Ka tuyige ku 'Cryosurgery of the Cervix'?

Omusawo wo agambye nti waliwo ekikyamu mu kukeberebwa kwo okwa Pap? Oba oluusi obeera n’amatondo g’omusaayi amatono agafuluma mu nnabaana? Ebintu bino bisobola okukuleetera okutya n’okweraliikirira katono. Naye teweeraliikiriranga. Ebiseera ebisinga ebintu bino si bya maanyi. Obujjanjabi obumu obwangu abasawo bwe bagamba mu mbeera zino buyitibwa ‘cryosurgery.’ Wadde erinnya lino liyinza okuwulikika ng’ekintu ekinene, mu butuufu lyangu nnyo. Okubeera omutuufu, kizingiramu okukozesa ennyonta ennyo, okufaananako ice, okusaanyaawo obutoffaali obutali bwa bulijjo. Kino ka twogere mu ngeri entegeerekeka era ennyangu.

Mu ngeri ennyangu, okulongoosa mu ngeri ey’obutiti kye ki?

Okay, kino katukitegeere n'ekyokulabirako eky'enjawulo ennyo. Teebereza ng’olina akasuwa akatono ku mukono gwo. Oluusi abasawo bakozesa amazzi agannyogoga ennyo okuggyamu enkwaso. Ennyonta etta obutoffaali obuli mu nseke. Ekintu kye kimu kibaawo mu kulongoosa omumwa gwa nnabaana mu cryosurgery.

Ekibaawo wano, omusawo akozesa eddagala erinyogoga ennyo, gamba nga nayitrojeni ow’amazzi, ‘okutonnyeza’ oba okutonnyeza obutoffaali obutali bwa bulijjo ku ngulu w’omumwa gwa nnabaana gwo. Ennyonta ennyo ereetera obutoffaali okufa. Olwo, enkola y’omubiri gwaffe ey’okuwona mu butonde esobozesa obutoffaali obupya, obulamu okukula mu kitundu ekyo. Obujjanjabi buno era buyitibwa cryotherapy.

Edda enkola eno yali yettanirwa nnyo okuggya obutoffaali obutali bwa bulijjo mu nnabaana. Naye kati, mu Sri Lanka n’ebifo bingi mu nsi, enkola empya, ezikola obulungi nga LEEP (Loop Electrosurgical Excision Procedure) zikozesebwa. Kyokka, mu mbeera ezimu ez’enjawulo, amalwaliro agamu gakyakola obujjanjabi buno obw’okulongoosa mu kiseera ky’obutiti.

Ani eyeetaaga obujjanjabi buno?

Waliwo embeera eziwerako omusawo mw’ayinza okukuwa amagezi ku bujjanjabi buno. Ka tulabe kiki kye bali.

• Obutoffaali obutali bwa bulijjo mu nnabaana: Singa okukeberebwa kwo okwa Pap kulaga nti obutoffaali bwo obw’omumwa gwa nnabaana tebuli bwa bulijjo, oba nga bulina emikisa mingi egy’okufuuka kookolo (cervical dysplasia), enkola eno eyinza okulagirwa okuggyawo obutoffaali obwo.
• Obulwadde bw’omumwa gwa nnabaana: Oluusi omumwa gwa nnabaana guyinza okukwatibwa obuwuka, okuzimba n’okumyuuka. Enkola eno ekozesebwa mu mbeera ezimu ezitaddamu ddagala.
• Ensigo z’ebitundu by’ekyama: Obujjanjabi buno era busobola okukozesebwa okuggya enkwaso ezitondebwa ku ngulu w’omumwa gwa nnabaana olw’akawuka ka HPV.
• Okuvaamu omusaayi mu nnabaana mu ngeri etategeerekeka: Oluusi, omusaayi omutono guyinza okuvaamu olw’emisuwa emirungi egy’omusaayi ku ngulu w’omumwa gwa nnabaana. Waliwo ebiseera ng’obujjanjabi buno nabwo bukolebwa.

Kiki ekibaawo nga tebannaba kujjanjabwa?

Kino si kulongoosa kwa maanyi. Tekijja kwetaaga kusigala mu ddwaaliro. Kiyinza okukolebwa mu kisenge ky’omusawo (OPD). Kikolebwa ng’omanyi. Tekyetaagisa kussa bujjanjabi bwa bulijjo.

• Okuziyira: Oluusi omusawo ayinza okukuba empiso entonotono mu nnabaana. Naye ebiseera ebisinga, ekyo tekikwetaagisa kubanga omumwa gwa nnabaana gulina obusimu obutono ennyo.
• Okukkakkana: Bw’oba ​​otidde nnyo era nga weeraliikirira, oyinza okuweebwa eddagala ettono okukukkakkanya.
• Okwetegeka: Omusawo ajja kukugamba okwewala okwegatta n’obutayingiza kintu kyonna mu bukyala okumala essaawa 24 ku 48 nga tonnafuna bujjanjabi.

Kiki ekibaawo mu kiseera ky’obujjanjabi? Omutendera ku mutendera

Enkola yonna etwala eddakiika ezitakka wansi wa 10 , kale tekyetaagisa kweraliikirira. Kiwulira ng’okufuna Pap smear.

