement of intrathoracic lymph nodes. The lung tissue is not changed.
• Stage II – lymph nodes in the roots of the lungs and in the mediastinum are enlarged. Changes (granulomas) appear in the lung tissue.
• Stage III – changes in lung tissue without enlargement of lymph nodes.
• Stage IV – pulmonary fibrosis (lung tissue is replaced by dense connective tissue, respiratory function is irreversibly impaired).

What can become dangerous

With sarcoidosis, there are a number of restrictions that the patient must adhere to, otherwise the disease will begin to progress even more. The patient should stop smoking. As you know, in the case of sarcoidosis, it is the lungs that suffer. Smoking further irritates the mucous membranes, which only complicates the process of tissue regeneration.

Under no circumstances should you eat dairy products that contain calcium. As a rule, these are hard cheeses, milk, cottage cheese, sour cream and kefir. Sometimes you can allow yourself butter. If you do not adhere to this recommendation, there may be a risk of kidney stones, which are very difficult and painful to remove.

Under no circumstances should you consume excessive amounts of sweets: cakes, chocolate, caramel, condensed milk. Yeast dough also negatively affects the disease, so it is better to exclude baking. It is not recommended to drink carbonated drinks and sweet juices.

It is strictly forbidden to drink alcoholic beverages, as they can adversely affect not only the digestive system, but also interfere with recovery from a disease such as sarcoidosis.

Following a diet for sarcoidosis is very simple, since such a diet has few restrictions compared to other diets, and if you want your disease to go away as soon as possible, try to follow all the above recommendations.

Symptoms

The picture of symptoms, as well as future treatment, depends on the severity of the pathology, as well as on the type of source of infection. The development of sarcoidosis begins to manifest itself as fatigue in the morning. It appears periodically:

• In the morning, a feeling of fatigue arises even before a person gets out of bed.
• During the day, while performing daily work, breaks are taken for rest, which previously did not occur.
• In the evening, especially before going to bed, you feel very tired.

Shortness of breath and lack of air often occurs.

On this topic

In addition to severe fatigue, there are other signs of illness in the initial phase. A person can feel a kind of anxiety. The patient's feeling of hunger gradually disappears. After a certain time the following appears:

• significant loss of body weight;
• increased sweating;
• the occurrence of a feverish state;
• temperature increase;
• the appearance of insomnia.

The initial stage of lung pathology develops differently in different patients. It all depends on the state of the immune system. It happens that there are no manifestations, a person does not notice that he is developing a hidden pathological process. Some people experience severe pain in the chest area. Significant loss of strength, cough and erythema also occur.

During the second stage of sarcoidosis, severe pain in the chest, shortness of breath and coughing attacks appear. When checked by a doctor, dry as well as wet wheezing can be heard. The disease has a characteristic connotation, such as crepitus. When you exhale, a sound occurs that resembles dry hair rubbing in front of your ear.

The initial stages of the disease are usually asymptomatic. Most often, the first sign of illness is fatigue. People with sarcoidosis may experience different types of fatigue:

• morning (the patient has not yet gotten out of bed, but already feels tired);
• daytime (you have to take frequent breaks from work to rest);
• evening (intensifies in the 2nd half of the day);
• chronic fatigue syndrome.

In addition to fatigue, patients may feel

Lethargy, apathy.

Sometimes (for example, with sarcoidosis of the intrathoracic lymph nodes) external manifestations of the disease are practically absent. The diagnosis is made by chance, when X-ray changes are detected.

If the disease does not heal spontaneously, but progresses, pulmonary fibrosis develops with impaired respiratory function.

In the later stages of the disease, the eyes, joints, skin, heart, liver, kidneys, and brain can be affected.

Localization of sarcoidosis

Lungs and VGLU

This form of sarcoidosis is the most common (90% of all cases of the disease). Due to the insignificant severity of primary symptoms, patients are often treated for a “cold” disease. Then, when the disease becomes protracted, shortness of breath, dry cough,

The cough varies in duration (a cough lasting longer than a month suggests sarcoidosis). At first it is dry, then becomes moist, obsessive, with copious viscous sputum, and even hemoptysis (in the later stages of the disease).

Patients may also complain of joint pain, blurred vision, and the appearance of changes (nodules) on the skin. Most often, sarcoidosis nodules are localized on the legs; they stand out against the background of pale skin in a purplish-red color. To the touch, these nodes are dense and painful.

Stage 1. During the examination, the doctor may detect wheezing in the patient’s lungs, and on an x-ray, an increase in the lymph nodes located behind the sternum and on the sides of the trachea. Shortness of breath at the 1st stage of the disease occurs only during physical exertion.

In the 2nd stage of sarcoidosis, the patient's weakness increases. Appetite decreases to the point of aversion to food. The patient quickly loses weight. Shortness of breath occurs even at rest. There are often complaints of chest pain, and this pain is completely inexplicable. It can change location, but is not associated with respiratory movements. Its intensity varies from patient to patient. The radiograph shows the proliferation of intrathoracic lymph nodes.

Stage 3 of the disease is characterized by severe weakness, frequent wet cough, discharge of thick sputum, and hemoptysis. A lot of moist rales are heard in the lungs. The X-ray shows fibrous changes in the lung tissue.

Sarcoidosis can manifest as damage to the cervical, subclavian, axillary and inguinal lymph nodes, as well as those located in the abdominal cavity. In this case, the lymph nodes increase in size, sometimes significantly. There is no pain when palpated. The nodes are dense, mobile, the skin over them does not change color.

