Kurapwa kwegomarara kuri kukonzera matambudziko emudumbu here? Ngatidzidzei nezve radiation enteritis.

Kana uri kurapwa nemwaranzi yegomarara, kana mumwe munhu waunoziva ari kurapwa uku, pamwe unoziva kuti dzimwe nguva unonzwa kusagadzikana mudumbu. Saka nhasi tichataura nezvemhedzisiro inogona kuita kurapwa nemwaranzi padumbu, chirwere chinonzi Radiation Enteritis . Hapana chekutya, kana ukaziviswa zvakanaka nezveizvi, unogona kuderedza matambudziko akawanda.

Chii chinonzi Radiation Enteritis?

Muchidimbu, Radiation Enteritis kukuvara kana kuzvimba kweura hwako kunokonzerwa nemwaranzi . Sezvaunoziva, zvinhu zvine mwaranzi zvinoshandiswa kurapa zvirwere zvakaita sekenza kuparadza masero asina kujairika. Uku kurapa kwakajairika kwete chete kwekenza asiwo kune zvimwe zvirwere zvine chekuita neropa.

Chirwere ichi chine mamwe mazita akati wandei, uye chiremba wako anogona kushandisa rimwe remazita aya:

• `(Chirwere chemwaranzi yepelvic)`
• `(Radiation colitis)` (Iri izita rinopiwa kuzvimba kunoitika muura hukuru)
• `(Radiation enteropathy)`
• (Chirwere chemudumbu chinokonzerwa nemwaranzi)`
• `(Radiation mucositis)` (Izvi zvinoreva kukuvara kwemukati memukati)

Kune mhando dzeizvi here?

Ehe, kune mhando mbiri huru dzeRadiation Enteritis. Idzi ndeidzi:

1. Acute Radiation Enteritis: Izvi zvinoitika paunenge uchirapwa nemwaranzi. Mashoko akanaka ndeekuti zviratidzo izvi zvinowanzopera zvachose mukati memavhiki mashoma.

2. Chirwere cheChronic Radiation Enteritis: Izvi zvakasiyana zvishoma. Chinoitika mwedzi, kunyange makore, mushure mekunge kurapwa kwapera. Dambudziko riripo nderekuti zviratidzo zvinogona kugara newe kwenguva yakareba uye dzimwe nguva matambudziko anogona kuitika.

Radiation Enteritis yakajairika zvakadii? Ndiani ari panjodzi huru?

Kare, chirwere ichi chaiwanzoitika. Kureva kuti, paishandiswa kurapwa nemwaranzi yekare, inenge hafu yevanhu vairapwa mudumbu kana muchiuno vaibatwa nemwaranzi. Zvisinei , nekurapwa nemwaranzi kwemazuva ano, njodzi yekubatwa nemwaranzi kwenguva refu yakadzikira zvikuru .

Zvisinei, vamwe vanhu vanogona kunge vari panjodzi yakakura zvishoma kupfuura vamwe. Pane zvikonzero zvakawanda zveizvi:

• Zvirwere zvinoderedza kuyerera kweropa mudumbu: Semuenzaniso, kana uine chirwere cheshuga kana BP yakakwira, huwandu hweropa rinoyerera mudumbu hunogona kuderedzwa, uye kukuvara nemwaranzi kunogona kutora nguva yakareba kuti kupore, kana kukuvara kwacho kunogona kutowedzera.
• Chero mamiriro ekuzvimba aripo munyama:Fungidzira uine chirwere chakadai sechirwere chekuzvimba kwechiuno. Saka, nekuti nzvimbo iyoyo yatove nenjodzi, inogona kukuvara nemwaranzi.
• Mamwe marapirwo anouraya masero: Kana uri kugamuchira mamwe marapirwo, akadai sechemotherapy, pamwe chete nemwaranzi, njodzi inogona kuwedzera nekuti inokanganisawo masero.
• Kusadya zvakanaka: Kana muviri usingawani kudya kwakakodzera kwaunoda, maitiro ekugadzirisa masero anokanganiswa.
• Kusvuta uye kushandisa fodya: Izvi zvinoderedza kugona kwemuviri kuporesa.
• Kuva nemavanga ekuvhiyiwa kwemudumbu: Zvinhu izvi zvinogonawo kuwedzera kunzwa kwemudumbu.

Kurapwa nemwaranzi kunokanganisa sei ura?

Kurapa nemwaranzi kunogara kuchishandiswa zvinhu zvine mwaranzi, kazhinji kwemavhiki akati wandei. Kana mwaranzi iyi ikarovawo masero ane hutano, inokonzera kuzvimba uye kukuvara kwenyama . Masero ari mukati meura hwedu (ndiko kuti, masero ari muura) anonyanya kunzwa migumisiro yemwaranzi.

Kugara uchisangana nemwaranzi kunogona kuparadza masero anobatsira kudzivirira hutachiona uye kudzora huwandu hwemvura mumuviri. Kana mwaranzi yawakagamuchira yakakwira, uye nzvimbo yeura yakarapwa yakakura, njodzi yekubatwa nemwaranzi inokura.

