"Pancreatitis" is a common disease of pancreas. There are generally acute diseases and chronic diseases. Although there are many causes, it has an important relationship with the long-term existence of biliary diseases in China, and improper diet is also a very important pathogenic factor.
Abdominal pain is the main manifestation of pancreatitis. The pain is severe, mostly in the middle and upper abdomen, and can radiate to the back and left shoulder. It often wakes up in the middle of the night and can be relieved by sitting down, or it is accompanied by nausea and vomiting. For acute pancreatitis, there may be more serious situations such as fever, jaundice, shock, cardiopulmonary and renal failure, so once you get acute pancreatitis, it is tantamount to experiencing a contest between life and death. As for chronic pancreatitis, if the acute attack period can be similar to acute pancreatitis; There are also some chronic pancreatitis, which cause extensive damage to glands due to persistent chronic inflammation, leading to endocrine and exocrine disorders of the pancreas; In the later stage, indigestion, loss of appetite, anorexia, greasy, weight loss, fatty diarrhea and so on appeared. It may happen; Lack of fat-soluble vitamins A, D, E and K can also cause malabsorption syndrome such as night blindness, rough skin, hand and foot convulsions, muscle weakness and bleeding tendency, and diabetes or impaired glucose tolerance can also occur.
It can be seen that both acute and chronic pancreatitis will bring great troubles to our life and health, so I don't hesitate to write it here for everyone to understand, and please take care of your pancreas.
Please pay more attention to the pancreas, although it is a small task and a serious biliary disease. It is necessary to treat overeating as soon as possible. Heavy drinking leads to sudden death. Long-term alcoholism should be avoided. The predisposing factors are overeating and drinking. The food we eat mainly enters the duodenum through digestive enzymes secreted by the pancreas, which are activated by bile and duodenal juice and then help digestion. Before entering the duodenum, the pancreatic duct that collects and transports pancreatic juice in the pancreas merges with the bile duct to form * * * and enters the duodenum. When people consume too much fat and protein at one time, or drink too much, the gallbladder and pancreas reflexively secrete a lot of bile and pancreatic juice, which must be poured into the duodenum through the same pipe to complete the digestive task. At this time, if alcohol stimulation is added to cause duodenal papilla edema and Oddi sphincter spasm, the poor outflow of these digestive juices will increase the pressure in the biliary tract, which will easily make bile flow back into the pancreatic duct, activate pancreatin to digest the pancreas itself, and form acute inflammation. Long-term alcoholism and irregular diet can also lead to pancreatic injury or repeated inflammation, and eventually form chronic pancreatitis. Chronic pancreatitis often manifests as persistent epigastric pain, which is often induced by full meal, high-fat diet or drinking.
Other causes of biliary tract diseases have been reported in China? 0% of pancreatitis is caused by biliary tract diseases. 50% of acute pancreatitis is caused by gallstones, biliary tract inflammation or biliary ascaris, especially cholelithiasis, which leads to outlet obstruction, increased pressure in biliary tract, bile reflux to pancreas, increased pressure in pancreatic duct, activation of pancreatin and self-digestion. This is the so-called "gallstone pancreatitis", which shows that gallstones are closely related to pancreatitis. Studies have found that 94% patients with gallstones and acute pancreatitis can find small stones in feces, while only 8% patients with gallstones and non-acute pancreatitis can find stones in feces. It is also reported that 60% patients with nonalcoholic acute pancreatitis have cholelithiasis. If biliary tract diseases persist for a long time, inflammation will recur and become chronic inflammation, which will eventually lead to chronic pancreatitis.
There are other reasons, such as surgery or trauma, endocrine and metabolic disorders, acute infectious diseases and some drugs can increase the secretion or viscosity of pancreatic juice, which may induce pancreatitis.
The above reasons may cause pancreatic hypersecretion, or pancreatic juice excretion disorder, or pancreatic blood circulation disorder. Although the pathogenic pathways are different, the pathogenesis is the same, that is, self-digestion caused by the activation of various digestive enzymes in the pancreas.
