Nkulamusizza! Oli otya? Olwaleero tugenda kwogera ku bulwadde obukulu eri abakyala bangi, era wadde nga buyinza okuwulikika ng’obutiisa katono bw’owulira erinnya lyabwo, busobola okufugibwa n’okuwona okutuuka ku kigero ekinene singa buzuulibwa nga bukyali. Oyo ye kookolo w'omumwa gwa nnabaana, oba ng'abamu bwe bakiyita
`(Cervical Cancer)` . Kya bulijjo okuwuniikirira katono ng’owulira erinnya lino, naye bwe tulitegeera obulungi, tewali kye tuyinza kutya mu ngeri eteetaagisa. Kubanga okumanya ge maanyi agasinga obunene, nedda? Kale ka tulabe kiki, engeri gye kikula, obubonero bwe buli, engeri gye tuyinza okwekuuma, n’obujjanjabi bwe buli.
Kookolo w’omumwa gwa nnabaana kye ki?
Mu ngeri ennyangu, kookolo w’omumwa gwa nnabaana ye kookolo akula mu kitundu ekya wansi ekya nnabaana wo, ekitundu ekikwatagana n’obukyala, ekiyitibwa
cervix . Jjukira nti kino si kintu ekikula mu bwangu, mu kiro kimu. Ebiseera ebisinga, obutoffaali obulamu mu nnabaana bukyuka mpolampola okumala emyaka, ne bufuuka
obutoffaali ‘obutabaawo kookolo’ nga tebunnafuuka kookolo.
Ekisinga okuvaako kino kawuka akayitibwa `HPV (Human Papillomavirus).` Kano kawuka akasiigibwa mu kwegatta, kwe kugamba, akawuka akasaasaanyizibwa nga kayita mu kwegatta. Naye wuuno ekintu ekikulu. Si buli muntu alina akawuka ka `HPV` nti afuna kookolo w'omumwa gwa nnabaana. Mu butuufu, mu bantu abasinga, akawuka kano kagenda ku bwalwo mu myezi mitono nga tekalina bujjanjabi bwonna, anti abaserikale baffe abaziyiza endwadde bwe bakalwanyisa. Naye mu bakyala abamu akawuka kano kasobola okusigala mu mibiri gyabwe ne kaleeta enkyukakyuka mu butoffaali ezoogeddwako waggulu. Abo be bantu abali mu bulabe obw’amaanyi obw’okukwatibwa kookolo w’omumwa gwa nnabaana. Eno y’ensonga lwaki bulijjo tugamba nti
kikulu nnyo okwekebejjebwa buli kiseera, gamba ng’okukeberebwa Pap smear era bwe kiba kyetaagisa, okukeberebwa HPV . Ate era, okugema HPV kiyinza okukendeeza ennyo ku bulabe buno. Jjukira nti kookolo w’omumwa gwa nnabaana
bulwadde obuwonyezebwa ddala singa buzuulibwa nga bukyali .
Bika ki ebikulu ebya kookolo w’omumwa gwa nnabaana?
Kookolo w’omumwa gwa nnabaana alina ebika bibiri ebikulu. Bbo bali:
- Squamous Cell Carcinomas : Kino kye kika ekisinga okubeerawo. Kitandikira mu butoffaali obupapajjo ku ngulu w’omumwa gwa nnabaana. Ebitundu nga 80% ku 90% ku kookolo w’omumwa gwa nnabaana wa kika kino.
- Adenocarcinomas : Ebika bino biva mu butoffaali bw'endwadde obubeera mu layini munda mu nnabaana . Zikola ebitundu nga 10% ku 20% ku kookolo w’omumwa gwa nnabaana .
Oluusi kookolo asobola okubaawo ng’ebika byombi bitabuddwa.
Bubonero ki obulaga kookolo w’omumwa gwa nnabaana? Kisobola okuzuulibwa nga bukyali?
Kino kibuuzo abantu bangi kye babuuza, era nakyo kintu ekitiisa bangi. Mu butuufu,
kookolo w’omumwa gwa nnabaana ayinza obutalaga bubonero bwonna mu ntandikwa.Kiringa ekikula mu nkukutu. Eno y’ensonga lwaki bulijjo tugamba nti kikulu nnyo okukeberebwa ku myaka emituufu, mu biseera ebituufu. Obubonero butandika okulabika nga kookolo akuze katono, mpozzi n’okusaasaana mu bitundu ebimwetoolodde.
