Drug treatment is the main method of treatment of acute and chronic pancreatitis.
Treatment of acute pancreatitis of the lung current
It is easy to name a course in which no systemic complications are observed. With mild disease, maintenance therapy is prescribed. Analgesics are used to relieve pain. In order to compensate for fluid loss due to vomiting, infusion therapy is prescribed.
In the case of infection in the bile duct or in the respiratory system, it is advisable to use antibacterial therapy. You can resume eating only after three days. When the patient starts to feel hungry, the pain will subside, and the peristalsis will return to normal.
Treatment of acute pancreatitis of severe
In case of severe illness, the patient may not be able to eat regular food for about a month, for this period he is given parenteral nutrition.
In severe cases, the risk of necrotizing pancreatitis is increased.
The most accurate method of diagnosing is a computer tomography with contrast agent. In case of detection of complications in the form of organ failure the patient needs close monitoring of doctors. When severe acute pancreatitis is not recommended to use vasoconstrictor drugs. The first days are necessary to control the volume of the circulating fluid. Usually, about six liters of liquid are poured, in some cases more, until the volume is normalized. If the albumin levels in the blood are reduced for transfusion, use a column solution. In the case of a decreased hematocrit, the introduction of erythrocyte mass is necessary.
A large decrease in the volume of circulating fluid can lead to impaired renal function. Intensive infusion therapy will help to eliminate the complication.
With the development of complications affecting the respiratory system, the level of oxygen in the blood begins to decrease, respiratory distress appears. These symptoms indicate the development of a severe complication - respiratory distress syndrome in adults. In order to stop pain intravenously, analgesics are injected every two hours. Intubation of the trachea is performed for artificial ventilation( IVL).
Drugs used to treat
In order to help the body cope with this disease, a variety of medications are used:
- Anesthetic drugs are used to treat acute pancreatitis. After all, the first thing that needs to be done is to reduce pain. The most common drugs with analgesic effect are Papaverin or No-shpa.
- Enzyme preparations. Used to compensate for pancreatic insufficiency. Help significantly reduce the burden on the sick body, providing him with peace. The most common drugs are mezim and creon. Creon is taken with capsules that are not affected by gastric juice. Mezim in the form of tablets, usually eat before eating.
- To reduce the overall acidity of the gastric juice and improve the absorption of enzymes in addition use drugs that can reduce the secretory functions of the gland. Mezim is widely used for the treatment of acute pancreatitis and cholecystitis. Its advantages are good tolerability and a minimum of side effects. It also helps to facilitate digestion and reduce pain. Advantage of Creon is a shell, resistant to gastric acid. Due to this, it is capable of longer exposure. The choice of enzyme depends on the severity and course of the disease. Antacids are also used to treat acute pancreatitis. They are used in case of heartburn or other dyspeptic disorders. A good remedy is Almagel.
- When acute pancreatitis causes complications, antibiotics are prescribed. Drugs can be in the form of tablets or injections. Antibiotics have a large number of contraindications and are selected individually.
Only an experienced doctor can correctly select the treatment. Completely appreciating the clinical picture of the disease and choosing the most effective and safe means.
Therapy for chronic
Drug treatment for chronic pancreatitis is selected individually, in accordance with the severity of exacerbation and symptoms. The occurrence of complications can alter or enhance the clinical manifestations of the disease.
With exacerbation of chronic pancreatitis, the first days should be to refrain from eating, you can only drink water. Then you need to follow a special diet. In severe cases, parenteral nutrition is used. With the improvement of the overall status, the menu is gradually expanding. First of all, you can expand the number of proteins consumed. Contraindicated use too acute, salty, fatty, sour. The main therapy is the treatment of pancreatitis with medications. Drugs for the treatment of chronic forms of pancreatitis in adults are selected individually, depending on the condition.
Enzyme preparations
The main medicinal substances that are used in the treatment of chronic pancreatitis and cholecystitis in adults today are enzyme preparations.
They help reduce the secretion of the pancreas and consequently reduce the intensity of pain. Dosage of the substance for adults is calculated depending on how much the pancreatic insufficiency is expressed. The duration of therapy with enzyme substances, depending on the condition, is determined by the doctor. Frequently used and effective medicines are Pancreatin and Creon.
Pancreatin is available in the form of tablets. In the composition is not very large dosage of enzymes, consequently it is prescribed to take two tablets from three to six times a day. Duration of admission is determined by the doctor. When exaggerating the dosage, skin rashes and diarrhea may occur.
Creon is available in the form of gelatin capsules. It is recommended to use one capsule three to four times a day, preferably with meals. The duration of the course is selected individually. Creon contributes to the normalization of the digestion process. It is not recommended to use the drug for people with increased sensitivity and with acute course.
Antacids
In chronic pancreatitis, antacids are widely used in adults with exocrine insufficiency. Antatsida able to suppress hydrochloric acid, secreted by the stomach. The most common are maalox, phosphalugel, and diamond. Antacids reduce acidity and reduce the amount of degraded enzymes. These suspensions provide rest to the pancreas, and this contributes to the process of restoring basic functions.
For the treatment of chronic course of the disease in complex therapy, auxiliary medicinal substances are used, which contribute to the elimination of symptoms in the gastrointestinal tract. Hilak Forte helps to eliminate dysbiosis and diarrhea. Trimedate eliminates intestinal dysfunction. Activated carbon removes intoxication.
Analgesics and antispasmodics
Also medicamentous treatment for chronic pancreatitis necessarily includes analgesics and antispasmodics. Clean and mixed preparations are used. Pure medications are only able to remove spasms in the muscles in the intestines. Papaverin and No-shpa are widely used. Mixed have in addition anesthetics. A good drug is gastropepine. Depending on the intensity of pain in chronic pancreatitis, drugs are selected individually.
Antisecretory drugs
One of the important antisecretory drugs for the treatment of chronic pancreatitis is the drug Omeprazole. The drug significantly reduces pain syndrome, even in severe cases. A popular remedy from the IPP group is Lansoprazole. Preparations from this group are effective in treatment. They suppress the processes of secretion of hydrochloric acid and due to this the inflammatory processes decrease. In addition, they are less harmless than others. IPPs are prescribed in the treatment of pancreatitis very often and are the best option.
Phytomedication
Popular phytopreparations are funds from the group of anticholinergics. Despite the number of side effects, treatment of inflammatory processes with these drugs is very effective. The drug Duspatalin helps to eliminate nausea and vomiting. Also it is necessary to allocate a preparation treating endocrine insufficiency of a pancreas - Festal. It is also recommended to use phytopreparations for prevention.
Strict adherence to the diet and strict implementation of the recommendations for medical treatment at times reduce the risks of exacerbations. If you comply with these rules, it is possible to achieve a long remission without relapse.
Correctly selected by a specialist complex medical therapy will help cure both acute and chronic pancreatitis, as well as restore the basic functions of the pancreas.
