Signs and treatment of diffuse changes in the pancreas

Diffuse changes of the pancreas is an echographic feature that can only be detected during an ultrasound scan. Half of patients older than 40 years may experience similar symptoms, indicating the presence of a disease or pathological process in the body.

It should be remembered that such changes can be dangerous for the body, since with this pathology two systems suffer: the digestive and endocrine systems. But if you find a similar anomaly in time and consult a doctor, you can quickly restore the organ.

What is the diffusion of the pancreas

The pancreas (RV) plays the role of an organ that is responsible for the formation of enzymes. So, he is responsible for:

  • trypsin is an enzyme that breaks down proteins, peptides;
  • Lyapazu - a substance that is part of the pancreatic secretion, is involved in the breakdown of fats;
  • amylase - an enzyme that is involved in the metabolism of carbohydrates;
  • protease - an enzyme responsible for the processing of proteins;
  • lactase - converts lactose to other components.

DIPZH - a very broad term, which includes a variety of pathologies. In most diseases, the changes are quite specific, which helps to make the correct diagnosis after a thorough examination.

For example, with a decrease in echogenicity and a simultaneous increase in the organ itself, we can speak of acute pancreatitis.

Thanks to ultrasound, you can see the changes: detect blurred pancreatic contour, "blind" areas, which may indicate necrosis or hemorrhage.

Moderate diffuse changes can occur while simultaneously increasing fat cells in the parenchyma. This condition is called lipomatosis, which may be preceded by:

  • diabetes;
  • neoplasms;
  • infection.

What are the causes and symptoms of diffuse changes?

Diffuse changes are most often caused by factors such as:

  • drug or alcohol addiction;
  • nutritional problems, for example, consuming large amounts of sweet, salty, spicy dishes (this usually happens in children if they often eat chips, kiriesheskami, foods with a large number of dyes in the composition);
  • heredity;
  • frequent nervous stress;
  • chronic diseases of the digestive system;
  • taking a large number of drugs, and without the supervision of a physician;
  • age.
The clinical picture of this pathology depends on the disease, which has led to diffuse changes.

The most common features include:

  • pain;
  • severe fatigue;
  • dyspeptic disorders.

The remaining symptoms are specific to each individual disease:

  1. In the case of acute pancreatitis, the condition of the patient is rather severe, and diffuse changes are reactive. Diarrhea may occur, the body temperature rises to +40 degrees, vomiting appears, and after it does not come a sense of relief. The pain has a cutting character. In this case, analgesics are usually prescribed. At the same time, other symptoms may appear: weakness, fatigue, heart problems.
  2. In chronic pancreatitis, which in most cases occurs without symptoms, the clinical picture usually appears during periods of exacerbations. People with this disease usually suffer from a disorder of the stool. After a meal, a "rotten" burp may appear, with pain on the left side.
  3. Lipomatosis proceeds with little or no symptoms, but over time, pain may appear, and the general condition worsens.
  4. If we talk about diffuse changes in the type of steatosis, they are irreversible, since the pancreas loses its own cells with the disease. Favorable outcome depends entirely on the degree of damage to the pancreas. If the degree of damage is more than 50%, doctors may prescribe a surgical intervention. With this disease, the patient feels weak, he is tormented by vomiting, nausea, intestinal disorders.

In children, these pathologies can be either acquired or congenital. If we talk about the acquired anomaly, it is usually associated with the presence of parasites in the body. In addition, the problem may be caused by the consumption of sweet, salty in large quantities.

Diagnosis with DIPZH

Diffuse changes - echographic sign. Thus, the main method that will help to find out about the presence of pathology is an ultrasound scan, since certain signs appear with each individual disease.

In some cases, an MRI scan may be prescribed, with the help of which it is possible to reveal the extent of the lesion, the degree of development of the disease, and other details that can only be detected with the help of professional equipment.

Such a diagnosis will allow the doctor to determine the localization of the pathology, to choose the most effective and less traumatic method of treatment.

Features of pathology treatment

Prescribe the treatment regimen can only be a doctor, having a comprehensive diagnosis. For example, in chronic pancreatitis in the absence of symptoms, the patient receives general advice: proper diet, outpatient monitoring twice a year.

