Kya bulijjo okuba n’ebibuuzo, okutya n’okutabulwa oluvannyuma lw’okuzuulibwa nti olina kookolo w’amabeere. Mu kiseera kino, omusawo ajja kwogera naawe ku kukeberebwa n’obujjanjabi. Ekimu ku byo kiyinza okuba nti "olina okuggyibwako ebizimba ebimu mu nnyindo." Okuwulira bino kiyinza okuba nga kyakuwuniikiriza katono. Ddala okulongoosebwa kuno kye ki? Lwaki kikulu nnyo? Ka tukyogereko mu ngeri ey’omukwano gy’osobola okutegeera.
Ka tusooke tulabe, ebizimba bino eby’omu nnyindo bye biruwa?
Mu ngeri ennyangu, omubiri gwaffe gulina enkola y’amazzi. Kino kiringa enkola y’okuyonja mu mubiri gwaffe. Amazzi agayitibwa lymph gakulukuta mu nkola eno yonna. Ku makubo g’amazzi gano agayitibwa lymph, waliwo ebifo ebitono ebikeberebwamu. Ekyo kye tuyita lymph nodes , oba "nodules" mu bigambo eby'enjogera.
Mu nnywanto yo mulimu ennywanto nga 20 ku 40. Bino tubiyita ``axillary lymph nodes''. Omulimu gwabwe omukulu kwe kusengejja n’okuyonja amazzi g’omusaayi agava mu mikono gyo, amabeere go ne ku bbugwe w’ekifuba. Mu kusengejja kuno, zikwata obuwuka, ebintu ebiteetaagibwa, n’obutoffaali bwa kookolo mu mazzi ago. Eno y’ensonga lwaki kookolo w’amabeere bw’asaasaana, ebiseera ebisinga asooka kusaasaana mu nnywanto z’amazzi mu nnywanto zo.
Lwaki weetaaga okulongoosebwa kuno?
Waliwo ensonga eziwerako lwaki omusawo akulongoosa (surgical oncologist) ayinza okukuwa amagezi okulongoosebwa kuno. Ebiseera ebisinga kikolebwa mu kiseera kye kimu n’okusalako amabeere oba okusala amabeere.
| Ensonga enkulu eziviirako okuddukira mu kulongoosebwa | Kino kitegeeza nti... |
|---|---|
| Okufuna enkizi ezizimba | Bw’oba olina ekizimba mu nnyindo oba okumpi n’eggumba ly’omu bulago nga kiwulira nga kigonvu ng’okikwatako, kino kiyinza okuva ku butoffaali bwa kookolo okukuŋŋaanyizibwa. |
| Okulabika ku sikaani | Obadde okola Ultrasound scan , CT scan , oba PET scan?Singa lipoota eraga nti ebizimba by’enkwawa bizimba oba birabika nga si bya bulijjo. |
| Ebyavudde mu kukebera ebitundu by’omubiri ebiyitibwa Sentinel Node Biopsy | Kino kizingiramu okutwala obutoffaali obusooka obusinga okusaasaanya kookolo n’okubukebera. Singa okukebera kuno kukakasa nti obutoffaali obusukka mu busatu bulimu obutoffaali bwa kookolo, . |
| Oluvannyuma lw’okujjanjabibwa eddagala eriweweeza ku bulwadde | Oluusi baweebwa eddagala eriweweeza ku bulwadde nga tebannalongoosebwa okukendeeza ku kizimba ky’amabeere. Singa kookolo mu nnyindo tagenda oluvannyuma lw’obujjanjabi obwo, . |
Okulongoosa kukolebwa kutya?
Tewali kintu kya kweraliikirira nnyo. Kuno kulongoosebwa okutegekeddwa.
Nga tannalongoosebwa
Ojja kuweebwa eddagala eribudamya abantu bonna . Kino kitegeeza nti tojja kuwulira kintu kyonna mu kiseera ky’okulongoosebwa, era ojja kuba weebase ddala. Omusawo ajja kukuwa ebiragiro ebitegeerekeka obulungi ku ddi lw’olina okukomya okulya n’okunywa nga tonnalongoosebwa.
Mu kiseera ky’okulongoosebwa
1. Okusala: Omusawo ajja kukusala akatundu akatono mu lususu lw’enkwaso. Kino kijja kukusobozesa okwanguyirwa okutuuka mu bitundu ebizimba ebiteeberezebwa okubaamu obutoffaali bwa kookolo we biri.
2. Okuggyamu ebitundu by’omubiri: Olwo ebitundu ebirimu amasira biggyibwamu n’obwegendereza. Kino kisindikibwa eri ``Pathologist``, omusawo mukugu mu by'ebitundu by'omubiri.
3. Okulongoosa amazzi: Bateekebwamu akapiira akatono okufulumya amazzi gonna agasukkiridde (nga omusaayi oba amasira) agakung’aanyizibwa mu kifo we balongoosezza. Kino kiggyibwawo mu nnaku ntono.
4. Okutunga ekitundu ekisaliddwa: N’ekisembayo, ekitundu ekisaliddwa kitungibwa n’obuwuzi obufuumuuka oba obuwuzi obwa bulijjo.
Migaso ki n’akabi akali mu kino?
