By’olina okumanya ku bizimba bya kookolo w’amawuggwe

Omaze akaseera ng’osesema? Mpozzi nga kiwerekerwako omusulo? Oba owulira ng’omukka gukukendeddeko katono? Ebintu bino tutera okwerabira, nga tulowooza nti ssennyiga omukambwe yekka. Naye si bulijjo nnyo, wayinza okubaawo ekintu ekirala emabega w’obubonero obutono bwe butyo kye twetaaga okussaayo omwoyo. Leero tugenda kwogera ku mbeera ya kookolo etali ya bulijjo naye nga nkulu nnyo mu mawuggwe. Oyo ye Lung Carcinoid Tumors.

Mu ngeri ennyangu, ebizimba bino ebiyitibwa lung carcinoid tumors bye biruwa?

Kino kyetaaga okunnyonnyolwako katono. Waliwo ekika ky’obutoffaali eky’enjawulo mu mubiri gwaffe nga kya busimu n’obusimu. Buno tubuyita obutoffaali obuyitibwa neuroendocrine cells. Lowooza ku butoffaali buno ng’abakwanaganya mu mubiri gwaffe. Obubaka bwe buva mu busimu, omulimu gwabwe kwe kukola obusimu obubuddamu n’okufuga emirimu egy’enjawulo mu mubiri. Ng’ekyokulabirako, obutoffaali buno buyamba okufuga engeri omukka gwaffe gye guyingira mu mawuggwe n’engeri emmere gy’etambulamu mu nkola y’okugaaya emmere.

Kale, olw’ensonga ezimu, obutoffaali buno obuyitibwa neuroendocrine bwe butandika okwawukana ne bweyongera mu ngeri etafugibwa, ebizimba bitondebwa mu bifo ebyo. Ebizimba bya kookolo w’amawuggwe tubiyita ebizimba bya kookolo ebitandikira mu butoffaali buno obuyitibwa neuroendocrine cells mu mawuggwe.

Naye totya ng'owulira ekigambo "kookolo." Kubanga ebizimba bino ebiyitibwa carcinoid birimu ebika bibiri. Ababiri bano beeyisa mu ngeri ya njawulo nnyo.

Ebika ebikulu ebibiri eby’ebizimba ebiyitibwa cassinoid cysts

Zigabanyizibwamu ebika bibiri ebikulu okusinziira ku ngeri gye zikulamu n’obusobozi bwazo okusaasaana.

Bubonero ki obuyinza okuba nga bulaga embeera eno?

Ebiseera ebisinga naddala mu bantu abalina ebizimba ebya bulijjo, tewabaawo bubonero bwonna . Zizuulibwa mu butanwa, nga zilinga ku X-ray y’ekifuba olw’ensonga endala. Kyokka abantu abamu bayinza okufuna obubonero buno:

• Okusesema okutambula obutasalako (oluusi nga kuliko omusaayi oba omusulo) .
• Obulumi mu kifuba
• Obuzibu mu kussa (okusannyalala) .
• Okuwulira eddoboozi erya ‘whistling’ eritali ddene ng’ossa (wheezing) .

Embeera ey’enjawulo eyitibwa Carcinoid Syndrome

Tekitera nnyo, ebizimba bino bitandika okukola obusimu obuyitiridde obuyitibwa serotonin. Kino kiyinza okuvaako obutakwatagana mu busimu mu mubiri, ekivaako obubonero obw’enjawulo. Kino kiyitibwa obulwadde bwa carcinoid syndrome . Obubonero bwayo mulimu:

• Ekiddukano eky’amaanyi
• Okumyuka oba okuwulira ebbugumu mu maaso ne mu bulago (okufuumuuka) .
• Okweyongera omugejjo awatali nsonga
• Obuzibu mu kussa oba obubonero obulinga obwa asima

Singa obubonero buno bubaawo, kyetaagisa okugenda mu basawo amagezi amangu ddala.

