Kev o ntawm lub qhov quav tom qab kev kho mob qog noj ntshav los ntawm kev siv hluav taws xob? Cia peb tham txog Kev Kho Mob Proctitis kom meej!

Tej zaum koj yuav xav tias tom qab koj tawm tsam mob qog noj ntshav thiab ua tiav kev kho mob nyuaj xws li kev kho mob hluav taws xob, koj xav tias koj zoo siab heev, puas yog? Tab sis qee zaum, tom qab kev kho mob no, muaj teeb meem tshiab tshwm sim. Ntawd yog, o lossis khaus ntawm koj lub qhov quav, qhov qis ntawm txoj hnyuv. Cov kws kho mob hu qhov no 'Radiation Proctitis'. Hnub no, peb yuav tham txog qhov no yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab.

Kev Kho Mob Proctitis Los Ntawm Kev Siv Hluav Taws Xob Yog Dab Tsi?

Hais yooj yim xwb, kev kho mob qog nqaij hlav hauv koj lub qhov quav yog qhov o ntawm koj lub qhov quav tom qab kev kho mob qog nqaij hlav hauv koj lub plab mog, uas yog thaj chaw hauv qab koj lub plab. "Procto-" txhais tau tias "qhov quav." "-itis" txhais tau tias "mob." Qhov o no tuaj yeem ua rau muaj ntau yam kev tsis xis nyob, tshwj xeeb tshaj yog kev hloov pauv hauv kev coj mus tso quav.

Muaj ntau hom mob qog noj ntshav uas ua rau muaj tus mob no, tshwj xeeb tshaj yog thaum kho nrog kev siv hluav taws xob rau cov mob qog noj ntshav hauv thaj chaw pelvic:

• Mob qog nqaij hlav ntawm lub tsev menyuam
• Mob qog nqaij hlav prostate
• Mob qog nqaij hlav ntawm lub qhov quav
• Mob qog nqaij hlav ntawm lub zais zis
• Mob qog nqaij hlav hauv tsev menyuam
• Mob qog nqaij hlav ntawm qhov quav

Thaum twg cov kab mob proctitis tshwm sim?

Nws yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Muaj ob hom mob qog nqaij hlav uas tshwm sim los ntawm kev siv hluav taws xob, nyob ntawm lub sijhawm uas lawv tshwm sim:

1. Mob qog nqaij hlav sai sai (Acute radiation proctitis): Qhov no yog ib hom mob uas tshwm sim sai sai. Nws tuaj yeem tshwm sim thaum lub sijhawm kho mob qog nqaij hlav lossis ob peb hnub tom qab kev kho mob tas.

2. Mob qog nqaij hlav ntev ntev: Hom mob qog nqaij hlav no yuav siv sijhawm ntev me ntsis mam li tshwm sim. Nws yuav tshwm sim tau peb lub hlis tom qab kev kho mob qog nqaij hlav, lossis txawm tias ob xyoos lossis ntev dua.

Qhov tseem ceeb, kwv yees li 20% ntawm cov neeg uas tau txais kev kho mob hluav taws xob rau thaj chaw pelvic muaj feem yuav mob qhov mob no hu ua mob ntsws ntev.

Cov tsos mob ntawm Radiation Proctitis yog dab tsi?

Qhov no kuj txawv nyob ntawm seb koj puas muaj hom mob hnyav lossis mob ntev.

Cov tsos mob ntawm kev mob proctitis mob hnyav:

Cov no feem ntau tsawg dua me ntsis, uas txhais tau tias lawv tsis phem heev.

• Raws plab, qee zaum nrog ntshav.
• Xeev siab thiab ntuav.
• Mob plab, zoo li koj yuav ntuav.
• Xav mus rau chav dej tam sim ntawd, tsis tuaj yeem ua tau (qhov quav lossis quav ceev).
• Xav tias yuav tsum mus chav dej ntau zaus, tab sis tsis tuaj yeem tso quav thaum koj ua (tenesmus).
• Me ntsis ntshav los ntawm lub qhov quav.
• Cov kua dej zoo li cov hnoos qeev tawm ntawm lub qhov quav (cov kua tawm mucoid).

