pancreatitis treatment in a hospital is aimed at eliminating disease symptoms if the disease turned into a heavy phase. Treatment of acute pancreatitis in a hospital is necessary to stop the impact on the patient's body current attack of the disease, as well as the elimination of the factors that may cause the further development disease.
Chronic forms of the disease usually recover at home, but in some cases they are treated in an outpatient clinic. Sometimes, if the patient has begun necrosis of pancreatic tissue, the patient is a surgical procedure.
How to treat acute pancreatitis in a hospital
Hospitalization is needed with strong attacks of acute pancreatitis, which is impossible to stop pain medication at home. After delivering the patient from his clinic receptionist trafficked to the ICU. Treatment is carried out with obligatory participation of Anesthesiology and Intensive Care.
Acute pancreatitis is treated as follows:
- Initially, doctors removed the patient pain and various nervous, reflex disorders using analgesics. For this purpose Baralgin drugs promedola Analgin and so on. D. novocaine blockade may be used.
- To combat hypertension and bile ducts doctors use Nospanum, nitroglycerin and other drugs.
- It is necessary to unload the pancreas, so the patient is prescribed hunger. He has to take alkaline drinks, such as Borjomi.
- In combination with the above measures is carried out prevention and treatment of vascular thrombi in various organs (pancreas, liver, and so on. D.).
In order to prevent deterioration of the patient with pancreatitis due to intoxication, it is checked heart health and lung function, and then - drainage and gastric lavage. This procedure is carried out with a solution of soda, used pirroksan or obzidan.
Made by intravenous injection of insulin solutions containing glucose and potassium.
Pancreatitis in acute form during inpatient treatment, the patient is continuously monitored research of metabolic processes occurring in his body. Investigated exchange electrolytes (e.g., sodium or potassium), it is checked in blood sugar levels, the presence of proteins and it t. D.
Usually during inpatient treatment of acute pancreatitis complete examination of the patient is not carried out, as it is impossible because of the severity of the human condition and can lead to rapid and drastic deterioration of the flow disease. Therefore, the examination is carried out in 2 phases. Initially, only on the basis of symptoms confirms the diagnosis, and then carried out the above activities, and improve the patient's condition after the laboratory tests are carried out.
Treatment of chronic pancreatitis
Typically, a full examination of the patient is carried out before the beginning of the treatment process. There are many methods of detection of this disease, but they are virtually useless in the early stages of the disease due availability of a large variety of symptoms and the disease progresses further phases, alternating with periods remission.
Therefore it is necessary to conduct a comprehensive survey, which includes blood tests, urine, feces. Carried ultrasound for the detection of changes in the pancreas, radiography of the abdomen, other studies.
Chronic pancreatitis usually treated at home or on an outpatient basis. hospitalization is not required. He appointed a special diet and conservative medical treatment.
If the patient has an acute attack occurs, he will not be able to stop medications prescribed by a doctor, you should immediately call an ambulance. Thereafter, the patient will be treated from attack by the above procedure to eliminate the symptoms of acute pancreatitis.
Until you arrive machine with the doctors, it is necessary to transfer the patient to a horizontal position (laid on a sofa or bed). Room, where it is recommended to ventilate constantly, and on the stomach area of the patient have to put something cold, such as an ice pack. If physicians are late, it is not necessary to feed the patient. Best of all, if it is hungry for 3 days.
Treatment of chronic pancreatitis is usually carried out in the hospital medicines. When the next attack of the pain persists drugs such as papaverine, no-spa, Atropine, and so on. D. Prohibited use Aspirin and other NSAIDs, since they only thin the blood and irritate the mucous membranes.
In order to suppress excessive secretion of the patient's body are used Omeprozol and similar drugs. Unload gland using such drugs as Mezim, Digestal and t. D. To eliminate the infection in the iron are assigned antibiotic therapy drugs such as ampicillin. Water and electrolyte balance is restored by means of normal saline.
Surgical treatment of chronic pancreatitis and duration of treatment of different forms of the disease
Operation is assigned if the patient developed complications, there were signs of jaundice, pain that is impossible to stop drugs, despite the long-term treatment.
It can be applied indirect types of surgery in bile ducts or the stomach and intestines. If necessary, surgery is performed on drainage cysts, elimination of stones and sometimes may need pancreatectomy.
Many patients want to know how many days are treated with an acute form of pancreatitis. Typically, in-patient treatment lasts from 7 to 10 days, and then it is discharged, but the person is still within 6 months of maintenance therapy goes.
The patient is treated by taking a variety of drugs, vitamins, observing a strict diet.
If the disease has taken severe, then after 2-3 days of intensive treatment the patient must remain under the supervision of doctors about 1.5-2 months.
In chronic forms of pancreatitis patient (if he does not need surgery or had a period of remission) is delayed in a medical institution for 1 day of the survey.
How many days are patients after surgery depends on the type of surgery, reducing the ability of the patient's body. Typically, this period does not exceed 7 days. After that, the person is transferred to home treatment, which lasts 1.5-2 months. He takes medication on a diet, exercise.
