Wali olowoozezzaako nti kookolo w’amabeere asobola okukwatibwa ku myaka emito bwe gityo, wakati w’emyaka 18 ne 45? Kino mu butuufu si kya wala nga bw’oyinza okulowooza. Oluusi, embeera ng’ezo ziyinza n’okubaawo mu mikwano gyaffe egy’oku lusegere. Kale, kikulu nnyo okubeera nga omanyi kino. Leero, tujja kwogera mu bujjuvu era mu ngeri ennyangu ennyo ku kookolo w’amabeere atandise amangu .
Kookolo w’amabeere atandika nga bukyali kye ki?
Mu ngeri ennyangu, kookolo w’amabeere mu buvubuka abasawo bwe bakuzuula nti olina kookolo w’amabeere wakati w’emyaka 18 ne 45. Tutera okuwulira nti kookolo w’amabeere asinga kubeera mu bakyala abasukka emyaka 50. Ekyo kituufu. Naye ekyo tekitegeeza nti abato tebasobola kukifuna. Oluusi, abatiini n’abavubuka abakulu nabo basobola okubufuna.
Kookolo w’amabeere wa njawulo atya mu bakyala abato?
Laba ensonga enkulu. Omuwala bw’afuna kookolo w’amabeere, ayinza okuba ng’agenda mu maaso katono okusinga singa abeera mu muntu asussa emyaka 45. Ensonga emu eri nti kookolo ono ayolekedde okuba nga yasaasaana katono ng’asangibwa mu myaka gino. Okukebera kookolo w’amabeere okwa bulijjo kutera kutandika oluvannyuma lw’emyaka 40. Ensonga endala eri nti abawala abato bayinza obutamanya bulungi bubonero buno era bayinza obutabuulira musawo okutuusa oluvannyuma.
Ekirala kookolo w’amabeere mu bakyala abali wansi w’emyaka 45 oluusi ayinza okuba ow’obusungu era nga muzibu okujjanjaba. Kino kisalibwawo ebintu nga ebizimba ebizimba .
Bika ki ebya kookolo w’amabeere ebisinga okubeera mu bakyala abato?
Abakyala abato basobola okufuna kookolo w’amabeere ow’ekika kyonna, naye waliwo ebika bibiri ebisinga okubeerawo:
- Invasive Ductal Carcinoma: Kino kye kika kya kookolo w’amabeere asinga okubeera ku myaka gyonna.
- Triple-Negative Breast Cancer: Kino kika kya kookolo w’amabeere atatera kulabika era akola nnyo. Era kiyinza okuba ekizibu ennyo okujjanjaba.
Kino kitera kitya mu bakyala abato?
Kookolo w’amabeere tatera kubeera mu bakyala abato okusinga ku basukka emyaka 45. Kyokka ekyo tekitegeeza nti tatera kubaawo. Mu ngeri ey’obukambwe, ebitundu nga 10% ku balwadde ba kookolo w’amabeere abapya abazuuliddwa bali mu bakyala abato.
Okusinziira ku biwandiiko okuva mu Amerika, abakyala nga 1 ku buli 196 abali wakati w’emyaka 15 ne 39 ajja kukwatibwa kookolo w’amabeere ayingirira. Kale, kikulu okubeera nga omanyi kino.
Obubonero bwe buliwa?
Obubonero bwa kookolo w’amabeere mu bakyala abato bufaananako n’obw’emyaka emirala. Bw’oba olina ekimu oba ebisingawo ku bino, kirungi okugenda mu basawo amagezi nga tosattira.
- Ebizimba mu mabeere oba ebizimba mu kitundu ky’enkwaso.
- Obulumi mu mabeere (Mastalgia).
- Enkyukakyuka mu lususu lw’amabeere: okumyuuka, okuzimba oba okusiiyibwa.
- Enfuli ezikyusiddwa.
- Amazzi agafuluma mu nfuli - gayinza okuluma oba nga teruluma.
- Ennywanto z’omusaayi ezizimba.
- Okuwulira ng’olususu lw’amabeere oba enfuli zigonza oba okuzimba.
Jjukira nti olw’okuba olina obubonero buno tekitegeeza nti kookolo. Kyokka, kiba kya magezi okwekebejjebwa omusawo.
Biki ebivaako kookolo ono okukula ku myaka emito?
