What should pregnant women pay attention to in acute pancreatitis during pregnancy?

Acute pancreatitis is an acute chemical inflammation in which pancreatic digestive enzymes digest the pancreas itself. This disease can be seen at any age, but there are many young people and more women than men. Clinical sudden persistent upper abdominal pain, paroxysmal aggravation, nausea and vomiting, severe cases may be accompanied by shock, respiratory failure, peritonitis and so on. Acute pancreatitis can be divided into edema type and hemorrhagic necrosis type. The former is common and has a good prognosis, mainly manifested as acute abdominal pain, nausea, vomiting, and increased amylase in blood and urine. The latter is rare, but the condition is serious and the prognosis is not good. In addition to the above manifestations, shock and peritonitis often occur at the same time. The causes of acute pancreatitis are as follows. Biliary diseases; Pathological changes in the vicinity of duodenal papilla; Closure of pancreatic duct; Excessive drinking and overeating; Acute infectious diseases; Surgery and trauma, etc.

After the illness is relieved, you should eat fat-free and low-protein liquid foods, such as rice soup, thin lotus root starch, thin glutinous rice and fruit juice. If you get better, you can change to low-fat liquid foods, such as liver soup, soybean milk, chicken soup and egg soup. In the future, you can change low-fat semi-liquid foods little by little, eat more meals, and supplement vegetables and fruits rich in vitamin C, lean meat rich in B vitamins, oil, eggs and other foods rich in vitamins. Meanwhile, pay attention to the patient's reaction. In other words, if you feel abdominal pain and your diet contains a lot of fat, you should reduce the fat appropriately, and if necessary, you should also reduce the amount of protein. Electrolyte disorders such as potassium, magnesium, sodium and calcium decrease often occur in patients with pancreatitis after fasting. It is necessary to pay attention to replenish electrolytes in food in time and eat more fresh mushroom soup, vegetable juice and fruit juice. Eating habits should be less, eat 5 ~ 6 meals a day, and choose 1 ~ 2 soft and digestible foods for each meal. Cooking methods such as steaming, boiling, steaming and steaming should be adopted. Try not to use oil when cooking.

Don't overeat in peacetime. Pancreatitis can be caused by many reasons, among which overeating is one of the common reasons. Eating a lot of food, especially high-protein food, will increase the secretion of trypsin, which will promote the secretion of pancreatic juice. At the same time, if pancreatic juice reflux or obstruction occurs in the pancreatic duct, the pressure in the duct will increase and pancreatic juice will overflow. Pancreatic juice is rich in enzymes, and digestive enzymes are active in the pancreas, causing autolysis. Therefore, the greater the appetite, the more pancreatic juice is secreted and the more serious the symptoms are. Fasting in acute phase. Don't eat greasy food, such as fat meat, seafood, peanuts, walnuts, sesame seeds, biscuits, etc. Please don't eat spicy food, such as onion, garlic, ginger, pepper and so on. Don't overeat. Protein, sugar should also be controlled.

Acute pancreatitis is a systemic disease involving multiple organs, which is mainly an acute inflammation in which pancreatic digestive enzymes are activated in the body to digest the patient's own pancreatic tissue. Pregnancy complicated with acute pancreatitis is a serious pregnancy complication that women may suffer during pregnancy. This disease mostly occurs in the third trimester of pregnancy and puerperium, and it is mostly mild and can be cured by treatment. However, there are also serious situations that will increase the mortality rate of pregnant women and pregnant women. There are many reasons for the combination of eating and drinking during the Spring Festival, acute pancreatitis and not using hackers during pregnancy, which are related to the physical condition of pregnant women and the level of hormones and metabolism during pregnancy. There are three common reasons.

A large number of empirical cases show that most pregnant women with acute pancreatitis suffer from severe hyperlipidemia. Because the serum glycerol level of pregnant women has been significantly improved during pregnancy, physiological hyperlipidemia appears. At the same time, pregnant women will eat a lot of foods with high fat and high fever in order to ensure nutritional intake, but relatively speaking, daily exercise will decrease, blood lipid level will increase, and the risk of acute pancreatitis will increase. However, this physiological hyperlipidemia state is not enough to cause the disease alone, but if the pregnant woman is old and obese, it may become a factor inducing acute pancreatitis. During pregnancy, a series of changes have taken place in the biliary system of pregnant women, and bile excretion is not smooth, which is prone to gallstones. If there are gallstones before pregnancy, in order to digest greasy food during pregnancy, the gallbladder will contract strongly to discharge bile, which may lead to difficulties in discharging gallstones, thus hindering the discharge of pancreatic juice.

With the enlargement of the uterus in the third trimester, the pressure on the pancreatic duct is increasing, and the discharge of pancreatic juice may be more serious. If pancreatic juice can't be excreted normally, it will penetrate into pancreatic tissue, activate trypsin in pancreatic juice, make pancreatic tissue digest itself, and induce acute pancreatitis. Many pregnant women believe that they should eat more during pregnancy in order to ensure their nutrition and maternal and child health. I don't know that eating high-fat and high-protein food will promote the secretion of digestive enzymes in the pancreas, which will lead to the increase of pancreatic duct pressure and the overflow of pancreatic juice, and induce acute pancreatitis. The clinical manifestations of pregnancy complicated with acute pancreatitis are generally difficult to judge and easy to be misdiagnosed, so pregnant women should pay close attention to the possible dangerous "signals" in their lives and recognize their own situation.

In addition to understanding related symptoms, pregnant women can also take preventive measures to reduce the probability of acute pancreatitis. Before preparing for pregnancy, you can consider taking diuretics to reduce the possibility of gallstone blockage and prevent acute pancreatitis during pregnancy. If you have gallbladder pain, you can consider treating gallbladder pregnancy. Blood sugar, dyslipidemia, and elderly pregnant women: We should regularly check various physiological indicators and strictly control diet to prevent the occurrence of hyperglycemia and hyperlipidemia. Diet science: pregnant women should not blindly eat high-fat and high-calorie foods in order to supplement their bodies. A lot of nutrition is bad for pregnant women. On the contrary, it will increase the risk of acute pancreatitis, so it must be taken properly.