Ɔfe a ɛba akyi berɛmo mu wɔ kokoram mframa a wɔde sa yare akyi? Momma yɛnka Radiation Proctitis ho asɛm nkɔ akyiri!

Ebia wubesusuw sɛ bere a woako atia kokoram na woawie ayaresa a ɛyɛ den te sɛ mframa a wɔde sa yare no, wote ahotɔ kɛse nka, ɛnte saa? Nanso ɛtɔ mmere bi a, wɔ saa ayaresa ahorow yi akyi no, ɔhaw foforo betumi asɔre. Ɛne sɛ, wo akyi berɛmo, aduannoa kwan a ɛwɔ fam no fã a ɛyɛ hyew anaasɛ ɛyɛ wo yaw. Nnuruyɛfo frɛ eyi sɛ ‘Radiation Proctitis’. Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne Radiation Proctitis?

Sɛ yɛbɛka no tiawa a, radiation proctitis yɛ wo rectum a ɛyɛ hyew bere a wɔde mframa a wɔde sa kokoram a ɛwɔ wo pelvic area, a ɛyɛ beae a ɛwɔ wo yafunu ase no akyi. "Procto-" kyerɛ "anus." "-itis" kyerɛ "ɔfe." Saa ɔfe yi betumi de ɔhaw ahorow aba, titiriw nsakrae a ɛba tiafi mu.

Kokoram ahorow pii wɔ hɔ a ebetumi de tebea yi aba, titiriw bere a wɔde mframa a ano yɛ den sa kokoram ahorow a ɛwɔ akyi berɛmo no mu no:

• Awotwaa mu kokoram
• Prostate kokoram
• Kokoram a ɛwɔ akyi berɛmo mu
• Kokoram a ɛwɔ akisikuru mu
• Awotwaa mu kokoram
• Kokoram a ɛwɔ akyi berɛmo mu

Bere bɛn na radiation proctitis ba?

Ebetumi ayɛ soronko wɔ onipa biara ho. Radiation proctitis ahorow atitiriw abien na ɛwɔ hɔ, a egyina bere a epue so:

1. Acute radiation proctitis: Eyi yɛ ɔkwan bi a ɛba mpofirim. Ebetumi aba bere a wɔde mframa a wɔde sa yare no anaasɛ nna kakraa bi wɔ ayaresa no awiei akyi.

2. Chronic radiation proctitis: Saa ɔkwan yi gye bere kakra ansa na ada adi. Ebetumi ada adi wɔ asram abiɛsa akyi wɔ mframa a wɔde sa yare no akyi, anaasɛ mfe abien mpo anaa nea ɛboro saa mpo.

Nea ɛho hia no, nnipa bɛyɛ 20% a wɔde mframa a wɔde sa yare kɔ akyi berɛmo no mu no wɔ asiane mu sɛ wobenya saa tebea yi a wɔfrɛ no chronic radiation proctitis.

Dɛn ne Radiation Proctitis ho sɛnkyerɛnne ahorow?

Eyi nso gu ahorow gyina sɛ ebia wowɔ acute anaasɛ chronic type so.

Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya radiation proctitis a emu yɛ den:

Eyinom taa sua kakra, a ɛkyerɛ sɛ ɛnyɛ bɔne saa.

• Ɔyare a ɛma obi dwensɔ, ɛtɔ mmere bi a mogya na ɛba.
• Akisikuru ne ɔfe.
• Yafunu mu yaw, te nka sɛ wobɛtow wo ho.
• Ahiade a ɛba mpofirim, a wontumi nnyina ano sɛ wobɛkɔ tiafi (rectal anaa fecal urgency).
• Sɛ wote nka sɛ ɛho hia sɛ wotaa kɔ tiafi, nanso wuntumi nkɔ nsu mu bere a woyɛ saa (tenesmus).
• Mogya kakra a efi akyi berɛmo mu.
• Nsu a ɛte sɛ mucous a efi akyi berɛmo no mu (mucoid discharge).

Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya radiation proctitis a enni sabea:

Mpɛn pii no, saa sɛnkyerɛnne ahorow yi ne nea ɛwɔ acute phase no mu no yɛ pɛ. Nanso, wotumi tra hɔ kyɛ na emu yɛ den sen bere a emu yɛ den no. Nea ɛka ho no, nea edidi so yi betumi aba:

• Wo rectum a ɛyɛ teateaa (rectal stricture).
• Akuru a ɛba wɔ akyi berɛmo mu.
• Fistula yɛ ɔkwan foforo a wɔfa so bue anaa ɔkwan foforo a ɛda nipadua no akwaa abien a ɛnyɛ nea ɛka bom no ntam. Fa no sɛ abusuabɔ bi a ɛda akyi berɛmo ne ɔbea awotwaa ntam.