Obubonero obuyinza okulabibwa mu mitendera egy’olubereberye (nga Omutendera I):
- Amazzi agafuluma mu bukyala agatali ga bulijjo: Wayinza okubaawo amazzi agalimu amazzi, oboolyawo nga galimu omusaayi omutono, nga guyitiridde, era nga guyinza okuba nga guwunya obubi.
- Okuvaamu omusaayi mu ngeri etategeerekeka :
- Okuvaamu omusaayi oluvannyuma lw’okwegatta.
- Okuvaamu omusaayi wakati w’ennaku bbiri ez’omu nsonga.
- Okuddamu okuvaamu omusaayi oluvannyuma lw’okuggwaamu amaanyi (kwe kugamba, ng’ennaku z’omwezi zikomye ddala).
- Obulumi nga weegatta: Oyinza okufuna obulumi obupya (dyspareunia) nga tebuliwo emabegako.
Ekikulu: Olw’okuba olina obubonero buno bumu oba bubiri tekitegeeza nti kookolo wa nnabaana. Ebintu bino bisobola okubaawo olw’ensonga endala ennyangu. Kyokka bw’oba olina ekintu nga kino, nsaba totya oba okuswala, era amangu ago olabe omusawo akuwe amagezi. Ekyo kye kintu ekisinga obulungi ky’osobola okukola.
Obubonero obuyinza okubaawo nga kookolo yeeyongera okusaasaana:
Singa kookolo asaasaana okusukka omumwa gwa nnabaana, okutuuka mu bitundu ebimwetoolodde oba ebitundu ebirala, obubonero nga buno era buyinza okubaawo:
- Okukaluubirirwa okufulumya omusulo, obulumi, era nga kiyinzika okuba omusaayi mu musulo.
- Enkyukakyuka mu mize gy’ekyenda, okuziyira oba ekiddukano , obulumi ng’ofulumya ekyenda, oba omusaayi mu musulo (okuva mu nseke).
- Okuwulira obukoowu obuyitiridde buli kiseera n’okukoowa.
- Okubulwa okwagala okulya n’okugejja.
- Okutwalira awamu okuwulira nga tolina bulungi era nga buli kiseera oli mulwadde.
- Okulumwa omugongo ogwa wansi obutasalako oba okuzimba mu magulu.
- Obulumi mu kifuba/olubuto.
Bw’oba olina obubonero nga buno kitegeeza nti embeera eyinza okuba ey’amaanyi katono. N’olwekyo, kyetaagisa nnyo okugenda mu basawo amagezi mu bwangu.
Kiki ekisinga okuvaako kookolo w’omumwa gwa nnabaana?
Nga bwe twagambye emabegako,
kookolo w’omumwa gwa nnabaana ebitundu nga 99% ava ku kukwatibwa akawuka akayitibwa `HPV (Human Papillomavirus).`Waliwo ebika bya HPV ebisoba mu 100. Ebika byonna tebireeta kookolo. Waliwo ebika ebiwerako "eby'akabi ennyo" ebiyinza okuleeta kookolo. Akawuka kano kasinga kusaasaana nga kayita mu kwegatta (okwegatta mu bukyala, mu nnywanto oba mu kamwa). Lowooza ku kino, HPV kawuka akamanyiddwa ennyo. Abantu bangi abeegatta bajja kukwatibwa obulwadde bwa HPV mu kiseera ekimu mu bulamu bwabwe, naye nga tebamanyi na. Kino kiri bwe kityo kubanga abaserikale b’omubiri gwaffe basobola okulwanyisa akawuka kano ne kakagoba. Wabula oluusi naddala ebika bya HPV eby’akabi ennyo, tebiva mu mubiri, era bisigala mu butoffaali bw’omumwa gwa nnabaana okumala ebbanga, mpolampola ne bikyusa obutoffaali obwo mu ngeri etaali ya bulijjo, okukkakkana nga bifuuse kookolo. Eno y’ensonga lwaki eddagala erigema HPV likulu.
Eddagala erigema HPV lisobola okukukuuma kumpi ebitundu 90% ku bika bya HPV ebisinga okuleeta kookolo w’omumwa gwa nnabaana. Ate era, singa obulwadde bwa HPV oba embeera nga kookolo tannazuulibwa nga bukyali okuyita mu kukeberebwa bulijjo, obujjanjabi busobola okutandikibwawo nga kookolo tannaba kukula.
