Ka tuyige ku bizimba ebiva mu butoffaali obulinga emmunyeenye mu bwongo bwo (Astrocytoma)!

Ffenna twolekagana n’ebizibu by’ebyobulamu bye tutasuubira mu bulamu bwaffe, nedda? Mpozzi ng’otera okulumwa omutwe oba ng’owulira ng’okujjukira kwo kugenda kubulako katono. Wadde bino biyinza okuba ebintu ebya bulijjo, oluusi biyinza okuba obubonero obulaga ekizibu munda mu mubiri gwaffe naddala obwongo. Leero tugenda kwogera ku kika ky’ekizimba ekiyinza okubeera mu bwongo, ekizibu katono, naye ffenna tusaanidde okukimanya. Oyo ye Astrocytoma .

Astrocytoma kye ki? Ka tukitegeere mu ngeri ennyangu!

Okay, kati ka tulabe astrocytoma eno kye ki. Mu ngeri ennyangu, kika kya kizimba ekibeera mu busimu bwaffe obw’omu makkati (CNS) , kwe kugamba, okusinga mu bwongo ate oluusi mu mugongo (obusimu obuddukira wansi mu mugongo). Ebizimba bino bikolebwa okuva mu kika ky’obutoffaali obw’enjawulo obufaanana ng’emmunyeenye mu bwongo bwaffe. Abasawo obutoffaali buno babuyita ``obutoffaali bwa astrocyte``. ``Astrocy cells`` zino butoffaali obubeera mu kibinja ky'obutoffaali obuyamba, okuliisa, n'okukuuma obwongo n'obusimu. Obutoffaali buno obuyambi butera okuyitibwa ``obutoffaali bwa glial``. Ng’oggyeeko ``obutoffaali bwa astrocyte``, waliwo ebika ebirala ebya ``obutoffaali bwa glial`` obuyitibwa ``oligodendrocytes`` ne ``ependymal cells``. Kale, ebizimba ebitondebwawo nga ``obutoffaali bwa glial`` buno butandika okukula mu ngeri etafugibwa biyitibwa ``glioma``. Astrocytoma kye kika kya glioma ekisinga okubeerawo.

Ebizimba bino ebya astrocytoma biyinza okuba ebya kookolo (ebibi) oba ebitali bya kookolo (ebitali bya kookolo) . Ekyo kitegeeza nti ebimu bya bulabe era bisaasaana mangu. Ebimu si bwe bityo, era bikula ne bisaasaana mpola.

Abasawo bagabanya astrocytomas okusinziira ku "obubonero" bwazo, okufaananako nnyo n'obubonero mu ssomero. Ebigezo bino binnyonnyola engeri ekizimba gye kikula amangu n’engeri gye kiyinza okusaasaana mu bitundu by’obwongo ebiriraanyewo. Okwawukanako n'ebika bya kookolo ebirala, tewali nkola ya "staging".

Bika ki ebikulu ebya Astrocytoma?

Ekitongole ky’ebyobulamu mu nsi yonna (WHO) kyawuddemu astrocytomas mu bibiina bina ebikulu. Ekibiina 1 kye kika ekisinga okuba eky’akabi akatono, ekikula mpola. Ekibiina eky’okuna kye kika ekisinga okubeera eky’obusungu, okukula amangu, era eky’obulabe.

Obulwadde bwa Astrocytoma obutali bwa kookolo (Benign).

Bino bizimba bya bulabe nnyo, ebitali bya kookolo.

• Ekibiina ekisooka Obulwadde bwa Astrocytoma:
• Obulwadde bwa Pilocytic astrocytoma:Kino kye kika ky’ekizimba ekya grade 1 ekisinga okubeerawo. Bukula mpola nnyo era tebutera kusaasaana. Si kookolo. Oluvannyuma lw’okuggyibwawo ddala nga balongooseddwa, ebiseera ebisinga tebwetaagisa kujjanjaba ddagala oba ddagala lya masanyalaze. Ebizimba bino bisinga kukula mu bwongo, ekitundu ky’obwongo ekiyitibwa cerebellum .
• Pleomorphic xanthoastrocytoma: Ekizimba eky’ekika kino nakyo kitera okukula mu bwongo. Kisinga kukula mu kitundu ky’obwongo ekiyitibwa temporal lobe . Kino kiyinza okuvaako okukonziba ennyo. Kisobola okuwona ng’olongooseddwa.
• Subependymal giant cell astrocytoma (SEGA): Ekizimba eky’ekika kino kisinga kubeera mu baana abalina embeera y’obuzaale eyitibwa tuberous sclerosis. Kikula mu bifo ebijjudde amazzi munda mu bwongo ebiyitibwa ventricles . Era kiyinza okujjanjabibwa n’okulongoosebwa.

