(1) Internal medicine treatment
①The cause of the disease: cholecystitis, cholelithiasis should be dealt with biliary tract disease; alcoholic pancreatitis should quit drinking; some people apply cholecystokinin octapeptide to treat chronic pancreatitis, and found that the pancreatic secretion function is significantly improved, and the symptom is significantly reduced.
②Control of symptoms: mainly pain relief, the following measures can be used: a. the application of analgesics; b. the application of pancreatic enzyme preparations; c. the application of H2 receptor blockers; d. abdominal plexus block; e. endoscopic pancreatic ducts to exclude protein embolus.
③Treatment of complications: pancreatic calcification can be treated with oral citrate, and in case of pancreatic exocrine insufficiency, a high-protein, high-carbohydrate, low-fat diet should be adopted. Routine application of pancreatic enzyme preparations, such as multienzyme tablets, Viokase or Catazym, 3 to 6 g / d. In addition, vitamins A, D , E, K, B12, etc. should be supplemented. Diabetes mellitus occurs according to the treatment of diabetes mellitus, often need to use insulin.
(2) Surgical treatment: All patients with chronic pancreatitis should be considered for early surgery after 3 to 6 months of unremarkable treatment by internal medicine. The indications for surgery are: ① the internal medicine treatment can not relieve abdominal pain, and the combination of malnutrition; ② the formation of pancreatic pseudocysts or the emergence of abscess; ③ may be combined with pancreatic cancer swelling; ④ fistula formation; ⑤ pancreatic enlargement compression of the common bile ducts occurs in obstructive jaundice; ⑥ there is a splenic venous thrombosis and portal hypertension caused by hemorrhage.
Surgical methods can be used: ① pancreatectomy; ② pancreatic duct decompression and drainage; ③ vagotomy and abdominal ganglionectomy; ④ surgery for biliary tract diseases and portal hypertension.
1
The pancreas is a small organ that "carries a heavy load"
Deep in the upper abdominal region of our body, there is a very inconspicuous small organ, which is the pancreas. Although the pancreas is small, but the role is extraordinary, it can be said that it is one of the most important organs in the human body. The reason why the pancreas is one of the most important organs of the human body, because it is a both endocrine and exocrine function of the gland, its physiological role and pathological changes are closely related to life.
The pancreas "hides" in the retroperitoneum, and its visibility is far less than that of its neighbors, the stomach, duodenum, liver, gallbladder, but the pancreas secretes pancreatic fluid in several kinds of digestive enzymes in the process of digestion of food plays the role of "protagonist", especially for the digestion of fat.
In terms of secretion, although the pancreas is small in size, it contains a variety of endocrine cells, such as secretion of hyperglycemia, insulin, gastrin, gastrin and so on. These cells secrete hormones that are responsible for regulating the physiological functions of the whole body, in addition to participating in the digestion and absorption of substances. If these cells are diseased and the substances secreted are in excess or insufficient, the disease will occur.
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Dieting to ease the prevention of disease
Wang Zaitong, director of the general surgery department at Beijing Hospital, told reporters that the incidence of pancreatitis in China is lower than that in foreign countries because of the difference in dietary habits.
The main causes of pancreatitis are alcoholism, trauma and biliary tract diseases. The cause of pancreatitis in foreign countries is mainly alcoholism, while China is different, mainly due to gallstones causing poor drainage of pancreatic fluid, reflux and inflammation of the pancreas. In recent years, the incidence of pancreatitis in China has risen, of which pancreatitis due to gallstones, i.e., biliary pancreatitis, accounted for more than 50 percent of the incidence of the population.
The reasons for the formation of gallstones are also complex and different at home and abroad, for example, cholesterol stones and bile pigment stones are very different in the formation of the mechanism. And now, with the growing standard of living of the residents, improper diet caused by gallstones are also more. Therefore, the prevention of gallstones is very clear, one is to improve the level of hygiene, and the second is to eat less fatty, high cholesterol food.
Besides gallstones, overeating is also an important factor in the development of acute pancreatitis. The first thing you need to do is to get your hands on some of the most popular products and services in the world, and then you'll be able to get your hands on some of the best ones. Bile reflux or pancreatic juice "out of the way" poor acute pancreatitis. Clinically, the majority of patients with acute pancreatitis have overeating experiences. The company's website is a great source of information about the company's products and services, and the company's website is a great source of information about the company's products and services.
To summarize, in order to prevent pancreatitis, the most important thing is to focus on the cause of the disease, less alcohol, prevent or timely treatment of biliary tract disease, avoid overeating to reduce the burden on the pancreas, avoid trauma, etc. The most important thing is to prevent the disease from occurring, and the most important thing is to prevent the disease from occurring.