Lwaki ebizimba nga bino bikola? Waliwo ebintu byonna ebiyinza okuvaako akabi?

Mu butuufu, ensonga entuufu lwaki obutoffaali buno obukola ku busimu obuyitibwa neuroendocrine butandika mangu okwawukana mu ngeri etafugibwa tennazuulibwa .

Wabula abantu abamu kizuuliddwa nti bali mu bulabe obusingako katono obw’okufuna embeera eno. Ensonga zino mulimu:

• Okubeera n’embeera y’obuzaale etali ya bulijjo, ey’obuzaale eyitibwa Multiple Endocrine Neoplasia type 1 (MEN1) .
• Okunywa sigala (naddala ku kika ekitali kya bulijjo) .
• Okubeera omukyala (abakyala batera okubeera n’embeera eno katono) .
• Okubeera wakati w’emyaka 45 ne 55. Wadde ng’obulwadde buno businga kuzuulibwa mu bantu abali mu myaka gino, embeera eno esobola okubaawo ku myaka gyonna, ne mu baana abato ennyo.

Otegeera otya embeera eno?

Bw’oba ​​olina obubonero bwonna obwogeddwako waggulu, olina okusooka okulaba omusawo. Ajja kukubuuza ku bubonero bwo, awulirize ekifuba kyo ng’akozesa ekyuma ekiwuliriza, era bw’oba ​​obuusabuusa, akuwa amagezi okukeberebwa okukakasa nti ozudde.

1. Okukuba ebifaananyi: Omutendera ogusooka kwe kukuba X-ray y’ekifuba . Singa wabaawo ekintu kyonna ekitali kya bulijjo ekizuuliddwa, oyinza okulagira okukeberebwa CT scan (Computed Tomography scan) . CT scan esobola okufulumya ebifaananyi ebitegeerekeka obulungi ennyo, ebisalasala eby’amawuggwe, ne kisobozesa okuzuula obunene n’ekifo ekizimba we kiri.

2. Okukebera omusaayi n’omusulo: Okukebera kuno kukolebwa okulaba oba obusimu obumu obukolebwa ebizimba bino buli mu musaayi oba mu musulo.

3. Biopsy: Kino kye kigezo ekisinga obukulu okukakasa obulwadde 100%. Wano, akatundu akatono ennyo akaggibwa mu kizimba ne kakeberebwa wansi wa microscope. Kino kiyinza okuzuula ddala oba ekizimba kizimba kya kkansa, ekya bulijjo oba ekitali kya bulijjo. Enkola esinga okukozesebwa okufuna sampuli eno ey'ebitundu by'omubiri ye bronchoscopy . Wano, ttanka ennyimpi eriko kkamera entono eyisibwa mu mifulejje gy’empewo okukebera ekizimba ne baggyibwako akatundu akatono.

Bujjanjabi ki bw’oyinza okukozesa?

Obujjanjabi obusinga obulungi gy’oli bujja kusinziira ku kika, obunene, ekifo ekizimba we kiri, n’obulamu bwo okutwalira awamu. Amawulire amalungi gali nti ebizimba ebisinga ebya kookolo w’amawuggwe bisobola okuwona ddala ng’olongooseddwa kwokka.

Waliwo obujjanjabi obukulu obuwerako:

• Okuloongoosa:
• Lobectomy: Okuggyawo ddala ekitundu ky’amawuggwe ekizimba we kiri.
• Wedge Resection: Okuggyawo ekizimba kyokka n’ebitundu ebitono ebikyetoolodde.
• Pneumonectomy: Si bulijjo nnyo, amawuggwe gonna gayinza okwetaaga okuggyibwamu.
• Okuggyawo ennywanto: Omusawo alongoosa ayinza okusalawo okuggyamu ennywanto eziriraanyewo okulaba oba kookolo asasaanye n’okuziyiza okwongera okusaasaana.