Obulwadde bwa Astrocytoma obubi

Bino bizimba bya bulabe ebirimu obutoffaali bwa kookolo era nga bisobola okukula n’okusaasaana amangu.

• Grade 2 Astrocytoma: Ebizimba bino bitera okusaasaana mu bitundu by’obwongo ebibyetoolodde, ekizibuwalira okuwona ddala ng’olongooseddwa kwokka.
• Grade 3 Astrocytomas: Zino zikola nnyo okusinga ebizimba ebya grade 2. Ebiseera ebisinga, ekizimba eky’ekika eky’okubiri kisobola okugenda mu ddaala ery’okusatu oluvannyuma lw’ekiseera. Bino tebisobola kuwona na kulongoosebwa kwokka. Obujjanjabi obw’amasannyalaze (radiation therapy) bwetaagibwa nnyo, era n’obujjanjabi obw’eddagala (chemotherapy) butera okwetaagisa.
• Glioblastomas: Zino ze za grade 4 astrocytomas . Zino ze kika kya astrocytoma ekisinga okubeerawo era ekisinga okubeera eky’amaanyi. Zikula ne zisaasaana mangu nnyo. Ebitundu nga 10% ku byo biva mu bulwadde bwa astrocytoma obw’omutindo ogwa wansi obwaliwo edda nga bufuuse kookolo. Oba, mu bitundu 90%, zitandika ng’ekizimba eky’ekibiina eky’okuna.

Ani afuna obulwadde bwa Astrocytoma?

Ebizimba bino bisobola okukula mu muntu yenna, naye ebizimba eby’enjawulo bizuuliddwa nga bisinga kubeera mu bantu ab’emyaka egy’enjawulo:

• Grade 1 Astrocytoma: Esinga kubeera mu baana n’abavubuka abakulu.
• Grade 2 Astrocytoma: Esinga kubeera mu bantu abakulu abali wakati w’emyaka 20 ne 60.
• Grade 3 Astrocytoma: Esinga kubeera mu bantu abakulu abali wakati w’emyaka 30 ne 60.
• Glioblastoma (grade 4 astrocytoma): Esinga kubeera mu bantu abakulu abali wakati w’emyaka 50 ne 80.

Era kigambibwa nti abasajja batera okufuna obulwadde bwa astrocytomas obwa grade 3 ne 4.

Obulwadde buno butera kwenkana wa?

Obunene bw’ebika eby’enjawulo ebya astrocytoma nabwo bwawukana:

• Grade 1 astrocytoma: Ebitundu nga 2% ku bizimba byonna eby’obwongo.
• Grade 2 astrocytoma: ekola ebitundu 2% ku 5% ku bizimba byonna eby’obwongo.
• Ekibiina eky’okusatu Astrocytoma: Ebitundu nga 4% ku bizimba byonna eby’obwongo.
• Ekibiina eky’okuna Astrocytomas (Glioblastomas): Zikola ebitundu 24% ku bizimba byonna eby’obwongo.

Mu bantu abakulu, glioblastoma (grade 4 astrocytoma) kye kika kya kookolo w’obwongo ekisinga okubeerawo.

Bubonero ki obulaga obulwadde bwa Astrocytoma?

Obubonero bw’ekizimba kino busobola okwawukana okusinziira ku bunene bw’ekizimba ne we kiri mu bwongo. Obubonero obumu obutera okulabika mulimu:

• Omutwe ogutera okulumwa, oluusi nga guluma nnyo ku makya.
• Okuziyira n’okusiiyibwa.
• Okukonziba.
• Enkyukakyuka mu mbeera y‟obwongo: Okugeza, embeera ng‟obutasobola kwemalira ku kintu (delirium) oba okubulwa okujjukira ddala (okubulwa amagezi).
• Okufiirwa okujjukira.
• Ebizibu ebirala eby‟amagezi: enkyukakyuka mu buntu, enkyukakyuka mu muudu (nga okwennyamira).
• Obukoowu obuyitiridde mu mubiri.
• Ebizibu by’okulaba: Okulaba okuzibu, okulaba emirundi ebiri.
• Obuzibu mu kwogera (aphasia): Okukaluubirirwa okukola ebigambo, obutasobola kulowooza kya kwogera.
• Ebizibu mu ntambula: ebitundu by’omubiri bifuuka biwunya, binafuwa, era biraga ebiwujjo ebitali bya bulijjo.

