Wali okeberedde amabeere oba okukeberebwa amabeere omusawo n’akugamba nti olina obutundutundu obutonotono obwa ‘calcium’ mu mabeere go, obuyitibwa breast calcifications? Kya bulijjo okuwulira ng’otya katono n’okweraliikirira ng’owulira ekintu ng’ekyo. Naye nga tonnasattira, katutegeere kino kye kitegeeza. Kubanga ebiseera ebisinga, "ebirungo ebizimba amabeere" bino si bya bulabe.
Bino ebitereka calcium mu mabeere (Breast Calcifications) bye biruwa?
Mu ngeri ennyangu, kino we wava obuwuka obutonotono obuyitibwa calcium bwe buzimba munda mu bitundu by’amabeere go. Zino ntono nnyo, teziwulirwa era teziruma . Kale, ojja kusinga kukizuula oba olina ng’oyita mu mammogram, nga eno ye X-ray y’amabeere go. Mammogram eno y’esobola okuzuula okukula kwonna okutali kwa bulijjo mu mabeere go.
Wadde ng’ebiseera bino ebitereke bya kalisiyamu tebirina bulabe, oluusi biyinza okuba akabonero akasooka ak’okukula kw’obutoffaali obutali bwa bulijjo mu bitundu by’amabeere go. Eno y’ensonga lwaki abasawo babafaako. Okusinziira ku bunene, enkula, n’engeri ebitereke bya kalisiyamu gye bisaasaaniddemu munda mu bbeere , abasawo basobola okufuna ekirowoozo oba eno mbeera ya bulabe oba bulwadde bubi, ekiyinza okwetaagisa okwongera okukeberebwa.
Waliwo ebika byonna eby’ebifo ebiterekeddwamu kalisiyamu?
Yee, waliwo ebika bibiri ebikulu. Bano ababiri balabika mu ngeri ya njawulo ku mammogram.
- Macrocalcifications: Bino birabika ku mammogram ng’ennyiriri ennene enjeru ezisaasaanidde mu bbeere lyonna. Bino bye bika bya calcium ebisinga okubeera mu bitundu by’amabeere. Ebiseera ebisinga, ebiwuka bino ebinene ebiyitibwa macrocalcifications tebirina bulabe era tebirina kookolo . Kale ebiseera ebisinga tezeetaaga kukeberebwa kwonna okw’enjawulo oba okugoberera. Ziringa amayinja amanene agasaasaanidde ku luguudo, era galabika nga si nsonga nnene.
- Microcalcifications: Zino zirabika ng’obutundutundu obutonotono obweru ku mammogram. Ziyinza okuba nga zisaasaanidde, nga zikuŋŋaanyiziddwa wamu oba nga zisengekeddwa mu layini. Microcalcifications zitera okuba nga tezirina bulabe, ekitegeeza nti si kookolo. Wabula zitera okuba akabonero ka kookolo okusinga macrocalcifications. Kale singa omusawo alaba ekintu nga kino ku mammogram, ayinza okulagira okwongera okukeberebwa okukebera obutoffaali obusooka kookolo oba kookolo. Kiringa ekibinja ky’obutundutundu bw’omusenyu obutonotono obuli mu lunyiriri. Wano abasawo we basinga okweraliikirira katono.
Embeera eno ya bulijjo etya?
Calcium deposits in the breasts are actually quite common , naddala nga osukka emyaka 50. Nga kitundu ku bakyala bafuna calcium ezitali za kookolo (benign). Kale, kino si kintu kyokka ekikutuuseeko.
Obubonero bwe buliwa?
Ebiseera ebisinga, bino ebitereke bya calcium mu mabeere tebireeta bubonero bwonna . Tezitegerekeka, kale teziyinza kuwulira nga bakeberebwa amabeere. Wabula ebiseera ebisinga ojja kuzuula oba olina ng’oyita mu kukebera amabeere.
Lwaki kalisiyamu akuŋŋaanyizibwa mu mabeere?
Abanoonyereza n’okutuusa kati tebamanyi bulungi kiki ekivaako okuteekebwa kwa kalisiyamu ono. Kyokka, waliwo ensonga eziwerako ezilowoozebwa nti zikola kinene. Ebifo bino ebya calcium biva ku nkola ez’enjawulo ezikosa ebitundu by’amabeere go.