Ani ali mu bulabe obw’amaanyi obw’okukwatibwa kookolo w’omumwa gwa nnabaana?
Abantu abamu bayinza obutaba na nsonga yonna eraga nti omuntu alina kookolo w’omumwa gwa nnabaana. Kyokka waliwo ebintu ebimu ebyongera ku bulabe buno. Ebimu ku bino tusobola okubifuga, ate ebimu tetusobola.
Ensonga ez’akabi ze tusobola okufuga:
- Ebyafaayo by’okukeberebwa: Abo abatakeberebwa Pap bulijjo bali mu bulabe bwa maanyi okukwatibwa kookolo w’omumwa gwa nnabaana, kubanga okukeberebwa kwa Pap kuzuula obutoffaali obusooka kookolo.
- Obulwadde bwa HPV: Okukwatibwa ebika bya HPV eby’akabi ennyo kye kisinga okuleeta akabi. Okwekuuma okuva ku HPV kiyinza okukendeeza ku bulabe bwa kookolo w’omumwa gwa nnabaana.
- Ebyafaayo by’okwegatta: Okwegatta nga tonnaweza myaka 18 n’okwegatta abangi kyongera obulabe bw’okukwatibwa obulwadde bwa HPV.
- Okunywa sigala: Okunywa sigala kyongera nnyo emikisa gy’okufuna kookolo w’omumwa gwa nnabaana.
- Okukwatibwa akawuka ka siriimu: Abakyala abalina akawuka ka siriimu balina emikisa mingi egy’okufuna kookolo w’omumwa gwa nnabaana okusinga abantu bonna.
- Okubeera n’abaserikale b’omubiri abanafu: Abaserikale b’omubiri bwe baba banafu, obusobozi bw’omubiri okulwanyisa yinfekisoni bukendeera. Kino kifuula akawuka ka HPV okusigala mu mubiri.
Ensonga ez’akabi ze tutasobola kufuga:
- `DES (diethylstilbestrol)`: Lino ddagala eryaweebwa abakyala abamu ab’embuto wakati wa 1938 ne 1971 okutangira okuvaamu embuto. Singa maama wo yamira `DES` ng'oli lubuto, oyinza okuba n'obulabe obweyongedde katono obw'okufuna kookolo w'omumwa gwa nnabaana.
- Ebyafaayo by’amaka: Singa omuntu mu maka go (maama, mwannyinaffe) abadde ne kookolo w’omumwa gwa nnabaana, oyinza n’okuba n’obuzaale. Kyokka kino si kya bulijjo.
Kookolo w’omumwa gwa nnabaana asobola okukula mu nkukutu okumala bbanga ki?
Ebiseera ebisinga
kitwala emyaka 3 ku 7 enkyukakyuka ezitali za bulijjo mu butoffaali bw’omumwa gwa nnabaana (embeera ezisooka kookolo) okukula ne zifuuka kookolo.Oluusi kiyinza okutwala ekiseera ekiwanvu n’okusingawo. Wadde ng’omutendera guno ogw’okusooka kookolo gukula mpola, bwe gumala okufuuka kookolo omujjuvu, okukula kuyinza okuba okw’amangu. Y’ensonga lwaki tugamba
nti bw’oba okeberebwa Pap buli kiseera, emikisa gyo egy’okufuna kookolo w’omumwa gwa nnabaana giba mitono nnyo. Kubanga okukebera kuno kusobola okukwata obutoffaali obusooka kookolo nga tebunnafuuka kookolo.
Bizibu ki ebiyinza okuva mu kookolo w’omumwa gwa nnabaana?
Okuzuula amangu kookolo w’omumwa gwa nnabaana n’okumujjanjaba y’engeri esinga obulungi ey’okuziyiza ebizibu ebiyinza okutta omuntu. Singa kookolo agenda mu maaso oba obujjanjabi ne bulwawo, ebizibu nga:
- Obulumi: Kookolo bw’asaasaana naddala ng’akosa obusimu, obulumi obw’amaanyi buyinza okubaawo.
