Enteritis kukuna
ʻO ka radiitis enteritis ka mea i hōʻino ʻia i ka pale o nā ʻōpū (ʻōpū) i hoʻokumu ʻia e radiation radiation, i hoʻohana ʻia no kekahi ʻano o ka mālama ʻana i ka maʻi ʻaʻai.
Hoʻohana ka radiation radiation i nā kukuna x kiʻekiʻe, nā huna ʻili, a i ʻole nā hua lekiō e pepehi i nā hunaola maʻi ʻaʻai. Hiki i ke kāwili ke hoʻopōʻino paha i nā hunaola olakino i ka uhi o nā ʻōpū.
ʻO ka poʻe i loaʻa ka radiation radiation i ka ʻōpū a i ʻole nā pelvic e makaʻu. Hiki i kēia mau mea ke komo me ka poʻe me ka maʻi puʻuwai, pancreatic, prostate, uterine, a i ʻole kolone a me ka maʻi ʻaʻai rectal
E loli paha nā ʻōuli, e like me ka ʻāpana o nā ʻōpū i loaʻa i ka pāhawewe. Hiki ke ʻoi aku ka maikaʻi o nā ʻōuli inā:
- Loaʻa iā ʻoe ka chemotherapy i ka manawa like me ka radiation.
- Loaʻa ʻoe i nā kaha ikaika o ka pāhawewe.
- Loaʻa i kahi ʻāpana nui o kou ʻōpū i radiation.
Hiki ke loaʻa nā ʻōuli i ka wā a ma hope paha ma hope a lōʻihi paha ma hope o ka hoʻomaʻamaʻa radiation.
Hiki i nā hoʻololi o ka ʻōpū ke komo i:
- Kahe ʻana a i ʻole ka huehue mai ka pololei
- ʻO ka pehu a i ʻole nā noho wai
- Ke manaʻo nei i ka pono e loaʻa kahi ʻōpū o ka ʻōpū i nā manawa āpau a i ʻole nā manawa āpau
- ʻO ka ʻeha ma ka wahi ʻoi, ʻoi loa i ka neʻe ʻana o ka ʻōpū
Hiki i nā ʻōuli ʻē aʻe ke hoʻopili pū me:
- Loaʻa ka ʻai ʻole
- ʻO Nusea a me ka luaʻi
ʻO ka hapanui o ka manawa, ʻoi aku ka maikaʻi o kēia mau hōʻailona ma waena o 2 a 3 mau mahina ma hope o ka pau ʻana o ka hoʻomaʻamaʻa radiation. Eia nō naʻe, hiki ke ʻano i kekahi mau mahina a mau makahiki paha ma hope o ka radiation radiation.
Ke lilo nā ʻōuli i kahi wā lōʻihi (mau), pili pū kekahi mau pilikia ʻē aʻe:
- Abdominal eha
- Mākī koko
- ʻO nā noho momona a momona paha
- Kaumaha emi
E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu moʻolelo olakino.
E komo pū paha nā hoʻāʻo:
- ʻO Sigmoidoscopy a i ʻole kolonekia
- Palapala hope kiʻekiʻe
Ke hoʻomaka nei i kahi papaʻai haʻahaʻa-fiber i ka lā mua o ka hoʻomaʻamaʻa radiation ʻana e kōkua iā ʻoe e hōʻalo i nā pilikia. ʻO ke koho maikaʻi loa o nā meaʻai e pili ana i kāu mau ʻōuli.