Ebitereke bya calcium ebitali bya kookolo biyinza okuba nga bikwatagana ne:
- Obuvune ku mabeere `(Obuvune mu mabeere)` .
- Ebizimba by’amabeere nsawo ezijjudde amazzi nga zikola mu mabeere.
- Endwadde z'amabeere .
- Emisuwa mu mabeere gikyuka n’emyaka (Aging arteries) .
- Ebizimba by’amabeere ebitali bya kookolo, okugeza `(Fibroadenomas)` .
- Enkyukakyuka mu mifulejje gy’amata (Mammary duct ectasia) .
- Okulongoosebwa kw'amabeere okwasooka .
- Obujjanjabi bwa kookolo w'amabeere emabegako .
Ebitereke bya kalisiyamu ebya kookolo bitera okukwatagana n’embeera eyitibwa Ductal Carcinoma in Situ (DCIS) . Kino kika kya kookolo atayingirira atandikira mu mifulejje gy’amata mu mabeere kyokka nga tannasaasaana. Obutayingirira kitegeeza nti kookolo tannasaasaana kusukka emikutu gy’amata.
Kino kibaawo ng’olya ekirungo kya ‘calcium’ ekisusse?
Nedda, wadde ng’erinnya lino liyinza okulaga, okuteekebwa kwa kalisiyamu mu mabeere tekubaawo kubanga olya ekirungo kya kalisiyamu ekingi oba okumira eddagala lya kalisiyamu mungi . Tekirina kakwate na ekyo.
Kino okitegeera otya ddala?
Ebisinga obungi ku calcium mu mabeere tebirina bulabe era tekyetaagisa kugoberera mu ngeri ya njawulo. Kyokka oluusi wayinza okubaawo okufaanagana wakati w’ebifo ebiterekeddwamu kalisiyamu ebitera obutaba bya kookolo n’ebifo ebiterekeddwamu kalisiyamu ebiyinza okuba akabonero k’ekintu ekitali kya bulijjo. Kwe kugamba, bayinza okulabika kye kimu ku mammogram.
Ng’ekyokulabirako, singa ekifaananyi ky’amabeere kiraga ekibinja ekinywevu eky’ebintu ebirimu kalisiyamu, oba singa wabaawo ennyiriri z’obutundutundu obutono ennyo obweru, omusawo omukugu eyeekenneenya X-ray, omukugu mu by’okukuba ebifaananyi , ayinza okukuwa amagezi okwongera okukeberebwa okusobola okuggyawo kookolo.
Ebigezo bino ebirala biyinza okuli:
- Diagnostic mammogram: Kino kikwata nnyo okusinga okukebera amabeere okwa bulijjo. Kikuba ebifaananyi by’ekitundu ky’amabeere ekikoseddwa okuva mu nsonda ez’enjawulo okuyamba omusawo akola ku by’okukuba ebifaananyi okufuna endowooza ennungi ku bigenda mu maaso. Kino kye kigezo ekisoose omusawo ky’agenda okulagira okunoonya ekirungo kya ‘calcium’ mu bbeere. Endowooza z’okukuza kitundu kikulu nnyo mu kugezesebwa kuno. Ziwa endowooza ennungi ku nkula yazo n’engeri gye zikuŋŋaanyizibwamu.
- Okukebera ebitundu by’omubiri: Emirundi egisinga, kyetaagisa okukebera omubiri okuzuula ekituufu ekivaako ekirungo kya kalisiyamu. Okulongoosa omubiri (biopsy) si kulongoosa kwa maanyi. Kizingiramu okutwala akatundu akatono ak’ebitundu by’amabeere nga okozesa tekinologiya w’okukuba ebifaananyi n’okukeberebwa omukugu mu by’endwadde okulaba oba waliwo obubonero bwonna obulaga obulwadde. Omusawo bw’aba akola okukebera kuno, akozesa ebifaananyi okuva mu mammogram okukola biopsy. Kino kiyitibwa stereotactic biopsy y'amabeere . Akatundu akatono ak’amabeere kaggyibwa mu kifo awali ebifo ebiterekeddwamu kalisiyamu ne byekebejjebwa (core needle biopsy) .
Okukebera amabeere kuyinza okuzuula obubi kino?