Bw’oba ​​olina ekimu oba ebisingawo ku bubonero buno, kikulu nnyo okulaba omusawo amangu ddala nga bwe kisoboka.

Biki ebivaako obulwadde bwa Astrocytoma?

Mu butuufu, abanoonyereza n’okutuusa kati tebamanyi kituufu kivaako astrocytomas ezisinga obungi. Ebizimba bino ebisinga bibaawo buli luvannyuma lwa kiseera. Ebibiri ku bintu ebikulu ebiyinza okuleeta akabi abanoonyereza bye bazudde kwe kukwatibwa emisinde n’obuzaale.

Wabula okunoonyereza okwakakolebwa kulaga nti enkyukakyuka (enkyukakyuka) mu ggiini eyitibwa `(IDH1 gene)` eyamba nnyo mu kukula kw’obutoffaali obuyitibwa astrocytomas obw’omutindo ogwa wansi. Ensengekera eno eyamba obutoffaali bwaffe okukola amaanyi. Ensengekera eno bw’ekyusibwa, eddagala eriyitibwa `(2-HG)` likolebwa. Kino kikung’aanyizibwa mu `(obutoffaali bwa astrocyte)` obulamu oluvannyuma lw’ekiseera, era obutoffaali obwo butandika okufuuka obutali bwa bulijjo. Wano astrocytomas we zikula.

Okukwatibwa emisinde n’obulwadde bwa astrocytoma

Okugezesa okukwatibwa obusannyalazo obuyitibwa ionizing radiation obukozesebwa okujjanjaba kookoloObujjanjabi bw’amasannyalaze byongera ku bulabe bw’okufuna obulwadde bwa astrocytoma.

Ng’ekyokulabirako, abaana abalina obulwadde bwa acute lymphocytic leukemia (ALL) abafuna obujjanjabi obw’amasannyalaze okuziyiza obulwadde buno bayinza okuba n’emikisa gy’okufuna ekizimba mu busimu obw’omu makkati, gamba nga astrocytoma, emirundi 22 mu myaka 5 ku 10.

Ebivaako obuzaale n’obulwadde bwa astrocytoma

Embeera z’obuzaale zino wammanga ezitatera kulabika zizuuliddwa nga zikwatagana n’okukula kw’obutoffaali obuyitibwa astrocytomas:

• Li-Fraumeni syndrome: Embeera eno ebaawo nga waliwo enkyukakyuka mu buzaale obuyitibwa TP53 gene. Abantu abalina obulwadde buno balina emikisa 90% egy’okufuna ekika kya kookolo kimu oba ebisingawo mu bulamu bwabwe. Kino kiyinza okuzingiramu obulwadde bwa astrocytoma.
• Neurofibromatosis type 1 (NF1): Mu mbeera eno, enkyukakyuka mu buzaale obuteeberezebwa okukomya ebizimba okukula ereetera obutoffaali okukula mu ngeri etaali ya bulijjo. Abantu abalina NF1 bayinza okufuna astrocytomas, ebizimba by’obusimu obw’okumpi, n’amabala aga café-au-lait ku lususu.
• Tuberous sclerosis: Embeera eno ereeta ebizibu by’obulamu eby’enjawulo. Mu bino mulimu okukonziba, okulwawo okukula, n’okutondebwa kw’ebizimba mu bitundu by’omubiri eby’enjawulo. Kiva ku nkyukakyuka mu buzaale bubiri, obuzaale bwa TSC1 n’obuzaale bwa TSC2. Subependymal giant cell astrocytomas (SEGAs) zitera okukula mu bantu bokka abalina obulwadde bwa tuberous sclerosis.
• Turcot syndrome: Embeera eno eva ku nkyukakyuka mu buzaale obuwerako obuziyiza ebizimba okukula. Kiyinza okuleeta okukula okutono (polyps) mu byenda n’ekizimba kimu oba ebisingawo, gamba nga astrocytomas, mu bwongo oba mu mugongo.

