Ukudumba kwe-rectum emva konyango lwe-radiation yomhlaza? Makhe sithethe nge-Radiation Proctitis ngokweenkcukacha!

Usenokucinga ukuba emva kokulwa nomhlaza nokugqiba unyango olunzima olufana nonyango lwemitha, uziva ukhululekile, akunjalo? Kodwa ngamanye amaxesha, emva kolu nyango, kunokuvela ingxaki entsha. Oko kukuthi, ukudumba okanye ukurhawuzelelwa kwe-rectum yakho, inxalenye esezantsi yendlela yokugaya ukutya. Oogqirha babiza oku ngokuthi 'yiRadiation Proctitis'. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni iRadiation Proctitis?

Ngamafutshane, i-radiation proctitis kukudumba kwe-rectum yakho emva konyango lwe-radiation lomhlaza kwindawo yakho ye-pelvic, eyindawo engaphantsi kwesisu sakho. Igama elithi "Procto-" lithetha "i-anus." Igama elithi "-itis" lithetha "ukudumba." Oku kudumba kunokubangela iintlobo ngeentlobo zokungakhululeki, ingakumbi utshintsho kwimikhwa yendlu yangasese.

Kukho iintlobo ezahlukeneyo zomhlaza ezinokubangela le meko, ingakumbi xa unyango lwemitha lusetyenziswa ukunyanga umhlaza kwindawo ye-pelvic:

• Umhlaza womlomo wesibeleko
• Umhlaza weprostate
• Umhlaza wamathumbu
• Umhlaza wesinyi somchamo
• Umhlaza wesibeleko
• Umhlaza wempundu

I-proctitis ye-radiation iyenzeka nini?

Ingahluka kumntu nomntu. Kukho iintlobo ezimbini eziphambili ze-radiation proctitis, kuxhomekeke kwixesha ezibonakala ngalo:

1. I-Acute radiation proctitis: Olu luhlobo oluvela ngequbuliso. Lunokwenzeka nokuba ngexesha lonyango lwe-radiation okanye kwiintsuku ezimbalwa emva kokuba unyango luphelile.

2. I-Chronic radiation proctitis: Olu hlobo luthatha ixesha ukuba luvele. Lunokuvela emva kweenyanga ezintathu emva konyango lwe-radiation, okanye kwiminyaka emibini okanye nangaphezulu.

Okubalulekileyo kukuba, malunga nama-20% abantu abafumana unyango lwemitha kwindawo ye-pelvic basengozini yokufumana le meko ibizwa ngokuba yi-chronic radiation proctitis.

Zithini iimpawu zeRadiation Proctitis?

Oku kuyahluka ngokuxhomekeke ekubeni unesifo esibukhali okanye esinganyangekiyo.

Iimpawu ze-proctitis ye-radiation ebukhali:

Ezi zihlala zincinci kancinci, oko kuthetha ukuba azimbi kangako.

• Urhudo, ngamanye amaxesha luhamba negazi.
• Isicaphucaphu nokuhlanza.
• Isisu esibuhlungu, uzive ngathi uza kuhlanza.
• Isidingo esinganyamezelekiyo sokuya kwindlu yangasese (ukukhawuleza kwesisu okanye ukungasebenzi kakuhle).
• Ukuziva ufuna ukuya kwindlu yangasese rhoqo, kodwa ungakwazi ukuphuma xa usiya kwindlu yangasese (tenesmus).
• Ukopha kancinci kwimpundu.
• Ulwelo olufana nolwelo oluphuma kwi-anus (ukukhupha i-mucoid).

Iimpawu ze-proctitis yemitha engapheliyo:

Ezi mpawu zihlala zifana nezo zikwisigaba esikhawulezileyo. Nangona kunjalo, zinokuhlala ixesha elide kwaye zibe nzima ngakumbi kunesigaba esikhawulezileyo. Ukongeza, oku kulandelayo kunokwenzeka:

• Ukuncitshiswa kwe-rectum yakho (i-rectal stricture).
• Ukuvela kwezilonda kwi-rectum.
• I-fistula kukwakheka komngxuma omtsha okanye indlela phakathi kwamalungu amabini omzimba angadibaniyo rhoqo. Cinga ngayo njengonxibelelwano phakathi kwe-anus kunye ne-vagina.

Yintoni ebangela iRadiation Proctitis?

Isizathu esiphambili kukuba kwenzeka njengesiphumo esingesihle sonyango lwe-radiation kwindawo yakho yesinqe. Ngaphambi kokuba uqale unyango, ugqirha wakho uza kuthetha nawe ngeenzuzo kunye neengozi ezinokubakho zonyango lwe-radiation ukukunceda wenze isigqibo esinolwazi.

Ziziphi izizathu ezithile ze-late radiation proctitis?

I-late radiation proctitis idla ngokuvela xa unyango lwe-radiation lubangela ukuba kwenzeke ezi zinto zilandelayo kwi-rectum okanye kwizicubu ezingqongileyo:

• Ukuqokelelwa kwezicubu ezifana nezibazi (i-fibrosis).
• Ukwandiswa kwemithambo yegazi (i-telangiectasia).
• Ukuncitshiswa kwemithambo yegazi emincinci (ii-arterioles).