Yee, oluusi ebizimba ebitali bya kookolo oba ensawo ezijjudde amazzi bisobola okufaanana ng’ebitereke bya kalisiyamu ku mammogram. Era kiyinza okuva ku butto, ebizigo oba eddagala eriwunyiriza ku lususu okwetooloola amabeere go. Y'ensonga lwaki kirungi obutayambala deodorant ng'ogenda okukeberebwa amabeere . Bw’oba weerabira, kakasa nti ogisiimuula ng’ekigezo tekinnatuuka.
Kijjanjabwa kitya?
Ebisinga obungi ku calcium mu mabeere tebirina bulabe era tekyetaagisa bujjanjabi . Omusawo akola ku by’okukuba ebifaananyi (radiologist) eyeekenneenya ebifaananyi byo ebya X-ray asobola okugeraageranya ebifaananyi ebipya eby’okukebera amabeere n’eby’edda okulaba oba wabaddewo enkyukakyuka yonna mu bifo ebirimu kalisiyamu.
Wabula singa okukeberebwa okumu oba okusingawo okugoberera kulaga nti ebipimo bino ebya kalisiyamu si bya bulijjo oba biyinza okuba akabonero ka kookolo, ojja kwetaaga okulaba omusawo omukugu mu ndwadde z’amabeere. Ono atera okuba omusawo alongoosa amabeere . Enkola z’obujjanjabi ziyinza okuli:
- Waliwo enkyukakyuka yonna eteeberezebwa mu bitundu by’omubiri?Okulondoola buli kiseera .
- Okulongoosa okuggyawo ebitundu by’amabeere ebikoseddwa oba ebbeere lyonna.
- Obujjanjabi bw’eddagala n’/oba obujjanjabi obw’amasannyalaze .
- Obujjanjabi bw'eddagala obugendereddwamu .
Yogerako n’obwegendereza n’omusawo wo ku bivudde mu kukeberebwa kwo n’engeri gy’oyinza okukozesaamu obujjanjabi.
Ebifo bino ebya calcium byetaaga okuggyibwawo?
Ebiseera ebisinga si bwe kiri. Ebitereke bya kalisiyamu bitondebwawo obutoffaali bwe bwawukana ne bukula. Tezirina bulabe ku bwazo. Ekiseera kyokka ky’osaanidde okweraliikirira bwe kiba nti ebitereke bya kalisiyamu bino biva ku kukula n’okwawukana kw’obutoffaali mu ngeri etaali ya bulijjo – ng’obutoffaali obusooka kookolo oba obutoffaali bwa kookolo. Kyokka obutoffaali bwa kookolo bwe bwetaaga okuggyibwamu so si kalisiyamu.
Waliwo engeri y’okuziyiza kino okubaawo?
Nedda, tekisoboka kuziyiza bikuta bya kalisiyamu okutondebwa mu mabeere. Wabula okuzuula amangu nga bayita mu kukebera amabeere kikulu nnyo. Kino kiri bwe kityo kubanga kookolo yenna ayinza okubaawo asobola okuzuulibwa nga bukyali.
Jjukira: Wadde ebintu bino tebisobola kuziyizibwa, bw’obitegeera nga bukyali, osobola okugumira ekintu kyonna obulungi.
Ebifo bino ebya calcium bisobola okuba nga bya kookolo?
Ebifo ebitonotono ebya calcium ebiyitibwa ``microcalcifications'' oluusi bisobola - naye si bulijjo - okuba akabonero ka kookolo mu mabeere go. Naye ebiseera ebisinga, ebitereke bya calcium kabonero ka mbeera ya ``benign'' etali kookolo.
Amawulire amalungi gali nti ebirungo bino ebya calcium bwe bimala okuzuulibwa ku mammogram, bifuuka ekitundu ku biwandiiko byo eby’obujjanjabi. Mu biseera eby’omu maaso, omusawo akola ku by’okukuba ebifaananyi (radiologist) atunuulira X-rays zo asobola okunoonya enkyukakyuka zonna eziyinza okulaga enkyukakyuka nga kookolo tennabaawo. Olwo osobola okufuna amangu okukeberebwa n’obujjanjabi obulala bwe weetaaga. Okuzuula nga bukyali kiyinza okuziyiza kookolo w’amabeere.
