Lipoota y’okukebera amabeere yagamba nti ‘ADH’? Ka twogere ku kino mu ngeri ennyangu (Atypical Ductal Hyperplasia) .

Ka tugambe nti oluvannyuma lw’okukebera amabeere, omusawo wo yakwata akatundu akatono n’akasindika okukeberebwa. Kino tukiyita biopsy. Singa lipoota ekomawo oluvannyuma lw'ennaku ntono n'egamba nti "Atypical Ductal Hyperplasia" oba "ADH," oyinza okuwulira amangu ago ng'otya nnyo era nga weeraliikirira. Kya bulijjo okwebuuza nti, "Ono kookolo?" Naye teweeraliikiriranga. ADH si kookolo. Wabula mbeera eyongereza katono ku bulabe bw’okufuna kookolo w’amabeere mu biseera eby’omu maaso. Eno y’ensonga lwaki kikulu nnyo okukimanya. Leero, ka twogere mu ngeri ennyangu era entegeerekeka ku ADH kye ki, kye kitegeeza ddala, ne kye tusaanidde okukola.

Mu ngeri ennyangu, obulwadde bwa Atypical Ductal Hyperplasia (ADH) kye ki?

Kino okukitegeera, ka tusooke tulabe ensengeka y’amabeere. Amabeere gaffe galina endwadde ezikola amata (lobules) n’omukutu gw’obutuli obutonotono (ducts) obutambuza amata ago okutuuka ku nfuli. Mu budde obwabulijjo, ebisenge eby’omunda eby’emikutu gino egy’amata biba biyimiridde bulungi, nga biriko layeri bbiri ez’obutoffaali.

Wabula mu mbeera eyitibwa Atypical Ductal Hyperplasia (ADH), kino kye kibaawo:

• Hyperplasia: Obutoffaali obuli munda mu mifulejje gino egy’amata bweyongera obunene. Ekigambo "hyperplasia" mu bufunze kitegeeza "okweyongera kw'omuwendo gw'obutoffaali."
• Atypical: Obutoffaali buno tebulinga butoffaali bulamu obwa bulijjo. Enkula yazo, obunene bwazo, n'engeri obutoffaali gye bupakiddwa wamu "atypical." Kino kitegeeza nti mu kifo ky’okusengekebwa mu layeri bbiri, zipakibwa wamu mu ngeri ey’akavuyo, erimu layeri nnyingi.

Ekikulu nti obutoffaali buno si kookolo . Butoffaali obutakola bulungi. Wabula zirina ebimu ebifaanagana n’obutoffaali obuli mu mbeera eyitibwa Ductal Carcinoma in Situ (DCIS), nga eno ye mutendera ogusooka okukwatibwa kookolo. Mu ngeri endala, obutoffaali buno buli wakati w’obutoffaali obwa bulijjo n’obutoffaali bwa kookolo. Eno y’ensonga lwaki kigambibwa nti omuntu alina ADH alina emikisa mingi okukwatibwa kookolo w’amabeere mu biseera eby’omu maaso okusinga omuntu atalina ADH.

Kitegeeza ki okubeera ne ADH?

Singa lipoota yo eya biopsy egamba nti ADH, tekitegeeza nti olina kookolo. Kyokka abasawo embeera eno bagitwala ng’ensonga ekyongera obulabe bw’okufuna kookolo w’amabeere mu biseera eby’omu maaso. Okunoonyereza kuzudde nti omukyala alina ADH ayinza okuba n’emikisa gy’okukwatibwa kookolo w’amabeere emirundi nga ena okusinga omukyala atalina bulwadde buno.

Olw’ensonga eno, omusawo ayinza okukugamba nti okebere kookolo w’amabeere okumpi katono n’enteekateeka yo eya bulijjo. Okugeza nga:

• Okukeberebwa amabeere buli mwaka.
• Mpozzi n’okukeberebwa amabeere aga ‘ultrasound’ oba ‘MRI scan’.
• Okukebera amabeere buli kiseera omusawo (clinical breast exams).

Ekigendererwa ky’okukebera buli kiseera mu ngeri eno kwe kulaba nti singa kookolo afuna ekiseera, asobola okuzuulibwa nga bukyali n’ajjanjabibwa obulungi.

Bubonero ki obulaga obulwadde bwa ADH?

Ebiseera ebisinga, tewali bubonero bwa ADH obw’enjawulo. Kino kitegeeza nti oyinza obutalaba kintu kyonna. Abantu abasinga bazuulibwa n’embeera eno nga balongooseddwa omubiri olw’obutabeera bulungi obusangibwa ku mammogram olw’ensonga endala.

Kyokka, si bulijjo nnyo, abantu abamu bayinza okufuna obubonero buno wammanga. Kizibu okwogera oba bino biva ku ADH oba nedda, naye bw’olaba ekintu nga kino, mazima ddala wandibadde olaba omusawo.

