Radiation enteritis

Radiation enteritis lalacewa ne akan rufin hanji (hanji) wanda yake haifar dashi ta hanyar radiation, wanda ake amfani dashi wajan wasu nau'ikan maganin kansa.

Radiation radiation yana amfani da hasken rana mai ƙarfi, barbashi, ko ƙwayoyin rediyo don kashe ƙwayoyin kansa. Hakanan maganin na iya lalata ƙwayoyin rai masu kyau a cikin rufin hanji.

Mutanen da ke da maganin fuka-fuka a cikin ciki ko ƙashin ƙugu suna cikin haɗari. Wadannan na iya hadawa da mutanen da ke fama da cutar sankarar mahaifa, sanyin hanji, ta mace, ta mahaifa, ko ta hanji da kuma dubura.

Kwayar cutar na iya bambanta, ya danganta da wane bangare na hanjin da aka samu rayin. Kwayar cutar na iya zama mafi muni idan:

• Kuna da chemotherapy a lokaci guda tare da radiation.
• Kuna karɓar ƙarfi na radiation.
• Yanki mai girma na hanjin ka ana samun radiation.

Kwayar cututtuka na iya faruwa a lokacin ko jim kaɗan bayan ko kuma daɗewa bayan maganin radiation.

Canje-canje a cikin hanji na iya haɗawa da:

• Zub da jini ko laka daga dubura
• Gudawa ko kujerun ruwa
• Jin bukatar yin hanji mafi yawa ko duk lokaci
• Jin zafi a yankin dubura, musamman yayin motsawar ciki

Sauran cututtuka na iya haɗawa da:

• Rashin ci
• Tashin zuciya da amai

Mafi yawan lokuta, wadannan cututtukan suna samun sauki tsakanin watanni 2 zuwa 3 bayan an gama maganin radiation. Koyaya, yanayin na iya faruwa watanni ko shekaru bayan maganin radiation.

Lokacin da bayyanar cututtuka ta zama dogon lokaci (na yau da kullun), wasu matsaloli na iya haɗawa da:

• Ciwon ciki
• Gudawar jini
• Man shafawa ko kujerun mai
• Rage nauyi

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da tarihin lafiyar ku.

Gwaje-gwaje na iya haɗawa da:

• Sigmoidoscopy ko ciwon sankara
• Endarshen endoscopy

Fara abinci mai ƙarancin fiber a ranar farko na maganin radiation zai iya taimaka muku ku guji matsaloli. Mafi kyawun zaɓi na abinci ya dogara da alamunku.

Wasu abubuwa na iya haifar da bayyanar cututtuka mafi muni, kuma ya kamata a guje shi. Wadannan sun hada da:

• Barasa da taba
• Kusan dukkanin kayan madara
• Kofi, shayi, cakulan, da sodas tare da maganin kafeyin
• Abincin da ke ɗauke da branayan burodi
• 'Ya'yan itacen sabo da busashshe
• Soyayyen abinci, mai maiko, ko mai mai
• Kwayoyi da tsaba
• Popcorn, kwakwalwan dankalin turawa, da pretzels
• Raw kayan lambu
• Gurasa mai yalwa da kayan gasa
• Wasu ruwan 'ya'yan itace
• Spicesarfafa ƙanshi

Abinci da abin sha waɗanda suka fi kyau zaɓi sun haɗa da:

• Apple ko ruwan inabi
• Applesauce, tuffa tuffa, da ayaba
• Qwai, buttermilk, da yogurt
• Kifi, kaji, da naman da aka dafa ko aka gasa
• ,Ananan, dafaffun kayan lambu, kamar su bishiyar asparagus, kore ko baƙin wake, karas, alayyafo, da squash
• Dankali da aka gasa shi, ko aka tafasa shi, ko aka nika shi
• Cuku ɗin da aka sarrafa, kamar su cuku na Amurka
• Dan man gyada mara kyau
• Farar burodi, makaroni, ko taliya

Mai ba ku sabis na iya sa ku yi amfani da wasu magunguna kamar:

• Magungunan da ke taimakawa rage gudawa, kamar loperamide
• Magungunan ciwo
• Steroid kumfa wanda ke rufe rufin dubura
• Enzymes na musamman don maye gurbin enzymes daga pancreas
• Oral 5-aminosalicylates ko metronidazole
• Installationaddamar da madaidaici tare da hydrocortisone, sucralfate, 5-aminosalicylates

Sauran abubuwan da zaku iya yi sun haɗa da:

• Ku ci abinci a zazzabi na ɗaki.
• Ku ci ƙananan abinci sau da yawa.
• Sha ruwa mai yawa, har zuwa tabarau 12 8-ounce (milliter 240) a kowace rana lokacin da zawo. Wasu mutane za su buƙaci ruwan da ake bayarwa ta wata jijiya (magudanar ruwa).

Mai ba da sabis ɗinku na iya zaɓar don rage hasken ku na ɗan gajeren lokaci.

Sau da yawa babu kyawawan jiyya don cututtukan radiation na yau da kullun waɗanda suka fi tsanani.

• Magunguna kamar cholestyramine, diphenoxylate-atropine, loperamide, ko sucralfate na iya taimakawa.
• Magungunan zafi (binciken argon laser, coagulation plasma, binciken hita).
• Kila buƙatar la'akari da tiyata don cirewa ko zagaye (kewaye) ɓangaren hanji mai lalacewa.

Lokacin da ciki ke karbar radiation, koyaushe akwai wani jiri, amai, da gudawa. A mafi yawan lokuta, bayyanar cututtukan suna samun sauki tsakanin watanni 2 zuwa 3 bayan an gama jiyya.

Duk da haka, lokacin da wannan yanayin ya ɓullo, alamun cututtuka na iya ɗauka na dogon lokaci. Ciwon ciki na dogon lokaci (na kullum) da ƙyar ake warkar da shi.

Matsaloli na iya haɗawa da:

• Zubar jini da karancin jini
• Rashin ruwa
• Rashin ƙarfe
• Malabsorption
• Rashin abinci mai gina jiki
• Rage nauyi

Kirawo mai ba da sabis idan kuna jinyar cutar ko kuma kuna da shi a baya kuma kuna fama da gudawa ko ciwo na ciki da ƙuntatawa.

Karkashin radiyo; Radiyon ya jawo karamin ciwon hanji; Post-radiation enteritis

• Tsarin narkewa
• Gabobin tsarin narkewar abinci

Kuemmerle JF. Cututtukan kumburi da na anatomic na hanji, peritoneum, mesentery, da omentum. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 133.

Yanar gizo Cibiyar Cancer ta Kasa. Cutar rikitarwa na PDQ. www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-complications-pdq. An sabunta Maris 7, 2019. An shiga Agusta 5, 2020.

Tanksley JP, Willett CG, Czito BG, Palta M. Mutuwar cututtukan cututtukan gastsrointestinal na radiation radiation. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 41.