Dɛn na ɛde Radiation Proctitis ba?

Nea enti titiriw ne sɛ ɛba sɛ mframa a wɔde sa yare no mu nsunsuanso bɔne a ɛba wo hwene mu. Ansa na wubefi ayaresa ase no, wo duruyɛfo bɛkasa akyerɛ wo mfaso ne asiane ahorow a ebetumi aba wɔ mframa a wɔde sa yare so de aboa wo ma woasi gyinae a ɛfata.

Dɛn ne nneɛma pɔtee a ɛde radiation proctitis a ɛba akyiri ba no ba?

Mpɛn pii no, radiation proctitis a ɛba akyiri yi ba bere a radiation therapy ma nneɛma a edidi so yi to rectum anaa ntini a atwa ho ahyia no so no:

• Ntini a ɛte sɛ akuru (fibrosis) a ɛboaboa ano.
• Mogya ntini a ɛtrɛw (telangiectasia).
• Mogya ntini nketenkete (arterioles) a ɛyɛ teateaa.

Hena na ɔwɔ asiane kɛse sɛ obenya radiation proctitis?

Ebia wobɛkɔ asiane kɛse mu sɛ wubenya saa tebea yi sɛ:

• Sɛ wo rectum nya radiation dose a ɛboro 45 Grey (Gy) a. (Gy yɛ ade a wɔde susuw mframa a ɛbɔ).
• Sɛ wowɔ `(HIV/AIDS)` tebea a.
• Sɛ wowɔ yare a ɛma wo ho yɛ hyew (IBD) a .

Ɔkwan bɛn so na wohu Radiation Proctitis?

Oduruyɛfo bi bɛhwɛ w’ayaresa ho abakɔsɛm mu, abisa wo yare no ho sɛnkyerɛnne, na wayɛ wo nipadua mu nhwehwɛmu. Ebia wɔbɛkamfo nhwehwɛmu pii nso akyerɛ de ayi yafunu mu nyarewa afoforo a ɛwɔ sɛnkyerɛnne a ɛte saa ara afi hɔ. Ebia sɔhwɛ ahorow yi bi ne:

• Mogya mu nhwehwɛmu: Wɔfa mogya de hwɛ sɛ ɔyare mmoawa bi wɔ hɔ anaa.
• Nsu mu nhwehwɛmu: Wɔhwɛ wo nsu mu nhwɛsode bi mu hwɛ sɛ mogya anaa mmoawa bi wɔ hɔ anaa.
• Proctoscopy: Wɔ eyi mu no, oduruyɛfo no de ahwɛyiye de afiri a ɛyɛ tẽẽ a ɛyɛ tokuru (a ɛwɔ mfoninitwa afiri ne kanea wɔ n’awiei biako - a wɔfrɛ no proctoscope) hyɛ wo akyi berɛmo mu na ɔhwɛ wo akyi berɛmo ne wo akyi berɛmo mu.
• Sigmoidoscopy a ɛyɛ mmerɛw:Wɔ eyi mu no, oduruyɛfo no de ahwɛyiye de afiri tenten bi a ɛyɛ mmerɛw (a wɔde mfoninitwa afiri ne kanea nso ahyɛ mu - wɔfrɛ eyi ``endoscope``) hyɛ mu na ɔhwehwɛ wo ``colon`` no ase.

Nsuro sɔhwɛ ahorow yi. Nnuruyɛfo yɛ wɔn de boa wɔn ma wohu nea ɛhaw wo ankasa.

Dɛn ne ayaresa a edi kan a wɔde sa radiation proctitis?

Egyina sɛnea wo radiation proctitis no mu yɛ den so. Ebia nsɛm a emu nyɛ den no besiesie a wɔansa wɔn yare. Nanso, nneɛma bi wɔ hɔ a wubetumi ayɛ na ama wo ho atɔ wo yaw:

• Nsu a nsu, asikre (glucose), ne electrolytes (te sɛ sodium, chloride, potassium, ne bicarbonate) wom a wɔbɛnom. Wɔfrɛ eyi ``rehydration therapy.'' Eyi betumi aboa ma nsu dodow a ayera afi nipadua no mu no asan aba.
• Nnuru a ɛnyɛ steroid a wɔde ko tia ɔyare mmoawa (NSAIDs) .
• Nnuru a wɔde kum ɛyaw
• Nneɛma a ɛma nsu mu yɛ mmerɛw.
• Nnuru a ɛtew nipadua mu akisikuru so (Antispasmodics).