Hiki i kekahi mau mea ke hōʻeha i nā ʻōuli, a pono e hōʻalo. Pākuʻi ʻia kēia mau mea:
- ʻAlekohola a paka
- ʻAneʻane nā huahana waiū
- Kope, tī, kokoleka, a me nā soda me ka caffeine
- Nā meaʻai e piha ana ka piha piha
- Nā huaʻai hou a maloʻo
- Nā meaʻai palai, momona, a momona paha
- Nā hua a me nā hua
- Popcorn, ʻuala potato, a me nā pretzels
- Nā mea kanu maka
- Nā pāhaʻi momona a me nā mea i hoʻomoʻa ʻia
- Kekahi wai momona
- Nā mea ʻala ikaika
ʻO nā meaʻai a me nā mea inu i ʻoi aku ka maikaʻi ke koho ʻia:
- ʻO Apple a i ʻole ka wai hua waina
- Mele applesauce, ʻāpala ihi, a me ka maiʻa
- ʻO nā hua, ka waiūpata, a me ka yogurt
- ʻO ka iʻa, ka moa, a me ka ʻiʻo i kālua ʻia a i hoʻomoʻa ʻia paha
- Māmā, nā lau ʻai i kuke ʻia, e like me nā ʻōlelo aʻoaʻo asparagus, nā pīni ʻōmaʻomaʻo a ʻeleʻele paha, nā kāloti, ka milo, a me ka palaʻai
- ʻO kaʻuala i hoʻomoʻa ʻia, baila ʻia, a i palū ʻia paha
- ʻO nā pākaukau i hana ʻia, e like me ka tī ʻAmelike
- Mīkini pīni mānoanoa
- ʻO ka berena keʻokeʻo, macaroni, a i ʻole noodles
Ua hoʻohana paha kāu mea hāʻawi iā ʻoe i kekahi mau lāʻau e like me:
- Nā lāʻau e kōkua i ka hoʻoliʻiliʻi i ka maʻi pākī, e like me ka loperamide
- Nā lāʻau ʻeha
- Pāhuʻu Steroid i uhi i ka uhi o ka pololei
- ʻO nā enzyme kūikawā e pani i nā enzymes mai ka pancreas
- 5-aminosalicylates waha a i ʻole metronidazole
- Hoʻokomo pololei me ka hydrocortisone, sucralfate, 5-aminosalicylates
Nā mea ʻē aʻe hiki iā ʻoe ke hoʻopili pū:
- ʻAi i nā meaʻai i ka mahana wela.
- E ʻai pinepine i nā meaʻai liʻiliʻi.
- Inu i nā wai he nui, a i nā aniani he 12 8-auneke (240 milliter) i kēlā me kēia lā ke loaʻa ʻoe i ka palahī. Pono kekahi poʻe i nā wai i hāʻawi ʻia ma o kahi aa (nā wai i loko o ke kino).
Koho paha kāu mea hāʻawi e hoʻēmi i kāu radiation no kahi manawa pōkole.
ʻAʻohe pinepine nā lapaʻau maikaʻi no ka enteritis radiation radiation ʻoi aku ka paʻakikī.
- Hiki ke kōkua i nā lāʻau e like me cholestyramine, diphenoxylate-atropine, loperamide, a i ʻole sucralfate.
- Therapy therapy (kuʻina kukuna argon, hoʻowalewale plasma, ʻimi hoʻomehana hoʻowalewale).
- Pono paha ʻoe e noʻonoʻo i ke kaha ʻana e wehe a hele a puni paha (bypass) i kahi ʻāpana o ka ʻōpū i hōʻino ʻia.
Ke loaʻa i ka ʻōpū ka pāhawewe, maʻa mau ka ʻūlū, ka luaʻi, a me ka palahī. I ka hapanui o nā hihia, ʻoi aku ka maikaʻi o nā ʻōuli ma waena o 2 a 3 mau mahina ma hope o ka pau ʻana o ka lāʻau.
Eia nō naʻe, ke ulu nei kēia ʻano, mau paha nā ʻōuli no kekahi manawa lōʻihi. ʻAʻole hiki ke hoʻōla ʻia ka wā lōʻihi (mau) enteritis.
Komo pū nā pilikia:
- Kahe a me ka anemia
- Make wai
- Ka hemahema hao
- Malabsorption
- Kaʻai pono ʻole
- Kaumaha emi
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe i ka radiation therapy a i ʻole loaʻa iā ia i ka wā ma mua a ke loaʻa nei ka nui o ka diarrhea a i ʻole ka ʻeha o ka ʻōpū a me ka cramping.
Enteropathy pāhawewe; ʻO ka hōʻeha ʻana o ka ʻōpū i loko o ka radiation; Enteritis pāhawewe
- ʻŌnaehana Digestive
- Nā ʻōnaehana ʻōnaehana Digestive
Kuemmerle JF. Nā maʻi hōʻeha a me nā anatomic o ka ʻōpū, peritoneum, mesentery, a me omentum. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 133.
Pūnaewele ʻo National Cancer Institute. ʻO nā pilikia Gastrointestinal PDQ. www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-complications-pdq. Hoʻohou i Malaki 7, 2019. Loaʻa iā ʻAukake 5, 2020.
ʻO Tanksley JP, Willett CG, Czito BG, Palta M. Acute a me nā hopena gastsrointestinal mau loa o ka radiation radiation. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 41.