Bw’oba obadde ojjanjabiddwa kookolo w’amabeere naddala eddagala eriweweeza ku bulwadde bwa ddagala, oyinza okuba nga wafuna okuziyira oba okuwunya mu ngalo n’ebigere, oba okuwulira okwewuunyisa, gamba ng’okwokya. Oluusi oyinza obutamanya kye kiri. Mu butuufu, kino kiyinza okuba ekizibu ekitera okuva mu bujjanjabi. Leero twogera ku mbeera eno eyitibwa Peripheral Neuropathy . Totya, ekisinga obukulu kwe kumanya kino.
Obulwadde bw’obusimu obuyitibwa Peripheral Neuropathy kye ki? Kitera kitya?
Mu ngeri ennyangu, Peripheral Neuropathy kwe kwonoona obusimu obumu oba obusingawo obw’okumpi mu mubiri gwaffe. Obusimu buno butambuza okuwulira (okuwulira) n’ebiragiro okuva ku bwongo okutuuka ku mikono gyaffe, amagulu, n’ebitundu by’omubiri ebirala. Obusimu buno bwe bwonooneka, obubonero bwe twayogeddeko emabegako, gamba ng’okuziyira, okuwunya, n’okulumwa, bulabika.
Embeera eno etera nnyo mu bujjanjabi bw’eddagala erijjanjaba kookolo w’amabeere naddala abo abali mu kiraasi ya taxane. Okugeza, okunoonyereza okumu kwazuula nti abantu nga 40% abajjanjabwa n’eddagala lino erya taxane, oba bana ku buli kkumi, bakyalina obubonero buno oluvannyuma lw’emyaka ebiri nga bajjanjabiddwa. Era okunoonyereza okulala kwazuula nti abantu nga omu ku buli bataano abaafuna obujjanjabi buno yafuna embeera eno.
Ekyo kitegeeza nti bw’oba owulira bw’otyo, tobeera wekka. Embeera eno etera okubaawo eri abantu bangi. Ekisinga obukulu kwe kwogera n’omusawo wo ku nsonga eno.
Embeera eno esobola okubaawo oluvannyuma lw’okujjanjabwa omutendera gwonna ogwa kookolo w’amabeere. Oluusi, kookolo bw’aba asaasaanye (agenda mu maaso), kookolo yennyini asobola okussa akazito ku busimu, n’aleeta embeera eno, Peripheral Neuropathy. Si chemo yokka, wabula n’okulongoosa okumu n’obujjanjabi obw’amasannyalaze bisobola okuleeta embeera eno.
Lwaki kino kibaawo ku ddagala lya Taxane type chemo?
Waliwo ebika by’eddagala eriweweeza ku bulwadde obuwerako eriri mu kiraasi ya taxane.
- Albumin Paclitaxel (Ekirungo kya Abraxane) .
- Ekirungo kya Docetaxel (Taxotere) .
- Ekirungo kya Paclitaxel (Taxol) .
Omusawo ayinza okukuwa emu ku zino oba okuzigatta n'eddagala eddala erya chemo .
Mu ngeri ennyangu, eddagala lino erya taxane liremya obutoffaali bwa kookolo okwawukana. Obutoffaali bwa kookolo butoffaali obweyawukana amangu ennyo. Kale eddagala lino lifuga sipiidi eyo. Naye mu nkola eno, abanoonyereza balowooza nti obutoffaali bw’obusimu obuyitibwa peripheral nerve cells obulamu mu mubiri gwaffe nabwo buyinza okukosebwa. Kino kikyanoonyezebwa.
Bubonero ki obulaga obulwadde bwa Peripheral Neuropathy?
Obubonero buno buyinza okwawukana okusinziira ku busimu obukoseddwa. Naye ebiseera ebisinga zitandikira mu bigere. Olwo zisobola okubunyisa mpolampola waggulu amagulu, mu mikono, ne waggulu mu ngalo. Bw’oba olina obubonero buno, kikulu nnyo okububuulira omusawo awatali kulwa.