Ngubani osengozini enkulu yokufumana i-radiation proctitis?

Usenokuba sengozini enkulu yokuhlaselwa yile meko ukuba:

• Ukuba i-rectum yakho ifumana idosi yemitha engaphezulu kwama-45 eGrey (Gy). (I-Gy yiyunithi yokulinganisa imitha).
• Ukuba unesimo `(se-HIV/AIDS)`.
• Ukuba unesifo samathumbu esibangelwa kukudumba (IBD)

Ifunyanwa njani iRadiation Proctitis?

Ugqirha uza kuhlola imbali yakho yezonyango, akubuze ngeempawu zakho, aze enze uvavanyo lomzimba. Banokucebisa novavanyo oluninzi ukuze bahlule ezinye izifo zesisu ezineempawu ezifanayo. Olu vavanyo lungabandakanya:

• Uvavanyo lwegazi: Kuthathwa isampulu yegazi ukuze kuhlolwe ukuba kukho usulelo na.
• Uvavanyo lwendle: Isampulu yendle yakho iyahlolwa ukuba ayinagazi okanye iintsholongwane.
• I-Proctoscopy: Kule nto, ugqirha ufaka ngononophelo ityhubhu ethe tye nengenamngxuma (enekhamera kunye nokukhanya kwelinye icala - elibizwa ngokuba yi-proctoscope) kwi-rectum yakho aze ahlole i-rectum kunye ne-anus yakho.
• I-sigmoidoscopy eguquguqukayo:Kule meko, ugqirha ufaka ngononophelo ityhubhu ende, eguquguqukayo (ekwaxhotyiswe ngekhamera kunye nokukhanya - oku kubizwa ngokuba yi-"endoscope") aze ahlole inxalenye esezantsi ye-"colon" yakho.

Musa ukoyika ezi mvavanyo. Oogqirha bayazenza ukuze babancede baqonde ukuba yintoni kanye kanye ingxaki yakho.

Ziziphi iindlela zokuqala zonyango lwe-radiation proctitis?

Kuxhomekeke kubukhali be-radiation proctitis yakho. Iimeko ezincinci zinokuphela ngaphandle konyango. Nangona kunjalo, kukho izinto onokuzenza ukunciphisa ukungonwabi:

• Ukusela ulwelo olunamanzi, iswekile (iglucose), kunye nee-electrolytes (ezifana ne-sodium, i-chloride, i-potassium, kunye ne-bicarbonate). Oku kubizwa ngokuba yi-"rehydration therapy." Oku kunokunceda ukubuyisela ubungakanani bamanzi alahlekileyo emzimbeni.
• Amayeza angengowe-steroidal alwa nokuvuvukala (ii-NSAID)
• I-Analgesics
• Izinto zokuthambisa indle.
• Amayeza anciphisa ukuqaqamba komzimba (i-Antispasmodics).

Kwiimeko ezinzima ngakumbi ze-radiation proctitis, ugqirha wakho unokucebisa unyango olufana nolu:

• Ukusebenzisa i-enema equlethe iyeza elibizwa ngokuba yi-``(Sucralfate)```.
• Ukusebenzisa i-formaldehyde (formalin) ephantsi kwiindawo ezichaphazelekayo.
• Ukusebenzisa i-rectal suppository equlethe uhlobo lwe-corticosteroid ebizwa ngokuba yi-glucocorticoid.
• Unyango olubizwa ngokuba yi-``Argon plasma coagulation``. Kule nto, into ebizwa ngokuba yi-argon plasma isetyenziselwa ukutshisa iindawo ezikhupha igazi.
• Unyango olubizwa ngokuba yi-`(Hyperbaric oxygen therapy)`. Kule meko, i-oxygen inikwa kwigumbi elinoxinzelelo oluphezulu.
• Utyando lokutshintsha indlela ekhutshwa ngayo indle (`(ileostomy)` okanye `(colostomy)`).
• Ukususwa ngotyando kweendawo ezichaphazelekileyo.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Kuxhomekeke kwizinto ezininzi:

• Udinga unyango olungakanani ngemitha.
• Ubukhali beempawu zakho.
• Indlela umzimba wakho osabela ngayo kunyango.

Ugqirha wakho uza kukunika umbono ongcono ngale nto.

Yintoni endinokuyilindela ukuba ndine-radiation proctitis?

Oku kukwaxhomekeke kubukhali beempawu zakho nokuba unesimo esibukhali okanye esinganyangekiyo na. Iimpawu zakho zinokuba zincinci okanye zinzima. Usenokuba neempawu kuphela ngexesha lonyango uze uphele. Okanye, iimpawu zakho zisenokuphela zize zibuye, okanye zihlale ixesha elide.

Ugqirha wakho uza kukuchazela ngqo into omawuyilindele, kuxhomekeke kwimeko yakho. Ungakhathazeki, baza kukunceda.

Ngaba iRadiation Proctitis inganyangeka ngokupheleleyo?

