CERVICAL CANCER

Cervical cancer after radiotherapy ban the appropriate length of life? In radiation therapy of cervical cancer, cervical we can have different degrees of hemorrhage, necrosis, edema and tissue reaction. Vaginal...

Cervical cancer after radiation therapy prohibits couples of the appropriate long life In radiation therapy of cervical cancer, cervical we can have different degrees of hemorrhage, necrosis, edema and tissue reaction. Vaginal ...

Radiotherapy applied to the period of cervical cancer, including vaginal installed after in vitro treatment and pelvic irradiation. Because cervical bladder on the site before, after nearly rectum and radiation to kill the cancer cells, while the normal tissue injury to a certain extent. Organizations can occur congestion, edema, ulcers, severe necrosis can occur, shedding. Late in fibrous tissue hyperplasia, a narrow organ. These reactions may arise in the course of treatment or after radiation therapy. The most common response to radiation such as fatigue, loss of appetite, intestinal, frequency. In some patients, there will be increased frequency of stool, symptomatic treatment can be eased. There will be a small number of patients with anal when falling stool,
Bloody mucus, frequency, urgency, as if the portal blood cells or platelets dropped down. The first treatment is prevention, correct use radiotherapy schemes, such as the intrauterine avoid placing undue loss to the vagina or by excessive local radiotherapy, the organization was caused by fistula burn hole. Already there hematuria, blood in the stool symptoms. Depending on the particular circumstances should be the treatment of the following:

(1) the recent cystitis or proctitis mainly for symptomatic treatment, massive water to hemostatic, antidiarrheal agents and antibiotics, generally healing.

(2) urinary complications of advanced radiation cystitis to the most common, the incidence of 2% to 10%, vesicovaginal fistula incidence rate of 1% to 3% of patients with pelvic fibrosis induced by ureteral obstruction, and caused varying degrees of renal dysfunction. Late radiation cystitis to the most common blood is often manifested in sudden hematuria, often tired. Filling of the bladder after radiotherapy flexibility bad vascular rupture of the bladder mucosa, if maintained bladder emptiness, and symptomatic treatment can be better, such as high water, eat more vegetables, clothing spasm drugs and antibiotics, a few severe cases can intravenous antibiotics and hemostatic. Or a bladder irrigation, can often play a better role in hemostasis.

(3) Advanced Intestinal complications including radiation proctitis, sigmoid colon-rectal fistula, adhesion, obstruction, intestinal perforation. The degree is divided into mild, moderate and severe of the three. Mild mainly small blood in the stool; A prominent moderate recurring bloody mucus and then, with moderate; Severe until the development of more serious intestinal ulcers, narrow, and intestinal fistula. Patients with mild to no special treatment; While moderate inflammation, bleeding, spasm and drug treatment, such as oral antibiotics; Hematochezia serious enema may add 10% of the adrenaline l ml, can quickly stop bleeding. Right vaginal or rectal fistula serious ulcer, stricture, leading to severe bleeding and obstruction feasible transverse colon fistulization.

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