3
Choke the vicious killer! The first one is the one that is not a good idea, and the second one is the one that is not a good idea, and the third one is the one that is not a good idea, and the third one is the one that is not a good idea. Hemorrhagic necrotizing disease is serious, even a few patients in the epigastric pain symptoms are not manifested when the state of shock, due to respiratory failure and sudden death, the death rate of more than 40%! Chronic pancreatitis has 3 more obvious characteristics, one is emaciation, the second is steatorrhea, the third is pain, manifested as epigastric pain, the pain is light and heavy, in a continuous manner, the pain is worse after eating. In addition, because the pancreas belongs to the retroperitoneal organs, there is another pain manifestation, which is back pain. There are usually surgical and non-surgical treatments for pancreatitis. Surgical treatments include juguloplasty, sphincter of Oddi's, internal biliary and intestinal drainage, gallstone removal, and total pancreatectomy; whereas non-surgical treatments, which are also known as internal treatments, include: pain relief; correction of malnutrition; cessation of alcohol consumption; dietary modification, restriction of fat intake, and exocrine pancreatic enzyme and endocrine supplementation. Although the cure rate of acute severe pancreatitis has increased, the treatment cost is very high, requiring hundreds of thousands of RMB and taking a long time to recover. It belongs to the most serious type of necrosis in acute abdomen.
4
Manage your mouth and be alert to complications to strengthen nutrition can not be a cut
After the treatment of acute pancreatitis patients discharged from the hospital, even if they have resumed a normal diet, does not mean that the body has been completely recovered. Therefore, the postoperative recovery, conditioning, follow-up is very important. Timely removal of the cause of the disease. In China, most of the acute pancreatitis is caused by biliary tract diseases, so when the condition of acute pancreatitis is stabilized and the patient's general condition gradually improves, it is necessary to actively treat biliary tract stones. The first thing to do is to ban alcohol, and if you drink alcohol again, it's a chronic suicide. The most important thing to remember is that if you have a problem, you will not have to worry about it. Those with pancreatitis caused by hyperlipidemia should take long-term lipid-lowering drugs and consume a low-fat, light diet. Regular follow-up to prevent complications. During the recovery period of pancreatitis, the inflammation is only limited to subside, and the inflammatory exudate often takes 3 to 6 months to be completely absorbed. During this period, some patients may develop complications such as pancreatic cysts and pancreatic fistula. If a patient notices an increasing abdominal mass and develops symptoms such as abdominal pain, abdominal distension, vomiting of blood, vomiting, etc., he or she needs to seek medical attention promptly. Strengthen nutrition to promote recovery. If the exocrine function of the pancreas is not obviously impaired, you can eat food mainly made of carbohydrates and proteins, and reduce the intake of fat, especially animal fat. If the exocrine function of the pancreas is impaired, the nutrition can be strengthened appropriately with the assistance of pancreatic enzyme preparations.
Dietary taboos
For patients with acute pancreatitis, special attention needs to be paid to diet. In the acute stage should be completely fasting, to gradually ease the symptoms, can eat non-fat protein fluid, such as juice, thin lotus root powder, rice soup, vegetable juice, thin soup noodles, etc., and later can be gradually changed to low-fat semi-fluid. In addition, patients must avoid eating greasy food such as fatty meat, peanuts, walnuts, sesame seeds, crispy snacks, etc., avoid eating stimulating, spicy food, and absolutely prohibit smoking and alcohol. Acute pancreatitis dietary remedies include: radish juice, water chestnut juice, silver flower juice, fresh potato juice. Such as fresh potato juice: it will be washed and chopped, mashed, squeezed with a gauze bag to take the juice, fasting to take 1 ~ 2 spoons.
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Pancreatitis lead the way to diabetes closely followed
Protein is one of the important nutrients necessary for the human body, especially animal protein, is a high-quality protein, however, if a large amount of protein is consumed during a meal, it may cause severe acute pancreatitis. If you eat a large amount of protein food while drinking excessive amounts of alcohol, you have a greater chance of causing acute pancreatitis. Beijing Hospital Endocrinology Sun Meizhen said that if you eat a lot of protein and fatty foods in a short period of time, it will stimulate the pancreas to secrete a large amount of pancreatic fluid, the pancreatic ducts can not vent so much pancreatic fluid to the duodenum, plus if the original pancreatic ducts are not too smooth, pancreatic fluid will be flooded, backflow into the pancreatic tissues. If you add the stimulation of alcohol, it will aggravate the situation of pancreatic fluid flooding. This will lead to digestion of the pancreas itself, causing death and, in less severe cases, irreversible damage to part of the pancreas. With acute pancreatitis, the internal and external secretory functions of the pancreas are often impaired to varying degrees. Damage to exocrine function is manifested by reduced digestive function, especially the reduced ability to digest fat and protein. Patients suffer from poor appetite, weight loss, bloating, diarrhea, and often characteristic steatorrhea. This damage to exocrine function is usually not easily recovered, so treatment is limited to pancreatic enzyme replacement therapy. And when the endocrine secretion of the pancreas is compromised, it may lead to diabetes. The likelihood of developing diabetes depends on the degree of inflammation of pancreatitis, if it is edematous pancreatitis, it recovers faster, while if it is acute necrotizing pancreatitis, it affects the pancreas's function of secretion of insulin, so that insulin secretion is too little or even secretion of insulin, which leads to diabetes mellitus, this kind of diabetes mellitus due to other conditions is called secondary diabetes mellitus. Therefore, it is important to protect the pancreas in order not to have diabetes.