- Enkyukakyuka mu kibumba n’ekyenda: Singa kookolo asaasaana mu kibumba oba ekyenda, ebizibu ng’okukaluubirirwa okufulumya omusulo n’okuziyira biyinza okubaawo.
- Okwonooneka kw’ensigo: Singa kookolo aziba omusulo, asobola okwonoona ensigo okukkakkana ng’ekibumba kiremye. Kino kizibu kya maanyi ekirabibwa mu kookolo agenda mu maaso.
- Okuzimba omusaayi: Bw'oba olina kookolo, omusaayi gufuuka "munene" katono, ekyongera obulabe bw'okuzimba omusaayi.
- Okuvaamu omusaayi: Singa kookolo asaasaana mu bukyala, mu nseke oba mu nseke, omusaayi guyinza okuva mu bitundu ebyo.
- Ebikosa okuzaala oba olubuto: Okusinziira ku kika ky’obujjanjabi (e.g., okuggyamu nnabaana), obusobozi bw’okuzaala buyinza okubula. Singa ekitundu ky’omumwa gwa nnabaana kilongoosebwa, akabi k’okuvaamu embuto mu biseera eby’omu maaso kayinza okweyongera.
- Ebizibu ebiva mu bujjanjabi bwa kookolo: Obujjanjabi bw’eddagala n’obusannyalazo buyinza okuvaako ebizibu ng’okuziyira, okusiiyibwa, okukoowa, okuggwaamu enviiri, n’obutakola bulungi mu by’okwegatta.
Bino biyinza okuwulikika ng’ebitiisa, naye jjukira nti ebizibu bino bingi bisobola okuziyizibwa singa kookolo azuulibwa nga bukyali n’atandika obujjanjabi.
Kookolo w’omumwa gwa nnabaana azuulibwa atya?
Kookolo w’omumwa gwa nnabaana atera okukula mpola okumala emyaka mingi. Obutoffaali obulamu bukula ne bufuuka obutoffaali obutali bwa bulijjo (obutoffaali obusooka kookolo) ate oluvannyuma ne bufuuka obutoffaali bwa kookolo.
Kookolo w’omumwa gwa nnabaana atera okukwatibwa ng’ayita mu kwekebejja kookolo w’omumwa gwa nnabaana buli kiseera. Ekigendererwa ekikulu eky’okukebera kuno kwe kuzuula enkyukakyuka ezitali za bulijjo mu butoffaali bw’omumwa gwa nnabaana nga tezinnaba kufuuka kookolo.
- Pap test (Pap test / Pap smear): Kino kizingiramu okuggya obutoffaali obutonotono ku ngulu w’omumwa gwa nnabaana, okubukebera mu microscope, n’okukebera oba tewali buzibu bwonna oba obubonero obulaga nti kookolo tannafuna.
- Okukebera HPV: Oluusi, awamu n’okukeberebwa kwa Pap, oba singa okukebera kwa Pap kuba kwa bulijjo, obutoffaali bw’omumwa gwa nnabaana nabwo bukeberebwa akawuka ka HPV ak’obulabe ennyo.
Singa ebyava mu kukeberebwa kwa Pap kwo "biba bya bulijjo," tofaayo. Tekitegeeza nti olina kookolo. Kyokka, oyinza okwetaaga okwongera okukeberebwa.
Okukebera okukakasa kookolo:
Singa Pap smear eba si ya bulijjo, omusawo ajja kukusindika okukeberebwa okulala okuwerako.
- Colposcopy: Kino kizingiramu okukozesa ekintu eky’enjawulo (colposcope) okukuza omumwa gwa nnabaana n’okuzuula obulungi obutoffaali bwonna obutali bwa bulijjo.
- Biopsy: Singa walabibwa ekitundu ekiteeberezebwa nga bakola colposcopy, akatundu akatono ak’omubiri katwalibwa ne kasindikibwa mu laabu okukebera obutoffaali bwa kookolo. Waliwo engeri eziwerako ez’okukolamu biopsy eno:
- `Punch biopsy`: Ekintu ekitono kikozesebwa okuggyawo ekitundu ky’omubiri ekiteeberezebwa.
- Endocervical curettage (ECC): Obutoffaali busekulwa okuva munda mu mwala gw’omumwa gwa nnabaana.
- Enkola ya Loop electrosurgical excision procedure (LEEP): Loop ya waya y’amasannyalaze ekozesebwa okuggyamu ebitundu ebitali bya bulijjo. Kino oluusi kikozesebwa ng’eddagala.