| Ekika ky’engeri | Okunnyonnyola |
|---|---|
| Obubonero obusinga okulabika | |
| Okuzirika | Okuwulira nga "enseenene zidduka" oba okufumita empiso. |
| Okukendeera kw’okuwulira | Amagulu gawulira nga "galinga jelly" era nga munafu. Tosobola kuwulira bulungi ttaka ng’otambula. |
| Obunafu bw’ebinywa | Obunafu mu bitundu by’omubiri, okukaluubirirwa okusitula ebintu. |
| Obulumi oba okuzimba | Obulumi obw’amaanyi oba okuzimba buli kiseera oba oluusi n’oluusi. |
| Obuzibu mu kukozesa emikono | Okukaluubirirwa okukwata ebintu ebitonotono, okusiba engoye, n’okuwandiika. |
| Obubonero obulala obuyinza okulabika | |
| Ebizibu eby’enjawulo | Okulumwa ensaya, okubulwa amatu, okubulwa bbalansi ng’otambula, okuziyira, okukaluubirirwa okumira, enkyukakyuka mu puleesa. |
Obubonero buno busobola okulabika mu ssaawa oba ennaku oluvannyuma lw’okukola lawundi ya kemo. Naye emirundi egisinga zirabika nga wayise wiiki ntono. Obubonero obumu buyinza okutereera oluvannyuma lw’ekiseera. Kyokka, obubonero obw’amaanyi buyinza obutaggwaawo ddala.
Biki ebiyinza okuvaako embeera eno?
Ng’oggyeeko obujjanjabi bw’eddagala, ensonga endala eziwerako ziyinza okwongera ku bulabe bw’okufuna embeera eno, omuli n’obulwadde bw’obusimu obuyitibwa peripheral neuropathy.
- Kookolo asaasaanidde mu mubiri gwonna (Metastatic breast cancer) .
- Okukula
- Okubeera n’obuzibu bw’obusimu nga tonnafuna bujjanjabi
- Obunene
- Ekirwadde ekya sukaali
- Obutabeera na vitamiini (naddala vitamiini B) .
- Nga emabegako yafuna obujjanjabi obw’eddagala eriweweeza ku bulwadde bwa Chemotherapy
- Okukozesa omwenge
Ng’oggyeeko taxanes, eddagala eddala erya chemo nga eddagala lya platinum (e.g. oxaliplatin) ne vinca alkaloids (e.g. vincristine) nalyo liyinza okuleeta embeera eno.
Kiki kye tuyinza okukola okusobola okufuga obubonero?
Mu kiseera kino tewali ddagala lya bulwadde bwa peripheral neuropathy, era tewali ddagala eriwonya nga bumaze okubaawo. Wabula waliwo ebintu bingi by’osobola okukola okukendeeza ku buzibu obuva ku bubonero n’okwanguyira obulamu.
Ekisinga obukulu kwe kwogera mu lwatu n’omusawo wo ku bikweraliikiriza. Olwo asobola okukuwa eky’okugonjoola ekisinga obulungi.
Omusawo ayinza okukuwa amagezi bino wammanga okuyamba okuddukanya obubonero bwo:
- Eddagala eriweweeza ku kweraliikirira: Eddagala eriweweeza ku bulumi bw’obusimu gamba nga Duloxetine liyamba abantu abamu.
- Steroids: Zino ziyamba okukendeeza ku bulumi n’obutabeera bulungi mu bbanga ttono.
- Ebizigo ebizimba: Osobola okufuna obuweerero obw’akaseera obuseera ng’osiiga ebizigo oba ebizigo mu bitundu ebikuluma.
- Eddagala eriweweeza ku bulumi: Bw’oba olina obulumi obw’amaanyi mu busimu, ttiimu y’abasawo eyinza okukuwa eddagala eriweweeza ku bulumi erya opioid.
Okugatta ku ekyo, osobola okwogera n’omusawo wo ku bujjanjabi ng’okujjanjaba omubiri, okujjanjaba emirimu n’okukuba eddagala ly’okukuba.
Kikulu okwogera n’omusawo wo ku bubonero bwo buli kiseera. Olwo asobola okukola enkyukakyuka mu nteekateeka yo ey’obujjanjabi okutangira okwonooneka okumala ebbanga eddene. Okugeza nga:
- Okukendeeza ku ddoozi y’eddagala eriweweeza ku bulwadde
- Okulwawo obujjanjabi okumala akaseera
- Okuyimiriza eddagala okumala akaseera okutuusa ng’obubonero bwo bukendedde
Obubaka Obutwala Awaka
- Obulwadde bw’obusimu obuyitibwa peripheral neuropathy butera okuva mu bujjanjabi bwa kookolo naddala obw’eddagala. Kino tolina kukikola wekka.
- Tegeeza mangu omusawo wo ku bubonero bwonna obupya, gamba ng’okuziyira, okulumwa, okwokya oba okunafuwa mu bitundu byo.
- Bw’oba omanyi obubonero buno nga bukyali, omusawo asobola okukyusa enteekateeka yo ey’obujjanjabi n’okukendeeza ku kwonooneka kwonna okw’ekiseera ekiwanvu ku busimu bwo.
- Tekyetaagisa kubonaabona na buzibu buno. Waliwo engeri ez’enjawulo ez’okuddukanyaamu obubonero. Kale buli kimu kiteese n’omusawo wo.
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