Omusawo wo bw’akugamba oba omuntu mu maka go nti alina kookolo w’ekibumba, ayinza n’okwogera ku bujjanjabi bwa BCG. Okuwulira erinnya lino kiyinza okukuleetera okutya katono era nga tomanyi. Naye teweeraliikiriranga. Buno bujjanjabi buwanguzi nnyo eri abantu bangi abalina kookolo w’ekibumba atandise. Leero, tugenda kwogera ku bujjanjabi bwa BCG kye buli, engeri gye bukolebwamu, n’ebibaawo oluvannyuma lwabwo mu ngeri ennyangu ennyo, etegeerekeka.
Obujjanjabi bwa BCG kye ki mu bigambo ebyangu?
Okay, ekisooka okwogera kiri nti, buno si bujjanjabi bwa kookolo, si ' chemotherapy '. Kino kintu kya njawulo. Tukiyita ‘immunotherapy’.
Mu ngeri ennyangu, kino kikozesa abaserikale b’omubiri gwo okusaanyaawo obutoffaali bwa kookolo mu kibumba. Kuba akafaananyi ng’abakuumi abali mu mibiri gyaffe beebaka katono. Eddagala lino lizuukusa abakuumi abo ne libagamba nti, "Waliwo omulabe wano, mugende mulumbe."
Eddagala lino ery’amazzi eriyitibwa BCG likolebwa okuva mu buwuka bwe bumu `(Mycobacterium bovis)` obukozesebwa okukola eddagala erigema akafuba . Naye teweeraliikiriranga, kino kirimu enkyusa ya bakitiriya eyo enafuye ennyo. Kale tekijja kuleeta bulabe bungi ku mubiri.
Obujjanjabi buno butera okutandika oluvannyuma lw’okulongoosebwa ebizimba bya kookolo mu kibumba. Okulongoosa kuno era tukiyita `(TURBT)`.
Obujjanjabi buno bukozesebwa mu mbeera ki?
Obujjanjabi bwa BCG businga kukozesebwa ku kookolo w’ekibumba atandise . Kwe kugamba, nga kookolo tannasaasaana mu binywa bya bbugwe w’ekibumba. Abasawo embeera zino baziyita `(carcinoma in situ)` oba `(non-muscle invasive bladder cancers - NMIBCs)`.
Ekikulu, obujjanjabi buno bukola bulungi nga kookolo akoma mu kibumba. Singa kookolo asaasaana (metastasized) mu bitundu by’omubiri ebirala, obujjanjabi bwa BCG tebujja kukola bulungi.
Mu kiseera kino okunoonyereza kugenda mu maaso okulaba oba obujjanjabi bwa BCG bujja kuba bwa mugaso eri endwadde nga fibromyalgia ne sukaali, kyokka tewali kikakafu kituukiddwaako n’okutuusa kati.
Nteekwa ntya nga sinnafuna bujjanjabi?
Kino kyangu nnyo. Omusawo ajja kukuwa ebiragiro ebitegeerekeka obulungi ku nsonga eno. Ebiseera ebisinga, ojja kusabibwa okulekera awo okunywa ebyokunywa ebirimu caffeine nga kaawa ne caayi n’eddagala erifulumya amazzi ng’ebula essaawa 4 okujjanjabibwa. Ekirala, bw’otuuka mu ddwaaliro, ojja kwetaaga okufulumya omusulo n’okuggyamu ekibumba ng’obujjanjabi tebunnatandika.
Kiki ekibaawo mu kiseera ky’obujjanjabi?
Tewali kyeraliikiriza, eno nkola nnyangu nnyo.
1. Okusooka, ojja kuweebwa eddagala eriweweeza ku kitundu ekyo oleme kuwulira buzibu bwonna.
2. Olwo, omusawo ajja kuyingiza n’obwegendereza bungi akatubu akatono ( catheter ) mu musulo gwo n’akuba eddagala lya BCG mu kibumba kyo.
3. Ekyo bwe kinaaba kiwedde, ttanka ejja kuggyibwamu. Osobola okudda eka.
Naye waliwo ekintu kimu. Eddagala lino lyetaaga okukuumibwa mu kibumba okumala waakiri essaawa 2 . N’olwekyo tolina kufulumya musulo okumala essaawa 2 ng’omaze okusiiga eddagala. Oluvannyuma lw’essaawa 2, osobola okufulumya omusulo mu ngeri eya bulijjo.
Kino kisobola okusiigibwa mu balala? - Weegendereze naddala ku kino!
Kino kikulu nnyo. Yes , olw’okuba eddagala lino lirimu obuwuka obulamu, obunafuye, liyinza okubaako kye likola ku bantu abalala singa libakwatako. N’olwekyo, olina okukola bino wammanga mu ssaawa 6 ezisooka oluvannyuma lwa buli bujjanjabi :
- Tokozesa kaabuyonjo za lukale.
- Nywa amazzi n’amazzi amangi okusobola okukendeeza omusulo.
- Bw’oba ogenda mu kaabuyonjo, fuyira ng’otudde omusulo obutayiwa.
- Bw’omala okufulumya omusulo, yiwa ebikopo nga 2 ebya butto oba amazzi mu bbakuli ya kaabuyonjo, oggale ekibikka, okireke okumala eddakiika 15-20, n’oluvannyuma onyige.
