Bangi ku bakyala baffe bafuna okutya nga bawulira erinnya lya Cervical Cancer. Naye kino bw’oba nga ddala okimanyi, tewali nsonga lwaki otya. Kubanga kino kika kya kookolo asobola okuziyizibwa mu mbeera ezisinga, era asobola n’okuwona ddala singa azuulibwa nga bukyali. Kale leero tugenda kwogera ku kino mu Lusinhala olusinga okuba olwangu lw’osobola okutegeera, awatali kukweka kintu kyonna. Nga bw’oyogera ne mukwano gwo omukulu.
Mu ngeri ennyangu, kookolo w’omumwa gwa nnabaana kye ki?
Kookolo w’omumwa gwa nnabaana ye kookolo atandikira mu butoffaali obusiba omumwa gwa nnabaana, ekitundu kya nnabaana wo ekikwatagana n’obukyala bwo. Tekikulaakulana omulundi gumu. Kitandika ng’obutoffaali obulamu mu nnabaana wo bukyuka mpolampola ne bufuuka obutoffaali obutali bwa bulijjo (precancerous cells) obuyinza okufuuka kookolo.
Ensonga enkulu evuddeko kino ye kawuka akayitibwa HPV (Human Papillomavirus) . Mu butuufu, kumpi ebitundu 100 ku 100 eby’abalwadde ba kookolo w’omumwa gwa nnabaana bava ku bulwadde bwa HPV. Akawuka kano kasiigibwa mu kwegatta. Naye tosattira nga owulira bino. HPV kawuka ka bulijjo nnyo. Abantu bangi abeegatta bajja kukwatibwa akawuka kano mu kiseera ekimu mu bulamu bwabwe. Naye ebiseera ebisinga, abaserikale b’omubiri gwaffe bamalawo akawuka kano. Kyokka oluusi akawuka kano kasobola okusigala nga tekaggyiddwa mu mubiri. Ekyo bwe kibaawo, waliwo akabi nti obutoffaali obuli mu nnabaana bujja kukyuka ne bufuuka kookolo.
Ekisinga obukulu kwe kuba nti okukeberebwa nga Pap smears mu budde n’okugema HPV kiyinza okukendeeza ennyo ku bulabe buno.
Ebiseera ebisinga kookolo ono talaga bubonero bunene okutuusa ng’asasaanye. Eno y’ensonga lwaki okwekebejja buli kiseera n’okugema HPV bikulu nnyo. Singa kizuulibwa nga bukyali, kiyinza okuwona ennyo.
Bika ki ebikulu ebya kookolo w’omumwa gwa nnabaana?
Kookolo w’omumwa gwa nnabaana alina ebika bibiri ebikulu.
1. Squamous cell carcinomas: Ekika kino kikola wakati wa 80% ne 90% ku kookolo w’omumwa gwa nnabaana.
2. Adenocarcinomas: Kookolo ow’ekika kino akola wakati wa 10% ne 20%.
Oluusi, kookolo asobola okukula ng’ebika byombi bigattiddwa. Bw’oba olina obuzibu okujjukira amannya gano, ekyo si kibi. Kino kikulu eri abasawo. Ekisinga obukulu ky’olina okumanya bwe bubonero n’engeri y’okubuziyiza.
Bubonero ki bw’osaanidde okwegendereza?
Nga bwe twagambye emabegako, mu mitendera egyasooka egya kookolo w’omumwa gwa nnabaanaEbiseera ebisinga tekiraga bubonero bwonna. Eno y’ensonga lwaki era ayitibwa kookolo ow’obukuusa. Obubonero butandika okulabika oluvannyuma lwa kookolo okukula katono.
Olina okweraliikirira katono ku bubonero buno wammanga. Bw’oba olina ekimu oba ebisingawo ku bino, nsaba totya era olabe omusawo akuwe amagezi.
| Ekika ky’obubonero | Okunnyonnyola |
|---|---|
| Obubonero obusooka |
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| Obubonero obuyinza okubaawo nga kookolo asaasaana |
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Jjukira nti si buli muntu alina obubonero buno nti alina kookolo w’omumwa gwa nnabaana. Era ziyinza okuva ku bizibu ebirala eby’obulamu ebyangu. Wabula bw’ofuna omusaayi ogutali gwa bulijjo oba ng’ovaamu amazzi ag’ekyewuunyo mu bukyala, mazima ddala olina okugenda ew’omusawo.
Ani asinga okubeera mu bulabe bwa kookolo w’omumwa gwa nnabaana?
Waliwo ebintu ebiwerako ebiyinza okukosa okukula kwa kookolo w’omumwa gwa nnabaana. Ebimu ku byo tusobola okubifuga, ate ebirala tetusobola.
