Ka tuyige ku bujjanjabi bwa TACE, obujjanjaba kookolo yennyini? (Okukozesa eddagala eriyita mu bitundu by’omubiri) .

Kizibu okuteeka mu bigambo okutya n’okukankana kw’owulira nga ggwe oba omuntu gw’oyagala azuuliddwamu kookolo. Naye olw’enkulaakulana mu by’obusawo ennaku zino, waliwo obujjanjabi bungi obulungi obugenderera obutoffaali bwa kookolo bwokka ne bukendeeza ku kwonooneka kw’omubiri. Emu ku bujjanjabi obwo naddala ku kookolo w’ekibumba ye TACE. Kino ka twogere mu bigambo ebyangu leero.

Mu ngeri ennyangu, obujjanjabi bwa TACE kye ki?

Erinnya lya TACE mu bujjuvu ye Transarterial Chemoembolization . Wadde erinnya lino lizibu katono, ebigenda mu maaso mu kino byangu nnyo. Lowooza ku kookolo ng’ekifo ababi we beekwese. Beetaaga emmere n’amazzi (i.e. omusaayi) okusobola okubeerawo. Mu bujjanjabi buno, osanga omusuwa omukulu ogugabira kookolo omusaayi, n’ofuyira eddagala erimu eriziyiza kookolo ( chemo ) butereevu mu kookolo ng’oyita mu musuwa ogwo. Oluvannyuma, omusuwa guzibikira n’akatundu akatono.

Mu ngeri ennyangu, kino kikola ebintu bibiri omulundi gumu:

1. Eddagala eritta obutoffaali bwa kookolo lituusibwa butereevu mu kizimba .

2. Ekizimba bwe kilekera awo okufuna omusaayi, kifiirwa omukka gwa oxygen n'ebiriisa bye kyetaaga, ekizimba ne kinafuwa ne kitandika okufa, nga kiringa "ekikwatiddwa mu kkoma."

Kino kyawukana ku ddagala erya bulijjo?

Yee, kino kya njawulo nnyo ku ddagala ly’eddagala lye tutera okumanya. Ka tulabe enjawulo enkulu ze ziri.

Obujjanjabi buno obwa TACE busaanira ani?

Obujjanjabi buno businga kukozesebwa ku bantu abalina kookolo w’ekibumba (hepatocellular carcinoma) , naddala abalina ebizimba ebinene ennyo nga tebisobola kulongoosebwa.

Ekirala, obujjanjabi buno bukozesebwa ku bika bya kookolo ebiwerako ebisaasaanidde mu kibumba (metastasized) okuva mu bifo ebirala.

• Kookolo w’amabeere
• Kookolo w’olubuto olunene
• Ebizimba by’obusimu (kookolo eyeekuusa ku nkola y’obusimu) .
• Obulwadde bw’okusannyalala (` Sarcoma `) .
• Obulwadde bwa ‘ocular melanoma’

Kino kinaakola obulabe ku kibumba?

Kino kutya kwa nsaamusaamu eri abantu bangi. Naye ekyewuunyisa, waliwo amakubo abiri amakulu ag’omusaayi ogutuusibwa mu kibumba kyaffe.

1. Omusuwa gw’ekibumba: Omusuwa guno gugabira ekibumba omusaayi omutono. Kyokka ebizimba bya kookolo mu kibumba kumpi omusaayi gwonna bifuna okuva mu musuwa guno.

2. Omusuwa oguyitibwa Portal vein: Wano ekibumba we kifunira omusaayi ogusinga obungi.

Mu bujjanjabi bwa TACE, omusuwa gw’ekibumba gwokka ogugabira kookolo omusaayi gwe guzibikira. Okuva ebitundu by’ekibumba ebiramu bwe bisigala nga bifuna omusaayi gwe byetaaga okuva mu musuwa oguyitibwa portal vein, tewali kwonooneka kwa maanyi ku nkola y’ekibumba.

Waliwo abantu abatalina kufuna bujjanjabi bwa TACE?

Yee, obujjanjabi buno tebusaanira buli muntu. Omusawo ajja kukukebera n’asalawo oba kino kikusaanira. Okutwalira awamu tekisaanira bantu abalina embeera zino wammanga:

• Singa emikutu gy’entuuyo gizibikira
• Bw’oba ​​olina obuzibu mu kuzimba omusaayi
• Bw’oba ​​olina obulwadde bw’ekibumba
• Singa kookolo asaasaanidde mu bitundu by’omubiri ebiwerako
• Bw’oba ​​olina embeera endala ez’amaanyi ez’ekibumba (hepatic encephalopathy, portal vein thrombosis) .
• Bw’oba ​​olina alergy ey’amaanyi ku langi ezenjawulo ezikozesebwa mu bujjanjabi

Okay, kati ka tulabe engeri obujjanjabi buno obwa TACE gye bukola.