Cov tsos mob ntawm kev mob proctitis ntev ntev:

Cov tsos mob no feem ntau zoo ib yam li cov uas nyob rau theem mob hnyav. Txawm li cas los xij, lawv tuaj yeem kav ntev dua thiab hnyav dua li theem mob hnyav. Tsis tas li ntawd, cov hauv qab no yuav tshwm sim:

• Kev nqaim ntawm koj lub qhov quav (rectal stricture).
• Qhov tshwm sim ntawm cov qhov txhab hauv qhov quav.
• Lub qhov quav yog qhov tsim ntawm qhov qhib tshiab lossis txoj kev hla ntawm ob qho chaw ntawm lub cev uas feem ntau tsis sib txuas. Xav txog nws zoo li kev sib txuas ntawm lub qhov quav thiab lub qhov chaw mos.

Dab tsi ua rau muaj mob Proctitis los ntawm kev siv hluav taws xob?

Qhov laj thawj tseem ceeb yog vim nws tshwm sim los ntawm kev siv tshuaj tua hluav taws xob rau koj thaj chaw hauv lub duav. Ua ntej koj pib kho mob, koj tus kws kho mob yuav nrog koj tham txog cov txiaj ntsig thiab tej zaum yuav muaj kev pheej hmoo ntawm kev siv tshuaj tua hluav taws xob los pab koj txiav txim siab tau zoo.

Cov ua rau mob proctitis lig yog dab tsi?

Feem ntau, kev mob qog nqaij hlav lig tshwm sim thaum kev kho mob qog nqaij hlav ua rau muaj cov hauv qab no rau lub qhov quav lossis cov nqaij nyob ib puag ncig:

• Kev sib sau ua ke ntawm cov nqaij zoo li caws pliav (fibrosis).
• Kev nthuav dav ntawm cov hlab ntsha (telangiectasia).
• Kev nqaim ntawm cov hlab ntsha me me (arterioles).

Leej twg muaj feem yuav mob qog nqaij hlav ntau dua?

Tej zaum koj yuav muaj feem yuav mob no ntau dua yog tias:

• Yog koj lub qhov quav tau txais cov tshuaj tua kab mob ntau dua 45 Gray (Gy). (Gy yog ib chav ntsuas rau kev tua kab mob).
• Yog koj muaj tus kab mob '(HIV/AIDS)'.
• Yog tias koj muaj kab mob plab hnyuv (IBD)

Yuav kuaj mob Radiation Proctitis li cas?

Tus kws kho mob yuav tshuaj xyuas koj keeb kwm kev mob nkeeg, nug txog koj cov tsos mob, thiab kuaj lub cev. Lawv kuj tseem yuav pom zoo kom kuaj ntau yam kom paub tseeb tias tsis muaj lwm yam kab mob plab hnyuv uas muaj cov tsos mob zoo sib xws. Cov kev kuaj no suav nrog:

• Kev kuaj ntshav: Yuav muab cov ntshav coj mus kuaj seb puas muaj kab mob.
• Kev kuaj quav: Yuav kuaj ib daim qauv ntawm koj cov quav seb puas muaj ntshav lossis cov kab mob.
• Proctoscopy: Hauv qhov no, tus kws kho mob ua tib zoo ntxig ib lub raj ncaj, khoob (uas muaj lub koob yees duab thiab lub teeb nyob rau ib kawg - hu ua proctoscope) rau hauv koj lub qhov quav thiab kuaj koj lub qhov quav thiab qhov quav.
• Kev kuaj mob sigmoidoscopy uas yoog tau:Hauv qhov no, tus kws kho mob yuav ua tib zoo ntxig ib lub raj ntev, yoog tau (uas kuj muaj lub koob yees duab thiab lub teeb - qhov no hu ua "endoscope") thiab kuaj xyuas qhov qis ntawm koj "txoj hnyuv loj".

Tsis txhob ntshai cov kev kuaj no. Cov kws kho mob ua lawv los pab lawv xam seb muaj teeb meem dab tsi rau koj.

Cov kev kho mob thawj zaug rau kev kho mob proctitis los ntawm kev siv hluav taws xob yog dab tsi?

Nws nyob ntawm seb koj qhov mob proctitis hnyav npaum li cas. Cov mob me me yuav zoo li qub yam tsis tas kho. Txawm li cas los xij, muaj tej yam uas koj ua tau los txo qhov tsis xis nyob:

• Haus dej uas muaj dej, qab zib (glucose), thiab electrolytes (xws li sodium, chloride, potassium, thiab bicarbonate). Qhov no hu ua "kev kho kom lub cev rov qab muaj dej txaus." Qhov no tuaj yeem pab rov qab tau cov dej uas poob ntawm lub cev.
• Cov tshuaj tiv thaiv kev mob uas tsis yog steroidal (NSAIDs)
• Cov tshuaj tua kab mob
• Cov tshuaj ua kom quav mos.
• Cov tshuaj uas txo qhov mob ntawm lub cev (Antispasmodics).

