Wali owuliddeko ekintu nga kino mu mabeere go? (Ductal Carcinoma in Situ - DCIS) Ka twogere ku nsonga eno!

Wali owuliddeko ku linnya `DCIS`? Mpozzi omusawo yakyogerako mu kukebera amabeere go `(Mammogram).` Mu butuufu eno mbeera ya kookolo ebeerawo munda mu mifulejje gy’amata g’amabeere, era esobola okuzuulibwa nga bukyali nnyo. Tofaayo, okumanya kino kijja kukuwa obuweerero bungi.

DCIS (Ductal Carcinoma in Situ) kye ki?

Mu ngeri ennyangu, DCIS kookolo akula mu mifulejje gy’amata mu mabeere go. Emikutu gino gye gitambuza amata okuva mu mabeere go okutuuka mu nfuli zo ng’oyonsa. Ekigambo "mu kifo" kitegeeza "mu kifo." Kino kitegeeza nti obutoffaali bwa kookolo buvudde mu mifulejje era tebunnasaasaana mu bitundu by’amabeere ebirala.

Abasawo oluusi kino bakiyita kookolo w’amabeere atayingirira oba asooka kuyingirira . Kino kitegeeza nti obutoffaali bwa kookolo tebukula kusukka bisenge by’emikutu gy’amata. DCIS tetera kusaasaana (kusaasaana) mu bitundu by’omubiri ebirala, nga kookolo asinga okubeera ow’amaanyi, ayingirira.

Kyokka, newankubadde nga DCIS tesaasaana bweru wa mabeere, mu mbeera ezimu esobola okufuuka invasive ductal carcinoma . Kwe kugamba, kiyinza okusaasaana ebweru w’amabeere. Eno y’ensonga lwaki kikulu nnyo okwogera n’omusawo ku nsonga eno. Olwo osobola okwogera ku ngeri z’obujjanjabi eziyinza okukendeeza ku bulabe buno.

DCIS ya bulijjo etya?

DCIS mu butuufu kye kika kya kookolo w’amabeere ekisinga okubeera mu bakyala. Kikola ebitundu 20% ku 25% ku kookolo w’amabeere abapya abazuuliddwa. Abasajja nabo basobola okulwala DCIS, naye tekitera kubaawo nnyo (ebitundu ebitakka wansi wa 0.1% ku bazuuliddwa kookolo).

Mu kiseera kino, omuwendo gw’abalwadde ba DCIS abaloopebwa gweyongedde katono. Wabula abakugu bagamba nti kino si lwakuba nti omuwendo gw’abalwadde ba DCIS gweyongedde, wabula lwakuba nti abantu bangi bazuulibwa n’okujjanjabibwa . Kwe kugamba, okukebera nga mammograms kisobozesezza okuzuula embeera eno nga bukyali.

Bubonero ki obwa DCIS?

Ebiseera ebisinga, DCIS telaga bubonero bwonna obw’enjawulo . Oyinza n’obutabaako ky’olaba. Kyokka, abantu abatono ennyo bayinza okwetegereza ebintu nga bino:

• Okuwulira ng’ekizimba mu bbeere.
• Okusiiwa ku lususu lw’amabeere.
• Amazzi (e.g., omusaayi) agava mu nfuli.

Bw’olaba ekintu nga kino, wandibadde olaba omusawo awatali kulwa, nedda?

Kiki ekivaako DCIS?

DCIS ekula ng’obutoffaali obulamu mu mifulejje gy’amata go bukyuse., ekitegeeza nti obutonde bwabwe bukyuse era bakula mangu era nga tebafugibwa. Nga ekimera ekitono bwe kikula nga tekifugibwa ng’omuddo. Naye abakugu n’okutuusa kati tebamanyi bulungi lwaki obutoffaali buno bukyuka mu bwangu, oba lwaki DCIS y’abantu abamu efuuka kookolo ow’amaanyi ate abalala tebakyuka.

Biki ebiyinza okuvaako okukulaakulanya DCIS?

