Obwongo kifo kya kyewuunyo mu mubiri gwaffe. Waliwo ekika ekirala eky’obutoffaali obuyamba n’okuwagira obutoffaali bw’obusimu mu bwongo. Zino ziyitibwa obutoffaali bwa glial. Oluusi, obutoffaali buno obwa glial butandika okukula ennyo nga tebufugibwa. Wano ebizimba oba nga bwe tubiyita we bitondebwa mu bwongo oba mu mugongo. Ebizimba ebikola mu ngeri eno tubiyita "glioma".
Gliomas kika kya kizimba ekisookerwako. Kino kitegeeza nti zikula butereevu mu bwongo oba mu mugongo, ate nga tezisaasaana okuva awalala mu mubiri. Zino kika kya kizimba kya maanyi, ekiyinza okutta omuntu. Naye teweeraliikiriranga, waliwo obujjanjabi obulungi obuliwo okuddukanya obulwadde buno. Omusawo wo ajja kukola enteekateeka y’obujjanjabi etuukana n’omubiri gwo, obulamu bwo, n’ebyetaago byo, era ajja kukunnyonnyola engeri esinga obulungi gy’oyinza okukolamu.
Gliomas zisengekebwa zitya?
Abasawo bagabanya gliomas zino okusinziira ku sipiidi gye zikula. Batunuulira ensonga eziwerako okukola kino.
- Ekizimba kikula mangu ki?
- Obutoffaali obuli mu kizimba bulabika butya obutali bwa bulijjo?
- Kino kiyinza kitya okusaasaana?
Okusinziira ku nsonga zino, gliomas zigabanyizibwa mu bibinja 1 okutuuka ku 4. Ekibinja 1 kye kika ekikula mpola. Ekibiina eky’okuna kye kika ekisinga okukula amangu, ekisinga okubeera eky’obusungu. Zino era zaawulwamu mu ddaala erya wansi (ekibiina 1 ne 2) n’erya waggulu (ekibiina 3 ne 4). Singa glioma ey’omutindo ogwa wansi ezuulibwa n’ejjanjabwa nga bukyali, esobola okufugibwa oba okuziyizibwa okufuuka ey’obukambwe.
Gliomas zongerwa okugabanyizibwa okusinziira ku kika ky’obutoffaali bwa glial mwe zisibuka. Ka tulabe ebika ebikulu.
| Ekika kya glioma | Ennyinyonnyola ennyangu |
|---|---|
| Ebiwuka ebiyitibwa Astrocytomas | Bino biva mu butoffaali obulinga emmunyeenye obuyitibwa astrocytes mu bwongo bwaffe. Ziyinza okuva ku bizimba ebikula mpola (eby’omutindo ogwa wansi) okutuuka ku bizimba ebikula amangu (eby’omutindo ogwa waggulu). |
| Obulwadde bwa Glioblastomas | Kino kye kika kya glioma ekisinga okubeera eky’amaanyi era ekisinga okukula amangu (WHO grade 4). Era kye kika kya kookolo w’obwongo omubi asinga okubeera mu bantu abakulu. |
| Obulwadde bwa Ependymomas | Ekika kino kisinga kubeera mu baana okusinga abantu abakulu. Bino bitera kuba bizimba bya mutindo gwa wansi. |
| Obulwadde bwa oligodendrogliomas | Zino kika kya glioma ekitali kya bulijjo nnyo, eky’omutindo ogwa wansi. Zisinga kubeera mu bantu abakulu okusinga mu baana. |
Amannya gano gayinza okukuwulikika nga gazibu katono. Naye ziyamba abasawo okutegeera ddala ekigenda mu maaso munda mu mubiri gwo. Omusawo wo byonna ajja kukunnyonnyola mu bigambo ebyangu.
Bubonero ki obulaga obulwadde bwa glioma?
