Pancreatic tuberculosis

　　The occurrence of pancreatic tuberculosis may be related to disease trauma, surgery, metabolic disorders, nutritional disorders, genetic factors, and endocrine abnormalities.

　　Pancreatic tuberculosis can cause complications such as pseudocysts, biliary or duodenal obstruction, and thrombosis of the splenic vein. There are recurrent attacks of right upper abdominal pain in pancreatic tuberculosis, which worsens with eating and spreads to the back and waist.

　　The symptoms of pancreatic tuberculosis are diverse, and the specific clinical manifestations are described as follows.

　　1. Symptoms similar to chronic pancreatitis:There are recurrent attacks of right upper abdominal pain, which worsens with eating and spreads to the back and waist.

　　2. Tuberculosis poisoning symptoms:Loss of appetite, fatigue, fever, night sweats.

　　3. Symptoms similar to pancreatic cancer:Abdominal pain, abdominal mass, weight loss, anemia, jaundice.

　　The prevention of pancreatic tuberculosis includes the prevention and treatment of related diseases, the active treatment of acute pancreatitis, and the development of good living habits. The specific preventive and control measures are described as follows.

　　1. Actively prevent and treat related diseases:Biliary tract diseases are common and frequently occurring diseases in the elderly. The active prevention and treatment of biliary tract diseases is an important measure to prevent chronic pancreatitis in the elderly. In addition, diseases related to the onset of this disease, such as hyperparathyroidism and hyperlipidemia, must also be actively prevented and treated.

　　2、积极、彻底地治疗急性胰腺炎：老年慢性胰腺炎患者中，有相当一部分有急性胰腺炎病史，推测本病的发病可能与急性胰腺炎未彻底治愈有关。故此，患有急性胰腺炎患者必须积极治疗，彻底治愈，以免留下后患。

　　2, Actively and thoroughly treat acute pancreatitis:A considerable number of elderly patients with chronic pancreatitis have a history of acute pancreatitis, and it is speculated that the onset of this disease may be related to the incomplete cure of acute pancreatitis. Therefore, patients with acute pancreatitis must be treated actively and cured completely to avoid leaving any aftereffects.

　　3, Do not drink heavily, drink less alcohol:Long-term alcoholism is prone to chronic alcoholism, and alcoholism is one of the important causes of chronic pancreatitis. Therefore, it is necessary to develop the good habit of not drinking heavily or drinking only a small amount of alcohol from a young age. If a person has chronic pancreatitis, in order to prevent the progression of the disease, it is necessary to quit alcohol completely.

　　4, Diet in moderation:5, Be careful with diet, prevent overeating, which is very important for preventing this disease. At the same time, the elderly should eat light, avoid spicy, greasy, sweet, and strong-flavored foods, and avoid alcohol to prevent heat accumulation in the intestines and stomach, which can cause this disease.

　　What kind of laboratory tests do you need to do for pancreatic tuberculosis

　　16, Pancreatic tuberculosis mainly involves B-ultrasound and cholangiography, the specific examination methods are described as follows.

　　1, Under the guidance of B-ultrasound, puncture and aspiration of the mass for pathological histological examination is helpful for diagnosis and can differentiate pancreatic malignant tumors. Pancreatic cancer and ampullary cancer invade the common bile duct earlier, manifesting as tail sign and double tube sign.

　　Patients with pancreatic tuberculosis can choose different diets according to their own symptoms, and the specific food therapy is described as follows.

　　1, Fist-sized citrus porridge:Fist-sized citrus 15 grams, glutinous rice 50 grams. Decoct the juice of fist-sized citrus, remove the dregs, add glutinous rice and an appropriate amount of water to cook into porridge, add an appropriate amount of rock sugar when it is about to be cooked, and eat the porridge after it is cooked. It has the effects of regulating qi, relieving pain, invigorating the spleen and nourishing the stomach.

　　2, Cinnamon and licorice white peony root:Cinnamomum cassia 20 grams, white peony root 40 grams, licorice root 12 grams, ginger 20 grams, jujube 12 pieces, decoct the juice, remove the dregs, then add 100 grams of glutinous rice and cook into porridge, eat in several servings. It has the effect of invigorating the spleen and calming the stomach.