If intra-abdominal lymph nodes are affected, patients may complain of abdominal pain and loose stools.

Liver and spleen

Sarcoidosis of these organs is often asymptomatic, manifested only by their enlargement. If this increase is significant, patients may feel heaviness in the right or left hypochondrium. There may be complaints of decreased appetite and weakness, as with all forms of sarcoidosis. Functions

and the spleen is not disturbed.

The skin lesion that develops with sarcoidosis is called nodular

It looks like nodules on the skin (small or large), having a reddish, brown or bluish color. Large nodules can appear on various parts of the skin, while small ones are more often found on the face, upper half of the body, and on the extensor surfaces of the arms. In some cases, erythema nodosum appears earlier than other clinical manifestations of the disease.

Sarcoidosis of the eye manifests itself

due to damage to the iris of the eye. Sometimes granulomas develop in the retina, optic nerve and choroid. The disease can cause an increase

– secondary

If left untreated, a patient with sarcoidosis of the eye may go blind.

Stages of the disease

of this rare disease is difficult. It is carried out only in a hospital, if sarcoidosis is suspected. To establish a diagnosis, an examination is carried out, including the following tests and manipulations:

• Blood chemistry .
• Chest X-ray.
• Mantoux test (to exclude tuberculosis).
• Spirometry is a study of lung function using a special device.
• Analysis of fluid from the bronchi taken using a bronchoscope - a tube inserted into the bronchi.
• If necessary, a lung biopsy is performed - removing a small amount of lung tissue to examine it under a microscope. The piece of tissue required for analysis is removed using a special (puncture) needle or bronchoscope.

Where to treat sarcoidosis?

Until 2003, patients with sarcoidosis were treated only in tuberculosis hospitals. In 2003, this decree of the Ministry of Health was canceled, but special centers for the treatment of this disease have not been created in Russia.

Currently, patients with sarcoidosis can receive qualified care in the following medical institutions:

• Moscow Research Institute of Phthisiopulmonology.
• Central Research Institute of Tuberculosis of the Russian Academy of Medical Sciences.
• St. Petersburg Research Institute of Pulmonology named after. Academician Pavlov.
• St. Petersburg Center for Intensive Pulmonology and Thoracic Surgery on the basis of city hospital number 2.
• Department of Phthisiopulmonology, Kazan State Medical University. (A. Wiesel, the chief pulmonologist of Tatarstan, deals with the problem of sarcoidosis there).
• Tomsk Regional Clinical Diagnostic Clinic.

Treatment

When, after an examination, a diagnosis of “pulmonary sarcoidosis” is established and there are no abnormalities in the tissues of the lungs or other organs, the disease does not require treatment. This explains why in some situations the symptoms disappear on their own over a period of time.

When patients develop respiratory failure or significant impairment of lung function, as well as other organs, a decision is made on further treatment. All future actions are carried out under the supervision of specialists; they are aimed at improving or restoring the functioning of internal organs.

One of the most effective treatments for sarcoidosis is the use of corticosteroid drugs. Experienced specialists work on the dosage. The duration of treatment with the drugs in question should last no more than a month.

If improvements appear, the dosage is reduced to the minimum. Further treatment can last more than 6 months. When using corticosteroid drugs, side effects may occur that need to be warned. For this, in parallel with the main medications, other drugs are prescribed that prevent the development of ulcers, erosion, and osteoporosis.

On this topic

It is worth preventing the appearance of necrosis, as well as the formation of granulomas, as a result of which pulmonary sarcoidosis will be more difficult to cure.

For active treatment and preventive work, Trental has proven itself well (it is also called Pentyline or Pentoxifylline). This drug is used alone or together with hormonal drugs. As for the dosage, it should be calculated based on the requirements - 25 mg/kg throughout the day. Treatment lasts about 6-8 months, depending on the patient's condition.

It is recommended to use calcium as an additional component so that bone tissue is less susceptible to destruction. When fighting pathology, it is important to monitor blood pressure and glucose levels. Also, attention is paid to fluid retention.

If treated correctly, the symptoms of sarcoidosis can quickly disappear. But after this, high-quality preventive work will be required for some time, since a relapse is possible. Inhalations have proven themselves well in practice, as they reduce the occurrence of re-development of the disease.

On this topic

Sarcoidosis is a disease that is often caused by immunopathological reactions. Patients with this disease are prohibited from performing work involving physical activity.

An example of effective comprehensive self-healing from sarcoidosis is our comrade Alexander. He used a power system that corresponded to the points described above. And at the same time, there were still areas of life that he chose to work on in order to regain and improve his health. Which he did very well.

We are glad to meet Sasha. This is a strong personality striving for development. I took responsibility for my health. I didn’t shift it to the doctors. Got it all figured out. And he pieced together a method that normalized and strengthened his health.

We described his story in the article. They also indicated the treatment regimen. Read - Pulmonary sarcoidosis. Alexander's story.

Since the specific cause of the disease has not been identified, it is impossible to find a medicine that could affect it.

Fortunately, most cases of sarcoidosis resolve spontaneously.

However, an increase in symptoms of the disease, a deterioration in the patient’s condition and well-being, and progressive changes in X-ray photographs are a signal that the patient needs drug treatment.