Nga kitundu kya kookolo w'amabeere yenna mu bakyala abato yeekuusa ku nkyukakyuka mu buzaale mu buzaale obuyitibwa BRCA1 oba BRCA2 . Mu budde obutuufu obuzaale buno bufuga okukula kw’obutoffaali obutali bwa bulijjo obuyinza okuleeta kookolo. Nga switch. Naye obuzaale buno bwe bukyusibwakyusibwa, obutoffaali obwo obutali bwa bulijjo bukula nga tebufugibwa. Bw’oba olina enkyukakyuka mu buzaale bwa BRCA1 oba BRCA2 , oba mu bulabe obw’okufuna kookolo w’amabeere n’enkwaso.
Abanoonyereza bakyanoonya enkyukakyuka endala mu buzaale eyongera obulabe bwa kookolo w’amabeere mu bakyala abato. Enkyukakyuka mu buzaale nga TP53, PTEN, STK11, PALB2, ne CDH1 zikwatagana n’obulabe obw’amaanyi. Waliwo obuzaale obulala nga buno, era tusuubira okuzuula ebibiina bino ebirala mu myaka egijja.
Wabula kikulu okumanya nti kookolo w’amabeere yenna akula mu bakyala abato si nti ava ku buzaale. Kookolo ezimu naye asobola okubaawo mu ngeri ey'okwekolako .
Biki ebiyinza okuvaako akabi?
Ebyafaayo by’obujjanjabi bw’amaka go bikola kinene ku bulabe bwo obw’okufuna kookolo w’amabeere ng’okyali muto. Singa omuntu mu maka go abadde n’embeera emu oba ng’alina emu ku mbeera zino wammanga, oyinza okuba mu bulabe obw’amaanyi:
- Omuntu eyakwatibwa kookolo w’amabeere nga tannaweza myaka 50.
- Omuntu alina kookolo mu mabeere gombi.
- Omuntu alina kookolo w’amabeere g’omusajja.
- Omusajja alina kookolo w’ennywanto agenda mu bitundu ebirala.
- Omuntu alina kookolo w’enkwaso ku myaka gyonna.
- Omuntu alina kookolo w’olubuto.
- Omuntu alina kookolo w’amabeere ow’emirundi esatu.
Ebintu ebirala ebiyinza okuleeta akabi:
- Okubeera n’enkyukakyuka mu buzaale nga BRCA1 ne BRCA2 , oba okuba n’omuntu w’omu maka alina enkyukakyuka zino.
- Nga emabegako yafuna obujjanjabi bw’amasannyalaze (radiation therapy) okutuuka mu kitundu ky’ekifuba.
- Embeera z’amabeere nga tezinnaba kukwatibwa kookolo nga Atypical Hyperplasia obaOkubeera n’embeera nga Lobular Carcinoma in Situ (LCIS) .
- Bwoba nga oli wa kika kya Bayudaaya kya Ashkenazi .
Bw’oba olina ebyafaayo by’amaka ga kookolo w’amabeere, omusawo ayinza okukuwa amagezi okukebera obuzaale . Kino kwekebeza musaayi. Kiyinza okuzuula oba olina enkyukakyuka mu buzaale ekyongera obulabe bw’okufuna kookolo w’amabeere oba kookolo omulala. Bw’oba olina enkyukakyuka, omusawo ayinza okukusindika mu kubuulirirwa ku buzaale . Kino kiyinza okukuyamba okutegeera obulungi akabi k’olina. Oyinza n’okusindikibwa mu ddwaaliro ly’amabeere ery’akabi ennyo okusobola okuddukanya akabi n’okugoberera.
Okuzuula obulwadde buno kukolebwa kutya?
Ka kibeere myaka gyo, engeri abasawo gye bazuulamu kookolo w’amabeere esigala y’emu. Okusooka, omusawo ajja kukebera amabeere . Oluvannyuma, bajja kukubuuza ku bubonero bwo, ebyafaayo by’obujjanjabi bwo, n’ebyafaayo by’obujjanjabi bw’amaka. Okukebera ebifaananyi nakyo kiyinza okukolebwa okunoonya okukula kwonna okutali kwa bulijjo mu mabeere go. Singa wabaawo obuzibu bwonna obuzuuliddwa, omusawo ayinza okutwala akatundu akatono ku bitundu by’amabeere go okukeberebwa (okukeberebwa omubiri) .
Okukebera amabeere ki okuliwo eri abakyala abato?
Bw’oba tonnaweza myaka 40 era ng’olina emikisa mingi egya kookolo w’amabeere, omusawo ayinza okukuwa amagezi okukeberebwa nga bino:
- Okukebera amabeere MRI.
- Okukebera amabeere emirundi mingi.