Waliwo ebintu ebimu ebiyinza okwongera ku bulabe bwo, oba emikisa gyo egy’okufuna DCIS. Ka tulabe kiki kye bali:

• Singa ab’eŋŋanda zo ez’omusaayi (maama, mwannyinaze, muwala) baba bafunye kookolo w’amabeere.
• Bw’oba ​​wali olina kookolo w’amabeere emabegako , oba bw’oba ​​olina embeera obutoffaali mu mabeere mwe bukula mu ngeri etaali ya bulijjo, gamba nga atypical hyperplasia .
• Oli mukazi (kino kisinga kubeera mu bakyala).
• Okubeera n'emyaka egisukka mu 30 . Obulabe buno bweyongera katono n’emyaka.
• Singa watandika okugenda mu nsonga nga tonnaweza myaka 12 .
• Singa wazaala omwana wo asooka oluvannyuma lw'emyaka 30 .
• Singa ebitundu by'amabeere byo biba binene nnyo, oyinza okuba n'ebitundu by'amabeere ebinene'' . Kino kisobola okuzuulibwa mu kukebera amabeere kwokka.
• Bw’oba ​​olina enkyukakyuka z’obuzaale ezimu (e.g., obuzaale bwa BRCA1 ne BRCA2) ekyongera ku bulabe bwo obwa kookolo.
• Bw’oba ​​nga wali ofunye obujjanjabi obw’amasannyalaze (radiation therapy) ku bbeere oba mu kifuba (ku mbeera endala).
• Bw’oba ​​tofunangako lubuto oba okuyonsa mwana.
• Singa okuva mu nsonga kuba kutandise oluvannyuma lw'emyaka 55 .

Naye, okubeera n’ekimu oba ebisingawo ku bintu bino eby’akabi tekitegeeza nti ojja kufuna DCIS, nedda? Okugeza, okubeera n‟ebyafaayo by‟amaka ga kookolo w‟amabeere kintu kya bulabe eri DCIS, naye abantu abasinga obungi abalina DCIS tebalina byafaayo bya kookolo w‟amabeere mu maka. Ensonga z‟akabi zokka zongera emikisa gy‟okufuna embeera. Kale kikulu okuba abamanyi.

Bizibu ki ebiyinza okuva mu DCIS?

Ekikulu kiri nti bw’otojjanjaba DCIS, esobola okufuuka invasive ductal carcinoma . Kino kitegeeza nti kookolo asobola okuva mu mifulejje gy’amata n’asaasaana mu bitundu ebirala ebiri mu mabeere. Kale, bw’oba ​​ozuuliddwa nti olina DCIS, kikulu nnyo okufuna obujjanjabi amangu ddala nga bwe kisoboka.

Okugatta ku ekyo, bw’omala okujjanjabibwa DCIS, oba mu bulabe bw’okufuna embeera endala ez’obulamu ng’okaddiwa. Okugeza nga:

• Osteoporosis (okugonza amagumba) .
• Puleesa eri waggulu
• Obulwadde bw’omutima

Okukendeeza ku bulabe bw’ebizibu bino, kya magezi okubuuza omusawo wo emirundi emeka gy’osaanidde okugenda okwekebejjebwa n’okugoberera.

DCIS ezuulibwa etya?

Abasawo bazuula ebitundu ebisoba mu 90% ku balwadde ba DCIS nga bayita mu kukebera amabeere . Kwe kugamba, okukebera X-ray y’amabeere go. Singa ebyava mu mammogram yo biraga ekintu kyonna ekiteeberezebwa, gamba ng’obutono obuterekeddwamu calcium (microcalcifications), bajja kukola biopsy okukakasa.

• Okukebera amabeere: Ng’oggyeeko okukebera amabeere buli kiseera (okukebera amabeere), omusawo ayinza okulagira okukebera amabeere mu ngeri ey’enjawulo (diagnostic mammogram). Kino kiyinza okukuba ebifaananyi ebisingawo ebikwata ku bitundu by’amabeere go okuva mu nsonda ez’enjawulo. Kino kitwala ekiseera ekiwanvuko katono okusinga okukebera amabeere okwa bulijjo.
• Okukebera amabeere: Abasawo bakola okukebera kuno okukakasa nti mu mabeere go temuli butoffaali bwa kookolo. Mu kukebera kuno, akatundu akatono ak’omubiri kakwatibwa ne kakeberebwa wansi wa microscope.