Sɛ ɛba sɛ radiation proctitis a emu yɛ den kɛse a, wo duruyɛfo betumi akamfo ayaresa te sɛ:

• Enema a aduru bi a wɔfrɛ no ``(Sucralfate)`` wom a wɔde bedi dwuma.
• Formaldehyde (formalin) a ɛba fam a wɔde bɛhyɛ mmeae a ɛho ayɛ den no.
• Sɛ wɔde aduru a wɔde hyɛ akyi berɛmo mu a corticosteroid bi a wɔfrɛ no glucocorticoid wom bedi dwuma.
• Ayaresa bi a wɔfrɛ no ``Argon plasma coagulation.`` Wɔ eyi mu no, wɔde biribi a wɔfrɛ no argon plasma di dwuma de hyew mmeae a mogya tu no.
• Ayaresa bi a wɔfrɛ no `(Hyperbaric oxygen therapy)`. Wɔ eyi mu no, wɔde oxygen ma wɔ ɔdan a nhyɛso kɛse wom mu.
• Oprehyɛn a wɔyɛ de sesa ɔkwan a wɔfa so de nsu gu mu (`(ileostomy)` anaa `(colostomy)`).
• Oprehyɛn a wɔde yi afã horow a ɛka no no fi hɔ.

Me ho bɛtɔ me ntɛm dɛn wɔ ayaresa akyi?

Egyina nneɛma pii so:

• Hwɛ sɛnea na wuhia mframa a wɔde sa yare no.
• Sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den.
• Sɛnea wo nipadua yɛ n’ade wɔ ayaresa ho.

Wo duruyɛfo bɛma woanya eyi ho adwene a eye.

Sɛ mewɔ radiation proctitis a, dɛn na metumi ahwɛ kwan?

Eyi nso gyina sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den ne sɛ ebia wowɔ yare a emu yɛ den anaasɛ enni sabea so. Ebia wo yare no ho sɛnkyerɛnne no nyɛ den anaasɛ emu yɛ den. Ebia bere a wɔreyɛ ayaresa no nkutoo na wubenya yare no ho sɛnkyerɛnne na afei woakɔ. Anaasɛ, wo sɛnkyerɛnne ahorow no betumi afi hɔ na afei asan aba, anaasɛ ebetumi atra hɔ akyɛ.

Wo duruyɛfo bɛkyerɛkyerɛ nea ɛsɛ sɛ wohwɛ kwan pɛpɛɛpɛ mu akyerɛ wo, a egyina wo tebea so. Mma ɛnhaw wo, wɔbɛboa wo.

So wotumi sa Radiation Proctitis koraa?

Ɛsono nnipa biara. Wɔ nnipa binom fam no, radiation proctitis ho sɛnkyerɛnne kɔ bere a wɔawie radiation ayaresa no. Nanso, radiation proctitis a enni sabea betumi ayɛ tebea a ɛtra hɔ kyɛ, a ɛkyerɛ sɛ ebia wubenya yare no ho sɛnkyerɛnne a ɛkɔ so. Wo ne wo duruyɛfo nka eyi ho asɛm. Wɔbɛkyerɛkyerɛ sɛnea wɔayɛ nhyehyɛe sɛ wobehu radiation proctitis ne sɛnea wɔbɛhwɛ so na wɔasa na ama asiane a ɛwɔ hɔ sɛ wobenya sɛnkyerɛnne ahorow a ɛtra hɔ kyɛ no so atew.

So wobetumi asiw Radiation Proctitis ano?

Nnuruyɛfo rebɔ mmɔden sɛ wɔbɛtew mframa a ɛma obi ho kyere no so anaasɛ wobesiw ano denam nnɛyi mframa a wɔde sa yare ho akwan horow a wɔde bedi dwuma no so. Sɛ nhwɛso no, wɔde akwan te sɛ ``mfonini a wɔde kyerɛ mframa a wɔde sa yare`` ne ``mframa a wɔde sa yare a ɛyɛ den`` di dwuma. Saa akwan yi ma mframa a ɛbɔ wo menewam ntini ne ntini afoforo a atwa ho ahyia no so tew bere a ekum kokoram nkwammoaa no.

