Kodi kutupa kwa chikhodzodzo kumachitika mutalandira chithandizo cha khansa? (Radiation Cystitis) Tiyeni tiphunzire za izi!

Tonse tikudziwa kuti kulimbana ndi khansa sikophweka, eti? Nthawi zina, chithandizo cha khansa chimaphatikizapo chithandizo cha radiation, chomwe chimadziwikanso kuti `Radiation Therapy`. Pambuyo pa izi, anthu ena amatha kukhala ndi vuto linalake m'chikhodzodzo chawo. Monga kukodza pafupipafupi, kapena kumva kupweteka akamakodza. Umenewo ndi vuto lomwe tikambirane lero, lotchedwa `Radiation Cystitis`. Musadandaule, tikambirana mwatsatanetsatane za izi.

Kodi radiation cystitis ndi chiyani?

Mwachidule, radiation cystitis ndi kutupa kapena kutupa kwa chikhodzodzo komwe kumachitika pambuyo pa chithandizo cha radiation cha khansa m'chiuno mwanu, komwe ndi gawo lomwe lili pansi pa mimba yanu. Tangoganizani, pamene radiation iyi imapha maselo a khansa, nthawi zina imatha kukhala ndi zotsatirapo zochepa pa maselo athanzi ozungulira iwo. Ndicho chimene chikuchitika apa.

Pali mitundu ingapo ya khansa yomwe ingayambitse vutoli, makamaka ngati chithandizo cha radiation chikugwiritsidwa ntchito pochiza khansa m'chigawo cha m'chiuno:

• Khansa ya chikhodzodzo
• Khansa ya m'matumbo (colon)
• Khansa ya prostate
• Khansa ya m'chiberekero
• Khansa ya m'chiberekero

Matenda a radiation cystitis ndi zotsatira zoyipa zomwe zimachitika chifukwa cha chithandizo cha radiation. Komabe, ngati muli ndi zizindikiro monga kuvutika kukodza kapena kukodza pafupipafupi, muyenera kudziwitsa dokotala wanu . Angakulangizeni njira zokuthandizani.

Kodi pali mitundu ya radiation cystitis?

Inde, pali mitundu iwiri makamaka:

1. Matenda a radiation cystitis: Mtundu uwu umabwera mwadzidzidzi. Ungachitike panthawi ya chithandizo cha radiation kapena ngakhale chithandizo chitatha.

2. Matenda a radiation cystitis ochedwa (mochedwa): Mtundu uwu umatenga nthawi kuti uwonekere. Zizindikiro zimatha kuonekera miyezi isanu ndi umodzi mutalandira chithandizo cha radiation, kapena nthawi yayitali, kapena zaka zambiri pambuyo pake.

Tangoganizirani momwe zimakhalira zokhumudwitsa kumva kupweteka kotere mwadzidzidzi mutalandira chithandizo kwa nthawi yayitali. Ndicho chifukwa chake ndikofunikira kudziwa izi.

Kodi pali dzina lina la Radiation Cystitis?

Inde, nthawi zina izi zimatchedwa `radiation-induced cystitis`. Izi zikutanthauza chinthu chonga `kutupa kwa chikhodzodzo komwe kumachitika chifukwa cha radiation.``

Kodi vutoli ndi lofala bwanji?

Ndipotu, pakati pa 23% ndi 80% ya anthu omwe amalandira chithandizo cha radiation m'chiuno amakhala ndi radiation cystitis. Chifukwa chake kuchuluka kwa mankhwalawa ndi kwakukulu chifukwa pali mitundu yosiyanasiyana ya chithandizo cha radiation, ndipo kuchuluka kwa radiation komwe mukufuna kumatha kusiyana kutengera gawo la khansa yanu komanso komwe ili. Dokotala wanu ndiye munthu wabwino kwambiri woti mulankhule naye za izi kutengera momwe mulili.

Kodi zizindikiro za radiation cystitis ndi ziti?

Zizindikirozi zitha kukhala zochepa kwambiri kwa anthu ena, ndipo zitha kukhala zoopsa kwambiri kwa ena. Izi nthawi zambiri zimadalira kuchuluka kwa chithandizo cha radiation chomwe mudalandira - kaya kuchuluka kwa radiation kapena nthawi ya chithandizocho.

Zizindikiro zochepa zingaphatikizepo:

• Kufuna kukodza pafupipafupi kuposa masiku onse ( 'kukodza pafupipafupi ')
• Kudzuka kukakodza kangapo usiku ( nocturia )
• Kuvuta kulamulira chilakolako chofuna kukodza ( kulephera kudziletsa )
• Kupweteka kapena kutentha pamene mukukodza ( dysuria )
• Kumva ngati minofu ya chikhodzodzo ikugwedezeka kapena ikugwedezeka ( kugwedezeka kwa minofu ya chikhodzodzo )

Nthawi zina zizindikiro zimenezi zimatha zokha pakapita nthawi popanda chithandizo chilichonse.

