Ingabe ukuvuvukala kwesinye kwenzeka ngemva kokwelashwa komdlavuza? (I-Radiation Cystitis) Ake sifunde ngakho!

Sonke siyazi ukuthi ukulwa nomdlavuza akulula, akunjalo? Ngezinye izikhathi, ukwelashwa komdlavuza kuhilela ukwelashwa ngemisebe, okwaziwa nangokuthi 'i-Radiation Therapy'. Ngemva kwalokhu, abanye abantu bangase babe nokungakhululeki kwesinye. Njengokuchama njalo, noma ukuzwa ubuhlungu ngenkathi bechama. Leso yisimo esizokhuluma ngaso namuhla, esibizwa ngokuthi 'i-Radiation Cystitis'. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe.

Kuyini i-Radiation Cystitis?

Kalula nje, i-radiation cystitis ukuvuvukala noma ukuvuvukala kwesinye okwenzeka ngemva kokwelashwa ngemisebe yomdlavuza endaweni yakho ye-pelvic, okuyindawo engaphansi kwesisu sakho. Cabanga nje, lapho le misebe yemisebe ibulala amangqamuzana omdlavuza, ngezinye izikhathi ingaba nomthelela omncane emaselini anempilo azungezile. Yilokho okwenzekayo lapha.

Kunezinhlobo eziningana zomdlavuza ezingabangela lesi simo, ikakhulukazi uma ukwelashwa ngemisebe kusetshenziswa ukwelapha umdlavuza endaweni ye-pelvic:

• Umdlavuza wesinye
• Umdlavuza we-Colorectal (colon)
• Umdlavuza we-prostate
• Umdlavuza wesibeletho
• Umdlavuza wesibeletho

I-radiation cystitis ingumphumela ongavamile we-radiation therapy. Kodwa-ke, uma unezimpawu ezifana nobunzima bokuchama noma ukuchama njalo, kufanele wazise udokotela wakho . Bangaphakamisa izindlela zokukusiza.

Ingabe kukhona izinhlobo ze-radiation cystitis?

Yebo, kunezinhlobo ezimbili ikakhulukazi:

1. I-acute radiation cystitis: Lolu hlobo luvela ngokuzumayo. Lungenzeka ngesikhathi seseshini yokwelashwa ngemisebe noma ngisho nangemva kokuba ukwelashwa sekuphelile ngokuphelele.

2. I-cystitis yemisebe ebambezelekile (ephuzile): Lolu hlobo luthatha isikhathi ukuvela. Izimpawu zingase zivele ezinyangeni eziyisithupha ngemva kokwelashwa ngemisebe, noma isikhathi eside, noma ngisho nangemva kweminyaka.

Cabanga nje ukuthi kungakhungathekisa kanjani ukuzwa ukungakhululeki okunje ngokuzumayo ngemva kwesikhathi eside sokwelashwa. Yingakho kubalulekile ukuqaphela lokhu.

Ingabe likhona elinye igama le-Radiation Cystitis?

Yebo, ngezinye izikhathi lokhu kubizwa ngokuthi 'i-cystitis ebangelwa imisebe.' Lokho kusho into efana 'nokuvuvukala kwesinye okubangelwa imisebe.'

Sivame kangakanani lesi simo?

Eqinisweni, phakathi kuka-23% no-80% wabantu abathola ukwelashwa ngemisebe endaweni ye-pelvic bahlushwa yi-radiation cystitis. Isizathu sokuthi lolu hlu lubanzi kangaka ngoba kunezinhlobo ezahlukene zokwelapha ngemisebe, futhi inani lemisebe oyidingayo lingahluka kuye ngesigaba somdlavuza wakho nokuthi ukuphi. Udokotela wakho ungumuntu ongcono kakhulu ongakhuluma naye ngalokhu ngokusekelwe esimweni sakho esithile.

Ziyini izimpawu ze-radiation cystitis?

Lezi zimpawu zingaba mnene kakhulu kwabanye abantu, futhi zingaba nzima kakhulu kwabanye. Lokhu kuvame ukuncika ekutheni uphathwe ngemisebe engakanani – kungaba inani lemisebe noma isikhathi sokwelashwa.

Izimpawu ezincane zingafaka:

• Ukudinga ukuchama kaningi kunokujwayelekile ( 'ukuchama njalo ')
• Ukuvuka ukuze uchame izikhathi ezingaphezu kwesisodwa ebusuku ( nocturia )
• Ubunzima bokulawula isifiso sokuchama ( ukungakwazi ukuzibamba )
• Ubuhlungu noma ukushisa lapho uchama ( i-dysuria )
• Ukuzwa sengathi imisipha yesinye iyanyakaza noma iyanyakaza ( ukuqaqamba kwemisipha yesinye )

Ngezinye izikhathi lezi zimpawu zingase ziphele zodwa ngokuhamba kwesikhathi ngaphandle kokwelashwa.

