Pancreatitis- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama

Introducción

The pancreas is a long, flat gland that sits tucked behind the stomach in the upper abdomen. The pancreas produces enzymes that help digestion and hormones that help regulate the way human body processes sugar (glucose). Pancreatitis is inflammation in the pancreas. Pancreatitis can occur as acute — meaning it appears suddenly and lasts for days, or as chronic, which is pancreatitis that occurs over many years. Mild cases of pancreatitis may go away without treatment, but severe cases can cause life-threatening complications.

Signs & symptoms

Signs and symptoms of pancreatitis may vary, depending on which type:

Acute pancreatitis

  • Upper abdominal pain
  • Abdominal pain that radiating to back
  • Abdominal pain that feels worse after eating
  • Fiebre
  • Rapid pulse
  • Náuseas
  • Vómitos
  • Tenderness of abdomen

Chronic pancreatitis

  • Upper abdominal pain
  • Losing weight without trying
  • Oily, smelly stools (steatorrhea)

Causas

Pancreatitis occurs when digestive enzymes become activated while still in the pancreas, irritating the cells of pancreas and causing inflammation. With repeated bouts of acute pancreatitis, damage to the pancreas can occur and lead to chronic pancreatitis. Scar tissue may form in the pancreas, causing loss of function. A poorly functioning pancreas can cause digestion problems and diabetes.

Sometimes, a cause for pancreatitis is never found.

Conditions that can lead to pancreatitis include:

  • Abdominal surgery
  • Alcoholism
  • Certain medications
  • Cystic fibrosis
  • Cálculos biliares
  • High calcium levels in the blood (hypercalcemia), which may be caused by an overactive parathyroid gland (hyperparathyroidism)
  • High triglyceride levels in the blood (hypertriglyceridemia)
  • Infection
  • Injury to the abdomen
  • Obesidad
  • Pancreatic cancer
  • Endoscopic retrograde cholangiopancreatography (ERCP), a procedure used to treat gallstones, also can lead to pancreatitis.

Risk factors

Excessive alcohol consumption

Cigarette smoking

Obesidad

Family history of pancreatitis

Fisiopatología

Acute pancreatitis is an inflammatory disease, which varies in severity from mild to severe. Factors determining the severity of pancreatitis are not known. It is generally believed that the earliest events in the evolution of acute pancreatitis lead to premature intra-acinar cell activation of digestive zymogens and that those enzymes, once activated cause acinar cell injury. Recent studies have suggested that the ultimate severity of resulting pancreatitis may be determined by events which occur subsequent to acinar cell injury. These include inflammatory cell recruitment and activation as well as the generation and release of cytokines and other chemical mediators of inflammation. Recently, we have undertaken studies to elucidate the role of various inflammatory agents in determining the severity of pancreatitis. Results from these ongoing studies indicate that substance P acting via neurokinin-1 (NK1) receptors, chemokines interacting with CCR1 receptors and platelet activating factor play an important pro-inflammatory role in regulating the severity of pancreatitis and associated lung injury. On the other hand, complement factor 5a (C5a) acts as an anti-inflammatory agent during the development of pancreatitis.

Diagnóstico

Blood tests to look for elevated levels of pancreatic enzymes

Faecal examination

Computerized tomography (CT) scan

Abdominal ultrasound

Endoscopy

Resonancia magnética (RM)

Tratamientos

Fasting, followed by drinking clear liquids and eating bland foods. With time, slowly back to normal diet

Pain medications

Intravenous (IV) fluids

Depending on the cause of pancreatitis, treatment may include:

Endoscopic retrograde cholangiopancreatography (ERCP)

Gallbladder surgery (cholecystectomy).

Pancreas surgery

Treatment for alcohol dependence.

Additional treatments for chronic pancreatitis

Pain management.

Enzymes to improve digestion.

Changes in diet.

Pronóstico

Acute pancreatitis show better prognosis than chronic. In the chronic form, episodes of pancreatitis tend to become more severe over time and the overall 10-year and 20-year survival rates are estimated to be about 70% and 45%, respectively.

Complicaciones

Pseudocyst

Infection

Kidney failure

Breathing problems

Padece diabetes.

Malnutrición

Pancreatic cancer

Disease & Ayurveda

                There is no exact correlated name for the disease pancreatitis in Ayurveda. The organ pancreas is known as Agnyasaya in Ayurveda, meaning the seat of digestive fire, as pancreas secretes many enzymes. Shotha denotes the inflammatory condition.

Nidana

Causative factors for the vitiation of all three doshas, Kapha, Pitta and Vaata

Purvaaroopa

Not mentioned

Samprapti

        Due to the causative factors, three doshas get vitiated. Due to some block or derangement in the corresponding channel or site, when they get lodged in Agnyasaya and produce sotha the diseases manifests.