Iyahluka kumntu nomntu. Kwabanye abantu, iimpawu ze-radiation proctitis ziyaphela emva kokuba unyango lwe-radiation lugqityiwe. Nangona kunjalo, i-chronic radiation proctitis inokuba yimeko yexesha elide, oko kuthetha ukuba usenokuba neempawu eziqhubekayo. Thetha nogqirha wakho ngale nto. Baza kuchaza indlela abaceba ngayo ukuxilonga i-radiation proctitis kunye nendlela yokuyijonga nokuyinyanga ukunciphisa umngcipheko weempawu zexesha elide.

Ngaba i-Radiation Proctitis ingathintelwa?

Oogqirha bazama ukunciphisa okanye ukuthintela i-radiation proctitis ngokusebenzisa iindlela zonyango lwe-radiation zanamhlanje. Umzekelo, basebenzisa iindlela ezifana ne-"image-guided radiation therapy" kunye ne-"intensity-modulated radiation therapy". Ezi ndlela zinciphisa ukuvezwa kwe-radiation kwizicubu zakho ezingaphakathi kunye nezinye izicubu ezingqongileyo ngelixa zibulala iiseli zomhlaza.

Basenokuzama nezinto ezifana nezi ukunciphisa ukuvezwa kwimitha kwizicubu eziphilileyo:

• Uza kulaliswa ebuthongweni ngexesha lonyango lwakho lwemitha.
• Ikhusela ngokufaka into ebizwa ngokuba yi-"collagen" phakathi kwe-rectum yakho kunye ne-prostate gland.
• Ibhaluni egcwele amanzi (ibhaluni ye-endorectal) ifakwa ngononophelo kwi-rectum yakho ukunceda ukubamba i-prostate endaweni yayo.

Yeyiphi indlela efanelekileyo yokutya i-radiation proctitis?

Ugqirha wakho unokucebisa utshintsho kwindlela otya ngayo ukuze kuncitshiswe iimpawu zesisu ezinokubangela ukudumba ngakumbi. Banokucebisa izinto ezifana nezi:

• Ukunciphisa iimveliso zobisi (ubisi, itshizi, ibhotolo, iyogathi).
• Ukunciphisa ukutya okunamafutha amaninzi agcweleyo (amaqanda, inyama enamafutha - inyama yenkomo, iindawo ezinamafutha zenyama yehagu, inkukhu engenalusu - kunye neeoyile - ioyile yekhokhonathi, ioyile yesundu).
• Ukutya ukutya okuninzi okunefayibha eninzi (iziqhamo, imifuno, iimbotyi, iilentili, amantongomane, njl.njl.) Izinto esinokuzitya eSri Lanka ezifana nekohila, mukunuwenna, kunye nebhanana zilungile kakhulu.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu ze-radiation proctitis, qiniseka ukuba ubona ugqirha. Kwakhona, ukuba ufunyaniswe une-radiation proctitis kwaye iimpawu zakho aziphucuki emva konyango, yazisa ugqirha wakho.

Ndingayibuza yiphi imibuzo ugqirha?

Ungabuza ugqirha wakho imibuzo efana nale:

• Angakanani amathuba am okufumana i-radiation proctitis?
• Ngaba ndine-acute radiation proctitis okanye i-chronic radiation proctitis?
• Kutheni i-proctitis yemitha engapheliyo ithatha ixesha elide kangaka ukuba ivele?
• Ingaba imeko yam ilula okanye inzima?
• Ucebisa luphi unyango?
• Ngaba unyango luza kuziphelisa iimpawu zam, okanye luza kubuya?

Lithini igama elitsha leRadiation Proctitis?

Elinye igama le-radiation proctitis yi -radiation proctopathy .

Elinye igama le-chronic radiation proctitis yi -radiation-associated vascular ectasias (RAVE) .

Zeziphi iivithamini ezilungileyo kwi-radiation proctitis?

Ezinye izifundo zifumanise ukuba ivithamin C kunye nevithamin E zinokunceda ekunciphiseni iimpawu ze-radiation proctitis, ezinje ngorhudo, ukopha emqolo, kunye nokungxamiseka kwe-rectal. Nangona kunjalo, kungcono ukuthetha nogqirha wakho ngale nto.

Okokugqibela, umyalezo oya ekhaya:

Ukuya kunyango lomhlaza kunokuba luxinzelelo. Kunokuba nzima nangakumbi xa uneengxaki ngemikhwa yakho yokuya ngasese. I-radiation proctitis inokwenzeka ngexesha lonyango lwakho, okanye emva kweenyanga okanye iminyaka.

Ngoko ke, ukuba ubona naluphi na utshintsho okanye ukungakhululeki kwindlela yakho yokuhlamba, kubaluleke kakhulu ukuxelela iqela lakho lezonyango ngaloo nto. Banokuchonga ukuba unobangela yi-radiation proctitis kwaye bacebise unyango olusebenzayo kuwe. Khumbula, awuwedwa, kwaye kukho oogqirha abanokukunceda ngezi zinto.

I- Radiation Proctitis, Unyango lweMisebe, Ukudumba kweRectal, Iziphumo ezingalindelekanga zomhlaza, I-Pelvic Radiation, i-Acute Proctitis, i-Chronic Proctitis