Abakyala abali wansi w’emyaka 40 balina okukeberebwa amabeere?
Okukebera amabeere tekutera kirungi ku bakyala abali wansi w’emyaka 40. Kyokka bw’oba olina enkyukakyuka y’obuzaale emanyiddwa oba ng’ab’omu maka go bafunye kookolo w’amabeere ku myaka emito, omusawo ayinza okukuwa amagezi okutandika okwekebejja nga bukyali. Totya singa baba bakuwa amagezi okwongera okwekebejjebwa.
Ekirungi ekiri mu kwekebejja nga bukyali kiri nti singa ofuna kookolo w’amabeere, asobola okuzuulibwa nga bukyali, nga tannasaasaana (metastasized) mu bitundu ebirala , ekitegeeza nti asinga kuddamu ku bujjanjabi.
Kookolo w’amabeere mu bakyala abato ajjanjabibwa atya?
Obujjanjabi butandika n’okukubaganya ebirowoozo wakati wo n’omusawo wo. Bajja kwogera ku bintu ng’ekika kya kookolo wo, omutendera gwa kookolo, n’okumanya oba olina essuubi okutandika amaka oba okuzaala abaana. Oluvannyuma lw’okulowooza ku bino byonna, mwembi mujja kukolera wamu okukola enteekateeka y’obujjanjabi esinga okukuyamba.
Okusinziira ku mbeera yo n’obubonero bw’ekizimba , enteekateeka y’obujjanjabi eyinza okuli:
- Okulongoosa kookolo w’amabeere: Okuggyawo ekizimba kyokka (Lumpectomy) oba okuggyawo amabeere gonna (Mastectomy).
- Obujjanjabi bw’eddagala.
- Obujjanjabi bw’obusimu.
- Obujjanjabi bw’obusimu obuziyiza endwadde.
- Obujjanjabi bw’amasannyalaze (radiation therapy).
- Obujjanjabi obugendereddwamu.
Bizibu ki ebiva mu bujjanjabi?
Chemotherapy oba radiation therapy eyinza okukosa obusobozi bwo okufuna olubuto olulamu . Bw’oba oteekateeka okutandika amaka, kikulu okwogera n’omusawo wo ku ngeri y’okukuuma obuzaale nga tonnatandika kujjanjaba kookolo w’amabeere.
Singa omira eddagala eriziyiza estrogen ng'ekimu ku bikozesebwa mu kujjanjaba obusimu , oyinza okufuna obubonero bw'okuggwaamu amaanyi mu nsonga .
Okugatta ku ekyo, obujjanjabi bwa kookolo w’amabeere buyinza okuleeta ebizibu ebirala, gamba nga:
- Okweraliikirira oba okwennyamira.
- Ebifaananyi by’omubiri ebikwata ku.
- Okukoowa kwa kookolo.
- Obulumi bwa kookolo.
- Lymphedema - Kino kitegeeza okuzimba emikono oba ekifuba.
Obulabe bw’okufuna kookolo w’amabeere ku myaka emito busobola okukendeezebwa?
Tewali ngeri yonna gy’oyinza kuziyiza ddala kookolo w’amabeere ku myaka gyonna. Wabula singa kizuulibwa nti oli mu bulabe bwa kookolo w’amabeere, kikulu okwekebeza amabeere nga bukyali era buli kiseera. Omusawo ayinza n'okukuwa amagezi okukubuulirira ku buzaale .
Bw’olaba ekizimba, obulumi oba enkyukakyuka endala mu bbeere lyo, laba omusawo mu bwangu. Mu mbeera ya kookolo, okuzuula amangu kookolo gwe mukisa ogusinga obulungi ogw’okujjanjabibwa obulungi.
Biki bye nnina singa mba mu kiti ky’akabi ak’amaanyi?
Bw’oba olina enkyukakyuka mu buzaale era ng’oli mu bulabe bwa kookolo w’amabeere, yogerako n’omusawo wo. Ajja kwogera ku bintu byo ebitongole eby’akabi era akole enteekateeka y’okukebera. Mu mbeera ezimu, oyinza n’okuweebwa amagezi okulowooza ku ky’okusala amabeere mu ngeri ey’okuziyiza .
Omuwendo gw’abakyala abato abawona kookolo w’amabeere guli gutya?
Bwe kituuka ku kuwona kookolo w’amabeere, ekika n’omutendera gwa kookolo bikulu nnyo okusinga emyaka gyo.
