Kya bulijjo okuwulira ng’otya n’okukankana ng’oli oba omuntu gw’omanyi alina kookolo w’olubuto olunene n’oluvannyuma n’omanya nti asaasaanidde mu kibumba. Abasawo bayita kookolo ow’omutendera guno (metastatic cancer), oba kookolo ow’omutendera ogw’okuna. Oluusi kookolo ayinza okuba nga yasaasaana mu kibumba nga asoose okuzuulibwa. Oba, kookolo ayinza okudda n’asaasaana mu kibumba oluvannyuma lw’okujjanjabwa. Kya butonde okuwulira ng’otya ng’owulira bino naye teweeraliikiriranga. Ng’okozesa obujjanjabi obw’omulembe obw’ennaku zino, osobola okufuga obubonero bwo, okulongoosa omutindo gw’obulamu bwo, n’okukuyamba okuwangaala. Leero, tugenda kwogera ku nsonga eno mu bujjuvu.
Bubonero ki obulaga embeera eno?
Obubonero buyinza okwawukana okusinziira ku bunene bwa kookolo ne gye yasaasaanidde mu mubiri. Ekyewuunyisa abantu abamu tebafuna bubonero bwonna ne bwe kiba nti kookolo w’olubuto olunene asaasaanidde mu kibumba. Kyokka waliwo obubonero obumu obutera okulabika obuyinza okulabibwa.
Ekikulu obubonero buno era busobola okulabibwa mu mbeera endala ez’obujjanjabi. Kale totya kuba na kimu oba ebisingawo ku bino. Ekisinga obulungi kwe kulaba omusawo n’ofuna amagezi.
Omulongooti wansi gulaga ebimu ku bubonero obusinga okulabika.
| Obubonero | Okunnyonnyola |
|---|---|
| Omusaayi mu musulo | Omusaayi omuddugavu oba omumyufu ogutabuddwa mu musulo. |
| Obulumi ku ludda olwa ddyo olw’olubuto | Okuva ekibumba bwe kiri ku ludda olwa waggulu olwa ddyo olw’olubuto, oyinza okufuna obulumi obw’ekitalo oba obutabeera bulungi mu kitundu ekyo. |
| Okuzimba | Olubuto lufuluma mu maaso olw’okuzimba ekibumba oba amazzi mu lubuto. |
| Okukoowa buli kiseera n’okukoowa | Okuwulira ng’okooye nnyo, ng’okooye era ng’alwadde awatali nsonga. |
| Okugejja mu bwangu | Okugejja amangu awatali kufuba kwonna. |
Oyinza otya okuzuula obulwadde buno mu butuufu?
Okusobola okumanya obukakafu oba kookolo wo ow’olubuto olunene asaasaanidde mu kibumba kyo, omusawo ajja kukukebera ebitonotono. Okusooka, bajja kukubuuza ebibuuzo ebitonotono. Olwo, bajja kulagira okukeberebwa omusaayi okukeberebwa ekibumba kyo n’okukeberebwako sikaani ezimu okulaba ddala kookolo w’ali n’obunene bw’ali.
| Ekigezo | Mu ngeri ennyangu... |
|---|---|
| CT Scan (Okukebera omubiri mu kompyuta) . | Kino kika kya X-ray eky’amaanyi. Kiyinza okukuba ebifaananyi ebitegeerekeka obulungi era ebikwata ku mubiri munda mu mubiri. |
| Okukebera MRI (Magnetic Resonance Imaging) . | Ekozesa magineeti ez’amaanyi n’amayengo ga leediyo okufulumya ebifaananyi ebitegeerekeka obulungi ennyo eby’ebitundu by’omubiri n’ebitundu by’omubiri. |
| Okukebera mu ngeri ya PET (Positron Emission Tomography) . | Ekintu ekiyitibwa radioactive substance kifukibwa mu mubiri okuzuula ebitundu obutoffaali obulwadde, gamba nga obutoffaali bwa kookolo, we buli. |
| Liver biopsy (okukebera akatundu akatono ak’ekibumba) . | Omusawo aggya akatundu akatono ennyo mu kibumba n’akakebera mu microscope okulaba oba kalimu obutoffaali bwa kookolo. |
Bujjanjabi ki bw’oyinza okukozesa?
Ekikulu okutegeera wano kiri nti ne bwe kiba nti kookolo asaasaanidde mu kibumba, obutoffaali obwo obwa kookolo bukyali butoffaali bwa kookolo w’olubuto olunene , so si butoffaali bwa kookolo w’ekibumba. N’olwekyo, ojja kujjanjabibwa mu ngeri y’emu nga bwe wandiyisibwa ku kookolo w’olubuto olunene. Oyinza okwetaaga okufuna obujjanjabi bumu oba okusingawo mu kiseera kye kimu.
