Kubyimba kw'inyuma y'uruhinja nyuma yo kuvurwa n'imirasire ya kanseri? Reka tuvuge kuri Radiation Proctitis mu buryo burambuye!

Ushobora gutekereza ko nyuma yo kurwanya kanseri no kurangiza ubuvuzi bugoye nko kuvura hakoreshejwe imirasire, wumva uruhutse cyane, si byo? Ariko rimwe na rimwe, nyuma y'ubu buryo bwo kuvura, hashobora kuvuka ikibazo gishya. Ni ukuvuga, kubyimba cyangwa kubabara mu maraso yawe, igice cyo hasi cy'inzira y'igogora. Abaganga babyita 'Radiation Proctitis'. Uyu munsi, turaganira kuri ibi mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Proctitis y'imirasire ni iki?

Muri make, radiation proctitis ni ububyimbirwe bw'uturemangingo tw'amaraso nyuma yo kuvurwa kanseri mu gice cy'ikibuno cyawe, ari nacyo gice kiri munsi y'igifu cyawe. "Procto-" bivuga "anus". "-itis" bivuga "inflammation." Ubu bubyimbirwe bushobora gutera ububabare butandukanye, cyane cyane impinduka mu misarani.

Hari ubwoko butandukanye bwa kanseri bushobora gutera iyi ndwara, cyane cyane iyo hakoreshejwe imirasire mu kuvura kanseri yo mu kibuno:

• Kanseri y'inkondo y'umura
• Kanseri ya porositate
• Kanseri yo mu maraso
• Kanseri y'inkari
• Kanseri yo mu mura
• Kanseri y'ikibuno

Proctitis y'imirasire ibaho ryari?

Bishobora gutandukana bitewe n'umuntu ku wundi. Hari ubwoko bubiri bw'ingenzi bwa radiation proctitis, bitewe n'igihe igaragara:

1. Proctitis ikabije y'imirasire: Iyi ni ubwoko bugaragara mu buryo butunguranye. Ishobora kubaho haba mu gihe cyo kuvurwa hakoreshejwe imirasire cyangwa nyuma y'iminsi mike ubuvuzi burangiye.

2. Proctitis y'imirasire idakira: Ubwo bwoko bufata igihe kugira ngo bugaragare. Bushobora kugaragara nyuma y'amezi atatu buvuwe n'imirasire, cyangwa se imyaka ibiri cyangwa irenga.

Icy'ingenzi ni uko abantu bagera kuri 20% bahabwa imiti ivura imirasire mu gice cy'ikibuno bafite ibyago byo kurwara iyi ndwara yitwa chronic radiation proctitis.

Ni ibihe bimenyetso bya radiation proctitis?

Ibi kandi biratandukanye bitewe n'uko ufite ubwoko bw'indwara ikaze cyangwa idakira.

Ibimenyetso bya proctitis y'imirasire ikabije:

Ibi akenshi biba bike gato, bivuze ko atari bibi cyane.

• Impiswi, rimwe na rimwe hamwe n'amaraso.
• Isesemi no kuruka.
• Kubabara mu nda, kumva ugiye kuruka.
• Gukenera kujya mu bwiherero mu buryo butunguranye kandi butunguranye (guhita mu ijosi cyangwa mu ifu).
• Kumva ukeneye kujya mu bwiherero kenshi, ariko ntushobore kwituma iyo ugiye mu bwiherero (tenesmus).
• Kuva amaraso gato mu kibuno.
• Amazi asa n'ay'ururenda asohoka mu kibuno (ururenda rw'ururenda).

Ibimenyetso bya proctitis idakira y’imirasire:

Ibi bimenyetso akenshi biba bimwe n'ibyo mu gihe cy'ububabare bukabije. Ariko, bishobora kumara igihe kirekire kandi bikaba bikomeye kurusha igihe cy'ububabare bukabije. Byongeye kandi, ibi bikurikira bishobora kubaho:

• Kugabanuka k'ururenda rwawe (rectal stricture).
• Kugaragara kw'ibisebe mu maraso.
• Fistula ni ukuvuka k'umwobo mushya cyangwa inzira nshya hagati y'ibice bibiri by'umubiri bidakunze guhuzwa. Tekereza nk'aho ari isano iri hagati y'inkari n'igitsina gore.

Ni iki gitera indwara ya radiation proctitis?

Impamvu nyamukuru ni uko bibaho nk'ingaruka mbi zo kuvurwa hakoreshejwe imirasire mu kibuno cyawe. Mbere yuko utangira kuvurwa, muganga wawe azakubwira ibyiza n'ingaruka zishobora guterwa no kuvurwa hakoreshejwe imirasire kugira ngo agufashe gufata icyemezo gishingiye ku makuru.

Ni izihe mpamvu zihariye zitera indwara ya “late radiation proctitis”?

Proctitis ya radiation iteba kubaho akenshi iyo ubuvuzi bushingiye ku mirasire butuma ibintu bikurikira bibaho ku gice cy'imbere cyangwa mu ngirabuzimafatizo zikikije:

• Kwirundanya kw'ibinyabutabire bimeze nk'inkovu (fibrosis).
• Kwaguka kw'imitsi y'amaraso (telangiectasia).
• Kugabanuka kw'imitsi mito y'amaraso (arteriole).

