Imitha ye-enteritis

Imitha ye-enteritis yonakalisa amathumbu emathunjini (amathumbu) abangelwa lonyango lwe radiation, olusetyenziselwa ezinye iintlobo zonyango lomhlaza.

Unyango lwe-radiation lusebenzisa ii-x-reyi ezinamandla aphezulu, amasuntswana, okanye iimbewu ezinemitha yokusasaza ukubulala iiseli zomhlaza. Unyango lunokonakalisa iiseli ezisempilweni kulusu lwamathumbu.

Abantu abanonyango lwe-radiation kwisisu okanye kwindawo ye-pelvic basemngciphekweni. Oku kunokubandakanya abantu abanomhlaza wesibeleko, i-pancreatic, i-Prostate, i-uterine, okanye i-colon kunye nomhlaza we-rectal.

Iimpawu zinokwahluka, kuxhomekeke kweliphi icala lamathumbu elifumana imitha. Iimpawu zinokuba zibi ngakumbi ukuba:

• Unayo i-chemotherapy ngexesha elifanayo kunye nemitha.
• Ufumana iidosi ezinamandla zemitha.
• Indawo enkulu yamathumbu akho ifumana imitha.

Iimpawu zinokwenzeka ngexesha okanye kungekudala emva okanye emva kokunyanga kwemitha.

Utshintsho ekuhambeni kwamathumbu kunokubandakanya:

• Ukopha okanye i-mucus kwi-rectum
• Urhudo okanye ilindle elinamanzi
• Ukuziva isidingo sokuba nentshukumo yamathumbu kakhulu okanye ngalo lonke ixesha
• Ubuhlungu kummandla wecala, ngakumbi ngexesha lokuhamba kwamathumbu

Ezinye iimpawu zingabandakanya:

• Ukuphelelwa ngumdla wokutya
• Isicaphucaphu nokugabha

Uninzi lwexesha, ezi mpawu ziba bhetele kwiinyanga ezi-2 ukuya kwezi-3 emva kokuphela konyango lwemitha. Nangona kunjalo, imeko inokwenzeka iinyanga okanye iminyaka emva konyango lwemitha.

Xa iimpawu zihlala ixesha elide (ezingapheliyo), ezinye iingxaki zinokubandakanya:

• Intlungu zesisu
• Urhudo olunegazi
• Amanqatha okanye ilindle elinamafutha
• Ukuhla ukusinda

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga nembali yakho yezonyango.

Uvavanyo lunokubandakanya:

• Sigmoidoscopy okanye colonoscopy
• Endoscopy ephezulu

Ukuqala ukutya okuncinci kwefayibha kusuku lokuqala lonyango lwemitha kunokukunceda uphephe iingxaki. Olona khetho lubalaseleyo lokutya luxhomekeke kwiimpawu zakho.

Ezinye izinto zinokwenza iimpawu zibe mandundu, kwaye kufuneka zithintelwe. Oku kubandakanya:

• Utywala necuba
• Phantse zonke iimveliso zobisi
• Ikofu, iti, itshokholethi kunye neesoda ezinecaffeine
• Ukutya okuqulethe i-bran epheleleyo
• Iziqhamo ezitsha nezomisiweyo
• Ukutya okuthosiweyo, okunamafutha, okanye okunamafutha
• Amandongomane nembewu
• Iipopcorn, iitshipsi zeetapile kunye neepretzels
• Imifuno eluhlaza
• Izityebi ezityebileyo kunye neempahla ezibhakiweyo
• Ezinye iijusi zeziqhamo
• Izinongo ezomeleleyo

Ukutya kunye neziselo ezikhetha ngcono zibandakanya:

• Iapile okanye incindi yomdiliya
• Iapilesauce, iiapile ezixutyiweyo kunye neebhanana
• Amaqanda, ibhotolo, kunye neyogathi
• Iintlanzi, iinkukhu kunye nenyama ebisiweyo okanye eyosiweyo
• Imifuno ethambileyo, ephekiweyo, njengeengcebiso zeasparagus, iimbotyi eziluhlaza okanye ezimnyama, iminqathe, ispinatshi kunye nesikwashi
• Iitapile ezibhakiweyo, ezibilisiweyo, okanye ezicujiweyo
• Iitshizi ezicwangcisiweyo, ezinje ngeshizi yaseMelika
• Smooth ibhotolo yamandongomane
• Isonka esimhlophe, imacaroni, okanye ii-noodles

Umboneleli wakho unokusebenzisa amayeza athile anje ngala:

• Iziyobisi ezinceda ukunciphisa isifo sohudo, njengeloperamide
• Amayeza entlungu
• I-Steroid foam egubungela ulwelwesi lwe-rectum
• Ii-enzymes ezikhethekileyo zokutshintsha ii-enzymes ezivela kwi-pancreas
• I-Oral 5-aminosalicylates okanye i-metronidazole
• Ukufakwa ngokuchanekileyo ngehydrocortisone, sucralfate, 5-aminosalicylates

Ezinye izinto onokuzenza zibandakanya:

• Yitya ukutya kubushushu begumbi.
• Yitya ukutya okuncinci rhoqo.
• Phuza ulwelo oluninzi, ukuya kuthi ga kwi-12 ye-8-ounce (240 yeemitha) iiglasi yonke imihla xa unorhudo. Abanye abantu baya kufuna ulwelo olunikezwa ngomthambo (ulwelo olungena ngaphakathi).

Umboneleli wakho unokukhetha ukunciphisa i-radiation yakho ixesha elifutshane.

Rhoqo akukho lunyango lufanelekileyo lwe-enteritis engapheliyo emandla.

• Amayeza anje ngecholestyramine, diphenoxylate-atropine, loperamide, okanye sucralfate anokunceda.
• Unyango olushushu (i-argon laser probe, i-plasma coagulation, i-heater probe).
• Kuya kufuneka ukuba uthathele ingqalelo utyando lokuba ususe okanye ujikeleze (ngokudlula) kwicandelo lamathumbu elonakeleyo.

Xa isisu sifumana imitha, kuhlala kukho isicaphucaphu, ukugabha kunye norhudo. Kwiimeko ezininzi, iimpawu ziba ngcono kwiinyanga ezi-2 ukuya kwezi-3 emva kokuba unyango luphelile.

Nangona kunjalo, xa le meko ikhula, iimpawu zinokuhlala ixesha elide. I-enteritis yexesha elide (engapheliyo) ayifane inyangeke.

Iingxaki zinokubandakanya:

• Ukopha kunye ne-anemia
• Ukuphelelwa ngamanzi emzimbeni
• Ukunqongophala kwentsimbi
• Malabsorption
• Ukungondleki
• Ukuhla ukusinda

Fowunela umnikezeli wakho ukuba unonyango lwe-radiation okanye ubenalo ngaphambili kwaye unorhudo oluninzi okanye iintlungu zesisu kunye necramping.

I-radiation enteropathy; Ukulimala okubangelwa yimitha encinci; I-enteritis yasemva kwemitha

• Inkqubo yokwetyisa
• Inkqubo yokugaya ukutya

IKuemmerle JF. Ukudumba kunye nezifo ze-anatomic zamathumbu, i-peritoneum, i-mesentery kunye ne-omentum. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 133.

Kwiwebhusayithi yeZiko loMhlaza weSizwe. Iingxaki zesisu se-PDQ. www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-complications-pdq. Ukuhlaziywa ngo-Matshi 7, 2019. Ifikeleleke ngo-Agasti 5, 2020.

Iitanki JP, uWillett CG, uCzito BG, uPalta M.Amachaphaza kunye neziphumo ezibi zangaphakathi zesisu zonyango lwemitha. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 41.