ʻO ka mumū o ka rectum ma hope o ka mālama ʻana i ka radiation cancer? E kamaʻilio kākou e pili ana i ka Radiation Proctitis me nā kikoʻī!

Manaʻo paha ʻoe ma hope o ke kaua ʻana i ka maʻi kanesa a me ka hoʻopau ʻana i kahi lāʻau paʻakikī e like me ka radiation therapy, manaʻo ʻoe i kahi manaʻo nui o ka hōʻoluʻolu, ʻeā? Akā i kekahi manawa, ma hope o kēia mau lāʻau lapaʻau, hiki ke kū mai kahi pilikia hou. ʻO ia hoʻi, kahi mumū a i ʻole ka huhū o kou rectum, ka ʻaoʻao haʻahaʻa o ke ala ʻai. Kāhea nā kauka i kēia ʻo 'Radiation Proctitis'. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka Radiation Proctitis?

I ka ʻōlelo maʻalahi, ʻo ka radiation proctitis kahi mumū o kou rectum ma hope o ka radiation therapy no ka maʻi ʻaʻai ma kou wahi pelvic, ʻo ia ka wahi ma lalo o kou ʻōpū. ʻO "Procto-" ke ʻano "anus." ʻO "-itis" ke ʻano "ka mumū." Hiki i kēia mumū ke hana i nā ʻano ʻoluʻolu ʻole, ʻoiai nā loli i nā ʻano hana lua.

Aia kekahi mau ʻano maʻi kanesa e hiki ke hoʻoulu i kēia ʻano, ʻoiai ke mālama ʻia me ka radiation no nā maʻi kanesa ma ka ʻāpana pelvic:

• Ka maʻi ʻaʻai o ka ʻōpū
• Ka maʻi ʻaʻai prostate
• Ka maʻi ʻaʻai rectum
• Ka maʻi ʻaʻai mimi
• Ka maʻi ʻōpū
• Ka maʻi ʻaʻai anal

I ka manawa hea e hana ʻia ai ka radiation proctitis?

Hiki ke ʻokoʻa mai kēlā kanaka a kēia kanaka. ʻElua ʻano nui o ka radiation proctitis, ma muli o ka manawa e ʻike ʻia ai lākou:

1. ʻO ka proctitis radiation acute: He ʻano kēia e ʻike koke ʻia. Hiki ke hana ʻia i ka wā o ka radiation therapy a i ʻole kekahi mau lā ma hope o ka pau ʻana o ka lāʻau lapaʻau.

2. ʻO ka proctitis radiation mau loa: He manawa pōkole kēia e ʻike ʻia ai. Hiki ke ʻike ʻia i ʻekolu mahina ma hope o ka mālama ʻana i ka radiation, a i ʻole ʻelua mau makahiki a ʻoi aku paha.

ʻO ka mea nui, ma kahi o 20% o ka poʻe i loaʻa ka radiation therapy i ka ʻāpana pelvic e pilikia ana i ka hoʻomohala ʻana i kēia ʻano i kapa ʻia ʻo chronic radiation proctitis.

He aha nā hōʻailona o ka Radiation Proctitis?

Hoʻololi kēia ma muli o ke ʻano maʻi ʻākī a maʻi mau paha kou.

Nā hōʻailona o ka proctitis radiation acute:

ʻOi aku ka liʻiliʻi o kēia mau mea, ʻo ia hoʻi, ʻaʻole lākou i ʻino loa.

• Ka maʻi kahe, i kekahi manawa me ke koko.
• Ka luaʻi a me ka luaʻi.
• ʻEha ka ʻōpū, me he mea lā e luaʻi ana.
• He pono koke a hiki ʻole ke hoʻomanawanui e hele i ka lua (rectal a i ʻole fecal urgency).
• Ke manaʻo nei i ka pono e hele pinepine i ka lua, akā ʻaʻole hiki ke hele i ka ʻōpala ke hana ʻoe (tenesmus).
• He wahi koko iki mai ka anus.
• He wai e like me ka mucous e puka mai ana mai loko mai o ka anus (mucoid discharge).

