Kya bulijjo omuntu yenna okuwulira okutya n’okutya okw’amaanyi ng’omusawo amugamba nti alina kookolo w’amabeere. Wabula okutya okwo kweyongera bwe bakimanya nti kookolo asaasaanidde mu bitundu by’omubiri ebirala, ekitegeeza nti ‘agenda mu maaso’. Abasawo era kino bakiyita `(metastatic)` oba `(stage IV)`. Kale leero twogera ku mbeera eno ey'amaanyi, oba ' advanced breast cancer '. Tosattira nga owulira bino. Ekisinga obukulu kwe kutegeera obulungi embeera eno. Wadde tasobola kuwona ddala, waliwo obujjanjabi obupya obusobola okukuyamba okufuga kookolo n’okuwangaala n’okuwangaala obulungi.
Kookolo w’amabeere asaasaana atya mu mubiri gwonna?
Kyangu nnyo. Lowooza ku kino: Kookolo bulwadde obugabanya obutoffaali obutafugibwa. Obumu ku butoffaali buno obwa kookolo bukutuka okuva mu mabeere ne buyita mu misuwa n’enkola y’amazzi mu mubiri gwaffe. Kiringa ebintu ebitonotono mu mugga. Obutoffaali bwa kookolo obutambula mu ngeri eno busobola okugenda mu bitundu by’omubiri ebirala naddala mu magumba, amawuggwe, ekibumba oba obwongo ne butandika okukula eyo. Ne bwe kiba mu kitundu eky’enjawulo, kiba kikyali butoffaali bwa kookolo w’amabeere. Y’ensonga lwaki abasawo bagijjanjaba n’eddagala lye limu erikozesebwa ku kookolo w’amabeere.
Bubonero ki bw’oyinza okufuna mu mbeera eno?
Abantu abamu bayinza obutaba na bubonero bwonna, naye abantu bangi bajja kufuna obuzibu. Obubonero bw’olaba bujja kusinziira ku butoffaali bwa kookolo we busaasaanidde.
Ekisinga obukulu kwe kwogera n’omusawo wo ku bulumi bwonna obupya oba obutabeera bulungi bw’owulira. Waliwo obujjanjabi bungi obusobola okuyamba okuddukanya obubonero buno.
Kino ka twongere okukinnyonnyola mu kipande wansi.
| Kookolo w’asaasaanidde | Obubonero obutera okulabika obuyinza okubaawo |
|---|---|
| Amagumba | Obulumi mu mubiri naddala okulumwa amagumba, amagumba ganafuwa ne gamenya mangu (okumenya). |
| Amawuggwe | Okusesema ennyo, okukaluubirirwa okussa, okulumwa mu kifuba. |
| Ekibumba | Obulumi ku ludda olwa waggulu olwa ddyo olw’olubuto, okuzimba, obutayagala mmere, amaaso n’olususu okufuuka ebya kyenvu (jaundice), okuziyira. |
| Obwongo | Okulumwa omutwe emirundi mingi, okukyuka mu kulaba, okukonziba, okukaluubirirwa okwogera, okuzirika oba okunafuwa ku ludda olumu olw’omubiri. |
Bujjanjabi ki obukolebwa ku kino?
Kookolo bw’aba akoma ku mabeere, obujjanjabi obukulu kwe kulongoosa okuggyamu ekizimba. Naye kookolo bw’aba asaasaanidde mu mubiri gwonna, obujjanjabi obw’enkola y’enkola y’obujjanjabi obusinga. Bino bitambula mu musaayi gwo ne bilumba obutoffaali bwa kookolo mu mubiri gwo gwonna.
Waliwo enkola enkulu eziwerako ez'obujjanjabi :
- Obujjanjabi bw’obusimu: Obusimu buyamba ebika bya kookolo by’amabeere ebimu okukula. Obujjanjabi buno bukola nga buziyiza ekikolwa ky’obusimu obwo.
- Chemotherapy: Kino kikola nga kitta obutoffaali bwa kookolo obwawukana amangu. Kino kiyinza okukendeeza amangu ebizimba, naye kirina ebizibu ebirala ebitonotono.
- Targeted Therapy : Kino kizingiramu okulumba obunafu obw’enjawulo mu butoffaali bwa kookolo, bwe kityo ne kivaako okwonooneka okutono ku butoffaali obulamu.
- Obujjanjabi bw’abaserikale b’omubiri: Kino kizingiramu okusitula abaserikale b’omubiri gwo bennyini okulwanyisa obutoffaali bwa kookolo.
