Kizibu okuteeka mu bigambo okutya n’okukankana kw’owulira ng’omusawo akugambye nti olina kookolo w’amabeere. "Kino nakifuna ntya?", "Kino kinaawona?", "Kiki ekinatuuka ku baana bange?" Ebibuuzo lukumi nga bino osanga biddamu mu birowoozo byo. Kino kintu abantu bangi kye boolekagana nabyo. Kale leero, ka twogere ku nsonga eno mu ngeri entegeerekeka era mu ngeri ennyangu okumalawo okutya kwo.
Kookolo w’amabeere atandika atya okukula mu mubiri?
Mu butuufu kookolo yenna atandika mu ngeri y’emu. Kwe kugamba, obutoffaali mu mubiri gwaffe butandika okwawukana amangu ennyo, nga tebufugibwa. Lowooza ku mubiri gwaffe ng’ekizimbe ekinene ekikoleddwa mu mabaati. Wano, amatoffaali "butoffaali." Ebiseera ebisinga, amatoffaali (obutoffaali) amakadde bwe gafa, amatoffaali amapya gakolebwa okujjuza ebituli. Eno nkola entegeke nnyo .
Naye mu butoffaali bwa kookolo, ekiragiro kino kimenyeka. Amawulire agakwata ku buzaale, kwe kugamba, DNA, mu butoffaali obwo gafuuka amakyamu . DNA eno enkyamu esobola okusiigibwa okuva mu bazadde okutuuka ku baana. Oba, DNA esobola okwonooneka olw’okukwatibwa ebintu ebimu mu mbeera gye tubeera.
Eno y’engeri obutoffaali obufiiriddwa okufuga gye bwawukana amangu ennyo ne bukuŋŋaanyizibwa wamu ne bukola ekizimba ekitono. Mu kookolo w’amabeere, obutoffaali buno obutali bwa bulijjo bukula mu mifulejje egitambuza amata okutuuka mu nfuli, oba mu nnywanto ezikola amata (lobules) ez’amabeere. Ebizimba bino eby'obutoffaali tubiyita ebizimba .
Kookolo w’amabeere asaasaana atya mu mubiri gwonna?
Obutoffaali bwa kookolo bulinga ensigo embi. Zitandikira mu kifo kimu, ebbeere, era oluvannyuma lw’akaseera, zikutuka ne zitandika okusaasaana mu bitundu by’omubiri ebirala. Obutoffaali buno busobola okuyita mu musaayi oba mu nseke okutuuka mu bitundu by’omubiri eby’ewala ne bikula obutoffaali obupya.
Ebifo ebisinga okubeera obutoffaali bwa kookolo w’amabeere we buyinza okusaasaana bye bino:
Kookolo bw’asaasaana mu bitundu by’omubiri ebirala mu ngeri eno, tumuyita kookolo atambula oba kookolo ow’okubiri. Abantu abamu bayinza okuba n’omutendera guno ogw’oku ntikko ogwa kookolo nga bazuuliddwa. Mu mbeera endala, kookolo ne bw’aba azuuliddwa nga bukyali, ayinza okudda ng’amaze okujjanjabibwa.
Y’ensonga lwaki bw’olaba enkyukakyuka yonna mu mabeere go, oba ekizimba ekipya , laba omusawo mu bwangu.Kwe kugamba, gye kikoma okuzuulibwa amangu, emikisa gy’okujjanjabwa n’okuwona gye gikoma okubeera eminene.
Obusimu buyamba ku kookolo?
Kino kizibu katono, naye kikulu nnyo. Obutoffaali obumu obwa kookolo w'amabeere bulina obutoffaali obw'enjawulo obuyitibwa "receptors" ku ngulu. Lowooza ku bikwata bino nga "ebituli by'ebisumuluzo." Obusimu obubiri emibiri gyaffe bwe gikola mu butonde , estrogen ne progesterone, bulinga "ebisumuluzo" ebiyingira mu binnya by'ebisumuluzo bino.
Obusimu buno obuyitibwa ekisumuluzo bwe bukwatagana n’ekituli ky’ekisumuluzo ekiyitibwa receptor, ku katoffaali ka kookolo, akatoffaali ka kookolo kafuna akabonero "okukula ennyo." Mu ngeri endala, obusimu buno buleetera kookolo okukula amangu n’okusingawo.
- Kookolo ezimu zikola ku busimu obuyitibwa estrogen bwokka.
- Abalala baddamu obusimu obuyitibwa progesterone .
- Kookolo ezimu zikola ku busimu buno bwombi.
Kino tukiyita kookolo w’amabeere alina obusimu obuyitibwa hormone receptor-positive . Omusawo ajja kukebera obutoffaali bwo obwa kookolo alabe oba buddamu obusimu. Bwe bakola bwe batyo, waliwo obujjanjabi obw’enjawulo obugikolera.
Bujjanjabi ki obw’okujjanjaba kookolo w’amabeere?