• Radiation Therapy: Obujjanjabi buno buweebwa singa abalongoosebwa tebasobola kuggyawo kizimba kyonna oba ng’omulwadde aba mu mbeera ey’obujjanjabi ekitasobola kulongoosa. Kizingiramu obusannyalazo obw’ebweru oba okuteeka ebintu ebitonotono ebikola obusannyalazo okumpi n’ekizimba (brachytherapy).

• Obujjanjabi bw’eddagala:Olw’okuba ebizimba bino bikula mpola, obujjanjabi obwa bulijjo obukwata ku butoffaali obukula amangu tebukola nnyo. N’olwekyo, obujjanjabi buno tebutera kuweebwa bika bya bulijjo. Wabula obujjanjabi buno buyinza okwetaagisa ku bika ebitali bya bulijjo ebikula amangu oba nga bisaasaanidde mu bitundu ebirala.

• Eddagala eddala:
• Octreotide: Eddagala lino ery’obusimu liweebwa okufuga obubonero obuva ku bulwadde bwa carcinoid syndrome.
• Ebiziyiza MTOR (e.g. Everolimus): Ekika ky’eddagala eriziyiza okukula kw’ekizimba.

Omuwendo gw’abawona n’entunula etya?

Kino kizibu eri abantu bangi.

Ebizimba bya kkansa ebitali bya bulijjo bizibu katono okujjanjaba. Obulabe bw’okuddamu okulwala buba bungi katono. Kyokka embeera eno era esobola okufugibwa obulungi ng’okozesa obujjanjabi obw’enjawulo nga bugattibwa wamu.

Okutwaliza awamu, omuwendo gw’okuwangaala kw’emyaka etaano ku bika byonna eby’ebizimba bya kookolo w’amawuggwe guli waggulu nnyo ebitundu 89% . Kino kitegeeza nti ku bantu 100 abazuuliddwa n’obulwadde buno, 89 bakyali balamu oluvannyuma lw’emyaka 5.

Ddi lw’osaanidde okulaba omusawo?

Bw’ofuna obubonero obupya oba obweyongera naddala okussa obubi, ekiddukano oba okugejja mu ngeri etategeerekeka, tegeeza omusawo wo. Tolonzalonza kwogera ku kibuuzo kyonna oba ekikweraliikiriza.

Ddi lw’olina okugenda mu ETU (Emergency Treatment Unit) mu bwangu

Bw’oba ​​olina obubonero buno obw’amaanyi, genda mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU) amangu ddala:

• Okuwulira ng’omukka mutono nnyo (ne bw’oba ​​owummudde).
• Okusesema omusaayi.
• Obulumi mu kifuba obupya oba obweyongera.
• Okutabulwa oba okukyusa okutegeera.
• Okukyusa langi y’olususu, emimwa oba enjala za bbululu (cyanosis).

Ebibuuzo by’olina okubuuza omusawo wo

Kya bulijjo okuba n’ebibuuzo ng’ofunye diagnosis nga eno. Kiyinza okuba eky’omugaso okubuuza omusawo wo ebibuuzo nga bino:

• Kino kya bulijjo oba si kya bulijjo?
• Kino kibunye mu bifo ebirala?
• Bujjanjabi ki bw’oteesa?
• Entunula etya eri ekizimba eky’ekika kino?
• Oyinza otya okuddukanya obubonero awaka?

Okufuna okuzuulibwa nti olina kookolo yenna kizibu. Naye jjukira nti obulwadde bwa kookolo bw’amawuggwe obusinga bujjanjabwa nnyo era tebulina bulabe bwa kuddamu kulwala. Yogerako mu lwatu ne ttiimu yo ey’abasawo ku by’osuubira mu mbeera yo. Bajja kukunnyonnyola obujjanjabi obusinga obulungi era bajja kuddamu ebibuuzo byonna by’oyinza okuba nabyo.