Ebia wɔbɛsɔ nneɛma te sɛ eyinom nso ahwɛ na ama mframa a ɛbɔ wɔ ntini a ɛte apɔw mu no ayɛ ketewaa bi:

• Wɔde wo bɛto wo ho so bere a woreyɛ wo radiation ayaresa no.
• Ɛma ahobammɔ denam ade bi a wɔfrɛ no ``collagen'' a wɔde bɛhyɛ wo rectum ne prostate gland ntam no so.
• Wɔde ahwɛyiye de balloon a nsu ahyɛ mu ma (endorectal balloon) hyɛ wo rectum mu na aboa ma prostate no akura nea ɛwɔ hɔ no mu.

Dɛn ne aduan a eye sen biara ma radiation proctitis?

Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nsakrae wɔ w’aduan mu na ama yafunu mu sɛnkyerɛnne ahorow a ebetumi asɛe ntini a ɛho ayɛ hyew kɛse no so atew. Ebia wɔbɛkamfo nneɛma te sɛ:

• Nufusu a wɔtew so (nufusu, kyiisi, bɔta, yogurt).
• Nnuan a srade a ɛdɔɔso wom a wɔbɛto ano hye (nkesua, nam a srade wom - nantwinam, mprako nam afã horow a srade wom, nkokɔ a wonni honam ani - ne ngo - akutu ngo, nnuadewa ngo).
• Nnuan a ahoɔdennuru wom pii a yebedi (nnuaba, nhabannuru, bankye, atoko, nnuaba, ne nea ɛkeka ho) Nneɛma a yebetumi adi wɔ Sri Lanka te sɛ kohila, mukunuwenna, ne banana ye paa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ radiation proctitis ho sɛnkyerɛnne a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Afei nso, sɛ wohu sɛ wowɔ radiation proctitis na wo sɛnkyerɛnne no ankɔ yiye wɔ ayaresa akyi a, ma wo duruyɛfo nhu.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:

• Dɛn ne hokwan ahorow a mewɔ sɛ menya radiation proctitis?
• So mewɔ acute radiation proctitis anaasɛ radiation proctitis a enni sabea?
• Dɛn nti na radiation proctitis a enni sabea gye bere tenten saa ansa na ada adi?
• So me tebea no mu nyɛ den anaasɛ emu yɛ den?
• Ayaresa bɛn na wokamfo kyerɛ?
• So ayaresa bɛsa me yare no ho sɛnkyerɛnne no, anaasɛ ɛbɛsan aba?

Dɛn ne din foforo a wɔde frɛ Radiation Proctitis?

Edin foforo a wɔde frɛ radiation proctitis ne radiation proctopathy .

Edin foforo a wɔde frɛ mframa a ɛma mogya tu a enni sabea ne ntini a ɛma mogya tu (RAVE) .

Vitamin bɛn na eye ma radiation proctitis?

Nhwehwɛmu ahorow bi ada no adi sɛ vitamin C ne vitamin E betumi aboa ma mframa a ɛma obi ho kyere no ho sɛnkyerɛnne te sɛ akisikuru, mogya a ɛba akyi berɛmo mu, ne ntɛmpɛ a ɛba akyi berɛmo mu no so atew. Nanso, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho.

Awiei koraa no, nkrasɛm a wode bɛkɔ fie:

Kokoram ayaresa mu a wobɛfa no betumi ayɛ adwennwen. Ebetumi ayɛ den kɛse mpo bere a wuhyia ɔhaw ahorow wɔ wo tiafi ho. Radiation proctitis betumi aba bere a woreyɛ wo ayaresa no, anaasɛ asram anaa mfe mpo akyi.

Enti, sɛ wuhu nsakrae anaa ɔhaw bi wɔ wo tiafi mu a, ɛho hia yiye sɛ woka ho asɛm kyerɛ w’aduruyɛfo kuw no. Wobetumi ahu sɛ ebia nea ɛde ba ne radiation proctitis na wɔkamfo ayaresa a etu mpɔn sen biara a wɔde bɛma wo akyerɛ wo. Kae sɛ ɛnyɛ wo nko ara, na nnuruyɛfo bi wɔ hɔ a wobetumi aboa wɔ saa nneɛma yi mu.

` Radiation Proctitis, Radiation Therapy, Rectal Inflammation, Kokoram a ɛde ba, Pelvic Radiation, Acute Proctitis, Proctitis a enni sabea