Ebintu by’olina okumanya ku kookolo w’amabeere

Waliwo omuntu yenna mu maka go oba mukwano gwo eyazuulibwa ne kookolo w’amabeere? Bwe kitaba bwe kityo, oyinza okuwulira ng’otya katono oba ng’oyagala okumanya ng’oyogera ku nsonga eyo. Ddala kookolo w'amabeere kye ki ? Ani agifuna? Obulabe buli butya? Bino byonna ka twogere mu ngeri ennyangu ennyo era ey'omukwano leero. Okumanya ebintu bino kikulu nnyo gy’oli n’abaagalwa bo.

Abasawo bagabanya batya kookolo w’amabeere?

Kookolo w’amabeere byonna si bye bimu. Abasawo bagigabanya mu ngeri ez’enjawulo. Bagigabanya okusinziira ku kifo kookolo w’atandikira mu mabeere, obutoffaali bwa kookolo obukwata obusimu ki, n’engeri kookolo gy’asasaanye. Okugabanya kuno kwe kusalawo obujjanjabi era kuwa ekirowoozo ku mikisa gy’okuwona.

Mu ngeri ennyangu, waliwo ebika bibiri ebikulu:

1. Noninvasive (erimu ekitundu kimu kyokka): Kino kitegeeza nti kookolo tannasaasaana kusukka we yatandikira. Kilowoozeeko ng’omuddo. Kikoma mu kitundu kimu. Ekyokulabirako ekirungi ku kino ye ` Ductal Carcinoma in Situ (DCIS).` Wano, obutoffaali bwa kookolo buli munda mu mifulejje gy’amata gyokka.

2. Invasive: Kino kookolo bw’aba asaasaanidde okusukka emikutu gy’amata oba endwadde ezikola amata (lobules) we yatandikira, n’agenda mu bitundu by’amabeere ebirala oba n’agenda mu nnywanto z’amazzi mu nnyindo. Kookolo w’amabeere asinga agwa mu kiti kino.

Okugatta ku ekyo, era zigabanyizibwa okusinziira ku bikwata ebibeera ku butoffaali bwa kookolo. Ebikwata bino bye bintu ebikosa okukula kw’obutoffaali bwa kookolo.

Ebika ebirala ebitali bimu

• Kookolo w’amabeere azimba: Kino kika kya tatera kusaasaana mangu nnyo. Ebbeere lifuuka emmyuufu ne lizimba.
• Obulwadde bwa Paget obw’enfuli: Kika kya kookolo abeera mu nfuli.
• Angiosarcoma: Etandikira mu butoffaali bw’emisuwa.
• Metastatic Breast Cancer: Kino obutoffaali bwa kookolo bwe buva mu mabeere ne bugenda mu bitundu by’omubiri ebirala (ebiseera ebisinga amagumba, obwongo, amawuggwe oba ekibumba) okukola ebizimba ebipya.

Biki ebiyinza okuvaako kookolo w’amabeere?

Ebintu ebimu biyinza okwongera ku bulabe bw’okufuna kookolo w’amabeere. Ebimu ku bino tusobola okubifuga, ebimu tetusobola.

Bino bye bimu ku bintu ebikulu ebiyinza okuleeta akabi :

• Emyaka: Abakyala abasukka mu myaka 50 bali mu bulabe bwa maanyi.
• Ebyafaayo by’amaka: Okubeera n’owooluganda ow’oku lusegere, gamba nga maama, mwannyinaffe oba muwala we alina kookolo w’amabeere.
• Ebyafaayo by’omuntu: Bw’oba ​​obaddeko kookolo mu mabeere agamu emabegako, oba mu bulabe bw’okumufuna ne mu mabeere amalala.
• Okuva mu nsonga: Okutandika okugenda mu nsonga nga tonnaweza myaka 12 oba okutandika okuva mu nsonga oluvannyuma lw’emyaka 55.
• Okuzaala: Okuzaala omwana wo asooka ng’amaze emyaka 30, obutazaala oba obutayonsa baana bo.
• Obujjanjabi bw’amasannyalaze obw’emabega: Nga omaze okufuna obujjanjabi bw’amasannyalaze okutuuka mu kitundu ky’ekifuba.
• Engeri y’obulamu: Omugejjo ennyo, okunywa omwenge, n’okukozesa eddagala erimu ery’obusimu n’empeke eziziyiza okuzaala okumala ebbanga eddene.