Ni nde ufite ibyago byinshi byo kurwara proctitis y'imirasire?

Ushobora kuba uri mu kaga gakomeye ko kurwara iyi ndwara niba:

• Niba uruhu rwawe rurerure rubonye urugero rw'imirasire irenga 45 (Gy). (Gy ni igipimo cy'imirasire).
• Niba ufite `(HIV/AIDS)`.
• Niba ufite indwara yo kubyimba amara (IBD)

Ni gute indwara ya radiation proctitis ipimwa?

Muganga azasuzuma amateka y'ubuzima bwawe, abaza ibimenyetso byawe, kandi agukorere isuzuma ry'umubiri. Bashobora kandi kukugira inama yo gupima indwara nyinshi kugira ngo barebe ko hari izindi ndwara zo mu gifu zifite ibimenyetso bisa. Ibi bizamini bishobora kuba birimo:

• Gupima amaraso: Hafatwa ikizamini cy'amaraso kugira ngo harebwe niba hari ubwandu.
• Ibizamini by'umwanda: Icyitegererezo cy'umwanda wawe gisuzumwa kugira ngo harebwe amaraso cyangwa bagiteri.
• Proctoscopy: Muri ibi, muganga yitonze ashyira umuyoboro ugororotse kandi udafite icyobo (ufite kamera n'urumuri ku mpera imwe - witwa proctoscope) mu muyoboro wawe w'inyuma hanyuma agasuzuma rectum n'ikibuno cyawe.
• Sigmoidoscopy ihindagurika:Muri ibi, muganga yitonze ashyiramo umuyoboro muremure kandi woroshye (unafite kamera n'urumuri - ibi byitwa ``endoscope```) maze agasuzuma igice cyo hasi cya ``colon`` yawe.

Ntugatinye ibi bizamini. Abaganga babikora kugira ngo babafashe kumenya neza ikibazo cyawe.

Ni ubuhe buryo bw'ibanze bwo kuvura proctitis y'imirasire?

Biterwa n'uburemere bwa radiation proctitis yawe. Indwara zoroheje zishobora gukemuka nta kuvurwa. Ariko hari ibintu ushobora gukora kugira ngo ugabanye ububabare:

• Kunywa amazi arimo isukari (glucose), na electrolytes (nka sodium, chloride, potasiyumu, na bicarbonate). Ibi byitwa "ubuvuzi bwo kongera amazi mu mubiri." Ibi bishobora gufasha kugarura amazi menshi yatakaye mu mubiri.
• Imiti igabanya ubushyuhe itari iya steroide (NSAIDs)
• Imiti igabanya ububabare
• Utwuma tworoshya intebe.
• Imiti igabanya ububabare bw'umubiri (Antispasmodics).

Ku ndwara zikomeye cyane zo gukomeretsa imirasire, muganga wawe ashobora kukugira inama yo kuvura indwara nk'iyi:

• Gukoresha enema irimo umuti witwa ``(Sucralfate)```.
• Gushyira formaldehyde (formaline) mu bice byangiritsemo igipimo gito.
• Gukoresha agakoresho ko mu nda gafite ubwoko bwa corticosteroid kitwa glucocorticoid.
• Uburyo bwo kuvura bwitwa "Argon plasma coagulation." Muri ibi, ikintu cyitwa argon plasma gikoreshwa mu gutwika ahantu hava amaraso.
• Ubuvuzi bwitwa `(Hyperbaric oxygen therapy)`. Muri ubu buryo, oxygen itangwa mu cyumba gifite umuvuduko mwinshi.
• Kubagwa kugira ngo hahindurwe uburyo umwanda usohoka (`(ileostomy)` cyangwa `(colostomy)`).
• Gukuraho ibice byangiritse hakoreshejwe uburyo bwo kubaga.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Biterwa n'ibintu byinshi:

• Ingano y'ubuvuzi bw'imirasire wari ukeneye.
• Uburemere bw'ibimenyetso byawe.
• Uko umubiri wawe wifata mu gihe cy'ubuvuzi.

Muganga wawe azaguha igitekerezo cyiza kuri ibi.

Ni iki nakwitega mu gihe mfite radiation proctitis?

Ibi kandi biterwa n'uburemere bw'ibimenyetso byawe ndetse niba ufite imiterere ikabije cyangwa idakira. Ibimenyetso byawe bishobora kuba byoroheje cyangwa bikomeye. Ushobora kugira ibimenyetso gusa mu gihe cyo kuvurwa hanyuma bikagenda. Cyangwa, ibimenyetso byawe bishobora kugenda hanyuma bikagaruka, cyangwa bikamara igihe kirekire.

Muganga wawe azagusobanurira neza icyo ugomba kwitega, bitewe n'uko ikibazo cyawe kimeze. Ntugahangayike, bazagufasha.

Ese indwara ya Radiation Proctitis irakira burundu?