The main medications prescribed for this disease are adrenal steroid hormones (prednisolone, hydrocortisone). In addition, the following are assigned:

• nonsteroidal anti-inflammatory drugs (Aspirin, Indomethacin, Diclofenac, Ketoprofen, etc.);
• immunosuppressants (drugs that suppress the body’s immune reactions - Rezokhin, Delagil, Azathioprine, etc.);
• vitamins (A, E).

All these medications are used in fairly long courses (several months).

The use of hormonal therapy helps to avoid the development of such severe complications of sarcoidosis as blindness and respiratory failure.

Local hormonal medications (eye drops, ointments, creams) are prescribed.

Folk remedies

Facilities

may help in the initial stages of sarcoidosis. In later stages, treatment with hormonal drugs is necessary.

Herbal infusions

(9 parts each), pepper

Calendula, pharmacy

Coltsfoot, goose cinquefoil,

(1 part each). One tablespoon of the collection is poured into 0.5 liters of boiling water and left for 1 hour.

The resulting infusion is taken three times a day, 1/3 cup.

Collection 2 Mix the following herbs in equal parts: oregano, knotweed, sage, calendula flowers, marshmallow root, plantain. One tablespoon of the mixture is poured into a glass of boiling water and left for 0.5 hours in a thermos. Take the same as in the previous recipe.

Along with these preparations, you can take an infusion of Rhodiola rosea or a decoction of ginseng root, 20-25 drops 2 times a day (morning and afternoon).

Shevchenko mixture

One tablespoon of vodka mixed with one tablespoon of unrefined sunflower oil is taken 3 times a day before meals. The treatment is long-term: three 10-day courses with 5-day breaks; then – a break of 2 weeks; then everything is repeated.

The tincture is prepared as follows: 100 gr. beaver gland is infused with 0.5 liters of vodka. The longer the medicine is infused, the stronger the effect of its use. In Eastern medicine, it is believed that the tincture should be prepared for 1 year.

Take this remedy three times a day, 20 drops before meals. Together with the tincture, it is recommended to take bear or

Propolis tincture

For 100 ml of vodka or 76-proof alcohol you need to take 20 grams. crushed propolis, and leave in a dark place for at least 2 weeks. The prepared 20% tincture is taken 15-20 drops with warm water.

three times a day, an hour before meals. The treatment lasts until the prepared portion of the tincture is finished.

What is pulmonary sarcoidosis

Where do legs grow from? Inflammation of the lymph nodes is an indicator of slagging in the body. The lymphatic system is designed to remove accumulated waste from the body. If the system begins to fail or becomes clogged, problems begin, that is, “diseases” appear.

The international classification of diseases ICD-10 classifies sarcoidosis as one of those diseases that are systemic in nature. During this process, granulomas (clumps of cells that become inflamed) form in the lung tissues. The process can appear in different human organs, but the likelihood of damage to lung tissue remains high.

Basically, the location of sarcoidosis, from all cases of patient treatment, is in the lungs. Lymph nodes located near the bronchi are most often affected. In medicine, this pathological process is called “Beck's disease.” There is another name - this is “Schaumann-Besnier-Beck disease”.

It is worth noting that in some cases granulomas are reabsorbed, otherwise fibrosis develops. This process is characterized by the proliferation of tissues and the enlargement of certain nodes.

Sarcoidosis is a systemic disease, so many patients are treated in medical institutions. There, patients are examined by different specialists to maximize the level of effectiveness of treatment.

The clinical picture of the disease does not have clearly defined symptoms. As for differentiating sarcoidosis from pathologies of similar manifestations, it is complex. To carry out these actions, certain specialist skills and equipment are required.

It is worth noting that patients who are diagnosed with pulmonary sarcoidosis by specialists are safe for other people. The pathology in question is considered not contagious to others, and is not an oncological disease.

Diet

Specially designed

There is no one used for sarcoidosis. However, there are recommendations for limiting some foods and introducing others into the diet.

Add to your daily menu: honey, nuts, sea buckthorn, black currants, seaweed, pomegranates, apricot kernels, beans, basil.

Sarcoidosis is a pathological process characterized by the development of sarcoid granulomas in many tissues and systems. One of the main places of localization of these pathological formations is the respiratory system (pulmonary form of sarcoidosis). There are currently no scientifically proven causes that lead to the development of sarcoidosis.

• Hereditary factor;
• Suppression of the immune system;
• Features of metabolism;
• Negative effects of the environment;
• Infectious pathogens.

All these features of sarcoidosis significantly affect the patient's diet.

Many patients are concerned about the question of whether they need to lose weight with sarcoidosis. Patients are also interested in which foods are best not to eat and which ones to give preference to. The treatment regimen for sarcoidosis necessarily includes glucocorticoid drugs, which is important when developing proper nutrition.

Basic nutrition rules for sarcoidosis:

• The first rule is to eat less foods that worsen the inflammatory process. Since sarcoidosis is an inflammatory disease, foods rich in simple carbohydrates should be excluded from the diet. These products increase the activity of inflammatory processes. Thus, you should minimize or completely eliminate various sweets and baked goods from your diet (for example, cakes, candies, sweet carbonated water, etc.). It is also necessary to try not to overuse spicy, salty, fried foods, as well as various spices and spices. The only exceptions are onions and garlic, as they are believed to be beneficial for the body of patients with sarcoidosis;
• The second rule is to eat less foods that contain calcium. With sarcoidosis, a high level of calcium in the blood is determined, which can manifest itself as the deposition of calcium stones in the kidneys and ureters, through which this trace element is excreted in the urine. Since calcium is found in large quantities in dairy products (cottage cheese, milk, cheese, sour cream), you need to reduce their consumption. At the same time, there is significantly less calcium in butter, which allows it to be consumed in large quantities, but not abused.