　　3, Porcine pancreas powder:Dry the porcine pancreas with low heat and grind it into powder, encapsulate it, and take it in several servings each day. It contains various pancreatic enzymes, which can act as a substitute therapy and is effective for patients with poor digestion and steatorrhea.

　　4, Hawthorn and lotus leaf tea:Hawthorn 30 grams, lotus leaf 12 grams, add 2 bowls of clear water to the above two drugs, decoct to 1 bowl, remove the dregs and take in several servings. It can raise the clearness and promote digestion, aid digestion, and can treat chronic pancreatitis with poor digestion.

　　5, Cassia seed and seaweed decoction:Seaweed 20 grams, cassia seed 10 grams, add 2 bowls of water to the above two ingredients, decoct to 1 bowl, take all at once, twice a day. It is beneficial for the alleviation of chronic pancreatitis.

　　6, Dried ginger porridge:Dried ginger 3 grams, rhizoma galangae 3 grams, glutinous rice 50 grams. First, decoct dried ginger and rhizoma galangae in water, remove the dregs and take the juice, then add the washed glutinous rice and cook into porridge, eat in several servings. It has the effect of invigorating the spleen and warming the stomach.

　　7. Evodiamine Porridge:2 grams of evodiamine, 2 slices of ginger, 2 scallions, 50 grams of glutinous rice, cook the rice in water, add evodiamine and ginger powder when the rice is almost cooked, chop the scallions and add them to the pot to cook into porridge. Take it in portions every day. It has the effects of harmonizing the stomach, stopping vomiting, regulating qi, and relieving pain.

　　8. Crucian Carp Soup:10 grams of amomum, 10 grams of Evodia rutaecarpa, 10 grams of dried tangerine peel, 1 crucian carp, 10 grams of Sichuan peppercorn, 10 grams of pickled chili, scallions, garlic, and salt in appropriate amounts. Clean the crucian carp, put the above medicine and spices in the abdomen, and stew according to usual methods to make fish soup, and take it in portions. It has the effects of dispelling cold, regulating qi, and relieving pain, and is used for chronic pancreatitis.

　　9. Areca Nut Drink:Wash 10 grams of areca nut, boil it in water for 30 minutes, then add 5 grams of spring amomum and boil for another 5 minutes, remove the residue and take the juice. It has the effects of promoting qi, dissolving stones, and harmonizing the middle, and is used to treat chronic pancreatitis.

　　10. Braised Crucian Carp:Cut 1 crucian carp (about 300 grams) into scales and intestines, clean it; wrap 10 grams of tangerine peel and 3 grams of spring amomum in gauze, add 3 grams of table salt, scallions, and a suitable amount of vegetable oil. Add an appropriate amount of water to the above ingredients and stew until tender, then remove the medicine bag and it can be eaten. It has the effects of promoting qi, draining dampness, and drying dampness, and is used to treat chronic pancreatitis in the elderly.

　　11. Amomum and Job's Tears Porridge:Firstly, wrap 5 grams of spring amomum in gauze; wash 100 grams of glutinous rice clean, add an appropriate amount of water, and cook with 30 grams of Job's tears together to make porridge; then add the medicine bag of sandalwood and cook for another 5 minutes, remove the medicine bag and season with salt to taste. It has the effects of regulating qi, drying dampness, and relieving pain, and is used to treat chronic pancreatitis in the elderly.

　　12. Codonopsis and Astragalus Porridge:Wash 20 grams of codonopsis and 15 grams of Astragalus, and 100 grams of glutinous rice, add an appropriate amount of water, and simmer on low heat to make a thin porridge. It has the effects of invigorating the spleen and boosting qi, and is used to treat chronic pancreatitis.

　　13. Tangerine Peel and Clove Porridge:Cut 10 grams of dried tangerine peel into pieces, boil with 8 grams of clove, and then add 100 grams of glutinous rice to cook into porridge. It has the effects of promoting qi, drying dampness, and relieving pain, and is used to treat chronic pancreatitis.

　　Pancreatic tuberculosis is首选surgical treatment, which can be cleared and drained, and when the mass is large and compresses the common bile duct causing obstructive jaundice, a Roux-Y anastomosis or bile duct duodenal anastomosis can be performed. The postoperative anti-tuberculosis treatment course should be preferably 9 months or more.