Ukuvuvukala kwe-rectum ngemva kokwelashwa ngemisebe yomdlavuza? Ake sixoxe nge-Radiation Proctitis ngokuningiliziwe!

Ungase ucabange ukuthi ngemva kokulwa nomdlavuza nokuqeda ukwelashwa okunzima njengokwelashwa ngemisebe, uzizwa ukhululekile kakhulu, akunjalo? Kodwa ngezinye izikhathi, ngemva kwalokhu kwelashwa, kungavela inkinga entsha. Okungukuthi, ukuvuvukala noma ukucasuka kwe-rectum yakho, ingxenye engezansi yomgudu wokugaya ukudla. Odokotela bakubiza ngokuthi 'i-Radiation Proctitis'. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kuyini i-Radiation Proctitis?

Kalula nje, i-radiation proctitis ukuvuvukala kwe-rectum yakho ngemva kokwelashwa ngemisebe yomdlavuza endaweni yakho ye-pelvic, okuyindawo engaphansi kwesisu sakho. Igama elithi "Procto-" lisho "i-anus." Igama elithi "-itis" lisho "ukuvuvukala." Lokhu kuvuvukala kungabangela ukungakhululeki okuhlukahlukene, ikakhulukazi izinguquko emikhubeni yokugeza.

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

• Umdlavuza wesibeletho
• Umdlavuza we-prostate
• Umdlavuza we-rectal
• Umdlavuza wesinyi womchamo
• Umdlavuza wesibeletho
• Umdlavuza wendunu

I-radiation proctitis ivele nini?

Kungahluka kumuntu nomuntu. Kunezinhlobo ezimbili eziyinhloko ze-radiation proctitis, kuye ngesikhathi ezibonakala ngaso:

1. I-acute radiation proctitis: Lolu uhlobo oluvela ngokuzumayo. Lungavela ngesikhathi sokwelashwa ngemisebe noma ezinsukwini ezimbalwa ngemva kokuphela kokwelashwa.

2. I-proctitis yemisebe engapheli: Lolu hlobo luthatha isikhathi ukuvela. Lungavela ezinyangeni ezintathu ngemva kokwelashwa ngemisebe, noma ngisho neminyaka emibili noma ngaphezulu.

Okubalulekile, cishe abantu abangu-20% abathola ukwelashwa ngemisebe endaweni ye-pelvic basengozini yokuthola lesi simo esibizwa ngokuthi i-chronic radiation proctitis.

Ziyini izimpawu ze-Radiation Proctitis?

Lokhu kuyahlukahluka kuye ngokuthi unesifo esibi noma esingamahlalakhona.

Izimpawu ze-acute radiation proctitis:

Lezi zivame ukuba zincane kancane, okusho ukuthi azizimbi kangako.

• Uhudo, ngezinye izikhathi oluhambisana negazi.
• Isicanucanu nokuhlanza.
• Ubuhlungu besisu, uzizwa sengathi uzohlanza.
• Isidingo esingazelelwe, esingabekezeleleki sokuya endlini yangasese (ukusabela okuphuthumayo kwe-rectal noma indle).
• Ukuzwa isidingo sokuya endlini yangasese njalo, kodwa ungakwazi ukuphuma endlini yangasese uma wenza kanjalo (tenesmus).
• Ukopha okuncane okuvela endunu.
• Uketshezi olufana nolwelwesi oluphuma endunu (ukukhishwa kwe-mucoid).

Izimpawu ze-proctitis yemisebe engapheli:

Lezi zimpawu zivame ukufana nalezo ezisesigabeni esibucayi. Kodwa-ke, zingahlala isikhathi eside futhi zibe zimbi kakhulu kunesigaba esibucayi. Ngaphezu kwalokho, okulandelayo kungenzeka:

• Ukuncipha kwe-rectum yakho (ukuqina kwe-rectal).
• Ukuvela kwezilonda e-rectum.
• I-fistula ukwakheka komgodi omusha noma indlela phakathi kwezingxenye ezimbili zomzimba ezingaxhunywanga ngokuvamile. Cabanga ngayo njengokuxhumana phakathi kwendunu nesitho sangasese sowesifazane.

Yini ebangela i-Radiation Proctitis?

Isizathu esiyinhloko ukuthi kwenzeka njengomphumela ongemuhle wokwelashwa ngemisebe endaweni yakho yesinqe. Ngaphambi kokuba uqale ukwelashwa, udokotela wakho uzokhuluma nawe ngezinzuzo kanye nezingozi ezingaba khona zokwelashwa ngemisebe ukuze akusize wenze isinqumo esinolwazi.

Yiziphi izimbangela eziqondile ze-late radiation proctitis?

I-Late radiation proctitis ivame ukwenzeka lapho ukwelashwa ngemisebe kubangela ukuthi kwenzeke izinto ezilandelayo e-rectum noma ezicutshini ezizungezile:

• Ukuqongelela kwezicubu ezifana nezibazi (i-fibrosis).
• Ukwanda kwemithambo yegazi (i-telangiectasia).
• Ukuncishiswa kwemithambo yegazi emincane (ama-arterioles).

