Oyinza okuba nga wali owuliddeko ku mabeere agateekebwa mu mabeere, agakozesebwa okutumbula amabeere go oba okuddamu okuzimba ebbeere eryaggyibwamu olw’obulwadde bwa kookolo. Naye mu kiseera kye kimu, oyinza okuba n’ekibuuzo ekinene, oboolyawo n’okutya, mu birowoozo byo: ‘Ddala bino bisobola okuleeta kookolo?’ Kino kibuuzo abantu bangi kye balina. Kale leero, kino tugenda kwogera mu ngeri ennyangu ennyo, mu ngeri gy’osobola okutegeera, awatali kukweka kintu kyonna.
Kakwate ki akatuufu akaliwo wakati w’okuteekebwa mu mabeere ne kookolo?
Ekisooka okugamba nti okuteekebwa mu mabeere tekuleeta kookolo wa mabeere. Tebyongera ku mikisa gy’okufuna kookolo w’amabeere. Kino kikakasiddwa okunoonyereza. Kale teweetaaga kukyeraliikirira.
Naye, waliwo ekirala kye twetaaga okumanya wano. Okunoonyereza kulaga nti abakyala abamaze okuteekebwamu amabeere balina akabi katono nnyo okukwatibwa ekika kya kookolo ekitali kya bulijjo nnyo. Ono si kookolo wa mabeere. Kino kiyitibwa BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma) .
Mu ngeri ennyangu, BIA-ALCL kookolo akula mu butoffaali bw’abaserikale b’omubiri . Okubeera omutuufu, kookolo w’ennywanto, kwe kugamba, kookolo w’ennywanto. Mu by'obusawo, kiri mu kiti kya ``Non-Hodgkin's Lymphoma''. Kikula mu kitundu ebitundu by’enkovu n’amazzi we bikuŋŋaanira okwetooloola ekifo awassibwa amabeere.
Ekikulu nti BIA-ALCL si kookolo akula mu bitundu by’amabeere. Ate era, tekitera kubaawo nnyo. Kino kitegeeza nti si buli muntu eyalongoosebwa amabeere nti ajja kukifuna.
Lwaki kookolo ow’ekika kino akwatagana n’okusimbuliza kuno?
Bannasayansi n’okutuusa kati tebannazudde kintu kikakafu ekivaako kino ebitundu 100 ku 100. Naye waliwo endowooza ez’enjawulo. Abakugu abamu balowooza nti okumala ebbanga eddene wakati w’ebintu ebiteekebwa mu mabeere ebiriko obutonde n’omubiri, oba okuzimba okutambula obutasalako, kiyinza okuba nga kye kivaako. Era bateebereza nti ebika bya bakitiriya ebimu biyinza okukuŋŋaanyizibwa ku ngulu w’ebintu ebiteekeddwamu. Okunoonyereza kukyagenda mu maaso ku nsonga eno.
Oba ekintu kyo ekissiddwamu kikoleddwa mu silikoni oba omunnyo kirabika tekirina kinene kye kikola ku bulabe buno. Wabula okunoonyereza kulaga nti ebyuma ebiteekebwa mu mubiri ebirina obutonde (textured implants) birina akabi akasingako katono.
Kiki ky’osaanidde okukola bw’oba omaze okuteekebwamu amabeere?
Bw’oba omaze okuteekebwamu amabeere, tosattira. Okusooka, jjukira nti akabi k’okulwala BIA-ALCL katono nnyo. Abakugu bagamba nti abakyala nga omu ku buli 50,000 abamaze okuteekebwa mu mubiri ajja kufuna obulwadde buno. Wabula kikulu okubeera nga omanyi.
Ekisinga obukulu ky’olina okukola kwe kufaayo bulijjo ku mabeere go n’olaba omusawo amangu ddala singa olaba enkyukakyuka yonna.
Bubonero ki bw’osaanidde okwegendereza?
