Chronic pancreatitis belongs to the group of inflammatory chronic pancreatic diseases that occurs with periods of deterioration and alleviation of the patient's condition. In the process of development of chronic pancreatitis, connective tissue replaces the normal tissue of the gland. In this case, the pancreas is no longer able to perform its basic functions. The main symptoms of the disease are pain in the upper abdomen, weight loss, vomiting, nausea, diarrhea, etc.
In chronic pancreatitis, diagnosis is based on pancreatic stimulation tests, abdominal ultrasound, radiography, computed tomography and several other methods.
Treatment of chronic pancreatitis
As a rule, in the treatment of chronic pancreatitis, preference is given to conservative methods: compliance with the diet, treatment of symptoms during periods of exacerbation, removal of pain and correction of gland functions. During periods of exacerbation, treatment should be performed only under the supervision of a doctor in a hospital setting. To treat xp pancreatitis and create the most favorable conditions under which the period of remission increases, and the interval between exacerbations and their severity decreases, a therapeutic diet is used. Only by adhering to it can you hope for recovery. To be treated by a food during an exacerbation costs or stands every three hours, during remission - each five-six hours small fractional portions. If you want to cure yourself of chronic pancreatitis, you should stop eating mushroom soups, chocolate, coffee, soda, white bread, smoked foods, spicy dishes, salty, fried, fatty and alcohol. As a treatment for food you can use tea, fruit, pasta, low-fat meat, low-fat fish, porridge, boiled vegetables and vegetable soups.
Compliance with diet and restriction of hard-to-digest products in their diet is an integral part of the treatment of pain syndromes during an exacerbation. Also to treat acute painful sensations in chronic pancreatitis appoint non-narcotic analgesics. These drugs are not able to cure the disease, but they reduce the amount of inflammation, thereby reducing pain. With very strong pain syndromes, a doctor can treat pain with octreotide, which reduces the production of hormones that lead to the appearance of pain through pancreatic stimulation.
Since the long course of such a disease without proper treatment leads to the replacement of normal connective tissues that are not capable of performing pancreatic functions, then it is not possible to cure exacerbation without the appointment of pancreatic enzymes, which the iron no longer produces or produces in insufficient quantity. The use of pancreatic enzymes not only normalizes digestion, facilitating the digestion of food, but also allows the pancreas to rest from performing its functions, easing the pain.
If long-term attempts to cure xp pancreatitis do not lead to the desired result, the doctor may decide to treat the patient promptly. Although chronic pancreatitis in itself is not an indication for surgical treatment, but if severe pain does not lend itself to cupping with the help of medications, one can recommend a medical operation - sphincteremia. Sphincteremia is called an operation on the pancreas, during which the opening of the gland is dissected and expanded.
Diagnosis and effective treatment of chronic pancreatitis
For initial diagnosis, the patient is taken biochemical blood test, which reveals the following obvious signs of chronic pancreatitis: a decrease in the level of calcium, albumins, globulin and total protein, a significant increase in glucose level. And in the period of exacerbation - the level of trypsin, amylase and lipase.
Also do urine analysis: the content of diastase in it is one of the main symptoms that helps to determine pancreatitis. Another functional analysis is a coprogram showing the lack of pancreatic enzymes in terms of the number of muscle cells, starch and fat in the feces.
For definitive diagnosis, functional tests with secretin and cholecystokinin are made to study the concentration of enzymes and the production of bicarbonates. Ultrasound reveals the deformation of the pancreas( size, contours, cysts).The flow in the pancreas is studied using ERCPH.
In addition to the mandatory strict diet, in the treatment of chronic pancreatitis it is necessary to regularly take effective medications to normalize the digestive process( creon, mezim, pancreatin).To protect the mucosa, the diamond, phosphalugel and grastal are shown, and to neutralize the effect of acids, take omeprazole and famotidine. Pain syndrome can remove conventional analgesics( aspirin or noshpa), diclofenac reduces inflammation. In moments of exacerbation, the pain syndrome is stopped by sandostatin or octreotide, and vomiting and nausea occur after taking cerulek or motilium.
Is chronic pancreatitis treated?
Pain relief is the best treatment that can be expected for any pancreatic disease. The disease is incurable, although it may not remind you of yourself for years. The thing is that the changes that have occurred in the tissues of the pancreas are irreversible. Only compliance with the diet, getting rid of addictions and a minimum of stresses will help the patient for a long time to avoid relapses.
How to get rid of chronic pancreatitis?
According to doctors, the pancreas, after an attack or a prolonged relapse, is treated for at least a year. And all these 48 weeks you must follow a strict diet: only in this case the patient has a chance to enter a long-term stable remission. The disease will not manifest itself until the person adheres to the rules of healthy eating. The pancreas is an aggressive and weak organ prone to self-destruction, therefore the only way to maintain its structure and functions is not to smoke, not to drink alcohol, to eat daily, little by little, at the same time, not to eat very hot and very cold food. It is also very important not to be in a state of stress for a long time. All these preventive measures will help get rid of frequent and severe attacks of chronic pancreatitis, but not cure it.