Inflameshɔn na di rεktum afta kansa rεdyushכn tritmεnt? Lɛ wi tɔk bɔt Radiation Proctitis ditayli!

Yu go tink se afta yu dɔn fɛt kansa ɛn dɔn wan tritmɛnt we nɔ izi lɛk redyushɔn tɛrapi, yu kin fil bad bad wan, nɔto so? Bɔt sɔntɛnde, afta dɛn tritmɛnt ya, nyu prɔblɛm kin kam. Dat min se, yu rεktum, we na di lכw pat pan di dijestiv trakt, inflameshn כ iritashכn. Dɔktɔ dɛn kin kɔl dis ‘Radiation Proctitis’. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin na Radiation Proctitis?

Fɔ tɔk am simpul wan, redyushɔn proktitis na inflamɛns na yu rɛkɛt afta redyushɔn tɛrapi fɔ kansa na yu bɛlɛ eria, we na di eria we de dɔŋ yu bɛlɛ. "Procto-" min "anus." "-itis" min "inflameshɔn." Dis inflamɛns kin mek yu nɔ fil fayn, mɔ di chenj we yu de chenj di we aw yu de tɔylɛt.

difrεn kayn kansa dεm de we kin mek dis kכndyushכn, spεshal wan we dεn trit am wit rεdyushכn fכ kansa dεm na di pεlvik εria:

• Kansa na di sɛvikal
• Prɔstat kansa
• Kansa na di rεktal
• Urinary bladder kansa na di bɔdi
• Kansa na di uterin
• Kansa na di anal

Ustɛm di raytin proktitis kin apin?

I kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Tu men kayn raytin proktitis de, i dipen pan di tɛm we dɛn kin apia:

1. Acute radiation proctitis: Dis na wan kayn we we kin apin wantɛm wantɛm. I kin apin we dɛn de yuz redyushɔn tɛrapi ɔ sɔm dez afta di tritmɛnt dɔn.

2. Krכnik rεdyushכn proktitis: Dis kayn kin tek sכm tεm fכ apia. I kin apin tri mɔnt afta dɛn dɔn trit am wit raytin, ɔ ivin tu ia ɔ ivin lɔng pas dat.

di impɔtant tin na dat, lɛk 20% pan di pipul dɛm we de gɛt raytin tɛrapi to di pelvik eria de pan risk fɔ gɛt dis sik we dɛn kɔl kronik redyushɔn proktitis.

Wetin na di sayn dɛm fɔ Radiation Proctitis?

Dis kin difrɛn bak fɔ no if yu gɛt akyu ɔr krɛse tayp.

Di simptom dɛm fɔ akyu redyushɔn proktitis:

Dɛn tin ya kin smɔl smɔl, we min se dɛn nɔ bad so.

• Dayarɛa, sɔntɛnde wit blɔd.
• Nɔs ɛn vɔmit.
• Bɛlɛ de at, fil lɛk se yu go trowe.
• Wan nid fɔ go na tɔylɛt wantɛm wantɛm, we yu nɔ go ebul fɔ bia (rectal or fecal urgency).
• Fɔ fil se yu nid fɔ go na tɔylɛt bɔku tɛm, bɔt nɔ ebul fɔ pas stɔl we yu de du (tenesmus).
• Smɔl smɔl blɔd de kɔmɔt na di an.
• di wata we lεk mכkus we de kכmכt na di an (mכkus dischaj).

Di simptom dɛm fɔ kronik redyushɔn proktitis:

Bɔrku tɛm, dɛn sayn ya kin bi di sem wit di wan dɛm wae de na di akyu faz. Bɔt dɛn kin las fɔ lɔng tɛm ɛn dɛn kin tranga pas di akyu faz. Apat frɔm dat, dɛn tin ya kin apin:

• Narrowing of yu rεktum (rεktal strikt).
• di כlsa we de apin na di rεktum.
• Fistula na di fכmeshכn fכ nyu opin כ pasεj bitwin tu pat dεm na di bכdi we nכmal fכ kכnεkt. Tink bɔt am lɛk kɔnekshɔn bitwin di an ɛn di vagina.

