Ka tuyige ku kookolo w'omumwa gwa nnabaana. Kikulu ggwe okumanya ebintu bino!

Oyinza n’okulumwa emimiro, okukyuka mu ddoboozi oba okukaluubirirwa okumira, nedda? Tutera obutafaayo ku bubonero buno obutonotono. Tulowooza nti buba busungu oba okulumwa emimiro gyokka. Kyokka, oluusi obubonero buno obulabika ng’obwa bulijjo buyinza okuva ku kintu eky’amaanyi ennyo. Leero tugenda kwogera ku mulamwa ogwetaaga okulowoozaako katono. Oyo ye ``Oropharynegal Cancer,'' kookolo abeera wakati mu mumiro, emabega w'akamwa kaffe, emimiro gye gitandikira. Totya, ekisinga obukulu kwe kumanya kino.

Kookolo ono ali mu kitundu kya wakati mu mumiro (Oropharyngeal Cancer) kye ki?

Mu ngeri ennyangu, `Oropharyngeal Cancer` ye kookolo akula ng’obutoffaali mu kitundu ekiri wakati mu mumiro gwo, obuyitibwa `Oropharynx` , bukula mu ngeri etaali ya bulijjo ne bufuuka kookolo. `Oropharynx` erimu emabega w'akamwa ko, omusingi gw'olulimi lwo, tonsils, n'olulimi olugonvu waggulu ku mumiro gwo. Ekitundu kino kivaamu amalusu, kikuuma akamwa n’emimiro nga binnyogovu, era kikuyamba okugaaya emmere gy’olya. Abasawo balina engeri ez’enjawulo ez’okujjanjaba kookolo ono. Wabula oluusi kiyinza `okuddamu` oluvannyuma lw'okujjanjabwa. Wadde kookolo ono tasobola kuziyizibwa ddala, osobola okukendeeza ku bulabe bw’okumufuna ng’ofaayo ku bintu ebimu. Okugeza, kikulu nnyo okwekuuma akawuka ka `Human Papillomavirus (HPV)` , obutanywa ssigala, n'okufuga okunywa omwenge.

Embeera eno ya bulijjo etya?

Mu butuufu, `Oropharyngeal Cancer` kika kya kookolo ekitali kya bulijjo. Ng’ekyokulabirako, okusinziira ku kibiina ekigatta abalwadde ba kookolo mu Amerika, abantu nga 53,000 mu Amerika be bakwatibwa kookolo ono buli mwaka. Kyokka singa tumira kookolo w’amabeere, akwata abantu abasoba mu 290,000 buli mwaka. Kale, bw’ogeraageranya n’ekyo, kino kiri wansi katono. Embeera eno era ezuulibwa mu Sri Lanka, naye si ya bulijjo nnyo bw’ogeraageranya n’ebika bya kookolo ebirala.

Waliwo ebika bya `Oropharyngeal Cancer` eby'enjawulo?

Yee, okusinga waliwo ebika bya kino ebiwerako.

• Kookolo w’omumwa gwa nnabaana ye kika kya kookolo ekisinga okubeerawo.
• Okugatta ku ekyo, kookolo ono asobola n’okubeera mu nnyindo, wansi mu kamwa, n’ebitundu ebirala eby’omu kamwa.

Bubonero ki obwa `Ophoryngeal Cancer`?

Kino kikulu nnyo, kubanga obubonero bwa kookolo ono oluusi buyinza okufaananako n’obubonero bw’embeera endala entonotono. N’olwekyo, kikulu nnyo okukimanya ku kino.

