Ingabe ukwelashwa komdlavuza kubangela izinkinga zamathumbu? Ake sifunde nge-radiation enteritis.

Uma welashwa ngemisebe yomdlavuza, noma uma othile omaziyo elashwa ngale ndlela, cishe uyazi ukuthi ngezinye izikhathi uzwa ubuhlungu obuncane bamathumbu. Ngakho-ke namuhla sizokhuluma ngomphumela ongaba nawo ukwelashwa ngemisebe emathunjini, isimo esibizwa ngokuthi i-Radiation Enteritis . Akukho okufanele ukwesabe, uma unolwazi olufanele ngalokhu, unganciphisa izinkinga eziningi.

Kuyini i-Radiation Enteritis?

Kalula nje, i-Radiation Enteritis iwumonakalo noma ukuvuvukala kwamathumbu akho okubangelwa ukwelashwa ngemisebe . Njengoba wazi, izinto ezinemisebe zisetshenziselwa ukwelapha izifo ezifana nomdlavuza ukuze kubhujiswe amangqamuzana angavamile. Lokhu kuyindlela yokwelapha evamile hhayi nje kuphela yomdlavuza kodwa futhi nakwezinye izifo ezihlobene negazi.

Lesi simo sinamagama amaningana, futhi udokotela wakho angase asebenzise elinye lala magama:

• `(Isifo sokukhishwa kwemisebe ye-pelvic)`
• `(I-radiation colitis)` (Leli igama elinikezwa ukuvuvukala okwenzeka ngqo emathunjini amakhulu)
• `(I-enteropathy yemisebe)`
• (Isifo samathumbu esibangelwa imisebe)`
• `(I-radiation mucositis)` (Lokhu kubhekisela ekulimaleni kwe-mucous membrane)

Ingabe zikhona izinhlobo zalokhu?

Yebo, kunezinhlobo ezimbili eziyinhloko ze-Radiation Enteritis. Lezi yizi:

1. I-Acute Radiation Enteritis: Lokhu kwenzeka ngenkathi uthola ukwelashwa ngemisebe. Izindaba ezinhle ukuthi lezi zimpawu zivame ukuphela ngokuphelele phakathi namasonto ambalwa.

2. I-Chronic Radiation Enteritis: Lokhu kuhlukile kancane. Kwenzeka ezinyangeni, ngisho neminyaka, ngemva kokuphela kokwelashwa. Inkinga lapha ukuthi izimpawu zingahlala nawe isikhathi eside futhi ngezinye izikhathi kungaba nezinkinga .

Ivame kangakanani i-Radiation Enteritis? Ubani osengozini enkulu?

Esikhathini esidlule, lesi simo sasivamile. Okusho ukuthi, lapho kusetshenziswa ukwelashwa kwemisebe yakudala, cishe ingxenye yabantu abathola ukwelashwa esiswini noma ethangeni babeba ne-radiation enteritis. Kodwa-ke , ngokwelashwa kwemisebe yanamuhla, ingozi yokuthola i-radiation enteritis engapheli incishisiwe kakhulu .

Kodwa-ke, abanye abantu bangase babe sengozini enkulu kancane kunabanye. Kunezizathu eziningana zalokhu:

• Izimo ezinciphisa ukugeleza kwegazi emathunjini: Isibonelo, uma unesifo sikashukela noma umfutho wegazi ophakeme, inani legazi eligeleza emathunjini lingancipha, futhi umonakalo wemisebe ungathatha isikhathi eside ukuphola, noma umonakalo ungaba mubi kakhulu.
• Noma yisiphi isimo sokuvuvukala esikhona ezicutshini:Ake sithi unesifo esifana nesifo sokuvuvukala kwe-pelvic. Ngakho-ke, njengoba leyo ndawo isivele ibucayi, kungenzeka ukuthi yonakaliswe yimisebe.
• Ezinye izindlela zokwelapha ezibulala amangqamuzana: Uma uthola ezinye izindlela zokwelapha, njenge-chemotherapy, kanye nokwelashwa ngemisebe, ingozi inganda ngoba ithinta namaseli.
• Isimo sokudla esingesihle: Uma umzimba ungatholi ukudla okufanele okudingayo, inqubo yokulungisa amaseli iyaphazamiseka.
• Ukubhema nokunye ukusetshenziswa kukagwayi: Lokhu kunciphisa ikhono lomzimba lokuphulukisa.
• Ukuba nezibazi zokuhlinzwa kwesisu kwangaphambilini: Lezi zinto zingandisa nokuzwela kwamathumbu.