Zizindikiro zazikulu zingaphatikizepo:

• Kulephera kwa nthawi yayitali kulamulira mkodzo ( kusadziletsa kwa mkodzo )
• Chikhodzodzo sichingathe kusunga mkodzo wochuluka monga kale, zomwe zikutanthauza kuti chili ndi mphamvu yochepa ya chikhodzodzo .
• Magazi mu mkodzo ( hematuria )
• Kupangika kwa chilonda (kapena chotupa) pakhoma la chikhodzodzo, nthawi zina chimatchedwa chilonda cha Hunner .
• Kupangidwa kwa dzenje latsopano kapena njira ( `fistula` ) pakati pa ziwalo ziwiri za thupi zomwe nthawi zambiri sizimalumikizana.
• Kufa kwa minofu ya chikhodzodzo, ndiko kuti, kuwonongeka kwa minofu ( `necrosis` )

Kodi radiation cystitis ndi matenda opitirira muyeso?

Kwa anthu ena, inde. Matenda a radiation cystitis amatha kuyamba pang'onopang'ono. Nthawi zina simungakhale ndi zizindikiro zilizonse mukamalandira chithandizo cha radiation. Koma zizindikirozi zingawonekere miyezi ingapo kapena zaka pambuyo poti chithandizo chatha.

Kodi ndi zifukwa ziti zomwe zimayambitsa radiation cystitis?

Chifukwa chachikulu ndi chithandizo cha radiation. Musanayambe chithandizo, dokotala adzakuuzani za ubwino ndi zoopsa zomwe zingachitike chifukwa cha chithandizo cha radiation ndipo adzakuthandizani kupanga chisankho chodziwa bwino.

Kodi n’chiyani chimayambitsa matenda a late radiation cystitis?

Matendawa amapezeka mochedwa chifukwa chithandizo cha radiation chimapangitsa kuti minofu yonga zipsera ipangidwe mu chikhodzodzo. M'mawu azachipatala, izi zimatchedwa fibrosis . Monga momwe bala limachiritsira ndikusiya chipsera, zomwezo zimachitikanso mkati mwa chikhodzodzo.

Kodi izi zingachitike nthawi yayitali bwanji mutalandira chithandizo cha radiation?

Matenda a radiation cystitis omwe amayamba chifukwa cha kuchepa kwa kuwala kwa dzuwa amatha kuchitika nthawi iliyonse kuyambira miyezi isanu ndi umodzi mpaka zaka 20 mutalandira chithandizo cha radiation. N'zosadabwitsa, sichoncho? Koma ndi zoona.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Aliyense amene amalandira chithandizo cha khansa ya m'chiuno kudzera mu radiation amatha kudwala radiation cystitis. Komabe, amuna amakhala ndi mwayi waukulu wopeza matendawa . Izi zili choncho chifukwa chithandizo cha radiation ndi chithandizo chofala cha khansa ya prostate. Kodi mukudziwa kuti khansa ya prostate ndi khansa yachiwiri yofala kwambiri mwa amuna?

Kodi radiation cystitis imachiritsidwa bwanji?

Dokotala adzayamba watenga mbiri yanu yachipatala, adzakufunsani mafunso okhudza zizindikiro zanu, kenako adzakuyesani thupi. Zizindikiro za radiation cystitis zimafanana kwambiri ndi za matenda ena omwe amakhudza chikhodzodzo, monga matenda a mkodzo (UTIs) ndi miyala ya chikhodzodzo. Chifukwa chake, dokotala wanu angakulangizeni mayeso ena kuti apeze matenda enieni ndikuchotsa matenda ena.

Kodi mayeso oyezetsa matenda ndi ati?

Mayeso otsatirawa angachitike kuti adziwe matenda a radiation cystitis:

• Kusanthula mkodzo: Chitsanzo cha mkodzo wanu chimatengedwa ndikuwunika magazi kapena mabakiteriya.
• Kuyezetsa magazi: Kuyezetsa magazi kumatengedwa ndikuyang'aniridwa ngati pali zizindikiro za matenda.
• Cystoscopy: Pa izi, dokotala amaika chipangizo chopyapyala, chopepuka, komanso chokhala ndi kamera (cystoscope) kudzera mu mkodzo wanu ndi m'chikhodzodzo chanu, zomwe zimathandiza dokotalayo kufufuza mkati mwa chikhodzodzo chanu. Izi zingawoneke ngati zosasangalatsa pang'ono, koma ndizofunikira kwambiri pozindikira matendawa.

