Cancer i do hnuah leh radiation therapy ang chi enkawlna harsa tak i zawh hnuah chuan rilru hahdamna nasa tak i nei niin i ngai mai thei, a dik em? Mahse, a châng chuan heng enkawlnate hnu hian harsatna thar a lo chhuak thei a ni. Chu chu i rectum, chaw ei kawng hnuai lam a inflammation emaw irritation emaw tihna a ni. Doctor-te chuan hei hi ‘Radiation Proctitis’ an ti a. Vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.
Radiation Proctitis hi eng nge ni?
A awlsam zawngin sawi ila, radiation proctitis chu i pum hnuai lam, i pelvic area-a cancer awm avanga radiation therapy hmanga i rectum inflammation a ni. "Procto-" tih awmzia chu "anus" tihna a ni. "-itis" tih awmzia chu "inflammation" tihna a ni. He inflammation hian harsatna chi hrang hrang a thlen thei a, a bik takin toilet habit a tidanglam thei a ni.
Hetiang dinhmun thlen thei hi cancer chi hrang hrang a awm a, a bik takin radiation therapy hmanga pelvic area-a cancer enkawl a nih chuan:
- Cervical cancer a ni
- Prostate cancer a ni
- Rectal cancer a ni
- Urinary bladder cancer a ni
- Uterine cancer a ni
- Anal cancer a ni
Engtikah nge radiation proctitis hi a lo awm thin?
Mi tin a inang lo thei. Radiation proctitis hi chi hnih a awm a, a lo lan hun a zirin:
1. Acute radiation proctitis: Hei hi a chi khat a ni a, a lo lang nghal mai thin. Radiation therapy lai emaw, enkawlna zawh hnu ni engemaw zat hnuah emaw a awm thei.
2. Chronic radiation proctitis: Hetiang chi hi a lo lan theih nan hun rei tak a ngai. Radiation hmanga enkawl hnu thla thum hnuah pawh a lo lang thei a, kum hnih emaw a aia rei emaw pawh a lo lang thei bawk.
Pawimawh tak chu, pelvic area-a radiation therapy dawngtu zinga 20% vel chu he natna hi chronic radiation proctitis an tih hi an vei thei a ni.
Radiation Proctitis natna lan chhuah dan chu engte nge ni?
Hei pawh hi acute emaw chronic type i neih dan azirin a danglam thei bawk.
Acute radiation proctitis natna lan chhuah dan:
Hengte hi a tlem deuh tlangpui a, chu chu chutiang chuan an chhe lo tihna a ni.
- Diarrhea, a chang chuan thisen nen.
- Nausea leh luak chhuak.
- Pum na, i thawk chhuak dawn ang maia inhria.
- Toilet kal a ngai nghal, tuar theih loh (rectal emaw fecal urgency).
- Toilet kal fo a ngai tih hriat, mahse i kal laiin stool pass theih loh (tenesmus).
- Anus atanga thisen chhuak tlem a awm.
- Anus atanga mucous ang chi tui lo chhuak (mucoid discharge).
Chronic radiation proctitis natna lan chhuah dan:
Heng symptoms te hi acute phase-a awmte nen a inang fo thin. Mahse, acute phase aiin an daih rei thei a, an na zawk thei bawk. Chu bâkah, a hnuaia mite hi a thleng thei bawk:
- I rectum a tawi (rectal stricture) a ni.
- Rectum-a ulcer awm dan.
- Fistula chu taksa peng pahnih, a tlangpuiin inzawm lo inkara kawngkhar thar emaw, kalna tur emaw siam a ni. Anus leh vagina inzawmna angin ngaihtuah rawh.
Eng thilin nge Radiation Proctitis hi a thlen?
A chhan ber chu radiation therapy hmanga i pelvic area-a side effect angin a awm vang a ni. Enkawlna i tan hmain i doctor chuan radiation therapy hlawkna leh hlauhawm theih dan tur a sawipui ang che, chu chuan thutlukna dik siam turin a pui ang che.
Late radiation proctitis awm chhan bikte chu engte nge ni?
Late radiation proctitis hi radiation therapy hmanga rectum emaw a chhehvel tissue emaw-a a hnuaia thil thlengte hi a awm tlangpui a ni.
- Scar ang chi tissue (fibrosis) awmkhawmna.
- Thisen kalna kawng zau tak (telangiectasia).
- Thisen kalna kawng te tak te (arterioles) te a tawi.
