Ðe kansa dada le dɔgbo me kuxiwo hem vɛa? Mina míasrɔ̃ nu tso keklẽŋusẽ ƒe dɔgbo ƒe dɔléle ŋu.

Ne èle keklẽŋusẽdɔdamɔnu zãm na wò le kansa ta, alo ne ame aɖe si nènya le atike sia wɔm la, ɖewohĩ ènya be ɣeaɖewoɣi la, dɔgbo me vevesese suesuesuewo nɔa ŋuwò. Eyata egbea míele nu ƒom tso ŋusẽ si keklẽŋusẽdɔdamɔnu ate ŋu akpɔ ɖe dɔgboa dzi, si nye dɔléle si woyɔna be Radiation Enteritis . Naneke meli si wòle be nàvɔ̃ o, ne wona nyanya wò nyuie tso esia ŋu la, àte ŋu aɖe kuxi geɖe dzi akpɔtɔ.

Nukae Nye Kekeli ƒe Dɔdzẽ?

Kpuie ko la, Radiation Enteritis nye wò dɔgbo ƒe gbegblẽ alo abi si keklẽŋusẽ ƒe atikewɔwɔ hena vɛ . Abe alesi nènyae ene la, wozãa nusiwo me keklẽŋusẽ le tsɔ daa dɔlélewo abe kansa ene tsɔ tsrɔ̃a lãmenugbagbevi siwo mesɔ o. Esia nye atike si bɔ menye na kansa ɖeɖeko o, ke na dɔléle aɖewo siwo do ƒome kple ʋu hã.

Ŋkɔ bubu geɖewo hã le nɔnɔme sia ŋu, eye wò ɖɔkta ate ŋu azã ŋkɔ siawo dometɔ ɖeka:

• `(Pelvic radiation dɔléle)`
• `(Radiation colitis)` (Esia nye ŋkɔ si wotsɔ na dɔdzẽ si dzɔna le dɔgbo gã la me koŋ)
• `(Kekeli ƒe dɔgbo ƒe dɔléle)`
• ``(Kekeli ƒe dɔgbo ƒe dɔléle)''.
• `(Radiation mucositis)` (Esia fia nusiwo gblẽ le lãkusi ŋu)

Ðe esia ƒomevi aɖewo lia?

Ẽ, Radiation Enteritis ƒomevi vevi eve li. Woawoe nye:

1. Acute Radiation Enteritis: Esia dzɔna ne èle keklẽŋusẽdɔdamɔnu zãm. Nya nyuiae nye be zi geɖe la, dzesi siawo nu yina keŋkeŋ le kwasiɖa ʋɛ aɖewo megbe.

2. Chronic Radiation Enteritis: Esia to vovo vie. Edzɔna ɣleti geɖe, ƒe geɖe gɔ̃ hã, le atikewɔwɔ vɔ megbe. Kuxi si le afisia enye be dzesiawo ate ŋu anɔ ŋuwò ɣeyiɣi didi eye ɣeaɖewoɣi la, kuxiwo ate ŋu ado mo ɖa.

Aleke gbegbee Radiation Enteritis bɔe? Amekawoe le afɔku me wu?

Tsã la, nɔnɔme sia bɔ vie. Eyae nye be ne wozã keklẽŋusẽdɔdamɔnu xoxowo la, amesiwo wowɔ atike na ƒodo alo akɔta ƒe afã lɔƒo axɔ keklẽŋusẽdɔléle. Gake to egbegbe keklẽŋusẽtikewo zazã me la, woɖe afɔku si le keklẽŋusẽ ƒe dɔgbo ƒe dɔléle si nɔa anyi didi me dzi kpɔtɔ ŋutɔ .