The clinical manifestations of pancreatitis are acute:
Severe abdominal pain, excessive upper abdomen or nausea, vomiting and prone position can relieve pain or fever, jaundice or shock. Chronic: dyspepsia, anorexia, greasy fat diarrhea, weight loss and malabsorption syndrome. Active treatment of biliary tract diseases As mentioned earlier, biliary tract diseases are the chief culprit of pancreatitis, especially gallstones, which may cause outlet obstruction and lead to pancreatitis at any time. Therefore, patients with gallstones must be actively treated as soon as possible. If there are sediment-like or mung bean-like stones, surgery should be performed as soon as possible to prevent pancreatitis. Patients with cholecystitis should also take time to treat, and long-term inflammatory stimulation is also easy to induce pancreatitis; For patients with pancreatitis, active treatment of biliary tract diseases is equally important.
Dietary advice A high-protein, high-calorie and low-fat diet is the first principle that patients with pancreatitis should follow. Whether acute pancreatitis is cured or chronic pancreatitis is at rest, a light diet should be given priority to, and the diet should be easy to digest, with no more than 20 grams of fat per day. Protein can reach 70 grams per day. The intake of carbohydrates depends on whether diabetes is complicated and its severity, and eat more green leafy vegetables and fruits.
Avoiding overeating "eating moderately" is a healthy principle that everyone should abide by. For patients with pancreatitis, we should pay more attention to the eating rules, eat regularly and eat quantitatively. A meal should not be too full, nine points full. If necessary, eat less and eat more meals to avoid overloading the pancreas. Chew slowly, don't wolf it down.
Abstinence from alcohol and alcoholism are the main causes of pancreatitis, which can lead to pancreatic hypersecretion, duodenal papilla edema and Oddi sphincter spasm. For patients with chronic alcoholism, pancreatic juice protein often precipitates, forming protein embolus to block the pancreatic duct, leading to pancreatic juice excretion disorder.
Avoid irritating food. Avoid irritating food as much as possible to reduce the secretion of gastric acid and pancreatic juice and prevent the acute attack or aggravation of the disease.
Fasting should be done during acute pancreatitis and acute and chronic pancreatitis, because chyme and gastric acid can stimulate the secretion of pancreatic enzyme in duodenum, which is not conducive to the recovery of pancreatitis and even aggravate the condition. Generally speaking, we should fast until the pain stops and the temperature returns to normal. After that, we can gradually eat low-fat liquid food and low-fat semi-liquid food according to the situation, and gradually transition to a diet containing a certain amount of protein, and observe the changes of the disease at any time and adjust the diet structure.
The dietary principle of patients with pancreatitis is high protein, high calorie and low fat, so we must resolutely eat moderate, regular and quantitative foods and avoid spicy and irritating foods. Do necessary fasting during the attack and pay attention to vitamin supplementation. Vitamin C, a nutrient you should know, is a strong antioxidant, and patients with pancreatitis should be properly supplemented.
B vitamins B vitamins mainly play the role of coenzyme in productivity reaction, among which nicotinic acid can help the metabolism of sugar, fat and protein. Pantothenic acid has a similar function in this respect.
As a powerful antioxidant and oxygen carrier, vitamin E can help tissue repair.
In chronic pancreatitis with fat-soluble vitamins, when the lesion lasts for more than 5 years, the atrophy and fibrosis of the pancreas have become more obvious, and the endocrine and exocrine dysfunction of the pancreas often occurs. Its exocrine function is insufficient. Due to the loss of secretion function of lipase and protease, patients will have symptoms such as seborrhea, emaciation, malnutrition and edema, and at the same time they will lack fat-soluble vitamins, such as vitamin A, vitamin D, vitamin E and vitamin K. Therefore, patients with chronic pancreatitis should pay attention to supplementation to make up for the lack of the above vitamins.
Other Lecithin Lecithin is a fat emulsifier, which can help fat emulsification.
Hawthorn Hawthorn Hawthorn contains lipase, maslinic acid, citric acid, vitamin C, sugar and protein. Among them, lipase can promote the decomposition of fat, promote the digestion of meat fatty food and promote the absorption of fat-soluble food. Hawthorn enzyme can improve the activity of protease and strengthen the digestion of meat protein, so Chinese medicine has always regarded hawthorn as a medicine for resolving food stagnation, especially in resolving food stagnation. Patients with chronic pancreatitis often have insufficient secretion of lipase and protease, so eating hawthorn properly will have certain benefits. The usage of medicated diet can be soup, beverage, tea and porridge, with the dosage of 10-20g each time.
Lotus leaf is the leaf of lotus, which can not only clear away heat and relieve summer heat, but also nourish spleen and yang. Therefore, for people with spleen deficiency and qi stagnation and diarrhea, drugs that strengthen the spleen and nourish the stomach can be used appropriately.
