Inā ʻoe e hana nei i ka radiation therapy no ke kanesa, a inā paha kekahi āu i ʻike e hana nei i kēia lāʻau lapaʻau, ʻike paha ʻoe i kekahi manawa loaʻa iā ʻoe kahi ʻeha iki o ka ʻōpū. No laila i kēia lā e kamaʻilio mākou e pili ana i ka hopena o ka radiation therapy i nā ʻōpū, kahi maʻi i kapa ʻia ʻo Radiation Enteritis . ʻAʻohe mea e makaʻu ai, inā ʻike pono ʻia ʻoe e pili ana i kēia, hiki iā ʻoe ke hōʻemi i nā pilikia he nui.
He aha ka Radiation Enteritis?
I ka ʻōlelo maʻalahi, ʻo ka Radiation Enteritis ka hōʻino a i ʻole ka mumū i kou ʻōpū i hoʻokumu ʻia e ka radiation therapy . E like me kou ʻike, hoʻohana ʻia nā mea radioactive e mālama i nā maʻi e like me ke kanesa e luku i nā cell maʻamau. He lāʻau maʻamau kēia ʻaʻole wale no ke kanesa akā no kekahi mau maʻi e pili ana i ke koko.
He mau inoa ʻē aʻe ko kēia maʻi, a hiki i kāu kauka ke hoʻohana i kekahi o kēia mau inoa:
- `(Maʻi radiation Pelvic)`
- `(Radiation colitis)` (He inoa kēia i hāʻawi ʻia no ka mumū e kū pono ana i loko o ka ʻōpū nui)
- `(ʻO ka ʻōpū hoʻōla radiation)`
- ``(Maʻi ʻōpū i hoʻoulu ʻia e ka radiation)``
- `(Radiation mucositis)` (Pili kēia i ka hōʻino ʻana i ka membrane mucous)
Aia kekahi mau ʻano o kēia?
ʻAe, aia ʻelua ʻano nui o ka Radiation Enteritis. ʻO lākou kēia:
1. ʻO ka ʻōpū hanu koʻikoʻi: Hana ʻia kēia i ka wā e loaʻa ana iā ʻoe ka lāʻau lapaʻau radiation. ʻO ka nūhou maikaʻi, e nalowale loa kēia mau hōʻailona i loko o kekahi mau pule.
2. Chronic Radiation Enteritis: He ʻokoʻa iki kēia. Loaʻa ia i nā mahina, a i ʻole nā makahiki, ma hope o ka pau ʻana o ka mālama ʻana. ʻO ka pilikia ma ʻaneʻi, hiki i nā hōʻailona ke noho me ʻoe no ka manawa lōʻihi a i kekahi manawa hiki ke loaʻa nā pilikia .
Pehea ka maʻamau o ka Radiation Enteritis? ʻO wai ka mea i ʻoi aku ka pilikia?
I ka wā ma mua, he mea maʻamau kēia ʻano. ʻO ia hoʻi, i ka wā i hoʻohana ʻia ai nā lāʻau lapaʻau radiation kahiko, ma kahi o ka hapalua o ka poʻe i loaʻa ka lāʻau lapaʻau i ka ʻōpū a i ʻole ka pelvis e loaʻa i ka radiation enteritis. Eia nō naʻe , me nā lāʻau lapaʻau radiation hou, ua hoʻemi nui ʻia ka pilikia o ka loaʻa ʻana o ka radiation enteritis mau loa .
Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe ma mua o kekahi. Aia kekahi mau kumu no kēia:
- Nā kūlana e hōʻemi ai i ke kahe koko i nā ʻōpū: No ka laʻana, inā loaʻa iā ʻoe ka maʻi diabetes mellitus a i ʻole ke koko kiʻekiʻe, hiki ke hoʻemi ʻia ka nui o ke koko e kahe ana i nā ʻōpū, a hiki ke lōʻihi ka ho'ōla ʻana i ka pōʻino o ka radiation, a i ʻole e ʻoi aku ka ʻino o ka pōʻino.
- Kekahi ʻano mumū e kū nei i loko o nā ʻiʻo:E noʻonoʻo he maʻi kou e like me ka maʻi mumū pelvic. A laila, no ka mea ua maʻalahi kēlā wahi, ʻoi aku ka nui o ka hōʻino ʻia e ka radiation.
- Nā lāʻau ʻē aʻe e pepehi i nā cell: Inā ʻoe e loaʻa ana i nā lāʻau ʻē aʻe, e like me ka chemotherapy, me ka radiation therapy, hiki ke piʻi aʻe ka pilikia no ka mea e pili pū ana hoʻi i nā cell.
