Kutupa kwa rectum pambuyo pa chithandizo cha khansa? Tiyeni tikambirane za Radiation Proctitis mwatsatanetsatane!

Mungaganize kuti mutalimbana ndi khansa ndikumaliza chithandizo chovuta monga chithandizo cha radiation, mumamva bwino kwambiri, sichoncho? Koma nthawi zina, mutalandira chithandizochi, vuto latsopano lingabuke. Ndiko kutupa kapena kukwiya kwa rectum yanu, gawo la pansi la kugaya chakudya. Madokotala amatcha izi 'Radiation Proctitis'. Lero, tikambirana izi mosavuta, m'njira yomwe mungamvetse.

Kodi Radiation Proctitis ndi chiyani?

Mwachidule, radiation proctitis ndi kutupa kwa rectum yanu pambuyo pa chithandizo cha radiation cha khansa m'chiuno mwanu, chomwe ndi malo omwe ali pansi pa mimba yanu. "Procto-" amatanthauza "anus." "-itis" amatanthauza "kutupa." Kutupa kumeneku kungayambitse mavuto osiyanasiyana, makamaka kusintha kwa zizolowezi za chimbudzi.

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

• Khansa ya pachibelekero
• Khansa ya prostate
• Khansa ya m'matumbo
• Khansa ya chikhodzodzo cha mkodzo
• Khansa ya m'chiberekero
• Khansa ya m'makoswe

Kodi radiation proctitis imachitika liti?

Zingasiyane malinga ndi munthu. Pali mitundu iwiri ikuluikulu ya radiation proctitis, kutengera nthawi yomwe imawonekera:

1. Matenda a radiation proctitis: Uwu ndi mtundu wa matenda omwe amawonekera mwadzidzidzi. Angachitike panthawi ya chithandizo cha radiation kapena masiku angapo chithandizo chitatha.

2. Matenda a radiation proctitis osatha: Mtundu uwu umatenga nthawi kuti uwonekere. Ungawonekere miyezi itatu mutalandira chithandizo cha radiation, kapena zaka ziwiri kapena kuposerapo.

Chofunika kwambiri n’chakuti, pafupifupi 20% ya anthu omwe amalandira chithandizo cha radiation m’chiuno ali pachiwopsezo chotenga matenda otchedwa chronic radiation proctitis.

Kodi zizindikiro za Radiation Proctitis ndi ziti?

Izi zimasiyananso malingana ndi mtundu wanu wa matenda a pakhungu kapena osachiritsika.

Zizindikiro za proctitis yoopsa ya radiation:

Izi nthawi zambiri zimakhala zochepa pang'ono, zomwe zikutanthauza kuti sizoipa kwambiri.

• Kutsegula m'mimba, nthawi zina ndi magazi.
• Kusanza ndi kusanza.
• Kupweteka m'mimba, kumva ngati kuti mukusanza.
• Kufunika mwadzidzidzi komanso kosapiririka kopita kuchimbudzi (kuthamanga kwa m'mimba kapena m'matumbo).
• Kumva kufuna kupita kuchimbudzi pafupipafupi, koma osatha kuchita chopondapo (tenesmus).
• Kutuluka magazi pang'ono kuchokera ku anus.
• Madzi ofanana ndi ntchofu akutuluka mu anus (kutuluka kwa mucoid).

Zizindikiro za proctitis yowopsa ya radiation:

Zizindikiro zimenezi nthawi zambiri zimakhala zofanana ndi zomwe zimachitika mu gawo la pachimake. Komabe, zimatha kukhala nthawi yayitali komanso kukhala zoopsa kwambiri kuposa gawo la pachimake. Kuphatikiza apo, zotsatirazi zitha kuchitika:

• Kuchepa kwa rectum yanu (kuchepa kwa rectum).
• Kupezeka kwa zilonda mu rectum.
• Fistula ndi kupangika kwa mpata watsopano pakati pa ziwalo ziwiri za thupi zomwe sizimalumikizana nthawi zambiri. Taganizirani izi ngati kulumikizana pakati pa anus ndi nyini.

Kodi n’chiyani chimayambitsa radiation proctitis?

Chifukwa chachikulu ndichakuti zimachitika ngati zotsatira zoyipa za chithandizo cha radiation m'chiuno mwanu. Musanayambe chithandizo, dokotala wanu adzakambirana nanu za ubwino ndi zoopsa zomwe zingachitike chifukwa cha chithandizo cha radiation kuti akuthandizeni kupanga chisankho chodziwa bwino.

Kodi ndi zifukwa ziti zenizeni za proctitis ya radiation yochedwa?

Kutupa kwa radiation kochedwa nthawi zambiri kumachitika pamene chithandizo cha radiation chimayambitsa zinthu zotsatirazi ku rectum kapena minofu yozungulira:

• Kusonkhanitsa minofu yonga zipsera (fibrosis).
• Kukulitsa mitsempha yamagazi (telangiectasia).
• Kuchepa kwa mitsempha yamagazi yaying'ono (arterioles).

