Omusawo bw’akugamba nti olina kookolo w’amabeere ‘Stage 0’, oyinza okuwulira ng’otya n’okwagala okumanya. Ddala ono kookolo? Oba kibeera kisookera ddala ku kookolo? Kiki ekiddako? Ebibuuzo lukumi nga bino biyinza okuba nga bikudduka mu birowoozo. Tofaayo, kyabulijjo nnyo. Kino ka twogere mu ngeri ennyangu ennyo, mu ngeri gy’osobola okutegeera.
Ddala kookolo w’amabeere ow’omutendera 0 kye ki?
Mu butuufu, waliwo endowooza ezimu mu basawo ku nsonga eno. Abakugu abamu kino bakitwala ng’omutendera ogusooka okukwatibwa kookolo w’amabeere. Abalala balowooza nti mutendera gwa kookolo nga tannafuna.
Mu ngeri ennyangu, kookolo kwe kugabanyaamu obutoffaali obutali bwa bulijjo mu ngeri etafugibwa. Obutoffaali buno busobola okulumba ebitundu ebiramu ebibyetoolodde. Wabula mu kookolo w’amabeere ow’omutendera 0, obutoffaali buno obutali bwa bulijjo tebusaasaana (`obutayingirira`). Kino kitegeeza nti obutoffaali busigala we bwatandikira era tebusaasaana mu bitundu ebibyetoolodde. Kyokka, waliwo omukisa nti bayinza okukikola mu biseera eby’omu maaso. Guno mutendera ogutali gwa maanyi nnyo okusinga kookolo wa Stage I.
Waliwo ebika bibiri ebikulu ebya kookolo w'amabeere ow'omutendera 0 .
1. Obulwadde bwa Paget obutayingira mu mubiri: Eno embeera etali ya bulijjo nnyo. Embeera ya kookolo ebeera mu nfuli.
2. Ductal Carcinoma in Situ (DCIS): Kino kye tutera okujuliza nga twogera ku kookolo w’amabeere ow’omutendera ogw’okubiri. Mu mbeera eno, obutoffaali obutali bwa bulijjo bukula munda mu mifulejje gy’amata gyokka mu bbeere lyo. Ekikulu, obutoffaali buno tebunnasaasaana wabweru wa mifulejje, awo we wali ebitundu ebisinga obungi eby’amasavu g’amabeere.
Ekituufu ekivaako DCIS tekinnamanyika. Abantu bangi tebafuna bubonero bwonna. Kyokka oluusi oyinza okuwulirwa akazimba akatono oba okuvaamu omusaayi okuva mu nfuli .
Obutoffaali buno obutali bwa bulijjo buyinza okukula oba obutafuuka kookolo ayingirira. Tewali asobola kuteebereza ddi ddala kino lwe kinaabaawo. Ekyo kye kisinga okusoomoozebwa mu mbeera eno.
Kino kyetaaga okujjanjabibwa? Nsalawo ntya?
Oluvannyuma lw’okuzuulibwa nti olina DCIS, eweebwa ekigezo mu lipoota y’obulwadde bw’obulwadde bw’ofuna.
- Nuclear grade 3: Kino kye kika ekisinga okuba n’obusobozi obw’okusaasaana.
- Nuclear grade 1: Kino kirina emikisa mitono nnyo egy’okusaasaana.
Era ojja kukeberebwa olabe oba obutoffaali bwa kookolo bwo bulina ebirungo ebikwata estrogen. Omusawo wo ayinza okuyita kino "ER-positive" oba "ER+." Bwe kiba bwe kityo kitegeeza nti kookolo wo ayinza okukula mpola.
Mu kiseera kino, omusawo ayinza n’okukuwa amagezi okukebera obuzaale, ekiyinza okuzuula oba olina enkyukakyuka yonna mu buzaale bwo eyongera ku bulabe bw’okufuna kookolo w’amabeere .
Ekyo ky’oddako kisinziira ku bintu bino byonna, awamu n’ebyo by’oyagala ku bubwo .
