Kya bulijjo omuntu alwanyisa kookolo okuwulira ng'atidde katono ng'omusawo we agamba nti, "Tugenda kukyusa obutoffaali obusibuka mu mubiri." Naye ekigambo "autologous" bwe kyogerwako, kitegeeza nti obujjanjabi buno bukolebwa nga okozesa obutoffaali bwo. Eno ddala ngeri nnungi nnyo ey’okuwa omubiri gwo amaanyi okulwanyisa kookolo. Okay, kale ka twogere ku ngeri kino gye kizibu, kiki ddala kye kikola, n’engeri enkola eno gy’ekola mu ngeri ennyangu ennyo, ey’omutendera ku mutendera.
Mu ngeri ennyangu, okukyusa obutoffaali obusibuka mu mubiri (autologous stem cell transplant) kye ki?
Teebereza kino. Kompyuta yo etabuddwatabuddwa ddala akawuka. Kati, okuggyawo akawuka kano, olina oku `format` kompyuta mu bujjuvu. Naye kiki ky’okola nga ekyo tekinnatuuka? Okola `back up` fayiro zo ezisinga obukulu mu kifo eky'enjawulo?
Okusimbuliza obutoffaali obusibuka mu mubiri (autologous stem cell transplant) kye kimu.
Ekibeera wano kiri nti nga tonnafuna ddagala lya dose enkulu oba obujjanjabi obw’amasannyalaze okutta obutoffaali bwa kookolo, obumu ku butoffaali bwo obw’omusaayi obulungi buggyibwa mu mubiri gwo ne bukuumibwa ku bbali nga tolina bulabe. Obutoffaali buno obusibuka mu musaayi bwe "obutoffaali bwa maama" mu busimu bwaffe obw'amagumba obukola obutoffaali obupya obw'omusaayi, obutoffaali obweru, n'obutoffaali obuyitibwa platelets.
Enzijanjaba ez’amaanyi ezilwanyisa kookolo bwe zitta obutoffaali bwa kookolo, era zoonoona obutoffaali bwaffe obulamu naddala obusigo bw’amagumba. Olwo, obutoffaali bwo obulamu obulungi obwali bukuumibwa nga tebulina bulabe buddamu okuyingizibwa mu mubiri gwo. Obutoffaali buno budda mu busimu bw’amagumba ne butandika okukola obutoffaali bw’omusaayi obulungi omubiri bwe gwetaaga.
Kino kiyinza obutawonya kookolo ddala, naye kiyinza okuteeka kookolo mu kusonyiyibwa okumala ebbanga eddene, ekitegeeza nti talina bubonero era tazuulibwa mu kukeberebwa.
Obujjanjabi buno butera okukozesebwa okusinga ku mbeera ya kookolo `Multiple Myeloma`. Era ekozesebwa ku mbeera za kookolo nga `Hodgkin lymphoma` ne `Non-Hodgkin lymphoma` ezitaddamu bujjanjabi bulala.
Kiki ekibaawo nga tebannaba kujjanjaba buno?
Nga tebannafuna bujjanjabi bwa maanyi bwe butyo, abasawo bakebera n’obwegendereza obulamu bwo okutwalira awamu, kubanga omubiri gwo gwetaaga okuba ogw’amaanyi okusobola okugumira eddagala ery’amaanyi.
Ebimu ku bigezo ebiyinza okukolebwa:
- Okukebera kwa `ECG` (Electrocardiogram) okukebera okukuba kw'omutima.
- `Echocardiogram`, ekebera enkola y'omutima.
- Sikaani ya `CT` (Computed Tomography).
- Okubala omusaayi mu bujjuvu (CBC).
- Okukebera omusaayi okulala okukebera enkola y’ekibumba n’ensigo.
- Okukebera omubiri (biopsy) kwe kukebera okunoonyereza ku butoffaali bwa kookolo.
Ensangi zino, okukuwonya obutasigala ng’ofuna empiso, abasawo basobola okuyingiza akatuli akatono akayitibwa `Central Venous Catheter (CVC)` mu musuwa omunene mu kifuba kyo ekya waggulu. Olwo, buli kimu okuva ku kumira omusaayi okutuuka ku kuwa eddagala kisobola okukolebwa mu ngeri ennyangu nga tuyita mu `CVC` eno.
Emitendera esatu emikulu mu nkola y’obujjanjabi
Enkola eno yonna esobola okwawulwamu emitendera esatu emikulu.
1. Okukungula obutoffaali obusibuka mu mubiri
Wano obutoffaali obwo obulamu bwe twayogeddeko we buggyibwa mu mubiri gwo. Kino era kiyitibwa `Apheresis`.
- Emisuwa mu mikono gyo gyombi gijja kuyungibwa ku kyuma eky’okwawula obutoffaali.
- Omusaayi omutono gugenda mu kyuma okuva ku mukono gumu.
- Ekyuma kino kisengejja obutoffaali obusibuka bwokka okuva mu musaayi ogwo ne kikuba empiso omusaayi ogusigaddewo ne guzza mu mubiri nga guyita mu mukono omulala.
Kino kiyinza okutwala essaawa ssatu oba nnya. Mu kiseera ekyo, oyinza okusigala ng’osirise, naye osobola okusoma ekitabo oba okulaba ttivvi.