Nā hōʻailona o ka proctitis radiation mau loa:

ʻO kēia mau hōʻailona he like pinepine ia me nā mea i ka wā ʻoi. Eia nō naʻe, hiki iā lākou ke lōʻihi a ʻoi aku ka ʻino ma mua o ka wā ʻoi. Eia kekahi, hiki ke hana ʻia kēia mau mea:

• Ka hāiki ʻana o kou rectum (rectal stricture).
• ʻO ka loaʻa ʻana o nā ʻeha ma ka rectum.
• ʻO ka fistula ka hoʻokumu ʻia ʻana o kahi puka hou a i ʻole kahi ala ma waena o ʻelua mau ʻāpana kino i pili ʻole maʻamau. E noʻonoʻo iā ia e like me ka pilina ma waena o ka anus a me ka vagina.

He aha ke kumu o ka Radiation Proctitis?

ʻO ke kumu nui, ʻo ia ka hopena o ka radiation therapy i kou wahi pelvic. Ma mua o kou hoʻomaka ʻana i ka mālama ʻana, e kamaʻilio kāu kauka me ʻoe e pili ana i nā pono a me nā pilikia o ka radiation therapy e kōkua iā ʻoe e hoʻoholo i kahi hoʻoholo naʻauao.

He aha nā kumu kikoʻī o ka proctitis radiation late?

ʻO ka maʻamau, hiki mai ka proctitis radiation hope loa ke hana ka radiation therapy i nā mea aʻe e hiki mai ana i ka rectum a i ʻole nā ​​​​ʻiʻo a puni:

• ʻO ka hōʻiliʻili ʻana o nā ʻiʻo e like me ka ʻōpala (fibrosis).
• Ka hoʻonui ʻia ʻana o nā kīʻaha koko (telangiectasia).
• Ka hoʻohaiki ʻana o nā kīʻaha koko liʻiliʻi (arterioles).

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka radiation proctitis?

Aia paha ʻoe i kahi pilikia kiʻekiʻe o ka hoʻomohala ʻana i kēia maʻi inā:

• Inā loaʻa i kou rectum kahi mahele radiation ma mua o 45 Gray (Gy). (ʻO Gy kahi ana no ka radiation).
• Inā he kūlana '(HIV/AIDS)' kou.
• Inā loaʻa iā ʻoe ka maʻi ʻōpū mumū (IBD)

Pehea e ʻike ʻia ai ka proctitis radiation?

E nānā ke kauka i kāu mōʻaukala olakino, e nīnau e pili ana i kāu mau hōʻailona, ​​a hana i kahi hoʻokolokolo kino. Hiki iā lākou ke paipai i kekahi mau hoʻokolohua e kāpae i nā maʻi ʻōpū ʻē aʻe i loaʻa nā hōʻailona like. Hiki i kēia mau hoʻokolohua ke komo pū me:

• Nā hoʻāʻo koko: Lawe ʻia kahi hāpana koko e nānā ai no ka maʻi.
• Nā hoʻāʻo ʻana i ka ʻōpala: Nānā ʻia kahi laʻana o kāu ʻōpala no ke koko a i ʻole ka bacteria.
• Proctoscopy: Ma kēia, hoʻokomo pono ke kauka i kahi ʻōmole pololei, hakahaka (nona kahi kāmela a me ke kukui ma kekahi ʻaoʻao - i kapa ʻia he proctoscope) i loko o kou rectum a nānā i kou rectum a me ka anus.
• ʻO ka sigmoidoscopy maʻalahi:Ma kēia, hoʻokomo pono ke kauka i kahi ʻōmole lōʻihi a palupalu (i lako pū ʻia me kahi kāmela a me ke kukui - ua kapa ʻia kēia he "endoscope") a nānā i ka ʻaoʻao haʻahaʻa o kou "colon".

Mai makaʻu i kēia mau hoʻokolohua. Hana nā kauka iā lākou e kōkua iā lākou e ʻike pono i ke kumu o kou pilikia.

He aha nā lāʻau lapaʻau mua no ka radiation proctitis?

Aia ia i ke koʻikoʻi o kou radiation proctitis. Hiki ke hoʻopau ʻia nā hihia liʻiliʻi me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka ʻoluʻolu ʻole:

• ʻO ka inu ʻana i kahi wai i loaʻa ka wai, ke kō (glucose), a me nā electrolytes (e like me ka sodium, chloride, potassium, a me ka bicarbonate). Ua kapa ʻia kēia ʻo "rehydration therapy." Hiki i kēia ke kōkua i ka hoʻihoʻi ʻana i ka nui o ka wai i nalowale mai ke kino.
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
• Nā lāʻau hoʻomaha ʻeha
• Nā mea hoʻomālielie i ka noho.
• Nā lāʻau lapaʻau e hōʻemi i nā spasms o ke kino (Antispasmodics).