Kodi radiation cystitis imachiritsidwa bwanji?

Zimatengera kuopsa kwa radiation cystitis yanu. Ngati muli ndi zizindikiro zochepa, zimatha zokha pakapita nthawi popanda chithandizo chilichonse. Nazi zina zomwe mungachite kuti muchepetse kusasangalala kwanu:

• Kuchepetsa kutupa ndi mankhwala oletsa kutupa (NSAIDs) omwe si a steroidal .
• Mankhwala ochepetsa ululu/ochepetsa ululu kuti achepetse ululu.
• Chepetsani kupindika kwa minofu ya chikhodzodzoMankhwala oletsa kupanikizika.

Ngati zizindikiro zili zovuta kwambiri, dokotala angakulimbikitseni kugwiritsa ntchito njira zotsatirazi:

• Kuthirira chikhodzodzo / kutsuka chikhodzodzo: Mu njira iyi, dokotala amaika katheta ya mkodzo mu chikhodzodzo chanu kudzera mu urethra yanu ndikukupatsani mankhwala ochepetsa ululu.
• Jakisoni wa sodium hyaluronate: Dokotala amabaya jakisoni wa sodium hyaluronate mwachindunji mu chikhodzodzo chanu, nthawi zambiri kudzera mu catheter. Izi zimathandiza kuphimba makoma a chikhodzodzo ndikuchepetsa ululu.
• Chithandizo cha okosijeni wochuluka (HBOT): Ichi ndi chithandizo chapadera kwambiri. Mumayikidwa m'chipinda chopanikizika ndipo mumapatsidwa mpweya wa 100%. Mpweya wowonjezerawu ndi kupanikizika kumathandiza minofu yanu yowonongeka ya chikhodzodzo kuchira msanga.
• Kukonzanso ndi kusintha mkodzo: Dokotala wa opaleshoni amapanga njira yatsopano yosungira ndikuchotsa mkodzo m'thupi lanu. Iyi ndi opaleshoni yovuta pang'ono.
• Kuchotsa chikhodzodzo: Mu opaleshoni iyi, dokotala wa opaleshoni amachotsa chikhodzodzo chanu chonse. Nthawi yomweyo, amapanga njira yatsopano yosungira ndikuchotsa mkodzo m'thupi lanu. Komabe, kuchotsa chikhodzodzo sikumachitika kawirikawiri pa radiation cystitis. Dokotala angakulimbikitseni izi pokhapokha ngati zizindikiro zanu zili zazikulu kwambiri ndipo palibe mankhwala ena omwe athandiza.

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

N'zovuta kunena ndendende. Zimatengera kuchuluka kwa kuwala komwe mukufuna, kuopsa kwa zizindikiro zanu, komanso momwe thupi lanu limayankhira chithandizocho. Dokotala wanu angakupatseni lingaliro labwino kwambiri la izi kutengera momwe mulili.

Ngati ndili ndi radiation cystitis, ndiyenera kuyembekezera chiyani?

Kwa anthu ambiri, radiation cystitis ndi matenda omwe amatenga nthawi yayitali. Zizindikiro zanu zitha kukhala zochepa kapena zazikulu. Zizindikiro zimatha kutha ndikubwereranso, kapena zitha kukhala nthawi yayitali. Lankhulani ndi dokotala wanu za matenda anu komanso njira zabwino kwambiri zochizira.

Kodi cystitis ya radiation imatha kupitilira nthawi yayitali bwanji?

Zimasiyana malinga ndi munthu. Kwa anthu ena, zizindikiro zimatha kwa milungu ingapo kapena miyezi ingapo, kenako zimatha kwathunthu osabwereranso. Kwa ena, zizindikiro zimatha kwa nthawi yayitali. Kapena, zizindikiro sizingawonekere mpaka miyezi kapena zaka chithandizo cha radiation chitatha.

Kodi radiation cystitis ingapewedwe?

Akatswiri akadali osatsimikiza ngati pali njira yopewera izi. `pentosan polysulfate`Pali lingaliro lakuti mankhwalawa angathandize kupewa kuyabwa kwa chikhodzodzo, koma kafukufuku wowonjezereka akufunika.

Ndi zakudya ziti zomwe zili zabwino kwa munthu amene ali ndi radiation cystitis?

Kumwa madzi ambiri n'kofunika kwambiri kuti muchepetse kusasangalala kapena kupweteka kulikonse komwe mukumva. Ndi bwino kumwa magalasi pakati pa 8 ndi 10 a madzi patsiku.