Izimpawu ezinzima zingase zihlanganise:

• Ukungakwazi ukulawula umchamo isikhathi eside ( ukungakwazi ukuzibamba )
• Isinye asikwazi ukugcina umchamo omningi njengakuqala, okusho ukuthi sinamandla aphansi esinyini .
• Igazi emchameni ( i-hematuria )
• Ukwakheka kwesilonda (noma isilonda) odongeni lwesinyi, ngezinye izikhathi esibizwa ngokuthi isilonda sikaHunner .
• Ukwakheka kwembobo entsha noma indlela ( `i-fistula` ) phakathi kwezingxenye ezimbili zomzimba ezingavami ukuxhunywa.
• Ukufa kwezicubu zesinye, okungukuthi, ukuwohloka kwezicubu ( `necrosis` )

Ingabe i-Radiation Cystitis iyisifo esiqhubekayo?

Kwabanye abantu, yebo. I-radiation cystitis ingakhula kancane kancane. Ngezinye izikhathi ungase ungabi nazimpawu ngenkathi uthola ukwelashwa ngemisebe. Kodwa lezi zimpawu zingase zivele ezinyangeni noma ngisho neminyaka ngemva kokuphela kokwelashwa.

Yiziphi izimbangela ze-radiation cystitis?

Isizathu esiyinhloko ukwelashwa ngemisebe. Ngaphambi kokuba uqale ukwelashwa, udokotela uzokhuluma nawe ngezinzuzo kanye nezingozi ezingaba khona zokwelashwa ngemisebe futhi akusize wenze isinqumo esinolwazi.

Yini ebangela i-cystitis yemisebe ephuzile?

Lesi simo senzeka eminyakeni yamuva yokuphila ngoba ukwelashwa ngemisebe kubangela ukwakheka kwezicubu ezifana nezibazi esinyeni. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-fibrosis . Njengoba nje inxeba liphola futhi lishiya isibazi, kwenzeka into efanayo ngaphakathi kwesinyeni.

Lokhu kungenzeka isikhathi esingakanani ngemva kokwelashwa ngemisebe?

I-cystitis yemisebe ephuzile ingenzeka noma nini kusukela ezinyangeni eziyisithupha kuya eminyakeni engama-20 ngemuva kokwelashwa ngemisebe. Kuyamangaza, akunjalo? Kodwa kuyiqiniso.

Ubani othinteka kakhulu yilesi simo?

Noma ubani othola ukwelashwa ngemisebe yomdlavuza we-pelvic angaba ne-radiation cystitis. Kodwa-ke, amadoda anamathuba amaningi okuba nayo . Lokhu kungenxa yokuthi ukwelashwa ngemisebe kuyindlela evamile yokwelapha umdlavuza we-prostate. Ubuwazi ukuthi umdlavuza we-prostate umdlavuza wesibili ovame kakhulu kwabesilisa?

I-Radiation Cystitis ihlolwa kanjani?

Udokotela uzoqala ngokuthatha umlando wakho wezokwelapha, akubuze imibuzo mayelana nezimpawu zakho, bese enza ukuhlolwa ngokomzimba. Izimpawu ze-radiation cystitis zifana kakhulu nezezinye izimo ezivamile ezithinta esinyeni, njengokutheleleka komgudu womchamo (UTIs) kanye namatshe esinyeni. Ngakho-ke, udokotela wakho angase ancome ezinye izivivinyo ukuze enze ukuxilongwa okuqondile futhi akhiphe ezinye izimo.

Yiziphi izivivinyo zokuxilonga?

Ukuhlolwa okulandelayo kungenziwa ukuze kutholakale i-radiation cystitis:

• Ukuhlolwa Komchamo: Kuthathwa isampula yomchamo wakho bese kuhlolwa igazi noma amagciwane.
• Ukuhlolwa kwegazi: Kuthathwa isampula yegazi bese kuhlolwa izimpawu zokutheleleka.
• I-Cystoscopy: Kulokhu, udokotela ufaka ithuluzi elincane, elikhanyayo, nelifakwe ikhamera (i-cystoscope) nge-urethra yakho kanye nesinyeni sakho, okuvumela udokotela ukuthi ahlole ingaphakathi lesinye sakho. Lokhu kungase kubonakale kungakhululekile kancane, kodwa kubaluleke kakhulu ekuxilongweni.