Gake ame aɖewo ate ŋu anɔ afɔku me vie wu ame bubuwo. Susu geɖewo tae wòle alea ɖo:

• Nɔnɔme siwo ɖea ʋu ƒe sisi ɖe dɔgboa me dzi kpɔtɔna: Le kpɔɖeŋu me, ne suklidɔ alo ʋusɔgbɔdɔ le ŋuwò la, ʋu si sina yia dɔgboa me dzi ate ŋu aɖe akpɔtɔ, eye keklẽŋusẽ ƒe nugbegblẽ ate ŋu axɔ ɣeyiɣi didi hafi wòahaya, alo nusiwo gblẽ la ate ŋu agblẽ ɖe edzi.
• Dɔdzẽ ƒe nɔnɔme ɖesiaɖe si li xoxo le lãkusiawo me:Tsɔe be nɔnɔme aɖe abe akɔta ƒe dɔdzẽ ƒe dɔléle ene le ŋuwò. Emegbe esi wònye be teƒe ma te ŋu sea nu gɔme xoxo ta la, anɔ eme be keklẽŋusẽ agblẽ nu le eŋu wu.
• Dɔdamɔnu bubu siwo wua lãmenugbagbeviwo: Ne èle atike bubuwo, abe atikewɔmɔnu ene, xɔm tsɔ kpe ɖe keklẽŋusẽdɔdamɔnu ŋu la, afɔkua ate ŋu adzi ɖe edzi elabena ekpɔa ŋusẽ ɖe lãmenugbagbeviwo hã dzi.
• Nunyiame ƒe nɔnɔme madeamedzi: Ne ŋutilãa mekpɔ nunyiame si sɔ si wòhiã o la, ke lãmenugbagbeviwo ɖɔɖɔɖo ƒe ɖoɖoa gblẽna.
• Atamanono kple atamanono bubuwo: Esiawo ɖea ŋutilã ƒe ŋutete be wòada gbe le ame ŋu dzi kpɔtɔna.
• Abi ƒe amesinɔnɔ le ƒodo ƒe dɔwɔwɔ nɛ va yi me: Nu siawo hã ate ŋu ana dɔgboa ƒe seselelãme nadzi ɖe edzi.

Aleke keklẽŋusẽdɔdamɔnu kpɔa ŋusẽ ɖe dɔgboa dzii?

Kekeli ƒe dɔdamɔnu nye keklẽŋusẽ ƒe atikewo zazã atraɖii, zi geɖe la, kwasiɖa geɖe. Ne keklẽŋusẽ sia dze lãmenugbagbevi siwo le lãmesẽ me hã dzi la, ewɔa dɔdzẽ eye wògblẽa nu le lãmenugbagbeviwo ŋu . Lãmenugbagbevi siwo le míaƒe dɔgbo ƒe eme (si fia be lãmenugbagbevi siwo le dɔgboa me) la sea veve ɖe keklẽŋusẽ ƒe ŋusẽkpɔɖeamedziwo nu.

Kekeli ƒe keklẽ enuenu ate ŋu agblẽ lãmenugbagbevi siwo kpena ɖe ame ŋu be woaxe mɔ ɖe dɔlékuiwo xɔxɔ nu eye woaɖɔ tsi ƒe agbɔsɔsɔ le ŋutilãa me ɖo. Zi alesi keklẽŋusẽ ƒe agbɔsɔsɔme si nèxɔ la sɔ gbɔe, eye zi alesi dɔgbo ƒe akpa si woda dɔ na wò loloe la, zi nenemae keklẽŋusẽ ƒe dɔgbo ƒe dɔléle xɔxɔ ƒe afɔkua dzina ɖe edzii.

Nukawoe nye dzesiawo?

Kekeli ƒe dɔgbo ƒe dɔléle ƒe dzesiwo ate ŋu ato vovo vie tso ame ɖeka gbɔ yi bubu gbɔ. Wonɔa te ɖe nenye be edzɔna kabakaba alo esi nɔa anyi didi hã dzi. Dzesi siwo bɔ wu dometɔ aɖewoe nye:

• Ƒodo ƒe vevesese kple ƒodo ƒe ʋuʋu .
• Dɔgbo si vuvu .
• Aɖuɖɔtoe : Aɖuɖɔtoe siwo me mekɔ o toto zi geɖe gbesiagbe.
• Nuɖuɖudzroame ƒe vɔvɔ .
• Aɖuɖɔtoe kple ʋuʋudedi .
• Vevesese ne èle aɖuɖɔ ƒom .
• Ʋu si dona le dɔgboa me alo vevesese .
• Lolo dzi ɖeɖe kpɔtɔ le vome .
• Sese le eɖokui me be ehiã kpata be yeaɖe aɖuɖɔ (Ehiã kpata be woaɖe aɖuɖɔ) .

