Ka tuyige ku ddagala erijjanjaba kookolo w’olubuto n’omumwa gwa nnabaana.

Omusawo bw’akugamba oba omuntu gw’omanyi nti alina kookolo w’olubuto n’omumwa gwa nnabaana, ekigambo ekiddako ky’owulira ye ‘ chemotherapy .’ Abantu bangi bwe bawulira erinnya lino batya era bawulira omugugu omuzito. Naye ddala kiki? Kiki ekigenda okukituukako? Ddala kintu kya kutya? Ebibuuzo byonna bye tulina ku nsonga eno tubiteeke ku bbali tukyogereko mu ngeri ennyangu era mu bwesimbu.

Ddala eddagala eriweweeza ku bulwadde (chemotherapy) kye ki?

Mu ngeri ennyangu, eddagala lya ‘chemotherapy’ ddagala lya maanyi eriweebwa okutta obutoffaali bwa kookolo . Kiba ng’okulangirira olutalo ku mulabe ali mu mubiri gwaffe. Waliwo engeri ez’enjawulo ez’okuwa eddagala lino eri omubiri. Oluusi guweebwa mu misuwa ng’omunnyo, ate olulala guweebwa ng’empeke. Omusawo wo y’ajja okusalawo eddagala erikusaanira, ddoozi n’enteekateeka. Abasawo obujjanjabi buno obw’eddagala eriweweeza ku bulwadde buno babukozesa emirimu egy’enjawulo. Ka tulabe kiki kye bali.

Neoadjuvant Chemotherapy (eddagala eriweebwa nga tonnalongoosebwa) .

Kuba akafaananyi ng’olina ekizimba kya kookolo, era nga kinene katono. Olwo kiyinza okuba ekizibu katono okugiggyawo ddala ng’olongooseddwa. Mu mbeera ng’ezo, nga tebannalongoosebwa, eddagala lino ery’eddagala liweebwa okukendeeza ku kizimba, kwe kugamba, okukifuula ekitono . Ekizimba bwe kiba kitono, omusawo alongoosa asobola okukiggyawo ddala mu ngeri ennyangu ate nga tekirina bizibu bitono. Oluusi eddagala lino liweebwa wamu n’obujjanjabi obw’amasannyalaze , kubanga olwo obujjanjabi obw’amasannyalaze nabwo buba buwanguzi nnyo.

Adjuvant chemotherapy (eddagala eriweebwa oluvannyuma lw’okulongoosebwa) .

Oluvannyuma lw’okulongoosebwa okuggyamu ekizimba kya kookolo, oluusi wayinza okubaawo obutoffaali bwa kookolo obumu oba bubiri obutono ennyo obusigadde mu mubiri nga tebulabika maaso gaffe. Chemotherapy eweebwa oluvannyuma lw'okulongoosebwa okusaanyaawo ddala obutoffaali obwo obusigaddewo . Kino kiringa okusenya ennyumba obulungi n’oluvannyuma n’ogisiimuula okuggyamu enfuufu esembayo. Kino kiyamba nnyo mu kutangira kookolo okudda.

Palliative chemotherapy (eddagala eriweebwa okufuga obubonero) .

Mu mbeera ezimu ezikuze, kookolo ayinza okuba nga yasaasaana mu bitundu by’omubiri ebirala (okugeza, ekibumba). Mu mbeera ng’ezo, okulongoosa kwokka kuyinza obutasobola kuwonya kookolo mu bujjuvu. Mu mbeera eyo, eddagala eriweweeza ku kookolo liweebwa okukendeeza ku kookolo, okukendeeza ku bubonero (gamba ng’obulumi), n’okuwangaaza obulamu bw’omulwadde n’okwanguyiza obulamu obwa bulijjo .

Eddagala erikulu erikozesebwa ku kookolo w’olubuto olunene

Waliwo ebika by’eddagala ebiwerako ebikozesebwa okujjanjaba kookolo w’olubuto olunene. Ka tulabe ebimu ku byo n'engeri gye biweebwamu. Obujjanjabi buno butera kuweebwa mu mitendera . Kwe kugamba, eddagala lino liweebwa okumala ennaku ntono oba wiiki emu oba bbiri, oluvannyuma ne bawummula wiiki emu oba bbiri. Obujjanjabi bugenda mu maaso mu ngeri eno okumala emyezi nga 6.

Obujjanjabi obukosa omubiri era nga buweebwa ekitundu ekigere kyokka.

Eddagala lya Chemo bwe limira ng’empeke oba okuweebwa mu musuwa, liyingira mu musaayi ne litambula mu mubiri gwonna okutta obutoffaali bwa kookolo. Kino kiyitibwa enkola ya systemic chemotherapy . Naye oluusi, obujjanjabi busobola okutunuulirwa mu kitundu ekimu kookolo w’asaasaanidde. Okugeza, singa kookolo asaasaanidde mu kibumba, chemoembolization of the hepatic arteryKino kizingiramu okuziba omusuwa omukulu ogugaba omusaayi mu kibumba (hepatic artery) okumala akaseera oba enkalakkalira, n’okukuba empiso y’eddagala wakati w’ekizibiti n’ekibumba. Kino kisobozesa eddagala okugenda butereevu mu kibumba, ekikendeeza nnyo ku bulabe bw’okugenda mu bitundu by’omubiri ebirala.

Obujjanjabi obw’enjawulo obuyitibwa Targeted Therapy

Lino ddagala mpya nga lyawukana katono ku chemo eya bulijjo. Eddagala lino litunuulira obuzaale oba obutoffaali obw'enjawulo mu butoffaali bwa kookolo ne libulumba . Mu ngeri endala, balinga abanoonya ekifo omulabe w’asinga obunafu ne bakilumba. Kino kitegeeza nti obutoffaali obulamu tebwonoonebwa nnyo. Oluusi ziweebwa wamu n’obujjanjabi bw’eddagala. Emirundi emirala, zikozesebwa ng’eddagala eriweebwa bulijjo terikyakola. Eby’okulabirako mulimu eddagala lya Bevacizumab (Avastin), Cetuximab (Erbitux), ne Panitumumab (Vectibix).

Biki ebiva mu chemo?

Chemotherapy etta obutoffaali bwa kookolo obwawukana amangu. Naye era kiyinza okukosa obutoffaali obulamu obweyawukana amangu mu mibiri gyaffe. Ng’ekyokulabirako, obutoffaali obuli munda mu kamwa kaffe, obutoffaali obukula enviiri, n’obutoffaali obuli mu busimu bwaffe obw’amagumba. Ebizibu ebivaamu bibaawo kubanga obutoffaali obwo obulamu bwonoonese. Ebizibu bino tebibaawo mu buli muntu mu ngeri y’emu. Zaawukana okusinziira ku ddagala n’omulwadde okutuuka ku mulwadde. Okugeza eddagala `Oxaliplatin` liyinza okuleeta obusimu okwonooneka mu bantu abamu. Kookolo w’olubuto olunene, kookolo w’olubuto n’omumwa gwa nnabaana, eddagala, obujjanjabi bwa kookolo, ebizibu ebiva mu ddagala, 5-FU