Okusinziira ku kunoonyereza okumu, ebitundu 12% ne 40% eby’ebifo ebiteeberezebwa okuba ebya kalisiyamu ebyetaagisa okwongera okukeberebwa bifuuka bya kookolo . Okunoonyereza okulala kulaga nti bangi ku balwadde bano bayinza okuba nga baali ba false positives. Kwe kugamba, emisango nga kookolo ateeberezebwa okuzuulibwa naye oluvannyuma n’akeberebwa ng’atalina bulabe. Okunoonyereza kugenda mu maaso okulongoosa tekinologiya w’okuzuula kookolo okutangira okuzuula obubi ng’okwo.
Okukebera amabeere buli kiseera kyetaagisa nnyo okuzuula amangu kookolo w’amabeere. Nga kitundu ku kookolo w’amabeere yenna atakwatibwako azuuliddwa nga alina microcalcifications . Okukebera mammography kusobola okuzuula microcalcifications, nga zino butoffaali bwa kookolo obw’omutendera ogusooka obusibirwa mu mifulejje gy’amata, obuyitibwa DCIS.Kiyamba okuzuula wakati wa 85% ne 95% .
Olina okweraliikirira ekirungo kya calcium mu mabeere go?
Ebiseera ebisinga ebitereke bya calcium tebirina bulabe, n’olwekyo tewali kye weeraliikirira . Mu mbeera ezitali nnyingi, bwe ziba ziyinza okuba akabonero ka kookolo, omusawo asobola okuyingira mu nsonga n’akuwa okuzuula okutuufu n’obujjanjabi obwetaagisa nga bukyali.
Watya singa bino mbifuna ku mammogram yange eddako?
Weeyongere okukebera amabeere go aga bulijjo. Yogerako n’omusawo wo ku nsonga yonna gy’olina ekikweraliikiriza ku kutereka kalisiyamu mu mabeere. Okutwalira awamu, bw’oba olina akabi ak’okufuna kookolo w’amabeere, wandibadde otandika okwekebejjebwa kookolo w’amabeere buli mwaka oba ebiri oluvannyuma lw’emyaka 40 .
Singa kirowoozebwa nti ekirungo kya calcium kyo kyekuusa ku kookolo, oyinza okwetaaga enkola endala ey’okukuba ebifaananyi oba okukeberebwa amabeere emirundi mingi. Goberera ebiragiro by’omusawo wo ku nteekateeka esinga obulungi ey’okugoberera endwadde z’amabeere.
Bibuuzo ki bye nnina okubuuza omusawo?
Bwe bakugamba ekintu nga kino, waliwo ebibuuzo ebikulu by’olina okubuuza omusawo wo:
- "Biki ebiyinza okuvaako okuteekebwa kwa kalisiyamu ono mu nze?"
- "Nsaana okweraliikirira nti bino ebitereke bya calcium biyinza okuba akabonero ka kookolo?"
- "Biki ebirala ebigezo (bwe bibaawo) by'ogamba nti nkole?"
- "Eky'okuba nti nnina obuwuka buno obuyitibwa calcium mu mabeere kikwata ku mirundi gye nsaanidde okwekebejjebwa amabeere?"
- "Nkuuma ntya ebiwandiiko by'ebintu byange ebya kalisiyamu nsobole okubigeraageranya ne X-ray ez'omu maaso?"
N’ekisembayo, ekintu eky’okulowoozaako.
Okukebera amabeere bwe kuzuula nti waliwo ekirungo kya kalisiyamu, abantu abamu batera okulowooza nti kye kisinga obubi, wadde nga waliwo emikisa mitono nti kiyinza okuba akabonero ka kookolo. Kyokka, tobuuka ku nsonga . Waliwo embeera nnyingi ezitali za kookolo (benign) eziyinza okuleeta calcium okuteekebwa mu bitundu by’amabeere go. Obubonero buno butera obutaba kabonero ka kookolo (malignancy).
Ne bwe kiba nti kookolo azuuliddwa, yogerako n’omusawo wo ku ngeri gy’ogenda okuteeberezaamu. Wayinza okubaawo obujjanjabi obuyinza okukomya kookolo wo okukula oba n’okumuwonya ddala. Okuzuula amangu kye kintu ekisinga obukulu.
` Okukola calcification mu mabeere, mammogram, kookolo w’amabeere, ebitereke bya calcium, microcalcification, macrocalcification, DCIS











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