No nā hihia koʻikoʻi o ka radiation proctitis, hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me:

• Ke hoʻohana nei i kahi enema me kahi lāʻau lapaʻau i kapa ʻia ʻo "(Sucralfate)".
• Ke kau nei i kahi haʻahaʻa haʻahaʻa o ka formaldehyde (formalin) i nā wahi i hoʻopilikia ʻia.
• Ke hoʻohana nei i kahi suppository rectal e loaʻa ana kahi ʻano corticosteroid i kapa ʻia he glucocorticoid.
• He lāʻau i kapa ʻia ʻo "Argon plasma coagulation." Ma kēia, hoʻohana ʻia kahi mea i kapa ʻia ʻo argon plasma e puhi i nā wahi e kahe ana ke koko.
• He lāʻau i kapa ʻia ʻo `(Hyperbaric oxygen therapy)`. Ma kēia, hoʻokomo ʻia ka oxygen i loko o kahi keʻena kaomi kiʻekiʻe.
• ʻO ke ʻoki kino e hoʻololi i ke ʻano o ka hoʻopuka ʻia ʻana o ka ʻōpala (`(ileostomy)` a i ʻole `(colostomy)`).
• Wehe ʻoki kino i nā ʻāpana i hoʻopilikia ʻia.

Pehea ka wikiwiki o koʻu ʻoluʻolu ma hope o ka lāʻau lapaʻau?

Aia ia ma luna o kekahi mau kumu:

• ʻEhia ka nui o ka lāʻau lapaʻau radiation āu e pono ai.
• Ke koʻikoʻi o kou mau hōʻailona.
• Ka pane a kou kino i ka lāʻau lapaʻau.

E hāʻawi aku kāu kauka iā ʻoe i kahi manaʻo maikaʻi aʻe e pili ana i kēia.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka radiation proctitis?

Aia nō hoʻi kēia i ke koʻikoʻi o kāu mau hōʻailona a inā he ʻano koʻikoʻi a mau paha kou. Hiki ke ʻoluʻolu a koʻikoʻi paha kāu mau hōʻailona. Loaʻa paha iā ʻoe nā hōʻailona i ka wā o ka mālama ʻana a laila nalowale. A i ʻole, e nalowale paha kāu mau hōʻailona a hoʻi mai, a i ʻole e mau paha no ka manawa lōʻihi.

E wehewehe pono ana kāu kauka iā ʻoe i ka mea e manaʻo ai, ma muli o kou kūlana. Mai hopohopo, e kōkua lākou iā ʻoe.

Hiki ke ho'ōla loa ʻia ka Radiation Proctitis?

ʻOkoʻa ia mai kēlā kanaka a i kēia kanaka. No kekahi poʻe, nalowale nā ​​hōʻailona o ka radiation proctitis ma hope o ka pau ʻana o ka mālama ʻana i ka radiation. Eia nō naʻe, hiki i ka radiation proctitis mau ke lilo i maʻi lōʻihi, ʻo ia hoʻi, loaʻa paha iā ʻoe nā hōʻailona e hoʻomau nei. E kamaʻilio me kāu kauka e pili ana i kēia. E wehewehe lākou pehea lākou e hoʻolālā ai e ʻike i ka radiation proctitis a pehea e nānā ai a mālama iā ia e hōʻemi i ka pilikia o nā hōʻailona lōʻihi.

Hiki ke pale ʻia ka Radiation Proctitis?

Ke hoʻāʻo nei nā kauka e hōʻemi a pale aku paha i ka radiation proctitis ma o ka hoʻohana ʻana i nā ʻano hana radiation therapy hou. No ka laʻana, hoʻohana lākou i nā ʻano hana e like me ka "image-guided radiation therapy" a me ka "intensity-modulated radiation therapy". Hoʻemi kēia mau ʻano hana i ka ʻike ʻana o ka radiation i kou ʻiʻo rectal a me nā ʻiʻo ʻē aʻe a puni me ka pepehi ʻana i nā cell cancer.

