Obutoffaali obutali bwa bulijjo mu nnabaana? (Cervical Dysplasia) Totya, ka twogere ku nsonga eno!

Omusawo wo bw’akugamba nti lipoota yo eya Pap smear erina ‘obutoffaali obutali bwa bulijjo’, oteekwa okuba nga wawulira okutya n’okukankana okunene, nedda? Omuntu yenna asobola okutya ng'awulira ekigambo nga "precancerous." Naye kansooke njogere nti, tobeera na bunkenke. Kino tekitegeeza nti olina kookolo. Eno mbeera esobola okuwona ddala n’okuziyizibwa okufuuka kookolo singa ezuulibwa nga bukyali. Ka twogere ku nsonga eno mu ngeri ennyangu, mu ngeri entegeerekeka, era nga tetulina mugugu gwonna ku birowoozo byo.

Obulwadde bwa cervical dysplasia kye ki?

Mu ngeri ennyangu, kino obutoffaali obutali bwa bulijjo bwe bukula ku ngulu w’omumwa gwa nnabaana gwo. Ka tulabe omumwa gwa nnabaana kye guli. Kye kitundu ekya wansi ekya nnabaana wo, ekitundu ekigguka mu bukyala bwo. Kale, mu kifo ky’obutoffaali obulamu obuli kungulu ku nnabaana wo, ekika ky’obutoffaali obutali bwa bulijjo obw’enjawulo katono butandika okukula.

Kilowoozeeko ng’ekinnya ekitono ku luguudo. Singa kirekebwa bwe kityo, kiyinza okufuuka ekinnya ekinene okumala ekiseera. Naye singa tugiddaabiriza amangu ddala nga tumaze okugiraba, tekijja kukosa kkubo, nedda? Bwe kityo bwe kiri. Obutoffaali buno obutali bwa bulijjo si butoffaali bwa kookolo. Naye singa tezijjanjabwa okumala ebbanga ddene, waliwo omukisa nti ziyinza okufuuka kookolo w’omumwa gwa nnabaana. Eno y'ensonga lwaki tukiyita "precancerous."

Waliwo erinnya eddala ery’obusawo eritegeeza kino, nga lino lye Cervical Intraepithelial Neoplasia (CIN) . Totya bigambo bino. "Intraepithelial" kitegeeza nti obutoffaali buno obutali bwa bulijjo buli ku ngulu (epithelium) y'omumwa gwa nnabaana gwokka, era tebusaasaana munda. "Neoplasia" kitegeeza nti obutoffaali obupya bukula.

Waliwo emitendera egy’obuzibu bw’embeera eno?

Yee, abasawo bagabanya obutoffaali buno obutali bwa bulijjo mu mitendera esatu (CIN stages) okusinziira ku buziba bwe busaasaanidde mu bitundu by’omumwa gwa nnabaana. Kino kizuulibwa nga bakebera ebitundu by’omubiri nga bakozesa microscope.

Bubonero ki obulaga embeera eno?

Bino ebyewuunyisa abantu bangi. Cervical Dysplasia ebiseera ebisinga tereeta bubonero bwonna. Oyinza obutawulira nkyukakyuka yonna, obulumi oba obutawulira bulungi.

Si bulijjo nnyo, abakyala abamu

• Okuvaamu omusaayi mu bukyala obutasalako.
• Okuvaamu omusaayi omutono (okulaba) oluvannyuma lw’okwegatta.

Ebintu ng’ebyo bisobola okubaawo.

Kino kiraga engeri gye kiri ekikulu okukola Pap smear mu budde. Y’engeri yokka gy’oyinza okumanya oba olina embeera eno nga tonnafuna buzibu bwonna, nga tolinze bubonero kulabika.

Lwaki kino kigenda mu maaso? Kiki ekivaako kino?

Ekikulu era kyokka ekivaako kino ye kawuka akayitibwa HPV (Human Papillomavirus) . Kano kawuka akamanyiddwa ennyo mu kwegatta.

Kati oyinza okuba nga weebuuza: "Bwe mba nnina obulwadde bwa cervical dysplasia, nnina HPV?" Yee, ekyo kituufu. Naye flip side ya kino si kituufu. Kwe kugamba, si buli muntu alina akawuka ka HPV nti ajja kulwala obulwadde bwa cervical dysplasia. Emirundi egisinga abaserikale b’omubiri gwaffe basobola okulwanyisa akawuka kano ne kakagogola ddala mu mubiri mu mwaka gumu oba ebiri.

Waliwo ebika bya akawuka ka HPV ebisoba mu 100. Ebimu ku byo naddala HPV-16 ne HPV-18,Ebika "eby'akabi ennyo", gamba ng'ebyo ebireeta enkyukakyuka mu butoffaali bw'omumwa gwa nnabaana era nga bitera okuvaako okuzimba omumwa gwa nnabaana.

Biki ebiyongera ku bulabe?

Wadde nga tekisoboka kwogera bulungi lwaki abantu abamu bokka abalina HPV be bafuna obuzibu mu nnabaana, ensonga eziwerako zizuuliddwa zongera obulabe.

• Okunywa sigala: Abakyala abanywa sigala oba abakozesa ebintu ebikolebwa mu taaba emikisa gy’okufuna embeera eno emirundi ebiri. Okunywa sigala kunafuya abaserikale b’omubiri, ekigufuula obutasobola kulwanyisa HPV.
• Okubeera n’abaserikale b’omubiri abanafu: Singa abaserikale b’omubiri banafuye olw’endwadde endala (e.g. siriimu) oba eddagala erimu, kiyinza okuzibuwalira omubiri gwo okugogola obulwadde bwa HPV.

