-
Under normal conditions, pancreatic juice contains inactive pancreatic propancrat in its glandular tissue. Pancreatic juice flows into the duodenum along the pancreatic duct through the common bile duct Oddi's sphincter, and due to the presence of bile in the duodenum and the secretion of an enterokinase by the mucosa of the duodenal wall, pancreatic propancrat begins to transform into a highly active digestive enzyme. If the outflow tract is blocked and the excretion is not smooth, pancreatitis can be caused.
When the sphincter of Oddi's muscle spasms or the pressure in the bile duct increases, such as stones and tumors, bile will reflux into the pancreatic duct and enter the pancreatic tissue, at this time, the lecithin contained in the bile is broken down into lysolecithin by lecithin A contained in the pancreatic juice, which can have a toxic effect on the pancreas. In biliary tract infections, bacteria can release kinases that activate pancreatic enzymes, which can also be turned into active substances that can damage and dissolve pancreatic tissue. These substances convert the trypsinogen contained in pancreatic juice into trypsin, which has strong digestion activity and penetrates into pancreatic tissue to cause self-digestion, and can also cause pancreatitis.
1.Acute pancreatitis.
It is an acute inflammation caused by the digestion of the pancreas and its surrounding tissues by pancreas, which is mainly manifested by edema, hemorrhage and necrosis of the pancreas. The causes are as follows:
1) Biliary system diseases Bile duct inflammation, stones, parasites, edema, spasm and other lesions cause the ampulla to be obstructed, and bile refluxes into the pancreatic duct through a common channel, activating pancreatinogen, thus causing pancreatitis.
2) Alcoholism and overeating Alcoholism and overeating make the secretion of pancreatic juice vigorous, and the drainage of the pancreatic duct is not smooth, resulting in increased pressure of pancreatic juice in the pancreaticobiliary system, resulting in high concentration of protease excretion disorders, and finally leading to the rupture of pancreatic vesicles and the onset of the disease.
3) Surgery and injury: Abdominal surgery such as stomach and biliary tract squeezes into the pancreas, or causes high pressure in the pancreaticobiliary duct.
4) Infection Many infectious diseases can be complicated by acute pancreatitis, and the symptoms are mostly not obvious. If roundworms enter the bile duct or pancreatic duct, they can bring in bacteria, which can activate pancreatic enzymes and cause pancreatic inflammation.
5) Hyperlipidemia and hypercalcemia Hyperlipidemia, fat embolism of pancreatic blood vessels causes ischemia, telangiectasia, damage to the blood vessel wall, and leads to difficulty in pancreatic juice excretion; Stones can block the pancreatic ducts, causing pancreatitis.
2.Chronic pancreatitis.
A disease of chronic progressive destruction of the pancreas caused by the recurrence of acute pancreatitis.
-
Life should be like a candle, burning from the top to the end, always bright.
-
Of course you can go home.
Pay attention to eating a light diet and eat more easily digestible things, for example, noodles and white porridge.
Reduce foods high in protein and fat, such as oil, fish, meat, soybeans, and more.
-
Not pancreatitis'It's pancreatitis: and binge eating can induce bursitis. == Stones and alcohol are the two most common causes of acute pancreatitis, especially in Taiwan, Europe and parts of North America, where stones are the most common causes, accounting for about 50-60.
According to statistics, 3 to 8 percent of patients with gallstone disease may develop acute pancreatitis, with a mortality rate of about 8 to 13. Because acute pancreatitis is a very difficult clinical disease, not only does the course of the disease change variously, but there are also different treatment opportunities and methods. Therefore, if the stone causes acute pancreatitis, it will also face some clinical controversy, which is still hotly discussed
1.When is the most appropriate time for surgery? 2.
What is the best treatment? Pathogenesis Acute pancreatitis with the following characteristics: 1
The boldness is smaller (average: vs.).Panel:
2.Multiple Stones (74 greater than 10) 3The bladder duct is larger (average diameter:
vs.Panel: 4
Acute phase surgery often reveals gallbladder stones 5Patients often have stones in stool (84-94 vs.Panel:
8-11) Most experts agree that small stones blocking near the abdomen are the cause of initiatum. Since surgery or endoscopic surgery does not detect a blocked stone at the lower end of the total canal of every patient, and the later the operation, the smaller the chance of finding a blocked stone, while 84-94 patients can find a stone from the middle of the stool, it can be seen that most of the stone obstruction is temporary. Therefore, there are different theories about what factors continue to cause pancreatitis after blockage.
Among the more frequently cited theories are: 1Countercurrent Theory:
Due to the obstruction of the abdomen of the gallstones, the juice of the gall flows backward into the pancreatic duct through the common channel of the pancreatic tract and causes pancreatitis 2Theory of reflux of duodenal intestinal fluid: Because the sphincter of the oddi muscle is out of tune after the stone passes through the abdomen, the intestinal fluid of the duodenum refluxes into the pancreatic duct, and the enterokinase in it causes a vicious cycle of pancreatitis.
