Kya bulijjo ffe okuwulira okutya okw’amaanyi n’okukankana nga tuwulira ekigambo “kookolo.” Bwe kityo bwe kiri ne ku bigambo “chemo” ne “ radiation .” Oboolyawo ggwe oba omwagalwa wo bakuwandiikiddwa obujjanjabi buno. Oyinza okuba n’ebibuuzo bingi ebinene mu birowoozo byo ku bino bye biruwa, lwaki bikolebwa, n’enjawulo eri wakati w’ebintu bino byombi. Tofaayo. Ka twogere ku nsonga eno mu ngeri ennyangu ennyo era ey’ekisa leero.
Lwaki obujjanjabi buno bukolebwa? Biruubirirwa ki ebikulu?
Enkola ya Chemotherapy ne radiation therapy bbiri ku nkola enkulu ezikozesebwa okutta oba okufuga obutoffaali bwa kookolo . Mu ngeri ennyangu, kookolo mbeera obutoffaali mu mubiri gwaffe mwe gukula nga tebufugibwa ne busaasaana mu bitundu ebitwetoolodde. Kale ebigendererwa ebikulu eby’obujjanjabi buno bwombi bifaanagana.
- Okuwona mu bujjuvu: Ekigendererwa ekikulu era ekisinga obukulu kwe kusaanyaawo obutoffaali bwa kookolo bwonna mu mubiri n’okutangira kookolo okudda.
- Okufuga: Okukendeeza ebizimba, okukendeeza ku kukula kwabyo oba okuyimiriza oba okufuga okusaasaana kw’obutoffaali bwa kookolo mu bitundu by’omubiri ebirala.
- Obuweerero : Mu mbeera ezimu, kookolo tasobola kuwona ddala. Mu mbeera ng’ezo, ekigendererwa ky’obujjanjabi buno kwe kukendeeza ku bulumi n’obubonero obulala obutanyuma nga bukendeeza kookolo. Era kino tukiyita “ Okulabirira Okukkakkanya Obulwadde .”
Ekyo kitegeeza nti kookolo ne bw’aba tasobola kuwona, obujjanjabi buno busobola okulongoosa ennyo omutindo gw’obulamu bwo n’okukuyamba okubeera nga tolina bulumi.
Bino ebibiri bikola bitya? Laba enjawulo enkulu!
Wadde nga chemo ne radiation byombi bilumba obutoffaali bwa kookolo, nkola za njawulo ddala. Okutegeera enjawulo eno kijja kuddamu ebibuuzo byo bingi ku mulamwa guno.
Obujjanjabi bw’eddagala
Lowooza ku kino: Chemo ddagala lya njawulo eritambula mu mubiri gwaffe gwonna. Eddagala lino liweebwa ng’empeke oba ng’amazzi (nga saline) nga gafukibwa mu musuwa. Eddagala lino liyingira mu musaayi gwaffe ne litambula mu mubiri gwaffe gwonna. N’olwekyo, tekisobola kuzuula n’okusaanyaawo ekizimba ekisookerwako kyokka kookolo we yatandikira, wabula n’obutoffaali bwa kookolo obusaasaanidde mu bitundu by’omubiri ebirala. Olw’okuba kikosa enkola y’omubiri yonna, tukiyita “obujjanjabi obw’enkola.”
Obujjanjabi bw’amasannyalaze (Radiation Therapy).
Radiation si kika kya ddagala. Ekozesa ekitangaala ky’emisanvu egy’amaanyi amangi, gamba nga X-rays, okusaanyaawo obutoffaali bwa kookolo. Kilowoozeeko ng’omumuli omunene ogwaka ekitangaala mu ngeri entuufu ennyo ku kifo kimu. Obujjanjabi buno butera okuyitibwa “obujjanjabi obw’omu kitundu.” Kino kitegeeza nti emisinde gigenderera kitundu kyokka obutoffaali bwa kookolo we buli. N’olwekyo, tekikosa mubiri gwonna.
Osalawo otya obujjanjabi bwe weetaaga?
Kino kye kibuuzo ekinene abantu bangi kye balina. “Nneetaaga chemo? Radiation? Oba byombi?”
Okusalawo kuno kukolebwa ttiimu y’abasawo, ekulemberwa omusawo wo . Ensonga eziwerako zigikwatako.
- Ekika kya kookolo ky’olina.
- Omutendera gwa kookolo, nga eno y’engeri gy’asasaanye.
- Ekifo n’obunene bw’ekizimba kya kookolo.
- Obulamu bwo okutwalira awamu.
Emirundi mingi, abasawo tebakoma ku nkola emu yokka ey’obujjanjabi. Okusobola okufuna ebirungi, bayinza okugatta okulongoosa okuggyamu ekizimba, eddagala eriweweeza ku bulwadde, obujjanjabi obw’amasannyalaze, n’obujjanjabi obupya.Enkola eziwerako, nga "targeted therapies" ne " immunotherapy ," zisobola okugattibwa okukola enteekateeka y'obujjanjabi.