With sarcoidosis, there is a disturbance in metabolic processes, which requires a balanced and easily digestible diet. Therefore, doctors recommend eating food that has been steamed, boiled or stewed. It is also necessary to follow a certain diet. The most optimal would be fractional meals, which promote better absorption of nutrients. Eating in small portions normalizes metabolic processes.

A complete balanced diet includes the content of all necessary nutrients, such as proteins (eggs, meat, fish), fats (vegetable fats and fatty sea fish), carbohydrates (porridge, vegetables, rye bread), vitamins and minerals (vegetables and fruits).

Patients with sarcoidosis should not think about whether they need to lose weight with sarcoidosis, but correctly follow all the doctor’s recommendations on nutrition. Doctors advise such patients to include in their diet a large amount of vegetables, fruits, cereals from oats and buckwheat, freshly squeezed juices from pomegranate, citrus fruits, apples and carrots.

Patients diagnosed with sarcoidosis should limit their intake of salt in their daily meals. It is advisable to minimize the use of this component. Also, you should not take foods that contain a lot of protein.

To restore the immune system faster, food needs to be more varied. Meals should be provided regularly, according to a schedule. It should have an increased content of nutrients and vitamins. This is done by introducing more plant foods into the diet. It is also worth eating more foods that are rich in manganese, zinc and other minerals.

Certain types of plants are beneficial because they strengthen the immune system, increasing the likelihood of a successful recovery:

• black currant;
• basil;
• sea ​​​​buckthorn;
• beans;
• Bay leaf;
• sunflower seeds (raw);
• pomegranate;
• chokeberry;
• nuts (walnuts).

If you have pulmonary sarcoidosis, it is not recommended to consume dairy products every day. You should also give up cheese, sugar and flour products, including baked goods. There is no need to consume carbonated drinks, spicy or spicy foods (garlic and onions may be an exception, as they are quite healthy).

It is important to pay attention to the portion and its volume - it should not exceed the norm. It is better to eat more often, but in smaller quantities. In order to protect the integrity of blood vessels, many doctors recommend consuming vitamin E. It reduces the likelihood of atherosclerosis occurring in sarcoidosis, as a complication (it is important to adhere to the norm).

Forecast

In general, the prognosis for sarcoidosis is favorable: the disease occurs without clinical manifestations and without affecting the patient’s condition. In 30% of cases, the disease spontaneously goes into a stage of long-term (possibly lifelong) remission.

In the case of the development of a chronic form of the disease (10-30% of cases), pulmonary fibrosis forms. This may cause respiratory failure, but is not life-threatening.

Untreated ocular sarcoidosis can cause vision loss.

Lethal outcome with sarcoidosis is extremely rare (in the case of a generalized form with complete absence of treatment).

When suffering from sarcoidosis, everything depends on the degree of neglect of the pathological process. With timely treatment, the prognosis is more favorable. Much depends on the individual characteristics of the body, especially its immune system.

It is worth understanding that the disease can occur unnoticed, without symptoms for many years. The patient may not notice anything, so do not contact specialists for examination.

It happens that the disease begins to manifest itself clearly from the very beginning, as if in the opposite scenario: the patient cannot live a full life, work or perform everyday tasks.

The big risk lies in the fact that the cardiovascular system begins to malfunction. For example, a complication associated with rhythm disturbances and the occurrence of ventricular tachycardia poses a danger to the patient. In such a situation, if the patient is not helped, then loss of working capacity in the future is guaranteed. The situation can worsen, even leading to death.

If doctors have diagnosed pulmonary sarcoidosis, then according to statistics, 60% of patients recover within 3 years and live as before.

When treatment is not carried out on time, complications may appear in the form of complex pathological processes where other human organs, except the lungs, are affected.

As for death, it occurs infrequently, in approximately 1-2% of the total number of patients (the situation is closely related to the occurrence of complications in the heart).

There is no special diet that will help get rid of sarcoidosis. However, there are prescriptions for proper nutrition that will help avoid complications and improve the general condition of the body.

Diet goal

The main and most important goal of proper nutrition for sarcoidosis is to accelerate the metabolic process, which, in turn, has a positive effect on the fight against emerging infection.

Diet Basics

Sarcoidosis has a negative impact on the metabolic processes in the body, so first of all it is necessary that the foods consumed are easily digestible. This diet must be observed both during the treatment period and during the patient’s rehabilitation process.

The most easily digestible dishes are those that have undergone steam heat treatment, as well as stewed and boiled ones.

In rare cases, baked products are allowed to be consumed. This is only provided that there is no fried crust on them.

As for fried or smoked food, it is completely contraindicated for people suffering from sarcoidosis, since this heat treatment of products negatively affects metabolic processes and contains a large number of harmful carcinogens.

In addition to the method of heat treatment, the portion size and frequency of food consumed are of great importance. In this case, it is recommended to eat fractional meals in small quantities. And eat at least five times a day. This will reduce the load on the digestive system and speed up metabolic processes in the body.

It is also very important that the daily diet is complete. That is, the daily diet must contain all the nutrients, vitamins and other useful microelements necessary for the patient’s normal life.

Squirrels

They are a kind of building material for the entire human body. Sources of protein include fish (lean), chicken eggs, and poultry, especially white meat.

Fats

This component is primarily necessary for normal cell development. It is best to consume fish oil and vegetable fats.

