Omusawo bw’akugamba nti olina kookolo w’amabeere , n’oluvannyuma n’owulira ebigambo ‘weetaaga okulongoosebwa,’ kya bulijjo okuwulira okutya n’okukankana okw’amaanyi. Naye teweeraliikiriranga. Kino si kintu ky’olina okwolekagana nabyo wekka. Ka twogere ku kulongoosa kookolo w'amabeere mu ngeri ennyangu era entegeerekeka. Olwo ojja kuba n’amaanyi mangi okugenda ku lugendo luno.
Okulongoosa kuno okwa kookolo w’amabeere kye ki?
Mu ngeri ennyangu, okulongoosa y’engeri esinga obukulu era ennungi ey’okuggya obutoffaali bwa kookolo mu mubiri gwo. Bw’oba olina kookolo w’amabeere, kumpi omusawo ajja kukukuwa amagezi okulongoosebwa. Oluusi okulongoosa kuno kuyinza okukolebwa nga tebannaba kujjanjabwa bulala, ate oluusi oluvannyuma lw’obujjanjabi obulala.
Naye kijjukire nti singa kookolo asaasaanidde mu bitundu by’omubiri eby’ewala, gamba ng’ekibumba , amawuggwe , oba obwongo (metastatic breast cancer ), okulongoosa kuyinza obutaba bujjanjabi bulungi.
Wadde ng’okulongoosa kuno kusinga kukolebwa ng’obujjanjabi, oluusi kukozesebwa okuzuula obulwadde n’okwewunda, gamba ng’okuddamu okuzimba amabeere. Okugeza waliwo abalongoosa okulaba oba kookolo asasaanye. Waliwo n’okulongoosebwa okuzzaawo ebbeere nga kookolo amaze okuggyibwako.
Bika ki ebikulu eby’okulongoosa kookolo w’amabeere?
Waliwo ebika by’okulongoosa kookolo w’amabeere ebiwerako. Omusawo wo y’ajja okusalawo okulongoosebwa okusinga okukusinga okusinziira ku mbeera gy’olimu. Katutegeere bulungi buli kimu ku bika bino.
| Ekika ky’okulongoosa | Mu ngeri ennyangu... |
|---|---|
| Okuggyawo ekizimba kyokka (Lumpectomy) . | Kino kizingiramu okuggyamu ebbeere lyonna, naye ekizimba kya kookolo kyokka n’obutundutundu obutono obulamu obubeetoolodde. Kino kitera okukolebwa mu biseera bya kookolo ebisooka. |
| Okuggyawo ebbeere mu bujjuvu (Mastectomy) . | Okulongoosa kuno kuzingiramu okuggyawo ddala ebbeere erimu oba gombi. Mu mbeera ezimu, ebitundu ebirala, gamba ng’ebinywa by’ekifuba ebiriraanyewo, nabyo biyinza okwetaaga okuggyibwamu. |
| Okukebera ebitundu by’omubiri ebiyitibwa Sentinel node biopsy | Okulaba oba kookolo asaasaanidde mu nnywanto eziri mu nnywanto, ennywanto emu oba eziwera ziggyibwa mu nnywanto ne zisindikibwa mu laboratory. Bino bye tutera okuyita "okusiiga mu lubuto." |
| Okulongoosa omusaayi mu nnyindo | Okuzuula oba kookolo asaasaanidde mu bitundu ebingi, ennyindo eziwera mu nnyindo ziggyibwamu ne zeekebejjebwa. |
| Okuddamu okuzimba amabeere | Okulongoosa okuzzaawo enkula y’amabeere oluvannyuma lw’okuggyibwako kookolo. Kino kiyinza okukozesa ebiteekebwa mu mabeere oba ebitundu by’omubiri ebiggiddwa mu kitundu ekirala eky’omubiri gwo. |
Ekika ky’okulongoosebwa okukulagirwa kisinziira ku bintu bingi omuli ekika kya kookolo gw’olina, gy’asaasaanye (omutendera), obulamu bwo okutwalira awamu, n’ebyo by’oyagala. Ku bantu abamu, okulongoosa kwokka kuyinza okumala. Ku balala, okulongoosa kitundu kimu kyokka ku nteekateeka y’obujjanjabi.
Okulongoosa kuno kwetaaga okukolebwa mangu ki?