• Okulumwa emimiro obutasalako (` Pharyngitis` ) : Okulumwa emimiro obutawona.
• Obuzibu oba obulumi mu kumira (`Dysphagia : Okuwulira nga tosobola kumira mmere.
• Okukaluubirirwa okuggulawo akamwa ddala (`Trismus`) oba okukaluubirirwa okutambuza olulimi.
• Okugejja mu ngeri etategeerekeka : Singa ogejja nga togezezzaako.
• Voice changes : Okuwuuma oba okukyuka mu ddoboozi okutatereera.
• Obulumi bw’amatu : Obulumi bw’amatu obutasalako, obutasalako (naddala ku ludda olumu).
• Ekizimba ekiri emabega w’emimiro oba mu kamwa : Ekizimba ky’osobola okuwulira oba okulaba.
• Ekizimba mu bulago : Ekizimba oba ekizimba mu bulago.
• Okusesema omusaayi .
• Ekifo ekyeru ku lulimi oba munda mu kamwa : Singa ekibala tekivaawo oluvannyuma lw’ekiseera.

Ekikulu: Bw’oba ​​olina obubonero buno bumu oba obusingawo, teweeraliikiriranga, mazima ddala kookolo. Wabula singa obubonero buno buwangaala okumala wiiki ezisukka mu bbiri, mazima ddala olina okugenda ew’omusawo akuwe amagezi.

Biki ebivaako `Ophoryngeal Cancer`?

Waliwo ensonga enkulu eziwerako eziviirako kookolo ono okulwala.

• Obulwadde bwa Human Papillomavirus ( HPV ) : Kino kye kisinga okuvaako ekizibu ekizuuliddwa. Akawuka ka HPV kakosa obuzaale obufuga okukula kw’obutoffaali mu kamwa ne mu mumiro gwaffe. Kino kiyinza okuvaako obutoffaali okukula amangu ne bufuuka kookolo oba ebizimba.
• Okukozesa taaba : Okunywa sigala, sigala, n’okukamula taaba bisobola okwonoona obutoffaali obuli mu mumiro gwo. Okwonooneka kuno kuleetera obutoffaali okwawukana okusinga ku bwa bulijjo. Kino kyongera emikisa gy’ensobi mu DNA, ekiyinza okuvaako obutoffaali bwa kookolo okukula.
• Omwenge : Okunywa omwenge kiyinza okwonoona obutoffaali mu mumiro n’okukosa obusobozi bwo okuddaabiriza DNA. Okunywa omwenge ng’onywa sigala kyongera ku bulabe.

Biki ebiyinza okuvaako okulwala `Oropharyngeal Cancer`?

Waliwo ebintu ebiwerako ebyongera obulabe bw’okufuna kookolo ono:

• Obulwadde bwa HPV , naddala HPV ekika kya 16.
• Okubeera n’ebyafaayo by’okukozesa sigala n’ebintu ebirala ebikolebwa mu taaba.
• Okunywa omwenge ekisusse.
• Bw’oba ​​obaddeko kookolo w’omutwe oba mu bulago emabegako.
• Bw’oba ​​obadde ofunye obujjanjabi bw’amasannyalaze (radiation therapy) okutuuka ku kitundu ky’omutwe oba mu bulago.

Abasawo bazuula batya kookolo w’ennyindo?

Bw’ogenda ew’omusawo, ajja kusooka kukubuuza ku bubonero bwo, ebyafaayo byo eby’obujjanjabi (nga oba wali ofunye kookolo emabega, oba wali ofunye obujjanjabi obw’amasannyalaze), n’engeri gy’obeera (nga oba onywa sigala oba onywa omwenge). Oluvannyuma, bajja kwekenneenya n’obwegendereza akamwa, emimiro n’ensingo. Era bajja kuwulira ebizimba byonna mu bulago bwo. Oluusi, bayinza okukozesa endabirwamu, ettaala, oba ttanka ennyimpi nga erina kkamera (a `fiberoptic scope`) okwekenneenya munda mu kamwa ko n'emimiro.

Kino kikolebwa ku kukebera kwa ngeri ki?

