Kookolo w’amabeere kintu ekitiisa abakyala bangi. Naddala oluvannyuma lw’okuggwaamu amaanyi, kwe kugamba, oluvannyuma lw’okugenda mu nsonga buli mwezi, abantu bangi balowooza ku kabi kano. Kale, leero twogera ku ddagala eriyamba abakyala abali mu bulabe bwa kookolo ow’ekika kino okukendeeza ku bulabe obwo. Eddagala lino liyitibwa Evista. Ekirungo ekikola mu kyo ye raloxifene. Kikozesebwa okukendeeza ku bulabe bw’okufuna kookolo w’amabeere , awamu n’okukendeeza ku bulabe bw’okumenya amagumba okuva ku bulwadde bw’amagumba obugonza amagumba obubaawo oluvannyuma lw’okuggwaamu amaanyi mu nsonga.
Ddala kookolo w’amabeere ayingirira kye ki?
Kino ka tusooke tukitegeere mu ngeri ennyangu. Kookolo w’amabeere alina ebika bibiri ebikulu. Ekimu ye kookolo atayingirira. Mu kino, obutoffaali bwa kookolo buba munda mu mifulejje gy’amata oba endwadde z’amabeere (lobules) ez’amabeere zokka, era tebusukka nsalo ezo.
Wabula kookolo w’amabeere ayingira mu mubiri mbeera esingako obubi. Ekibaawo wano obutoffaali bwa kookolo buva mu mifulejje gy’amata n’endwadde ne busaasaana mu bitundu by’amabeere ebiramu ebibyetoolodde. Okuva awo, zisobola n’okusaasaana mu bitundu by’omubiri ebirala, gamba ng’ekibumba, amawuggwe, n’obwongo. Eno y’embeera esinga okuba ey’akabi. Eno y’ensonga lwaki kikulu nnyo okuzuula n’okujjanjaba kookolo ng’ono nga bukyali.
Evista ekendeeza etya ku bulabe bwa kookolo ono?
Eddagala lya Evista liri mu kibinja ky'eddagala eriyitibwa ``SERM (Selective Estrogen Receptor Modulator)''. Mu ngeri ennyangu, eddagala lino likola ng’obusimu obuyitibwa estrogen mu bitundu by’omubiri ebimu ate mu bitundu ebirala likola ku busimu obuyitibwa estrogen.
Nga bw’oyinza okuba ng’okimanyi, estrogen ayamba ebika bya kookolo by’amabeere ebimu okukula. Nga ekimera bwe kyetaaga amazzi okukula. Evista ekola nga yeekwata ku bikwata estrogen mu bitundu by’amabeere, n’eziba ekifo obusimu bwa estrogen obw’amazima we busobola okwekwata eyo. Kino kitegeeza nti kiyimiriza obutoffaali bwa kookolo okufuna obubaka bwa estrogen bwe bwetaaga okukula.
Naye kikulu okujjukira kino: Evista si bujjanjabi bwa muntu alina edda kookolo w’amabeere. Era tebuweebwa kutangira kookolo kudda mu muntu eyafuna edda kookolo. Kikozesebwa kyokka okukendeeza ku bulabe bwa kookolo mu bakyala abazuuliddwa nga balina kookolo oluvannyuma lw'okuggwaamu amaanyi.
Waliwo ebizibu byonna ebiva mu Evista?
Yee. Okufaananako n’eddagala lyonna, Evista asobola okuba n’ebizibu ebivaamu. Ebimu bitono naye waliwo n’ebizibu eby’amaanyi by’osaanidde okumanya. N’olwekyo, olina okukubaganya ebirowoozo n’omusawo ku birungi n’ebibi byombi nga tonnasalawo kumira ddagala lino.
| Ekika ky’ebizibu ebivaako | Okunnyonnyola |
|---|---|
| Ebizibu eby’amaanyi ebyetaagisa okufaayo amangu | |
| Okuzimba Omusaayi | Obulabe bw’okuzimba omusaayi mu misuwa gy’amagulu (Deep Vein Thrombosis) n’amawuggwe (Pulmonary Embolism) buyinza okweyongera. |
| Storoko | Abakyala naddala abali mu bulabe bw’okukwatibwa endwadde z’omutima bayinza okweyongera katono ku bulwadde bwa stroke. |
| Ebizibu ebitera okuvaamu, ebitali bya maanyi nnyo | |
| Obutabeera bulungi mu mubiri | Okuzimba amagulu, okulumwa ennyondo, okuzimba ebitundu by’omubiri. |
| Ebizibu ebirala | Obubonero ng’omusujja, ebbugumu, okutuuyana, obuteebaka, n’obukyala okukala. |
Kale ani asaanira okumira eddagala lino?
