Ingaba unyango lomhlaza lubangela iingxaki zamathumbu? Masifunde nge-radiation enteritis.

Ukuba usebenzisa unyango lwe-radiation ngenxa yomhlaza, okanye ukuba umntu omaziyo usebenzisa olu nyango, mhlawumbi uyazi ukuba ngamanye amaxesha ufumana ukungakhululeki okuncinci kwamathumbu. Ngoko ke namhlanje siza kuthetha ngempembelelo enokubakho kunyango lwe-radiation kumathumbu, imeko ebizwa ngokuba yi -Radiation Enteritis . Akukho nto yokoyika, ukuba unolwazi olufanelekileyo malunga noku, unganciphisa iingxaki ezininzi.

Yintoni i-Radiation Enteritis?

Ngamafutshane, i-Radiation Enteritis kukulimala okanye ukudumba kwamathumbu akho okubangelwa lunyango lwe-radiation . Njengoko usazi, izinto ezine-radioactive zisetyenziselwa ukunyanga izifo ezinje ngomhlaza ukutshabalalisa iiseli ezingaqhelekanga. Olu lunyango oluqhelekileyo kungekuphela nje lomhlaza kodwa nakwezinye izifo ezinxulumene negazi.

Le meko inamagama amaninzi, kwaye ugqirha wakho angasebenzisa elinye lala magama:

• `(Isifo semitha ye-pelvic)`
• `(I-radiation colitis)` (Eli ligama elinikwa ukudumba okwenzeka ngokukodwa emathunjini amakhulu)
• `(I-radiation enteropathy)`
• (Isifo samathumbu esibangelwa yimitha)`
• `(I-radiation mucositis)` (Oku kubhekisa kumonakalo kwi-mucous membrane)

Ngaba kukho iintlobo zezi?

Ewe, zimbini iintlobo eziphambili ze-Radiation Enteritis. Nazi:

1. I-Acute Radiation Enteritis: Oku kwenzeka ngelixa ufumana unyango lwe-radiation. Iindaba ezimnandi zezokuba ezi mpawu zihlala ziphela ngokupheleleyo kwiiveki ezimbalwa.

2. I-Chronic Radiation Enteritis: Oku kwahlukile kancinci. Kwenzeka kwiinyanga, kwaneminyaka, emva kokuba unyango luphelile. Ingxaki apha kukuba iimpawu zinokuhlala nawe ixesha elide kwaye ngamanye amaxesha iingxaki zinokubakho.

Ixhaphake kangakanani i-Radiation Enteritis? Ngubani osengozini enkulu?

Ngaphambili, le meko yayixhaphakile. Oko kukuthi, xa kwakusetyenziswa unyango lwemitha endala, malunga nesiqingatha sabantu ababefumana unyango esiswini okanye entlanjeni babefumana i-radiation enteritis. Nangona kunjalo , ngonyango lwemitha lwanamhlanje, umngcipheko wokuba ne-radiation enteritis engapheliyo uncitshisiwe kakhulu .

Nangona kunjalo, abanye abantu banokuba semngciphekweni ophezulu kancinci kunabanye. Kukho izizathu ezahlukeneyo zoku:

• Iimeko ezinciphisa ukuhamba kwegazi emathunjini: Umzekelo, ukuba unesifo seswekile okanye uxinzelelo lwegazi oluphezulu, ubungakanani begazi eliya emathunjini bunokuncipha, kwaye umonakalo wemitha ungathabatha ixesha elide ukuphola, okanye umonakalo unokuba mbi ngakumbi.
• Nasiphi na isifo sokudumba esikhoyo kwizicwili:Khawuthelekelele ukuba unesifo esifana nesifo sokudumba kwesisu. Emva koko, kuba loo ndawo sele ibuthathaka, kusenokwenzeka ukuba yonakaliswe yimitha.
• Ezinye iindlela zonyango ezibulala iiseli: Ukuba ufumana ezinye iindlela zonyango, ezifana ne-chemotherapy, kunye nonyango lwe-radiation, umngcipheko unokwanda kuba uchaphazela neeseli.
• Imeko yesondlo esibi: Ukuba umzimba awufumani izondlo ezifanelekileyo ozifunayo, inkqubo yokulungisa iiseli iyaphazamiseka.
• Ukutshaya nezinye iindlela zokusebenzisa icuba: Ezi zinto zinciphisa amandla omzimba okuphiliswa.
• Ukuba nezibazi ezivela kutyando lwangaphambili lwesisu: Ezi zinto zinokwandisa ubukhali bamathumbu.