Obujjanjabi bwa kookolo bulijjo buba bwa mangu. Obujjanjabi gye bukoma okutandika amangu, emikisa gy’okukomya kookolo okusaasaana gye gikoma okubeera emirungi .
Okusinziira ku bibalo, singa kookolo azuulibwa n’alongoosebwa mu wiiki 8 , obuwanguzi buba bungi. Wabula waliwo embeera ezimu nga obujjanjabi obulala (okugeza, `Chemotherapy`) buweebwa nga tebannalongoosebwa.
Ku mutendera ki ogwa kookolo we kyetaagisa okulongoosa?
Okuggyako omutendera ogusembayo (Stage V oba metastatic breast cancer), nga kookolo asaasaanidde mu mubiri gwonna, okulongoosa gwe bujjanjabi obusinga ku mitendera emirala gyonna.
Teebereza, singa kookolo asaasaanidde okusukka ekitundu ky’amabeere n’enkwaso okutuuka mu bifo eby’ewala ng’ekibumba, amawuggwe, n’obwongo, yeetaaga okuweebwa obujjanjabi obukola mu mubiri gwonna. Ekyo kitegeeza obujjanjabi nga `Chemotherapy` oba ` Radiation therapy`. Mu ngeri ennyangu, kookolo bw’aba mu kifo kimu, asobola okumusala n’aggyibwamu, naye bw’aba asaasaanidde mu mubiri gwonna, yeetaaga okuweebwa eddagala erikola mu mubiri gwonna.
Kuno kulongoosa kwa maanyi oba kulongoosa kutono?
Kyawukana okusinziira ku kika ky’okulongoosebwa okukolebwa. Okugeza, okusalako ekizimba (okuggyawo ekizimba kyokka) n’okukebera ekizimba ekiyitibwa sentinel node biopsy (okukebera ekizimba) kulongoosa mutono nnyo. Kyokka singa byombi bikolebwa mu kiseera kye kimu, ekiseera ky’okulongoosebwa n’okuwona kiyinza okuwanvuwako katono.
Okulongoosa amabeere (okuggyawo amabeere mu bujjuvu) n’okuddamu okuzimba amabeere (okuddamu okuzimba amabeere) kwe kulongoosa okunene. Zitwala ekiseera ekiwanvu era zirina emikisa mingi egy’okufuna ebizibu.
Kiki ekibaawo nga tebannaba kulongoosebwa era nga balongooseddwa?
Nga tebannalongoosebwa...
Bw’omala okuzuulibwa nti olina kookolo, omusawo ajja kwogera naawe ku ngeri gy’oyinza okulongoosaamu. Enteekateeka yo ey’obujjanjabi ne ddi lw’olina okulongoosebwa kijja kusinziira ku bulamu bwo n’omutendera gwa kookolo wo. Mu kookolo atandise, okulongoosa ebiseera ebisinga gwe mutendera ogusooka. Musobola n’okukubaganya ebirowoozo oba weetaaga okulongoosebwa okuddamu okuzimba amabeere ne ddi lwe kinaakolebwa.
Mu kiseera ky’okulongoosebwa...
Omusawo agenda kugezaako okuggyamu ebitundu byonna ebiyinza okubaamu obutoffaali bwa kookolo. Kino kiyinza okuzingiramu okuggyamu ekitundu ky’amabeere go, ebbeere lyo lyonna oba amabeere gombi. Ayinza n’okuggyamu ebimu ku bitundu by’enkwaso oba byonna. Bw’oba osazeewo okuddamu okuzimba amabeere, ekyo kiyinza okukolebwa mu kiseera kye kimu.
Obulabe n’ebizibu ebiva mu kulongoosebwa
Nga bwe kiri ku kulongoosa kwonna, waliwo akabi n’ebizibu ebiyinza okuvaamu. Totya, kikulu okubeera nga omanyi bino.