- Kūlana meaʻai maikaʻi ʻole: Inā ʻaʻole i loaʻa i ke kino ka meaʻai kūpono e pono ai, ua pilikia ke kaʻina hana hoʻoponopono pūnaewele.
- Ka puhipaka a me ka hoʻohana ʻana i ka paka ʻē aʻe: Hoʻemi kēia i ka hiki o ke kino ke ho'ōla.
- Loaʻa nā ʻeha mai ke ʻoki ʻōpū ma mua: Hiki i kēia mau mea ke hoʻonui i ka ʻike o nā ʻōpū.
Pehea ka hopena o ka radiation therapy i nā ʻōpū?
ʻO ka radiation therapy kahi hōʻike mau ʻana i nā mea radioactive, maʻamau no kekahi mau pule. Ke pā pū kēia radiation i nā cell olakino, hoʻoulu ia i ka mumū a me ka hōʻino ʻana o nā ʻiʻo . ʻO nā cell e hoʻopuni ana i loko o ko mākou ʻōpū (ʻo ia hoʻi, nā cell e hoʻopuni ana i nā ʻōpū) he ʻano koʻikoʻi loa ia i nā hopena o ka radiation.
ʻO ka hoʻopili pinepine ʻia ʻana i ka radiation hiki ke hoʻopau i nā ʻāpana e kōkua i ka pale ʻana i ka maʻi a hoʻoponopono i nā pae wai i loko o ke kino. ʻO ke kiʻekiʻe o ka nui o ka radiation āu e loaʻa ai, a ʻo ka nui o ka ʻāpana o ka ʻōpū i mālama ʻia, ʻo ka nui o ka pilikia o ka loaʻa ʻana o ka radiation enteritis.
He aha nā hōʻailona?
Hiki ke ʻokoʻa iki nā hōʻailona o ka radiation enteritis mai kēlā kanaka a kēia kanaka. Aia nō hoʻi lākou i ka wā he ʻoi a he mau loa paha. ʻO nā hōʻailona maʻamau:
- ʻEha ʻōpū a me ke kuʻi ʻana .
- ʻŌpū pehu .
- Ka maʻi kahe : Ke kahe ʻana o ka ʻōpala i nā manawa he nui i ka lā.
- Ka nalowale o ka makemake .
- Ka luaʻi a me ka luaʻi .
- ʻEha i ka wā e ʻō ai ʻoe .
- Ke kahe koko ʻana a i ʻole ka ʻeha i ka rectal .
- Ka pohō kaumaha i manaʻo ʻole ʻia .
- Ke manaʻo nei i ka pono koke e kahe (pono koke e kahe) .
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, pono ʻoe e ʻike koke i ke kauka .
He aha nā pilikia e hiki ai i kēia ke hana?
ʻO kēia mumū mau a me ka hōʻino ʻana i nā ʻōpū hiki ke alakaʻi i kekahi mau pilikia. Hoʻopili pinepine ʻia kēia me ka enteritis mau (radiation).
- Ka maloʻo ʻana : ʻO ka maʻi kahe a me ka luaʻi ʻana ke kumu o ka nalowale ʻana o ka wai a me ka paʻakai i ke kino.
- Nā kaulike ʻole o ka electrolyteʻO ka nui o nā paʻakai (e like me ka sodium a me ka potassium) i loko o ke kino e lilo i mea kaulike ʻole.
- Fistula : ʻO kēia ka wā e hoʻokumu ʻia ai kahi pilina maʻamau ʻole, kahi ʻano like me ka paipu, ma waena o kou mau ʻōpū a me kahi ʻano kokoke ʻē aʻe (e like me ka ʻōpū mimi, ka vagina).
- Ka puka ʻana o ka ʻōpū : Hiki ke loaʻa kahi lua ma ka paia o ka ʻōpū. He pilikia kēia.
- Malabsorption : ʻAʻole hiki i ke kino ke omo pono i nā meaola mai ka meaʻai.
- Ka ālai ʻana o ka ʻōpū liʻiliʻi : Hiki ke ālai ʻia kekahi wahi o ka ʻōpū liʻiliʻi.
- ʻO ke koʻikoʻi : Lilo kekahi ʻāpana o ka ʻōpū i mea haiki, e paʻakikī ai ka hele ʻana o ka meaʻai.
- Nā ʻōpū palapū : Hiki ke hana ʻia nā ʻōpū palapū i loko o nā ʻōpū, e like me nā ʻōpū palapū gastritis i loko o ka ʻōpū. I kekahi manawa hiki i kēia ke ulu a lilo i maʻi ʻōpū palapū peptic.