- Bw’oba olina obuzibu bw’okufulumya omusulo ne gutuuka ku ngoye zo, engoye ezo zinaawule mu kyuma eky’okwoza. Tozigatta wamu n'engoye z'abantu abalala.
- Bw’oba okozesa ‘incontinence pad’, nga tonnagiggyamu, nnyika mu bleach entono, ogiteeke mu kaveera, ogisibe, ogisuule mu kasasiro.
Ekirala olina okwegendereza mu kwegatta. Bw’oba weegatta mu kiseera kyonna eky’obujjanjabi , kikakatako okukozesa kondomu. Yogerako n’omusawo wo ku nsonga eno ofune amagezi amatuufu.
Migaso ki n’ebizibu ebiva mu bujjanjabi buno?
Okufaananako n’obujjanjabi bwonna, bulina emigaso n’obuzibu obutonotono. Ka tusooke twogere ku migaso. Obujjanjabi bwa BCG n'okulongoosa ``TURBT`` butwalibwa ng'obujjanjabi obulungi ennyo eri kookolo w'ekibumba atandise. Kifuga okukula kw’obutoffaali bwa kookolo era kikendeeza ku bulabe bw’okulongoosebwa ``cystectomy`` okuggyamu ekibumba kyonna mu biseera eby’omu maaso.
Kati katutunuulire ebizibu ebivaamu. Ebisinga ku bino bibaawo mu nnaku 2-3 ezisooka oluvannyuma lw’okujjanjabwa ne bigenda.
| Ebizibu ebiva mu bujjanjabi bwa BCG | |
|---|---|
| Ebizibu ebitera okuvaamu (mu ssaawa 24-48 ezisooka) . | |
| Okuvaamu omusaayi omutono n’omusulo | Kino kitera okuggwaawo mu lunaku lumu oba bbiri. |
| Okuwulira ng’okooye | Funa ekiwummulo. |
| Omusujja omutono (nga 37.5 - 38 Celsius) . | Osobola okumira eddagala lya paracetamol ng’omusawo akuwadde magezi. |
| Okwokya ng’ofulumya omusulo, okufulumya omusulo enfunda eziwera | Kino nakyo kijja kukka mu nnaku ntono. |
| Omubiri, okulumwa ennyondo | Bino bintu bya bulijjo. |
| Ebizibu ebiyinza okubaawo obutatera kubaawo, naye bisaana okuloopebwa mu bwangu | |
| Okusiiyibwa kw’olususu | Okusesema n’okuziyira |
| Obutasobola kufulumya musulo | Okuzimba/obulumi mu nseke |
| Obuwuuka bwa BCG obuyingira mu musaayi (BCG sepsis) . | Ebikosa ekibumba (Hepatitis) . |
Ddi lwe nnina okulaba omusawo mu bwangu?
Wadde ng’omusujja omutono n’okulumwa omubiri bitera okubaawo, bw’olaba obubonero buno wammanga, olina okukubira omusawo essimu awatali kulwa . Oba genda mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi.
- Singa omusujja guba gusukka 38.5 Celsius (101.3 Fahrenheit).
- Bw’owulira ennyogovu n’okukankana.
- Bw’oba okankana nnyo.
- Bw’oba ofuna obulumi obw’amaanyi olw’okusannyalala kw’ekibumba.
Kookolo asobola okuddamu oluvannyuma lw’okujjanjabibwa?
Nga bwe kiri ku bujjanjabi bwonna obwa kookolo, waliwo akabi nti kookolo ajja kudda. Ebibalo biraga nti abantu nga 40% abafuna obujjanjabi bwa BCG bajja kuba ne kookolo waabwe akomawo. Naye waliwo ekintu ekikulu eky’okutegeera wano. Kookolo ne bw’akomawo, ebiseera ebisinga tabeera wa bukambwe nga bwe.
Ebiseera ebisinga, kookolo ow’omutindo ogwa wansi akomawo. Kyokka mu mbeera ezitatera kubaawo, singa kookolo abeera mukambwe, omusawo ayinza okukugamba nti olongoose ekibumba okuggyamu ekibumba.
Obubaka Obutwala Awaka
- BCG ddagala lya busimu obuziyiza endwadde erikola ennyo ku kookolo w’ekibumba atandise. Si ddagala lya ddagala.
- Obujjanjabi si kintu kya kutya, naye olina okwegendereza ennyo ku buyonjo okumala essaawa 6 ezisooka ng’omaze okujjanjabwa.
- Ebizibu ebitonotono ng’okukwatibwa obulwadde bw’omusulo n’omusujja omutono bitera okubaawo. Wabula bw’ofuna obubonero ng’omusujja ogw’amaanyi n’okuziyira, genda mangu omusawo.
- Kya bulijjo okuwulira ng’ozitoowereddwa ng’okizudde nti olina kookolo w’ekibumba. Yogerako mu lwatu n’omusawo wo ku bibuuzo byonna oba ebikweraliikiriza by’oyinza okuba nabyo. Ajja kukuwa obuyambi bwonna bwe weetaaga.











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