Old Liu of Wenzhou is a businessman who has to go to socialize every three to five years, and it is a meal and banquet in the middle of the year and at the end of each year. Sometimes customers can't get together on the same day, they can only be about the same day, and he has to eat two big meals a day.
From childhood to adulthood, Lao Liu likes to eat greasy food, and the dishes in the restaurant are more fragrant than at home, so he can't help but be greedy, open his belly to eat, and drink a lot of wine. When he returned home after socializing last week, Lao Liu felt bloated and uncomfortable, thinking that he had eaten and did not care too much. The next day, he suddenly began to have severe abdominal pain, unable to walk, and was subsequently taken to the hospital by his family.
According to the receiving doctor of the First Affiliated Hospital of Wenyi University, Lao Liu's condition at that time was quite serious, accompanied by severe abdominal pain, abdominal distension and other symptoms. The results of the examination came out, even the doctor was shocked, triglycerides reached 174mmol / L, which is 100 times the normal value, the plasma drawn out was milky white, and finally diagnosed as acute pancreatitis.
Graph source network
On holidays, there are significantly more pancreatic patients than usual, and doctors say that nearly half of them are "eaten."
<h1 class="pgc-h-arrow-right" data-track="38" >, these symptoms appear, be careful of pancreatitis "find the door"</h1>
The pancreas is an important digestive organ of the human body, located in the left upper quadrant, responsible for secreting a variety of digestive enzymes, such as trypsin, amylase, etc., also known as "the most important chemical plant of the human body".
The pancreas has two important functions, one is to secrete pancreatic juice and participate in the digestion of food; the other is to secrete various hormones such as insulin, which is involved in the regulation of blood sugar in the human body. When pancreatitis destroys the endocrine function of the pancreas, patients will have the following manifestations.
1. Bloating, severe abdominal pain
After a full meal or alcohol, there is a sudden onset of abdominal pain, located above the navel, severe and unbearable, persistent dull pain, or knife-like pain, which radiates to the ribs and back.
2. Fever
Patients with mild acute pancreatitis have a normal or low-grade temperature (< 38 °C) lasting 3-5 days; patients with severe acute pancreatitis have early low-grade fever (< 38 °C) or moderate fever (about 38 °C), and co-infected patients are accompanied by high fever (above 39 °C).
3. Nausea and vomiting, shock
In the early stages of pancreatitis, patients have frequent, severe nausea and vomiting, often mistakenly believing that gastrointestinal discomfort or food poisoning is caused, delaying treatment. Some patients also have shock, and even kidney, lung and other organ failure, the situation is critical.
<h1 class="pgc-h-arrow-right" data-track="15" > second, the "culprit" who induces pancreatitis may be these</h1>
Pancreatic enzymes in healthy people are activated in the digestive tract, but under the stimulation of certain factors, pancreatic enzymes will be activated in the pancreas in advance, resulting in the phenomenon of autophagy of "self-digestion", leading to the occurrence of pancreatitis.
--Gallstones
Cholelithiasis can directly induce the occurrence of pancreatitis, and the stone is embedded in the duodenal papilla during discharge, causing the pancreatic duct to block and the pressure in the pancreatic duct to rise, which in turn leads to pancreatitis.
--Overeating, hyperlipidemia
Overeating and a large amount of food that is too greasy will increase the secretion of pancreatic juice, the secretion of pancreatic glands is strong, the intestinal wall is edematous, and the pancreatic bile ducts cannot be smoothly dredged between the pancreatic bile ducts, causing reflux, resulting in self-digestion of the pancreas.
--Alcoholism
Alcohol is also one of the common causes of inflammation, alcohol promotes the secretion of pancreatic enzymes, but also makes the duodenal papilla spasm, which in turn leads to increased pressure in the pancreatic duct, inducing pancreatitis.
<h1 class="pgc-h-arrow-right" data-track="39" >3, how to "stay away" from pancreatitis? </h1>
Mild pancreatitis is more common clinically, accounting for 60-80% of acute pancreatitis cases, and the case fatality rate is low. However, if not intervened in time, patients will switch from acute pancreatitis to chronic pancreatitis.
Chronic pancreatitis usually occurs with irreversible, progressive pancreatic damage, and there is substantial evidence-based medical evidence that chronic pancreatitis may be a precancerous lesion of pancreatic cancer.
Because the pancreas is located in a more "hidden" part of the body, it is difficult for patients to detect abnormalities if they do not occur. Therefore, daily for the prevention of pancreatic diseases is very important.
Start with a balanced diet. Follow the principle of regular diet and scientific collocation, protein, vitamins, fat and other nutritional elements are matched in proportion, and meat and vegetarian are matched on the diet. During holidays or important celebrations, avoid overeating and avoid excessive alcohol consumption. Alcohol can affect gastric juice secretion, causing damage to the pancreas.
Second, regular medical examinations are guaranteed. Timely discovery of biliary tract diseases and standardized treatment, prevention and treatment of blood lipids, blood glucose abnormalities, especially people with "three highs", must regularly check their index levels, reasonable diet, weight control, stabilize blood pressure, blood sugar, blood lipids.
Exercise weight loss is also indispensable. Under the premise of physical tolerance, choose a suitable exercise method for yourself, such as jogging, aerobics, tai chi, etc., to maintain good exercise habits. For obese people, it is necessary to appropriately reduce excess fat so that blood sugar and blood lipids return to the normal range.
Finally, use medication with caution. Some drugs, such as azathioprine, thiazole, sulfonamides, furosemide, estrogen, etc., may induce pancreatitis, and medication should be carefully selected when treating the disease, preferably with the guidance of a doctor.
At present, there is no specific drug for acute pancreatitis in the clinic, and the treatment is mainly based on supportive treatments such as infusion, analgesia and anti-inflammatory, relying on the body's own repair ability to slowly recover the pancreas on its own. Therefore, the treatment of acute pancreatitis requires patience.
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Resources:
[1] YANG Ming,& WANG Chunyou. (2015). Interpretation of the Guidelines for the Diagnosis and Treatment of Acute Pancreatitis (2014). Zhejiang Medicine, 53(011), 909-911.
[2] Pancreatitis, those things you should know. Digestion .2019-10-06
[3] The mortality rate is as high as 30%! A young man was sent to the ICU after eating a late-night snack! Don't take such abdominal pain seriously.... Popular Science China. 2021-05-18
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