Wetin kin mek pɔsin gɛt Radiation Proctitis?

di men rizin na dat i kin apin as sayd ifekt fכ rεdyushכn tεrapi to yu pεlvik εria. Bifo yu bigin fɔ tek tritmɛnt, yu dɔktɔ go tɔk to yu bɔt di bɛnifit ɛn di prɔblɛm dɛn we pɔsin kin gɛt we i gɛt raytin fɔ ɛp yu fɔ disayd fɔ du sɔntin we yu no.

Wetin na di patikyula tin dɛm wae kin mek yu gɛt let redyushɔn proktitis?

Let rεdyushכn proktitis kin apin we rεdyushכn tεrapi de mek dεn tin ya apin to di rεktum כ di tisu dεm we de rawnd am:

• di akyumyuleshכn fכ di tisu we lεk ska (fibrosis).
• Di blɔd vesel dɛn we de wayd (telangiectasia).
• di smɔl smɔl blɔd vesel dɛn (arterioles) we de smɔl.

Udat de pan big risk fɔ gɛt raytin proktitis?

Yu kin gɛt bɔrku risk fɔ gɛt dis sik if:

• If yu rεktum gεt rεdyushכn dכz we pas 45 Grey (Gy). (Gy na wan yunit fɔ mɛzhɔ fɔ redyushɔn).
• If yu gɛt `(HIV/AIDS)` stetɔs.
• If yu gɛt inflammatory bowel disease (IBD) .

Aw dɛn kin no se pɔsin gɛt Radiation Proctitis?

Dɔktɔ go rivyu yu mɛdikal istri, aks yu bɔt yu sik, ɛn du yu bɔdi ɛgzam. Dɛn kin se bak fɔ du sɔm tɛst fɔ no ɔda sik dɛn we de na di bɛlɛ we gɛt di sem sayn dɛn. Dɛn tɛst ya kin bi:

• Blɔd tɛst: Dɛn kin tek blɔd sɛmpul fɔ chɛk if i gɛt di sik.
• Stɔl tɛst: Dɛn kin chɛk wan sɛmpul pan yu stɔl fɔ si if i gɛt blɔd ɔ baktri.
• Prɔktoskɔpi: Insay dis, di dɔktɔ kin tek tɛm put wan stret, olo tiub (we gɛt kamɛra ɛn layt na wan ɛnd - we dɛn kɔl proktoskɔp) insay yu rεktum ɛn i kin chɛk yu rεktum ɛn yu an.
• Fleksibul sigmoidoskopi:insay dis, di dכkta de tek tεm insay wan lכng, fleksibul tכb (we gεt bak kεmεra εn layt - dεn kכl dis ``εndoskop``) εn i de egzamin di lכw pat pan yu ``kכlon``.

Nɔ fred fɔ dɛn tɛst ya. Dɔktɔ dɛn kin du dɛn fɔ ɛp dɛn fɔ no di rayt tin we de apin to yu.

Wetin na di fɔs tritmɛnt fɔ redyushɔn proktitis?

I dipen pan aw yu redyushɔn proktitis siriɔs. Di kayn kes dɛm wae nɔr kin fayn kin sɔlv if dɛn nɔr gɛt tritmɛnt. Bɔt tin dɛn de we yu kin du fɔ mek yu nɔ fil fayn:

• Fɔ drink wata we gɛt wata, shuga (glukɔs), ɛn ilɛktrɔlayt (lɛk sɔdiɔm, klorayd, potashɔm, ɛn baykabɔnɛt). dis dεn kכl am ``rihaydreshכn tεrapi.'' Dis kin εp fכ mek di wata we dεn lכs frכm di bכdi kam bak.
• Nɔn-stɛroyd anti-inflammatory drɔgs (NSAID) .
• Di mɛrɛsin dɛn we de mek pɔsin fil pen
• Di tin dɛn we de mek di stɔl soft.
• Mεdisin dεm we de ridyus di bכdi spam (Antispasmodics).