Ndani ali pachiwopsezo chachikulu cha matenda a radiation proctitis?

Mungakhale pachiwopsezo chachikulu chotenga matendawa ngati:

• Ngati rectum yanu yalandira mlingo wa radiation woposa 45 Gray (Gy). (Gy ndi gawo loyezera radiation).
• Ngati muli ndi vuto la `(HIV/AIDS)`.
• Ngati muli ndi matenda a kutupa m'matumbo (IBD)

Kodi Radiation Proctitis imapezeka bwanji?

Dokotala adzawunikanso mbiri yanu yachipatala, adzakufunsani za zizindikiro zanu, ndikukupimitsani thupi. Angakulangizeninso mayeso angapo kuti apeze matenda ena am'mimba omwe ali ndi zizindikiro zofanana. Mayesowa angaphatikizepo:

• Kuyezetsa magazi: Kuyezetsa magazi kumatengedwa kuti kuone ngati ali ndi matenda.
• Kuyezetsa ndowe: Chitsanzo cha ndowe yanu chimafufuzidwa ngati chili ndi magazi kapena mabakiteriya.
• Proctoscopy: Pa izi, dokotala amaika mosamala chubu chowongoka, chopanda kanthu (chomwe chili ndi kamera ndi kuwala kumapeto kwina - kotchedwa proctoscope) mu rectum yanu ndikuyang'ana rectum yanu ndi anus yanu.
• Sigmoidoscopy yosinthasintha:Mu izi, dokotalayo amaika mosamala chubu chachitali komanso chosinthasintha (chomwe chili ndi kamera ndi kuwala - ichi chimatchedwa ``endoscope```) ndikuyang'ana gawo la pansi la ``colon`` yanu.

Musaope mayeso awa. Madokotala amachita zimenezi kuti awathandize kudziwa chomwe chikukuvutani.

Kodi chithandizo choyamba cha radiation proctitis ndi chiyani?

Zimatengera kuopsa kwa radiation proctitis yanu. Matenda ofooka amatha popanda chithandizo. Komabe, pali zinthu zomwe mungachite kuti muchepetse kusasangalala:

• Kumwa madzi okhala ndi madzi, shuga (glucose), ndi ma electrolyte (monga sodium, chloride, potaziyamu, ndi bicarbonate). Izi zimatchedwa "rehydration therapy." Izi zingathandize kubwezeretsa kuchuluka kwa madzi omwe amatayika m'thupi.
• Mankhwala oletsa kutupa (NSAIDs)
• Mankhwala ochepetsa ululu
• Zofewetsa chimbudzi.
• Mankhwala ochepetsa kupweteka kwa thupi (Antispasmodics).

Pa milandu yoopsa kwambiri ya radiation proctitis, dokotala wanu angakulangizeni mankhwala monga:

• Kugwiritsa ntchito enema yokhala ndi mankhwala otchedwa ``(Sucralfate)```.
• Kuika formaldehyde (formalin) yochepa m'malo okhudzidwa.
• Kugwiritsa ntchito suppository ya rectal yokhala ndi mtundu wa corticosteroid wotchedwa glucocorticoid.
• Mankhwala otchedwa ``Argon plasma coagulation``. Mu izi, chinthu chotchedwa argon plasma chimagwiritsidwa ntchito kuwotcha madera omwe akutuluka magazi.
• Chithandizo chotchedwa `(Hyperbaric oxygen therapy)`. Mu ichi, mpweya umaperekedwa m'chipinda chokhala ndi mpweya wopanikizika kwambiri.
• Opaleshoni yosintha momwe chopondacho chimatulutsidwira (`(ileostomy)` kapena `(colostomy)`).
• Kuchotsa ziwalo zomwe zakhudzidwa ndi opaleshoni.

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

Zimatengera zinthu zingapo:

• Kodi munafunikira chithandizo cha radiation chochuluka bwanji.
• Kuopsa kwa zizindikiro zanu.
• Mmene thupi lanu limayankhira pa chithandizo.

Dokotala wanu adzakupatsani lingaliro labwino pa izi.

Kodi ndingayembekezere chiyani ngati ndili ndi radiation proctitis?

Izi zimadaliranso kuopsa kwa zizindikiro zanu komanso ngati muli ndi mawonekedwe owopsa kapena osatha. Zizindikiro zanu zitha kukhala zochepa kapena zazikulu. Mutha kukhala ndi zizindikiro pokhapokha panthawi ya chithandizo kenako nkutha. Kapena, zizindikiro zanu zitha kutha kenako nkubwereranso, kapena zitha kukhalapo kwa nthawi yayitali.

Dokotala wanu adzakufotokozerani zomwe mungayembekezere, kutengera momwe zinthu zilili. Musadandaule, adzakuthandizani.

Kodi Radiation Proctitis imatha kuchiritsidwa kwathunthu?