Astrocytoma ezuulibwa etya?

Olw’okuba obubonero bw’obulwadde bwa astrocytoma bufaananako n’obw’endwadde endala ez’obusimu, kiyinza okuzibuwalira abasawo okuteebereza oba okuzuula.

Kyokka omusawo ajja kukubuuza ku bubonero bwo n’ebyafaayo by’obujjanjabi. Kirabika ajja kukola ekigezo ky'obusimu . Kino kijja kuyamba okuzuula obuzibu we buli mu bwongo oba mu mugongo.

Olwo omusawo ajja kulagira okukeberebwa ebifaananyi by'obwongo . Sikaani ya MRI (Magnetic resonance imaging) y’engeri esinga obulungi ey’okuzuula n’okuzuula obulwadde bwa astrocytoma. Bw’oba ​​tosobola kukeberebwa MRI olw’okuba olina ekyuma ekikuba omukka oba ekiyungo, CT scan (Computed tomography scan) kye kiddako ekisinga obulungi.

Singa okukebera kuno okw’ebifaananyi kulaga ekintu kyonna ekitali kya bulijjo mu bwongo, kirabika omusawo ajja kukola okulongoosa (okutwala akatundu akatono ku kizimba okukeberebwa) oba okusalako.(okulongoosa ekizimba) kirungi. Eno y’engeri yokka ey’okuzuula obulwadde mu ngeri entuufu.

Obulwadde bwa kookolo obuyitibwa astrocytoma busobola okuwona?

Grade 1 astrocytomas zitera okuwona n’okulongoosebwa singa omusawo alongoosa obusimu asobola okuggyawo ekizimba kyonna awatali bulabe. Tekitera nnyo, astrocytomas ezimu eza grade 2 nazo zisobola okuwona n’okulongoosebwa.

Wabula mu kiseera kino tewali ddagala eriwonya astrocytomas eya grade 3 ne 4 (naddala glioblastomas) kubanga zikula ne zisaasaana mangu. Wabula eddagala eriyitibwa radiation therapy n’eddagala erimu lisobola okufuga okukula kw’ebizimba bino n’okukendeeza ku bubonero.

Astrocytoma ejjanjabwa etya?

Enkola z’obujjanjabi zisinziira ku bintu ebiwerako:

• Ekifo, obunene n’ekika ky’ekizimba.
• emyaka gyo.
• Obulamu bwo okutwalira awamu.

Ttiimu y’abakugu ejja kukolera wamu okusalawo enteekateeka y’obujjanjabi esinga obulungi gy’oli. Ttiimu eno eyinza okuli:

• Abakugu mu by’obusimu
• Abasawo abalongoosa obusimu
• Abakugu mu by’obulwadde bwa kkansa (radiation oncologists).
• Abasawo abakugu mu by’obulwadde bwa kookolo

Enzijanjaba enkulu ez’obulwadde bwa astrocytoma ze zino:

• Okuloongoosa.
• Obujjanjabi bw’amasannyalaze (radiation therapy).
• Obujjanjabi bw’eddagala obuyambako.
• Ennimiro ezijjanjaba ebizimba (ku glioblastoma).

Okugatta ku ekyo, wayinza okubaawo okugezesebwa okw’obujjanjabi kw’osobola okwetabamu.

Okulongoosa obulwadde bwa astrocytoma

Okulongoosa gwe mutendera ogusooka mu kujjanjaba obulwadde bwa astrocytoma. Ewa emigaso esatu emikulu:

1. Osobola okumanya ddala ekika ky’ekizimba kye kiri ng’oggya ekitundu ky’ekizimba mu kizimba n’okyekebejja ng’okozesa microscope.

2. Abasawo basobola okwongera okukebera ekizimba okulaba oba waliwo obutoffaali n’enkyukakyuka eddagala erimu bye liyinza okutunuulira.

3. Kisobozesa okuggyawo ekizimba ekinene nga bwe kisoboka. Kino kiyamba okukendeeza puleesa munda mu bwongo n’ekiwanga n’okuziyiza ebizibu ebirala.

Olw’okuba astrocytomas eya grade 1 zikula mpola era tezisaasaana mu bitundu by’obwongo ebirala, okulongoosa bwe bujjanjabi bwokka obuliwo.