Abasawo basobola okukola ebigezo ebiwerako okukakasa obulwadde buno:

• Endoscopic Biopsy : Kino kizingiramu okuyingiza ekyuma ekigonvu ekigonvu (endoscope) okuyita mu kamwa, ng’okozesa kkamera entono ku nkomerero okuggya akatundu akatono ak’omubiri okuva mu kifo ekiteeberezebwa. Oluvannyuma ekitundu kino kyekebejjebwa wansi wa microscope mu laboratory okulaba oba waliwo obutoffaali bwa kookolo oba obulwadde bwa HPV.
• `Computed Tomography (CT) Scan` : Sikaani eno eya `CT` esobola okupima obunene bwa kookolo n'okulaba oba asaasaanidde mu bitundu ebirala. Oluusi kino kiyinza okukolebwa nga kikwataganye ne `Positron Emission Tomography (PET) Scan`.
• Magnetic Resonance Imaging (MRI) Scan : Sikaani eno eya MRI esobola okufulumya ebifaananyi ebikwata ku bitundu ebigonvu by’omubiri naddala ebinywa by’omubiri n’omusingi gw’olulimi. Kino nakyo kisobola okuyamba okuzuula obunene bw’ekizimba.

Waliwo emitendera gya `Oropharyngeal Cancer`?

Yee, ddala. Abasawo bategeka obujjanjabi ne bawa ekirowoozo ku kuteebereza okusinziira ku mutendera gwa kookolo (Cancer Staging). Waliwo emitendera ena emikulu egya kookolo w’omusulo (Omutendera I okutuuka ku IV). Emitendera gino giyinza okwawukana katono okusinziira ku oba olina obulwadde bwa HPV oba nedda. Okugatta ku ekyo, obunene bw’ekizimba, ka kibe nti kisaasaanidde mu bitundu by’omubiri ebiriraanyewo, oba mu bitundu by’omubiri eby’ewala, nabyo bikola kinene mu kuzuula omutendera.

`Oropharyngeal Cancer` ajjanjabwa atya?

Abasawo okusinga bakozesa enkola ng’okulongoosa, obujjanjabi obw’amasannyalaze, eddagala, eddagala erigendereddwamu oba obujjanjabi bw’abaserikale b’omubiri okujjanjaba kookolo ono. Ekigendererwa kyabwe ekikulu kwe kuggyawo obutoffaali bwa kookolo mu ngeri ekosa obusobozi bwo okwogera n’okumira obutono nga bwe kisoboka.

Okuloongoosa

Singa kookolo aba mutono ate nga tasaasaana mu bitundu birala, asobola okumuggyamu ng’alongoosebwa.

• `Okulongoosa kwa Roboti okuyita mu bitundu by'omubiri (TORS)`: Eno nkola mpya, etali ya kulongoosa nnyo, ekolebwa nga bayita mu kamwa. Kisobola okuggyawo kookolo mu buziba bw’emimiro, mu bifo ebizibu okutuukako. Olw’okuba ekozesa tekinologiya wa roboti, tekyetaagisa kukola kitundu kinene mu bulago oba okuggyawo uvula. Era ebiseera ebisinga tekyetaagisa `tracheostomy` (okuyingiza ekyuma ekissa).
• Ebirungi ebiri mu `TORS`:
• Okusula mu ddwaaliro oluvannyuma lw’okulongoosebwa kuba kumpi.
• Osobola okuwona amangu.
• Waliwo okwonooneka okutono mu bitundu ebigyetoolodde n’ebinywa ebiyamba mu kumira.
• Ebizibu ebiwangaala mu kwogera n’okumira bitono.
• Ebizibu/ebizibu ebiva mu `TORS`:
• Okuvaamu omusaayi mu ngeri etaali ya bulijjo (`Hemorrhage`).
• Emmere oba amazzi okuyingira mu mawuggwe (`Aspiration`).
• Obutasobola kufuna oxygen emala mu mawuggwe (Respiratory Compromise).
• Okukaluubirirwa okumira (Dysphagia).
• Obuzibu okukamula emmere.
• Okufiirwa eddoboozi ery’olubeerera oba okukaluubirirwa okwogera.
• Okwetaaga okulongoosebwa omukka (tracheostomy) olw’okukaluubirirwa okussa.
• Enkyukakyuka mu ndabika ya ffeesi.

