On October 3, The First Affiliated Hospital of Zhejiang University School of Medicine shared a case of a mother who was admitted to the hospital due to abdominal pain during her confinement period.
This mother eats six meals a day, pig's trotter soup , crucian carp soup, pigeon soup, and turtle soup never stopped. During this period, she also ate delicious dishes such as pig heart, pig lungs, pig belly, beef and mutton. At the same time, she ate eggs very hard. The peak of the peak was six or seven a day. In less than three weeks after giving birth, her weight increased from 110 catties to 130 catties, and she was eventually diagnosed with "hyperlipidemia pancreatitis." The expert filtered out a lot of oil from her blood, because of her "big nourishment" and overnutrition. After treatment, the mother's condition was basically stable. Looking at the half bag of oil that was separated, she thought that she could not breastfeed during the medication period, so the baby could only be temporarily weaned, and she regretted it.
34-year-old mother was sent to the hospital for emergency treatment during her confinement period. A tube of blood filtered out half of the tube of oil
Youyou (pseudonym) is Jiaxing people. She and her husband got married late and had children later. The couple has been busy working hard on their own careers. They only entered the marriage hall last year and put "parents" on the agenda. Preparing for pregnancy, pregnancy, giving birth... Youyou, with good economic conditions, has a smooth journey to "advance" for mothers.
The only twists and turns are that at the 37th week of pregnancy, Youyou had a caesarean section because of the low amniotic fluid. In order to increase amniotic fluid before delivery, she tried her best to drink chicken soup and fish soup, and ate a lot of watermelons, cucumbers, and cantaloupes. In the week before delivery, her weight increased by at least 5 kilograms.
"A woman cannot have good confinement during confinement, and she regrets her whole life, and she must not lose nutrition!" After giving birth, the mother-in-law felt sorry for her daughter-in-law for giving birth. In order to restore Youyou's vitality and ensure sufficient milk supply, she made her confinement meal in different ways. Youyou eats 6 meals a day, including pig's trotter soup, crucian carp soup, pigeon soup, and turtle soup, and never stops. During this period, she also ate various delicious dishes such as pig hearts, pig lungs, pork belly, beef and mutton, and ate eggs very hard. At peak times, she could even eat six or seven a day. Youyou said: "I was in my thirties and I naturally wanted to give the best nutrition to my baby."
Less than 3 weeks after giving birth, Youyou, who is 1.6 meters tall, has increased from 110 kilograms after "unloading" to 130 kilograms. Before she could finish her confinement, she began to feel unbearable pain in her abdomen, spreading from her navel to almost the entire abdomen, back, and waist. She was always nauseous and wanted to vomit, and even vomited several times a day, until she had nothing to vomit.
was in pain for almost a week. Youyou couldn't help but go to the hospital where the baby was given birth, accompanied by her family. After an abdominal CT examination, Youyou's "there are extensive exudative changes around pancreas ". The hospital recommended that she be referred to the emergency department of Zhejiang University First Hospital.
Chief physician Lu Yuanqiang from the emergency department led the team to treat Youyou. What surprised the medical staff on the scene was that the blood extracted from Youyou's arm blood vessels actually had half a tube of blood and half a tube of oil. If you pump it again, it will still be half a tube of blood and half a tube of oil. The blood test results showed that Youyou's triglyceride was as high as 70 mmol/l (normal range 0~1.7mmol/l), which was nearly 70 times that of normal people. Combined with Youyou's medical history and other examination results, she was eventually diagnosed with acute pancreatitis caused by hyperlipidemia.
The mother's condition is stable after fasting, acid production, etc., and regrets that she cannot breastfeed because she takes medicine and cannot breastfeed
Experts said that acute pancreatitis is a variety of causes that cause pancreatitis inflammatory reactions that cause the pancreatic tissue to digest, edema, bleeding and even necrosis after being activated in the pancreas. According to its most common causes, it is divided into gallbladder pancreatitis , alcoholic pancreatitis and hypertriglyceridemia pancreatitis, characterized by acute upper abdominal pain, nausea, vomiting, fever, etc.
is one of the most common digestive system acute diseases. It has acute disease, rapid progress, and many complications. It is prone to local development to affect the organs and systems of the body. The mortality rate of severe pancreatitis can reach 15% to 35%. After giving Youyou fasting, acid production, indulging gastric tubes, gastrointestinal decompression, contacting the kidney disease center for blood lipid separation, her triglyceride index dropped to single digits, and her condition was basically stable.Looking at the half bag of oil that was separated, thinking that she could not breastfeed during the medication period, the baby could only be temporarily weaned. She kindly did something bad, and Youyou regretted it.