Obubonero bw’ekizimba kya glioma bwawukana okusinziira ku kifo we kiri mu bwongo oba mu mugongo. Ng’ekyokulabirako, singa ekizimba kibeera mu kitundu ky’obwongo ekifuga okwogera, kiyinza okuba ekizibu okwogera. Bwe kityo bwe kiri. Naye waliwo obubonero obumu obutera okulabika.
Ekikulu, totya nti olina obulwadde bwa glioma olw’okuba olina obubonero buno bumu oba okusingawo. Era zisobola okubaawo mu mbeera endala nnyingi. Naye obubonero buno bwe busigala nga bukyaliwo, laba omusawo mu bwangu.
| Obubonero | Okunnyonnyola |
|---|---|
| Okulumizibwa omutwe | Obulumi bw’omutwe obuwangaala nga businga naddala ku makya ate nga tebukwata ddagala lya bulijjo eriweweeza ku bulumi. |
| Okusesema n’okuziyira | Okuziyira n’okusiiyibwa ebijja awatali nsonga. |
| Okwolesebwa kukyuka | Okulaba obubi, okulaba emirundi ebiri oba okubulwa okulaba okw’amangu. |
| Okufiirwa bbalansi y’omubiri | Okukaluubirirwa okutambula, okuziyira, obutasobola kukuuma bbalansi. |
| Okukonziba | Embeera ng’okukonziba okw’amangu. |
| Enkyukakyuka mu nneeyisa n’obuntu | Obusungu obw’amangu, ennaku (okwennyamira), okutabukatabuka, oba enkyukakyuka mu ngeri etegeerekeka mu buntu. |
| Okukaluubirirwa okwogera n’okulowooza | Obutasobola kugatta bigambo wamu (aphasia), okukaluubirirwa okujjukira, okuyiga oba okulowooza. |
| Obunafu ku ludda olumu olw’omubiri | Okuziyira oba okunafuwa ku ludda olumu olw’omubiri (Hemiparesis). |
Kiki ekivaako glioma? Waliwo ebintu byonna ebiyinza okuvaako akabi?
Mu ngeri ennyangu, gliomas ziva ku nkyukakyuka mu buzaale mu butoffaali bwa glial. Naye abasawo n’okutuusa kati tebamanyi bulungi lwaki enkyukakyuka zino zibaawo.
Kino si kintu kye tusobola okuziyiza. Wabula okugenda ew’omusawo amangu ddala ng’obubonero bulabika n’okunoonya obujjanjabi kiyinza okukuyamba okufuna ebirungi.
Wadde ng’omuntu yenna asobola okulwala glioma, ensonga ezimu ziyinza okwongerako katono ku bulabe obwo.
- Emyaka: Esinga kubeera mu bantu abakulu abasukka mu myaka 65 n’abaana abali wansi w’emyaka 12.
- Ebyafaayo by’amaka: Singa omuntu mu maka go abadde ne kookolo w’obwongo oba omugongo, obulabe bwo buyinza okweyongera katono olw’obuzaale.
- Okukwatibwa obusannyalazo oba obutwa:Okumala ebbanga eddene ng’olina emisinde oba eddagala erimu nakyo kiyinza okuba eky’akabi.
But don’t worry , ebiseera ebisinga, tewali nsonga ya bulabe ntegerekeka eyinza kusangibwa ku kukulaakulanya glioma eno.
Omusawo amanya atya oba kino kizibu kya glioma?
Bw’oba olina obubonero buno, omusawo ajja kusooka kukubuuza ku byafaayo by’obujjanjabi bwo, akukebere omubiri, n’okukeberebwa obusimu.
Olwo, olina okukola ebigezo eby’enjawulo okutunula munda mu bwongo.
- MRI (Magnetic Resonance Imaging) scan: Kino kiyinza okuvaamu ebifaananyi ebitegeerekeka obulungi ennyo eby’obwongo n’omugongo.