Ekirungi ekisinga obunene mu kulongoosa kuno kwe kuba nti kusobola okumanya ddala oba kookolo asaasaanidde mu nnyindo n’ewala gy’asasaanye. Amawulire gano geetaagisa nnyo okusalawo obujjanjabi bw’osaanidde okwewa ng’ogenda mu maaso.
Nga bwe kiri ku kulongoosa kwonna, waliwo akabi akatono, era kikulu okubimanya.
| Akabi akayinza okubaawo | Okunnyonnyola |
|---|---|
| Obulwadde bwa lymphedema | Kano ke kabi akakulu. Ensigo bwe ziggyibwamu, wayinza okubaawo okulemesa okutono okutambula kw’amazzi g’omusaayi. Kino kiyinza okuvaako okuzimba mu mukono ku ludda lw’okulongoosebwa. Waliwo dduyiro ow’enjawulo n’ebiragiro ebiyinza okutangira kino. |
| Obulwadde bwa Axillary Web Syndrome (AWS) . | Wayinza okubaawo obulumi wansi w’enkwaso, nga wansi w’olususu waliwo okuwulira ng’omuguwa. Kino nakyo kisobola okujjanjabibwa n’obujjanjabi bw’omubiri. |
| Obulabe obulala | Nga bwe kiri ku kulongoosa kwonna, emikisa emitono egy’okuvaamu omusaayi, okukwatibwa obuwuka, n’okwonooneka okutonotono kw’obusimu. |
Tofaayo, omusawo wo ajja kukola kyonna ekisoboka okukendeeza ku bulabe buno. Ayinza n’okukusindika ew’omusawo omukugu mu kuzimba omusaayi akuyambe okuziyiza okuzimba omusaayi.
Lipoota egamba ki?
Oluvannyuma lw’okulongoosebwa, ebitundu ebiggiddwamu bikeberebwa era ne baweebwa lipoota. Kitegeeza mmeka ku sampuli z’ebitundu ebirimu obutoffaali bwa kookolo. Kino kikulu nnyo mu kuzuula omutendera gwa kookolo.
| Ekika kya Node | Amakulu amangu |
|---|---|
| N1 | Waliwo obutoffaali bwa kookolo mu nnywanto 1 ku 3 mu nnywanto. |
| N2 | Waliwo obutoffaali bwa kookolo mu nnywanto 4 ku 9 mu nnywanto. |
| N3 | Waliwo obutoffaali bwa kookolo mu nnywanto 10 oba okusingawo mu nnywanto, oba kookolo asaasaanidde mu nnywanto eziri wansi w’eggumba ly’omu bulago. |
Naye kino kikuume mu birowoozo: Omuwendo gw’obutoffaali mu kizimba si gwe gwokka ogusalawo obuzibu bwa kookolo.
Omusawo wo ajja kulowooza ku bintu ebirala ebiwerako ng’asalawo omutendera gwennyini kookolo gw’alina.
- Enkula n’ekifo ekizimba ky’amabeere we kiri.
- Oba kookolo asaasaanidde mu bitundu ebimwetoolodde (metastasized).
- Embeera y’obusimu obukwata obusimu mu butoffaali bwa kookolo. Kwe kugamba, oba zirina ebirungo ebikwata estrogen oba ebikwata progesterone.
Kino bw’okisanga nga kizibu okutegeera, teweeraliikiriranga. Totya kubuuza musawo wo lipoota eno ky’etegeeza n’engeri gy’ekwata ku mbeera yo.
Ddi lw’osaanidde okuyita omusawo mu bwangu?
Bw’otuuka awaka ng’omaze okulongoosebwa, weegendereze obubonero buno. Bw’oba olina ekimu ku bino, tegeeza omusawo wo amangu ago.
- Singa ekiwundu ekilongooseddwa kifuuka kimyufu, kizimba, oba amazzi agakulukuta , kino kiyinza okuba akabonero akalaga nti omuntu alina obulwadde.
- Bw’oba olina obulumi obw’amaanyi okusinga bwe wali osuubira, oba ng’obulumi tebukendeera ne bw’omala okumira eddagala eriweweeza ku bulumi.
- Singa omukono oba engalo ku ludda lw’okulongoosebwa zizimba , eno eyinza okuba entandikwa y’embeera eyitibwa `(Lymphedema)`.
Okukola ku kookolo si lugendo lwangu. Naye jjukira nti buli mutendera ddaala erigenda mu kuwona. Okulongoosebwa kuno ddaala ddene mu lugendo olwo. Amawulire g’ofunamu gajja kuba maanyi mangi mu lugendo lwo olw’okudda engulu.
Obubaka Obutwala Awaka
- Axillary Lymph Node Disection ddaala ddene mu kujjanjaba kookolo w’amabeere.
- Kino kisinga kukolebwa kukakasa oba kookolo asaasaanidde mu bitundu by’omubiri ebirala.
- Weetegereze akabi akali mu kuzimba omukono (lymphedema) oluvannyuma lw’okulongoosebwa. Goberera ddala ebiragiro by’omusawo n’okukola dduyiro okubuziyiza.
- Bw’oba olina ekibuuzo kyonna ku lipoota z’okukeberebwa z’ofuna, tokwata kintu kyonna era totya kubuuza musawo wo akunnyonnyola.
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