Enteritis susulu

Radiation enteritis o le faʻaleagaina o le ufiufi o le manava (manava) mafua mai i le faʻamalositino togafitiga, lea e faʻaaoga mo nisi ituaiga o kanesa togafitiga.

Radiation togafitiga faʻaaogaina malosiaga-x-ave, fasimea, po o radioactive fatu e fasioti kanesa sela. O le togafitiga e mafai foi ona faʻaleagaina sela maloloina i le ufiufi o gaʻau.

Tagata o loʻo maua i le faʻamalositino togafitiga i le manava poʻo le pelvic eria e ono lamatia. E mafai ona aofia ai ma tagata e maua i le faʻaʻautagata, pancreatic, prostate, uterine, poʻo kanesa ma faʻamaʻi kanesa.

Faʻailoga mafai ona fesuisuiaʻi, faʻamoemoe i le vaega o le manava na mauaina le radiation. Faʻailoga e mafai ona sili atu le leaga pe a fai:

• E maua lou chemotherapy i le taimi e tasi ma le radiation.
• E sili atu le malosi o tui o le radiation.
• O se vaega tele o ou manava maua radiation.

Faʻailoga e ono tupu i le taimi pe lata i le maeʻa poʻo le umi talu ona maeʻa togafitiga radiation.

Suiga i manava manaʻomia ono aofia ai:

• Toto poʻo le suauu mai le tumutumu
• Manava manava poʻo ni faʻasusu vai
• Lagona le manaʻomia le i ai o se manava gaioiga tele poʻo uma taimi
• Tiga i le itu sasaʻo, aemaise lava i taimi o gaioiga gaioiga

O isi faʻailoga e mafai ona aofia ai:

• Leai o le fiaai
• Faanoi ma puaʻi

Tele o taimi, o nei faʻailoga e sili atu ona lelei i totonu ole 2 i le 3 masina pe a maeʻa togafitiga o le radiation. Peitai, o le tulaga ono tupu masina poʻo tausaga pe a maeʻa togafitiga faʻasolosolo.

A faʻasolosolo loa ni faʻailoga (tumau), o isi faʻafitauli e ono aofia ai:

• Tiga o le manava
• Manava toto
• Suauʻu gaʻoa pe gaʻo
• Paʻu pauna

O le tausi soifua maloloina o le a faia se faʻataʻitaʻiga tino ma fesili e uiga i lau soifua maloloina talaʻaga.

O suʻega e mafai ona aofia ai:

• Sigmoidoscopy poʻo le colonoscopy
• Luga endoscopy

Amataina se meaʻai maualalo ole fiber ile aso muamua ole togafitiga ole faʻamama e mafai ona fesoasoani ia te oe e aloese ai mai faʻafitauli. O le filifiliga sili ona lelei o meaʻai e faʻamoemoe i ou faʻailoga.

O nisi mea e mafai ona faʻamaʻaina ai faʻailoga, ma e tatau ona alofia. E aofia ai:

• Ava ma tapaa
• Toeititi lava o oloa susu
• Kofe, ti, sukalati, ma soda ma le kafeini
• Meaʻai o loʻo iai atoa le ulu
• Fualaʻau fou ma mago
• Meaʻai falai, gaʻo, poʻo gaʻo foi
• Nati ma fatu
• Popcorn, chips potato, ma pretzels
• Fualaʻau mata
• Rich pastries ma tao tao
• Nisi sua o fualaʻau
• Mea manogi malosi

Meaʻai ma vai inu e sili atu ona lelei filifiliga e aofia ai:

• Apu poʻo sua o le vine
• Apu, apu na faʻasusu, ma faʻi
• Fuamoa, pata, ma yogurt
• Iʻa, moa, ma aano o manu ua uma ona palu pe tunu
• Agamalu, kuka fualaʻau, e pei o asparagus fesoasoani, lanumeamata pe uliuli pi, kāloti, spinach, ma squash
• O pateta na tao, tao, pe palu foʻi
• O kesi gaosi, pei o sisi Amerika
• Paʻu pinati lamolemole
• Falaoa papaʻe, makaroni, poʻo saimini

Atonu e faʻatonuina oe e lau tautua i ni vailaʻau e pei o:

• Fualaʻau e fesoasoani e faʻaititia ai le manava tata, pei o le loperamide
• Paʻu vailaʻau
• Steroid foam e peleue le ufiufi o le tumutumu
• Faʻapitoa enzymes e sui ai enzymes mai le pancreas
• Tautala 5-aminosalicylates poʻo le metronidazole
• Faʻapipiʻi faʻatasi i le hydrocortisone, sucralfate, 5-aminosalicylates

Isi mea e mafai ona e faia aofia ai:

• Taumafa meaʻai i le vevela o le potu.
• Taumafa soo i meaʻai laiti.
• Inu ia tele vai, e oʻo atu ile 12 8-aunese (240 milliter) ipu malamalama i aso uma pe a e maua i le manava tata. Nisi tagata o le a manaʻomia suavai tuuina atu e ala i se alatoto (intravenous vai).

Atonu e filifili lau tautua e faʻaititia lau paʻu mo se taimi puʻupuʻu.

E masani ona leai ni togafitiga lelei mo le faʻaaogaina o le radiation radiation lea e sili atu le ogaoga.

• O vailaʻau e pei ole cholestyramine, diphenoxylate-atropine, loperamide, poʻo le sucralfate e ono fesoasoani.
• Thermal togafitiga (argon leisa suʻesuʻe, plasma coagulation, faamafanafana suʻesuʻe).
• Atonu e manaʻomia lou mafaufau i taotoga e aveʻese pe alu faʻataʻamilomilo ai (bypass) se vaega o le puta ua afaina.

A oso le manava i le manava, e i ai lava sina niniva, puaʻi, ma manava tata. I le tele o tulaga, o faʻailoga e sili atu ona lelei i totonu o le 2 i le 3 masina pe a maeʻa togafitiga.

Peitaʻi, a oʻo ina tupu lenei tulaga, e mafai ona umi ni faʻailoga mo se taimi umi. Umi taimi (tumau) enteritis e seasea togafitia.

Faʻafitauli e ono aofia ai:

• Toto ma le toto
• Faʻamaligiina
• Le lava uʻamea
• Malabsorption
• Paleni meaai
• Paʻu pauna

Valaʻau lau tautua pe a fai o fai oe i le radiation therapy pe na maua foi i aso ua tuanaʻi ma o loʻo maua se tele i le manava tata poʻo le manava tiga ma le papala.

Lavea enteropathy; Radiation-faʻaosofia laʻititi manava manava; Enteritis i tua atu o le radiation

• Polokalama Digestive
• O totoga o le digestive system

Kuemmerle JF. Fula i le toto, peritoneum, mesentery, ma omentum. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 133.

'Upega Tafaʻilagi a le National Cancer Institute. Gastrointestinal faʻafitauli PDQ. www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-complications-pdq. Faʻafouina Mati 7, 2019. Avanoa i Aukuso 5, 2020.

Tanksley JP, Willett CG, Czito BG, Palta M. Ogaoga ma masani gastsrointestinal itu aafiaga o radiation togafitiga. I totonu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger ma Fordtran's Gastrointestinal ma le Maʻi o le ate. 11th lomiga. Filatelefia, PA: Elsevier; 2021: mata 41.