Carbohydrates

These elements take an active part in the difficult process of energy synthesis and prevent an increase in sugar levels in the blood plasma. In this case, meals for the patient should include only complex carbohydrates, which are found in various cereals and cereals, as well as fresh vegetables.

Vitamins and minerals

Increases protective properties and helps restore strength after an illness. These microelements are found in fresh fruits, berries and vegetables.

Healthy foods

Vitamin C

Accelerates recovery processes in the body and strengthens the patient’s immune system.

Foods high in vitamin C are considered the most important aid in the fight against inflammation. In this regard, patients should consume as much cabbage as possible during and after treatment. At the same time, in order to diversify the patient’s diet, it is recommended to prepare dishes from different types of cabbage (cauliflower, red cabbage and Brussels sprouts).

Regular consumption of chokeberries and currants, pomegranates and cherries is also considered favorable. These products are considered especially useful for this disease.

In addition, do not forget about citrus fruits, spinach and rosehip infusion. It is worth considering that rosehip decoction not only saturates the body with essential microelements, but is also a diuretic. Therefore, the use of such a decoction allows you to speed up the process of removing harmful substances from the body.

Vitamin A

Vitamins of this group have an antibacterial effect and are considered a kind of protection of the body from various viruses.

The most vitamin A is found in liver, seaweed and feta cheese. These products should only be eaten freshly prepared.

In addition, the liver should be boiled or stewed, and the seaweed salad should not contain vinegar.

Cellulose

Helps normalize digestive function and prevents the accumulation of harmful waste and toxins in the human body. It is worth considering that such restorative and protective functions of fiber are very important for a healthy person, and especially for a patient with sarcoidosis.

A lot of fiber is found in fresh greens, vegetables, legumes, nuts and bread, especially if it is made from wholemeal flour.

Vitamin E

Has strong healing and restorative effects. Therefore, consuming foods high in this vitamin promotes a speedy recovery and shortens the rehabilitation period. Contained in various nuts: almonds, cashews and pistachios.

Potassium

Reduces the effect of toxic substances on the body that are present in any medical product. This element is found in figs, raisins, prunes, dried apricots and apples.

Prohibited Products

With sarcoidosis, the occurrence of an inflammatory process is inevitable. Therefore, it is necessary to exclude foods that can burden it.

First of all, you need to avoid dishes that contain simple carbohydrates. These include various desserts with a high sugar content or sugar substitute. Sweet drinks and baked goods that contain yeast are also contraindicated.

To avoid exacerbation of the inflammatory process, it is worth reducing or even eliminating the addition of various spices to dishes, especially hot ones. This also includes garlic and onions.

In addition, a feature of this disease is an increased level of calcium in the blood plasma, which indicates improper functioning of the urinary tract and kidneys. In this regard, it is worth limiting the consumption of foods high in calcium, and also refrain from taking foods such as milk, hard cheeses, butter, sour cream and fatty dairy products.

The patient must completely stop drinking drinks containing even a minimal percentage of alcohol. Since it is alcohol that negatively affects the entire body as a whole.

Approximate daily diet

With sarcoidosis, there is no specific menu, so the patient is allowed a large number of different dishes, with the exception of fried ones. The main thing is that the daily diet is complete, balanced and easily digestible.

The approximate menu for the day depends on the time of meal.

Breakfast

Includes steamed or boiled porridge. In this case, it is buckwheat, oatmeal or semolina. A boiled chicken egg is served with the porridge. Freshly squeezed fruit juice is suitable as a drink.

Dinner

It should be satisfying, but light. Therefore, the patient is recommended to eat a small piece of boiled lean meat (chicken or beef) with stewed potatoes. In this case, the meat can be replaced with steamed cutlets, boiled or baked fish.

The main course goes well with a salad of fresh vegetables (most of all you need to give preference to cabbage) and a lot of greens. In this case, the salad is dressed with refined vegetable oil or low-fat milk yogurt. It is best to wash down a hearty lunch with rosehip decoction.

Dinner

Should include dishes made from baked or boiled vegetables. As a first course for dinner, the ideal option is a light soup cooked in chicken or vegetable broth without frying. Dried fruit compote is suitable as a drink.

Between breakfast and lunch, as well as between lunch and dinner, there should be snacks of nuts, low-fat dairy products, as well as fresh berries and fruits.

From the above, it follows that to alleviate the symptoms of sarcoidosis, it is important to formulate the right diet. And it’s not at all difficult to do.

Hello. So you want to deal with nutrition for pulmonary sarcoidosis. The desire is laudable. Nutrition for a certain disease, be it inflammation of the intrathoracic lymph nodes, intrathoracic lymph nodes, or another disorder, must be selected so that it contributes to recovery. If this is your goal, this article is for you.

Let's start from the reasons. So that you understand why we will recommend certain nutritional changes and how they can affect your health.

What is pulmonary sarcoidosis.

Where do legs grow from? Inflammation of the lymph nodes is an indicator of slagging in the body. The lymphatic system is designed to remove accumulated waste from the body. If the system begins to fail or becomes clogged, problems begin, that is, “diseases” appear.

Nutrition.

What to do about it? Help your body cleanse itself of toxins through nutrition. This will involve following the following principles.

• Eliminate meat from your diet. If it's difficult, leave the fish and chicken.
• Eat more fresh: vegetables, fruits, herbs.
• Stop consuming foods with preservatives.
• Avoid fast food: hamburgers, chips, cola...
• Stop drinking alcohol.