- `Cone biopsy (conization):` Ekitundu ky’ebitundu by’omubiri ebiringa cone, ekinene katono kiggyibwa mu nnabaana. Kino kikozesebwa mu kuzuula n’okujjanjaba.
Singa ebyava mu kukebera omubiri bikakasa nti olina kookolo w’omumwa gwa nnabaana, ekiddako kwe kuzuula kookolo w’asaasaanidde (metastasized). Kino kiyinza okuzingiramu ebigezo nga:
- Okukebera okukebera enkola y’ekibumba n’ensigo.
- Okukebera omusaayi n’omusulo.
- X-rays z’ekibumba, enseke, ebyenda n’amawuggwe.
- ``Eby'okukebera CT (Computed Tomography)''.
- ``Ssikaani za MRI (Magnetic Resonance Imaging)''.
Omusawo asalawo omutendera gwa kookolo ng’asinziira ku mawulire agafunibwa mu kukeberebwa kuno.
Mitendera ki egya kookolo w’omumwa gwa nnabaana?
Omutendera gwa kookolo gwe bunene bwa kookolo n’obuwanvu bw’asaasaanidde. Kino kikulu nnyo mu kutegeka obujjanjabi. Waliwo emitendera ena emikulu egya kookolo w’omumwa gwa nnabaana (Stage I to Stage IV).
- Omutendera I: Kookolo akoma mu nnabaana. Tebusaasaana mu bitundu ebiwanvu eby’omumwa gwa nnabaana.
- Omutendera II: Kookolo ono asaasaanidde okusukka omumwa gwa nnabaana ne nnabaana, naye nga tasaasaana mu bbugwe w’ekisambi oba wansi mu bukyala.
- Omutendera III: Kookolo asaasaanidde wansi mu bukyala. Era kiyinza okuba nga kyasaasaana mu bbugwe w’ekisambi, emisuwa n’ennywanto eziriraanyewo.
- Omutendera IV: Kookolo ono asaasaanidde mu kibumba, mu nseke oba ebitundu eby’ewala ng’amagumba n’amawuggwe.
Omusawo wo ajja kukunnyonnyola mu bujjuvu omutendera gwa kookolo wo gw’ali ne ky’ategeeza.
Kookolo w’omumwa gwa nnabaana ajjanjabwa atya?
Obujjanjabi bwa kookolo w’omumwa gwa nnabaana businziira ku bintu ebiwerako. Omutendera gwa kookolo, emyaka gyo, obulamu bwo okutwalira awamu, n’okumanya oba olina essuubi ly’okuzaala mu biseera eby’omu maaso bitunuulirwa. Enzijanjaba enkulu ze zino:
- Okuloongoosa
- Obujjanjabi bw’amasannyalaze (Radiation Therapy).
- Obujjanjabi bw’eddagala
- Obujjanjabi obugendereddwamu
- Obujjanjabi bw’abaserikale b’omubiri
Oluusi enzijanjaba emu oba eziwera ku zino zikozesebwa wamu.
Okuloongoosa:
Ku kookolo asooka, obutoffaali bwa kookolo bwokka bwe busobola okuggyibwamu.
- Okulongoosa mu layisi: Emisinde gya layisi gikozesebwa okusaanyaawo obutoffaali bwa kookolo.
- Cryosurgery: Ekozesa ennyonta esukkiridde okufuula obutoffaali bwa kookolo bbugumu n’okusaanyaawo.
- `Cone biopsy` oba `LEEP`: Zino zikozesebwa okuzuula obulwadde nga kwotadde n'okuggyawo kookolo omutono ennyo, ow'okungulu.
- Trachelectomy: Kino kizingiramu okuggyamu omumwa gwa nnabaana n’ekitundu eky’okungulu eky’obukyala, kyokka nnabaana n’aleka nga teriiko kamogo. Kino oluusi kikolebwa ku bakyala abato, abazaala.
- Okuggyamu nnabaana: Okuggyawo nnabaana n’omumwa gwa nnabaana mu bujjuvu.
- Okufuluma mu kifuba: Kuno kulongoosa kwa maanyi. Nabaana, omumwa gwa nnabaana, ekibumba, obukyala, omusulo, n’ekitundu ky’ekyenda ekinene biggyibwawo okusinziira ku kookolo w’asaasaanidde. Kino kikolebwa singa kookolo akomyewo oba ng’asasaanye nnyo.