Tute nge radiation proctitis vei theihna chance sang zawk?
Hetiang natna hi i vei theihna chance a sang zawk thei a, chu chu:
- I rectum hian radiation dose 45 Gray (Gy) aia tam a dawng a nih chuan. (Gy hi radiation tehna unit a ni).
- `(HIV/AIDS)` status i neih chuan.
- Inflammatory bowel disease (IBD) i neih chuan .
Engtin nge Radiation Proctitis hi hmuhchhuah a nih?
Doctor chuan i medical history a enfiah ang a, i symptoms te a zawt ang a, physical exam a ti ang. Gastrointestinal disease dang, symptom inang nei te pawh paih chhuah nan test eng emaw zat neih an rawt thei bawk. Heng test-ah hian:
- Thisen test: Thisen sample lak a, hri kai leh awm loh enfiah a ni.
- Stool test: I stool sample lak chu thisen emaw bacteria emaw a awm leh awm loh enfiah thin a ni.
- Proctoscopy: Hetah hian doctor chuan uluk takin i rectum-ah tube dinglam, hollow (a tawp khatah camera leh light nei - proctoscope an tih) a dah lut a, i rectum leh anus chu a enfiah thin.
- Flexible sigmoidoscopy hmanga enfiah a ni:Hetah hian doctor chuan uluk takin tube sei tak, flexible tak (camera leh light nei bawk - hei hi ``endoscope`` an ti) a dah a, i ``colon`` hnuai lam chu a enfiah thin.
Heng test te hi hlau suh. Doctor-te chuan i chunga thil dik lo awm dik tak hriat theih nan an ti thin.
Radiation proctitis enkawlna hmasa berte chu engte nge ni?
I radiation proctitis nasat danah a innghat. Mild case te chu enkawl lohvin a reh thei. Mahse, lungawi lohna tihziaawmna tur thil i tih theih a awm a:
- Tui, sugar (glucose), leh electrolyte (sodium, chloride, potassium, leh bicarbonate ang chi) awmna tui in. Hei hi ``rehydration therapy'' an ti a, hei hian taksa atanga tui hloh zat chu a siam tha leh thei a ni.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) hmanga tihdam theih a ni.
- Natna tihdamna damdawi
- Stool ti nem thei thil.
- Taksa riltam tihziaawmna damdawi (Antispasmodics).
Radiation proctitis natna khirh zawk tan chuan i doctor chuan hetiang damdawi hi a rawt thei ang:
- ``(Sucralfate)`` tih damdawi awmna enema hman.
- A natna hmunah formaldehyde (formalin) concentration hniam tak hnawih.
- Rectal suppository hmanga corticosteroid chi khat glucocorticoid an tih.
- Damdawi pakhat ``Argon plasma coagulation.`` Hemiah hian argon plasma an tih thil pakhat hmangin thisen chhuahna hmunte chu hal a ni.
- Enkawlna pakhat `(Hyperbaric oxygen therapy)` tih a ni. Hetah hian oxygen hi high-pressure chamber-ah pek a ni.
- Stool pass out dan thlak danglam tura surgery (`(ileostomy)` emaw `(colostomy)` emaw).
- Surgery hmanga a natna hmunte lakchhuah.
Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?
Thil engemaw zatah a innghat a ni:
- Radiation treatment engzat nge i mamawh.
- I symptoms nasat dan.
- I taksain enkawlna a dawn dan.
I doctor chuan hemi chungchangah hian ngaihdan tha zawk a pe ang che.
Radiation proctitis ka neih chuan eng nge ka beisei theih ang?
Hei hi i symptoms nasat dan leh acute emaw chronic form emaw i neih leh neih lohah a innghat bawk. I natna lan chhuah dan chu a na lo emaw, a na emaw pawh a ni thei. Enkawl lai chauhvin symptoms i nei a, chutah chuan i bo mai thei. A nih loh leh, i natna lan chhuah dan chu a bo a, a lo let leh thei a, a nih loh leh rei tak a daih thei bawk.
I doctor chuan i dinhmun a zirin i beisei tur dik tak a hrilhfiah ang che. Lungngai suh, an pui ang che.
Radiation Proctitis hi tihdam theih vek a ni em?