Nutrition systems - or better yet, a raw food diet - will be a good help for you. What is closer to you? To make it easier to introduce one of these types of nutrition into your life, we recommend finding a community of vegetarians or raw foodists in your city and starting to communicate with them. These guys will tell you how to eat, recipes, where to get the necessary products, features of the transition to a new type of diet, and will tell you how to overcome the difficulties associated with diet transformation. You will definitely have difficulties. Rest assured.

But let’s just say you can’t go far on nutrition alone. Nutrition will promote healing. And yet, an integrated approach without medical intervention is needed.

The story of Alexander's self-medication.

An example of an effective complex is our comrade Alexander. He used a power system that corresponded to the points described above. And at the same time, there were still areas of life that he chose to work on in order to regain and improve his health. Which he did very well.

We are glad to meet Sasha. This is a strong personality striving for development. I took responsibility for my health. I didn’t shift it to the doctors. Got it all figured out. And he pieced together a method that normalized and strengthened his health.

A patient with sarcoidosis of the lungs and intrathoracic lymph nodes (intrathoracic lymph nodes) does not need a strict diet, however, a proper balanced diet reduces inflammatory processes, normalizes metabolism, improves immunity and saturates the body with essential vitamins and microelements.

Nutritious and nutritious nutrition plays an important role in prevention and treatment sarcoidosis, helps improve the patient's condition, and in some cases even completely cure it.

Principles of creating a diet for sarcoidosis of the lungs and lymph nodes

The principle of the diet for sarcoidosis is to limit those foods that can provoke or intensify an already existing inflammatory process. First of all, it is necessary to minimize the consumption of sugar in any form, simple carbohydrates, flour and baked goods. It also increases inflammation fried, fatty and very spicy foods. You should add less hot and spicy spices to your food, and try not to fry in oil.

Photo 1. Lungs affected by sarcoidosis: characteristic granulomas in the tissues. For such lesions, a diet is recommended.

In a patient with sarcoidosis increased calcium levels in the blood. Sometimes this can cause calcium stones. To avoid complications, you need to completely exclude dairy products and anything that contains a lot of calcium from your diet.

Patients are recommended eat foods high in vitamin E: seafood, oatmeal, nuts and sea buckthorn. Should also be added as an antioxidant vitamin C: citrus fruits, pomegranate, currants.

Nutrition for sarcoidosis should be balanced. Despite some restrictions in products, doctors It is recommended to eat lean meat, such as chicken, rabbit, beef. It should also be added to the diet more sea fish, legumes and nuts to saturate the body with vitamin E.

Fats of animal origin should be replaced with vegetable ones, for example, added to vegetable salads vegetable or olive oil.

Besides vegetables try to consume more fruit, especially citrus fruits. Will fit well dried fruits, since they contain fewer easily digestible carbohydrates.

It is important to replace simple carbohydrates with complex ones, for example, replace fresh white bread with wholemeal bread. These carbohydrate foods will keep your body functioning properly without raising your blood sugar levels.

To eliminate all harmful bacteria and infections in the body, doctors recommend using onion and garlic. Suitable for healing inflammatory processes any red berries and tinctures from them in the diet.

Attention! With sarcoidosis, normal metabolism is disrupted, so it is important to consume only easily digestible foods, steamed or boiled. Portions should be small, fractional meals are allowed.

What you can and cannot eat with lung disease and VGLU

• Porridge from whole grain cereals.
• Dietary varieties of fish and meat, chicken eggs.
• Low-fat cottage cheese, butter.
• Any fresh vegetables and fruits, dried fruits.
• Vegetable and meat broths with the addition of cereals.

• Legumes, nuts, seeds, bran, soy.
• Herbal teas, rosehip decoction, table mineral water.

To reduce inflammatory processes in sarcoidosis, it is recommended limit your diet:

• Fatty meats, ham and sausages.
• Pasta products.
• Canned food, pickled foods.
• Spicy and fatty dishes.
• Confectionery, baked goods, sweets, chocolate and any sugar.
• Dairy products, hard cheeses.
• Fast food.
• Any alcoholic and carbonated drinks, strong coffee.

Sample menu for the day

Since a patient with sarcoidosis should not adhere to a strict diet, the diet for every day can be varied. The basic rule when preparing dishes is to limit the consumption of prohibited foods and use any cooking except frying.

Breakfast may consist of boiled chicken eggs, oatmeal or buckwheat porridge, low-fat cottage cheese and tea. For lunch- vegetable or chicken broth, steamed cutlets, boiled potatoes with herbs. For dinner light vegetable salads seasoned with olive oil or boiled broccoli are suitable; for main course - trout baked in the oven.

Reference! The daily diet should be divided into small portions; doctors recommend eating up to 6 times a day.

For afternoon tea Patients with sarcoidosis can add fruits and berries to their diet, such as kiwi, grapefruit, pineapple and strawberries. As a light dessert A casserole of low-fat cottage cheese with berries or dried fruits with almonds, freshly squeezed orange or tangerine juice is suitable.

Photo 2. To avoid buying juice, you can use a simple juicer and prepare it yourself.

A patient with sarcoidosis can occasionally allow yourself sweet foods in your diet: a piece of cake or pastry.

Sarcoidosis is a pathological process that leads to the formation of granulomas - inflammatory nodules - in the patient's lungs. If the course is unfavorable, the disease has a negative effect on the entire human body: the cardiovascular system, kidneys, liver, and thyroid gland suffer. The prognosis of treatment depends on the characteristics of the case: often the tumors resolve without therapeutic intervention, and if complications occur, urgent medication is required. The probability of death is minimal - does not exceed 1%.

