Kuzvimba kwemudumbu mushure mekurapwa nemwaranzi yegomarara? Ngatitaurei nezve Radiation Proctitis zvakadzama!

Ungafunga kuti mushure mekurwara negomarara uye kupedza kurapwa kwakaoma senge radiation therapy, unonzwa zororo guru, handiti? Asi dzimwe nguva, mushure mekurapwa uku, dambudziko idzva rinogona kumuka. Kureva, kuzvimba kana kutsva kwe rectum yako, chikamu chezasi chemudumbu. Vanachiremba vanodana izvi kuti 'Radiation Proctitis'. Nhasi, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi Radiation Proctitis?

Zvichitaurwa zviri nyore, radiation proctitis kuzvimba kwerectum mushure mekurapa nemwaranzi yegomarara munzvimbo yako yechiuno, inova nzvimbo iri pasi pedumbu rako. "Procto-" zvinoreva "anus." "-itis" zvinoreva "kuzvimba." Kuzvimba uku kunogona kukonzera kusagadzikana kwakasiyana-siyana, kunyanya kuchinja kwemaitiro echimbuzi.

Kune mhando dzakasiyana dzegomarara dzinogona kukonzera chirwere ichi, kunyanya kana kurapwa nemwaranzi kuchishandiswa kurapa gomarara munzvimbo yechiuno:

• Kenza yemumuromo wechibereko
• Kenza yeprostate
• Kenza yemudumbu
• Kenza yemudumbu
• Kenza yechibereko
• Kenza yekumashure

Radiation proctitis inoitika rini?

Zvinogona kusiyana kubva pamunhu kuenda kumunhu. Kune mhando mbiri huru dze radiation proctitis, zvichienderana nenguva yadzinoonekwa:

1. Acute radiation proctitis: Iyi imhando yechirwere chinongoerekana chaitika. Chinogona kuitika panguva yekurapa nemwaranzi kana mazuva mashoma mushure mekunge kurapwa kwapera.

2. Chirwere chemwaranzi chisingaperi: Rudzi urwu runotora nguva kuti ruonekwe. Runogona kuonekwa mwedzi mitatu mushure mekurapwa nemwaranzi, kana kutoti makore maviri kana kupfuura.

Zvakakosha kuti vanhu vanosvika 20% vanorapwa nemwaranzi munzvimbo yechiuno vari panjodzi yekubatwa nechirwere ichi chinonzi chronic radiation proctitis.

Ndezvipi zviratidzo zveRadiation Proctitis?

Izvi zvinosiyanawo zvichienderana nekuti une chirwere cherudzi rweacute kana kuti chronic.

Zviratidzo zve acute radiation proctitis:

Izvi zvinowanzova zvishoma, zvinoreva kuti hazvina kuipa zvakanyanya.

• Manyoka, dzimwe nguva neropa.
• Kusvotwa nekurutsa.
• Kurwadziwa nedumbu, kunzwa sekunge ucharutsa.
• Kuda kamwe kamwe kuenda kuchimbuzi (kukuruma kana kubuda tsvina).
• Kunzwa kuda kuenda kuchimbuzi nguva nenguva, asi usingakwanise kubuda tsvina paunenge uchienda kuchimbuzi (tenesmus).
• Kubuda ropa zvishoma kubva muhuro.
• Mvura yakaita sematumbu ichibuda mu anus (mucoid discharge).

Zviratidzo zvechirwere che radiation proctitis chisingaperi:

Zviratidzo izvi zvinowanzofanana nezviri muchikamu cheacute. Zvisinei, zvinogona kugara kwenguva yakareba uye zvakanyanya kupfuura chikamu cheacute. Pamusoro pezvo, zvinotevera zvinogona kuitika:

• Kutetepa kwe rectum yako (rectal stricture).
• Kuonekwa kwemaronda mu rectum.
• Fistula kuumbwa kwemukana mutsva kana nzira itsva pakati penhengo mbiri dzemuviri dzisingawanzo batanidzwa. Funga nezvazvo sekubatana pakati peanus nemukadzi.

Chii chinokonzera radiation proctitis?

Chikonzero chikuru ndechekuti zvinoitika semhedzisiro yekurapa nemwaranzi munzvimbo yako yehudyu. Usati watanga kurapwa, chiremba wako achataura newe nezvemabhenefiti uye njodzi dzinogona kuitika dzekurapa nemwaranzi kuti akubatsire kuita sarudzo yakavakirwa paruzivo.

Ndezvipi zvikonzero chaizvo zve late radiation proctitis?

Kunonoka kwemwaranzi proctitis kunowanzoitika kana kurapwa nemwaranzi kuchikonzera kuti zvinhu zvinotevera zviitike kune rectum kana munyama dzakapoteredza:

• Kuunganidzwa kwenyama yakaita sevanga (fibrosis).
• Kukura kwetsinga dzeropa (telangiectasia).
• Kutetepa kwetsinga diki dzeropa (arterioles).