Hiki paha iā lākou ke hoʻāʻo i nā mea e like me kēia e hōʻemi i ka hōʻike ʻana o ka radiation i nā ʻiʻo olakino:

• E moe ʻoe ma kou kua i ka wā o kāu mālama ʻana i ka radiation.
• Hāʻawi ia i ka palekana ma o ka hoʻokomo ʻana i kahi mea i kapa ʻia ʻo "collagen" ma waena o kou rectum a me kou prostate gland.
• Hoʻokomo pono ʻia kahi pōpō piha i ka wai (endorectal balloon) i loko o kou rectum e kōkua i ka hoʻopaʻa ʻana i ka prostate ma kahi.

He aha ka meaʻai maikaʻi loa no ka radiation proctitis?

Hiki i kāu kauka ke ʻōlelo aku i nā hoʻololi i kāu meaʻai e hōʻemi i nā hōʻailona gastrointestinal e hiki ke hōʻino hou aku i nā ʻiʻo mumū. Hiki iā lākou ke ʻōlelo aku i nā mea e like me:

• ka hōʻemi ʻana i nā huahana waiū (waiū, tīhi, pata, yogurt).
• Ka hoʻēmi ʻana i nā meaʻai kiʻekiʻe i nā momona momona (hua manu, ʻiʻo momona - pipi, ʻāpana momona o ka puaʻa, moa ʻili ʻole - a me nā aila - ʻaila niu, ʻaila pama).
• ʻAi nui ʻana i nā meaʻai waiwai i ka fiber (nā huaʻai, nā mea kanu, nā pī, nā lentil, nā nati, a me nā mea ʻē aʻe) He mea maikaʻi loa nā mea hiki iā kākou ke ʻai ma Sri Lanka e like me ke kohila, mukunuwenna, a me ka maiʻa.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka radiation proctitis, e ʻike pono i ke kauka. Eia kekahi, inā ua ʻike ʻia ʻoe me ka radiation proctitis a ʻaʻole i hoʻomaikaʻi kāu mau hōʻailona ma hope o ka mālama ʻana, e hoʻomaopopo i kāu kauka.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau penei:

• He aha koʻu mau manawa kūpono e loaʻa ai ka radiation proctitis?
• Loaʻa iaʻu ka proctitis radiation acute a i ʻole ka proctitis radiation mau?
• No ke aha e lōʻihi ai ka manawa e ʻike ʻia ai ka proctitis radiation mau loa?
• He ʻoluʻolu a he koʻikoʻi paha koʻu kūlana?
• He aha ka lāʻau lapaʻau āu e paipai nei?
• E ho'ōla anei ka lā'au lapa'au i ka'u mau hō'ailona, ​​a e ho'i hou mai anei lākou?

He aha ka inoa hou no ka Radiation Proctitis?

ʻO kekahi inoa no ka radiation proctitis ʻo ia ka radiation proctopathy .

ʻO kekahi inoa no ka proctitis radiation mau loa ʻo ia ka radiation-associated vascular ectasias (RAVE) .

He aha nā huaora e kūpono no ka radiation proctitis?

Ua ʻike ʻia kekahi mau noiʻi e hiki i ka huaora C a me ka huaora E ke kōkua i ka hōʻemi ʻana i nā hōʻailona o ka radiation proctitis, e like me ka maʻi diarrhea, ke kahe ʻana o ke koko rectal, a me ka rectal urgency. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kēia.

ʻO ka mea hope loa, leka lawe i ka home:

Hiki ke kaumaha ka hele ʻana i ka mālama ʻana i ka maʻi kanesa. Hiki ke lilo i mea paʻakikī ke loaʻa iā ʻoe nā pilikia me kāu mau hana hoʻomaʻemaʻe. Hiki ke loaʻa ka proctitis radiation i ka wā o kāu mālama ʻana, a i ʻole nā ​​​​mahina a i ʻole nā ​​​​makahiki ma hope.

No laila, inā ʻike ʻoe i kekahi mau loli a ʻoluʻolu ʻole paha i kāu mau hana lua, he mea nui loa ia e haʻi i kāu hui lapaʻau e pili ana i ia mea. Hiki iā lākou ke ʻike inā he radiation proctitis ke kumu a ʻōlelo i ka lāʻau lapaʻau kūpono loa nāu. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, a aia nā kauka e hiki ke kōkua me kēia mau mea.

ʻO ka Proctitis Radiation, Radiation Therapy, Mumura Rectal, Nā hopena ʻaoʻao o ke kanesa, Radiation Pelvic, Proctitis ʻākiʻi, Proctitis mau loa