Ebivaako n‟ebintu ebiyinza okuvaako okulwala ADH

Abasawo n’okutuusa kati tebamanyi bulungi lwaki obutoffaali obuli mu mifulejje gino egy’amata bweyisa mu ngeri eno etali ya bulijjo. Wabula kirowoozebwa nti ensonga ze zimu ez’obulabe eri kookolo w’amabeere nazo ziyinza okuvaako okukulaakulanya ADH.

Ensonga ez’akabi eziyinza okukosa ADH

• Ebyafaayo by’amaka: Okubeera n’omuntu w’omu maka (naddala maama, mwannyinaffe, muwala we) alina kookolo w’amabeere.
• Enkyukakyuka mu buzaale: Okubeera n’enkyukakyuka mu buzaale eyongera ku bulabe bwa kookolo w’amabeere, gamba nga `BRCA1` oba `BRCA2`.
• Ebyafaayo by’omuntu: Okuba nga yafuna kookolo omulala emabegako.
• Omugejjo: Okulemererwa okukuuma obuzito bw’omubiri nga mulamu.
• Engeri y’obulamu: Okunywa omwenge n’okukozesa ebintu ebikolebwa mu taaba.

ADH ejjanjabwa etya?

Oluvannyuma lw’okukebera omubiri gwo okukakasa nti olina ADH, omusawo wo atera okukuwa amagezi ku nkola endala entonotono ng’omutendera oguddako. Kino kiyitibwa excisional biopsy .

Kino tekizingiramu kuggyawo kitundu kya bitundu byokka obutoffaali obutali bwa bulijjo (ADH) we busangibwa, naye n’obutundutundu obutono obulamu obukyetoolodde. Lwaki kino kikolebwa? Kubanga oluusi, okumpi ennyo ne ADH w’esangibwa, wayinza okubaawo embeera ey’amaanyi ennyo, gamba ng’emitendera gya kookolo egy’olubereberye nga `DCIS`, oba obutoffaali bwa kookolo obukwese.

Ekitundu ekiggiddwamu ng’olongooseddwa bwe kimala okusindikibwa mu laabu ne kikakasibwa nti temuli butoffaali bwa kookolo, tojja kuddamu kwetaaga bujjanjabi. Okuva olwo ky’olina okukola kwe kwekebeza amabeere buli kiseera ng’omusawo bw’akugamba.

Eddagala erikendeeza ku bulabe

Singa obulabe bwo obwa kookolo w’amabeere buba bungi nnyo olw’embeera yo eya ADH n’ensonga endala (nga ebyafaayo by’amaka), omusawo ayinza okukuwa eddagala erimu okukendeeza ku bulabe bwo. Eddagala lino likola nga liziyiza ekikolwa ky’obusimu obuyitibwa estrogen mu mubiri.

• Tamoxifen: Eri abakyala abatayise mu nsonga.
• Raloxifene (Evista®), Exemestane (Aromasin®), Anastrozole (Arimidex®): Eri abakyala abava mu nsonga.

Eddagala lino liyinza okuweebwa amagezi okumala emyaka etaano. Kyokka olw’okuba eddagala lino lyonna lirina ebizibu ebimu, kikulu okulikubaganyaako ebirowoozo n’omusawo wo n’obwegendereza okusalawo oba likusaanira.

Ebibuuzo by’olina okubuuza omusawo wo

Kya bulijjo okuba n’ebibuuzo bingi ng’okizudde nti olina ADHD. Tolwawo kubuuza bibuuzo bino ng’olaba omusawo wo.

• "Ddala, lipoota eno ey'okukebera eyange etegeeza ki ddala?"
• "Ddala nneetaaga okulongoosebwa?"
• "Obulabe ki obw'okukwatibwa kookolo w'amabeere mu biseera eby'omu maaso?"
• "Mirundi emeka gye nsaanidde okwekebeza nga mammogram kati?"
• "Nkyukakyuka ki ze nneetaaga okukola mu bulamu bwange?"
• "Kirungi nze okufuna okubudaabudibwa ku buzaale?"

Oyinza otya okukendeeza ku bulabe bwo ng’obeera n’obulwadde bwa ADHD?

Wadde tosobola kufuga mbeera yo eya ADH, waliwo by’osobola okukola okukendeeza ku bulabe bw’okufuna kookolo mu biseera eby’omu maaso. Bino era bisobola okukuyamba okubeera n’obulamu obulungi.

• Kuuma omugejjo omulungi: Dduyiro n’endya ennungi bikulu nnyo.
• Dduyiro: Fuba okusigala ng’okola buli lunaku.
• Kkomya omwenge: Okendeeze ku mwenge nga bwe kisoboka oba okugukomya ddala.
• Weewale okunywa sigala: Okunywa sigala n’okukozesa ebintu ebikolebwa mu taaba byongera nnyo emikisa gy’okukwatibwa kookolo.

Ate era, gufuule omuze okwekebejja amabeere . Weetegereze endabika y’amabeere go eya bulijjo waakiri omulundi gumu mu mwezi. Mu ngeri eno, osobola okuzuula amangu ebizimba byonna ebipya, ebigonvu oba enkyukakyuka.