2. Okulongoosa omubiri
Kino kye kitundu ekisinga okukaluba. Wano w’onoofuna obujjanjabi obw’amaanyi era nga kiyinzika okuba n’obujjanjabi obw’amasannyalaze okutta obutoffaali bwa kookolo. Kino kiyinza okutwala ennaku eziwerako. Ttiimu yo ey’abasawo ejja kuba naawe okuddukanya ebizibu byonna ebiyinza okubaawo mu kiseera kino.
| Ebiyinza okuva mu bujjanjabi obw’okulongoosa | |
|---|---|
| Ebizibu ebiva mu bbanga ettono | Ebizibu ebivaamu okumala ebbanga eddene |
| Okukendeera kw’omusaayi (omusaayi omutono), okuziyira n’okusiiyibwa, ekiddukano, okukoowa ennyo, obutayagala mmere, amabwa mu kamwa, okuggwaamu enviiri. | Obulwadde bw’amagumba, okuzimba amaaso, okuva mu nsonga nga bukyali, obutazaala, akabi k’okufuna kookolo owookubiri. |
3. Okusimbuliza Obutoffaali / Okufuyira
Kino kifaananako n’okuwa omunnyo oba ekipapula ky’omusaayi. Obutoffaali bwo obw’ekikolo, obubadde bukuŋŋaanyiziddwa ne buterekebwa obulungi, olwo buddizibwa mu mubiri gwo nga buyita mu IV oba CVC. Mu kiseera kino, ttiimu y’abasawo ejja kuba ekulondoola buli kiseera okulaba oba olaba obubonero ng’omusujja n’okuziyira.
Kiki ekibaawo oluvannyuma lw’okujjanjabwa? Ka tuyige ku kiseera ky'okuwona
Oluvannyuma lw’okujjanjabwa, omubiri gwo gujja kutandika okutereera mpola.
- Engraftment: Obutoffaali obupya obuyingiziddwa butambula mu musaayi, ne busenga mu busimu bw’amagumba, ne butandika okukola obutoffaali obupya obulamu. Enkola eno eyitibwa `Engraftment`.
- Obulabe bw’okukwatibwa obuwuka: Oluvannyuma lw’okusimbuliza, obulabe bwo obw’okukwatibwa buba bungi nnyo okutuusa ng’obutoffaali bwo obweru buzzeeyo mu mbeera eya bulijjo. N’olwekyo kikulu nnyo okwekuuma yinfekisoni mu kiseera kino.
- Obudde bw’okuwona: Kiyinza okutwala wonna okuva ku myezi 3 okutuuka ku 12 abaserikale b’omubiri okutereera mu bujjuvu. Kale toyanguwa. Bino bye bimu ku bintu ebiyinza okukuyamba:
- Wummula nnyo: Ennaku ezimu oyinza okuwulira ng’okooye nnyo. Wummulako katono mu kiseera ekyo.
- Lya emmere erimu ebiriisa: Okulya emmere erimu ebirungo ebizimba omubiri kiyamba okuddamu okuzimba omubiri.
- Dduyiro: Amangu ddala ng’owulira ng’olina amaanyi, tandika okukola dduyiro ennyangu ng’okutambula. Naye kakasa nti oyogera n’omusawo wo nga tonnatandika kintu kyonna kipya.
- Okuzza obuggya okugema kwo: Oluvannyuma lw’obujjanjabi buno, obukuumi bwe wafuna okuva mu kugema mu buto bujja kubula. N’olwekyo, omusawo ajja kukubuulira ddi lw’olina okuddamu okugema n’eddagala ki ly’olina okugema.
Njawulo ki eriwo wakati w’okusimbuliza kwa Autologous ne Allogeneic?
Enjawulo enkulu wakati w’ebintu bino byombi y’ensibuko y’obutoffaali. Kino okukitegeera mu ngeri ennyangu, laba ekipande ekiri wansi.
| Ekika ky’okusimbuliza | Obutoffaali obusibuka mu mubiri bufunibwa mu ani? |
|---|---|
| Autologous | Okuva ku ggwe kennyini. Obutoffaali bwo bennyini bukuŋŋaanyizibwa nga tonnajjanjabwa kookolo. |
| Ekirungo kya Allogeneic | Okuva eri omugabi omulamu obulungi. Ebiseera ebisinga, ekitundu ekyo kifunibwa okuva mu muntu w’omu maka agakwatagana oba omuntu omulala. |
Ddi lw’olina okulaba omusawo mu bwangu
Ne bw’oba okeberebwa abasawo buli kiseera ng’omaze okujjanjabwa, kikulu okutegeeza ttiimu y’abasawo mu bwangu singa ofuna obubonero bwonna obw’ebizibu. Weetegereze obubonero buno wammanga:
- Omusujja
- Okuwulira ennyogovu n’okukankana
- Obuzibu mu kussa (Dyspnea) .
- Okusesema, okusesema oba okukulukuta mu nnyindo
- Okufuka ennyo oba okulumwa ng’ofulumya omusulo (Dysuria) .
- Okusiiyibwa kw’olususu
- Okuziyira
Obubaka Obutwala Awaka
- Okusimbuliza obutoffaali obusibuka mu mubiri (aulogous stem cell transplant) kuzingiramu okukung’aanya obutoffaali bwo obulamu nga tonnajjanjabwa kookolo n’oluvannyuma n’obuzza mu mubiri gwo ng’omaze okubujjanjaba.
- Eno nkola ya mitendera mingi: okukung’aanya obutoffaali, okulongoosa mu ddoozi ennene, n’okuddamu okuyingiza obutoffaali.
- Obulabe obukulu oluvannyuma lw’okujjanjabwa kwe kufuna yinfekisoni ez’amaanyi, n’olwekyo kikulu nnyo okwekuuma yinfekisoni.
- Kiyinza okutwala emyezi ng’omubiri gutereera mu bujjuvu, n’olwekyo beera wa kisa eri ggwe kennyini era weegendereze okuwummula kwo n’endya yo.
- Buli mulwadde wa njawulo, n’olwekyo bulijjo yogerako mu lwatu n’omusawo akujjanjaba oba obujjanjabi buno bukusaanira, obuwanguzi bwabwo, n’akabi akalimu.
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