Ndiani ari panjodzi huru yekubatwa neradiation proctitis?

Unogona kunge uri panjodzi huru yekuva nechirwere ichi kana:

• Kana rectum yako ikawana radiation dose inopfuura 45 Gray (Gy). (Gy iyuniti yekuyera radiation).
• Kana uine mamiriro ekuti `(HIV/AIDS)`.
• Kana uine chirwere chemudumbu chinoputika (IBD)

Radiation Proctitis inoonekwa sei?

Chiremba achaongorora nhoroondo yako yezvekurapa, obvunza nezvezviratidzo zvako, uye oita bvunzo yemuviri. Vanogonawo kukurudzira bvunzo dzinoverengeka kuti vaone kana paine zvimwe zvirwere zvemudumbu zvine zviratidzo zvakafanana. Miedzo iyi inogona kusanganisira:

• Kuongororwa kweropa: Ropa rinotorwa kuti rionekwe kana paine hutachiona.
• Kuongororwa kwetsvina: Muenzaniso wetsvina yako unoongororwa kuti hauna ropa here kana kuti hauna utachiona.
• Proctoscopy: Mukuita izvi, chiremba anoisa chubhu yakatwasuka, isina chinhu (ine kamera nechiedza kune rimwe divi - chinonzi proctoscope) mu rectum yako uye anoongorora rectum yako ne anus.
• Sigmoidoscopy inochinjika:Muizvi, chiremba anoisa chubhu refu, inochinjika (ine kamera nechiedza - izvi zvinonzi ``endoscope```) uye anoongorora chikamu chezasi che``colon`` yako.

Usatya bvunzo idzi. Vanachiremba vanodziita kuti vazive kuti chii chiri kukunetsa.

Ndeipi mishonga yekutanga yekurapa radiation proctitis?

Zvinoenderana nekuoma kwe radiation proctitis yako. Zvirwere zvidiki zvinogona kupera pasina kurapwa. Zvisinei, pane zvinhu zvaunogona kuita kuderedza kusagadzikana:

• Kunwa mvura ine mvura, shuga (glucose), uye electrolytes (senge sodium, chloride, potassium, uye bicarbonate). Izvi zvinonzi "rehydration therapy." Izvi zvinogona kubatsira kudzoreredza huwandu hwemvura inorasika mumuviri.
• Mishonga inodzivirira kuzvimba isiri yesteroidal (NSAIDs)
• Mishonga yekurwadziwa kwemusoro
• Zvinopfavisa tsvina.
• Mishonga inoderedza kurwadza kwemuviri (Antispasmodics).

Kana paine zviitiko zvakakomba zve radiation proctitis, chiremba wako anogona kukurudzira kurapwa kwakadai se:

• Kushandisa enema ine mushonga unonzi ``(Sucralfate)``.
• Kuisa formaldehyde (formalin) shoma munzvimbo dzakakanganiswa.
• Kushandisa rectal suppository ine rudzi rwe corticosteroid inonzi glucocorticoid.
• Mushonga unonzi ``Argon plasma coagulation.`` Muchiitiko ichi, chimwe chinhu chinonzi argon plasma chinoshandiswa kupisa nzvimbo dzinobuda ropa.
• Mushonga unonzi `(Hyperbaric oxygen therapy)`. Mukuita izvi, okisijeni inopihwa mukamuri rine kumanikidzwa kwakanyanya.
• Kuvhiyiwa kwekuchinja nzira inoburitswa tsvina (`(ileostomy)` kana `(colostomy)`).
• Kubviswa kwezvikamu zvakakanganiswa nekuvhiyiwa.

Ndichakurumidza sei kunzwa zviri nani mushure mekurapwa?

Zvinoenderana nezvinhu zvakati wandei:

• Kurapwa nemwaranzi kwakawanda sei kwawaida.
• Kuoma kwezviratidzo zvako.
• Maitiro emuviri wako pakurapwa.

Chiremba wako achakupa pfungwa iri nani nezvenyaya iyi.

Chii chandingatarisira kana ndiine radiation proctitis?

Izvi zvinoenderanawo nekuoma kwezviratidzo zvako uye kana uine chimiro chakasimba kana chenguva refu. Zviratidzo zvako zvinogona kunge zviri zvishoma kana zvakanyanya. Unogona kuva nezviratidzo panguva yekurapwa chete wozobva wapera. Kana, zviratidzo zvako zvinogona kupera zvozodzoka, kana kuti zvinogona kugara kwenguva yakareba.

Chiremba wako achakutsanangurira chaizvo zvaunotarisira, zvichienderana nemamiriro ako ezvinhu. Usazvidya mwoyo, vachakubatsira.

Radiation Proctitis inorapika zvachose here?