Waliwo obubonero bwa DCIS?

Yee, abasawo bagabanya DCIS mu bibiina bisatu. Ebigezo bino bisalibwawo okusinziira ku ngeri obutoffaali bwa kookolo gye bulabika obutali bwa bulijjo mu microscope n’engeri gye buyinza okukula amangu.

• Ekigero ekya wansi (ekikula mpola): Obutoffaali bwa kookolo bufaanana nnyo obutoffaali bw’amabeere obulamu. Zikula mpola mpola.
• Ekigero eky’omu makkati (ekikula amangu): Obutoffaali obutali bwa bulijjo bufaanana katono obutoffaali bw’amabeere obulamu, naye nga bwa njawulo katono ku ddaala erya wansi.
• Ekigero kya waggulu (okukula amangu era nga tekifugibwa): Obutoffaali bwa kookolo bulabika nga bwa njawulo ddala ku butoffaali bw’amabeere obulamu. Zino ze zisinga okukula amangu era ezisinga okufuuka kookolo ow’amaanyi.

Mitendera ki egya DCIS?

DCIS kookolo w’amabeere ow’omutendera gwa 0 . Okusinga bujjanjabwa era buwona. Abasawo bagabanya kookolo okuva ku mutendera 0 okutuuka ku IV (4). Omutendera 0 kitegeeza nti kookolo ali mu kifo kye kimu we yatandikira era nga tannasaasaana. Wadde nga DCIS bulijjo eba mu mutendera gwa 0, ekizimba kiyinza okuba eky’obunene bwonna era kiyinza okuzingiramu emikutu gy’amata mingi munda mu bbeere.

Bujjanjabi ki obuweebwa DCIS?

Wadde nga DCIS si kookolo wa maanyi, kikulu okufuna obujjanjabi . Oba embeera yo ekebere buli kiseera omusawo. Kino kiri bwe kityo kubanga ebika bya DCIS ebimu naddala eby’omutindo ogwa waggulu bisobola okufuuka ebiyingira mu mubiri singa tebijjanjabwa. Kino kitegeeza nti kookolo asobola okusaasaana okusukka emikutu gy’amata n’ayingira mu bitundu by’amabeere ebikwetoolodde.

Enzijanjaba ezisinga okukozesebwa ku DCIS ze zino:

• Okulongoosa okukuuma amabeere (BCS) oba Lumpectomy: Kino kizingiramu okuggyawo ekitundu kyokka eky’obutoffaali bwa kookolo, wamu n’obutundutundu obutono obw’amabeere obulamu obwetoolodde kookolo. Kino kiggyawo ebitundu ebitono ebiramu (margin) okukakasa nti tewali butoffaali obutali bwa bulijjo busigaddewo. Omusawo ajja kuleka amabeere go agasinga nga tegafudde.
• Obujjanjabi bw’amasannyalaze: Obujjanjabi buno butera kuweebwa oluvannyuma lw’okulongoosebwa BCS. Akozesebwa okutta obutoffaali bwa kookolo bwonna obusigaddewo n’okukendeeza ku bulabe bwa kookolo okudda. Abantu abamu beetaaga obujjanjabi buno okumala ennaku ntono, abalala wiiki ntono. Omusawo wo ajja kwogera naawe ku nteekateeka yo ey’obujjanjabi ssekinnoomu.
• Okusala amabeere: Kino kizingiramu okuggyawo amabeere gonna agakoseddwa, oba oluusi amabeere gombi (double mastectomy). Bw’oba ​​tolina bisaanyizo bya BCS (okugeza, singa DCIS esaasaanidde ku mabeere gonna, ekizimba kiba kinene nnyo, oba nga toyagala bujjanjabi bwa masanyalaze), oyinza okwetaaga okuggyibwako amabeere.