Ukwelashwa ngemisebe kuthinta kanjani amathumbu?

Ukwelashwa ngemisebe kuwukuchayeka okuqhubekayo ezintweni ezinemisebe, ngokuvamile amasonto ambalwa. Uma le misebe ithinta namaseli anempilo, ibangela ukuvuvukala kanye nomonakalo wezicubu . Amaseli angaphakathi kwamathumbu ethu (okungukuthi, amaseli angaphakathi kwamathumbu) azwela kakhulu emiphumeleni yemisebe.

Ukuchayeka ngokuphindaphindiwe emisebeni kungabhubhisa amaseli asiza ekuvimbeleni ukutheleleka futhi kulawule amazinga oketshezi emzimbeni. Uma umthamo wemisebe owutholayo uphakeme, futhi indawo enkulu yesisu elashwayo, kulapho ingozi enkulu yokuthola i-radiation enteritis ikhula khona.

Ziyini izimpawu?

Izimpawu ze-radiation enteritis zingahluka kancane kumuntu nomuntu. Ziya ngokuthi zibukhali noma zingamahlalakhona. Izimpawu ezivame kakhulu zifaka:

• Ubuhlungu besisu kanye nokuqaqamba kwesisu .
• Isisu esivuvukele .
• Uhudo : Ukuchitha indle izikhathi eziningana ngosuku.
• Ukulahlekelwa yisifiso sokudla .
• Isicanucanu nokuhlanza .
• Ubuhlungu uma ukhipha indle .
• Ukopha noma ubuhlungu obuvela endulo .
• Ukwehlisa isisindo okungahlosiwe .
• Ukuzwa isidingo sokuzikhulula ngokuzumayo (isidingo esiphuthumayo sokuphuma indle) .

Uma unesinye noma ngaphezulu salezi zimpawu, kufanele ubonane nodokotela ngokushesha .

Yiziphi izinkinga ezingabangelwa yilokhu?

Lokhu kuvuvukala okuqhubekayo kanye nomonakalo wamathumbu kungaholela kwezinye izinkinga. Lokhu kuvame ukuhlotshaniswa ne-enteritis engapheli (ebangelwa imisebe).

• Ukuphelelwa amanzi emzimbeni : Uhudo nokuhlanza kubangela ukuthi umzimba ulahlekelwe amanzi nosawoti.
• Ukungalingani kwe-electrolyte: Inani likasawoti (njenge-sodium ne-potassium) emzimbeni liyaba lingalingani.
• I-Fistula : Lokhu kwenzeka lapho kwakheka ukuxhumana okungavamile, isakhiwo esifana nepayipi, phakathi kwamathumbu akho nesinye isitho esiseduze (isib. isinye, isitho sangasese sowesifazane).
• Ukubhoboka kwamathumbu : Kungaba khona imbobo odongeni lwamathumbu. Lokhu kuyisimo esiphuthumayo.
• Ukungamuncwa kokudla : Umzimba awukwazi ukumunca kahle izakhamzimba ekudleni.
• Ukuvaleka kwamathumbu amancane : Ukuvaleka kungenzeka ndawana thize emathunjini amancane.
• Ukuqina : Ingxenye yamathumbu iba mncane, okwenza kube nzima ukuthi ukudla kudlule.
• Izilonda : Izilonda zingakheka ngaphakathi kwamathumbu, njengezilonda ze-gastritis esiswini. Lezi ngezinye izikhathi zingakhula zibe yisifo sesilonda se-peptic.

