Restoration of the pancreas

To restore the pancreas and normalize its function, it is necessary to find out and eliminate the cause of inflammation. Acute pancreatitis most often develops due to alcohol abuse, diseases of neighboring organs( gallbladder and duodenum), as the outflow of secretion is broken and enzymes are activated in the pancreas.

Chronic pancreatitis often develops against a background of cholelithiasis, peptic ulcer disease, duodenitis, atherosclerosis. The work of the organ changes due to pancreatic cancer and hormone-active tumors, cysts and concrements. To adjust the work of the body you need to undergo examination( ultrasound, x-ray, CT) and eliminate the underlying cause of the pathology.

How to restore the pancreas, the doctor will tell you after the diagnosis. The obligatory component of therapy is a therapeutic diet that will help reduce the functional load on the organ and give it time to recover.

Can not do without treatment of the pancreas without medication. The composition of complex therapy may include the use of folk remedies. Whether it is possible to restore the lost functions depends on the pathology that provoked the inflammation.

The role of the pancreas

The pancreas synthesizes hormones and enzymes necessary for digestion. During the day, the body releases about 1.5-2 liters of pancreatic juice, which is 98% water, and the rest is "proenzymes", triggering a cascade of reactions in the duodenum, resulting in carbohydrates, proteins and fats being broken down in the body. In the secretion of the pancreas are also bicarbonates, which neutralize the acidity of hummus.

The endocrine function of the pancreas is to release hormones that regulate carbohydrate metabolism. So, alpha cells synthesize glucagon, and beta cells produce insulin. Glucagon enhances the breakdown of glycogen deposited in the liver in order to maintain the blood glucose level at a constant level. The main function of insulin is to reduce the concentration of glucose in the blood.

Deterioration of pancreatic functions affects the work of the whole organism. At a high concentration of glucagon has a pronounced antispasmodic effect, relax the smooth muscles of the internal organs, especially the intestines, which leads to its atony. If there is a violation of the secretion of insulin, diabetes develops.

The lack of proteolytic enzymes leads to a deterioration in the digestive process. With inflammation in the pancreas, a person experiences severe pain in the epigastric region, which can irradiate to the left hypochondrium, left shoulder blade, back, or have a girdling character. Difficulties with digestion lead to dyspeptic disorders( vomiting, nausea, diarrhea).

Diet

For acute pancreatitis, it is recommended that you stop eating for a few days. When entering the stomach of food, hormones begin to be synthesized, which stimulate the separation of pancreatic enzymes, and because of the inflammatory process this significantly worsens the condition of the organ. Medical starvation will help reduce the severity of pain and dyspeptic syndrome.

After 48-72 hours, you can start eating, while you must adhere to a therapeutic diet, which will not overload the digestive system. With pancreatitis, diet No 5 is prescribed. It provides chemical, mechanical and thermal shielding of the gastrointestinal tract, reduces pain syndrome, reduces the secretory function of the pancreas, restores metabolism.

During the exacerbation, the No5P diet is shown( variant 1), as the patient's condition improves, the No5P diet is changed( option 2).

The No5P diet is low-calorie, contains the physiological norm of the protein, but sharply limits the consumption of fats and fast-digestible carbohydrates. Foods stimulating the secretion of pancreatic juice and foods that contain high amounts of fiber are completely excluded. All dishes must be liquid or semi-liquid.

Allows the use of only cooked or steamed food. In the diet can be present crackers, cereal soups on vegetable broth, cream soup on a weak meat broth, steamed cutlets from low-fat meat, chicken eggs( soft-boiled), mashed porridge cooked without milk, compotes, weak tea.

After the subsidence of the inflammation the patient is transferred to the second variant of the No5P diet. It is necessary to increase the amount of protein in the diet to 120 grams, and restrict fat to 60-70 grams. It is still forbidden to include in the menu dishes that contain extractives that stimulate the separation of pancreatic juice.

The patient can eat:

• vegetable soups( cabbage can not be added) with the addition of cereals and vermicelli;
• mashed meat dishes;
• fish dishes( can be served with a piece or chopped);
• dairy and sour-milk products;
• vegetables( potatoes, carrots, beets, pumpkin, zucchini);
• compotes, jelly, jelly.

This diet should be followed for a long time, from 3 months to a year. Since thermal shaking of the digestive tract is also required, one should not eat too hot or cold food. Dietary meals are selected depending on the disease, its stage and severity, so the exact list of permitted and prohibited foods will be provided by the attending physician.

It is impossible to improve pancreas without dietary recommendations.

The state of the body, and the whole digestive system, is adversely affected by alcohol use, smoking, irregular eating, love of fatty, spicy foods and fast food. It is better to refuse these products altogether.

Folk remedies

In case of chronic inflammation, folk methods of treatment may be used as part of complex therapy. To restore the gland used herbs that have anti-inflammatory properties. Since an excessive amount of hydrochloric acid triggers the production of a pancreatic enzyme, decoctions and infusions will be helpful, providing an enveloping, analgesic, antacid effect.