Abantu abamu bayinza okwetaaga obujjanjabi obw’enjawulo oluvannyuma lw’okulongoosebwa TORS, gamba ng’okulongoosa okuzimba, obujjanjabi bw’okwogera, oba obujjanjabi obw’endya, okusobola okuddukanya ebizibu ebivaamu.

Obujjanjabi bw’eddagala

Omusawo ayinza okukuwa eddagala eriweweeza ku bulwadde lyokka oba ng’okozesa eddagala eriyitibwa radiation therapy. Mu mbeera ng’okulongoosa tekisoboka, okugeza singa kookolo abeera munene nnyo nga tasobola kuggyibwamu kulongoosebwa, obujjanjabi buno obubiri buyinza okuweebwa wamu. Nate:

• Singa kookolo abadde asaasaanidde okuva mu nnyindo n’agenda mu bitundu by’omubiri ebirala.
• Menye ekizimba nga tonnalongoosebwa.
• Obujjanjabi buno era bukozesebwa okusaanyaawo obutoffaali bwa kookolo bwonna obuyinza okusigalawo oluvannyuma lw’okulongoosebwa.
• Ebizibu ebiva mu bujjanjabi bw’eddagala n’obusannyalazo: Obujjanjabi buno obubiri bwe buweebwa wamu, obusobozi bwo obw’okwogera buyinza okukosebwa. Kino kiri bwe kityo kubanga obujjanjabi bw’amasannyalaze mu mumiro busobola okwonoona ebitundu ebiramu, ekizibuwalira okwogera n’okumira. Kino kiyinza okwetaagisa obujjanjabi obw’enjawulo.

Obujjanjabi obugendereddwamu

Zino puloteyina ez’enjawulo ezikolebwa mu laabu (monoclonal antibodies). Enzijanjaba zino zikola nga ziziyiza ekirungo ekiyamba obutoffaali bwa kookolo okwawukana, okukula n’okusaasaana.

• Ebizibu ebivaamu: Bino byawukana okusinziira ku kika ky’eddagala. Okugeza, ebizibu ebitera okuva mu ddagala `Cetuximab` biyinza okuli:
• Obubonero bw’okukwatibwa obulwadde ng’omusujja n’okuziyira.
• Okunyiiga kw’olususu, okusiiwa.
• Okuziyira.
• Akamwa akalu.
• Obutagaaya mmere.
• Enkyukakyuka mu lususu n’emisumaali.

Obujjanjabi bw’abaserikale b’omubiri

Buno bujjanjabi bwa layini esooka singa kookolo akomawo oba nga asaasaana. Obujjanjabi bw’abaserikale b’omubiri bukola nga buyamba abaserikale b’omubiri gwo okuzuula n’okusaanyaawo obutoffaali bwa kookolo. Pembrolizumab (Keytruda®) ne Nivolumab (Opdivo®) ddagala bbiri ery’engeri eno.

• Ebizibu ebivaamu:Ebiseera ebisinga, ebizibu ebivaamu biba bitono.
• Obukoowu.
• Okusiiyibwa okusiiyibwa.
• Embiro.
• Okuziyira n’okusiiyibwa.

Kookolo w’omu nnyindo asobola okuziyizibwa?