Kino kibuuzo kikulu nnyo. Evista si ddagala lya sayizi emu. Omusawo wo ajja kuteesa naawe ku byafaayo by’obulamu bwo obw’obuntu.Era ensonga eziyinza okuvaako akabi ze zisalawo oba kino kisaanidde oba nedda. Okutwalira awamu, abantu abasinga okuganyulwa mu ddagala lino be bano:
- Abakyala abasukka mu myaka 60: Kubanga emikisa gy’okufuna kookolo w’amabeere bweyongera n’emyaka.
- Abantu ababadde ne kookolo w’amabeere mu maka gaabwe: naddala ow’oluganda ow’oku lusegere nga maama oba mwannyinaffe.
- Abantu abalina obuzibu mu buzaale: Singa okukeberebwa kukakasizza nti balina enkyukakyuka mu buzaale nga BRCA1 ne BRCA2.
- Abo abamaze okukeberebwa amabeere era nga bazuuliddwa nga balina embeera eyinza okuba nga ye yasooka okukwata kookolo, nga `lobular carcinoma in situ (LCIS).`
- Abantu abalina ensonga endala ez’obulabe: Okugeza, emyaka egy’obukulu nga basooka kuzaalibwa, okuva mu nsonga ekikeerezi, n’ebirala.
Oluvannyuma lw’okulowooza ku bino byonna, omusawo wo ajja kwekenneenya bulungi akabi k’olina.
Ani atalina kutwala Evista?
Evista eyinza okukola obulabe bungi okusinga okukola obulungi eri abakyala abalina embeera z’obulamu ezimu. N’olwekyo, kikugirwa nnyo okukozesa eddagala lino bw’oba oli mu bibinja bino wammanga:
- Abakyala abali embuto oba abasuubira okufuna embuto.
- Abakyala mu kiseera kino oba edda abalina omusaayi mu magulu, amawuggwe oba amaaso.
- Abakyala nga tebannagenda mu nsonga, ekitegeeza nti bakyagenda mu nsonga buli mwezi.
- Abantu abamira eddagala erikendeeza ku kolesterol nga Cholestyramine.
- Abo abamira obujjanjabi obulala obw’obusimu bwa estrogen (supplemental estrogen).
Njawulo ki eriwo wakati wa Evista ne Tamoxifen?
Oyinza n’okuwulira ku ddagala eriyitibwa Tamoxifen. Era ddagala eriri mu kibiina kya SERM. Okunoonyereza kuzudde nti eddagala lyombi likola kyenkanyi mu kukendeeza ku bulabe bwa kookolo w’amabeere.
Kyokka, waliwo enjawulo enkulu ezimu. Kigambibwa nti eddagala lya Tamoxifen likwatagana n’obulabe bwa kookolo wa nnabaana okusinga Evista. Era kizuuliddwa nti Evista teziyiza kookolo atayingirira nga ductal carcinoma in situ (DCIS), ate Tamoxifen aziyiza.
Obulabe bw’omusaayi okuzimba n’okusannyalala bwa bulijjo mu ddagala lyombi. Okunoonyereza okumu kugamba nti akabi katono katono ku Evista okusinga ku Tamoxifen, ate okunoonyereza okulala kugamba nti tewali njawulo nnene.
Kale ku nkomerero, okusalawo ku ddagala ki ku lino ebbiri erisinga okukusinga, oba oba ddala kyetaagisa okumira eddagala ng’eryo, kusalawo okulina okulowoozebwako n’obwegendereza oluvannyuma lw’okukubaganya ebirowoozo n’omusawo wo ku birungi n’ebibi byonna.
Obubaka Obutwala Awaka
- Evista (raloxifene) ddagala eriweebwa abakyala abali mu bulabe obw’amaanyi obw’okufuna kookolo w’amabeere oluvannyuma lw’okuva mu nsonga okukendeeza ku bulabe obwo . Si ddagala lya kookolo.
- Waliwo obulabe bw’ebizibu eby’amaanyi ng’okuzimba omusaayi n’okusannyalala ng’okozesa eddagala lino.
- Okusalawo okumira eddagala lino oba obutamira kya muntu ku bubwe era kisaana okukolebwa oluvannyuma lw’okukubaganya ebirowoozo n’omusawo wo n’obwegendereza ku bintu ebikukwatako akabi n’embeera y’obulamu bwo.
- Ne bwe baba bamaze okumira Evista, abakyala abamu bakyasobola okufuna kookolo w’amabeere, n’olwekyo kikulu okugenda mu maaso n’okwekebera amabeere buli kiseera n’okukebera amabeere.
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