Lakshana

Sharp abdominal pain

Indigestión

Acidez

Bloating

Vomiting & nausea

Diarrea

Divisions

        Not mentioned

Pronóstico

Kricchrasadhya in new cases in healthy young individuals. Asadhya in others.

Chikithsa

The treatment of Pancreatitis depends upon many factors like the age, constitution, physical & mental health of the patient and how severe is the inflammation. As all the three doshas are involved, it is important to know which dosha imbalance is the predominant and leading, to control it in the beginning. In most of the cases, pacifying pitta along with removing aama (undigested toxic metabolic wastes in the body) is the first line of treatment.

Samana

Aamapaachana

Agnideepana without causing aggravated Pitta state

Sothaharachikithsa

Sodhana

Virechana is the main sodahana therapy in agnyasaya sotha. It can be done as a sadyovirechana or after a course of Sneha-sweda as per the condition.

Vamana in needed cases

Asthapana vasti and anuvasana vasti are done only if Vaata is involved.

Medicamentos de uso común

        Punarnavadi kashayam

Vaasaguduchyadi kashayam

Daadimaadi ghrutam

Daadimaashtaka choornam

Sukumaram kashayam

Rasasindhoor

Jeevaraksha Gulika

Malla Sindhoor

        Marcas disponibles

AVS Kottakal

AVP Coimbatore

SNA oushadhasala

Vaidyaratnam oushadhasala

Remedios caseros

After taking treatment, life style changes can help prevent further problems, like

  • Stop drinking alcohol
  • Stop smoking.
  • Choose a low-fat diet.
  • Drink more fluids.

Dieta

  • A evitar

Heavy meals and difficult to digest foods – cause indigestion.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Carbonated drinks – makes the stomach more acidic and disturbed digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)

Milk and milk products – increase kapha, cause obstruction in channels and obesity

Curd – causes vidaaha and thereby many other diseases

  • Por añadir

Comidas ligeras y alimentos fáciles de digerir

Green gram, soups, honey

Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc

Comportamiento:

Protect yourself from extreme climate changes.

Es mejor evitar la exposición a la luz solar excesiva, la lluvia o el polvo.

Maintain a regular food and sleep schedule.

Evite aguantar o forzar las ganas de orinar, defecar, toser, estornudar, etc.

Avoid sedentary lifestyle. Be active.

posturas de Yoga

Regular stretching and mild cardio exercises are advised in cases which are not complicated. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.

Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.

El yoga puede mantener la armonía dentro del cuerpo y con el sistema circundante.

Pavanamuktasana

Nadisudhi pranayama

Bhujangasana

Simple exercises for lungs and heart health

Todos los ejercicios y esfuerzos físicos deben decidirse y realizarse únicamente bajo la supervisión de un experto médico.

Artículos de investigación

https://pubmed.ncbi.nlm.nih.gov/8119636/#:~:text=The%20pathophysiology%20of%20acute%20pancreatitis,an%20activation%20of%20pancreatic%20enzymes.

Estas afirmaciones no han sido evaluadas por la Food and Drug Administration, Estados Unidos. Este producto no está destinado a diagnosticar, tratar, curar o prevenir ninguna enfermedad. Por favor, consulte a su médico de cabecera antes de la ingesta.

Escritor:
El Dr. Rajesh Nair, cofundador y asesor jefe de Ayurvedaforall.Com, es licenciado por el prestigioso Vaidyaratnam Ayurveda College (afiliado a la Universidad de Calicut), Kerala, India. Además, posee un Diploma de Postgrado en Yoga Terapéutico por la Universidad de Annamalai.

El Dr. Nair ofrece consultas en dos concurridas clínicas situadas en Haripad y sus alrededores, Alleppey, Kerala, el estado meridional famoso en todo el mundo por sus auténticos tratamientos y médicos ayurvédicos. Además de ofrecer consultas sobre todos los aspectos de los tratamientos ayurvédicos, el Dr. Nair tiene un interés especial en Panchkarma, Yoga y Masaje.

A través de Ayurvedaforall, el Dr. Nair ofrece consultas en línea a pacientes de todo el mundo y ha atendido a cientos de pacientes en los últimos 20 años. Además de su consulta ayurvédica, es editor jefe de ayurveda-amai.org, el portal en línea de la Asociación Médica Ayurveda de la India, y miembro del comité estatal de la Asociación Médica Ayurveda de la India.

El Dr. Nair es ponente habitual en conferencias relacionadas con el Ayurveda y ha visitado Alemania para propagar el Ayurveda. Puede escribirle directamente
rajesh@ayurvedaforall.com

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