Obujjanjabi bw’amasannyalaze:
Emisinde egy’amaanyi amangi gikozesebwa okusaanyaawo obutoffaali bwa kookolo.
- External Beam Radiation Therapy (EBRT): Ekyuma ekiri ebweru w’omubiri kilungamya emisinde mu kifo kookolo w’abeera.
- Brachytherapy: Ekintu ekirimu obusannyalazo kiteekebwa munda oba okumpi ennyo n’ekizimba.
Obujjanjabi bw’eddagala:
Eddagala eritta kookolo (chemo drugs) liweebwa mu misuwa (nga liweebwa empiso) oba ng’empeke. Eddagala lino liyingira mu musaayi ne litambula mu mubiri gwonna okutta obutoffaali bwa kookolo. Obujjanjabi bw’eddagala butera okuweebwa mu nsengekera. Oluusi obujjanjabi bwa radiation ne chemotherapy buweebwa wamu (chemoradiation) okukendeeza ku kookolo nga tannalongoosebwa, oba okutta obutoffaali bwa kookolo bwonna obusigaddewo oluvannyuma lw’okulongoosebwa.
Obujjanjabi obugendereddwamu:
Eddagala lino likoleddwa okutunuulira n’okusaanyaawo obutoffaali obw’enjawulo obuyamba obutoffaali bwa kookolo okukula n’okusaasaana, awatali bulabe ku butoffaali bulamu.
Obujjanjabi bw’abaserikale b’omubiri:
Kino kizingiramu okusitula abaserikale b’omubiri gwo okutegeera n’okulumba obutoffaali bwa kookolo. Ttiimu yo ey’abasawo ejja kusalawo ku nteekateeka y’obujjanjabi esinga obulungi gy’oli. Oyinza n’okufuna omukisa okwetaba mu
kugezesebwa okw’obujjanjabi okugezesa obujjanjabi obupya.
Kookolo w’omumwa gwa nnabaana asobola okuwona ddala?
Yee! Kookolo w’omumwa gwa nnabaana kookolo alina omuwendo omunene ennyo ogw’okuwona naddala ng’azuuliddwa nga bukyali. Abasawo bakozesa ekigambo ``okusonyiyibwa`` okusinga ``okuwona.`` Kino kitegeeza nti obutoffaali bwa kookolo mu mubiri bufugibwa okutuuka nga tebukyasobola kusangibwa. Kyokka bakyasobola okuddayo. Y’ensonga lwaki olina okugenda mu maaso n’okukeberebwa buli kiseera.
Ku kookolo w’omumwa gwa nnabaana ow’omutendera I, okulongoosa ebiseera ebisinga gwe bujjanjabi obusooka. Obujjanjabi bwa ddagala buyinza obuteetaagisa. Naye ekyo kisinziira ku nsonga endala eziwerako. Wadde nga kizibu okutuuka ku kuwona okujjuvu mu
mutendera IV , kisoboka okugenda mu ``remission``, ekitegeeza nti obulwadde busobola okufugibwa. Ku mutendera guno, obujjanjabi (radiation, chemo, targeted therapy) bukyaweebwa okwongera ku bulamu n’okutumbula omutindo gw’obulamu.
Kookolo w’omumwa gwa nnabaana asobola okuziyizibwa?
Amawulire amalungi gali nti, yee, kookolo w’omumwa gwa nnabaana okusinga asobola okuziyizibwa! Waliwo ebintu ebitonotono by’osobola okukola:
- Funa eddagala erigema HPV: Funa eddagala lya HPV ku myaka egisaanidde (ebiseera ebisinga emyaka 9-26, oluusi okutuuka ku 45 ku magezi g’abasawo). Buno bwe bukuumi obukulu.
- Funa okukeberebwa Pap era bwe kiba kyetaagisa, okukeberebwa HPV buli luvannyuma lwa kiseera: Okutandika oluvannyuma lw’emyaka 21 (oba emyaka 3 oluvannyuma lw’okwegatta), funa okukeberebwa kuno mu biseera omusawo wo by’akulagidde.
- Okwegatta okutali kwa bulabe: Okukozesa enkola eziziyiza nga kondomu nga weegatta kiyinza okukukuuma endwadde z’ekikaba omuli ne HPV. Ekkomo ku muwendo gw’abaagalana.
