Pancreatitis focuses on prevention. Pancreatitis is also preventable. The first acute attack and acute attack of chronic pancreatitis can be prevented. The main link of prevention is to pay attention to diet. Don't drink too much, drink in moderation. Don't eat too full or greasy, especially at night. Of course, people with chronic pancreatitis can't do this. Moreover, even in normal times, we should eat less and eat more. Eat 4-6 meals a day, reduce the amount of each meal, quit greasy food, quit smoking and drinking.
When acute pancreatitis occurs, you should see the emergency department immediately. According to the doctor's instructions, you should generally fast and don't eat. After the disease is controlled, the diet will gradually recover. Generally, we begin to eat some rice soup, oil-free vegetable soup, some fruit juice, lotus root starch and the like. No problem after eating. Have some porridge, tofu and vegetable puree without oil.
Usually, it is forbidden to eat greasy food for two weeks to one month after an acute attack. The amount of protein should be controlled, not too much, such as eating one egg at most a day and removing the yolk. Then, gradually return to normal diet. Even if you return to a normal diet, you should give priority to low-fat foods, such as bean products, fish, shrimp, eggs and some lean meat. It is best to quit smoking and drinking for life to prevent recurrence. People with chronic pancreatitis and cholecystitis should do the same. Avoid animal oil and fried food. For patients with biliary diseases, biliary surgery should be performed as soon as possible to prevent pancreatitis caused by biliary diseases.
2. Treatment of pancreatitis:
Pancreatitis can be divided into mild and severe. Mild symptoms are sudden and persistent upper abdominal pain with nausea and vomiting after overeating, which is gradually relieved after 3 ~ 5 days of general treatment. The condition is serious, even a few patients go into shock when the symptoms of epigastric pain are not manifested, and eventually die of multiple organ failure or even sudden death, with a mortality rate of over 40%! Chronic pancreatitis refers to recurrent epigastric pain, accompanied by different degrees of pancreatic endocrine and exocrine function decline or loss. It has four obvious characteristics, one is emaciation, the other is fatty diarrhea, the third is pain and the fourth is diabetes. It is characterized by upper abdominal pain, which is mild, heavy and persistent, and the pain is more severe after meals. In addition, because the pancreas belongs to the retroperitoneal organ, it also has pain, that is, low back pain. Suffering from pancreatitis, there are generally surgical and non-surgical treatments. Surgical treatment includes cholecystectomy and biliary drainage, Oddi sphincterotomy and EST lithotomy under duodenoscope, nasobiliary drainage, removal of necrotic tissue, placement of porous drainage tube and even total pancreatectomy. Non-surgical treatment, that is, drug treatment, includes: analgesia; Correct malnutrition; Abstinence from alcohol; Adjust diet, limit fat intake, somatostatin, pancreatic exocrine enzyme and endocrine supply. Although the cure rate of acute severe pancreatitis has been improved, the treatment cost is very high, which requires hundreds of thousands of yuan and takes a long time to recover. It is the most serious disease in acute abdomen.
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