Iphathwa kanjani i-radiation cystitis?

Kuncike ebunzimeni be-radiation cystitis yakho. Uma unezimpawu ezincane, zingase ziphele zodwa ngokuhamba kwesikhathi ngaphandle kokwelashwa. Nazi ezinye izinto ongazenza ukuze unciphise ukungakhululeki kwakho:

• Nciphisa ukuvuvukala ngemithi engeyona eye-steroidal anti-inflammatory (NSAIDs) .
• Ama-analgesics/ama-painkiller ukunciphisa ubuhlungu.
• Nciphisa ukuqaqamba kwemisipha yesinyeImithi yokulwa nokuqaqamba kwemisipha.

Uma izimpawu zinzima kakhulu, udokotela angase ancome ukwelashwa okufana nalokhu:

• Ukunisela isinyi/ukugeza isinyi: Kule nqubo, udokotela ufaka i-catheter yomchamo esinyini sakho nge-urethra yakho bese ekunikeza imithi yokuqeda ubuhlungu.
• Umjovo we-sodium hyaluronate: Udokotela ujova into ebizwa ngokuthi i-sodium hyaluronate ngqo esinyeni sakho, ngokuvamile nge-catheter. Lokhu kusiza ukumboza izindonga zesinye nokunciphisa ubuhlungu.
• Ukwelashwa nge-hyperbaric oxygen (HBOT): Lokhu kuyindlela ekhethekile yokwelapha. Ufakwa ekamelweni elinomfutho futhi unikezwa i-oxygen engu-100%. Lo mfutho kanye nomfutho owengeziwe kusiza izicubu zesinye sakho ezonakele ukuthi ziphole ngokushesha.
• Ukwakhiwa kabusha komchamo kanye nokuguqulwa komchamo: Udokotela ohlinzayo udala indlela entsha yokugcina nokukhipha umchamo emzimbeni wakho. Lokhu ukuhlinzwa okuyinkimbinkimbi kancane.
• Ukususwa kwe-Cystectomy: Kulokhu kuhlinzwa, udokotela ohlinzayo ususa sonke isinyi sakho. Ngesikhathi esifanayo, bakha indlela entsha yokugcina nokukhipha umchamo emzimbeni wakho. Kodwa-ke, ukususwa kwe-cystectomy akuvamile ukwenziwa nge-radiation cystitis. Udokotela uzoncoma lokhu kuphela uma izimpawu zakho zinzima kakhulu futhi kungekho okunye ukwelashwa okuye kwasiza.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Kunzima ukusho ngqo. Kuya ngokuthi udinga imisebe engakanani, ubukhulu bezimpawu zakho, nokuthi umzimba wakho usabela kanjani ekwelashweni. Udokotela wakho angakunikeza umbono omuhle kakhulu ngalokhu ngokusekelwe esimweni sakho.

Uma ngine-radiation cystitis, yini okufanele ngiyilindele?

Kwabaningi, i-radiation cystitis yisimo sesikhathi eside. Izimpawu zakho zingase zibe zincane noma zibe zimbi kakhulu. Izimpawu zingase ziphele zibuye, noma zingase zihlale isikhathi eside. Khuluma nodokotela wakho ngesimo sakho kanye nezinketho zokwelapha ezingcono kakhulu.

I-cystitis yemisebe ingahlala isikhathi esingakanani?

Kuyahlukahluka kuye ngomuntu nomuntu. Kwabanye abantu, izimpawu zingase zihlale amasonto noma izinyanga ezimbalwa, bese ziphela ngokuphelele futhi zingaphinde zibuye. Kwabanye, izimpawu zingase zihlale isikhathi eside. Noma, izimpawu zingase zingaveli kuze kube izinyanga noma ngisho neminyaka ngemva kokuphela kokwelashwa ngemisebe.

Ingabe i-Radiation Cystitis ingavinjelwa?

Ochwepheshe abakaqiniseki ukuthi ikhona yini indlela yokuvimbela lokhu. `i-pentosan polysulfate`Kukhona umbono wokuthi lo muthi ungasiza ekuvimbeleni ukucasuka kwesinye, kodwa kudingeka ucwaningo olwengeziwe.

Yikuphi ukudla okuhle kumuntu one-radiation cystitis?

Ukuphuza amanzi amaningi kubaluleke kakhulu ukunciphisa noma yikuphi ukungakhululeki noma ubuhlungu ongase ubuzwe. Kungcono ukuphuza phakathi kwezingilazi zamanzi ezingu-8 nezingu-10 ngosuku.