Obujjanjabi buno bukolebwa omukugu mu by'amasannyalaze ( Interventional Radiologist ) . Kwe kugamba, omusawo akozesa ebyuma eby’enjawulo ebiringa X-ray okutunuulira omubiri n’okuguyingizaamu obupiira obutonotono (catheters).

Okola ki nga tonnafuna bujjanjabi?

Omusawo ajja kukukebera ebiwerako okuteekateeka obujjanjabi bwo.

• Okukebera CT oba MRI scan
• Okukebera omusaayi okukebera enkola y’ekibumba n’okuzimba omusaayi

Ate era nga tonnafuna bujjanjabi, oyinza okuweebwa eddagala eritta obuwuka okuziyiza obuwuka, eddagala erikendeeza ku kuziyira, n’eddagala erikuuma ensigo zo okuva ku bintu ebifuluma ng’obutoffaali bwa kookolo bufudde.

Kiki ekibaawo mu kiseera ky’obujjanjabi?

Kino si kikwekweto kinene. Bino bye bigenda mu maaso:

1. Abaana abato baweebwa eddagala eribudamya abantu bonna . Kino kitegeeza nti beebase ddala. Abantu abakulu baweebwa eddagala eriweweeza ku bulwadde bwokka, ekibaleetera otulo katono .

2. Omusawo ajja kukola akasala akatono ennyo mu musuwa gw’omusaayi okumpi n’ekisambi oba engalo.

3. Tubu ennyimpi eyitibwa catheter eyingizibwa mu kifo ekyo.

4. Olwo, nga tutunuulira ekyuma eky’enjawulo ekiringa X-ray (`fluoroscopy`), ttanka eno egenda mu maaso n’obwegendereza okutuuka ku musuwa ogugaba omusaayi eri ekizimba kya kookolo w’ekibumba.

5. Ekiddako, langi ey’enjawulo eyisibwa mu ttanka. Olwo kookolo n’emisuwa egigyetoolodde biba birabika bulungi.

6. Ekifo ekituufu bwe kizuulibwa, omusawo akuba empiso z’eddagala eriweweeza ku bulwadde n’obutundutundu obutono (embolic agents) obuziba omusuwa okuyingira mu musuwa.

7. Enkola eno bwe bamala, baggyibwamu ekituli ne basiiga bbandi ku kitundu ekitono ekisaliddwa. Okuva bwe kiri nti tewali kitundu kinene, tekyetaagisa kutunga.

Migaso ki n’akabi akali mu bujjanjabi buno?

Okufaananako n’obujjanjabi bwonna, TACE erina emigaso n’akabi.

Kiki ekibaawo oluvannyuma lw’okujjanjabwa? Kitwala bbanga ki okuwona?

Oluvannyuma lw’okujjanjabibwa, abantu bangi bafuna omusujja, okuziyira, okusesema n’okulumwa. Kino kiyitibwa obulwadde bwa postembolization syndrome . Kino kya bulijjo. Ojja kwetaaga okubeera mu ddwaaliro okumala olunaku lumu oba bbiri okutuusa ng’obubonero buno bukendedde.

Olina okuwummulako katono ng’omaze okudda eka.

• Ddira eddagala omusawo ly’akuwa eriweweeza ku bulumi n’okuziyira.
• Wayinza okubaawo omusujja omutono okumala wiiki nga emu.
• Oyinza okuwulira ng’okooye era n’omala wiiki eziwera nga toyagala mmere.

Bino byonna bikendeera mpolampola. Abantu abasinga bawona ddala mu wiiki ntono ne babeera n’obulamu obulungi. Wabula ojja kwetaaga okugenda mu maaso n’okukeberebwa okulaba oba ebizimba ebipya bivaamu.

Bw’oba ​​olina obubonero buno, laba omusawo mu bwangu!

Bw’ofuna obubonero bwonna ku buno wammanga ng’omaze okudda eka ng’omaze okujjanjabwa, kuba essimu y’omusawo mu bwangu oba genda mu ddwaaliro gye wafunira obujjanjabi.

• Bw’oba ​​tosobola kufuga kusesema n’okuziyira wadde ng’omira eddagala.
• Bw’oba ​​okaluubirirwa okussa ebirowoozo byo ku kintu ekimu, owulira ng’osobeddwa oba ng’olina obuzibu okutambula.
• Bw’oba ​​n’omusujja ogutagenda kuggwaawo ate ng’omubiri gwo gunnyogoga n’okutuuyana.
• Singa amaaso oba olususu lufuuka lwa kyenvu (jaundice) - kino kiyinza okuba akabonero k’ekibumba okwonooneka.