Zimasiyana malinga ndi munthu. Kwa anthu ena, zizindikiro za radiation proctitis zimatha pambuyo poti chithandizo cha radiation chatha. Komabe, radiation proctitis yosatha ikhoza kukhala vuto la nthawi yayitali, zomwe zikutanthauza kuti mungakhale ndi zizindikiro zomwe zikupitirira. Lankhulani ndi dokotala wanu za izi. Adzafotokoza momwe akukonzekera kupeza radiation proctitis ndi momwe angayang'anire ndikuchiza kuti achepetse chiopsezo cha zizindikiro za nthawi yayitali.

Kodi Radiation Proctitis ingapewedwe?

Madokotala akuyesera kuchepetsa kapena kupewa radiation proctitis pogwiritsa ntchito njira zamakono zothandizira ndi ma radiation. Mwachitsanzo, amagwiritsa ntchito njira monga "image-guided radiation therapy" ndi "intensity-modulated radiation therapy". Njirazi zimachepetsa kuwonekera kwa ma radiation ku minofu yanu ya m'matumbo ndi minofu ina yozungulira pamene akupha maselo a khansa.

Angayesenso zinthu ngati izi kuti achepetse kukhudzana ndi kuwala kwa dzuwa ku minofu yathanzi:

• Mudzagonekedwa chagada panthawi ya chithandizo chanu cha radiation.
• Zimateteza pobayira chinthu chotchedwa ``collagen'' pakati pa rectum yanu ndi prostate gland.
• Baluni yodzaza ndi madzi (baluni ya endorectal) imayikidwa mosamala mu rectum yanu kuti ithandize prostate kugwira bwino ntchito.

Kodi zakudya zabwino kwambiri za radiation proctitis ndi ziti?

Dokotala wanu angakulangizeni kusintha zakudya zanu kuti muchepetse zizindikiro za m'mimba zomwe zingawononge minofu yotupa. Angakulangizeni zinthu monga:

• Kuchepetsa mkaka (mkaka, tchizi, batala, yogurt).
• Kuchepetsa zakudya zokhala ndi mafuta ambiri okhuta (mazira, nyama yonenepa - ng'ombe, nyama ya nkhumba yonenepa, nkhuku yopanda khungu - ndi mafuta - mafuta a kokonati, mafuta a kanjedza).
• Kudya zakudya zambiri zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba, nyemba, mphodza, mtedza, ndi zina zotero) Zinthu zomwe tingadye ku Sri Lanka monga kohila, mukunuwenna, ndi nthochi ndi zabwino kwambiri.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro za radiation proctitis, onetsetsani kuti mwawonana ndi dokotala. Komanso, ngati mwapezeka ndi radiation proctitis ndipo zizindikiro zanu sizikusintha mutalandira chithandizo, dziwitsani dokotala wanu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Mungathe kufunsa dokotala wanu mafunso monga awa:

• Kodi mwayi wanga woti ndikhale ndi radiation proctitis ndi wotani?
• Kodi ndili ndi matenda a acute radiation proctitis kapena chronic radiation proctitis?
• Nchifukwa chiyani matenda a radiation proctitis amatenga nthawi yayitali kuti awonekere?
• Kodi vuto langa ndi lofatsa kapena lovuta?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi chithandizo chidzathetsa zizindikiro zanga, kapena chidzabwereranso?

Kodi dzina latsopano la Radiation Proctitis ndi liti?

Dzina lina la radiation proctitis ndi radiation proctopathy .

Dzina lina la matenda a radiation proctitis osatha ndi radiation-associated vascular ectasias (RAVE) .

Ndi mavitamini ati omwe ndi abwino kwa radiation proctitis?

Kafukufuku wina wapeza kuti vitamini C ndi vitamini E zingathandize kuchepetsa zizindikiro za radiation proctitis, monga kutsegula m'mimba, kutuluka magazi m'matumbo, komanso kufulumira kwa m'matumbo. Komabe, ndi bwino kulankhula ndi dokotala wanu za izi.

Pomaliza, uthenga wopita nawo kunyumba:

Kulandira chithandizo cha khansa kungakhale kovuta kwambiri. Kungakhale kovuta kwambiri ngati muli ndi mavuto ndi zizolowezi zanu zopita kuchimbudzi. Kutupa kwa radiation proctitis kumatha kuchitika panthawi ya chithandizo chanu, kapena miyezi ingapo kapena zaka zingapo pambuyo pake.

Choncho, ngati muwona kusintha kulikonse kapena kusasangalala ndi chimbudzi chanu, ndikofunikira kwambiri kuuza gulu lanu lachipatala za izi. Akhoza kuzindikira ngati chomwe chimayambitsa ndi radiation proctitis ndikukulangizani chithandizo chothandiza kwambiri. Kumbukirani, simuli nokha, ndipo pali madokotala omwe angakuthandizeni ndi izi.

` Radiation Proctitis, Chithandizo cha Radiation, Kutupa kwa Rectal, Zotsatirapo za Khansa, Radiation ya Pelvic, Acute Proctitis, Chronic Proctitis