"During confinement, patients consume a large amount of high-fat, high-sugar and high-protein foods, which forces the secretion of gallbladder and pancreas, increasing the chance of pancreatitis . In the emergency department, acute pancreatitis is a very dangerous acute abdominal disease , especially severe acute pancreatitis , with a high mortality rate and a greater risk of puerperal disease." Lu Yuan Director Qiang introduced that in recent years, the number of acute pancreatitis caused by overeating and drinking heavily has gradually increased. At most, more than a dozen pancreatitis patients can be treated in one month. The number of patients with pancreatitis has increased significantly during holidays. "Eating and drinking" will stimulate the pancreas and liver to violently secrete pancreatic juice and bile, causing the two "river" of pancreatitis to soar, causing the pressure inside to rise sharply, thus leading to the occurrence of acute pancreatitis.
What is the principle of hyperlipidemia inducing pancreatitis? Hyperlipidemia is a systemic metabolic abnormal disease caused by various reasons in plasma cholesterol , triglycerides, low-density lipoprotein levels and low-density lipoprotein. After eating a lot of protein and fat foods in a short period of time, the serum triglycerides will increase significantly. On the one hand, it will promote the formation of chylomicron particles and increase blood viscosity, leading to capillary embolism, causing pancreatic microcirculation disorders and pancreatic cell dysfunction; on the other hand, triglycerides accumulate in the pancreas, and activated pancreatic enzymes will decompose triglycerides into a large amount of free fatty acids. The remaining free fatty acid that is not bound to albumin is very toxic, which is easy to cause damage to pancreatic acinar cells and small blood vessels, thereby leading to the occurrence of acute pancreatitis. As the condition progresses, hypocalcemia, lactic acidosis, systemic inflammatory reactions, organ failure, etc. may also be complicated.
Expert: Mothers need scientific supplementation from pregnancy to confinement. Step by step, too much is worse than
"People generally believe that postpartum qi and blood loss is greatly damaged, and the more you eat, the better. In fact, mothers need scientific supplementation from ten months of pregnancy to confinement, and a reasonable and balanced diet." Zhejiang University First Hospital Obstetrics Expert emphasized that hyperlipidemia during pregnancy can trigger an increase in blood viscosity, leading to an increase in the risk of cardiovascular diseases in pregnant women. Too much blood lipid is deposited on the blood vessel wall of the placenta, and the blood flow of placenta is blocked, the blood supply of placenta is insufficient, which induces fetal ischemia, hypoxia, and even miscarriage or stillbirth, seriously threatening the lives of pregnant mothers and fetus, and should be taken seriously.
"After the mother gave birth, the body's secretion and metabolic levels have not yet fully recovered. At this time, it is feasible to increase nutrition appropriately. It is feasible to supplement some high-protein foods, but it should still be done step by step. If you just supplement it vigorously and consume too much high-fat and high-protein, the body will not be able to bear it at once, and it will make up for problems."
How to prevent hyperlipidemia acute pancreatitis? Doctors recommend that you first change your eating habits, reduce your intake of saturated fatty acids, eat less animal fat or high-calorie foods, and eat less foods rich in cholesterol such as animal viscera, brain, cabbage, etc. Control sugar intake, do not drink sweet drinks, and do not consume too much rice, noodles and other cereals, sucrose, glucose, foods. Try to eat less oil and salt as much as possible, eat less spicy and irritating foods, pay attention to a balanced diet, and avoid greasy foods. Do not overeat and eat more vegetables, fruits, high-protein and low-fat foods.
The second is to lose weight scientifically. The normal BMI value is between 18.5 and 23.9. If it exceeds 24, it is overweight, and if it is above 28, it is obese. Obese people should lose weight appropriately, choose a suitable exercise method to maintain good exercise habits under the premise of physical tolerance. In addition, we must quit smoking and quit drinking. The irritating substances in tobacco and alcohol can promote pancreatic juice secretion, cause spasm of the ampulla sphincter of the hepatopancreatic ampulla, thereby inducing pancreatic inflammation.
can effectively prevent the occurrence of hyperlipidemia pancreatitis by adjusting daily diet and living habits.For high-risk patients, especially during pregnancy and postpartum lactation, they need to regularly check blood lipids, quit drinking, avoid overeating, adhere to the low-fat diet, control their weight, and take lipid-lowering drugs under the guidance of a doctor to prevent pancreatitis from occurring and recurring.
text/Beijing Youth Daily reporter Dai Youqing
edited by Zhu Wei
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