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele be nàyi ɖɔkta gbɔ enumake .

Kuxi kawoe esia ate ŋu ahe vɛ?

Dzoxɔxɔ sia si yia edzi kple dɔgboa ƒe gbegblẽ ate ŋu ahe kuxi aɖewo vɛ. Zi geɖe la, nusiawo do ƒome kple dɔgbo ƒe dɔléle si nɔa anyi didi (keklẽ ƒe dɔwɔwɔ).

• Tsikunɔamesi : Aɖuɖɔtoe kple aɖuɖɔtoe nana tsi kple dze meganɔa ŋutilãa me o.
• Elektrikŋusẽ ƒe masɔmasɔ: Dze (abe sodium kple potassium ene) ƒe agbɔsɔsɔ si le ŋutilãa me megada sɔ o.
• Fistula : Esia nye ne kadodo si mesɔ o, si le abe mɔ̃ ene, va le wò dɔgbowo kple ŋutinu bubu si te ɖe ŋuwò (e.g., tsinyegoe, nyɔnu ƒe vidzidɔ) dome.
• Dɔgbo ƒe ʋuʋu : Do ate ŋu adzɔ le dɔgboa ƒe gli ŋu. Esia nye nudzɔdzɔ kpata aɖe.
• Malabsorption : Ŋutilã mete ŋu xɔa nunyiame siwo le nuɖuɖu me nyuie o.
• Dɔgbo sue ƒe xexe : Dɔgbo suea ƒe xexe ate ŋu adzɔ le dɔgbo suea ƒe teƒe aɖe.
• Sesẽme : Dɔgboa ƒe akpa aɖe va nɔa kpuie, si wɔnɛ be esesẽna na nuɖuɖu be wòato eme.
• Abi : Abi ate ŋu adzɔ le dɔgboa me, abe alesi dɔgbo ƒe abi le dɔgboa me ene. Esiawo ate ŋu ava zu dɔgbo ƒe dɔléle ɣeaɖewoɣi.

Menye amesiamee xɔa kuxi siawo o, gake ne dzesiwo le ŋuwò la, ele vevie be nàgblɔe na wò ɖɔkta evɔ màŋe aɖaba aƒu wo dzi o.

Aleke wowɔna dea dzesi Radiation Enteritis?

Zi geɖe la ɖɔktawo dea dzesi dɔléle sia to wò dzesiwo biabia wò kple ɣeyiɣi didi si nèzã keklẽŋusẽdɔdamɔnu zazã me .

Gake wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàgawɔ dodokpɔ ʋɛ aɖewo kpee be nàɖe atikewɔwɔ me nɔnɔme bubuwo ɖa eye wòase alesi wò dɔlélea nu sẽe gɔme. Esiawo dometɔ aɖewoe nye:

• Hydrogen gbɔgbɔ dodokpɔ be woakpɔe ɖa be dɔlékuiwo tsi akpa hã.
• Endoscopy (Lower or upper endoscopy) : Esia bia be woatsɔ mɔ̃ si me fotoɖemɔ̃ le ade dɔgbo suea me be woakpɔ eme. Ne ehiã la, woate ŋu atsɔ lãkusi sue aɖe (biopsy) adoe kpɔ.
• X-ray dodokpɔ aɖe .
• Nɔnɔmetatawo dodokpɔ bubuwo : Ne X-ray-wo mena nɔnɔmetata si me kɔ o la, woate ŋu abia tso asiwò be nàwɔ CT scan alo MRI.

Aleke wowɔa atike nɛ?

Nusiwo gblẽ le dɔgboa me lãmenugbagbeviwo ŋu ɣeyiɣi didi si keklẽŋusẽ ƒe dɔwɔwɔ hena vɛ ate ŋu asesẽ be woada wo keŋkeŋ. Gake atikewɔwɔ na keklẽŋusẽ ƒe dɔgbo ƒe dɔléle ate ŋu ana gbɔdzɔe wò eye wòaxe mɔ ɖe kuxiwo nu.