- Weewale okunywa ssigala: Bw’oba onywa sigala, lekera awo. Abatanywa ssigala, temutwala kunywa ssigala.
Essuubi ki eririna kookolo w’omumwa gwa nnabaana?
Kookolo w’omumwa gwa nnabaana bulwadde bwa maanyi, naye nga bwe kyayogeddwako emabegako,
ajjanjabibwa nnyo naddala singa azuulibwa nga bukyali. Kya bulijjo okuwulira ennaku, okutya n’okunyiiga ng’okizudde nti olina kookolo. Funa obuyambi okukola ku nneewulira zino. Yogerako n’ab’omu maka go n’emikwano gyo. Okwegatta ku kibiina ekiyamba kookolo nakyo kiyinza okuyamba ennyo. Ne bwe banaaba obujjanjabi buwedde, omusawo ajja kwongera okukulondoola okulaba oba kookolo akomawo. Ne bw’ogenda mu kusonyiyibwa, kya bulijjo okuba n’okutya okuzibu nti kookolo ajja kudda. Kirungi okwogera n’omubuulirizi, omwagalwa wo oba omusawo wo ku nsonga eno. Okusinziira ku bibalo okuva mu kitongole kya National Cancer Institute, emiwendo gy’abantu abawangaala mu myaka etaano giri bwe giti:
- Singa kookolo w’omumwa gwa nnabaana aba tannasaasaana (localized): 91% .
- Bwe kiba nga kisaasaanidde mu bitundu ebiriraanyewo (regional): 60% .
- Bwe kiba nga kisaasaanidde mu bitundu by’omubiri eby’ewala (ewala): 19% .
Naye jjukira nti bino bibalo byokka.Tekisoboka kwogera ddala kiki ekigenda okukutuukako okuva mu bino. Omusawo wo yekka y’asobola okukuwa amawulire agasinga obulungi ku mbeera yo n’emikisa gyo egy’okuwona.
Ddi lwe nnina okulaba omusawo?
Bw’oba olina obubonero bwonna obutali bwa bulijjo bwe twayogeddeko emabegako (okuvaamu omusaayi mu ngeri etaali ya bulijjo, okufulumya amazzi mu ngeri etaali ya bulijjo, obulumi nga weegatta),
laba omusawo mu bwangu. Ate era bw’oba tosobola kujjukira ddi lwe wasemba okukeberebwa Pap smear, ekyo nakyo yogerako n’omusawo wo otandike okwekebeza ku nteekateeka eya bulijjo. Kya bulijjo ebibuuzo bingi okujja mu birowoozo byo ng’ozuuliddwa nti olina kookolo w’omumwa gwa nnabaana. "Bujjanjabi ki obusinga okunkwatako?" "Kkookolo anaakomawo?" Teesa ku bibuuzo bino byonna n’ebikweraliikiriza ne ttiimu yo ey’abasawo.
Obubaka Obutwala Awaka
Wamma leero twogedde bingi, si bwe kiri? Kya bulijjo okuwulira ng’otya katono ng’oyiga ku kookolo w’omumwa gwa nnabaana. Naye,
ekisinga obukulu kiri nti bulwadde obusinga okuziyizibwa era singa buzuulibwa nga bukyali, busobola n’okuwona ddala. Okujjukira:
* Funa eddagala erigema HPV (bw’oba olina ebisaanyizo) .
* Funa okukeberebwa kwo okwa Pap n’okukeberebwa HPV mu budde. Kino kye kintu ekisinga obulungi ky’osobola okukola. Tokwatibwa nsonyi oba okukiteeka ku bbali.
* Bw’oba olina obubonero bwonna obutali bwa bulijjo (okuvaamu omusaayi mu ngeri etaali ya bulijjo, okuvaamu amazzi n’akawoowo akatali ka bulijjo, okulumwa nga weegatta), laba omusawo mu bwangu.
* Weewale okunywa sigala.
* Weegezeemu akaboozi akataliiko bulabe.
Obulamu bwo buli mu mikono gyo. Tusuubira nti amawulire gano gakuyamba. Bw’oba olina ekibuuzo ekirala kyonna, tolwawo kubuuza musawo wo. Sigala nga oli mulamu bulungi!
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