Main signs of the disease

Symptoms of the disease are vague. Often, at the initial stages of its development, clinical signs are completely absent. This is due to the fact that granulomas slowly increase in size without affecting the nerve endings.

Sarcoidosis of the lungs and intrathoracic lymph nodes in the initial stages gives the following characteristic symptoms:

• weakness, lethargy;
• decreased performance;
• increased sweating during night sleep;
• increase in body temperature up to 37 degrees;
• decreased appetite;
• deterioration in sleep quality;
• causeless anxiety.

As the disease progresses, the listed general symptoms are supplemented by specific ones:

• cough with sarcoidosis is dry and annoying in nature, does not bring relief;
• shortness of breath - appears even with light exertion or at rest;
• pain in the chest area - they are not localized in one place, but appear in different areas;
• enlarged lymph nodes (ULN);
• wheezing – obvious when listening to the patient.

If the disease occurs in an acute form, the listed symptoms are supplemented by aching joints, rashes on the skin, in the eye area, and enlarged lymph nodes.

How to diagnose the disease?

Diagnosis of sarcoidosis is difficult due to the fact that its clinical picture is “masked” as manifestations of other ailments. It is carried out in a hospital setting.

The following manipulations are indicated for the patient:

• X-ray, which allows you to see whether the lung is affected by an inflammatory process;
• computed tomography of the lungs;
• blood test: general, biochemistry;
• analysis of fluid from the bronchi obtained using a bronchoscope;
• lung biopsy - study of material obtained from the affected organ;
• Ultrasound of organs affected by the disease (heart, liver, thyroid);
• ECG and others.

For pulmonary sarcoidosis, treatment is determined based on test results. Refuse to try self-therapy: they may seem not only useless, but dangerous.

Methods of treating the disease

How to treat pulmonary sarcoidosis? How long will therapy take? This depends on the degree of damage to the respiratory organ, which is demonstrated by a lung biopsy and other tests.

The disease can regress on its own (resorption of granuloma nodules is observed), so therapy begins with monitoring the patient with a pulmonologist for 6 months. During this time interval, it is possible to determine how the disease develops. If respiratory failure and cardiovascular complications are absent, immediate treatment is not necessary. The prognosis for recovery without medication is favorable.

Indications for immediate prescription of drug therapy are:

• long-term inflammatory process;
• spread of the disease to other organs (heart, liver, kidneys, thyroid gland).

The doctor prescribes to the patient:

• angioprotectors – substances that improve blood circulation (Pentoxifylline, Trental);
• adrenal hormones (Prednisolone);
• procedures for purifying blood plasma - plasmapheresis;
• anti-inflammatory drugs (Nimesulide);
• vitamin E;
• potassium preparations.

Doctors may use combination treatment tactics, for example, combining prednisolone with anti-inflammatory drugs. The results of this therapy are continuously monitored using tests.

The choice of therapeutic measures is influenced by the severity of the disease, the duration of the inflammatory process, and the characteristics of the pathology.

The progress of treatment is monitored by a TB doctor. How long to register depends on the course of the disease. If the outcome is favorable, the duration of therapy is 1.5-2 years, in the presence of complications - up to five years.

For speedy rehabilitation after an illness, you should visit a physiotherapist. He will prescribe methods such as magnetic therapy, laser or ultrasound exposure, manual therapy, and therapeutic exercises.

Prognosis for treatment of the disease

With pulmonary sarcoidosis, the prognosis for life depends on the form of the disease, the timeliness of treatment, and the individual characteristics of the patient’s body. The disease can develop asymptomatically for many years, without causing any inconvenience to the citizen. The opposite scenario is possible: the signs appear clearly, preventing the patient from living and working fully.

How dangerous is sarcoidosis? The main risk lies in the state of the cardiovascular system. Dangerous complications are possible - rhythm disturbances, ventricular tachycardia, which require emergency care in a hospital setting. Such complications can cause loss of ability to work.

How long do people live with sarcoidosis of the lungs or lymphoid system? According to statistics, in 60% of cases, symptoms disappear without drug treatment within the first three years after diagnosis. Death occurs in less than 1% of cases and is associated with complications of the cardiovascular system.

Video

Video - how to defeat sarcoidosis

What do you need to know about this dangerous disease?

Is it possible to work with a diagnosis of pulmonary sarcoidosis?
The disease is not transmitted through contact with other people, and therefore is not a direct contraindication for continuing to work. The decision depends on the condition of the patient himself. Many people hardly notice the signs of the disease, others suffer for years. The decision to continue working is made individually based on the state of the body.

If the patient’s work is a factor in the development of the disease (chemical production, flour-grinding industry, welding, etc.), to prevent the progression of the disease, the field of activity should be changed to a “safe” one.

Can you get sarcoidosis from a sick family member?
No, the disease is not contagious. Transmission of the disease by airborne droplets or other means is impossible, therefore persons suffering from pathology are not dangerous to society. N Don’t be afraid to “catch an infection” from a colleague, relative or minibus driver.

On the other hand, there is a hereditary predisposition to the disease. It is provoked by certain living conditions. Therefore, the spread of the disease to several people from the same family occurs. This is due to more global factors than using a shared towel. There is no need to fear that neighbors or relatives will become infected with this disease.