Zviratidzo zvacho ndezvipi?

Zviratidzo zve radiation enteritis zvinogona kusiyana zvishoma kubva pamunhu kuenda kumunhu. Zvinoenderanawo nekuti chirwere ichi chakanyanya here kana kuti hachigari. Zviratidzo zvakajairika zvinosanganisira:

• Kurwadziwa kwemudumbu nekurwadza kwemuviri .
• Dumbu rakazvimba .
• Manyoka : Kubvisa tsvina kakawanda pazuva.
• Kushaya chido chekudya .
• Kusvotwa nekurutsa .
• Kurwadziwa kana uchiita tsvina .
• Kubuda ropa mutsvina kana kurwadziwa .
• Kuderedza uremu zvisina kurongerwa .
• Kunzwa kuda kuita tsvina kamwe kamwe (kuda kuita tsvina nekukurumidza) .

Kana uine chimwe chezviratidzo izvi kana kupfuura, unofanira kuona chiremba nekukasika .

Ndezvipi zvinetso zvinogona kukonzera izvi?

Kuzvimba uku kunoramba kuripo uye kukuvara kweura kunogona kukonzera mamwe matambudziko. Izvi zvinowanzobatanidzwa nechirwere che enteritis chisingaperi (radiation).

• Kushaya mvura mumuviri : Manyoka nekurutsa zvinoita kuti muviri urasikirwe nemvura nemunyu.
• Kusawirirana kwema electrolyte: Huwandu hwemunyu (senge sodium ne potassium) mumuviri hunova husina kuenzana.
• Fistula : Apa ndipo panoumbwa kubatana kusina kujairika, chimiro chakaita sechubhu, pakati peura hwako neimwe nhengo iri pedyo (semuenzaniso, dundira, nhengo yemukadzi).
• Kuboorwa kwedumbu : Buri riri pamadziro eura rinogona kuitika. Izvi zvinokonzeresa emergency.
• Kusanyungudika kwemuviri : Muviri haugone kupinza zvinovaka muviri kubva muchikafu zvakanaka.
• Kuvharika kweura hudiki : Kuvharika kunogona kuitika kune imwe nzvimbo muura hudiki.
• Kuoma : Chikamu cheura chinova chakatetepa, zvichiita kuti zviomere chikafu kupfuura nepakati.
• Maronda : Maronda anogona kuumbwa muura, zvakafanana nemaronda emudumbu anonzi gastritis. Dzimwe nguva izvi zvinogona kukura kuita chirwere chepeptic ulcer.

Havasi vese vanowana matambudziko aya, asi kana uine zviratidzo, zvakakosha kuudza chiremba wako usingazviregeredze.

Radiation Enteritis inoonekwa sei?

Vanachiremba vanowanzo ongorora chirwere ichi nekukubvunza nezvezviratidzo zvako uye kudzidza kuti wakagara kwenguva yakareba sei uchirapwa nemwaranzi .

Zvisinei, chiremba wako anogona kukurudzira kuti uedze mimwe miedzo kuti uzive zvimwe zvirwere uye kuti unzwisise kuoma kwechirwere chako. Izvi zvinosanganisira:

• Kuedza kufema kwehydrogen kuti uone kana mabhakitiriya awanda zvakanyanya.
• Endoscopy (Endoscopy yepazasi kana yepamusoro) : Izvi zvinosanganisira kuisa chubhu ine kamera muura hudiki kuti utarise mukati. Kana zvichidikanwa, chidimbu chidiki chenyama (biopsy) chinogona kutorwa kuti chiongororwe.
• Kuongororwa kweX-ray .
• Mimwe miedzo yekufungidzira : Kana maX-ray asingape mufananidzo wakajeka, unogona kukumbirwa kuti uite CT scan kana MRI.

Inorapwa sei?

Kukuvadzwa kwenguva refu kwemasero emudumbu kunokonzerwa nekuratidzwa nemwaranzi kunogona kuoma kupora zvachose. Zvisinei, kurapwa kwechirwere chemwaranzi kunogona kukupa zororo uye kudzivirira matambudziko.

Kurapa kwako kunogona kusanganisira:

• Mishonga inorwisa mabhakitiriya inonyorerwa kana paine mabhakitiriya asingadiwe mudumbu.
• Mishonga inodzivisa manyoka (mishonga inomisa manyoka) inoderedza manyoka, ayo anodzora mashandiro emudumbu zvishoma.
• Corticosteroids yekuderedza kuzvimba muura.
• Zvinoderedza marwadzo .

Matambudziko anorapwa sei?

Kurapwa kwakakunakira kunoenderana nerudzi rwedambudziko raunaro. Semuenzaniso, zvirwere zvakaita se strictures, fistulas, uye maburi zvinowanzoda kuvhiyiwa . Kana usiri kuwana kudya kwakakwana, ungangoda zvekudya zvinovaka muviri kana kupa mwana chikafu chechubhu.