Wò atikewɔwɔwo ate ŋu anye:

• Woŋlɔa dɔlékuiwutikewo na ame ne dɔlékui siwo womedi o le dɔgboa me.
• Atike siwo wua aɖuɖɔtoe (atike siwo xea mɔ na aɖuɖɔtoe) ɖea aɖuɖɔtoe, si kpɔa aɖuɖɔtoe dzi vie la dzi kpɔtɔna.
• Corticosteroids tsɔ ɖea dɔgbowo ƒe dɔdzẽ dzi kpɔtɔna.
• Vevesesenutsitikewo .

Aleke wokpɔa kuxiwo gbɔe?

Atikewɔwɔ si sɔ na wò anɔ te ɖe kuxi si ƒomevi le ŋuwò dzi. Le kpɔɖeŋu me, zi geɖe la, ehiãna be woawɔ dɔ na nɔnɔmewo abe ʋuʋudedi, ʋuʋudedi, kple ʋuʋudedi ene . Ne nunyiame si sɔ mele asiwò o la, àte ŋu ahiã nunyiame kpeɖeŋutɔ alo nuɖuɖu nana wò to mɔ̃ me.

Ðe mɔ aɖewo li siwo dzi woato axe mɔ ɖe esia nua?

Ẽ, wò atikewɔlawo ƒe ƒuƒoƒo ate ŋu awɔ afɔɖeɖe geɖe atsɔ akpɔ wò dɔgbowo ta le keklẽŋusẽdɔdada me.

• Mɔ̃ siwo wowɔ ɖe ɖoɖo nu zazã atsɔ akpe ɖe ŋuwò be wò ŋutilã nanɔ nɔnɔme ɖeka me le atikewɔwɔ me.
• Egbegbe atikewɔwɔmɔnu : Le kpɔɖeŋu me, mɔnuwo abe ``Intensity-modulated radiation therapy (IMRT)`` ateŋu akplɔ keklẽŋusẽ ayi teƒe si tututu wòhiã ko. Esia ɖea nusiwo gblẽna le lãmeka siwo le lãmesẽ me ŋu dzi kpɔtɔna ŋutɔ.
• Akpoxɔnu siwo kpɔa ame ta sisi ɖe wò dɔgbo alo dɔgbo ŋu.

Àte ŋu aƒo nu tso esia ŋu kple wò ɖɔkta hena nyatakaka bubuwo.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Zi geɖe la, amesiwo ŋu Acute (Acute) Radiation Enteritis le la kpɔa gbɔdzɔe le kwasiɖa ʋɛ aɖewo megbe . Gake ne Radiation Enteritis si nɔa anyi didi (Chronic) le ŋuwò la, ate ŋu axɔ ɣleti geɖe hafi nàhaya keŋkeŋ . Ɣeaɖewoɣi la, ahiã be nànɔ agbe kple dzesiawo ahakpɔ wo gbɔ.

Nusiwo dzi wòle be woaɖo ŋkui ne èle agbe kple Radiation Enteritis

Zi geɖe la, viɖe siwo le kansa dada me sɔ gbɔ sã wu afɔku siwo le keklẽŋusẽ ƒe dɔgbo ƒe dɔléle xɔxɔ me. Eyata ne èle fu ɖem na wò hã la, manyo be nàdzudzɔ keklẽŋusẽdɔdamɔnu wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o.

Ne ètsi dzi ɖe alesi keklẽŋusẽ ƒe dɔgbo ƒe dɔléle ate ŋu akpɔ ŋusẽ ɖe wò lãmesẽ dzi ŋu la, kpɔ egbɔ be yeƒo nu kple yeƒe ɖɔkta . Ate ŋu aɖe wò tiatiawɔblɔɖewo me, abe alesi nàtrɔ keklẽŋusẽ ƒe atikewɔwɔ zi gbɔ zi geɖe alo agbɔsɔsɔme si nàzã, alo atikewɔwɔ bubu siwo nàzã na wò keklẽŋusẽ ƒe dɔgbo ƒe dɔléle ƒe dzesiwo ene.