Unyango lwemitha luchaphazela njani amathumbu?

Unyango ngemitha lukuchatshazelwa rhoqo zizinto ezinemitha, ngokuqhelekileyo kangangeeveki ezininzi. Xa le mitha ifikelela nakwiiseli eziphilileyo, ibangela ukudumba kunye nomonakalo kwizicubu . Iiseli ezingaphakathi kwamathumbu ethu (oko kukuthi, iiseli ezingaphakathi kwamathumbu) zinovelwano ngakumbi kwimiphumo yemitha.

Ukuvezwa rhoqo kwimitha kunokutshabalalisa iiseli ezinceda ekuthinteleni usulelo kwaye zilawule amanqanaba olwelo emzimbeni. Okukhona idosi ephezulu yemitha oyifumanayo, kwaye indawo enkulu yonyango lwamathumbu inkulu, kokukhona umngcipheko omkhulu wokufumana i-radiation enteritis.

Zithini iimpawu?

Iimpawu ze-radiation enteritis zingahluka kancinci kumntu nomntu. Zikwaxhomekeke ekubeni ibukhali okanye ayipheli. Iimpawu eziqhelekileyo ziquka:

• Intlungu yesisu kunye nokuqaqamba kwesisu .
• Isisu esidumbileyo .
• Urhudo : Ukuchitha indle ekhululekileyo izihlandlo ezininzi ngemini.
• Ukulahlekelwa yintliziyo .
• Isicaphucaphu nokuhlanza .
• Intlungu xa ukhupha indle .
• Ukopha okanye intlungu ephuma emqolo .
• Ukunciphisa umzimba ngendlela engalindelekanga .
• Ukuziva ufuna ukuya ngasese ngequbuliso (Ukufuna ukulahla indle ngokungxamisekileyo) .

Ukuba unenye okanye ngaphezulu kwezi mpawu, kufuneka ubone ugqirha ngokukhawuleza .

Zeziphi iingxaki ezinokubangela oku?

Oku kuqhubeka nokudumba kunye nomonakalo wamathumbu kunokubangela iingxaki ezithile. Ezi zidla ngokunxulunyaniswa ne-enteritis engapheliyo (imitha).

• Ukuphelelwa ngamanzi emzimbeni : Urhudo kunye nokuhlanza kubangela ukuba umzimba ulahlekelwe ngamanzi kunye neetyuwa.
• Ukungalingani kwe-electrolyte: Ubungakanani beetyuwa (ezifana nesodium kunye nepotassium) emzimbeni abulingani.
• I-Fistula : Oku kwenzeka xa unxibelelwano olungaqhelekanga, isakhiwo esifana nombhobho, luvela phakathi kwamathumbu akho nelinye ilungu elikufutshane (umz., isinyi, i-vagina).
• Ukugqobhoka kwamathumbu : Kunokwenzeka umngxuma eludongeni lwamathumbu. Le yimeko engxamisekileyo.
• Ukungafunxwa kokutya : Umzimba awukwazi ukufunxa izondlo ngendlela efanelekileyo ekutyeni.
• Ukuvaleka kwamathumbu amancinci : Ukuvaleka kunokwenzeka ndaweni ithile emathunjini amancinci.
• Ukuqina : Inxalenye yamathumbu iba mxinwa, nto leyo eyenza kube nzima ukuba ukutya kudlule.
• Izilonda : Izilonda zinokwakheka ngaphakathi kwamathumbu, njengezilonda ze-gastritis esiswini. Ngamanye amaxesha ezi zinokukhula zibe sisifo sesilonda se-peptic.