ʻAʻole nā kānaka a pau e loaʻa i kēia mau pilikia, akā inā loaʻa iā ʻoe nā hōʻailona, he mea nui e haʻi i kāu kauka me ka hoʻowahāwahā ʻole iā lākou.
Pehea e ʻike ʻia ai ka Radiation Enteritis?
Hoʻomaopopo pinepine nā kauka i kēia maʻi ma ka nīnau ʻana iā ʻoe e pili ana i kāu mau hōʻailona a me ke aʻo ʻana e pili ana i ka lōʻihi o kou hōʻike ʻia ʻana i ka radiation therapy .
Eia nō naʻe, hiki i kāu kauka ke paipai i kekahi mau hoʻokolohua hou aʻe e kāpae i nā kūlana olakino ʻē aʻe a e hoʻomaopopo i ke koʻikoʻi o kou kūlana. ʻO kēia mau mea:
- Hoʻāʻo hanu hydrogen e ʻike ai inā ua ulu nui ka bacteria.
- Endoscopy (Endoscopy haʻahaʻa a luna paha) : Pili kēia i ke komo ʻana i kahi ʻōmole me kahi kāmela i loko o ka ʻōpū liʻiliʻi e nānā i loko. Inā pono, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) no ka hoʻokolokolo ʻana.
- He hoʻokolokolo X-ray .
- Nā hoʻāʻo kiʻi ʻē aʻe: Inā ʻaʻole hāʻawi nā X-ray i kahi kiʻi maopopo, e noi ʻia paha ʻoe e hana i kahi CT scan a i ʻole MRI.
Pehea e mālama ʻia ai?
Hiki ke paʻakikī ke ho'ōla piha i ka hōʻino lōʻihi ʻana i nā ʻōpū i hoʻokumu ʻia e ka radiation. Eia nō naʻe, hiki i ka mālama lapaʻau o ka radiation enteritis ke hāʻawi iā ʻoe i ka hōʻoluʻolu a pale i nā pilikia.
Hiki i kāu mau lāʻau lapaʻau ke komo pū me:
- Ua kuhikuhi ʻia nā antibiotics inā he mau bacteria i makemake ʻole ʻia i loko o nā ʻōpū.
- Hoʻemi nā lāʻau antidiarrheal (nā lāʻau lapaʻau e hoʻōki ai i ka maʻi diarrhea) i ka maʻi diarrhea, ka mea e kaohi iki i ka neʻe ʻana o ka ʻōpū.
- ʻO nā Corticosteroids e hōʻemi i ka mumū i loko o nā ʻōpū.
- Nā lāʻau hoʻopau ʻeha .
Pehea e mālama ʻia ai nā pilikia?
ʻO ke ʻano o ka lāʻau kūpono iā ʻoe e pili ana i ke ʻano o ka pilikia āu e loaʻa nei. No ka laʻana, ʻo nā kūlana e like me nā strictures, fistulas, a me nā perforations e pono pinepine ai ke ʻoki kino . Inā ʻaʻole ʻoe e loaʻa ana i ka meaʻai lawa, pono paha ʻoe i nā mea hoʻohui meaʻai a i ʻole ka hānai ʻana i ka paipu.
Aia kekahi mau ala e pale aku ai i kēia?
ʻAe, hiki i kāu hui lapaʻau ke hana i kekahi mau hana e pale aku i kou ʻōpū i ka wā o ka mālama ʻana i ka radiation.
- Ke hoʻohana nei i nā mea hoʻonohonoho maʻamau e kōkua i ka mālama ʻana i kou kino ma ke kūlana like i ka wā o ka mālama ʻana.
- Nā ʻano lapaʻau hou : No ka laʻana, hiki i nā ʻano hana e like me ka "Intensity-modulated radiation therapy (IMRT)" ke kuhikuhi i ka radiation i kahi kikoʻī e pono ai. Hoʻemi nui kēia i ka hōʻino ʻana i nā ʻiʻo olakino.
- Ke kau nei i nā pale pale i kou kolona a i ʻole ka rectum.
Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kēia no ka ʻike hou aku.
ʻEhia ka lōʻihi e hoʻōla ai?
ʻO ka poʻe me ka ʻeha Radiation ʻākī (Acute) e ʻike pinepine i ka hōʻoluʻolu i loko o kekahi mau pule . Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha Radiation ʻākī (Chronic) āu, hiki ke hala i kekahi mau mahina e ho'ōla piha ai . I kekahi manawa pono ʻoe e noho me nā hōʻailona a mālama iā lākou.