Akuwona wonke umuntu othola lezi zinkinga, kodwa uma unezimpawu, kubalulekile ukutshela udokotela wakho ngaphandle kokuzishaya indiva.

Itholakala kanjani i-Radiation Enteritis?

Odokotela bavame ukuxilonga lesi simo ngokukubuza ngezimpawu zakho nokuthola ukuthi uke wabhekana isikhathi esingakanani nokwelashwa ngemisebe .

Kodwa-ke, udokotela wakho angase ancome ukuhlolwa okwengeziwe ukuze anqume ezinye izimo zezokwelapha nokuqonda ubucayi besimo sakho. Lokhu kufaka phakathi:

• Ukuhlolwa kokuphefumula kwe-hydrogen ukuze kubonakale ukuthi amabhaktheriya akhule kakhulu yini.
• I-Endoscopy (I-endoscopy engezansi noma ephezulu) : Lokhu kuhilela ukufaka ithubhu enekhamera emathunjini amancane ukuze kubhekwe ngaphakathi. Uma kudingeka, kungathathwa ingxenye encane yezicubu (i-biopsy) ukuze ihlolwe.
• Ukuhlolwa kwe-X-ray .
• Ezinye izivivinyo zezithombe : Uma ama-X-ray enganikezi isithombe esicacile, ungase ucelwe ukuthi wenze i-CT scan noma i-MRI.

Iphathwa kanjani?

Umonakalo wesikhathi eside emaseli amathumbu obangelwa ukuchayeka emisebeni kungaba nzima ukuwuphulukisa ngokuphelele. Kodwa-ke, ukuphathwa kwezokwelapha kwe-radiation enteritis kungakunikeza impumuzo futhi kuvimbele izinkinga.

Ukwelashwa kwakho kungafaka:

• Ama-antibiotic anqunywa uma kukhona amabhaktheriya angafuneki emathunjini.
• Imithi yokulwa nohudo (imithi eqeda uhudo) yehlisa uhudo, okulawula ukusebenza kwamathumbu kancane.
• Ama-corticosteroids ukunciphisa ukuvuvukala emathunjini.
• Imithi yokuqeda ubuhlungu .

Izinkinga ziphathwa kanjani?

Ukwelashwa okufanele kuzoncika ohlotsheni lwezinkinga onazo. Isibonelo, izimo ezifana nokuqina, i-fistula, kanye nokubhoboka zivame ukudinga ukuhlinzwa . Uma ungatholi ukudla okwanele, ungadinga izithasiselo zokudla noma ukudla ngamapayipi.

Ingabe zikhona izindlela zokuvimbela lokhu?

Yebo, ithimba lakho lezokwelapha lingathatha izinyathelo eziningana ukuvikela amathumbu akho ngesikhathi sokwelashwa ngemisebe.

• Ukusebenzisa amadivayisi okubeka umzimba ngendlela oyifisayo ukusiza ukugcina umzimba wakho usesimweni esifanayo ngesikhathi sokwelashwa.
• Izindlela zokwelapha zesimanje : Isibonelo, izindlela ezifana ne-"Intensity-modulated radiation therapy (IMRT)" zingaqondisa imisebe endaweni edingekayo kuphela. Lokhu kunciphisa kakhulu umonakalo ezicutshini ezinempilo.
• Ukufaka izivikelo zokuzivikela kukholoni noma ku-rectum yakho.

Ungakhuluma nodokotela wakho ngalokhu ukuze uthole ulwazi olwengeziwe.

Kuthatha isikhathi esingakanani ukululama?

Abantu abane-Acute Radiation Enteritis bavame ukuthola impumuzo phakathi namasonto ambalwa . Kodwa-ke, uma une-Radiation Enteritis engamahlalakhona (engamahlalakhona), kungathatha izinyanga eziningana ukululama ngokuphelele . Ngezinye izikhathi kungadingeka uphile nezimpawu futhi uzilawule.

