Human he alth depends directly on digestion. Any deviation leads to changes in the activity of the body. The pancreas is responsible for the state of the endocrine system. Pancreatitis develops when the pancreas malfunctions. What is parenchymal chronic pancreatitis and how is it treated?
What is pancreatitis?
When the parenchymal form of pancreatitis is the destruction of the pancreas. A pathological disease affects the pancreatic tissue, its functioning is disrupted. If left untreated, the disease leads to a decrease in the activity of the organ.
With the slow development of parenchymal chronic pancreatitis, symptoms may be absent. Because of this, the diagnosis is not made immediately, which leads to atrophy of the pancreatic tissue. Forthe chronic form is characterized by the alternation of the acute stage and remission.
Types of pancreatitis
Chronic pancreatitis is divided into several types, depending on the course of the disease. All forms are dangerous to humans and require timely treatment.
Chronic parenchymal biliary-dependent pancreatitis develops for a long time. It is based on a congenital disease of the biliary tract. A person treats related diseases. When pain appears, it does not immediately go to the doctor, so pancreatitis progresses. This disease can cause diabetes mellitus and malignant neoplasms of the gland.
Parenchymal recurrent pancreatitis is determined by the constant change of calm and exacerbation period. It is easy to diagnose, but exhausts the patient with constant remissions.
Fibrous pancreatic process is the next stage of untreated pancreatitis. Diagnosed only by ultrasound examination of the patient's parenchyma.
Causes of disease
Chronic biliary parenchymal pancreatitis occurs after comorbidities:
- acute pancreatitis;
- cholecystitis;
- gastric ulcer;
- hepatitis;
- gallstones;
- diseases of the gallbladder and its removal.
In addition to diseases, chronic pancreatitis appears against the background of the following factors:
- drinking alcohol;
- heredity;
- impaired biliary patencyways;
- poisoning with poisons or drugs;
- with rejection of pancreatic cells due to a malfunction in the immune system;
- viral infections that have penetrated the pancreas;
- metabolic disorder.
This can provoke the appearance of chronic parenchymal pancreatitis, but sometimes it is not possible to find out the cause of the disease.
Lifestyle and environment influence the occurrence of the disease. Abuse of a large amount of s alty, smoked and fried foods increases the risk of the disease. Unfavorable environmental conditions affect the activity of the pancreas. Decreased immunity, snacking on the run, infection with helminths can serve as an impetus for the development of parenchymal pancreatitis.
Disease symptoms
Chronic parenchymal pancreatitis is quite difficult to diagnose. Symptoms may not appear for a long time. But during the period of exacerbation, the patient notices changes in his condition. The most common symptoms of the disease are:
- abdominal pain;
- feeling weak;
- indigestion;
- appearance of red spots in the abdomen;
- quick weight loss;
- development of diabetes;
- skin becomes yellowish.
Symptoms are similar to many other diseases. Pain in the abdomen with pancreatitis occurs only after eating, is bursting in nature and is localized on the left side under the ribs. Painaggravated after fatty foods, alcoholic beverages and overeating.
Weakness is accompanied by a constant desire to sleep. Absent-mindedness appears, a person cannot concentrate.
Indigestion is characterized by a change in stool, bloating, nausea. Undigested food remains in feces.
If the symptoms recur after a certain period of time, this indicates that the disease has passed into the chronic stage.
Diagnosis
The doctor will make a preliminary diagnosis based on the patient's complaints. To confirm chronic pancreatitis of the parenchymal form, the following examinations are necessary:
- Ultrasound determines the degree of deformation of the pancreas. It can increase, decrease or change shape. When the gland becomes diseased, it becomes denser and therefore decreases in size.
- Complete blood count. It usually shows an increase in liver enzymes. In the acute form, the ESR and the content of leukocytes will increase.
- Biochemical blood test. In chronic pancreatitis, blood sugar increases, exceeding the norm.
- Angiography reveals the patency of the pancreas and its changes in structure.
Medication treatment
After the diagnosis of chronic parenchymal pancreatitis is made, the doctor will choose the treatment depending on the patient's condition. During therapy, it must be taken into account that chronic pancreatitis does not pass without a trace. It is impossible to return the pancreas to its original state. But it is possible to slow down the disease and improve the quality of life.
In the acute stage, the patient should drink only mineral water for two days, completely refusing to eat. It is allowed to apply cold compresses to the left hypochondrium.