Asinguye wonke umntu ofumana ezi ngxaki, kodwa ukuba uneempawu, kubalulekile ukuxelela ugqirha wakho ngaphandle kokuzityeshela.

Ifunyanwa njani i-Radiation Enteritis?

Oogqirha badla ngokuxilonga le meko ngokukubuza ngeempawu zakho nangokufunda malunga nokuba uchithe ixesha elingakanani usetyenziswa kunyango lwemitha .

Nangona kunjalo, ugqirha wakho unokucebisa uvavanyo olongezelelweyo ukuze aqinisekise ukuba akukho ezinye iimeko zonyango kwaye aqonde ubunzulu bemeko yakho. Ezi ziquka:

• Uvavanyo lokuphefumla nge-hydrogen ukuze kubonwe ukuba iintsholongwane zikhule kakhulu na.
• I-Endoscopy (I-endoscopy esezantsi okanye ephezulu) : Oku kuquka ukufaka ityhubhu enekhamera emathunjini amancinci ukuze kujongwe ngaphakathi. Ukuba kuyimfuneko, iqhekeza elincinci lesicwili (i-biopsy) lingathathwa ukuze lihlolwe.
• Uvavanyo lwe-X-ray .
• Ezinye iimvavanyo zokuthatha imifanekiso : Ukuba ii-X-ray azibonisi mfanekiso ucacileyo, unokucelwa ukuba wenze i-CT scan okanye i-MRI.

Iphathwa njani?

Umonakalo wexesha elide kwiiseli zamathumbu obangelwa kukuvezwa kwimitha unokuba nzima ukuwuphilisa ngokupheleleyo. Nangona kunjalo, ulawulo lwezonyango lwe-radiation enteritis lunokukunika isiqabu kwaye luthintele iingxaki.

Unyango lwakho lungabandakanya:

• Ii-antibiotics ziyamiselwa ukuba kukho iintsholongwane ezingafunekiyo emathunjini.
• Amayeza okuthintela urhudo (amayeza athintela urhudo) anciphisa urhudo, olulawula ukusebenza kwamathumbu kancinci.
• Ii-corticosteroids zokunciphisa ukudumba emathunjini.
• Izithomalalisi zentlungu .

Zinyangwa njani iingxaki?

Unyango olufanelekileyo kuwe luya kuxhomekeka kuhlobo lwengxaki onayo. Umzekelo, iimeko ezifana nokuqhekeka, i-fistula, kunye nokugqobhoka zihlala zifuna utyando . Ukuba awufumani izondlo ezaneleyo, unokufuna izongezo zesondlo okanye ukondla ngetyhubhu.

Ngaba zikho iindlela zokuthintela oku?

Ewe, iqela lakho lezonyango lingathatha amanyathelo aliqela ukukhusela amathumbu akho ngexesha lonyango lwe-radiation.

• Ukusebenzisa izixhobo zokubeka umzimba wakho kwindawo efanayo ngexesha lonyango.
• Iindlela zonyango zanamhlanje : Umzekelo, iindlela ezifana ne-"Intensity-modulated radiation therapy (IMRT)" zinokukhokelela imitha kwindawo efunekayo kuphela. Oku kunciphisa kakhulu umonakalo kwizicubu ezisempilweni.
• Ukufaka izikhuselo kumathumbu amakhulu okanye i-rectum yakho.

Ungathetha nogqirha wakho ngale nto ukuze ufumane ulwazi oluthe kratya.

Kuthatha ixesha elingakanani ukuchacha?

Abantu abane-Acute Radiation Enteritis badla ngokufumana isiqabu kwiiveki ezimbalwa . Nangona kunjalo, ukuba une-Acute Radiation Enteritis engapheliyo, kungathatha iinyanga ezininzi ukuba uphile ngokupheleleyo . Ngamanye amaxesha kunokufuneka uphile neempawu kwaye uzilawule.