Bw’oba ​​olongoosezza amabeere, oyinza okulowooza ku ky’okuddamu okuzimba amabeere . Kino kwe kulongoosa okuddamu okubumba amabeere go. Kino osobola okukikola mu kiseera kye kimu n’okuggyibwako amabeere oba oluvannyuma lw’okukuggyamu. Bw’oba ​​olina BCS, emirundi mingi tekikwetaagisa kuddamu kuzimba mabeere. Yogerako n’omusawo wo ku ngeri gy’oyagala amabeere go gatunule oluvannyuma lw’okujjanjabibwa.

Kiki ekibaawo oluvannyuma lw’okulongoosebwa DCIS?

Oluvannyuma lw’okulongoosebwa, omusawo ayinza okukuwa eddagala okuziyiza DCIS okuddamu naddala nga DCIS yo ekwata ku busimu (ER-positive). Eddagala erisinga okukozesebwa lye:

• Tamoxifen (Eddagala lya Tamoxifen - Nolvadex®) .
• Ebiziyiza aromatase ( okugeza anastrozole, letrozole) .

Obujjanjabi buno buyitibwa obujjanjabi bw'obusimu . Eddagala lino likola nga liyimiriza obusimu obuyitibwa estrogen okuyamba obutoffaali bwa kookolo okukula. Ekiseera kyonna eky’obujjanjabi kitera okutwala emyaka nga etaano.

DCIS esobola okuziyizibwa?

Ensonga nnyingi ez’akabi eri DCIS (e.g., ebyafaayo by’amaka, obuzaale) mu butuufu si kintu kye tusobola okufuga oba okuziyiza. Naye, singa ezuulibwa nga bukyali , DCIS is much more likely to be curable. Eno y’ensonga lwaki okukebera amabeere kikulu nnyo.

• Abakyala abasinga balina okutandika okukeberebwa amabeere buli mwaka (oba buli luvannyuma lwa myaka ebiri, okusinziira ku magezi g’omusawo waabwe) nga bamaze okuweza emyaka 40 .
• Bw’oba ​​oli mu bulabe obw’amaanyi obw’okufuna kookolo w’amabeere (okugeza, singa omuntu mu maka go amulina), omusawo ayinza okukuwa amagezi okutandika okwekebejja nga bukyali.

Kirungi okwogera n’omusawo wo ku mirundi gy’osaanidde okwekebejjebwa amabeere okusinziira ku bintu ebikukwatako.

Obulamu obusuubirwa mu DCIS bwe buliwa?

Gano ge mawulire agasinga! Emiwendo gy'okuwona abantu abalina DCIS giri waggulu nnyo . Okusinziira ku kibiina kya American Cancer Society, kumpi buli muntu alina DCIS (era afuna obujjanjabi) asobola okuwona . Ekyo kitegeeza nti omuwendo gw’abantu abawangaala mu myaka 10 guli ku bitundu 98-99%.

Ebivaamu oluvannyuma lw’okujjanjabwa bitera kuba birungi nnyo. DCIS tetera kuddamu kuddamu. Ne bwe kiba kikola (mu bbeere lye limu oba mu mabeere amalala, mpozzi nga kookolo ow’amaanyi), emirundi mingi kisobola okujjanjabibwa n’okuwona. N’olwekyo, DCIS si ya bulabe eri obulamu, singa ejjanjabwa obulungi.

Nsaanidde kwerabirira ntya?

Nga olina DCIS, ojja kwetaaga okugenda mu maaso n’okulabirirwa omusawo oluvannyuma lw’okujjanjabwa.

• Ebiseera ebisinga ojja kwetaaga okulaba omusawo okukeberebwa omubiri buli luvannyuma lwa myezi 6 ku 12 , okumala waakiri emyaka etaano, n’oluvannyuma omulundi gumu mu mwaka.
• Ate era, kirabika ojja kwetaaga okukeberebwa amabeere buli mwaka.
• Bw’oba ​​omira eddagala ly’obusimu, olina okulimira ddala nga omusawo bw’akugamba.

Kyokka embeera ya buli muntu ya njawulo. Kola n‟omusawo wo okuzuula enteekateeka yo ey‟okulabirira oluvannyuma lw‟okujjanjabibwa. Kikulu okugoberera obulungi ebiragiro by’omusawo wo.

