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Выделяют **острый** и **хронический панкреатит** [1](https://www.VIDAL.ru/encyclopedia/gastroenterologiya/pancreatit)[6](https://mc21.ru/articles/pankreatit/): \n- **Острый** — внезапное воспаление, может длиться несколько дней [6](https://mc21.ru/articles/pankreatit/)[11](https://citilab.ru/articles/pankreatit/). \n- **Хронический** — длительное воспаление, сопровождающееся необратимыми структурными изменениями [6](https://mc21.ru/articles/pankreatit/).\n\n\n\n## Причины\nНекоторые причины панкреатита: \n* **Злоупотребление алкоголем** — этанол и его метаболиты оказывают токсическое действие на клетки поджелудочной железы, нарушают синтез и секрецию ферментов [6](https://mc21.ru/articles/pankreatit/). \n* **Нарушения диеты** — избыточное потребление жирной, жареной, острой пищи, переедание, нерегулярное питание [6](https://mc21.ru/articles/pankreatit/). \n* **Инфекционные агенты** — вирусы, бактерии, простейшие и гельминты [6](https://mc21.ru/articles/pankreatit/). \n* **Приём некоторых лекарственных препаратов** — глюкокортикоиды, иммуносупрессоры, диуретики, антибиотики тетрациклинового ряда [6](https://mc21.ru/articles/pankreatit/). \n* **Наследственные факторы** — мутации в генах, регулирующих синтез панкреатических ферментов [6](https://mc21.ru/articles/pankreatit/).\n\n## Симптомы\nСимптомы панкреатита различаются в зависимости от формы заболевания [11](https://citilab.ru/articles/pankreatit/): \n* **Острый панкреатит** — сильная постоянная боль в верхней части живота, часто отдающая в спину [11](https://citilab.ru/articles/pankreatit/). Может усиливаться лёжа на спине и уменьшаться при наклоне вперёд в положении сидя [11](https://citilab.ru/articles/pankreatit/). \n* **Хронический панкреатит** — постоянные боли в животе, усиливающиеся после еды [11](https://citilab.ru/articles/pankreatit/). Проблемы с пищеварением, включая жирный, зловонный стул [11](https://citilab.ru/articles/pankreatit/). Потеря веса и недоедание (из-за нарушения всасывания и переваривания еды) [11](https://citilab.ru/articles/pankreatit/).\n\n## Диагностика\nТочный диагноз устанавливает гастроэнтеролог после обследования пациента [15](https://mc21.ru/articles/khronicheskiy-pankreatit/). Некоторые методы диагностики: \n* **Лабораторная диагностика** — общеклинический анализ крови, биохимические показатели, исследование кала на содержание ферментов и жиров [15](https://mc21.ru/articles/khronicheskiy-pankreatit/). \n* **Инструментальные методы** — ультразвуковое исследование брюшной полости, компьютерная и магнитно-резонансная томография, эндоскопические методы [15](https://mc21.ru/articles/khronicheskiy-pankreatit/). \n* **Функциональные пробы с нагрузкой** — позволяют оценить резервные возможности железы [15](https://mc21.ru/articles/khronicheskiy-pankreatit/).\n\n## Лечение\nЛечение панкреатита строится исходя из характера и формы заболевания [19](https://Megapteka.ru/specials/kak-ponyat-chto-5218). Некоторые методы терапии: \n* **При остром панкреатите** — голодная диета, анальгетики для купирования болевого синдрома, капельницы для внутривенного введения солевых или коллоидных растворов [1](https://www.VIDAL.ru/encyclopedia/gastroenterologiya/pancreatit). 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