Nā mea e hoʻomanaʻo ai i ka wā e noho ana me ka Radiation Enteritis
I ka hapanui o nā hihia, ʻoi aku ka nui o nā pono o ka mālama ʻana i ka maʻi kanesa ma mua o nā pilikia o ka hoʻomohala ʻana i ka radiation enteritis. No laila, ʻoiai inā ʻoe e ʻike nei i ka ʻeha, ʻaʻole ia he manaʻo maikaʻi e hoʻōki i ka mālama ʻana i ka radiation me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.
Inā ʻoe e hopohopo nei e pili ana i ka hopena o ka radiation enteritis i kou olakino, e kamaʻilio me kāu kauka . Hiki iā ia ke wehewehe i kāu mau koho, e like me ka hoʻololi ʻana i ke alapine (frequency) a i ʻole ka nui o ka radiation therapy, a i ʻole nā lāʻau lapaʻau ʻē aʻe no kāu mau hōʻailona radiation enteritis.
He aha kāu e hana ai e hoʻomaha ai i ka wā o ka mālama ʻana i ka radiation?
ʻO ka mālama ʻana i kāu meaʻai a me ka lawe ʻana i ka wai e hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka wikiwiki i ke kaʻina ho'ōla.
E noho mamao aku mai kēia mau ʻano meaʻai a me nā mea inu paʻakikī ke hoʻoheheʻe ʻia:
- ʻAila.
- Nā mea inu kalapona (nā mea e like me ka soda) `(Nā mea inu kalapona)`.
- Nā huahana waiū (ua paʻakikī kekahi poʻe i ka ʻeli ʻana i kēia mau mea, no laila e makaʻala. ʻOi aku ka maikaʻi e nīnau i kāu kauka).
- Nā meaʻai ʻaila, meaʻai i hana ʻia a i ʻole meaʻai palai ʻia (e.g. sausage, french fries).
- Nā meaʻai i loaʻa i ka fiber kiʻekiʻe, e like me nā mea kanu maka (e.g. kāpeti maka, salakeke kāloti). ʻOi aku ka maikaʻi o ka ʻai ʻana i kēia mau mea i hoʻolapalapa ʻia.
- Nā meaʻai ʻala.
Akā, e koho i nā meaʻai momona e maʻalahi i kou ʻōpū:
- ʻO nā ʻiʻo wīwī i kālua ʻia a pūlehu ʻia paha, e like me ka moa.
- Nā huaʻai e like me ka maiʻa a me nā ʻāpala.
- Nā huaʻai a me nā mea kanu i loko o ka pahu (akā e koho i nā mea me ke kō haʻahaʻa). He mea maikaʻi nō hoʻi nā mea kanu a me nā huaʻai hou a moʻa maikaʻi ʻia.
- Wai moa maopopo (e like me ka sopa moa).
- Nā mea kanu i moʻa ʻia, me ke kāloti a me ka ʻuala.
- Tōsiti berena (me ka ʻole o ka pata) `(Tōsiti maloʻo)`.
- E ʻai i nā meaʻai liʻiliʻi e like me ka laiki, nā noodles, a me ka curd.
ʻO ka mea nui loa, inā manaʻo ʻoe i kekahi mea ʻoluʻolu ʻole, e haʻi i kāu kauka. A laila hiki iā ia ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo kūpono.
ʻO ka mea nui loa (Leka Lawe-Home)
He hopena kakaikahi ka Radiation Enteritis akā hiki ke loaʻa mai ka radiation therapy. Akā, mai hopohopo. Me ka holomua o ka lāʻau lapaʻau hou, nui nā ala e pale aku ai i kēia maʻi a mālama iā ia inā loaʻa.
Inā ʻoe e loaʻa ana i ka radiation therapy, ke hana nei nā kauka i kā lākou mea maikaʻi loa e hōʻemi i ka hōʻino ʻana i nā ʻiʻo olakino. Inā loaʻa iā ʻoe nā hōʻailona o ka radiation enteritis, mai hilahila a makaʻu paha e haʻi i kāu kauka . A laila hiki iā ʻoe ke hoʻomaka i ka lāʻau e pono ai e hāʻawi iā ʻoe i ka hōʻoluʻolu a hōʻemi i ka pilikia o nā pilikia. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, a he hui lapaʻau kāu e kōkua iā ʻoe.
ʻO ka ʻōpū ʻōpū, ka lāʻau lapaʻau radiation, ka mumū o ka ʻōpū, ka mālama ʻana i ke kanesa, nā hopena ʻaoʻao, ka ʻeha o ka ʻōpū, ka maʻi kahe











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