Abasawo abasinga balowooza nti kirungi n’ofuna obujjanjabi kubanga kookolo wa Stage 0 ne bw’atasaasaana, ayinza okukyuka mu biseera eby’omu maaso. Kale, enjogera egamba nti, "Kirungi okubeera omutebenkevu okusinga okusonyiwa" ekwata ne wano.
Waliwo obujjanjabi obukulu busatu. Ka tuzitunuulire mu mmeeza.
| Enkola y’Obujjanjabi | Mu ngeri ennyangu... (Ennyinyonnyola ennyangu) |
|---|---|
| Okusalako ekifuba | Kino kizingiramu okulongoosa okuggyawo ekitundu kyokka ekirimu obutoffaali obutali bwa bulijjo n’obutundutundu obutono obulamu obukyetoolodde. |
| Okusalako ebifuba n’obujjanjabi obw’amasannyalaze | Oluvannyuma lw’okulongoosebwa okwo waggulu, baweebwa obujjanjabi obw’amasannyalaze okusaanyaawo obutoffaali bwonna obutali bwa bulijjo obuyinza okusigalawo. |
| Okusala amabeere | Okulongoosa kuno kuggyawo ebbeere lyonna. Kiyinza okusemba singa DCIS esaasaanidde mu bbeere lyonna oba olw’ensonga endala. |
Tulina okulindako katono nga tetulina bujjanjabi? (Okulinda nga Bulinda)
Guno mulamwa oguliko enkaayana. Abakugu abamu balowooza nti enkola eyitibwa "watchful waiting," ekitegeeza obutagijjanjaba mangu wabula okulondoola embeera eno ng'okeberebwa buli kiseera, nkola nnungi. Abakyala nga kimu kya kusatu abalina DCIS bajja kukwatibwa kookolo asaasaana mu biseera eby’omu maaso.
N’olwekyo omusawo ayinza okukuwa amagezi weewale obujjanjabi obw’amangu ate mu kifo ky’ekyo olondoole embeera eyo ng’okeberebwa buli kiseera.
Kino kirina ebirungi n’ebibi. Lowooza ku nsonga eno...
Bw’oba olongooseddwa (oboolyawo n’obujjanjabi obw’amasannyalaze) nga bukyali, oyinza okwewala okusaasaanya kookolo atakula. Ku luuyi olulala, oyinza okuba nga wajjanjabibwa mu ngeri eruma olw’ekintu ekitajja kuba kizibu.
Naye singa osalawo okulinda nga tolongooseddwa, era ebyembi embeera yo n’efuuka kookolo agenda mu bitundu ebirala, eyinza okuba nga ya maanyi katono (era nga kizibu okujjanjaba) ng’ezuuliddwa.
Kino kisalawo kya muntu ku bubwe nnyo. Ggwe n’omusawo wo mulina okusalawo kuno nga muli wamu, oluvannyuma lw’okukyogerako obulungi. Byonna ebikweraliikiriza n’ebikutya n’omusawo wo.
Obubaka Obutwala Awaka
- Kookolo w’amabeere ow’omutendera 0 oba DCIS, mbeera etali ya kuyingirira . Obutoffaali obutali bwa bulijjo buba munda mu mifulejje gy’amata gyokka.
- Embeera eno eyinza okufuuka kookolo oba obutafuuka kookolo mu biseera eby’omu maaso. Tekisoboka kukimanya nga bukyali.
- Oba olina okujjanjabibwa oba nedda, n’obujjanjabi bw’olina okukozesa, kisinziira ku bintu ebiwerako (ekigero kya kookolo, embeera ya ER) n’ebyo by’oyagala ku bubwo.
- Ebikulu eby’okulondako kwe kulongoosa (`Lumpectomy` oba `Mastectomy`), obujjanjabi obw’amasannyalaze, oba obutajjanjaba n’akatono (`okulinda n’obwegendereza`).
- Kino si ky’osaanidde okusalawo wekka. Yogerako mu lwatu era mu bujjuvu n’omusawo wo akusalewo ekisinga obulungi.
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