Ensonga ez’akabi ze tusobola okufuga
- Obutakeberebwa mu budde: Abantu abatakeberebwa Pap mu biseera ebiteekeddwawo bali mu bulabe bwa maanyi okukwatibwa kookolo w’omumwa gwa nnabaana kubanga okukeberebwa kwa Pap kusobola okuzuula obutoffaali obusooka kookolo nga tebunnafuuka kookolo.
- Obulwadde bwa HPV: Nga bwe twayogeddeko emabegako, obulwadde bwa HPV bwe businga okuvaako. Okukendeeza ku bulabe bw’okukwatibwa HPV kiyinza okukendeeza ku bulabe bwa kookolo w’omumwa gwa nnabaana.
- Obulamu bw’okwegatta: Okwegatta nga tonnaweza myaka 18 n’okwegatta abangi kyongera emikisa gy’okukwatibwa obulwadde bwa HPV.
- Okunywa sigala: Okunywa sigala kyongera nnyo obulabe bwa kookolo w’omumwa gwa nnabaana.
- Okukwatibwa akawuka ka siriimu: Abantu abalina akawuka ka siriimu balina emikisa mingi egy’okufuna kookolo w’omumwa gwa nnabaana okusinga abantu bonna.
- Okubeera n’abaserikale b’omubiri abanafu: Abaserikale b’omubiri bwe baba banafu, obusobozi bw’omubiri okulwanyisa yinfekisoni bukendeera.
Ensonga ez’akabi ze tutasobola kufuga
- DES (diethylstilbestrol): Lino ddagala eryaweebwa abakyala abamu ab’embuto okutangira okuvaamu embuto wakati wa 1938 ne 1971. Singa maama wo yamira eddagala lino ng’ali lubuto, oyinza okweyongera katono ku kookolo w’omumwa gwa nnabaana.
- Ebyafaayo by’amaka: Singa omuntu mu maka go (maama, mwannyinaffe) abadde ne kookolo w’omumwa gwa nnabaana, naawe oyinza okuba mu bulabe olw’obuzaale.
Okuzuula obulwadde buno kukolebwa kutya?
Bw’oteebereza nti olina kookolo w’omumwa gwa nnabaana, omusawo ajja kukusindika okukeberebwa okuwerako.
1. Pap Test / Pap Smear: Kino kye kigezo ekisinga obukulu era ekikulu. Mu kukebera kuno, akatundu akatono ak’obutoffaali kaggyibwa waggulu ku nnabaana ne kakeberebwa mu microscope okulaba oba waliwo obutoffaali obutali bwa bulijjo.
2. Okukebera HPV: Okufaananako n’okukebera kwa Pap, okukebera kuno kukozesa sampuli y’obutoffaali obuggiddwa mu nnabaana okukebera oba waliwo ebika bya HPV ebisinga okuleeta kookolo.
3. Colposcopy: Singa ebyava mu kukeberebwa kwo okwa Pap tebiba bya bulijjo, kino kye kigezo ekiddako ky’ogenda okukola. Wano, omusawo ajja kukozesa ekintu ekikuza (colposcope) okukebera omumwa gwa nnabaana gwo. Obutoffaali bwonna obutali bwa bulijjo busobola okulabibwa obulungi.
4. Biopsy: Singa walabibwa ekitundu ekiteeberezebwa nga bakola colposcopy, akatundu akatono akaggibwa mu kitundu ekyo ne kasindikibwa mu laboratory okukakasa oba obutoffaali bwa kookolo buliwo. Waliwo enkola eziwerako ez’okukola kino:
- Punch biopsy: Okusala ekitundu ky’omubiri ekiteeberezebwa n’ekintu ekitono.
- LEEP (Loop Electrosurgical Excision Procedure): Okuggyawo ebitundu ebitali bya bulijjo nga okozesa loopu ya waya y’amasannyalaze.
- Cone biopsy: Okuggya ekitundu ekinene ennyo ekiringa cone okuva mu nnabaana.
Singa okukebera kuno kukakasa nti olina kookolo, kiyinza okwetaagisa okwongera okwekebejjebwa, gamba nga CT scan oba MRI scan , okulaba oba kookolo asaasaanidde mu bitundu by’omubiri ebirala. Amawulire gano gakozesebwa okuzuula omutendera gwa kookolo n’okuzuula obujjanjabi obusinga okukuwa.
Bujjanjabi ki obwa kookolo w’omumwa gwa nnabaana?