Izinto okufanele uzikhumbule uma uphila ne-Radiation Enteritis

Ezimweni eziningi, izinzuzo zokwelapha umdlavuza zidlula kakhulu izingozi zokuthola i-radiation enteritis. Ngakho-ke, noma ngabe uzizwa ungakhululekile, akuwona umqondo omuhle ukuyeka ukwelashwa ngemisebe ngaphandle kweseluleko sikadokotela wakho.

Uma ukhathazekile ngokuthi i-radiation enteritis ingayithinta kanjani impilo yakho, qiniseka ukuthi ukhuluma nodokotela wakho . Angachaza izinketho zakho, njengokushintsha imvamisa noma umthamo wokwelashwa ngemisebe, noma ezinye izindlela zokwelapha izimpawu zakho ze-radiation enteritis.

Yini ongayenza ukuze uthole impumuzo ngesikhathi sokwelashwa ngemisebe?

Ukunakekela ukudla kwakho nokuphuza uketshezi kungasiza ekunciphiseni ukungakhululeki futhi kusheshise inqubo yokuphulukiswa.

Gwema lezi zinhlobo zokudla neziphuzo okunzima ukuzigaya:

• Utshwala.
• Iziphuzo ezinekhabhoni (izinto ezifana nesoda) `(Iziphuzo ezinekhabhoni)`.
• Imikhiqizo yobisi (abanye abantu banenkinga yokugaya lokhu, ngakho-ke qaphela. Kungcono ukubuza udokotela wakho).
• Ukudla okunamafutha, okucutshunguliwe noma okuthosiwe (isib. amasoseji, ama-french fries).
• Ukudla okune-fiber ephezulu, njengemifino eluhlaza (isb. iklabishi eluhlaza, isaladi yekaroti). Kungcono ukudla lokhu okubilisiwe.
• Ukudla okunongwe kakhulu.

Kunalokho, khetha ukudla okunomsoco okulula ukukudla esiswini sakho:

• Inyama engenamafutha ebhakiwe noma eyosiwe, njengenkukhu.
• Izithelo ezifana nobhanana nama-apula.
• Izithelo nemifino ekheniwe (kodwa khetha leyo enoshukela omncane). Imifino nezithelo ezintsha, eziphekiwe kahle nazo zinhle.
• Umhluzi ocacile (njengesobho lenkukhu).
• Imifino ephekiwe, okuhlanganisa izaqathi namazambane.
• Isinkwa esithosiwe (ngaphandle kwebhotela) `(Isinkwa esomile)`.
• Yidla izinto ezincane njengelayisi, ama-noodle kanye ne-curd.

Into ebaluleke kakhulu ukuthi uma uzizwa ungakhululekile, tshela udokotela wakho. Khona-ke angakunikeza iseluleko esifanele.

Into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

I-Radiation Enteritis ingumphumela ongavamile kodwa ongaba khona we-radiation therapy. Kodwa ungakhathazeki. Ngokuthuthuka kwezokwelapha zanamuhla, kunezindlela eziningi zokuvimbela lesi simo nokusiphatha uma sivela.

Uma uthola ukwelashwa ngemisebe, odokotela benza konke okusemandleni abo ukunciphisa umonakalo ezicutshini ezinempilo. Uma unezimpawu ze-radiation enteritis, ungabi namahloni noma wesabe ukutshela udokotela wakho . Ngemuva kwalokho ungaqala ukwelashwa okudingekayo ukuze kukunikeze impumuzo futhi unciphise ingozi yezinkinga. Khumbula, awuwedwa, futhi unethimba lezokwelapha elizokusiza.

` Ukwelashwa ngemisebe I-Enteritis, ukwelashwa ngemisebe, ukuvuvukala kwamathumbu, ukwelashwa ngomdlavuza, imiphumela emibi, ukuphazamiseka kwesisu, isifo sohudo