Ddi lwe nnina okulaba omusawo?

Tosubwa okukeberebwa n’okukebera amabeere ng’omusawo bw’akulagidde. Mu kiseera kino, faayo ku mabeere go.

• Bw’olaba ekizimba ekipya mu bbeere.
• Bw’olaba enkyukakyuka mu lususu lw’amabeere go (okumyuuka, okuzimba, okunyiga oba okulabika ng’ekikuta ky’emicungwa).
• Bw’olaba enkyukakyuka mu nfuli yo (okuyingira, okumyuuka, okufuukuuka kw’olususu, okufuluma).
• Bw’oba ​​olina obulumi obutasalako mu bbeere oba mu nnyindo.

Bw’olaba enkyukakyuka yonna eyinza okuba obubonero bwa kookolo w’amabeere , tosattira oba okulwawo, wabula laba omusawo mu bwangu.

Bibuuzo ki by’osaanidde okubuuza omusawo wo?

Bw’okizuula nti olina DCIS, kya bulijjo okuba n’ebibuuzo bingi. Buuza omusawo wo ku byonna. Bino bye bimu ku byokulabirako:

• Nnina ddaala ki erya DCIS?
• Bujjanjabi bwa ngeri ki bwe nneetaaga? Okuloongoosa? Obujjanjabi bw’amasannyalaze? Obujjanjabi bw’obusimu?
• Biki ebiva mu bujjanjabi buno?
• Obujjanjabi butwala bbanga ki?
• Nnasobola okukola nga nfuna obujjanjabi?
• Omukisa guli gutya nti DCIS ejja kuddamu?
• Mirundi emeka gye nja kuba nnina okujja okugoberera?
• Mirundi emeka gye nja okwetaaga okukeberebwa amabeere?
• Amaka gange gali mu kabi? Kiki kye balina okukola?

Okuzuula nti olina kookolo kikyusa obulamu. Kya butonde okuwulira ng’otya n’okweraliikirira kubanga tomanyi ky’osuubira. Omusawo wo ali wano okukuyamba. DCIS kika kya kookolo alina emikisa mingi nnyo okuwona . Omusawo wo asobola okukola enteekateeka y’obujjanjabi ey’obuntu ng’ekusaanira.

Ekintu ekisinga obukulu gy’olina okujjukira (Take-Home Message)

Okay, kale bino bye bintu by'olina okujjukira ku `DCIS` (Ductal Carcinoma in Situ) gye twayogeddeko:

• DCIS kookolo atandise nnyo (Stage 0) nga akoma mu mifulejje gy’amata egy’amabeere. Kino kitegeeza nti tekinnasaasaana bweru wa bbeere.
• Ebiseera ebisinga, tekiraga bubonero bwonna obw’enjawulo . Kisinga kuzuulibwa nga bayita mu kukebera amabeere .
• Olw’okuba DCIS erina obusobozi okufuuka kookolo ayingirira, kikulu okumuzuula n’okumujjanjaba nga bukyali .
• Obujjanjabi butera kuba bwa kulongoosa (lumpectomy oba mastectomy) . Obujjanjabi bw’amasannyalaze n’obujjanjabi obw’obusimu nabwo buyinza okuweebwa.
• DCIS mbeera ewonyezebwa nnyo . Kale totya era oyolekere obujjanjabi n’obuvumu.
• Kakasa nti okeberebwa n'okukeberebwa amabeere mu biseera ebiteekeddwawo ng'omusawo bw'akuwa amagezi .

Ekisinga obukulu kwe kuba nti toli wekka. Omusawo wo, ab’omu maka go, n’emikwano gyo bonna bali naawe. Yogerako n’omusawo wo ku bibuuzo byonna oba ebikweraliikiriza by’oyinza okuba nabyo ku nsonga eno. Okufaayo ku bulamu bwo bwe buyambi obusinga obunene bw’oyinza okukola.

` DCIS, Ductal Carcinoma in Situ, Kookolo w’amabeere, Kookolo w’amabeere ow’amabeere, Mammogram, Biopsy, Lumpectomy, Mastectomy, Obulamu bw’amabeere