Zvinosiyana kubva pamunhu nemunhu. Kune vamwe vanhu, zviratidzo zve radiation proctitis zvinopera mushure mekunge kurapwa nemwaranzi kwapera. Zvisinei, chronic radiation proctitis inogona kuva chirwere chenguva refu, zvichireva kuti ungave uine zviratidzo zvinoramba zvichiitika. Taura nachiremba wako nezveizvi. Vachatsanangura kuti vanoronga sei kuongorora radiation proctitis uye maitiro ekutarisa nekurapa kuti vaderedze njodzi yezviratidzo zvenguva refu.

Radiation Proctitis inogona kudzivirirwa here?

Vanachiremba vari kuedza kuderedza kana kudzivirira radiation proctitis vachishandisa nzira dzemazuva ano dzekurapa nemwaranzi. Semuenzaniso, vanoshandisa nzira dzakadai se "image-guided radiation therapy" uye "intensity-modulated radiation therapy". Nzira idzi dzinoderedza kuratidzwa kwemwaranzi kumatishu ako emudumbu nedzimwe nhengo dzakapoteredza uku vachiuraya masero ekenza.

Vangaedzawo zvinhu zvakaita seizvi kuderedza kuratidzwa kwemwaranzi kunyama dzine hutano:

• Ucharara wakarara panguva yekurapwa kwako nemwaranzi.
• Inopa dziviriro nekuisa chinhu chinonzi "collagen" pakati pe rectum neprostate gland.
• Bharuni rakazadzwa nemvura (bharuni remukati medumbu) rinoiswa nokungwarira murectum yako kuti ribatsire kubata prostate panzvimbo payo.

Ndeipi kudya kwakanakisisa kwe radiation proctitis?

Chiremba wako anogona kukurudzira shanduko pakudya kwako kuti uderedze zviratidzo zvemudumbu zvinogona kukuvadza zvakanyanya nyama dzakazvimba. Vanogona kukurudzira zvinhu zvakaita se:

• Kuderedza kudya zvigadzirwa zvemukaka (mukaka, chizi, bota, yogati).
• Kuderedza zvekudya zvine mafuta akawanda (mazai, nyama ine mafuta - nyama yemombe, nyama yenguruve ine mafuta, huku isina ganda - uye mafuta - mafuta ekokonati, mafuta emuchindwe).
• Kudya zvekudya zvakawanda zvine faibha (michero, miriwo, bhinzi, nyemba, nzungu, nezvimwewo) Zvinhu zvatinogona kudya muSri Lanka zvakaita sekohila, mukunuwenna, nebhanana zvakanaka kwazvo.

Ndinofanira kuona chiremba rini?

Kana uine zviratidzo zve radiation proctitis, iva nechokwadi chekuona chiremba. Uyewo, kana ukaonekwa uine radiation proctitis uye zviratidzo zvako zvikasavandudzika mushure mekurapwa, zivisa chiremba wako.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Unogona kubvunza chiremba wako mibvunzo yakaita seiyi:

• Mikana yangu yekubatwa ne radiation proctitis ndeipi?
• Ndine chirwere che acute radiation proctitis here kana kuti chronic radiation proctitis?
• Sei chirwere che radiation proctitis chinotora nguva yakareba kudaro kuti chionekwe?
• Dambudziko rangu riri nyore here kana kuti rakakomba?
• Munokurudzira kurapwa kupi?
• Kurapwa kucharapa zviratidzo zvangu here, kana kuti zvichadzoka?

Zita idzva reRadiation Proctitis nderei?

Rimwe zita re radiation proctitis i radiation proctopathy .

Rimwe zita rechirwere che radiation proctitis chronic iradiation-associated vascular ectasias (RAVE) .

Mavhitamini api anobatsira pakurapa chirwere che radiation proctitis?

Dzimwe ongororo dzakawana kuti vhitamini C nevhitamini E zvinogona kubatsira kuderedza zviratidzo zve radiation proctitis, zvakaita semanyoka, kubuda ropa mudumbu, uye kukasika kwemudumbu. Zvisinei, zvakanaka kutaura nachiremba wako nezveizvi.

Pakupedzisira, meseji yekuenda nayo kumba:

Kurapwa kenza kunogona kunetsa. Zvinogona kutonyanya kuoma kana uine matambudziko nemaitiro ako ekuenda kuchimbuzi. Kurapwa kwekenza kunogona kuitika panguva yekurapwa kwako, kana mwedzi kana makore gare gare.

Saka, kana ukaona shanduko kana kusagadzikana mumaitiro ako ekugezera, zvakakosha kuudza timu yako yezvekurapa nezvazvo. Vanogona kuona kana chikonzero chiri radiation proctitis uye vanokurudzira mushonga unoshanda zvakanyanya kwauri. Yeuka, hausi wega, uye kune vanachiremba vanogona kukubatsira nezvinhu izvi.

` Radiation Proctitis, Kurapa neRadiation, Kuzvimba muRectal, Mhedzisiro yeKenza, Radiation muPelvic, Acute Proctitis, Chronic Proctitis