Treatment of pancreatitis in pregnancy
Today disease pancreatitis, which is characterized byInflammation of the pancreatic tissue, a fairly wide range of people is exposed. Manifesting itself in various forms - as in acute, accompanied by severe pain in the upper encircling the abdomen, and in the chronic phase with exacerbations and remissions, and less severe pain - zabolevnie requires immediate events such as medication compliance and strict diet.
Chronic type of the disease is characterized by a gradual change in the structure of the tissues of the affected organ, which can lead to its insufficiency, disruption of normal functioning during digestion and hormonal failures, fraught with the development of diabetes mellitus.
It is especially important to diagnose pancreatitis in pregnancy in time to avoid any complications, both during childbirth and childbirth.
Main causes of
Exacerbation of chronic inflammation of the pancreas or development of the acute form of this ailment often occurs during the course of pregnancy.
This can be caused by various reasons, including:
- chronic alcoholism;
- with an incorrect power supply;
- with gastrointestinal diseases, including hepatitis, cholecystitis, gastritis, peptic ulcer;
- excessive infatuation with medicinal preparations;
- obesity;
- infectious diseases;
- by compression of the pancreas with an enlarged uterus;
- heredity.
Symptoms of the disease
At the initial stage, pancreatitis can be difficult to diagnose due to similar symptoms of toxicosis. However, diarrhea, nausea and vomiting after 12 weeks of pregnancy indicate the onset of this insidious disease.
In addition to these symptoms, pancreatitis during pregnancy, primarily manifests these disorders in the digestive system such as bloating, severe weight loss, that may signal a possible intestinal dysbiosis and development of diarrheal form of the disease.
There is also a painful form of pancreatitis, the course of which is characterized by tearing pain, localized in the upper part of the abdomen and spreading to the back, temperature and bloating.
The most complex type of inflammation of the pancreas is its asymptomatic form, in which practically no symptoms of the disease are observed, which significantly complicates the timely diagnosis and treatment.
Diagnostic features of the
Symptomatic of such a disease as acute or chronic pancreatitis, during pregnancy is fairly "blurred", which greatly complicates the process of its diagnosis.
To distinguish symptoms of pancreatic inflammation of toxemia during pregnancy and early treatment, the doctor spends, as a rule, the following laboratory tests:
- urinalysis( to determine the increase of diastase and the main pancreatic enzymes - amylase);
- stool analysis( for detection of excessive growth of microflora and disturbance of digestion of fats);
- blood test( for the purpose of revealing the increased levels of AST, ALT and free bilirubin fraction, as well as a decrease in the hemoglobin index);
- Ultrasound examination of a damaged organ( to detect changes in gland size and compaction of its tissues).
For the diagnosis of pancreatitis during pregnancy, the use of both computed tomography and x-rays is strictly prohibited, which can harm a mother in the womb.
Treatment and Diet
The combination of symptoms of pancreatitis and the corresponding results of laboratory studies allows us to establish the correct diagnosis and to prescribe an adequate treatment that is relevant in each case.
When treatment of inflammation of the pancreas in pregnant women is mandatory the use of medications, however, it must be remembered that for the avoidance of adverse effects on fetal development of the number of drugs at this time should be kept to a minimum and be under the strict supervision of experienced specialists in this field.
Further, successful treatment of pancreatitis involves :
- diet correction excluding fatty, spicy, salted, smoked and fried food, and foods such as chocolate and coffee;
- frequent meals in small portions;
- use of digestive enzymes( creos, mezim and others) and buffer antacids( Almagel).
Removal of restrictions is possible with the resumption of normal activity of the gastrointestinal tract, as evidenced by the restoration of gas separation, peristalsis and stool.
Treatment of acute pancreatitis during pregnancy, as a rule, requires immediate hospitalization of the patient to provide full and timely medical assistance and subsequent constant monitoring of the condition of the future mother and child.
Fetal hazard
The manifestation of pancreatitis during pregnancy is considered quite dangerous. As the accumulated experience and conducted studies show, the acute course of the disease increases the risk of adverse course and pregnancy outcome, however, do not adversely affect the fetus itself.
In the first trimester, miscarriage and premature birth may occur in women suffering from pancreatitis, the latter may experience prolonged symptoms of severe toxicosis and various complications that are dangerous, both for the woman and her child. In case of especially severe course of the disease, the question of termination of pregnancy may be raised, which can lead to worsening of the patient's condition. This decision is made individually in each case by specialists such as a gynecologist, surgeon and therapist.
Modern medicine believes that chronic pancreatitis is not considered a contraindication for conception and bearing of the fetus, since the ailment has no effect on the fetoplacental blood flow. An important factor in this case is compulsory dispensary observation of the woman from the very first days of pregnancy, which, in case of possible exacerbations and complications, will lead to timely and prompt treatment aimed at their prevention.
In acute pancreatitis during pregnancy is important to understand that all measures for the diagnosis of the disease and its treatment have to be taken urgently, because the sooner treatment is started the damaged organ, the greater will be the likelihood of a quick and successful recovery and all-if complicationsThey will be minimal, and they will not be able to threaten neither the breakdown of pregnancy, nor the health of future mothers and children.