Totya kubuuza musawo wo bibuuzo. Yogera bulungi ku nteekateeka z’obujjanjabi ez’enjawulo, ebirungi n’ebibi byabwe. Olina eddembe okutegeera buli kimu.
Enkola z’obujjanjabi ze ziruwa?
Obujjanjabi buno bwombi butera okukwetaagisa okujja mu ddwaaliro oba mu ddwaaliro ku nnaku ezigere n’obufuna mu bbanga lya wiiki oba emyezi egiwerako. Kyokka, obuwanvu bw’obudde n’engeri y’obujjanjabi bwawukana okusinziira ku muntu. Ka tulabe enkola ez’enjawulo ez’okugaba obujjanjabi buno.
| Ekika ky’obujjanjabi | Enkola y’okutuusa n’okunnyonnyola |
|---|---|
| IV (mu misuwa) . | Okuwa eddagala butereevu mu musuwa ng’oyita mu kanyula oba ttanka ey’enjawulo (omwalo). Eno y’enkola esinga okukozesebwa. |
| Mu kamwa | Eweebwa ng’empeke oba kkapu z’osobola okumira awaka. |
| Okukuba empiso | Okufuyira eddagala wansi w’olususu oba mu kinywa n’empiso. |
| Emisinde egy’ebweru | Ekyuma ekinene ekiri ebweru w’omubiri kituusa emisinde egy’amaanyi amangi ku kookolo yekka. Tojja kuwulira bulumi bwonna. |
| Emisinde egy’omunda | Erinnya eddala eriyitibwa kino ye brachytherapy. Kino kizingiramu okulongoosa okuyingiza ensigo entono ekola amasannyalaze mu kizimba oba okumpi ennyo n’ekizimba. |
| Ensengekera y’obusannyalazo (systemic Radiation). | Wadde nga kino tekitera kukozesebwa, oluusi emisinde giweebwa mu ngeri ekosa omubiri gwonna, ng’eddagala eriweweeza ku bulwadde. Kino kitegeeza nti eweebwa ng’empeke okumira oba ng’empiso mu musuwa. |
Era ka tubeere bamanyi ebizibu ebivaamu.
Kino kye kintu ekisinga okutiisa buli muntu. Yee, obutoffaali bwa kookolo bwe busaanawo, obutoffaali obumu obulamu obububeetoolodde nabwo buyinza okwonooneka. Ekyo kireeta ebizibu ebivaamu. Naye jjukira nti ebizibu bino byawukana nnyo okusinziira ku kika ky’obujjanjabi, obungi, ne buli muntu. Ekikolera omuntu omu kiyinza obutakolera mulala.
Ebimu ku bizibu ebiyinza okubaawo nga bifaanagana n’obujjanjabi bwombi bye bino:
- Obukoowu
- Okugwa kw’enviiri
- Okuziyira n’okusiiyibwa
- Embiro
- Enkyukakyuka mu lususu (olususu olukalu, okumyuuka, okusiiwa) .
- Anemia, ekitegeeza obutaba na musaayi mu mubiri
Enjawulo mu bizibu ebivaamu
Olw’okuba obusannyalazo bujjanjabi bwa kitundu, ebizibu ebivaamu bisinga kubeera mu kitundu ekijjanjabwa. Ng’ekyokulabirako, omuntu afuna obusannyalazo okutuuka mu bulago ayinza okukaluubirirwa okumira. Omuntu afuna obusannyalazo mu kifuba ayinza okusesema oba okukaluubirirwa okussa.
Kyokka olw’okuba chemo bujjanjabi bwa nkola ya nkola, okutwalira awamu ebizibu ebivaamu bikosa omubiri gwonna.
Ekisinga obukulu kwe kubuulira omusawo wo oba ttiimu y’abasawo ku bizibu byonna by’ofuna, wadde ebitonotono . Waliwo eddagala erifuga n’okukendeeza ku lisinga obungi. Kale tokuuma kintu kyonna ku ggwe n’obonaabona.
Obubaka Obutwala Awaka
- Chemotherapy bujjanjabi obutambula mu mubiri gwonna (systemic). Radiation bujjanjabi obugenderera ekifo ekigere kyokka kookolo w’ali (eky’omu kitundu). Eno y’enjawulo enkulu.
- Ekigendererwa ky’obujjanjabi bwombi kwe kuwonya, okufuga kookolo oba okuwa obuweerero okuva ku bubonero.
- Enteekateeka y’obujjanjabi ekusaanira ejja kusalibwawo ttiimu yo ey’abasawo okusinziira ku kika n’omutendera gwa kookolo wo, awamu n’obulamu bwo okutwalira awamu.
- Ebizibu ebivaamu bitera okubaawo, naye okusinga bisobola okufugibwa. Totya kubuulira musawo wo ku buzibu bwonna bw’owulira.
- Toli ku lugendo luno wekka. Waliwo ttiimu y’abasawo ennene, omuli abasawo ne ba nurse, okukuyamba n’okukulabirira. Kale sigala ng’oli mugumu.
Kookolo, Chemo, Radiation, Kookolo, Obujjanjabi bwa kookolo, Ebizibu ebivaamu, Sri Lanka
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