Fɔ mɔr bad bad kes dɛm wae gɛt raytin proktitis, yu dɔktɔ kin tɛl yu fɔ gi yu tritmɛnt dɛm lɛk:

• Yuz wan enema we gɛt wan mɛrɛsin we dɛn kɔl ``(Sucralfate)``.
• Fɔ put smɔl fɔmaldehayd (fɔmalin) pan di say dɛn we di sik afɛkt.
• Yuz wan rεktal suppository we gεt wan kayn kכtikostεroyd we dεn kכl glukokortikoid.
• wan tritmεnt we dεn kכl ``Argon plasma coagulation.`` Insay dis, dεn de yuz sכmtin we dεn kכl argon plasma fכ bכn di εria dεm we di bכdi de bכn.
• Wan tritmɛnt we dɛn kɔl `(Hyperbaric oxygen therapy)`. Insay dis, dɛn kin gi ɔksijɛn na wan chɛmba we gɛt ay prɛshɔn.
• כpεrayshכn fכ chenj di we aw dεn de pas di stכl (`(ileostomy)` כ `(colostomy)`).
• Ɔpreshɔn fɔ pul di pat dɛn we afɛkt.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

I dipen pan bɔku tin dɛn:

• Aw bɔku redyushɔn tritmɛnt yu bin nid.
• Di kayn we aw yu sik dɛn kin tranga.
• Di we aw yu bɔdi de ansa to tritmɛnt.

Yu dɔktɔ go gi yu bɛtɛ aidia bɔt dis.

Wetin a kin ɛkspɛkt if a gɛt raytin proktitis?

Dis kin dipen bak pan aw yu sik kin tranga ɛn if yu gɛt akyu ɔr krɛse sik. Yu sayn dɛm kin nɔr kin pasmak ɔr kin tranga. Yu kin gɛt di sayn dɛm nɔmɔ we yu de trit yu ɛn afta dat yu kin go. Ɔ, yu sik kin dɔn ɛn kam bak, ɔr kin te fɔ lɔng tɛm.

Yu dɔktɔ go ɛksplen to yu di rayt tin fɔ ɛkspɛkt, i go dipen pan di tin we de apin to yu. Nɔ wɔri, dɛn go ɛp yu.

Yu tink se Radiation Proctitis kin mɛn ɔltogɛda?

I kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Fɔ sɔm pipul dɛm, di sayn dɛm fɔ redyushɔn proktitis kin go afta dɛn dɔn dɔn di tritmɛnt wit redyushɔn. Bɔt, krɛse sik kin bi wan sik wae de kam fɔ lɔng tɛm, dat min se yu kin gɛt sɔm kayn sik wae de kɔntinyu. Tɔk to yu dɔktɔ bɔt dis. Dɛn go ɛksplen aw dɛn plan fɔ no bɔt redyushɔn proktaytis ɛn aw fɔ wach ɛn trit am fɔ ridyus di risk fɔ gɛt lɔng tɛm simptom.

Yu tink se dɛn kin mek yu nɔ gɛt Radiation Proctitis?

Dɔktɔ dɛn de tray fɔ mek yu nɔ gɛt bɔku ɔ fɔ mek yu nɔ gɛt raytin proktitis bay we dɛn de yuz di we dɛn we dɛn de yuz tide we dɛn de yuz redyushɔn tɛrapi. fכ egzampl, dεn de yuz mεtכd dεm lεk ``imej-gayd rεdyushכn tεrapi`` εn ``intensiti-mכdulet rεdyushכn tεrapi``. Dɛn we ya de mek yu nɔ gɛt bɛtɛ raytin to yu rɛktal tisu ɛn ɔda tisu dɛn we de rawnd yu we dɛn de kil di kansa sɛl dɛn.