Okuloongoosa
Buli lwe kiba kisoboka, obujjanjabi obukulu kwe kuggyawo kookolo ng’olongooseddwa. Omusawo alongoosa agezaako okuggya kookolo mungi nga bwe kisoboka mu kibumba n’ekyenda ekinene. Singa mu kibumba wabaawo kookolo omu yekka, emikisa gy’okuwona oluvannyuma lw’okulongoosebwa giba mingi nnyo.
Obujjanjabi bw’eddagala
Kino ffenna kye tumanyi nga ‘chemo’. Chemo osobola okugiweebwa nga tonnalongoosebwa okukendeeza ku butoffaali bwa kookolo busobole okuggyibwamu mu ngeri ennyangu. Chemo era osobola okugiweebwa oluvannyuma lw’okulongoosebwa okutta obutoffaali bwa kookolo bwonna obusigaddewo.
Obujjanjabi bw’amasannyalaze (Radiation Therapy).
Obujjanjabi bw’amasannyalaze (radiation therapy) kwe kukozesa X-rays ezirina amaanyi amangi okusaanyaawo obutoffaali bwa kookolo. Kikozesebwa singa okulongoosebwa tekusobola kuggyawo kizimba oba okukendeeza ku bubonero.
- Radioembolization: Mu kino, obululu obutonotono obukola amasannyalaze busindikibwa okuyita mu musaayi ne buyingira mu misuwa egigabira kookolo w’ekibumba omusaayi. Zino zigendayo ne zifulumya emisinde gy’obusannyalazo kookolo w’ali yokka.
- Brachytherapy: Mu kino, obutonotono obukola amasannyalaze busindikibwa butereevu mu kizimba nga bakozesa ttanka ne bulekebwa awo okumala eddakiika ntono.
Enzijanjaba ezigendereddwamu
Lino ddagala mpya, ery’omulembe. Obutafaananako chemo eya bulijjo, eddagala lino litunuulira butereevu molekyu ezenjawulo eziyamba obutoffaali bwa kookolo okukula n’okusaasaana. Kino kireeta okwonooneka okutono ku butoffaali obulamu. Cetuximab (Erbitux) ne Bevacizumab (Avastin) ddagala bbiri ery’engeri eno.
Obujjanjabi bw’abaserikale b’omubiri
Buno era bujjanjabi bwa mulembe nnyo. Mu ngeri ennyangu, eddagala lino liyamba abaserikale b’omubiri gwo bennyini okutegeera obutoffaali bwa kookolo n’okulumba. Nivolumab (Opdivo) ne Pembrolizumab (Keytruda) bye byokulabirako by’eddagala lino.
Olina okwerabirira otya?
Okubeera ne kookolo lutalo lunene nnyo, mu mubiri ne mu birowoozo. Kikulu nnyo okwerabirira obulungi mu kiseera kino.
- Wummula n’okwebaka: Funa ekiwummulo ekinene okulwanyisa obukoowu.
- Endya: Mu kiseera ky’obujjanjabi, kiyinza okukuzibuwalira omubiri gwo okuyingiza ebiriisa. N’olwekyo, saba omusawo wo alabe omukugu mu by’emmere. Ziyinza okukuyamba okukola enteekateeka y’emmere ejja okukuwa kalori n’ebiriisa by’olina.
- Obulamu bw’obwongo:Kino kikulu nnyo. Yogerako ne mukwano gwo oba omuntu wo gwe weesiga ku ngeri gy’owuliramu, by’otya, n’ebikweraliikiriza. Bayinza obutamanya ngeri ya kukuyamba. N’olwekyo babuulire by’olina okwetaaga. Babuuze nti, "Leero mpulira wansi. Wandyagadde okunwuliriza?" Buuza omusawo wo ku bakubudaabuda n’abakola ku nsonga z’abantu abasobola okukuyamba.
Obubaka Obutwala Awaka
- Kya bulijjo okuwulira ng’otya ng’otegedde nti kookolo w’olubuto olunene asaasaanidde mu kibumba kyo. Kyokka, olw’obujjanjabi obw’ennaku zino, waliwo essuubi.
- Embeera eno ejjanjabibwa nga kookolo w’olubuto olunene, so si nga kookolo w’ekibumba.
- Ekigendererwa ekikulu eky’obujjanjabi kwe kufuga kookolo, okukendeeza ku bubonero, n’okukuyamba okuwangaala ng’olina obulamu obulungi .
- Yogerako mu lwatu n’omusawo wo ku buli kimu. Buuza ku bibuuzo byo n’okutya kwo.
- Mu kiseera ky’obujjanjabi, kikulu okwerabirira obulungi, mu mubiri ne mu birowoozo. Essira lisse ku mmere, okuwummula, n’obulamu obulungi obw’omutwe.
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