Izinto ekufuneka uzikhumbule xa uphila ne-Radiation Enteritis

Kwiimeko ezininzi, iingenelo zonyango lomhlaza zingaphezulu kakhulu kuneengozi zokuba ne-radiation enteritis. Ke ngoko, nokuba uziva ungonwabanga, ayisiyongcinga ilungileyo ukuyeka unyango lwe-radiation ngaphandle kwengcebiso kagqirha wakho.

Ukuba ukhathazekile ngendlela i-radiation enteritis enokuyichaphazela ngayo impilo yakho, qiniseka ukuba uthetha nogqirha wakho . Angachaza iindlela onokukhetha kuzo, njengokutshintsha i-frequency okanye idosi yonyango lwe-radiation, okanye ezinye iindlela zonyango lweempawu zakho ze-radiation enteritis.

Yintoni onokuyenza ukuze ufumane isiqabu ngexesha lonyango lwe-radiation?

Ukunyamekela ukutya kwakho kunye nokutya amanzi kunokunceda ukunciphisa ukungonwabi kunye nokukhawulezisa inkqubo yokuphiliswa.

Ziphephe ezi ntlobo zokutya neziselo ezinzima ukugaywa:

• Utywala.
• Iziselo ezinekhabhoni (izinto ezifana nesoda) `(Iziselo ezinekhabhoni)`.
• Iimveliso zobisi (abanye abantu banengxaki yokuzigaya ezi zinto, ngoko ke lumka. Kungcono ubuze ugqirha wakho).
• Ukutya okunamafutha, okucutshungulweyo okanye okuqhotsiweyo (umz. iisoseji, iifrench fries).
• Ukutya okunefayibha eninzi, njengemifuno eluhlaza (umz. ikhaphetshu eluhlaza, isaladi yeminqathe). Kungcono ukutya okubilisiweyo.
• Ukutya okuneziqholo.

Kunoko, khetha ukutya okunesondlo okukunceda ulale kakuhle:

• Inyama engenamafutha ebhakiweyo okanye eyosiweyo, njengenkukhu.
• Iziqhamo ezifana neebhanana kunye nama-apile.
• Iziqhamo nemifuno esemathinini (kodwa khetha leyo ineswekile encinci). Imifuno neziqhamo ezisandula ukuvunwa, eziphekiweyo kakuhle nazo zilungile.
• Umhluzi ocacileyo (njengesuphu yenkukhu).
• Imifuno ephekiweyo, kuquka iminqathe kunye neetapile.
• Isonka esithosiweyo (esingenabhotolo) `(Isonka esomileyo)`.
• Yitya izinto ezincinci ezifana nerayisi, iinoodles kunye necurd.

Eyona nto ibalulekileyo kukuba ukuba uziva ungakhululekanga, xelela ugqirha wakho. Emva koko angakunika icebiso elifanelekileyo.

Eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

I-Radiation Enteritis sisiphumo esingaqhelekanga kodwa esinokwenzeka sonyango lwe-radiation. Kodwa ungakhathazeki. Ngokuhambela phambili kwezonyango zanamhlanje, kukho iindlela ezininzi zokuthintela le meko kunye nokuyilawula ukuba iyenzeka.

Ukuba ufumana unyango lwe-radiation, oogqirha benza konke okusemandleni abo ukunciphisa umonakalo kwizicubu eziphilileyo. Ukuba uneempawu ze-radiation enteritis, ungabi nantloni okanye woyike ukuxelela ugqirha wakho . Emva koko ungaqala unyango olufunekayo ukukunika isiqabu nokunciphisa umngcipheko weengxaki. Khumbula, awuwedwa, kwaye uneqela lezonyango elinokukunceda.

I- Radiation Enteritis, unyango lwe-radiation, ukudumba kwamathumbu, unyango lomhlaza, iziphumo ebezingalindelekanga, ukudumba kwesisu, urhudo