Omuwendo gw’abakyala abawangaala mu myaka etaano abalina kookolo w’amabeere ayingirira atasaasaana (metastasized) guli nga 91%. Kino kitegeeza nti abantu abasinga obungi abazuuliddwa ku mutendera guno ogw’obulwadde buno bakyali balamu oluvannyuma lw’emyaka etaano bukya bazuuliddwa.
Singa kookolo asaasaana okusukka amabeere - okutuuka mu nnywanto oba ebitundu ebirala - omuwendo gw’okuwangaala gukendeera. Omuwendo gw’abantu abawangaala emyaka etaano ku kookolo w’amabeere asaasaanidde mu nnywanto z’omusaayi guli 86%.
Singa kookolo asaasaana mu kitundu eky’ewala eky’omubiri gwo, gamba ng’amagumba, ekibumba, amawuggwe, oba obwongo , omuwendo gw’abantu abawangaala mu myaka etaano guyinza okukka okutuuka ku bitundu 31%.
Olw’okuba embeera ya buli muntu ya njawulo, kirungi okubuuza omusawo wa kookolo wo ku kika kya kookolo wo, omutendera gwo, n’ebyo by’osuubira mu myaka egijja.
Nnyinza ntya okwerabirira?
Okuzuula nti olina kookolo osanga kye kintu ekisinga okukuzibuwalira mu bulamu bwo. Wajja kubaawo enneewulira nnyingi, ebintu ebizibu okwogerako, n’emisana n’ekiro by’olina okulinda okulaba abasawo. Wajja kubaawo ennaku enzibu, mu mubiri ne mu birowoozo. Naye, nga tufunye obuwagizi obutuufu, olugendo luno lusobola okukolebwa.
Omusawo wo asobola okukuyunga ku bibiina ebiwagira , okukuwa amawulire agakwata ku kuwona kookolo, n’okukuwa amagezi agayambye abakyala abato abalina kookolo w’amabeere.
Kookolo w’amabeere asobola okulwala ku myaka emeka?
Mu butuufu, kookolo w’amabeere asobola okukula mu myaka gy’obuvubuka (wadde nga tatera nnyo). Ebitundu nga 10% ku balwadde ba kookolo w’amabeere abapya abazuuliddwa bali mu bantu abali wansi w’emyaka 45.
Tewali kiseera kirungi kya kufuna kookolo. Naye, okuzuula ku myaka emito kiyinza okuba eky’okwewuunya mu ngeri etategeerekeka. Oyinza okuwulira nga ggwe asinga obuto mu kisenge omusawo w’alindirira. Naye toli wekka. Ttiimu yo ekola ku kookolo ejja kuba naawe buli ddaala ly’ogenda. Babuuze ku bikozesebwa ebiriwo eri abakyala abalina kookolo w’amabeere nga bakyali bato. Okwogera n’omuntu abadde n’ekintu ekifaananako bwe kityo kiyinza okukuyamba okutegeera ky’osuubira era ekisinga obukulu, okuwulira ng’otegedde.
Obubaka Obusembayo Okutwala Awaka
Well, bino bye bimu ku bintu by’olina okukuuma mu birowoozo okuva mu bye twogeddeko:
- Kookolo w’amabeere asobola okulwala ne mu myaka emito. N’olwekyo kikulu nnyo okufaayo ku mabeere go n’okufuna amagezi g’omusawo singa olaba enkyukakyuka yonna.
- Bw’oba olina ebyafaayo by’amaka ga kookolo, yogerako n’omusawo wo. Bayinza okuteesa ku bintu ng’okukebera obuzaale.
- Beera mwegendereza obubonero. Tobuusa maaso bizimba, obulumi, enkyukakyuka mu lususu oba amazzi agafuluma mu nfuli.
- Okuzuula amangu kye kisinga obulungi. Gy’okoma okuzuulibwa amangu, gye kikoma okuba nti obujjanjabi bujja kuba bulungi.
- Toli wekka. Bw’oba oyolekedde embeera nga eno, noonya obuyambi okuva mu basawo, ab’omu maka ge, mikwano gyo, n’ebibiina ebiwagira. Obulamu bw’obwongo nakyo kikulu nnyo.
Nsuubira nti amawulire gano ga mugaso gy’oli. Sigala nga oli mulamu bulungi!
` Kookolo w’amabeere, kookolo ku myaka emito, obuzaale bwa BRCA, obubonero bwa kookolo, obujjanjabi bwa kookolo, obulamu bw’amabeere, enkyukakyuka mu buzaale











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