Bitandukanye bitewe n'umuntu ku giti cye. Kuri bamwe, ibimenyetso bya radiation proctitis birashira nyuma yo kurangiza kuvurwa hakoreshejwe imirasire. Ariko, radiation proctitis idakira ishobora kuba indwara y'igihe kirekire, bivuze ko ushobora kugira ibimenyetso bihoraho. Vugana na muganga wawe kuri ibi. Bazagusobanurira uburyo bateganya gusuzuma radiation proctitis n'uburyo bwo kuyikurikirana no kuyivura kugira ngo bagabanye ibyago byo kugira ibimenyetso by'igihe kirekire.

Ese indwara ya radiation proctitis ishobora kwirindwa?

Abaganga bagerageza kugabanya cyangwa gukumira indwara yo gukomeretsa imirasire bakoresheje uburyo bugezweho bwo kuvura imirasire. Urugero, bakoresha uburyo nka "image-guided radiation therapy" na "intensity-modulated radiation therapy". Ubu buryo bugabanya imirasire igera ku ngingo zawe zo mu maraso n'izindi ngingo zikikije mu gihe bica uturemangingo twa kanseri.

Bashobora kandi kugerageza ibintu nk'ibi kugira ngo bagabanye imirasire ku ngingo nzima:

• Uzajya uryamye mu cyumba cyo kuraramo mu gihe cy'ubuvuzi bw'imirasire.
• Bitanga uburinzi binyuze mu gutera ikintu cyitwa "collagen" hagati y'uturemangingo tw'imbere n'uturemangingo twa prostate.
• Ipuleti yuzuye amazi (agapira ko mu nda) ishyirwa mu maraso yawe witonze kugira ngo ifashe prostate kuguma mu mwanya wayo.

Ni iyihe ndyo nziza yo kuvura indwara ya radiation proctitis?

Muganga wawe ashobora kukugira inama yo guhindura indyo yawe kugira ngo ugabanye ibimenyetso by’igifu bishobora kwangiza cyane ingirangingo zibyimba. Ashobora kukugira inama nk'izi:

• Kugabanya ibikomoka ku mata (amata, foromaje, amavuta, yawurute).
• Kugabanya ibiryo birimo ibinure byinshi (amagi, inyama zirimo ibinure - inyama z'inka, ibice by'ingurube birimo ibinure, inkoko zidafite uruhu - n'amavuta - amavuta ya kokonati, amavuta ya palme).
• Kurya ibiryo byinshi birimo fibre (imbuto, imboga, ibishyimbo, lentile, imbuto, nibindi). Ibintu dushobora kurya muri Sri Lanka nka kohila, mukunuwenna, n'umuneke ni byiza cyane.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibimenyetso bya radiation proctitis, menya neza ko wagiye kwa muganga. Nanone, niba usanzwe urwaye radiation proctitis kandi ibimenyetso byawe ntibikongere nyuma yo kuvurwa, menyesha muganga wawe.

Ni ibihe bibazo ngomba kubaza muganga?

Ushobora kubaza muganga wawe ibibazo nk'ibi:

• Ni amahirwe angahe yo kurwara proctitis y'imirasire?
• Ese mfite proctitis ikabije y’imirasire cyangwa proctitis idakira y’imirasire?
• Kuki proctitis idakira ifata igihe kinini kugira ngo igaragare?
• Ese indwara yanjye yoroheje cyangwa ikomeye?
• Ni ubuhe buryo bwo kuvura usaba?
• Ese kuvurwa bizakiza ibimenyetso byanjye, cyangwa bizagaruka?

Izina rishya rya Radiation Proctitis ni irihe?

Irindi zina rya radiation proctitis ni radiation proctopathy .

Irindi zina rya proctitis idakira ni radiation-associated vascular ectasias (RAVE) .

Ni izihe vitamine nziza ku ndwara ya radiation proctitis?

Ubushakashatsi bumwe na bumwe bwagaragaje ko vitamine C na vitamine E bishobora gufasha kugabanya ibimenyetso bya radiation proctitis, nko gucibwamo, kuva amaraso mu mikaya, no kwihuta mu mikaya. Ariko, ni byiza kuganira na muganga wawe kuri ibi.

Hanyuma, ubutumwa bwo kujyana mu rugo:

Kuvurwa kanseri bishobora kugutera imihangayiko. Bishobora kugorana kurushaho iyo ufite ibibazo mu ngeso zawe zo kwiyuhagira. Proctitis y'imirasire ishobora kubaho mu gihe cy'ubuvuzi bwawe, cyangwa nyuma y'amezi cyangwa imyaka.

Kubwibyo, niba ubonye impinduka cyangwa kutamererwa neza mu misarani yawe, ni ngombwa cyane kubibwira itsinda ry’abaganga. Bashobora gusuzuma niba impamvu ari radiation proctitis kandi bakakugira inama yo kuvura neza kurusha izindi. Wibuke ko utari wenyine, kandi hari abaganga bashobora kugufasha muri ibi bintu.

` Imirasire ya Proctitis, Imirasire, Kubyimba mu maraso, Ingaruka mbi za kanseri, Imirasire yo mu gituza, Proctitis ikabije, Proctitis idakira