Yog tias muaj mob hnyav dua ntawm kev siv hluav taws xob los kho mob proctitis, koj tus kws kho mob yuav pom zoo kom siv cov kev kho mob xws li:

• Siv ib qho enema uas muaj cov tshuaj hu ua "(Sucralfate)"
• Siv cov tshuaj formaldehyde (formalin) uas muaj cov tshuaj tsawg tsawg rau cov chaw uas raug kev puas tsuaj.
• Siv cov tshuaj suppository uas muaj ib hom corticosteroid hu ua glucocorticoid.
• Ib txoj kev kho mob hu ua "Argon plasma coagulation." Hauv qhov no, ib yam dab tsi hu ua argon plasma yog siv los hlawv cov chaw uas los ntshav.
• Kev kho mob hu ua '(Hyperbaric oxygen therapy)'. Hauv qhov no, cov pa oxygen raug muab tso rau hauv lub chamber siab.
• Phais kom hloov txoj kev tso quav tawm ('(ileostomy)' lossis '(colostomy)').
• Kev phais tshem tawm cov khoom uas raug mob.

Kuv yuav zoo dua sai npaum li cas tom qab kho tas?

Nws nyob ntawm ntau yam:

• Koj xav tau kev kho mob hluav taws xob ntau npaum li cas.
• Qhov hnyav ntawm koj cov tsos mob.
• Koj lub cev teb rau kev kho mob.

Koj tus kws kho mob yuav muab lub tswv yim zoo dua rau koj txog qhov no.

Yog tias kuv muaj mob proctitis los ntawm kev siv tshuaj tua kab mob, kuv yuav tsum tau tos li cas?

Qhov no kuj nyob ntawm seb koj cov tsos mob hnyav npaum li cas thiab seb koj puas muaj mob hnyav lossis mob ntev. Koj cov tsos mob yuav tsis hnyav heev lossis mob hnyav. Tej zaum koj tsuas muaj cov tsos mob thaum lub sijhawm kho mob xwb thiab tom qab ntawd ploj mus. Lossis, koj cov tsos mob yuav ploj mus thiab rov qab los, lossis lawv yuav kav ntev.

Koj tus kws kho mob yuav piav qhia rau koj paub meej tias yuav tsum xav li cas, nyob ntawm koj qhov xwm txheej. Tsis txhob txhawj, lawv yuav pab koj.

Puas yog Radiation Proctitis kho tau tag nrho?

Nws txawv ntawm ib tus neeg mus rau ib tus neeg. Rau qee tus neeg, cov tsos mob ntawm kev kho mob hluav taws xob proctitis yuav ploj mus tom qab kev kho mob hluav taws xob tiav lawm. Txawm li cas los xij, kev kho mob hluav taws xob proctitis ntev tuaj yeem yog ib qho mob ntev, txhais tau tias koj yuav muaj cov tsos mob txuas ntxiv mus. Tham nrog koj tus kws kho mob txog qhov no. Lawv yuav piav qhia txog lawv npaj yuav kuaj mob hluav taws xob proctitis li cas thiab yuav ua li cas saib xyuas thiab kho nws kom txo qhov kev pheej hmoo ntawm cov tsos mob mus sij hawm ntev.

Puas tuaj yeem tiv thaiv tau qhov mob Radiation Proctitis?

Cov kws kho mob tab tom sim txo lossis tiv thaiv kev mob qog nqaij hlav los ntawm kev siv cov txheej txheem kho mob niaj hnub no. Piv txwv li, lawv siv cov txheej txheem xws li "kev kho mob hluav taws xob coj los ntawm duab" thiab "kev kho mob hluav taws xob hloov kho qhov hnyav." Cov txheej txheem no txo ​​qis kev raug hluav taws xob rau koj cov nqaij ntshiv ntawm lub qhov quav thiab lwm cov nqaij ntshiv ib puag ncig thaum tua cov hlwb qog nqaij hlav.