Can sarcoidosis affect pregnancy?
No, the presence of the disease is not a strict contraindication to childbirth. The disease cannot be transmitted from mother to baby. The only question is whether the woman herself, taking into account the state of her cardiovascular and respiratory systems, is capable of bearing a baby, and whether this will not be a fatal blow for her. The answer is individual in each case and depends on the degree of damage to the heart and lungs.

In practice, relief of the disease is often observed during pregnancy: symptoms practically disappear. After childbirth, the disease returns with renewed vigor, and an exacerbation occurs.

Features of the diet for patients with sarcoidosis

There is no special diet for pulmonary sarcoidosis. Patients do not need to strictly limit themselves in their desires, but to speed up recovery and prevent relapses, they must follow the advice of doctors. Since the disease is inflammatory in nature, you should avoid eating too many carbohydrates.

Contraindications apply to the following foods in the diet:

• chocolate;
• buns, confectionery;
• soda;
• fried foods;
• spicy food;
• dishes with lots of spices.

Sarcoidosis promotes an increase in calcium above normal, which leads to the formation of calcium stones in the intestines, kidneys, and bladder area. To prevent complications, on the recommendation of your doctor, minimize the consumption of milk and its derivatives, cheeses.

To cure the disease as quickly as possible, care must be taken to ensure that the diet for pulmonary sarcoidosis is balanced and varied. It is recommended to replace heavy and high-calorie foods with light and healthy dishes with an abundance of vitamins and minerals, steamed, stewed, boiled. Give up the habit of eating heavily 1-2 times a day. Eat food in small portions, but often: 4-5 times a day.

Focus on the abundance of the following components of the daily menu:

• lean meat;
• fish of “white” varieties;
• fresh fruits and vegetables;
• croup;
• berries;
• nuts

There is no need to give up onions and garlic: these products are traditionally recognized as helping the human immune system in the fight against disease. They will help the body recover from the inflammatory process.

Doctors recommend drinking plenty of fluids. It is necessary to focus on freshly squeezed juices and decoctions of medicinal herbs. Such drinks are rich in vitamins, which will help the body cope with the manifestations of the disease.

Sarcoidosis and lifestyle

To treat sarcoidosis, the doctor will prescribe medications - Trental, Prednisolone, Pentoxifylline, procedures - plasmapheresis, etc. To help your body cope with the disease, take the initiative and adjust your lifestyle.

1. walk more in the fresh air;
2. quit smoking;
3. establish a rest and sleep schedule;
4. Avoid sunbathing – this promotes the production of vitamin D, which retains calcium, which is needed even without
5. that in excess in the patient’s body;
6. do daily morning exercises;
7. Avoid contact with toxic volatile substances.

To get rid of the disease forever as soon as possible, find time every day to perform special exercises. How are breathing exercises done? Lower your head, look at the floor, relax your neck muscles and fold your hands on your stomach so that they “circle” your navel. Cough while pressing on the abdominal area. You will feel that the mucus comes out easier and faster.

Is it possible to drink alcohol if you have pulmonary sarcoidosis? No, this way you will increase the load on the body, which is already suffering from an inflammatory process. Many medications, such as Trental, Pentoxifylline, prednisolone, have adverse effects on the liver. Alcohol increases harm, increasing the likelihood of dangerous complications.

Folk remedies to combat sarcoidosis

If you have been treated with medications prescribed by your doctor and have achieved improvements, you can add traditional methods to your therapy for a speedy recovery. Remember that any recipe for healers “from plow” must first be agreed with a specialist, otherwise, instead of the expected benefit, you can cause harm to the body.

Traditional recipes require the active use of absorbable and anti-inflammatory drugs, which prevent the spread of granulomas and have a restorative effect on the patient’s body.

The following methods have been proven to be effective:

• Propolis tincture
  Buy it at the pharmacy and use it twice a day before meals, 20 drops, pre-dissolved in a glass of cool water. The duration of use of the prescription is three weeks. The first results will be noticeable after just seven days.
• Unrefined sunflower seed
  Combine 1 tbsp. l. of the original component with the same volume of vodka, take before meals. The procedure is repeated three times a day for ten days. There should be a five-day break between courses.
• Grape cuttings
  Place 220 g of the herbal component and pour a liter of boiling water. Cover with a lid and bring to a boil. Simmer over low heat for another 10-15 minutes. Cool the broth and strain through cheesecloth. Drink a glass of the product twice a day, after adding a spoonful of honey to it.
• Ginger
  This plant has a recognized ability to kill microorganisms and fight inflammation. Prepare a tasty and healthy decoction from it. Mix 50 g of finely chopped root, 400 g of chopped onion and sugar, and a liter of water. Add turmeric on the tip of a knife. Bring the mixture to a boil and simmer, covered, until its volume is reduced by half, then strain. Drink 1 tbsp. l. twice a day before meals.

Treatment of pulmonary sarcoidosis with folk remedies helps relieve the symptoms of the disease, ease its course, and speed up recovery. However, this is only an addition to the course of medications prescribed by a doctor, and not independent therapy. To avoid complications, be sure to coordinate the measures taken with your doctor.

How to cure pulmonary sarcoidosis? You need to see a doctor in Moscow or the city where you live. Based on the test results (lung biopsy and others), he will prescribe Prednisolone, Trental and other medications.

To speed up recovery, you will need physical therapy, correction of your diet and lifestyle. This is not a terrible disease, but an ailment that can be easily gotten rid of using modern medicine.