Exacerbation of chronic pancreatitis: first aid, how to treat and what to do
Disease of chronic pancreatitis is characterized by a periodic exacerbation of the disease, in which the patient has pain, characteristic of acute pancreatitis, and signs of endocrine, exocrineTh insufficiency.
Exacerbation of chronic pancreatitis may be masked by other diseases, such as ulcerative diseases such as duodenal ulcers and stomach or chronic cholecystitis. This complicates the diagnosis of the exact frequency of exacerbations of this disease.
Universal classification scheme chronic pancreatitis about its complications do not exist, but as a basis, allocate two diseases varieties: primary chronic pancreatitis, the development of which no obvious signs of inflammation of the pancreas and chronic pancreatitis in the acute stage( recurrent pancreatitis), characterized by the occurrence ofPeriodic exacerbations, the symptoms of which are characterized by acute pancreatitis, and in which urgent medical attention is needed. Symptoms
The main symptoms during exacerbation of chronic pancreatitis, pancreatic relates colic( pain in epigastrium, which gives to the left shoulder and upper quadrant), which has a surrounding character. Sometimes pain can give for the sternum, which can be taken as the pain of the heart. Obstructive forms of this disease are characterized by the presence of paroxysm of acute pancreatic colic, while chronic non-obstructive pancreatitis is characterized by constant but moderate pain.
Also, the main symptoms of the disease include nausea, not infrequently with vomiting. Moreover, in the case of recurrent chronic pancreatitis, vomiting does not bring relief, and is rather torturous.
content in blood glucose with acute exacerbation of severe chronic pancreatitis, increases, which leads to secondary diabetes, which is mainly characterized by the form of calcification pancreatitis.
Procedure for exacerbation
The first thing to eliminate pain during exacerbations and dyspepsia. For this it is recommended that during the first 2-3 days nothing is eaten, and instead, up to seven times a day, take mineral waters having a hydrocarbonate-chloride composition, one glass at a time. Water with this composition will help to inhibit the secretion of juice in the pancreas. If the condition does not improve, you need the help of a doctor.
After three days, you can start eating, but, provided that you follow the diet for table No. 5P.When the patient's condition begins to improve, his menu is gradually increasing, to five meals a day, by expanding the range of protein products.
It is forbidden to take fat, spicy food with exacerbation of the disease. Even if you really want a small piece, you can not do this. Prohibited also include foods that contain acids( fruit juices, apples), as well as foods that contribute to the occurrence of flatulence. You can not drink carbonated drinks and alcohol. Duration of seizures
attack of chronic pancreatitis can last from one hour or two to two or more days depending on the severity of the disease and the exacerbations associated with factors such as the intensity of the attack, the presence of concomitant diseases, the causes of attack, etc. The pain can be as very sharp, transient, and constant, but less acute. At such attacks the help of the doctor is necessary.
The initial stage of the development of destructive forms of recurrent pancreatitis often occurs with a sharp increase in the pain syndrome, seizures are more painful, but fleeting. When necrosis of pancreatic tissues acquires a significant volume, the intensity of pain decreases, but their duration increases. Reduction in the intensity of pain syndrome is associated with the fact that the nerve endings of the tissue die, which leads to a reduction in the number of pain impulses.
Traditional treatment of
With exacerbations of the chronic form of pancreatitis, first of all, the pain, as well as the intrasecretory and external secretory deficiency of the gland, are eliminated, and its inflammation is eliminated. For this, the patient is forbidden to eat until 3 days, and it is recommended to take mineral waters that have a hydrocarbonate-chloride composition. And as if I did not want to eat, this can not be done.
Also, as a first aid, drug therapy is carried out, which consists in taking medications, which can reduce the secretion of the pancreas. These can be proton pump inhibitors, for example, lansoprazole, omez, antacid preparations, such as phosphalugel.
After the improvement of the compulsory observance of the diet, all fatty and sharp foods are excluded from the menu.
It is also possible to treat pancreatitis using enzyme preparations, the action of which is based on the principle "from the inverse" - when the concentration of enzyme preparations increases, the release of cholecystokinin decreases, which leads to a decrease in the production of enzymes.
Vitamins, in particular fat-soluble vitamins E, D, K, A, and also groups B are included to compensate for reduced intake of nutrients into the therapy.
Treatment with herbs
In folk medicine, there are also ways to treat pancreatitis. And such means include taking cholagogue from herbs. In order to prepare a cholagogue infusion of herbs, you need to take the herb celandine, tri-colored violet, the herrman's herb grass, corn stigmas, anise fruits and dandelion root for 10 grams each, mix, and pour boiling water. It should be 0.5 liters of infusion, after which it should be boiled for up to 3 minutes. Take hot is not recommended, it is better not to do so, and cool the infusion. Take three times a day before meals. After the infusion is over, you need to move on to the next one.
To treat pancreatitis, you need to take 30 grams of peppermint and dill seeds, 10 grams of chamomile, and 20 grams of immortelle flowers and hawthorn fruits. The mixture must be crushed and poured with boiling water. It should be 0.5 liters of infusion, which must be cooled. Cold infusion filter and take for a month after eating.
Prevention
In order to prevent exacerbations of chronic pancreatitis, it is necessary to adhere to diet, doctor's recommendations and lifestyle.
Primary prevention includes :
- Compliance with a balanced diet, avoidance of overeating, restriction in the menu of carbohydrate and fatty foods;
- Complete refusal from alcohol and smoking, which is a prerequisite;
- Compliance with the menu of balance of trace elements and vitamins;
- Use at least 1.5 liters of water throughout the day;
- Timely visit to the doctor at the slightest violations of the gastrointestinal tract and exacerbation of the disease.
Conducting systematic sanitary and spa treatment, according to the doctor's recommendations.