| Obulabe/ebizibu ebivaamu | Ennyonnyola ne by’olina okumanya |
|---|---|
| Obulabe obutera okubaawo mu kulongoosa kwonna | |
| Obulwadde bw’ebiwundu | Buulira omusawo wo bw’oba olina obubonero bwonna ng’okumyuuka, ebbugumu oba omusujja mu kifo w’ofunye ekiwundu. |
| Okuzimba omusaayi | Bw’ofuna okuzimba ekigere ekiruma, okulumwa mu kifuba oba okukaluubirirwa okussa, genda mangu omusawo amagezi. |
| Okukung’aanya amazzi (Seroma) . | Okukuŋŋaanyizibwa kw’amazzi mu kifo we balongoosezza. Kino kitera okuwona ku bwakyo. Singa wabaawo obutabeera bulungi, amazzi gano osobola okugaggyamu n’empiso. |
| Ebizibu ebiva mu kulongoosa amabeere | |
| Okuzirika n’okuwunya | Okwonooneka kw’obusimu ng’olongoosebwa kuyinza okuvaako okuwunya mu kifuba, mu nnyindo oba emikono. Kino kijja kugonjoolwa mu wiiki ntono. |
| Okukaluba kw’ebibegabega | Kya bulijjo okukaluba n’okukaluubirirwa okutambuza ekibegabega n’omukono ng’omaze okulongoosebwa. Kikulu nnyo okukola dduyiro nga omusawo bw’akulagira ddala. |
| Cording mu nnyindo | Abantu abamu abaggyiddwako enviiri mu nnyindo bayinza okufuna embeera eno. Kiwulira ng’omuguwa omunywevu ogudduka okuva mu nnyindo okukka ku mukono. Kino osobola okukiwummuzibwa ng’okola masaagi. |
| Okuzimba kw’omukono (Lymphedema) . | Okuzibikira mu nkola y’amazzi mu mubiri kiyinza okuvaako okuzimba mu ngalo oba mu mukono. Wadde nga kino tekisobola kuwona ddala, kisobola okufugibwa n’obujjanjabi. |
Kitwala bbanga ki okuwona?
Oyinza okulumwa n’okutambula okutono mu kifuba n’emikono okumala wiiki ntono ng’omaze okulongoosebwa. Omusawo ajja kukuwa eddagala eriweweeza ku bulumi ne dduyiro gw’okola buli lunaku ku mikono n’ebibegabega. Dduyiro ono yeetaagibwa nnyo okuziyiza okukaluba mu bibegabega byo. Oyinza okuwulira ng’okooye okumala akaseera. Kiyinza okutwala wiiki ntono amaanyi go okudda mu mbeera eya bulijjo. Abantu abasinga basobola okudda mu mirimu gyabwe egya bulijjo oluvannyuma lw’omwezi nga gumu.
Ddi lwe nnina okuddamu okulaba omusawo?
Ttiimu yo ey’abasawo ejja kutegeka essaawa y’okugoberera naawe nga wayise wiiki emu oba bbiri ng’omaze okulongoosebwa. Mu kiseera kino eky’okusisinkana, bajja kwetegereza embeera yo, bannyonnyole ebyava mu kukeberebwa, era bategeke obujjanjabi bwo obuddako.
Wabula bw’oba olina obubonero obulaga ebizibu ng’okuzimba ekisusse, omusujja oba okukaluba enkwaso, tolinda lunaku olwo. Kuba essimu y’omusawo mu bwangu akuwe amagezi.
Mu kookolo w’amabeere, okulongoosa kitundu kikulu nnyo mu lugendo lw’obujjanjabi. Ka kibeere kuggyawo kizimba, okulaba oba obutoffaali bwa kookolo busigalawo, oba okuddamu okuzimba ebbeere, ggwe n’omusawo wo mujja kuyita mu lugendo luno nga muli wamu. Yogera nabo mu lwatu ku bibuuzo byonna oba ebikweraliikiriza by’oyinza okuba nabyo.
Obubaka Obutwala Awaka
- Okulongoosa kookolo w’amabeere bwe bujjanjabi obukulu era obusinga okukola obulungi mu kuggyawo obutoffaali bwa kookolo.
- Waliwo ebika by’okulongoosa ebiwerako. Omusawo ajja kukusalawo ekika ekisinga obulungi okusinziira ku kika n’omutendera gwa kookolo wo.
- Weetegereze ebizibu ebiyinza okuvaamu oluvannyuma lw’okulongoosebwa. Naddala dduyiro w’ebibegabega omusawo gw’akuwa kola ddala.
- Bw’olaba obubonero bwonna obulabula oluvannyuma lw’okulongoosebwa, gamba ng’omusujja, okuzimba ekisusse oba okulumwa ennyo, genda mangu omusawo amagezi.
- Yogerako mu lwatu n’omusawo wo ku bibuuzo byonna oba ebikweraliikiriza by’oyinza okuba nabyo. Si ggwe wekka mu lugendo luno.
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