1. Enfo: Okusooka, ojja kusabibwa okugalamira ku kitanda ekitera okukozesebwa mu kukeberebwa abakyala, ng’amagulu gagoloddwa ku mabbali.

2. Okuyingiza Speculum: Ekiddako, jjukira ekivuga ky’okozesa ng’ofunye Pap smear? Ekintu ekifaananako bwe kityo (speculum) kiyingizibwa mu bukyala ne kisika mpola ebisenge by’obukyala okwawukana olwo omumwa gwa nnabaana ne gulabika obulungi.

3. Cryoprobe: Ekiddako, omusawo ayingiza ekyuma ekiwanvu, ekigonvu, ekiringa ekkalaamu (ekiyitibwa cryoprobe) mu bukyala. Amazzi agannyogoga ennyo gakulukuta mu kivuga kino, ekifuula ensonga y’ekivuga okubeera ennyogovu nga ice.

4. Okufumbisa obutoffaali: Kati omusawo assa ensonga y’ekintu ekinyogovu nga ice wennyini obutoffaali obutali bwa bulijjo we buli ku nnabaana wo n’agikwata awo okumala sekondi oba eddakiika ntono. Ennyonta eno esukkiridde (nga -20 ku -50 degrees Celsius) efuula obutoffaali bbugumu.

5. Okusaanuuka oddemu: Oluvannyuma ggyamu ekyuma ekyo oleke ekitundu ekyo kisaanuuke katono. Bwe kiba kyetaagisa, ddamu oteeke obutoffaali mu ngeri y’emu. Ekyo kye kiri.

Kiki ky’osuubira oluvannyuma lw’okujjanjabibwa?

Osobola okudda eka amangu ddala ng’obujjanjabi buwedde. Tekyetaagisa kusigala mu ddwaaliro.

• Amazzi agavaamu amazzi: Bw’omala okujjanjabwa, oyinza okutandika okuva mu bukyala ng’amazzi oluusi gavaamu omusaayi okumala wiiki ntono . Kino kya bulijjo nnyo, n’olwekyo teweeraliikiriranga.Kino kibaawo kubanga obutoffaali obufuuse bbugumu bufa, ne busaanuuka era ne buva mu mubiri. Kino osobola okukozesa paadi z’obuyonjo. Tokozesa tampons olw'ensonga yonna .
• Obulumi: Bw’oba ​​olina ekiruma ekitono mu lubuto, osobola okumira eddagala eriweweeza ku bulumi erya bulijjo nga paracetamol.
• Ebintu by’olina okwewala: Weewale okwegatta okutuusa ng’omumwa gwa nnabaana guwonye ddala, ekijja okutwala wiiki nga 2-3 . Ekirala, weewale okuyingiza ekintu kyonna mu bukyala bwo (e.g. tampons, douches). Kino kiyinza okuyamba okuziyiza obulwadde.
• Okugoberera: Kino mazima ddala kikulu . Omusawo ajja kukuwa olunaku lw’okudda. Mu kiseera ekyo, ajja kukebera okulaba oba obutoffaali obutali bwa bulijjo buweddewo ddala era oba omumwa gwa nnabaana guwonye bulungi. Mu kiseera ekyo, osobola okukeberebwa Pap okulala oba bwe kiba kyetaagisa, okukeberebwa omubiri.

Birungi ki n’ebibi ebiri mu bujjanjabi buno?

Okufaananako n’obujjanjabi bwonna, obujjanjabi buno obw’okulongoosa mu cryosurgery bulina ebirungi n’ebibi. Ka tuzitunuulire nnyo.

Obujjanjabi buno bukola butya?

Obujjanjabi buno bukola ebitundu nga 90% . Ekyo kitegeeza nti mu bantu 90 ku buli 100 abajjanjabwa, obutoffaali obutali bwa bulijjo tebujja kudda. Kyokka, abantu abatono ennyo bayinza okuddamu okufuna obutoffaali obutali bwa bulijjo. Ekyo bwe kibaawo, bajja kuba balina okuddukira mu bujjanjabi obulala, gamba nga LEEP.

Okwogera n’omusawo ku ssaawa mmeka?

Wadde nga kya bulijjo okufuna obuzibu obumu n’okufulumya amazzi ng’omaze okujjanjabwa, obubonero obumu buyinza okuba akabonero akalaga nti olina yinfekisoni oba ebizibu ebirala. Bw’oba ​​olina obubonero buno wammanga, kuba essimu y’omusawo mu bwangu. Oba genda mu kitongole ky’eddwaliro eky’amangu (ETU) ekikuli okumpi.

Mu kumaliriza, okulongoosa omumwa gwa nnabaana mu cryosurgery nkola nkadde nnyo, naye ekyali nkola nnyangu, etali ya bulabe era ekola bulungi era nga ekyakozesebwa mu mbeera ezimu. Omusawo bw’aba akuwa amagezi ku bujjanjabi buno, totya kubukola. Ebikwata ku kitundu kino bikuume mu birowoozo, era yogerako mu lwatu n’omusawo wo bw’oba ​​olina ekibuuzo kyonna. Ggwe n’omusawo wo mwe musalawo ku bulamu bwammwe nga muli wamu.