Nukae nàte ŋu awɔ be gbɔdzɔe nasu asiwò le keklẽŋusẽdɔdada me?

Beléle na wò nuɖuɖu kple tsinono ate ŋu akpe ɖe ŋuwò nàɖe vevesese dzi akpɔtɔ eye wòana dɔyɔyɔa nawɔ kabakaba.

Te ɖa le nuɖuɖu kple nunono siawo ƒomevi siwo ɖuɖu sesẽ ŋu:

• Ahasesẽ.
• Nunono siwo me carbon le (nu siwo le abe soda ene) `(Anono siwo me carbon le)`.
• Notsi me nuɖuɖu (esesẽna na ame aɖewo be woaɖu esiawo, eyata kpɔ nyuie. Anyo wu be nàbia wò ɖɔkta).
• Nuɖuɖu siwo me ami le, siwo ŋu wotrɔ asi le alo esiwo wofli (e.g. sausage, french fries).
• Nuɖuɖu siwo me fibre sɔ gbɔ ɖo, abe amagbe ƒuƒu (e.g. cabbage ƒuƒu, karɔt salad). Anyo wu be nàɖu esiawo ne woɖae.
• Nuɖuɖu siwo me wodea nu ʋeʋĩiwoe.

Ke boŋ tia nuɖuɖu siwo me nunyiame le siwo le bɔbɔe na wò dɔgbo:

• Lã siwo me ami mele o siwo woɖa alo woɖa, abe koklolã ene.
• Atikutsetsewo abe akɔɖu kple akɔɖu ene.
• Atikutsetse kple amagbe siwo le gaze me (gake tia esiwo me sukli mesɔ gbɔ ɖo o). Amagbe kple atikutsetse yeye siwo woɖa nyuie hã nyo.
• Broth si me kɔ (abe koklozi ƒe mɔli ene).
• Amagbe siwo woɖa, siwo dome karɔt kple mɔli hã le.
• Abolo toast (bɔta manɔmee) `(Dry toast)`.
• Ðu nu suesuesuewo abe bli, noodles, kple curd ene.

Nu vevitɔe nye be ne èse le ɖokuiwò me be nane mele ye dzi o la, gblɔe na wò ɖɔkta. Ekema ate ŋu aɖo aɖaŋu nyuitɔ wò.

Nu vevitɔ kekeake (Take-Home Message) .

Radiation Enteritis nye keklẽŋusẽdɔdamɔnu ƒe nugbegblẽ le ame ŋu si mebɔ o gake ate ŋu adzɔ. Gake mègatsi dzi o. Esi egbegbe atikewɔwɔ va le ŋgɔ yim ta la, mɔ geɖe li siwo dzi woato axe mɔ ɖe dɔléle sia nu ahakpɔ egbɔ ne edzɔ.

Ne èle keklẽŋusẽdɔdamɔnu zãm la, ɖɔktawo le woƒe ŋutete katã wɔm be woaɖe nusiwo gblẽ le lãmeka siwo le lãmesẽ me ŋu dzi akpɔtɔ. Ne keklẽŋusẽ ƒe dɔgbo ƒe dɔléle ƒe dzesiwo le ŋuwò la, mègakpe ŋu alo nàvɔ̃ be yeagblɔe na wò ɖɔkta o . Emegbe àte ŋu adze atikewɔwɔ si hiã la gɔme be wòana gbɔdzɔe wò eye wòaɖe kuxi siwo ate ŋu ado mo ɖa dzi akpɔtɔ. Ðo ŋku edzi be menye wò ɖeka koe o, eye atikewɔlawo ƒe ƒuƒoƒo aɖe le asiwò be woakpe ɖe ŋuwò.

` Kekeli Enteritis, keklẽŋusẽ ƒe atikewɔwɔ, dɔgbo ƒe dɔdzẽ, kansa dada, eƒe nugbegblẽ le ame ŋu, dɔgbo ƒe dɔmawɔmawɔ nyuie, aɖuɖɔtoe