Enteritis ea mahlaseli

Radiation enteritis ke tšenyo ea lera la mala (mala) a bakoang ke kalafo ea radiation, e sebelisetsoang mefuta e meng ea kalafo ea mofets'e.

Phekolo ea radiation e sebelisa li-x-ray tse nang le matla a phahameng, likaroloana, kapa peo e nang le mahlaseli a kotsi ho bolaea lisele tsa mofetše. Kalafo e ka senya lisele tse phetseng hantle ka har'a lera la mala.

Batho ba nang le kalafo ea radiation mpeng kapa pelvic ba kotsing. Tsena li ka kenyelletsa batho ba nang le mofetše oa popelo, pancreatic, prostate, uterine, kapa colon le 'mala.

Matšoao a ka fapana, ho latela hore na karolo efe ea mala e fumane radiation. Matšoao a ka mpefala haeba:

• U na le chemotherapy ka nako e le 'ngoe le radiation.
• O fumana tekanyetso e matla ea radiation.
• Sebaka se seholoanyane sa mala a hao se fumana radiation.

Matšoao a ka hlaha nakong ea nakoana kapa nakoana ka morao kapa nako e telele kamora kalafo ea radiation.

Liphetoho mokhoeng oa mala li ka kenyelletsa:

• Ho tsoa mali kapa mamina a tsoang ho rectum
• Letšollo kapa litulo tse metsi
• Ho utloa tlhoko ea ho ba le mantle hangata kapa ka linako tsohle
• Bohloko sebakeng sa mahlakore, haholo-holo nakong ea ho tsamaea ha mala

Matšoao a mang a kenyeletsa:

• Ho felloa ke takatso ea lijo
• Ho nyekeloa le ho hlatsa

Boholo ba nako, matšoao ana a ba betere nakong ea likhoeli tse 2 ho isa ho tse 3 kamora hore kalafo ea radiation e fele. Leha ho le joalo, boemo bona bo ka hlaha likhoeli kapa lilemo kamora kalafo ea radiation.

Ha matšoao a fetoha a nako e telele (a sa foleng), mathata a mang a ka kenyelletsa:

• Bohloko ba mpeng
• Letšollo le nang le mali
• Litulo tse mafura kapa mafura
• Ho fokotsa boima ba 'mele

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka nalane ea hau ea bongaka.

Liteko li ka kenyelletsa:

• Sigmoidoscopy kapa colonoscopy
• Endoscopy e kaholimo

Ho qala lijo tse nang le fiber e fokolang ka letsatsi la pele la kalafo ea radiation ho ka u thusa ho qoba mathata. Khetho e nepahetseng ea lijo e latela matšoao a hau.

Lintho tse ling li ka mpefatsa matšoao, 'me li lokela ho qojoa. Tsena li kenyelletsa:

• Joala le koae
• Hoo e ka bang lihlahisoa tsohle tsa lebese
• Kofi, tee, chokolete le li-sodas tse nang le caffeine
• Lijo tse nang le li-bran
• Litholoana tse ncha le tse omisitsoeng
• Lijo tse halikiloeng, tse mafura kapa tse mafura
• Linate le lipeo
• Popcorn, litapole tsa litapole le li-pretzels
• Meroho e tala
• Likuku tse ruileng le thepa e besitsoeng
• Mefuta e meng ea litholoana
• Linoko tse matla

Lijo le lino tse khethiloeng hantle li kenyelletsa:

• Apple kapa lero la morara
• Liapolesauce, liapole tse ebotsoeng le libanana
• Mahe, lebese le yogurt
• Litlhapi, likhoho le nama e besitsoeng kapa e besitsoeng
• Meroho e bonolo, e phehiloeng, joalo ka malebela a asparagase, linaoa tse tala kapa tse ntšo, lihoete, spinach le squash
• Litapole tse besitsoeng, tse phehiloeng kapa tse mashed
• Lijoe tse entsoeng, tse kang chisi ea Amerika
• Smooth butter ea peanut
• Bohobe bo bosoeu, macaroni kapa li-noodle

Mofani oa hau a ka u sebelisa meriana e meng e kang:

• Lithethefatsi tse thusang ho fokotsa letšollo, joalo ka loperamide
• Meriana ea bohloko
• Steroid foam e koahelang lera la rectum
• Li-enzyme tse khethehileng ho nkela li-enzyme tse tsoang manyeme
• Molomo oa 5-aminosalicylates kapa metronidazole
• Ho kenya ka mokhoa o ts'oaroang ka hydrocortisone, sucralfate, 5-aminosalicylates

Lintho tse ling tseo u ka li etsang li kenyelletsa:

• Ja lijo ka mocheso oa kamore.
• Ja lijo tse nyane khafetsa.
• Noa maro a mangata, ho fihlela likhalase tse 12 8-ounce (240 milliter) letsatsi le leng le le leng ha o na le lets'ollo. Batho ba bang ba tla hloka maro a fanoang ka mothapo (maro a kenang methapong).

Mofani oa hau a ka khetha ho fokotsa radiation ea hau ka nako e khuts'oane.

Hangata ha ho na kalafo e nepahetseng bakeng sa "enteritis" ea radiation e matla haholo.

• Meriana e kang cholestyramine, diphenoxylate-atropine, loperamide, kapa sucralfate e ka thusa.
• Thermal Therapy (argon laser probe, plasma coagulation, heater probe).
• U kanna ua hloka ho nahana ka ho buuoa ho tlosa kapa ho potoloha (ho feta) karolo ea mala a senyehileng.

Ha mpa e amohela radiation, ho lula ho na le ho nyekeloa ke pelo, ho hlatsa le letshollo. Maemong a mangata, matšoao a ba betere nakong ea likhoeli tse 2 ho isa ho tse 3 kalafo e fela.

Leha ho le joalo, ha boemo bona bo hlaha, matšoao a ka nka nako e telele. Enteritis ea nako e telele (e sa foleng) ha e phekolehe hangata.

Mathata a ka kenyelletsa:

• Ho tsoa mali le phokolo ea mali
• Ho felloa ke metsi 'meleng
• Khaello ea tšepe
• Malabsorption
• Khaello ea phepo e nepahetseng
• Ho fokotsa boima ba 'mele

Bitsa mofani oa hau haeba u e-na le phekolo ea mahlaseli kapa u kile ua ba le eona nakong e fetileng 'me u na le letšollo kapa bohloko ba mpa le cramping.

Enteropathy ea mahlaseli; Kotsi ea mala e bakoang ke mahlaseli; Enteritis ea mahlaseli a kotsi

• Tsamaiso ea ho sila lijo
• Lisebelisoa tsa tsamaiso ea lijo

Kuemmerle JF. Maloetse a ho ruruha le anatomic a mala, peritoneum, mesentery le omentum. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 133.

Webosaete ea National Cancer Institute. Mathata a ka mpeng PDQ. www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-complications-pdq. E ntlafalitsoe ka la 7 Hlakubele 2019. E fihlile ka Phato 5, 2020.

Tanksley JP, Willett CG, Czito BG, Palta M. Litla-morao tse matla le tse sa foleng tsa mala tsa kalafo ea radiation. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 11th ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 41.