Pancreatitis, such as Alpinia officinarum and Amomum villosum, often have some symptoms such as spleen and stomach deficiency and cold, spleen and stomach qi stagnation, spleen deficiency and dampness resistance in the later stage. Alpinia officinarum and Amomum villosum have the functions of regulating qi and stomach, warming middle warmer to relieve pain, strengthening spleen and eliminating dampness. Modern pharmacological research believes that most of these drugs have the function of stimulating gastrointestinal function, and people can choose their daily diet according to their illness, such as Alpinia officinarum, Amomum villosum, dried ginger, bergamot and so on.
Pig pancreas is pig pancreas. Chinese medicine has always said that "viscera should be supplemented by viscera". This is because the functions and components of the same organs in the animal kingdom are similar. Therefore, it is used to treat diseases in order to make up for the shortcomings. Pig pancreas contains a variety of pancreatic enzymes, which can be used as an alternative therapy for chronic pancreatitis and has a certain therapeutic effect on patients with dyspepsia and steatorrhea.
Medicinal diet includes white radish juice, watermelon juice, tomato juice, Sydney juice, water chestnut juice, mung bean sprout juice, etc. , you can get drunk. Has the effects of clearing away heat and toxic materials, and can supplement vitamins. It is suitable for patients with acute pancreatitis who have just allowed low-fat liquid food after fasting.
Huangya drinks 30 grams of day lily and 30 grams of purslane. Wash them, put them in a pot, add some water, boil them with strong fire, simmer for 30 minutes, cool them and can them. Stands for tea, which has the effects of clearing away heat, detoxicating and diminishing inflammation. It is suitable for pancreatitis in the early stage of eating liquid.
Bergamot porridge bergamot15g, 50g of japonica rice. Decoct bergamot juice to remove residue, add appropriate amount of japonica rice and water to cook porridge, add appropriate amount of rock sugar when cooked, and eat porridge after cooked. Has the effects of regulating qi, relieving pain, invigorating spleen and nourishing stomach.
20g of Ramulus Cinnamomi, 40g of Radix Paeoniae Alba, 20g of Radix Glycyrrhizae12g, 20g of Rhizoma Zingiberis Recens and 0/2g of Fructus Jujubae12g are decocted in water, and after removing residues, 0/00g of japonica rice100g is added to make porridge, which can strengthen the spleen and regulate the stomach.
Nutmeg porridge10g, ginger10g, and japonica rice 50g. First, boil japonica rice into porridge. After boiling, add nutmeg and Jiang Mo, cook into porridge, and then eat. It can regulate qi, relieve pain and dispel cold, and can be used to treat acute pancreatitis with cold symptoms.
Pig pancreas powder is baked with slow fire, ground into powder, packaged into capsules and taken in batches every day. Contains a variety of pancreatic enzymes, which can play the role of alternative therapy and is effective for patients with dyspepsia and steatorrhea.
Hawthorn lotus leaf tea 30g, lotus leaf 12g. Add 2 bowls of clear water to the above two ingredients, fry them to 1 bowl, remove residues and eat them separately. Can promote digestion, promote digestion, and treat dyspepsia of chronic pancreatitis.
20g of seaweed soup and 0g of cassia seed10g. Adding the two ingredients into a bowl of water and frying them to 1 bowl, and taking them twice a day is beneficial to the relief of chronic pancreatitis.
3 grams of dried ginger porridge, 3 grams of galangal, and 50 grams of japonica rice. First, decoct dried ginger and galangal in water, remove residues to get juice, and then add washed japonica rice to cook porridge and eat it several times. Has that effect of invigorating spleen and war stomach.
Evodia rutaecarpa porridge 2g Evodia rutaecarpa, 2g ginger, 2g onion and 50g japonica rice. Boil porridge with water in japonica rice. When the meal is almost cooked, grind Evodia rutaecarpa and ginger into fine powder, chop the scallion and put it into porridge, and eat it several times a day. Has that effect of regulating stomach, stop vomiting, regulating qi and relieving pain.
Carassius auratus soup Amomum villosum 1 0g, Zizania latifolia10g, dried tangerine peel10g, crucian carp1strip, pepper10g, pickled pepper10g, onion, garlic, etc. Scrape and clean crucian carp, put medicine and waste into the stomach, stew and cook it into fish soup according to the usual method, and take it several times. Has effect in dispelling cold, regulate qi and relieving pain, and can be used for treating chronic pancreatitis.