Ubani osengozini enkulu yokuthola i-radiation proctitis?

Ungase ube sengozini enkulu yokuthola lesi simo uma:

• Uma i-rectum yakho ithola umthamo wokukhanya ongaphezu kuka-45 Grey (Gy). (I-Gy iyiyunithi yokulinganisa ukukhanya).
• Uma unesimo `(se-HIV/AIDS)`.
• Uma unesifo sokuvuvukala kwamathumbu (IBD)

I-Radiation Proctitis ihlolwa kanjani?

Udokotela uzobuyekeza umlando wakho wezokwelapha, abuze ngezimpawu zakho, futhi enze ukuhlolwa ngokomzimba. Bangase futhi batuse ukuhlolwa okuningana ukuze banqume ezinye izifo zesisu ezinezimpawu ezifanayo. Lezi zivivinyo zingafaka:

• Ukuhlolwa kwegazi: Kuthathwa isampula yegazi ukuze kuhlolwe ukutheleleka.
• Ukuhlolwa kwendle: Isampula yendle yakho iyahlolwa igazi noma amagciwane.
• I-Proctoscopy: Kulokhu, udokotela ufaka ngokucophelela ipayipi eliqondile, elingenalutho (elinekhamera nokukhanya kolunye uhlangothi - okubizwa ngokuthi i-proctoscope) e-rectum yakho bese ehlola i-rectum yakho kanye ne-anus.
• I-sigmoidoscopy eguquguqukayo:Kulokhu, udokotela ufaka ngokucophelela ithubhu ende, eguquguqukayo (efakwe nekhamera nokukhanya - lokhu kubizwa ngokuthi ``i-endoscope``) bese ehlola ingxenye engezansi ``yekholoni`` yakho.

Ungesabi lezi zivivinyo. Odokotela bayazenza ukuze babasize bathole ukuthi yini ngempela inkinga yakho.

Yiziphi izindlela zokuqala zokwelapha i-radiation proctitis?

Kuncike ebunzimeni be-radiation proctitis yakho. Amacala amancane angaphela ngaphandle kokwelashwa. Kodwa-ke, kunezinto ongazenza ukuze unciphise ukungakhululeki:

• Ukuphuza uketshezi oluqukethe amanzi, ushukela (i-glucose), kanye nama-electrolyte (njenge-sodium, i-chloride, i-potassium, kanye ne-bicarbonate). Lokhu kubizwa ngokuthi "ukwelashwa ngokubuyisela amanzi emzimbeni." Lokhu kungasiza ekubuyiseleni inani lamanzi alahlekile emzimbeni.
• Imithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID)
• Imithi yokunciphisa ubuhlungu
• Izinto zokuthambisa indle.
• Imithi enciphisa ukuqaqamba komzimba (i-Antispasmodics).

Ezimweni ezimbi kakhulu ze-radiation proctitis, udokotela wakho angase ancome ukwelashwa okufana nalokhu:

• Ukusebenzisa i-enema equkethe umuthi obizwa ngokuthi ``(Sucralfate)``.
• Ukusebenzisa i-formaldehyde (formalin) ephansi ezindaweni ezithintekile.
• Ukusebenzisa i-rectal suppository equkethe uhlobo lwe-corticosteroid olubizwa ngokuthi i-glucocorticoid.
• Ukwelashwa okubizwa ngokuthi ``i-Argon plasma coagulation.`` Kulokhu, into ebizwa ngokuthi i-argon plasma isetshenziselwa ukushisa izindawo eziphuma igazi.
• Ukwelashwa okubizwa ngokuthi `(Hyperbaric oxygen therapy)`. Kulokhu, i-oxygen inikezwa ekamelweni elinomfutho ophezulu.
• Ukuhlinzwa ukushintsha indlela indle ekhishwa ngayo (`(ileostomy)` noma `(colostomy)`).
• Ukususwa kwezingxenye ezithintekile ngokuhlinzwa.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Kuncike ezintweni eziningana:

• Udinga ukwelashwa ngemisebe engakanani.
• Ubukhali bezimpawu zakho.
• Impendulo yomzimba wakho ekwelashweni.

Udokotela wakho uzokunikeza umbono ongcono ngalokhu.

Yini engingayilindela uma ngine-radiation proctitis?

Lokhu kuncike ebunzimeni bezimpawu zakho nokuthi unesimo esibi noma esingamahlalakhona. Izimpawu zakho zingaba zincane noma zinzima. Ungase ube nezimpawu kuphela ngesikhathi sokwelashwa bese ziphela. Noma, izimpawu zakho zingase ziphele bese zibuya, noma zingase zihlale isikhathi eside.

Udokotela wakho uzochaza kahle ukuthi yini ongayilindela, kuye ngesimo sakho. Ungakhathazeki, bazokusiza.

Ingabe i-Radiation Proctitis ingelapheka ngokuphelele?

