Ffenna tukimanyi nti okulwanyisa kookolo si lugendo lwangu. Kikulu nnyo okumanyisibwa mu bujjuvu ku ddagala ly’oweebwa mu lugendo luno. Leero tugenda kwogera ku ddagala erikozesebwa ennyo erijjanjaba kookolo eriyitibwa Bevacizumab, erimanyiddwa bangi n’amannya g’ebika nga Avastin, MVASI, Zirabev. Leero tugenda kumala kwogera ku kino ddala kye kikola n’ebintu by’olina okwegendereza ng’omira eddagala lino.
Bevacizumab ddagala lya ngeri ki?
Mu ngeri ennyangu, kino tekifaananako ddagala lya bulijjo erya kemotherapy ly’owuliddeko. Eno bujjanjabi obukoleddwa mu ngeri ey’enjawulo, nga bugendereddwamu. Mu ngeri y'obusawo, kiri mu kibinja ky'eddagala eriyitibwa monoclonal antibodies.''
Lowooza ku butoffaali bwa kookolo ng’omulabe akula amangu. Obutoffaali buno bwetaaga omusaayi, omukka gwa oxygen, n’ebiriisa okusobola okuwangaala n’okusaasaana. Kale obutoffaali bwa kookolo bwe bukola emisuwa emipya. Bevacizumab ayimiriza okukula kw'emisuwa gino emipya . Mu ngeri endala, kiyimiriza kookolo ‘okuliisa’ n’okussa’, era kifuga okukula kwe. Akozesebwa okujjanjaba ebika bya kookolo eby’enjawulo okugeza kookolo w’olubuto olunene, amawuggwe, ensigo, ne kookolo w’obwongo.
Ebintu by’olina okubuulira omusawo nga tonnatandika kumira ddagala
Nga tonnatandika bujjanjabi buno, kyetaagisa okutegeeza omusawo wo ku byafaayo byo byonna eby’obulamu. Kakasa nti obabuulira ku mbeera yonna ku zino wammanga naddala bw’oba olina:
| Embeera yo | Lwaki wandibadde otegeeza? |
|---|---|
| Ekirwadde ekya sukaali | Kikulu mu kuddukanya ebiva mu ddagala. |
| Obulwadde bw’omutima oba puleesa (hypertension) . | Eddagala lino liyinza okukosa puleesa n’okukuba kw’omutima. |
| Nga yasesema omusaayi emabegako | Eddagala lino liyinza okwongera ku bulabe bw’okuvaamu omusaayi. |
| Okuba nga yaakalongoosebwa oba okulongoosebwa mu biseera eby’omu maaso | Kubanga eddagala lino liyinza okulwawo okuwona ebiwundu. |
| Olw’okuba yafuna stroke emabegako | Okumanya akabi akali mu kuzimba omusaayi. |
| Nga emabegako yafuna obujjanjabi obw’ekika kya anthracycline (e.g. doxorubicin) . | Okumanya ebiyinza okukosa omutima. |
| Okubeera olubuto, okugezaako okufuna olubuto oba okuyonsa | Kino kikulu nnyo! Eddagala lino lya bulabe eri omwana ali mu lubuto. |
| Okubeera n’allergy ku ddagala, emmere oba ebintu ebirala | Okuziyiza alergy eziyinza okubaawo nga bajjanjabwa. |
Nnyinza ntya okukuwa eddagala lino?
Eddagala lino likuweebwa ng’empiso mu musuwa, okufaananako n’okufuyira mu misuwa. Kiteekwa okukuweebwa mu ddwaaliro oba mu ddwaaliro omusawo oba nnansi omutendeke. Si ddagala lya kukozesebwa waka.
Ekikulu: Bw’oba tosobola kugenda mu ddwaaliro kufuna ddagala lyo ku lunaku lwe wategese, kakasa nti otegeeza omusawo wo oba eddwaaliro nga bukyali. Okubuuka ddoozi z’obujjanjabi buno kiyinza okukosa obuwanguzi bw’obujjanjabi.
Hmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, . 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, . 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, . 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, . 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 Ekitundu kya kitundu kitundu kitundu kitundu kitundu kitundu kitundu-.-.