Treatment is usually done in a hospital. To relieve pain, Diclofenac, Ketorol, No-shpu are used. After taking antispasmodics and analgesics, it is necessary to reduce the swelling of the pancreas, remove intoxication and suppress its activity.
In the hospital, droppers with glucose solution are prescribed. Depending on whether additional enzymes are required or not, drugs are taken to increase secretion production or reduce it.
Means that help restore pancreatic function are prescribed by a doctor. Usually it is Methyluracil or Cobamamide.
Surgical intervention is required in some cases. If the treatment does not help, and the patient's condition worsens, then an operation is performed to free the pancreatic ducts.
Folk remedies
Folk remedies can be used in the treatment of chronic parenchymal pancreatitis. Exacerbation is a contraindication. When choosing any means, the reception is started with small doses, gradually increasing to the norm. If, when using folk remedies, discomfort or pain appears, then the reception must be stopped.
Folk recipes, which include herbs, should not increase the acidity of the stomach. Improving the immune forces of the bodyhelp in the fight against the disease. Herbs for decoctions must be bought at a pharmacy or harvested independently.
One of the most popular ways in the treatment of diseases of the gastrointestinal tract is oatmeal. It has practically no contraindications, and you can drink it at any age. A glass of grain oats must be poured with cold water and boiled. The sticky mass that appeared during cooking can be drunk before meals in half a glass.
Decoction of chamomile, St. John's wort and wild rose is taken 30 minutes before meals. All ingredients are poured with boiling water, boiled for 5 minutes and left to infuse until completely cooled. Each plant can be brewed separately.
Potato juice is used daily before meals. You need to cook fresh every time.
Folk remedies can cause an allergic reaction. If itching or discomfort occurs, they should be discontinued.
Diet therapy
Diet for chronic parenchymal pancreatitis is prescribed strict. Table number 5 is recommended. In case of exacerbation, complete fasting is recommended for two days. On the third, a small amount of food without s alt is introduced. Foods allowed when sick:
- stale bread, prefer dried bread;
- poultry, lean fish, beef;
- boiled protein or steamed omelet;
- soups in vegetable broth with cereals;
- steamed vegetables;
- fermented milk products;
- fruit;
- decoctions;
- jelly.
Products thatshould not be used in chronic parenchymal pancreatitis:
- alcohol in any quantity;
- coffee;
- strong tea, cocoa;
- smoked products;
- meat broth soups;
- fatty meat and fish;
- chicken yolk;
- fried and s alty foods;
- marinades;
- carbonated drinks;
- fresh bread and baked goods.
Principles of nutrition in pancreatitis
Nutrition for chronic parenchymal pancreatitis with exocrine insufficiency should be based on the principles of proper nutrition:
- fractional meals at least 5-6 times a day;
- portions are small;
- keep drinking regimen, drink at least 1.5 liters of water per day;
- food should be warm, avoid hot or cold dishes;
- prefer mashed dishes;
- exclude fried and smoked, marinades and pickles;
- cook dishes in steam or boiling water;
- reduce s alt;
- eat enough protein, reduce fat and carbohydrates;
- give up spicy food.
Food should saturate the body with vitamins and minerals. During the period of remission, you can eat non-mashed dishes, but you can not eat those foods that are prohibited.
Complications after illness
Chronic parenchymal pancreatitis needs to be identified as early as possible. Prolonged exposure leads to various complications. Pathologies caused by pancreatitis:
- benign tumors in the pancreas;
- diabetes mellitus;
- gastritis and peptic ulcer;
- gallstones;
- sepsis;
- oncology;
- pleurisy;
- colitis.
It is almost impossible to detect a disease in remission, because there are no main symptoms. Therefore, at the first signs of the disease, it is necessary to undergo an examination and prescribe the correct treatment.
Disease prevention
To prevent the disease, you must follow the simple rules of a he althy lifestyle. Eat a variety of foods and avoid unhe althy foods. Avoid alcohol and tobacco. If infectious diseases are detected, undergo timely treatment. Physical activity and fresh air play an important role in the prevention of this disease. Monitor the state of the nervous system and eliminate stress factors.
When pain occurs, you need to see a doctor for a diagnosis. During treatment, you should follow the recommendations of a specialist to reduce the risk of complications after pancreatitis.