Leero, waliwo obujjanjabi bungi obukola obulungi ku kookolo w’amabeere. Obujjanjabi bw’ofuna bujja kusinziira ku kika kya kookolo gw’olina, gy’asasaanye, n’obulamu bwo okutwalira awamu. Obujjanjabi obusukka mu bumu buyinza okukozesebwa.
| Obujjanjabi | Mu ngeri ennyangu, kiki ekibaawo? |
|---|---|
| Okuloongoosa | Okuggya ekizimba kya kookolo nga bwe kisoboka mu mubiri. Singa kookolo aba mutono, ekitundu ky’ekizimba kyokka kye kiggyibwamu (lumpectomy) . Singa kookolo aba munene, amabeere gonna (mastectomy) oba amabeere gombi (double mastectomy) gayinza okuggyibwamu. |
| Obujjanjabi bw’eddagala | Kino kizingiramu okufuyira eddagala ery’amaanyi mu mubiri eritta obutoffaali bwa kookolo oba okubulemesa okwawukana. Olw’okuba eddagala lino litambula mu mubiri gwonna nga liyita mu musaayi, liyinza n’okutta obutoffaali bwa kookolo obusaasaanye. |
| Obujjanjabi bw’amasannyalaze (Radiation Therapy). | Emisinde egy’amaanyi amangi gikozesebwa okusaanyaawo obutoffaali bwa kookolo. Enkola eno ekozesebwa okusaanyaawo obutoffaali bwonna obuyinza okusigalawo oluvannyuma lw’okulongoosebwa. |
| Obujjanjabi bw’obusimu | Kino kiweebwa kookolo yekka akola ku busimu obuyitibwa estrogen oba progesterone. Eddagala lino likendeeza ku muwendo gwa estrogen mu mubiri oba liziyiza obusobozi bwa estrogen okwesiba ku butoffaali bwa kookolo. |
| Obujjanjabi obugendereddwamu | Enzijanjaba eno eringa ‘mizayiro’. Kitunuulira obutoffaali obw’enjawulo, gamba nga HER2 , ku butoffaali bwa kookolo awatali bulabe ku butoffaali obwa bulijjo. |
| Obujjanjabi bw’abaserikale b’omubiri | Kino kizingiramu okusitula abaserikale b’omubiri gwaffe, ne kigusobozesa okuzuula n’okusaanyaawo obutoffaali bwa kookolo. |
Emikisa ki egy’okuwona?
"Nja kuwangaala bbanga ki?" Kya bulijjo okwebuuza. Kino abasawo bakipimira ku kye bayita "emyaka 5 egy'okuwangaala." Mu ngeri ennyangu, gwe muwendo gw’abantu ku 100 abalina kookolo w’amabeere ku mutendera ogugere abakyaliwo oluvannyuma lw’emyaka 5 (bw’ogeraageranya n’abantu bonna abatalina bulwadde buno).
- Kookolo asooka: 99% (kwe kugamba, abantu 99 ku 100 bawangaala emyaka 5) .
- Kookolo bw’aba asaasaana mu bitundu ebimwetoolodde: 86% .
- Bwe busaasaana mu bitundu eby’ewala mu mubiri (Metastatic): 30% .
Ekisinga obukulu:Bino bibalo byokka ebyesigamiziddwa ku data okuva mu kibinja ky’abantu ekinene. Embeera yo ey’obuntu eyinza okuba ey’enjawulo ddala. Bino byonna byawukana okusinziira ku myaka gyo, obulamu bwo, n’engeri omubiri gwo gye gukwatamu obujjanjabi. Kale toggwaamu maanyi olw’ennamba zino.
Kookolo asobola okuddamu?
Oluvannyuma lw’okujjanjabwa, kigambibwa nti tuba mu kusonyiyibwa nga tewali butoffaali bwa kookolo busobola kuzuulibwa mu mubiri. Wabula waliwo omukisa nti kookolo ono ajja kudda mu biseera eby’omu maaso. Kino tukiyita okuddamu .
Obulabe bwa kookolo okuddamu businga mu myaka ebiri egisooka oluvannyuma lw’okujjanjabibwa. Obulabe obwo bukendeera mpolampola okumala ekiseera. Eno y'ensonga lwaki omusawo ajja kukukebera mu biseera ebigere . N’olwekyo kyetaagisa okugoberera ebiragiro by’omusawo n’ogenda mu malwaliro ku nnaku z’otegese.
Totya kubuuza musawo wo oba abalala ku ttiimu yo ey’obujjanjabi ku kintu kyonna ky’ototegeera oba ky’otya. Bw’oba owulira ng’ozitoowereddwa, funa obuyambi okuva eri omukugu mu kubuulirira abantu. Tolina kuyita mu lugendo luno wekka.
Obubaka Obutwala Awaka
- Kookolo w’amabeere kwe kukula kw’obutoffaali obutafugibwa. Si musango gwo.
- Kookolo gy’akoma okuzuulibwa amangu, emikisa gy’okujjanjabibwa n’okuwona mu bujjuvu gye gikoma okubeera eminene. Kale beera n’ebirowoozo by’okwekebera amabeere.
- Leero, waliwo enkola nnyingi ez’omulembe era ezituuse ku buwanguzi, gamba ng’okulongoosa, eddagala, n’okujjanjaba eddagala eriyitibwa radiation therapy.
- Yogerako mu lwatu n’omusawo wo ku bibuuzo byonna oba ebikweraliikiriza by’olina.
- Si ggwe wekka mu lugendo luno. Famire yo, mikwano gyo, ne ttiimu y’abasawo bali naawe. Tofiirwa buvumu.
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