3.Pancreatic reflux theory: As seen in pancreatic cancer, pancreatitis is caused by high pancreatic duct compression.
-
Absolutely, life-threatening.
-
The weather is getting colder and colder, and many people feel that there is nothing warmer than having a hot pot meal on a cold day. As everyone knows, with the increase of fat intake, some special groups of people will have abnormal fat metabolism and increase triglycerides, resulting in hyperlipidemic pancreatitis. In this regard, Liu Junling, chief physician of the second ward of the ICU of the Fourth Hospital, reminded that if the upper abdomen has pain after a high-fat and high-calorie diet, it should not be ignored and should be alert to the occurrence of pancreatitis.
In particular, patients who have overeaten or consumed a large amount of high-grade liquor should be more vigilant.
Every year after the weather turns cold, there will be some patients who induce pancreatitis due to excessive consumption of greasy food or overeating, and a large amount of dregs and acres of alcohol, and even life-threatening severe acute pancreatic adenitis is induced. The onset of acute pancreatitis is generally related to overeating, excessive alcohol consumption, stones in the bile ducts, gallstones, cholecystitis, diabetes, obesity and other factors. In recent years, the number of patients with acute pancreatitis due to hyperlipidemia has been increasing.
To prevent the occurrence of pancreatitis, five aspects should be achieved: first, prohibit smoking and limit alcohol, and avoid heavy drinking; The second is to avoid overeating, especially eating a large amount of high-fat, high-protein foods at one time; The third is to pay attention to a balanced diet, mainly light, and obese patients are recommended to be appropriate**; According to statistics, two-thirds of patients with acute pancreatitis suffer from gallstones, and five percent of patients with gallstones can cause acute pancreatitis. Fifth, under the guidance of a doctor, hyperlipidemia should be treated as soon as possible, so as to avoid pancreatic damage and the occurrence of pancreatitis. (Di Hui Shi Xiuhong).
-
During the Chinese New Year, the number of patients with acute pancreatitis in the hospital will increase, and most of them are caused by uncontrolled diet. Yesterday (15th), Professor Wu Yongdong, chief physician of the Department of Gastroenterology of Beijing Friendship Hospital, warned people that about 20% and 60% of acute pancreatitis occurs after overeating and drinking, so relatives and friends must eat in moderation when they have dinners.
The onset of "pure pancreatitis" is mostly related to biliary diseases such as gallstones, cholecystitis, biliary tract infections, alcoholism, and overeating. Director Wu said that to prevent pancreatitis, it is necessary to actively ** gallstones and biliary tract inflammation, and to eat a reasonable diet. Especially during the festive season, it is important to avoid overeating, especially to drink less.
He reminded people that once there is abdominal pain, nausea, vomiting, fever, jaundice, they should go to the hospital for diagnosis and treatment in time to avoid delaying the condition. Do not wait for remission at home, or take oral painkillers by yourself, because acute necrotizing pancreatitis can cause severe infection of multiple organs, and lead to stool failure and death.
Acute pancreatitis symptoms:
The clinical symptoms vary from pancreatic edema to sudden abdominal pain, to sudden severe pain or knife-like pain in the upper abdomen or left upper quadrant in about 95 patients, and a sense of banding in the upper abdomen and waist. It usually occurs after a full meal or alcohol consumption, with paroxysmal exacerbations, which may be enhanced by eating, and may affect the periumbilical or full abdomen. Accompanied by fever, nausea, vomiting, obvious abdominal distension when paralytic intestinal obstruction occurs, and jaundice can also occur in patients with biliary stones.
In severe cases, the pancreas has necrosis or hemorrhage, shock and peritonitis may occur, and the condition is dangerous and the mortality rate is high.
Explanation of terms:
The contents of how long shrimp need to be steamed are as follows:1. If the shrimp is steamed whole, boil the water and steam it for 5 minutes to cook. Because the shrimp itself has a high protein content, almost the whole body is protein, but the steaming of the whole shrimp will be slightly hindered by the heat in the shell, so the steaming time should be controlled to 5 minutes. >>>More
Generally, it can be cooked in 15 minutes. Usually the cake can be cooked after steaming for about 15 minutes, but if Xiangkai is steamed for too long, it will lead to a decrease in taste. >>>More
In fact, how often the tire is replaced can be judged according to the wear mark of the tire, and the general replacement cycle is roughly carried out within 3-5 years or 4-60,000 kilometers. Of course, due to the influence of driving habits and road conditions, there may be discrepancies, and it is not recommended to judge whether it needs to be replaced based on mileage or time alone. The following is a detailed list of instructions for you. >>>More
Be sure to rest for more than half an hour after meals before getting back to work. Because the blood is redistributed after a meal and concentrated in the digestive organs, the brain is relatively ischemia, making people feel sleepy. In addition, the concentration of amino acids decomposed in food increases rapidly in the blood, which also inhibits the wakefulness of the brain. >>>More
Hello, iQOO phones are equipped with 44W ultra-fast flash charging, and experimental data shows that it can charge 50% in 15 minutes. The following is the detailed configuration of the mobile phone, you can refer to: >>>More