Obubonero obusinga okulabika mu BIA-ALCL kwe kuzimba okutambula obutasalako, okukuŋŋaanyizibwa kw’amazzi, obulumi, oba ekizimba mu kifo we baasimbibwa. Obubonero buno busobola okulabika ne bwe wayise emyaka mingi ng’akyusiddwa. Omulongooti guno wansi gujja kukuyamba okutegeera obulungi obubonero buno.
| Ebintu by'olina okutunuulira mu BIA-ALCL | |
|---|---|
| Obubonero | Ebisingawo |
| Okuzimba okupya oba okukuŋŋaanyizibwa kw’amazzi | Okuzimba okw’amangu oba mpolampola okwetooloola enfuli oba mu bbeere. Kano ke kabonero akasinga okulabika. |
| Ebizimba oba enkyukakyuka mu nkula y’amabeere | Okuzuula ekizimba ekyali tekibaddewo emabegako oba enkyukakyuka etali ya bulijjo mu nkula y’amabeere. |
| Obulumi | Obulumi obutasalako oba obutera okwetooloola enseke. |
| Okunyweza amabeere | Okuwulira ng’olususu oba ebitundu ebyetoolodde ekintu ekissiddwa oba okukula kw’ebitundu ebipya eby’enkovu. |
| Okusiiyibwa kw’olususu | Okumyuuka oba okusiiyibwa ku lususu okwetooloola ekintu ekissiddwa. |
| Ebintu ebirala ebirimu | Tekitera kubaawo, enviiri okugwa oba okukoowa ennyo (akabonero k’abaserikale b’omubiri okunafuwa) kuyinza okubaawo. |
Jjukira nti obubonero buno tebutera kuva ku BIA-ALCL. Era ziyinza okuva ku kukutuka kw’ekintu ekisimbibwa oba yinfekisoni endala. N’olwekyo, bw’olaba enkyukakyuka yonna, tosattira era olabe omusawo amangu ddala akuwe amagezi.
Okukeberebwa kw’abasawo n’obujjanjabi
Bw’olaba omusawo ng’alina obubonero buno, ajja kukukebera. Singa bateebereza nti olina BIA-ALCL, ebiseera ebisinga bajja kulagira okukeberebwa sikaani, gamba nga ultrasound oba MRI. Era bayinza okutwala amazzi amatono okuva okwetoloola ekizimba ne bakozesa empiso ennungi ennyo okutwala sampuli (needle biopsy).
Amawulire amalungi gali nti BIA-ALCL kookolo kumpi asobola okuwona ddala singa azuulibwa nga bukyali. Obujjanjabi obusooka kwe kulongoosa okuggyawo ddala ekintu ekissiddwa mu mabeere n’ebitundu by’enkovu ebibyetoolodde ebirimu obutoffaali bwa kookolo. Emirundi egisinga obulwadde buwona ddala oluvannyuma lw’okulongoosebwa kuno.
Omuntu yandikoze ki singa aba alowooza ku ky’okumusimbuliza?
Bw’oba olowooza ku ky’okussaamu amabeere, kikulu okumanya akabi kano. Yogerako mu lwatu n’omusawo akulongoosa ku nsonga eno. Kakasa nti otegedde bulungi ebirungi n’ebibi byonna ebiri mu kifo kino omuli n’akabi akali mu BIA-ALCL.
Ebibiina by’ensi yonna nga FDA (US Food and Drug Administration) bitaddewo amateeka mangi okutegeeza abalwadde ku bulabe buno. Okusinziira ku kino, nga tannalongoosebwa, omusawo alina okujjuzaamu olukalala olw’enjawulo olw’okukebera naawe (olukalala lw’okukebera okusalawo kw’omulwadde) okukakasa nti otegedde obulabe bwonna.
Obubaka Obutwala Awaka
- Okuteekebwa mu mabeere tekuleeta oba kwongera ku bulabe bwa kookolo w’amabeere.
- Wabula embeera etali ya bulijjo ennyo eyitibwa BIA-ALCL, ekwatagana n’okusimbuliza, .Waliwo akabi akatono ennyo ak’okufuna kookolo w’abaserikale b’omubiri.
- Bw’oba omaze okuteekebwamu amabeere, teweeraliikiriranga. Obulabe buno butono nnyo. Kyokka bw’olaba okuzimba, okulumizibwa, ekizimba oba enkyukakyuka yonna mu bbeere lyo, tokibuusa maaso.
- Bw’olaba enkyukakyuka yonna etali ya bulijjo, laba omusawo mu bwangu. Tokyekebejja.
- BIA-ALCL mbeera ejjanjabibwa nnyo singa ezuulibwa nga bukyali, kale okumanyisa n’okukola nga bukyali kikulu.
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