Oyinza otya okuzuula kookolo nga bukyali?

Okukebera amabeereYe X-ray y’amabeere. Eno y’engeri esinga okuzuula kookolo ng’obubonero tebunnalabika. Gy’okoma okuzuulibwa amangu, emikisa gy’okuwona mu bujjuvu n’obujjanjabi gye gikoma okubeera emirungi.

Singa wabaawo ekitundu ekiteeberezebwa ku mammogram, omusawo ayinza okukuwa amagezi okukebera MRI, ultrasound scan, n’okukebera biopsy (okutwala akatundu akatono ak’ebitundu by’omubiri okwekebejjebwa) okukakasa oba kookolo era bwe kiba bwe kityo, okukakasa nti yasaasaana wa.

Ebibiina by’ebyobulamu eby’enjawulo okwetoloola ensi yonna biwa amagezi ag’enjawulo ku myaka n’emirundi gy’okukeberebwa amabeere. Okuteesa okwa bulijjo kwe kutandika oluvannyuma lw’emyaka 40. Wabula kikulu okwogera n’omusawo wo ku nteekateeka y’okukebera esinga okukusinga.

Emikisa gy’obujjanjabi n’okuwona giri gitya?

Abantu bangi nnyo abawona kookolo w’amabeere leero okusinga bwe kyali kibadde, olw’okuzuula amangu n’okulongoosebwa mu bujjanjabi.

• Singa kookolo aba tasaasaana bweru wa mabeere, emikisa egy’okuwangaala emyaka 5 giba mingi nga 99% .
• Singa esaasaana mu nnywanto eziriraanyewo, emikisa giri nga 86% .
• Singa esaasaana mu bitundu by’omubiri eby’ewala (metastatic) , emikisa giri 29% . Naye ne mu mbeera eno, abantu abamu bawangaala emyaka mingi.

Obujjanjabi bwe buruwa?

Enkola z’obujjanjabi zisinziira ku bintu bingi, omuli ekika kya kookolo ky’olina, obunene bw’ekizimba, n’ebikolwa by’obusimu.

• Obujjanjabi obw’ekinnansi: Okulongoosa, obujjanjabi obw’amasannyalaze, n’okukozesa eddagala ly’ekinnansi bye bikyasinga okukozesebwa.
• Obujjanjabi obugendereddwamu: Buno bwe bujjanjabi obupya era obusinga okukola obulungi. Zikola nga zitunuulira obutoffaali bwa kookolo bwokka.
• Obujjanjabi bw’obusimu: Eddagala nga `Tamoxifen` liweebwa ku kookolo eyeesigama ku busimu.
• Eddagala lya HER2: Ku kookolo alina HER2, eddagala nga Trastuzumab (Herceptin) liziyiza puloteyina ya HER2 ne liyimiriza okukula kw’obutoffaali bwa kookolo.
• Obujjanjabi bw’abaserikale b’omubiri: Eddagala nga ``Pembrolizumab (Keytruda)`` liyamba abaserikale baffe bennyini okulwanyisa obutoffaali bwa kookolo.
• Ebiziyiza PARP: Eddagala nga `Olaparib (Lynparza)` likozesebwa ku kookolo alina enkyukakyuka mu buzaale bwa `BRCA`.

Omusawo wo ajja kukukebera obuzaale n’okukeberebwa okulala okuzuula obujjanjabi obusinga okukutuukirawo era obusinga okukuwangudde.