Improves the work of the gland broth from unrefined oats. For 1.5 liters of water take 100 grams of oats. The mixture is cooked for 40 minutes on a small fire, then grind the grains with a mortar and keep on fire for another 20 minutes, after filtering. Drink a decoction of 50-100 grams four times daily before meals.

A decoction of chamomile, St. John's wort and yarrow helps. Herbs are mixed in equal proportions. Three tablespoons of the collection is poured with 0.5 liters of boiling water and kept in a water bath for a quarter of an hour, leave to insist for an hour and filter. Drink the broth 100 ml three times a day.

To restore the body, folk medicine recommends using the following recipe: pour a kilo of warm parsley to warm the milk, so that the greens are completely covered, put the mixture in the oven and wait for the milk to evaporate. Take the drug should be 3 tablespoons every half hour.

Useful for the pancreas is blueberry tea, prepared from 1 teaspoon of blueberry leaves. You need to drink two to three glasses of drink a day. After overeating, drinking alcohol can help the body to cleanse. The iron is made to work correctly dates, used on an empty stomach. It is necessary to eat about 15 pieces. Well-proven three-day pear mono-diet.

Use of folk remedies is possible only outside the exacerbation of the pathology of

Any addition to treatment, whether taking a decoction or injecting a product, should be agreed with the attending physician, since even a slight expansion of the diet during an acute period can lead to deterioration. In addition, the doctor, giving a recommendation, will take into account and concomitant diseases.

Medications

Enzyme preparations should help the pancreas in performing the functions. They restore the digestive process and thereby remove the burden from the gland, less pancreatic enzymes are synthesized and inflammation decreases.

Many drugs have been developed, but they are all similar in composition. The active substance in them is pancreatin, which is an extract of the pancreas and contains in large quantities components( lipase, amylase, protease) that break down nutrients. The doctor can prescribe:

• Creon;
• Mezim forte;
• Panzinorm;
• Festal;
• Pancreatin.

When the disease worsens, medications are prescribed that help to reduce the synthesis of hydrochloric acid. The increased acidity of gastric juice strengthens the symptoms of the disease, can lead to inflammatory processes in the duodenum and aggravate the state of the pancreas.

To normalize the acidity, the doctor prescribes antacids. As a rule, they are recommended only for the time of exacerbation of the disease, but if in addition to pancreatitis gastritis is identified, long-term therapy may be required. Antacid preparations include:

• Omega;
• Getrocalm;
• Zantak;
• AcidEX;
• Acyl.

Antisecretory agents are indicated for violation of the secretory function of the cells of the stomach. Without their application, it will not be possible to normalize the pancreas. This group of drugs includes proton pump inhibitors, H2-histamine blockers, M-holinoblokatory. Unlike antacids, they act on cells that secrete hydrochloric acid, and do not neutralize the acid in the gastric juice.

Antisecretory drugs include:

• Omeprozole;
• Pantoprazole;
• Rabeprazole;
• Ranitidine;
• Nizatidine;
• Esomeprazole.

The following analgesics can be prescribed for the pain relief:

• Papaverin;
• Buscopan;
• Meteospazmil;
• Baralgin;
• Movalis;
• Voltaren;
• Indomethacin;
• Acetamiphen;
• Mebeverin.

Symptomatic therapy may also be prescribed to help cope with diarrhea, vomiting, fever. If the inflammation is provoked by an infectious agent, antibacterial drugs are prescribed. Drug treatment should be recommended by the attending physician, you can not independently decide whether to take any medication.

Patient has pancreatitis functioning for 3-12 months

How to cope with acute pain

Pain in pancreatitis decreases if you apply a cold compress on the projection area of ​​the gland and take a certain posture: sit down and lean forward or lie on your side and pull up to your chestknees. In emergency situations, in order to relieve an attack of pancreatitis, doctors prescribe the use of myotropic antispasmodics, which in a few hours remove the spasm of smooth muscles and eliminate soreness. It is applied "Mebeverin", "Bendazol", "Benzyclav", "Oxibutinin", "Platyphylline".

First aid for an attack of acute pancreatitis is a medical starvation and taking antispasmodics. Often with severe inflammation, the pain syndrome is so severe that it can not be stopped by No-shpa or Drotaverin. For severe pain, seek medical attention.

Doctors will prescribe stronger analgesics, which allow you to get rid of the pain for several hours. To avoid the development of the pathological process, you need to undergo a course of drug therapy and use funds to maintain the pancreas during recovery.

Whether the pancreas is restored, it is possible to learn on repeated inspection. In some cases, for example, with swelling of the gland due to acute pancreatitis, complete reconstruction of the structure is possible. If the exocrine part of the organ has suffered, then its regeneration occurs( albeit slowly), with the damage of the endocrine cells, the structure is restored, but there is no function.

Areas with necrosis do not perform any function, they often generate pseudocysts. Therefore, the earlier the pathology is revealed and the more time spent on the restoration of the pancreas, the more chances for the normal functioning of the organ.