Wadde nga tekisobola kuziyizibwa ddala, waliwo by’oyinza okukola okukendeeza ku bulabe bwo:

• Weewale okukwatibwa akawuka ka Human Papillomavirus (HPV). Okubeera n’ababeezi abawera ne/oba okwenyigira mu kaboozi k’omu kamwa kyongera obulabe bwo obw’okufuna HPV. Buuza omusawo wo ku ddagala erigema HPV.
• Totandika kunywa ssigala. Bw’oba ​​onywa sigala, lekera awo. Okweyongera okunywa sigala kyongera nnyo ku bulabe bw’okufuna kookolo owookubiri ow’omu kamwa, ow’emimiro, ow’ennyindo oba ow’amawuggwe. Saba omusawo akuyambe okulekulira.
• Tonywa mwenge nnyo oba mu bungi. Omwenge gwongera ku buzibu bwa taaba obuleeta kookolo. N’olwekyo, kikulu nnyo okwewala okukozesa ebibiri bino awamu.
• Lya emmere ennungi era ennungi. Dduyiro buli kiseera.
• Laba omusawo n’omusawo w’amannyo ku nteekateeka eya bulijjo. Basobola okwekenneenya akamwa n’emimiro ne bazuula enkyukakyuka yonna nga bukyali.

Kiki ekibaawo singa mba n’embeera eno?

Bw’oba ​​olina kookolo w’omumwa gwa nnyindo, ojja kwetaaga okwekebejjebwa buli kiseera okukebera oba kookolo azzeemu oba omupya. Bw’oba ​​onywa omwenge oba onywa sigala, yogerako n’omusawo wo ku ky’okulekayo. Okunywa sigala n’okunywa omwenge byongera obulabe bwa kookolo okuddamu oba okufuna kookolo omupya.

`Oropharyngeal Cancer` asobola okuwona?

Abasawo basobola okujjanjaba kookolo ono. Kyokka, kisobola okuddamu ne bwe kiba nga kimaze okujjanjabibwa obulungi. Okusinziira ku kibiina kya American Cancer Society, abantu nga 70% abalina kookolo w’omu kamwa bakyali balamu oluvannyuma lw’emyaka etaano bukya bazuuliddwa. Abasawo bazudde ensonga eziwerako ezikosa enkola y’obulwadde buno:

• Okufaananako ne kookolo abasinga obungi, ebivaamu biba birungi singa kookolo azuulibwa n’ajjanjabwa nga tannasaasaana.
• Abantu abafuna kookolo olw’obulwadde bwa HPV bavaamu ebirungi okusinga abo abatalina kawuka kano.
• Abantu abatakozesa taaba bafuna ebirungi okusinga abo abamukozesa.

Nze nneerabirira ntya?

Engeri esinga obulungi gy’oyinza okwerabirira kwe:

• Weewale okunywa taaba. Bw’oba ​​onywa sigala, fuba okulekera awo.
• Weewale omwenge.
• Bw’oba ​​olina HPV, yogerako n’omusawo wo ku ky’okugema okukuuma yinfekisoni empya.
• Saba obuyambi. Obujjanjabi bwo buyinza okukukaluubiriza okwogera oba okulya. Wabula waliwo obujjanjabi obw’enjawulo ne pulogulaamu eziyamba okuddukanya ebizibu bino.
• Laba omusawo emirundi mingi.Londoola obulamu bwo okutwalira awamu n’okumanya oba kookolo azzeemu.

Ddi lwe nnina okulaba omusawo? Ddi lwe nnina okugenda mu kisenge ky’abalwadde ab’amangu?

Kikulu nnyo okulaba omusawo buli kiseera ng’omaze okujjanjabibwa. Oyinza okwetaaga okwekebejjebwa buli kiseera obulamu bwo bwonna. Mu budde obutuufu, ojja kusabibwa okwekebejjebwa buli luvannyuma lwa wiiki 6-12 okumala omwaka ogusooka ng’omaze okujjanjabwa, buli luvannyuma lwa myezi 3 okumala omwaka ogwokubiri, buli luvannyuma lwa myezi 3-4 okumala omwaka ogwokusatu, n’oluvannyuma buli luvannyuma lwa myezi 6 oluvannyuma lw’ekyo. Bw’oba ​​olongooseddwa okuggyamu ebizimba bya kookolo, olina okugenda amangu ddala mu kisenge ky’abalwadde ab’amangu bw’oba ​​olina obubonero bwonna obulaga nti olina obulwadde . Obubonero buno mulimu:

• Omusujja.
• Singa ekifo we balongoosezza kiba kimyufu era nga kiruma.
• Singa wabaawo amazzi agalinga amasira agava mu kifo we balongoosezza.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Osobola okubuuza ebibuuzo bino ng’ogenda ew’omusawo:

• Ddala kookolo wange ali ludda wa?
• Kookolo wange asaasaanye? Kiri mu mutendera ki? Ekyo kitegeeza ki?
• Bikebe ki ebirala bye nneetaaga okukola?
• Abasawo abali ku ttiimu yange ey’obujjanjabi be baani?
• Kookolo wange yeekuusa ku kawuka ka Human Papillomavirus (HPV)?
• Nkyukakyuka ki ze nneetaaga okukola mu bulamu bwange?
• Enteekateeka yange ey’obujjanjabi eri etya? Biki byonna bye nsobola okukola?
• Emikisa ki egy’obulwadde bwange okuwona?
• Biki ebiva mu bujjanjabi buno?
• Kiki ekibaawo singa kookolo akomawo? Biki bye nsobola okusalawo?

``Oropharyngeal Cancer'' y'emu ne ``Oral Cancer''?

Nedda Wadde nga byombi bika bya kookolo w’omutwe n’ensingo, bya njawulo.

• Kookolo w’omu kamwa ye kookolo akula mu kamwa oba mu kamwa. Kiyinza okubeera mu maaso g’olulimi lwo, munda mu matama go, mu maaso g’akasolya k’akamwa ko, ne wansi w’akamwa ko.
• Kookolo w’ennyindo (Oropharyngeal Cancer ) kookolo akula mu nnyindo yo, nga muno mulimu ebitundu by’omubiri ebiyitibwa tonsils, emabega w’olulimi, ennyindo ennyogovu, ebbali n’emabega w’emimiro. Zino zikolebwa okuva mu butoffaali obuyitibwa squamous cells obubeera waggulu w’akamwa n’emimiro.

Kookolo w’emisuwa (oropharyngeal cancer) kika kya kookolo w’omutwe n’ensingo atatera kulabika. Wadde abasawo basobola okubujjanjaba, naye busobola okuddamu oluvannyuma lw’okubujjanjaba. Ebiseera ebisinga, kookolo ono ava ku kukwatibwa akawuka ka Human Papillomavirus (HPV). Abantu abakozesa taaba n’okunywa omwenge nabo bali mu bulabe bwa maanyi okukwatibwa kookolo ono.

Obubaka Obutwala Awaka

Okay, kale ka tukujjukize ensonga enkulu okuva mu bye twogeddeko.

• Kookolo w’omusulo (Oropharyngeal cancer) kookolo abeera mu kitundu ekiri wakati mu mumiro. Obulwadde bwa HPV, okunywa sigala, n’okunywa omwenge bye bisinga okuvaako akabi.
• Okulumwa emimiro obutasalako, okukaluubirirwa okumira, enkyukakyuka mu ddoboozi, ebizimba mu bulagoWeegendereze obubonero nga: Buno bwe buba buwangaala okumala wiiki ezisukka mu bbiri, funa amagezi g’abasawo.
• Waliwo engeri eziwerako ez’obujjanjabi. Okuzuula amangu kikulu nnyo.
• Obulabe buno busobola okukendeezebwa ebintu nga eddagala erigema HPV, okwewala okunywa sigala, n’okunywa omwenge omungi.
• Bw’oba ​​olina embeera ng’eno oba ng’olina okubuusabuusa kwonna, totya kulaba musawo n’oyogera nabo. Bajja kukuyamba.

Jjukira nti okumanyisa abantu kye kisinga okwekuuma. Kirungi okufaayo ku bulamu bwo.