- Olubuto n’okuyonsa: Tofuna lubuto lwa nsonga yonna ng’omira eddagala lino. Kikulu nnyo okwewala okufuna olubuto ne bwe wamala emyezi 6 ng’omaze okuyimiriza eddagala. Kino kiri bwe kityo kubanga eddagala lino liyinza okukosa ennyo omwana ali mu lubuto. Ekirala toyonsa mwana wo ng’omira eddagala lino n’okumala emyezi 6 ng’omaze okulikomya.
- Ebikosa okuzaala: Eddagala lino liyinza okuvaako enkwaso okulemererwa mu bakyala abamu. Kino kitegeeza nti wayinza okubaawo ekikosa obusobozi bw’okuzaala. Bw’oba olina ekikweraliikiriza ku nsonga eno, yogerako n’omusawo wo mu lwatu.
Biki ebiyinza okuvaamu?
Okufaananako n’eddagala lyonna, Bevacizumab asobola okuleeta ebizibu ebimu. Ebimu ku bino biyinza okuba eby’amaanyi, n’olwekyo kikulu okubimanya. Emmeeza ebbiri eziri wansi zisobola okukuyamba okutegeera kino obulungi.
| Ebizibu eby’amaanyi ebyetaagisa okujjanjabibwa amangu | |
|---|---|
| Enkola y’okukwatibwa allergy | Okusiiyibwa ku lususu, okusiiwa, okuzimba mu maaso, emimwa, olulimi. |
| Ebizibu by’omutima | Obulumi mu kifuba, okuwulira ng’onyiga mu kifuba. |
| Obubonero bw’okuvaamu omusaayi | Omusulo omuddugavu oba ogulimu omusaayi, omusulo ogwa kitaka omuddugavu, ebikuta bya kaawa ebisesema, amabala amamyufu ku lususu, okuvaamu omusaayi ogutali gwa bulijjo okuva mu maaso/ennyindo/ennyindo. |
| Obubonero bw’okuzimba omusaayi | Okukaluubirirwa okussa, okulumwa mu kifuba, okulumwa omutwe okw’amangu, okulumwa amagulu, okuzimba n’ebbugumu. |
| Obubonero bw’okusannyalala | Okukyuka mu kulaba, okutabulwa, okukaluubirirwa okwogera oba okutegeera, okuziyira oba okunafuwa amangu mu maaso, omukono oba okugulu, okukaluubirirwa okutambula, okuziyira. |
| Obubonero obulala obw’amaanyi | Okusesema omusaayi, omusujja omungi, okukonziba, okulumwa ennyo olubuto, okusesema, okutuuyana, okuzimba amagulu oba enkizi, okweyongera okugejja. |
| Ebizibu ebitera obutaba bya maanyi (naye nga birina okuloopebwa eri omusawo singa bisigala) . | |
|---|---|
| Obulumi bw’omugongo | Enkyukakyuka mu buwoomi bw’emmere |
| Endya | Olususu olukalu |
| Ekikeeto | Okukoowa / Okukoowa |
Jjukira nti olukalala luno teruliimu bizibu byonna ebiyinza okuvaamu. Bw’ofuna ekintu kyonna ekitali kya bulijjo, totya kwogera na musawo wo ku nsonga eyo.
Obubaka Obutwala Awaka
- Bevacizumab ddagala erigendereddwamu erikomya okukula kw’emisuwa egigabira obutoffaali bwa kookolo omusaayi.
- Nga tonnatandika bujjanjabi, buulira omusawo wo ku mbeera zonna ez’obujjanjabi (naddala endwadde z’omutima, ssukaali, puleesa) n’eddagala eddala ly’omira.
- Weewale okufuna olubuto lwonna ng’omira eddagala lino n’okumala emyezi 6 ng’omaze okulekera awo.
- Eddagala lino lirina okuyimirizibwa okumala ekiseera ekigere nga tonnalongoosebwa n’oluvannyuma lw’okulongoosebwa. Funa amagezi amatuufu okuva eri omusawo wo ku nsonga eno.
- Bw’olaba obubonero bwonna obw’amaanyi ng’okulumwa mu kifuba, okukaluubirirwa okussa, okukaluubirirwa okwogera, oba okuvaamu omusaayi mu ngeri etaali ya bulijjo, tegeeza omusawo mu bwangu oba genda mu kitongole ky’abalwadde ab’amangu (ETU) ekikuli okumpi.
- Okwogera mu lwatu n’omusawo wo n’okugoberera amagezi ge kikulu nnyo mu lugendo luno olw’obujjanjabi.
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