Mi tin a inang lo. Mi thenkhat tan chuan radiation proctitis symptoms hi radiation treatment zawh hnuah a bo thin. Mahse, chronic radiation proctitis hi hun rei tak chhung a ni thei a, chu chu symptoms kal zel i nei thei tihna a ni. Hemi chungchang hi i doctor nen sawiho rawh. Radiation proctitis hmuhchhuah an tum dan leh hun rei tak chhunga natna lan chhuah theihna tur tihziaawmna tura enkawl leh enkawl dan tur an sawifiah ang.
Radiation Proctitis hi ven theih a ni em?
Doctor-te chuan tunlai radiation therapy technique hmangin radiation proctitis tih tlem emaw, ven emaw an tum a ni. Entirnan, ``image-guided radiation therapy`` leh ``intensity-modulated radiation therapy`` tih ang chi te an hmang thin. Heng hmanrua te hian i rectal tissue leh a chhehvel tissue dangte a radiation exposure a tihtlem bakah cancer cell te a that bawk.
Tissue hrisel tak takte radiation exposure tihtlem nan hetiang thil hi an lo ti ve thei bawk:
- I radiation treatment chhung hian supine-ah dah i ni ang.
- I rectum leh prostate gland inkarah ``collagen'' an tih thil inject hmangin venhimna a pe a ni.
- Tui khata khat balloon (endorectal balloon) chu uluk takin i rectum-ah dah la, chu chuan prostate chu a hmunah a vawng tlat thei a ni.
Radiation proctitis tan hian eng diet tha ber nge ni ang?
I doctor chuan i ei leh in tihdanglam a rawt thei a, chu chuan gastrointestinal symptoms, inflamed tissue tichhe zual thei tur a tihziaawm thei a ni. Anni chuan hetiang hi an rawt mai thei:
- Bawnghnute atanga siam (milk, cheese, butter, yogurt) tihtlem.
- Saturated fats tamna ei tur (egg, sa thau - bawnghnute, vawk sa thau, vawk vun nei lo - leh hriak - coconut oil, palm oil) tihtlem.
- Fiber tamna chaw ei tam (thei, thlai, bean, lentils, nuts, etc.) Sri Lanka rama kan ei theih thil kohila, mukunuwenna, leh banana te hi a tha hle.
Engtikah nge Doctor ka hmuh ang?
Radiation proctitis symptom i neih chuan doctor pan ngei ngei tur a ni. Tin, radiation proctitis i vei tih hmuhchhuah a nih a, enkawl hnua i natna lan chhuah dan a tha lo a nih chuan doctor hnenah hriattir rawh.
Doctor hnenah eng zawhna nge ka zawh ang?
I doctor hnenah hetiang zawhna hi i zawt thei ang:
- Radiation proctitis ka vei theihna chance engzat nge ni?
- Acute radiation proctitis nge chronic radiation proctitis ka nei em?
- Engvangin nge chronic radiation proctitis hi a lo lang rei em em?
- Ka dinhmun hi a na lo nge a na em?
- Eng enkawlna nge i rawt?
- Treatment hian ka symptoms te hi a tidam ang em, a lo let leh ang em?
Radiation Proctitis tih hming thar hi eng nge ni?
Radiation proctitis hming dang chu radiation proctopathy a ni .
Chronic radiation proctitis hming dang chu radiation-associated vascular ectasias (RAVE) tih a ni.
Radiation proctitis tan hian eng vitamin nge tha?
Zirna thenkhatah chuan vitamin C leh vitamin E hian radiation proctitis symptoms, diarrhea, rectal bleeding, leh rectal urgency te tihziaawmna kawngah a pui thei tih hmuhchhuah a ni. Amaherawhchu, hemi chungchang hi Doctor nen inbiak a tha ber.
A tawp berah chuan take-home message:
Cancer enkawlna kal tlanga kal hi a buaithlak thei hle. I inthiarna lama harsatna i neih chuan a harsa zawk thei. I enkawl chhung hian radiation proctitis a awm thei a, thla tam tak emaw kum tam tak hnuah pawh a awm thei bawk.
Chuvangin, i toilet hman danah inthlak danglamna emaw, nuam lo emaw i hmuh chuan i medical team-te hrilh a pawimawh hle. A chhan chu radiation proctitis a nih leh nih loh an hre thei a, i tana enkawlna tha ber tur an rawt thei bawk. Nangmah chauh i ni lo tih hre reng la, heng thila pui theitu doctor an awm bawk.
` Radiation Proctitis, Radiation Therapy, Rectal Inflammation, Cancer Side Effects, Pelvic Radiation, Acute Proctitis, Chronic Proctitis te











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