Poizoniyu enteritis

Radiation enteritis ndi kuwonongeka kwa matumbo (matumbo) oyambitsidwa ndi mankhwala a radiation, omwe amagwiritsidwa ntchito pamitundu ina yothandizira khansa.

Mankhwalawa amagwiritsa ntchito ma x-ray, ma particles, kapena njere zamagetsi kuti aphe maselo a khansa. Mankhwalawa amathanso kuwononga maselo athanzi mkatikati mwa matumbo.

Anthu omwe ali ndi chithandizo chama radiation kumimba kapena m'chiuno ali pachiwopsezo. Izi zingaphatikizepo anthu omwe ali ndi khomo lachiberekero, kapamba, prostate, chiberekero, kapena khansa yam'matumbo komanso yam'mbali.

Zizindikiro zimasiyana, kutengera gawo lomwe la m'matumbo lomwe limalandira cheza. Zizindikiro zitha kukhala zoyipa ngati:

• Muli ndi chemotherapy nthawi yomweyo ma radiation.
• Mumalandira ma radiation amphamvu.
• Dera lokulirapo lamatumbo anu limalandira radiation.

Zizindikiro zimatha kupezeka pakapita nthawi kapena patangopita nthawi yayitali kapena patatha nthawi yayitali atalandira chithandizo cha radiation.

Zosintha m'matumbo zimaphatikizapo:

• Magazi kapena ntchofu zochokera m'matumbo
• Kutsekula m'mimba kapena ndowe zamadzi
• Kumva kufunikira kokhala ndi matumbo nthawi zonse kapena nthawi yonse
• Zowawa zam'mbali, makamaka poyenda matumbo

Zizindikiro zina zitha kuphatikiza:

• Kutaya njala
• Nseru ndi kusanza

Nthawi zambiri, zizindikirazi zimayamba bwino mkati mwa miyezi iwiri kapena itatu kutha kwa chithandizo cha radiation. Komabe, vutoli limatha kuchitika miyezi kapena zaka zitachitika mankhwala a radiation.

Zizindikiro zikakhala zazitali (zovuta), mavuto ena atha kukhala:

• Kupweteka m'mimba
• Kutsekula m'mimba
• Zakudya zonenepa kapena zonenepa
• Kuchepetsa thupi

Wothandizira zaumoyo adzayesa thupi ndikufunsani za mbiri yanu yachipatala.

Mayeso atha kuphatikiza:

• Sigmoidoscopy kapena colonoscopy
• Pamwamba endoscopy

Kuyambitsa zakudya zoperewera kwambiri tsiku loyamba la chithandizo cha radiation kungakuthandizeni kupewa mavuto. Zakudya zabwino kwambiri zimadalira zizindikiro zanu.

Zinthu zina zimatha kukulitsa zizindikilo, ndipo ziyenera kupewedwa. Izi zikuphatikiza:

• Mowa ndi fodya
• Pafupifupi zinthu zonse zamkaka
• Khofi, tiyi, chokoleti, ndi masoda okhala ndi caffeine
• Zakudya zokhala ndi chinangwa chonse
• Zipatso zatsopano ndi zouma
• Zakudya zokazinga, zonona, kapena zamafuta
• Mtedza ndi mbewu
• Popcorn, tchipisi ta mbatata, ndi ma pretzels
• Masamba osaphika
• Miphika yolemera komanso zinthu zophika
• Ena timadziti zipatso
• Zonunkhira zamphamvu

Zakudya ndi zakumwa zomwe ndizosankha bwino ndi izi:

• Apple kapena madzi amphesa
• Maapulosi, maapulo osenda, ndi nthochi
• Mazira, buttermilk, ndi yogurt
• Nsomba, nkhuku, ndi nyama yomwe yakazinga kapena yowotcha
• Masamba ofatsa, ophika, monga nsonga za katsitsumzukwa, nyemba zobiriwira kapena zakuda, kaloti, sipinachi, ndi sikwashi
• Mbatata zomwe zaphikidwa, zophika, kapena zosenda
• Zakudya zosinthidwa, monga tchizi waku America
• Yosalala chiponde
• Mkate woyera, macaroni, kapena Zakudyazi

Wopezayo akhoza kuti mugwiritse ntchito mankhwala ena monga:

• Mankhwala omwe amathandiza kuchepetsa kutsegula m'mimba, monga loperamide
• Mankhwala opweteka
• Steroid thovu lomwe limavala m'mbali mwa rectum
• Ma enzymes apadera oti asinthe ma enzyme kuchokera kuziphuphu
• Oral 5-aminosalicylates kapena metronidazole
• Kukhazikitsa kwamphamvu ndi hydrocortisone, sucralfate, 5-aminosalicylates

Zinthu zina zomwe mungachite ndi izi:

• Idyani zakudya kutentha.
• Idyani zakudya zazing'ono pafupipafupi.
• Imwani madzi ambiri, mpaka magalasi okwana 12 8-ounce (240 millita) tsiku lililonse mukamatsegula m'mimba. Anthu ena amafunikira madzi amadzimadzi omwe amaperekedwa kudzera mumitsempha (madzi amkati mwamitsempha).

Wothandizira anu angasankhe kuchepetsa radiation yanu kwakanthawi kochepa.

Nthawi zambiri sipamakhala chithandizo chabwino cha ma radiation enteritis omwe amakhala ovuta kwambiri.

• Mankhwala monga cholestyramine, diphenoxylate-atropine, loperamide, kapena sucralfate atha kuthandiza.
• Thermal Therapy (argon laser probe, plasma coagulation, heater probe).
• Mungafunike kulingalira za opaleshoni kuti muchotse kapena muzungulire (kulambalala) gawo la matumbo owonongeka.

Mimba ikalandira radiation, nthawi zonse pamakhala nseru, kusanza, ndi kutsegula m'mimba. Nthawi zambiri, zizindikirazo zimakhala bwino mkati mwa miyezi iwiri kapena itatu chithandizo chitatha.

Komabe, vutoli likayamba, zizindikilo zimatha kukhala kwakanthawi. Enteritis ya nthawi yayitali imachiritsika.

Zovuta zingaphatikizepo:

• Magazi ndi kuchepa magazi
• Kutaya madzi m'thupi
• Kuperewera kwachitsulo
• Kusokoneza malabsorption
• Kusowa zakudya m'thupi
• Kuchepetsa thupi

Itanani omwe akukuthandizani ngati mukumwa mankhwala a radiation kapena mudakhalapo kale ndipo mukukhala ndi matenda otsekula m'mimba kwambiri kapena kupweteka m'mimba komanso kupweteka.

Kutentha kwa ma radiation; Kutentha koopsa komwe kumayambitsa matenda; Post-radiation enteritis

• Dongosolo m'mimba
• Zakudya zam'mimba ziwalo

Kuemmerle JF. Matenda otupa komanso anatomic amatumbo, peritoneum, mesentery, ndi omentum. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 133.

Tsamba la National Cancer Institute. Mavuto am'mimba PDQ. www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-complications-pdq. Idasinthidwa pa Marichi 7, 2019. Idapezeka pa Ogasiti 5, 2020.

Tanksley JP, Willett CG, Czito BG, Palta M. Zovuta komanso zoyipa zam'mimba zoyipa zamankhwala othandizira ma radiation. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 41.