Lawv kuj tseem yuav sim ua tej yam zoo li no kom txo qhov kev raug hluav taws xob rau cov nqaij noj qab haus huv:

• Koj yuav raug muab tso pw tsaug zog thaum lub sijhawm kho mob hluav taws xob.
• Nws muab kev tiv thaiv los ntawm kev txhaj tshuaj ib yam khoom hu ua "collagen" ntawm koj lub qhov quav thiab qog prostate.
• Ib lub npas dej uas muaj dej (endorectal balloon) raug muab tso rau hauv koj lub qhov quav kom pab tuav lub prostate kom ruaj khov.

Kev noj zaub mov zoo tshaj plaws rau kev kho mob proctitis los ntawm kev siv hluav taws xob yog dab tsi?

Koj tus kws kho mob yuav pom zoo kom hloov koj cov zaub mov kom txo cov tsos mob ntawm txoj hnyuv uas tuaj yeem ua rau cov nqaij o. Lawv yuav pom zoo kom ua tej yam xws li:

• Txo cov khoom noj mis nyuj (mis nyuj, cheese, butter, yogurt).
• Txwv cov khoom noj uas muaj roj ntau (qe, nqaij rog - nqaij nyuj, nqaij npuas rog, nqaij qaib tsis muaj tawv nqaij - thiab roj - roj txiv maj phaub, roj xibtes).
• Noj cov khoom noj uas muaj fiber ntau (txiv hmab txiv ntoo, zaub, taum pauv, taum pauv, txiv ntoo qhuav, thiab lwm yam) Tej yam uas peb noj tau hauv Sri Lanka xws li kohila, mukunuwenna, thiab txiv tsawb yog cov khoom noj zoo heev.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj cov tsos mob ntawm kev kho mob proctitis los ntawm kev siv hluav taws xob, nco ntsoov mus ntsib kws kho mob. Tsis tas li ntawd, yog tias koj raug kuaj pom tias muaj kev kho mob proctitis los ntawm kev siv hluav taws xob thiab koj cov tsos mob tsis zoo dua tom qab kho, qhia rau koj tus kws kho mob paub.

Kuv yuav tsum nug tus kws kho mob li cas?

Koj tuaj yeem nug koj tus kws kho mob cov lus nug zoo li no:

• Kuv muaj feem yuav mob qog nqaij hlav los ntawm kev siv tshuaj tua kab mob li cas?
• Kuv puas muaj mob qog nqaij hlav sai sai los yog mob qog nqaij hlav ntev?
• Vim li cas cov kab mob proctitis uas tshwm sim los ntawm kev siv tshuaj tua kab mob ntev ntev thiaj li tshwm sim?
• Kuv tus mob puas tsis hnyav los yog mob hnyav?
• Koj pom zoo kom kho li cas?
• Kev kho mob puas yuav kho tau kuv cov tsos mob, lossis lawv puas yuav rov qab los?

Lub npe tshiab rau Radiation Proctitis yog dab tsi?

Lwm lub npe rau kev kho mob proctitis yog kev kho mob proctopathy .

Lwm lub npe rau mob chronic radiation proctitis yog radiation-associated vascular ectasias (RAVE) .

Cov vitamins twg zoo rau kev kho mob proctitis?

Muaj qee qhov kev tshawb fawb pom tias cov vitamin C thiab vitamin E yuav pab txo cov tsos mob ntawm kev mob proctitis los ntawm kev siv tshuaj tua kab mob, xws li raws plab, los ntshav hauv qhov quav, thiab kev mob ceev ntawm qhov quav. Txawm li cas los xij, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob txog qhov no.

Thaum kawg, cov lus coj mus tsev:

Kev kho mob qog noj ntshav tuaj yeem ua rau koj ntxhov siab. Nws tuaj yeem nyuaj dua thaum koj muaj teeb meem nrog koj tus cwj pwm mus rau chav dej. Kev kho mob qog noj ntshav tuaj yeem tshwm sim thaum lub sijhawm koj kho mob, lossis ntau lub hlis lossis ntau xyoo tom qab.

Yog li ntawd, yog tias koj pom muaj kev hloov pauv lossis tsis xis nyob hauv koj tus cwj pwm mus tso quav, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj pab neeg kho mob txog qhov ntawd. Lawv tuaj yeem kuaj xyuas seb qhov ua rau mob proctitis yog los ntawm kev siv tshuaj tua kab mob thiab pom zoo kom kho qhov zoo tshaj plaws rau koj. Nco ntsoov tias, koj tsis yog tib tug xwb, thiab muaj cov kws kho mob uas tuaj yeem pab nrog cov no.

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