Obujjanjabi bwa kookolo w’omumwa gwa nnabaana busalibwawo okusinziira ku mutendera gwa kookolo, emyaka gyo, obulamu bwo okutwalira awamu, n’okumanya oba olina essuubi ly’okuzaala mu biseera eby’omu maaso.
| Enkola y’obujjanjabi | Ennyinyonnyola ennyangu |
|---|---|
| Okuloongoosa | Mu biseera ebisooka, ekitundu kya nnabaana kyokka ekirimu obutoffaali bwa kookolo oba nnabaana yonna n’omumwa gwa nnabaana bye biggyibwamu (hysterectomy). Obutonde bw’okulongoosa bwawukana okusinziira ku bunene bwa kookolo bw’asaasaana. |
| Obujjanjabi bw’amasannyalaze (Radiation Therapy). | Okusaanyaawo obutoffaali bwa kookolo nga tukozesa emisinde egy’amaanyi amangi (nga X-rays). Kino kiyinza okukolebwa ekyuma ekiri ebweru w’omubiri oba okuyingiza ekintu ekiwunyiriza mu mubiri. |
| Obujjanjabi bw’eddagala | Eddagala eritta kookolo lifukibwa mu mubiri oba okuweebwa ng’empeke. Eddagala lino liyita mu musaayi ne litta obutoffaali bwa kookolo wonna mu mubiri. |
| Obujjanjabi obugendereddwamu | Kino kizingiramu okugaba eddagala erigenderera obutoffaali obw’enjawulo obuyamba obutoffaali bwa kookolo okukula n’okusaasaana, awatali bulabe ku butoffaali bulamu. |
| Obujjanjabi bw’abaserikale b’omubiri | Okusitula abaserikale b’omubiri gwaffe, okugusobozesa okuzuula n’okusaanyaawo obutoffaali bwa kookolo. |
Oluusi enzijanjaba emu oba eziwera ku zino kiyinza okwetaagisa okukozesebwa awamu. Ng’ekyokulabirako, eddagala eriweweeza ku ddagala oba ery’amasannyalaze liyinza okuweebwa nga tebannalongoosebwa oba oluvannyuma lw’okulongoosebwa. Omusawo wo ajja kukunnyonnyola bino byonna.
Kookolo w’omumwa gwa nnabaana asobola okuziyizibwa?
Mazima ddala bwe kiri! Gano ge mawulire agasinga obulungi mu kitundu kino. Kookolo w’omumwa gwa nnabaana kookolo gwe tusobola okusinga okuziyiza. Waliwo ebintu ebitonotono bye tuyinza okukikola.
- Funa eddagala erigema HPV: Kino kye kintu ekisinga obukulu. Eddagala lino erigema liyamba okukuuma ebika bya HPV ebikulu ebivaako kookolo w’omumwa gwa nnabaana. Eddagala lino erigema litera okuweebwa abawala n’abakyala abato. Yogerako n’omusawo wo ku ky’okugema eddagala lino ku myaka gyo emituufu.
- Funa Pap smear mu budde: Bw’omala okwegatta, funa Pap smear ku nteekateeka omusawo gy’akuwadde. Kino kisobola okuzuula n’okujjanjaba obutoffaali obutali bwa bulijjo nga tebunnakula kufuuka kookolo.
- Weegezeemu akaboozi akataliiko bulabe: Okukozesa kondomu n’okussa ekkomo ku muwendo gw’abo beegatta kiyinza okukuyamba okukuuma endwadde za HPV n’endwadde endala ez’ekikaba.
- Weewale okunywa sigala: Bw’oba onywa sigala, lekera awo. Abanywa sigala batera okukwatibwa kookolo w’omumwa gwa nnabaana emirundi nga ebiri okusinga abatanywa ssigala.
Kiba kirungi kitya okuziyiza kookolo nga tannafuna okusinga okubonaabona ng’amaze okulwala? Kale okugoberera emitendera gino egyangu kijja kuba ssente ezisinga obunene z’oyinza okuteeka mu bulamu bwo.
Obubaka Obutwala Awaka
- Ekisinga okuvaako kookolo w’omumwa gwa nnabaana kawuka akayitibwa HPV. Kyokka si buli muntu alina akawuka kano nti afuna kookolo.
- Kookolo ono tatera kulaga bubonero mu ntandikwa, n’olwekyo okwekebejja mu budde kikulu nnyo.
- Bw’oba n’amazzi agava mu bukyala agatali ga bulijjo, okuvaamu omusaayi ng’oli mu nsonga oba okuvaamu omusaayi ng’omaze okwegatta, totya kulaba musawo.
- Eddagala erigema HPV n’okusiiga Pap mu budde y’engeri bbiri ezisinga okuziyiza kookolo w’omumwa gwa nnabaana.
- Singa azuulibwa nga bukyali, kookolo w’omumwa gwa nnabaana bulwadde buwonyezebwa ddala. N’olwekyo, mu kifo ky’okukitya, kikulu okubeera nga tumanyi era n’okolawo.











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