Kuhlukahluka kuye ngomuntu nomuntu. Kwabanye abantu, izimpawu ze-radiation proctitis ziyaphela ngemva kokuqeda ukwelashwa ngemisebe. Kodwa-ke, i-radiation proctitis engapheli ingaba yisimo sesikhathi eside, okusho ukuthi ungase ube nezimpawu eziqhubekayo. Khuluma nodokotela wakho ngalokhu. Bazochaza ukuthi bahlela kanjani ukuxilonga i-radiation proctitis nokuthi bangayiqapha futhi bayiphathe kanjani ukuze banciphise ingozi yezimpawu zesikhathi eside.

Ingabe i-Radiation Proctitis ingavinjelwa?

Odokotela bazama ukunciphisa noma ukuvimbela i-radiation proctitis ngokusebenzisa amasu esimanje okwelapha ngemisebe. Isibonelo, basebenzisa izindlela ezifana "nokwelashwa ngemisebe okuqondiswa yisithombe" kanye "nokwelashwa ngemisebe okuguquliwe ngamandla". Lezi zindlela zinciphisa ukuchayeka ngemisebe ezicutshini zakho zangemuva nakwezinye izicubu ezizungezile ngenkathi zibulala amangqamuzana omdlavuza.

Bangase bazame nezinto ezinjengalezi ukunciphisa ukuchayeka emisebeni ezicutshini ezinempilo:

• Uzolala ubuthongo ngesikhathi sokwelashwa kwakho ngemisebe.
• Ihlinzeka ngesivikelo ngokufaka into ebizwa ngokuthi "i-collagen" phakathi kwe-rectum yakho ne-prostate gland.
• Ibhaluni eligcwele amanzi (ibhaluni le-endorectal) lifakwa ngokucophelela e-rectum yakho ukuze lisize ekubambeni i-prostate endaweni yayo.

Yikuphi ukudla okungcono kakhulu kwe-radiation proctitis?

Udokotela wakho angase ancome izinguquko ekudleni kwakho ukuze anciphise izimpawu zesisu ezingalimaza kakhulu izicubu ezivuvukele. Angase ancome izinto ezifana nalezi:

• Ukunciphisa imikhiqizo yobisi (ubisi, ushizi, ibhotela, iyogathi).
• Ukunciphisa ukudla okunamafutha amaningi agcwele (amaqanda, inyama enamafutha - inyama yenkomo, izingxenye ezinamafutha zengulube, inkukhu engenasikhumba - namafutha - uwoyela kakhukhunathi, uwoyela wesundu).
• Ukudla ukudla okune-fiber eningi (izithelo, imifino, ubhontshisi, udali, amantongomane, njll.) Izinto esingazidla eSri Lanka njenge-kohila, i-mukunuwenna, nebhanana zinhle kakhulu.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-radiation proctitis, qiniseka ukuthi ubona udokotela. Futhi, uma kutholakala ukuthi une-radiation proctitis futhi izimpawu zakho zingathuthuki ngemva kokwelashwa, yazisa udokotela wakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Ungabuza udokotela wakho imibuzo efana nale:

• Angakanani amathuba ami okuthola i-radiation proctitis?
• Ingabe ngine-acute radiation proctitis noma i-chronic radiation proctitis?
• Kungani i-proctitis yemisebe engapheli ithatha isikhathi eside kangaka ukuvela?
• Ingabe isimo sami sincane noma sibi kakhulu?
• Yikuphi ukwelashwa okuncomayo?
• Ingabe ukwelashwa kuzozelapha izimpawu zami, noma kuzobuya?

Lithini igama elisha le-Radiation Proctitis?

Elinye igama le-radiation proctitis yi- radiation proctopathy .

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

Yimaphi amavithamini alungele i-radiation proctitis?

Ezinye izifundo zithole ukuthi i-vitamin C ne-vitamin E zingasiza ekunciphiseni izimpawu ze-radiation proctitis, njengohudo, ukuphuma kwegazi endulo, kanye nokuphuthuma kwendulo. Kodwa-ke, kungcono ukukhuluma nodokotela wakho ngalokhu.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

Ukwelashwa ngomdlavuza kungaba yinto ecindezelayo. Kungaba nzima nakakhulu uma unezinkinga ngemikhuba yakho yokuya endlini yangasese. I-radiation proctitis ingenzeka ngesikhathi sokwelashwa kwakho, noma ezinyangeni noma ngisho neminyaka kamuva.

Ngakho-ke, uma ubona noma yiziphi izinguquko noma ukungakhululeki emikhubeni yakho yokugeza, kubaluleke kakhulu ukutshela ithimba lakho lezokwelapha ngakho. Bangahlonza ukuthi imbangela iyi-radiation proctitis futhi batuse ukwelashwa okuphumelelayo kakhulu kuwe. Khumbula, awuwedwa, futhi kukhona odokotela abangakusiza ngalezi zinto.

` I-Radiation Proctitis, Ukwelashwa Ngemisebe, Ukuvuvukala Kwama-Rectal, Imiphumela Engemihle Yomdlavuza, I-Pelvic Radiation, I-Acute Proctitis, I-Chronic Proctitis