Dɛn kin tray bak tin dɛn lɛk dis fɔ mek dɛn nɔ gɛt bɛtɛ raytin to wɛlbɔdi tisu:

• Dɛn go put yu supine di tɛm we dɛn de trit yu wit raytin.
• i de gi protεkshכn bay we i de injεkt wan tin we dεn kכl ``kכlagen'' bitwin yu rεktum εn prכstat gland.
• wan balכn we fulכp wit wata (εndorektal balכn) dεn kin tek tεm insay yu rεktum fכ εp fכ ol di prכstat insay in ples.

Wetin na di bɛst it fɔ redyushɔn proktitis?

Yu dɔktɔ kin tɛl yu fɔ chenj yu it fɔ ridyus di sik dɛn we de na yu bɛlɛ we kin pwɛl di tisu dɛn we dɔn inflam mɔ. Dɛn kin rikɔmɛnd tin dɛn lɛk:

• Ridyus di dairy prodakt (milk, chiz, bɔta, yogɔt).
• Fɔ stɔp it dɛn we gɛt bɔku sɛtyuret fat (eg, fat mit - bif, fat pat pan bɔd, bɔd we nɔ gɛt skin - ɛn ɔyl - kokonat ɔyl, pam ɔyl).
• Fɔ it mɔ it dɛn we gɛt fayv (frut, vɛjitebul, bins, lentil, nɛt, ɛn ɔda tin dɛn) Tin dɛn we wi kin it na Sri Lanka lɛk kohila, mukunuwenna, ɛn banana kin rili fayn.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛn fɔ gɛt raytin proktitis, mek shɔ se yu go to dɔktɔ. Dɔn bak, if dɛn no se yu gɛt raytin proktitis ɛn yu sik nɔ de bɛtɛ afta yu dɔn trit yu, mek yu dɔktɔ no.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin na mi chans fɔ gɛt raytin proktitis?
• A gɛt akyu redyushɔn proktitis ɔ kronik redyushɔn proktitis?
• Wetin mek di sik we dɛn kɔl chronic radiation proctitis kin tek lɔng tɛm fɔ apia?
• Mi sik nɔ tu bad ɔ i rili bad?
• Us tritmɛnt yu kin advays?
• Yu tink se tritmɛnt go mɛn mi sik dɛn, ɔ dɛn go kam bak?

Wetin na di nyu nem fɔ Radiation Proctitis?

Wan ɔda nem fɔ redyushɔn proktitis na redyushɔn prɔktopati .

Wan ɔda nem fɔ kronik rɛdyushɔn prɔktitis na redyushɔn-asɔsiet vaskyuɛl ɛktasia (RAVE) .

Us vaytamɛn dɛn we fayn fɔ gɛt raytin proktitis?

Sɔm stɔdi dɛn dɔn sho se vaytamɛn C ɛn vaytamɛn E kin ɛp fɔ ridyus di sayn dɛm we de sho se pɔsin gɛt raytin proktitis, lɛk dayarɛa, blɔd we de kɔmɔt na di rεktal, ɛn we i de kam kwik kwik wan na di rεktal. Bɔt i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt dis.

Fɔ dɔn, mɛsej we yu kin kɛr go na os:

Fɔ go tru kansa tritmɛnt kin mek yu strɛs. I kin tranga mɔ we yu gɛt prɔblɛm wit di we aw yu de tɔylɛt. Radiation proctitis kin apin wae yu de trit yu, ɔr mɔnt ɔr ivin ia afta dat.

So, if yu notis ɛni chenj ɔ nɔ fil fayn na yu tɔylɛt, i rili impɔtant fɔ tɛl yu mɛdikal tim bɔt am. Dɛn kin no if di kɔz na di raytin proktitis ɛn dɛn kin tɛl yu fɔ gi yu di tritmɛnt we go wok fayn pas ɔl. Mɛmba se nɔto yu wangren de, ɛn dɔktɔ dɛn de we go ɛp fɔ du dɛn tin ya.

` Rεdyushכn Prכktitis, Rεdyushכn Tεrapi, Rεktal Inflamεshכn, Kεnsar Sayd Ifεkt, Pεlvik Rεdyushכn, Akyu Prכktitis, Krכnik Prכktitis