Kino okisanga otya Omusawo?

Enkola eno ey’okuzuula obulwadde ebaawo mutendera ku mutendera nga bwe guti.

1. Pap Smear: Guno gwe mutendera ogusooka. Omusawo w’abakyala ajja kuggya sampuli y’obutoffaali okuva kungulu ku nnabaana wo n’abusindika mu laboratory okwekebejjebwa mu microscope. Kino okusinga kikolebwa okukebera obutoffaali obutali bwa bulijjo.

2. Colposcopy: Singa Pap smear yo eraga obutoffaali obutali bwa bulijjo, omusawo ayinza okukuwa amagezi okukeberebwa kuno. Kino kizingiramu okwekenneenya omumwa gwa nnabaana gwo ng’okozesa ekitangaala eky’enjawulo n’ekyuma ekikuza (nga telescope). Kino kikusobozesa okulaba obulungi obutoffaali bwonna obutali bwa bulijjo.

3. Biopsy: Singa omusawo alaba ekifo ekiteeberezebwa nga bakola colposcopy, bajja kukwata akatundu akatono aka tissue ne bakasindika mu lab. Kino kiyitibwa okukebera omubiri (biopsy). Lipoota ejja kukakasa oba olina CIN 1, 2, oba 3.

Omusawo wo ajja kukunnyonnyola buli kimu ku buli mutendera. Tewali nsonga lwaki tulina okutya.

Bujjanjabi ki obukolebwa ku kino?

Enkola y’obujjanjabi esalibwawo ebintu bingi, omuli omutendera gwa CIN gw’olina, emyaka gyo, obulamu bwo okutwalira awamu, n’okumanya oba oteekateeka kuzaala.

Obujjanjabi bwa CIN 1

Bw’oba ​​olina embeera ey’akabi akatono (CIN 1), osanga tojja kwetaaga bujjanjabi bwonna. Kino kiri bwe kityo kubanga embeera eyo eyolekedde okulongooka ku bwayo. Omusawo wo ajja kukugamba nti, "Ka tulinde tulabe." Ekyo kitegeeza okukola Pap smear buli luvannyuma lwa kiseera (nga buli luvannyuma lwa myezi 6 oba omwaka) okulaba oba obutoffaali obutali bwa bulijjo bukyuka oba bugenda.

Obujjanjabi bwa CIN 2 ne CIN 3

Bw’oba ​​olina embeera ey’ekigero oba ey’amaanyi nga CIN 2 oba CIN 3, omusawo ajja kukuwa amagezi okuggyawo obutoffaali obutali bwa bulijjo. Kino kirina emikisa gya 90% okuwona embeera eno ddala. Waliwo enkola enkulu eziwerako ezikozesebwa ku kino.

• LEEP (Loop Electrosurgical Excision Procedure): Mu nkola eno, loopu ya waya y’amasannyalaze ekozesebwa okusala obulungi ennyo n’okuggyawo ekitundu ky’ebitundu ebirimu obutoffaali obutali bwa bulijjo.
• Cold Knife Cone Biopsy / Conization: Ekitundu ky’omubiri ekiringa kkooni kiggyibwa mu nnabaana nga bakozesa ekiso ekilongoosa. Kino kiggyawo obutoffaali bwonna obutali bwa bulijjo.
• Okuggyamu nnabaana: Kino tekikolebwa nnyo. Singa obujjanjabi obulala tebuyamba oba embeera eno n’esigala, omusawo ayinza okukuwa amagezi okulongoosebwa okuggyamu nnabaana n’omumwa gwa nnabaana gwonna, ng’alowooza ku bwetaavu bw’okuzaala.

Buli emu ku bujjanjabi buno erina ebirungi n’ebibi byayo. Omusawo wo ajja kuteesa naawe obujjanjabi ki obusinga okukuyamba.

Oyinza otya okwekuuma embeera eno?

Engeri esinga okutangira obulwadde bwa cervical dysplasia kwe kwewala okukwatibwa akawuka ka HPV akabuleeta. Waliwo ebintu ebiwerako by’osobola okukola okuyamba.

• Funa eddagala eriweweeza ku bulwadde bwa HPV: Kino kye kintu ekisinga obukulu. Eddagala lino liyamba okukuuma ebika bya HPV ebikulu ebivaako kookolo w’omumwa gwa nnabaana n’enkwaso mu bitundu by’ekyama. Bw’oba ​​olina dda obulwadde bwa HPV oba ng’olina obulwadde bwa cervical dysplasia, eddagala lino erigema teriyinza kubuwonya. Wabula kiyinza okuyamba okuziyiza okukwatibwa ebika bya HPV ebirala mu biseera eby’omu maaso.
• Weegezeemu okwegatta okutali kwa bulabe: Okukozesa kondomu kiyinza okukendeeza ku bulabe bw’okusiiga HPV.
• Okufuna Pap smear mu budde: Wadde nga kino tekisobola kuziyiza bulwadde buno, kiwa omukisa munene okuzuula obulwadde buno nga bukyali n’okubujjanjaba nga tebunnafuuka kookolo. Oluvannyuma lw’emyaka 21, kirungi okukeberebwa Pap smear waakiri buli luvannyuma lwa myaka 3.
• Weewale ddala okunywa sigala: Nga bwe twayogeddeko emabegako, okunywa sigala kyongera nnyo ku bulabe bw’okufuna embeera eno.