Monday, October 29, 2012

Acute pancreatitis

Acute pancreatitis - an illness, accident, this is a very dangerous disease, along with a heart attack and stroke, and not all patients have successfully come out of it. Under a diagnosis of "pancreatitis" in medicine means inflammation of the pancreas, pancreatitis is acute and chronic. Chronic pancreatitis is combined with a reduction in the production of digestive enzymes, that is, an enzyme deficiency.
Acute pancreatitis develops suddenly and unexpectedly. Ill may feel a sharp pain in his stomach zoster nature, nausea, vomiting. There may come a rapid pressure drop or rise. Temperature may rise. The disease is sometimes accompanied by a shock. The patient can be severe weakness, skin is covered with large drops of sweat, tongue dry and coated white and brown patina.




The most reliable survey is to determine the diastase in the blood plasma or urine. The norm in the urine of 16-64 units. In acute pancreatitis diastase (amylase) in urine may be a few thousand units. If diastasis less than 8, it says nothing of pankreanekroze leaves little chance of survival.
Cause of acute pancreatitis is a long spasm of the sphincter of Oddi and activated pancreas on the development of proteolytic enzymes (amylase, trypsin, lipase). As their access to 12-duodenum is blocked, they start to "digest" the pancreas itself and come in large quantities in the blood. The sphincter of Oddi is a kind of valve, through which a 12-duodenum receives pancreatic enzymes and bile from the liver. If this valve spasm long time, there is stagnation of enzymes in the pancreas and bile in the gall bladder, which leads to their inflammation - pancreatitis and cholecystitis.
Cause spasm of the sphincter of Oddi is atony and bloated stomach and pylorus unclosed. Normally, when the pylorus is open sphincter closed. If all the time gaping pylorus, the stomach acid comes in 12 duodenum, irritate its walls and contribute to the spasm of the sphincter of Oddi. In this case, pancreatitis provided.
Often accompanied by cholecystitis and pancreatitis, gastritis. The stomach acid Wednesday, 12 duodenal ulcer - alkaline. They shared the pylorus. If he ceases to be closed, the stomach acid eating away at the wall 12 of the duodenum and cause inflammation and bile highly alkaline enzymes 12 duodenal ulcer cause inflammation of the stomach (gastritis).
Acute pancreatitis - a threat to life, when it is necessary to cause a fit of "first aid". Need a team of three experts - physicians, surgeons and critical care medicine.


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