Enzijanjaba eziyamba ku bulwadde bwa astrocytoma

Obujjanjabi obuyamba oluusi obuyitibwa "obujjanjabi obuyamba," butunuulira obutoffaali bwa kookolo obutattibwa bujjanjabi obukulu. Mu astrocytoma, okulongoosa bwe bujjanjabi obusinga.

Astrocytomas eza grade 3 ne 4 bulijjo zeetaaga obujjanjabi obulala ng’oggyeeko okulongoosebwa. Grade 2 astrocytomas nazo oluusi ziyinza okwetaaga obujjanjabi obw’enjawulo.

Ebimu ku bujjanjabi obw’enjawulo ku bulwadde bwa astrocytoma:

• Chemotherapy with temozolomide (TMZ): Chemotherapy kwe kukozesa eddagala okutta obutoffaali bwa kookolo ne/oba okubulemesa okweyongera. Eddagala lino eriyitibwa temozolomide (TMZ) likola nga likyusa DNA y’obutoffaali bw’ekizimba, ne bufa. TMZ ye bujjanjabi obuyamba mu layini esooka eri astrocytomas zonna ez’ekibiina eky’okusatu n’eky’okuna. Oluusi kiweebwa ne astrocytomas eza grade 2.
• Obujjanjabi bw’amasannyalaze: Obujjanjabi buno bukozesa obusannyalazo (ebiseera ebisinga X-rays ezirina amaanyi amangi) okutta obutoffaali bwa kookolo. Eno ngeri nnungi nnyo ey’okujjanjaba obulwadde bwa astrocytomas.
• Bevacizumab: Lino ddagala eriweebwa mu mpiso. Kikola nga kiziyiza okukula kw’emisuwa egiyamba ekizimba okukula. Ekitongole kya Amerika ekivunaanyizibwa ku by’emmere n’eddagala ekya FDA kikkirizza eddagala lino erijjanjaba obulwadde bwa glioblastoma obuddamu. Ayamba okukendeeza ku kuzimba n’okumalawo obubonero.
• Ennimiro ezijjanjaba ebizimba: Kino kyuma kya njawulo ekikola ennimiro z’amasannyalaze. Ennimiro zino zisobola okukendeeza ku kukula kw’ekizimba. Eyambalibwa ng’enkoofiira. Abasawo bayinza okukuwa amagezi ku bujjanjabi buno ku glioblastoma eyaakazuulibwa n’eddamu.

Nsobola okuziyiza okukula kw’obulwadde bwa Astrocytoma?

Mu kiseera kino tewali ky’oyinza kukola kuziyiza astrocytomas okukula. Ebiseera ebisinga, zikula mu ngeri ya kimpowooze.

Wabula bw’oba ​​olina embeera y’obuzaale ekuteeka mu bulabe obw’amaanyi obw’okufuna obulwadde bwa astrocytoma, kikulu okulaba ttiimu y’abasawo buli kiseera okwekebejjebwa. Olwo basobola okukulondoola obubonero bw’obulwadde bwa astrocytoma. Kino gye kikoma okuzuulibwa amangu, gye kikoma okubeera ekirungi.

Enteebereza y’obulwadde bwa Astrocytoma eri etya?

Endowooza, oba obulwadde buno bunatereera n’ebbanga ly’osobola okuwangaala, esinziira ku bintu ebiwerako:

• Ekipimo ky’ekizimba: Ekigezo gye kikoma okuba waggulu, okutwalira awamu endowooza gy’ekoma okubeera embi.
• Ekitundu ki ekizimba ekiyinza okuggyibwamu nga kilongoosebwa:Wadde nga astrocytomas eza grade 1 zisobola okuwona nga zilongoosebwa kwokka, astrocytomas eza grade 2 okutuuka ku 4 teziyinza kuggyibwawo ddala. Kyokka singa omusawo alongoosa obusimu asobola okuggyamu ebitundu by’omubiri bingi nga bwe kisoboka, omuwendo gw’abawona guba mulungi.
• Okukozesa obujjanjabi obw’enjawulo: Obujjanjabi obw’enjawulo, gamba ng’obujjanjabi obw’eddagala n’obusannyalazo, busobola okukendeeza ku bubonero n’okwongera okuwangaala.
• Emyaka: Okutwalira awamu, abato bawangaala nnyo.
• Embeera y’obwongo: Abo abalina obubonero obutono n’enkola y’obusimu eya bulijjo bawangaala nnyo.