Therapy for acute pancreatitis is carried out exclusively in stationary conditions, since this disease is quite dangerous. An important point - the elimination of pain, which can adversely affect other organs. In most cases, it is impossible to do without such strong narcotic analgesics as Morphine or Promedol. To relieve spastic pains and improve the outflow of pancreatic secretions, antispasmodics can be prescribed: No-spa and Platyphyllinum.

There is one golden rule in treating the acute form: the principle of "cold, rest and hunger." To alleviate the symptoms, it is necessary to reduce the secretory and enzyme functions of the pancreas. To do this, you need to put a bandage on the location of the organ with ice, to comply with bed rest, to starve - it is forbidden to take even sparing foods.

For the treatment of enzyme deficiency, the doctor may prescribe Creon or Festal: the main "ingredient" of these funds is pancreatin, which is required at the maximum dosage. Thus, at least 25 thousand units are prescribed per day throughout the entire period of treatment. After the main symptoms have been removed, the stage of remission will begin, the dosage will be lowered.

To eliminate the provoking factors, antiparasitic or antibacterial agents can be prescribed: their dosage and method of administration depends on the degree of infection, so it is important to consult a doctor - only he can prescribe proper treatment.

In the case of fibriosis or lipomatosis, surgery can be prescribed, in which part of the damaged organ is removed.

Also included is complex therapy, in which the patient is prescribed vitamins, amino acids, hormones, agents that lead to an improvement in metabolism.

In the case of severe pathology, in which the endocrine system can be affected (which causes a decrease in the production of its own insulin), the patient is prescribed special sugar-lowering drugs.

Otherwise, the risk of death from developing hyperglycemia increases.

Proper diet therapy is the key to success.

In the case of the DIPZH, it is necessary to correctly correct the nutrition. Diet for this pathology is as follows:

  • refuse any alcohol;
  • consume more porridge, dairy products;
  • exclude smoked foods, as well as salty and spicy, fatty foods;
  • eat fractional: often, but in small portions, which will avoid a strong production of enzymes;
  • remember about the calorie content of products - it is best to cook steamed meals;
  • To exclude tomatoes, some berries, for example, strawberries and raspberries from the diet, forget about citrus fruits, garlic, acetic acid.

If the changes are not serious, in some cases, to get rid of the pathology, simply adjust your diet. However, it is worth remembering that treatment should be prescribed by a doctor.

Methods of treatment with traditional medicine

With moderate changes, the doctor may recommend the use of traditional medicine, because they have a more gentle effect on the affected organ and the body as a whole compared to drugs.

The most famous recipes:

  1. Oatmeal jelly. First, prepare the base: pour a glass of oats into a 3-liter pot, fill it with water by 30%. To ferment the composition, you need to add either a slice of rye bread, or 500 ml of kefir. The container is left for three days, then filtered and left for another 12 hours. Upon completion, the thick, which is removed in the refrigerator, should be separated. To cook kefir, you need to take 8-10 tbsp. thick and mix with 0.5 liters of water - the composition is tormented on the fire for five minutes. The resulting mass should be consumed in the morning before breakfast. To dilute the taste, you can add a little milk or low-fat cream.
  2. Sage tea. To prepare it, you need to pour boiling water a mixture of calendula, iron ore and sage in a ratio of 2: 1. After cooking, leave the liquid to infuse for 12 hours. After that, you need to filter the medicine, take it at 100 ml twice a day. A decoction of blueberry leaves is likewise adopted.
  3. Bee products. So, propolis is usually prescribed in the acute phase. Enough to chew pieces of propolis for 5-10 minutes 2-3 times a day. You can also make solutions based on honey: mix 15 ml of product with 100 ml of water, drink in the morning.

This pathology can be treated both with medication and with the help of traditional medicine. The main thing is to find symptoms, in time to consult a doctor who will diagnose and be able to prescribe treatment.

Watch the video: Acute pancreatitis - causes, symptoms, diagnosis, treatment, pathology (May 2024).