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慢性胰腺炎能治愈吗 张筱凤 浙江大学医学院附属杭州市第一人民医院 慢性胰腺炎本来就慢性化了,诊断它慢性化就是纤维化了,不管你怎么治疗只是治疗它的并发症,对于它本身产生这种慢性化的标志是没有办法治疗的,就像肝硬化一样,肝硬化引起的一些并发症我们可以处理,但肝硬化本身还没有药物可以让肝脏恢复正常,因为它已经有器官功能的改变了,所以这个是不能恢复的,胰腺本身就是胰泡上皮,胰泡上皮可以调节血糖所以它是个内分泌器官,是我们人体中最大的内分泌器官,所以血糖所有的调节都靠它,如果它一旦生毛病了,第一就会出现糖尿病,第二它可以分泌消化酶,比如脂肪酶、淀粉酶、蛋白酶、弹性蛋白酶这些酶我们吃的蛋白质这些东西都靠它来消化的,如果说没有了这些酶,我们吃再多不能把大的分子变成小的分子,因为这些酶会溶解我们吃进去的(东西),搅拌胃酸搅拌过的食物使得大分子变小分子才能在小肠里吸收,如果缺少了这些的话就等于说都是些大分子,他营养吸收就会带来很大的困惑。 Can chronic pancreatitis be cured Chronic pancreatitis is chronic, It's diagnosed as fibrosis, No matter how you treat it, you just treat its complications, There is no cure for the sign of its own chronicity, It's like cirrhosis, We can deal with some complications caused by cirrhosis, But liver cirrhosis itself doesn't have drugs to get the liver back to normal, Because it has changed organ function, So this can't be restored, The pancreas itself is the epithelium of pancreatic vesicles, The pancreatic acinar epithelium regulates blood sugar, so it's an endocrine organ, It is the largest endocrine organ in our body, So all the regulation of blood sugar depends on it, If something goes wrong with it, The first is diabetes, Second, it secretes digestive enzymes, For example, lipase, amylase, protease, elastase, the proteins we eat are all digested by it, Without these enzymes, No matter how much we eat, we can't turn large molecules into small ones, Because these enzymes dissolve what we eat, Stir the stomach acid and stir the food to make the macromolecules smaller and smaller so that they can be absorbed in the small intestine, If these are absent, they are all macromolecules, His absorption of nutrients will cause great confusion.