Omusawo wo y’ajja okusalawo obujjanjabi ki obusinga okukuyamba. Obujjanjabi buyinza okwetaagisa okukyusibwa oluvannyuma lw’ekiseera.
Ebintu ebijja okukuyamba okusigala ng’oli mugumu mu lugendo luno
Okubeera n’obulwadde nga buno kiyinza okuba ekizibu , mu mubiri ne mu birowoozo. Naye waliwo ebintu bingi by’osobola okukola okusobola okwanguyiza olugendo.
Fuga obulumi.
Bw'oba olina obulumi, tolowooza nti, "Bino bwe kiri, nnina okubeera nakyo." Ebiseera ebisinga, obulumi busobola okuddukanyizibwa. Bw’oba olina obulumi, yogerako n’omusawo wo. Oyinza okwetaaga okukyusa eddagala lyo, oba okugenda ew’omusawo w’obulumi.
Sigala ng’olina akakwate n’abalala.
Tobeera wekka mu kiseera kino. Yogerako n’ab’omu maka go ne mikwano gyo egy’oku lusegere ku ngeri gy’owuliramu. Ate era, waliwo ebibiina ebiwagira abalala ababadde n‟ebyo ebifaananako bwe bityo mwe basobola okukuyamba okuwulira ng‟olina amaanyi. Osobola okubuuza omusawo wo engeri y’okuzuulamu ebibinja ng’ebyo.
Faayo ku bulamu bwo obw’omutwe.
Bw’oba olina obulwadde obw’amaanyi nga buno, osobola okufuna enneewulira nnyingi. Kya bulijjo okuwulira obusungu, ennaku, okwesalira omusango, n’okwennyamira . Ate era oluusi osobola okuwulira ng’olina essuubi. Tewali n’emu ku nneewulira zino ‘ntuufu’ oba ‘enkyamu.’ Kiriza okuziwulira. Bw’oba owulira nga weetaaga obuyambi, yogerako n’omusawo wo oba abaagalwa bo. Okufuna okubudaabudibwa ku bulamu bw‟obwongo n‟okwogera n‟abalala kiyinza okukuyamba obutawulira nga oli wekka.
Manya ebikwata ku kugezesebwa mu malwaliro
Bino bigezo bya bujjanjabi, nga bino bye kunoonyereza okuzuula obujjanjabi obupya. Okusinziira ku kika kya kookolo wo n’obulamu bwo, oyinza okuba n’ebisaanyizo okwetaba mu kimu ku bigezo bino. Yogerako n’omusawo wo ku nsonga eno.
Manya ku Palliative Care
Eno ndowooza nkyamu emanyiddwa ennyo. Palliative care kika kya ndabirira eweebwa abantu abalina obulwadde obw’amaanyi. Kikoleddwa okutumbula omutindo gw’obulamu bwo, okufuga obulumi, okukufuula omusanyufu n’okukuyamba okutegeera obujjanjabi bw’oyinza okukozesa. Empeereza eno esobola okutandika nga bukyali ku lunaku lw’ozuuliddwa. Okulabirira mu malwaliro (Hospice care) kitundu kitono eky’okulabirira okukkakkanya obulumi. Kiweebwa abantu ababadde bategeezeddwa abasawo nti balina emyezi egitawera 6 okuwangaala.
Obubaka Obutwala Awaka
- ‘Advanced breast cancer’ kitegeeza nti kookolo w’amabeere asaasaanidde mu bitundu by’omubiri ebirala. Wadde nga tekisobola kuwona ddala, kati waliwo obujjanjabi obukola ennyo obuyinza okuwangaaza obulamu n’okutumbula omutindo gw’obulamu.
- Obubonero ng’obulumi n’okussa obubi busobola okuddukanyizibwa, n’olwekyo kakasa nti oyogera n’omusawo wo ku buzibu bwonna obupya.
- Obuwagizi mu nneewulira kikulu nnyo mu lugendo luno. Yunga n‟ab‟omu maka, mikwano gyo, n‟ebibiina ebiwagira. Togezaako kwetikka mugugu guno wekka.
- Obujjanjabi obw’okukkakkanya obulumi si bwa nkomerero y’obulamu bwokka. Kiyinza okukozesebwa okwanguyiza obulamu bwo okuva ku lunaku lw’ozuuliddwa.
- Bw’oba ggwe oba omuntu gw’omanyi akosebwa embeera eno, toggwaamu ssuubi. Sayansi w’obusawo agenda mu maaso buli lunaku, n’olwekyo bulijjo yogerako n’omusawo wo era omanye ku bujjanjabi obusembyeyo.
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