Since childhood, Lao Liu likes to eat greasy food. The food in the restaurant smells better than that at home, so he can't help but eat with an empty stomach and drink a lot of wine. After returning home from dinner last week, Lao Liu felt abdominal distension and discomfort, thinking that he was full and didn't care too much. The next day, he suddenly began to have severe abdominal pain and could not walk. Then he was taken to the hospital by his family.
The attending doctor of the First Affiliated Hospital of Wenzhou Medical University said that Lao Liu's condition was quite serious at that time, accompanied by severe abdominal pain, bloating and other symptoms. When the test results came out, even the doctor was shocked. The triglyceride reached 65438 074 mmol/L, which was 65438 000 times of the normal value. The plasma was milky white and was finally diagnosed as acute pancreatitis.
On holidays, there are obviously more patients with pancreatic diseases than usual, and doctors say that nearly half of them are "eaten".
The pancreas is an important digestive organ of human body, located in the left upper abdomen, which is responsible for secreting a variety of digestive enzymes, such as trypsin and amylase, and is also known as "the most important chemical plant in human body".
The pancreas has two important functions: one is to secrete pancreatic juice and participate in the digestion of food; The second is to secrete a variety of hormones such as insulin and participate in the regulation of human blood sugar. When pancreatitis destroys the endocrine function of the pancreas, patients will have the following manifestations.
1, abdominal distension and abdominal pain are serious.
After eating or drinking water, the sudden abdominal pain is located above the navel. Severe pain is unbearable, manifested as persistent dull pain or knife pain, which can radiate to ribs and back.
2. Have a fever
Patients with mild acute pancreatitis have normal or low body temperature (38) for 3-5 days. Patients with severe acute pancreatitis have early low fever (38) or moderate fever (about 38), and infected people are accompanied by high fever (more than 39).
3. Nausea, vomiting and shock
Frequent and severe nausea and vomiting in patients with early pancreatitis are often mistaken for gastrointestinal discomfort or food poisoning, which delays treatment. Some patients will go into shock, even kidney, lung and other organ failure, and the situation is critical.
Pancreatin is activated in the digestive tract of healthy people, but it will be activated in the pancreas in advance under the stimulation of some factors, resulting in autophagy of "self-digestion" and pancreatitis.
gall stone
Gallstones can directly induce the occurrence of pancreatitis, and stones embed into the duodenal papilla during the discharge process, which leads to the blockage of the pancreatic duct and the increase of the pressure in the pancreatic duct, which in turn leads to pancreatitis.
-Overeating and hyperlipidemia
Overeating and eating too much greasy food will increase the secretion of pancreatic juice, the secretion of pancreatic juice will be vigorous, and the intestinal wall will be edema. The pancreatic juice cannot be smoothly dredged between the pancreaticobiliary ducts, causing reflux and leading to pancreatic self-digestion.
drink excessively
Alcohol is also one of the common causes of inflammation. Alcohol promotes the secretion of pancreatic enzyme, and also causes duodenal papilla spasm, which in turn leads to the increase of pressure in the pancreatic duct and induces pancreatitis.
Mild pancreatitis is common in clinic, accounting for 60-80% of acute pancreatitis cases, with low mortality. But without timely intervention, patients will change from acute pancreatitis to chronic pancreatitis.
Chronic pancreatitis usually occurs in irreversible progressive pancreatic injury. A large number of evidence-based medical evidence confirmed that chronic pancreatitis may be a precancerous lesion of pancreatic cancer.
Because the pancreas is located in a relatively "secret" part of the body, it is difficult for patients to detect abnormalities unless they are ill. Therefore, the daily prevention of pancreatic diseases is very important.
First of all, we should have a balanced diet. Following the principle of regular diet and scientific collocation, protein, vitamins, fat and other nutritional elements are collocated in proportion, and meat and vegetables are collocated in the diet. Avoid overeating during holidays or important celebrations. Alcohol can affect the secretion of gastric juice and cause damage to the pancreas.
Secondly, ensure regular physical examination. Timely detection of biliary tract diseases and standardized treatment, prevention and treatment of dyslipidemia and blood sugar abnormalities, especially those with "three highs", must regularly check their own index levels, eat reasonably, control their weight, and stabilize blood pressure, blood sugar and blood lipids.
Exercise to lose weight is also essential. On the premise of physical endurance, choose the exercise mode that suits you, such as jogging, aerobics and Tai Chi. And keep good exercise habits. For obese people, it is necessary to appropriately reduce excess fat so that blood sugar and blood lipids are within the normal range.
Finally, drugs should be used with caution. Some drugs, such as azathioprine, thiazoles, sulfonamides, furosemide, estrogen, etc. , may induce pancreatitis. When treating diseases, drugs should be carefully selected, and it is best to have the guidance of a doctor.
At present, there is no specific medicine for acute pancreatitis in clinic. Treatment is mainly infusion, analgesia, anti-inflammatory and other supportive treatments, relying on the body's own repair ability to slowly recover the pancreas. So the treatment of acute pancreatitis needs patience.
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