Pane nzira dzekudzivirira izvi here?

Ehe, timu yako yezvekurapa inogona kutora matanho akati wandei ekudzivirira ura hwako panguva yekurapwa nemwaranzi.

• Kushandisa michina yekugadzirisa muviri wako kuti ugare wakagadzikana panguva yekurapwa.
• Nzira dzemazuva ano dzekurapa : Semuenzaniso, nzira dzakadai se "Intensity-modulated radiation therapy (IMRT)" dzinogona kutungamira mwaranzi kunzvimbo chaiyo inodiwa. Izvi zvinoderedza zvikuru kukuvara kwenyama ine hutano.
• Kuisa zvidziviriro paura hwako kana rectum.

Unogona kutaura nachiremba wako nezvenyaya iyi kuti uwane rumwe ruzivo.

Zvinotora nguva yakareba sei kuti munhu apore?

Vanhu vane chirwere cheAcute Radiation Enteritis vanowanzo nzwa kurerukirwa mukati memavhiki mashoma . Zvisinei, kana uine chirwere cheAcute Radiation Enteritis, zvinogona kutora mwedzi yakati wandei kuti unyatsopora . Dzimwe nguva ungafanira kurarama nezviratidzo uye kuzvigadzirisa.

Zvinhu zvekurangarira kana uchirarama neRadiation Enteritis

Kazhinji, mabhenefiti ekurapwa negomarara anodarika njodzi dzekubatwa nechirwere chemwaranzi. Saka, kunyangwe kana uri kunzwa kusagadzikana, hazvina kunaka kurega kurapwa nemwaranzi usina kurairwa nachiremba.

Kana uchinetseka nezvekuti radiation enteritis ingakanganisa sei hutano hwako, iva nechokwadi chekutaura nachiremba wako . Iye anogona kutsanangura zvaungasarudza, zvakaita sekuchinja nguva kana dose yekurapa nemwaranzi, kana mamwe marapirwo ezviratidzo zve radiation enteritis yako.

Chii chaungaita kuti uwane zororo panguva yekurapwa nemwaranzi?

Kunyatso chengeta kudya kwako uye kunwa mvura kunogona kubatsira kuderedza kusagadzikana uye kukurumidzisa kupora.

Rega kudya zvekudya nezvinwiwa zvinonetsa kugaya:

• Doro.
• Zvinwiwa zvine kabhoni (zvinhu zvakaita sesoda) `(Zvinwiwa zvine kabhoni)`.
• Zvigadzirwa zvemukaka (vamwe vanhu vanonetseka nekugaya izvi, saka chenjera. Zvakanaka kubvunza chiremba wako).
• Zvikafu zvine mafuta, zvakagadziriswa kana zvakakangwa (semuenzaniso masoseji, machipisi).
• Zvikafu zvine fiber yakawanda, zvakaita semuriwo usina kubikwa (semuenzaniso kabichi mbishi, saradhi yemakarotsi). Zvakanakisisa kudya izvi zvakabikwa.
• Zvikafu zvinonaka.

Pane kudaro, sarudza zvekudya zvinovaka muviri zvinokunyaradza dumbu:

• Nyama isina mafuta akabikwa kana kugochwa, senge huku.
• Michero yakaita semabhanana nemaapuro.
• Michero nemiriwo zviri mumagaba (asi sarudzai zvine shuga shoma). Muriwo nemichero mitsva, yakabikwa zvakanaka zvakanakawo.
• Muto wakajeka (senge soup yehuku).
• Muriwo wakabikwa, kusanganisira makarotsi nembatatisi.
• Tositi yechingwa (isina bota) `(Tositi yakaoma)`.
• Idya zvinhu zvidiki zvakaita semupunga, manoodles, uye curd.

Chinhu chinonyanya kukosha ndechekuti kana uchinzwa kusagadzikana, taurira chiremba wako. Ipapo anogona kukupa mazano akakodzera.

Chinhu chinonyanya kukosha (Mharidzo Yekuenda Kumba)

Kurapwa nemwaranzi chirwere cheEnteritis chinowanzoitika asi chinogona kuitika kana munhu akashandisa radiation therapy. Asi musazvidya mwoyo. Nekufambira mberi kwemishonga yemazuva ano, kune nzira dzakawanda dzekudzivirira chirwere ichi uye kuchigadzirisa kana chikaitika.

Kana uri kugamuchira kurapwa nemwaranzi, vanachiremba vari kuita zvese zvavanogona kuderedza kukuvara kwenyama ine hutano. Kana uine zviratidzo zve radiation enteritis, usanyara kana kutya kuudza chiremba wako . Ipapo unogona kutanga kurapwa kunodiwa kuti unzwe zororo uye kuderedza njodzi yematambudziko. Yeuka, hausi wega, uye une timu yezvekurapa kuti ikubatsire.

Kushandiswa kwemwaranzi mudumbu , kurapwa nemwaranzi, kuzvimba mudumbu, kurapwa nekenza, migumisiro yakaipa, kushushikana mudumbu, manyoka