Ngati muli ndi radiation cystitis, zakudya izi sizingakupangitseni kumva kupweteka kapena kusasangalala:

• Zipatso: monga nthochi, mapeyala, mphesa zouma, mabuloberi.
• Ndiwo zamasamba: Monga broccoli, sipinachi, avocado, beets.
• Mbewu: Monga mpunga ndi oats.
• Mtedza: Monga mtedza, ma cashew, ndi ma amondi.

Ndi zakumwa ziti zomwe ndiyenera kupewa ngati ndili ndi radiation cystitis?

Muyenera kupewa zakumwa zomwe zimawonjezera kukwiya ndi kukwiyitsa chikhodzodzo chanu. Zakumwa zimenezi zikuphatikizapo:

• Madzi a zipatso okhala ndi asidi: Madzi opangidwa kuchokera ku zinthu monga madzi a lalanje, madzi a phwetekere, madzi a mandimu, ndipo anthu ena amati ngakhale madzi a cranberry si abwino pakadali pano.
• Zinthu zomwe zili ndi caffeine: monga khofi ndi tiyi.
• Mowa.
• Zakumwa zokhala ndi kaboni: Monga madzi a seltzer ndi soda.

Komanso, ndi bwino kupewa zakudya zokometsera, zodzaza ndi tsabola wambiri komanso zakudya zokhala ndi asidi wambiri .

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro za radiation cystitis, pitani kwa dokotala nthawi yomweyo . Komanso, ngati dokotala wanu wakupezani ndi radiation cystitis ndipo zizindikiro zanu sizikuyenda bwino mutalandira chithandizo, dziwitsani dokotala wanu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Mukapita kwa dokotala, mukhoza kufunsa mafunso monga awa:

• Kodi mwayi wanga woti ndikhale ndi radiation cystitis ndi wotani?
• Ndi mtundu wanji wa radiation cystitis womwe ndili nawo?
• Nchifukwa chiyani cystitis ya radiation yakumapeto imatenga nthawi yayitali kuti iwonekere?
• Kodi vuto langa ndi lofatsa kapena lovuta?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi chithandizo chidzachiritsa matenda anga a radiation cystitis, kapena kodi zizindikiro zake zidzabwereranso?
• Ndi zakudya ndi zakumwa ziti zomwe ndiyenera kupewa?
• Kodi ndiyenera kupita kwa katswiri wa zakudya?

Kuchiza khansa kungakhale ulendo wovuta. Sikuti kokha, komanso kungakhale kovuta kwambiri mukakhala ndi ululu kapena mavuto ndi zizolowezi zanu zopita kuchimbudzi pambuyo pake. Mungayembekezere kuti radiation cystitis imayamba mukangolandira chithandizo. Koma ikhozanso kuchitika miyezi kapena zaka mutalandira chithandizo. Ngati muwona kusintha kulikonse m'zozolowezi zanu zopita kuchimbudzi,Onetsetsani kuti mwauza madokotala anu za vutoli. Angathe kuzindikira matenda a radiation cystitis ndipo angakupatseni chithandizo chabwino kwambiri.

Uthenga Wopita Nawo Kunyumba

Chithandizo cha radiation ndi chida champhamvu polimbana ndi khansa. Komabe, kumbukirani kuti chingayambitse zotsatirapo zina monga radiation cystitis.

• Dziwani zizindikiro: Funsani upangiri kwa dokotala ngati mukukumana ndi zizindikiro monga kukodza pafupipafupi, kupweteka mukamakodza, kapena magazi mumkodzo wanu.
• Musachite mantha, lankhulani: Kambiranani momasuka ndi dokotala wanu za vutoli. Adzakutsogolerani pa njira zochiritsira komanso momwe mungathanirane ndi vutoli.
• Samalani ndi chakudya ndi zakumwa: Sankhani zakudya ndi zakumwa zomwe zili zabwino ku chikhodzodzo, monga momwe dokotala wanu walangizira.
• Simuli nokha: Si inu nokha amene mukukumana ndi vutoli. Ndi chithandizo choyenera chamankhwala ndi chithandizo, vutoli lingathe kuthetsedwa.

Kumbukirani kuti thanzi lanu ndilo chinthu chofunika kwambiri, choncho musazengereze kufunafuna upangiri wa dokotala ngati muli ndi nkhawa iliyonse.

` Chiwopsezo cha radiation cystitis, radiation cystitis, kutupa kwa chikhodzodzo, chithandizo cha khansa, chithandizo cha radiation, zizindikiro za mkodzo, chikhodzodzo