Ttiimu yo ey’abasawo ejja kusobola okukuwa amawulire amatuufu ku by’osuubira. Totya kubabuuza bibuuzo.

Omuwendo gw’obulamu bwa Astrocytoma guli gutya?

Omuwendo gw’abawangaala ogwa wakati gwawukana okusinziira ku ddaala lya astrocytoma:

• Ekibiina 1 (Pilocytic astrocytomas): Emyaka egisukka mu 10.
• Grade 2 astrocytoma: emyaka egisukka mu 5.
• Grade 3 astrocytoma: Wakati w’emyaka 2 ne 5.
• Ekibiina eky’okuna (Glioblastomas): Nga mwaka gumu.

Kikulu okujjukira nti zino za average zokka eri ekibinja ekinene eky’abantu abalina astrocytomas. Ttiimu yo ey’abasawo ejja kusobola okukuwa ebisingawo ku miwendo gy’abawona okusinziira ku mbeera yo entongole.

Ddi lwe nnina okulaba omusawo wange ku Astrocytoma?

Ojja kwetaaga okubeera n’enteekateeka z’okugoberera n’abakugu mu by’obusimu, kkansa, n’abasawo abalongoosa obusimu okukakasa nti obujjanjabi bwo bukola bulungi oba bugenda mu maaso n’obuwanguzi.

Kuba essimu y’omusawo amangu ddala nga bw’ofuna obubonero obupya oba singa obubonero bwo bweyongera. Okugeza nga:

• Obuzibu mu kujjukira.
• Okukonziba.
• Obulumi bw’omutwe obw’amaanyi oba obuzibu mu kulaba.
• Okugejja awatali nsonga.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Kiyinza okuba eky’omugaso okubuuza ttiimu yo ey’abasawo ebibuuzo bino:

• Lwaki nnafuna obulwadde bwa astrocytoma?
• Nnina kika ki ekya astrocytoma?
• Bujjanjabi ki obusinga okunkwatako?
• Kugezesebwa ki okw’obujjanjabi kwe nsobola okwetabamu?
• Obulabe n’ebizibu ebiva mu bujjanjabi bye biruwa?
• Bujjanjabi ki obw’oluvannyuma lwe nja okwetaaga oluvannyuma lw’okujjanjabibwa?
• Omukisa guli gutya nti kookolo ajja kudda oba okusaasaana oluvannyuma lw’okujjanjabibwa?
• Bubonero ki obulaga nti ekizimba kikula kye nsaanidde okwegendereza?
• Bubonero ki obw’ebizibu by’obujjanjabi bye nsaanidde okwegendereza?
• Famire yange eri mu bulabe bw’okukwatibwa obulwadde bwa astrocytoma?

Njawulo ki eriwo wakati wa Astrocytoma ne Glioblastoma?

Glioblastoma kika kya astrocytoma - naddala astrocytoma eya grade 4. Glioblastoma kizimba kya kookolo ekikambwe ekikula ne kisaasaana mangu. Ye kookolo w’obwongo omukulu asinga okubeerawo.

Astrocytoma ya bulabe oba ya bulabe?

Waliwo ebika bya astrocytomas ebiwerako - ebimu si bya kookolo (benign), ate ebirala bya kookolo (malignant). Astrocytomas ez’ekibiina ekisooka si za kookolo. Ebibiina 2 okutuuka ku 4 biba bya kookolo.

N’ekisembayo, by’olina okujjukira (Obubaka bw’okutwala awaka) .

Kya bulijjo okuwulira ng’otya n’okuzitoowerera ng’okizudde nti olina ekizimba ku bwongo. Astrocytoma esobola okujja mu ddaala ez’enjawulo - ezimu tezirina bulabe, ezimu za kookolo. Naye weesige nti ttiimu yo ey’abasawo ejja kukola enteekateeka y’obujjanjabi ey’obuntu, enzijuvu okukuyamba okuddukanya astrocytoma yo n’okutumbula omutindo gw’obulamu bwo. Totya, tobuusabuusa, buuza abasawo bo ebibuuzo era wagira obujjanjabi bwo. Mbaagaliza okuwona amangu!

` astrocytoma, ekizimba ku bwongo, glioma, astrocyte, enkola y’obusimu obw’omu makkati, kookolo, glioblastoma