Uma une-radiation cystitis, lokhu kudla cishe akukubangela ukungakhululeki noma ubuhlungu:

• Izithelo: njengobhanana, amapheya, omisiwe, ama-blueberries.
• Imifino: Njenge-broccoli, isipinashi, i-avocado, ama-beet.
• Okusanhlamvu: Njengelayisi nama-oats.
• Amantongomane: Njengamantongomane, ama-cashew, nama-alimondi.

Yiziphi iziphuzo okufanele ngizigweme uma ngine-radiation cystitis?

Kufanele nakanjani ugweme iziphuzo ezivuselela futhi zicasule esinyeni sakho. Iziphuzo ezinjalo zifaka:

• Amajusi ezithelo anomuncu: Amajusi enziwe ngezinto ezifana nejusi lewolintshi, ijusi likatamatisi, ijusi likalamula, kanti abanye abantu bathi ngisho nejusi le-cranberry alilungile okwamanje.
• Izinto eziqukethe i-caffeine: njengekhofi netiye.
• Utshwala.
• Iziphuzo ezine-carbon: Njengamanzi e-seltzer kanye ne-soda.

Futhi, kuwumqondo omuhle ukugwema ukudla okunongwe kakhulu, okunoshukela omningi kanye nokudla okune-asidi eningi .

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-radiation cystitis, bona udokotela ngokushesha . Futhi, uma udokotela wakho ekuxilonga ukuthi une-radiation cystitis futhi izimpawu zakho zingathuthuki ngemva kokwelashwa, yazisa udokotela wakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma ubona udokotela, ungabuza imibuzo efana nale:

• Angakanani amathuba ami okuthola i-radiation cystitis?
• Uhlobo luni lwe-radiation cystitis enginalo?
• Kungani i-cystitis yemisebe ephuzile ithatha isikhathi eside kangaka ukuvela?
• Ingabe isimo sami sincane noma sibi kakhulu?
• Yikuphi ukwelashwa okuncomayo?
• Ingabe ukwelashwa kuzoyelapha ngokuphelele i-radiation cystitis yami, noma ingabe izimpawu zizobuya?
• Yikuphi ukudla neziphuzo okufanele ngizigweme?
• Ingabe kufanele ngibone isazi sokudla?

Ukwelashwa komdlavuza kungaba uhambo olucindezelayo. Akukhona lokho kuphela, kodwa kungaba nzima nakakhulu uma uba nobuhlungu noma izinkinga ngemikhuba yakho yokuya endlini yangasese ngemva kwalokho. Ungalindela ukuthi i-radiation cystitis ivele ngokushesha ngemva kokuthola ukwelashwa. Kodwa kungenzeka futhi ezinyangeni noma ngisho neminyaka ngemva kokwelashwa. Uma ubona noma yiziphi izinguquko emikhubeni yakho yokuya endlini yangasese,Qiniseka ukuthi utshela odokotela bakho ngakho. Bangakuthola i-radiation cystitis futhi bakuncomele ukwelashwa okungcono kakhulu.

Umlayezo Wokuya Nawe Ekhaya

Ukwelashwa ngemisebe kuyisikhali esinamandla ekulweni nomdlavuza. Kodwa-ke, khumbula ukuthi kungabangela imiphumela emibi njenge-radiation cystitis.

• Qaphela izimpawu: Funa iseluleko sezokwelapha uma uhlangabezana nezimpawu ezifana nokuchama njalo, ubuhlungu ngesikhathi sokuchama, noma igazi emchameni wakho.
• Ungesabi, khuluma: Khuluma nodokotela wakho ngokukhululekile ngalesi simo. Bazokuqondisa ngezindlela zokwelapha kanye nendlela yokuphatha ukungakhululeki.
• Qaphela ngokudla neziphuzo: Khetha ukudla neziphuzo ezilungele isinyi, njengoba kunconywe udokotela wakho.
• Awuwedwa: ​​Awuwedwa odlula kulesi sigameko. Ngokwelashwa okufanele kanye nokusekelwa, lesi simo singaphathwa.

Khumbula, impilo yakho iyona nto ebaluleke kakhulu, ngakho ungangabazi ukufuna iseluleko sezokwelapha uma unenkinga.

I- radiation cystitis, i-radiation cystitis, ukuvuvukala kwesinye, ukwelashwa komdlavuza, ukwelashwa ngemisebe, izimpawu zomchamo, esinyeni