- CT (Computed Tomography) scan: Kino nakyo kikwata ebifaananyi by’obwongo ebisalasala okukebera oba waliwo ekizimba.
Singa sikaani zino ziraga nti waliwo ekizimba, ekiddako kwe kukebera omubiri . Kino kitegeeza nti akatundu akatono ennyo akaggibwa mu kizimba ne kakeberebwa mu microscope. Kino kye kisalawo ddala ekika ky’ekizimba kye kiri ne ddaala yaakyo.
Mu mbeera eno, ojja kusindikibwa ew’omusawo w’obusimu (neuro-oncologist) okufuna obujjanjabi.
Bujjanjabi ki obuweebwa obulwadde bwa glioma?
Enkola y’obujjanjabi ekusinga obulungi ejja kutegeerekeka ng’olowooza ku bintu ebiwerako.
- Ekika, obunene n’ekifo ekizimba kya glioma we kiri.
- emyaka gyo.
- Obulamu bwo okutwalira awamu.
- Obadde ojjanjabiddwa kookolo w’obwongo emabegako?
Ebiseera ebisinga, emu oba eziwera ku nkola zino zikozesebwa wamu ng’obujjanjabi.
- Okuloongoosa
- Obujjanjabi bw’amasannyalaze (radiation therapy).
- Obujjanjabi bw’eddagala
Okuloongoosa
Emirundi egisinga, obujjanjabi obusooka kwe kuggyawo ekizimba nga bayita mu kulongoosa. Omusawo alongoosa bw’aba asobola, bajja kuggyawo ekizimba kyonna. Kyokka, oluusi gliomas zikula mu bitundu by’obwongo ebizibu ennyo okubiggyamu. Mu mbeera zino, kiyinza obutasoboka kuziggyawo ddala. Okulongoosa omutwe, nga kuno kwe kulongoosa okuzingiramu okuggulawo ekiwanga, y’enkola esinga okukozesebwa.
Mu mbeera ezimu, okusinziira ku bunene n’ekifo ekizimba we kiri, enkola etali ya kuyingirira nnyo eyitibwa laser ablation eyinza okukolebwa. Kino kizingiramu okukozesa ebbugumu eriva mu kitangaala kya layisi okusaanyaawo ekizimba.
Obujjanjabi bwa radiation ne chemotherapy
Oluvannyuma lw’okulongoosebwa, baweebwa obujjanjabi obw’amasannyalaze n’eddagala eriweweeza ku bulwadde bwa kookolo okusaanyaawo obutoffaali bwa kookolo bwonna obusigaddewo.
Obujjanjabi bw’amasannyalaze (radiation therapy) bukozesa emisinde egy’amaanyi amangi, gamba nga X-rays, okusaanyaawo obutoffaali bwa kookolo. Obujjanjabi bw’eddagalaLino ddagala erikomya obutoffaali bwa kookolo okukula n’okwawukana. Era zikozesebwa ng’obujjanjabi obukulu singa ekizimba kiba mu kifo eky’obulabe ekitasobola kulongoosebwa.
Waliwo ebizibu byonna ebiva mu bujjanjabi buno?
Kya bulijjo okuba n’ebizibu ebimu ng’ojjanjabwa kookolo. Ebimu ku byo bisobola okumala ebbanga eddene. Buuza omusawo wo ku palliative care , ekiyinza okukuyamba okuddukanya obubonero buno n’ebizibu ebiva mu bujjanjabi. Ebizibu ebitera okuvaamu mulimu:
- Otulo n’okukoowa ennyo (Obukoowu bwa kookolo) .
- Anemia (okufiirwa omusaayi) .
- Okugwa kw’enviiri (naddala mu kiseera ky’okujjanjabwa n’amasannyalaze) .
- Okuziyira n’okusiiyibwa
- Obulumi
- Okwongera ku bulabe bw’okukwatibwa yinfekisoni (olw’eddagala eriweweeza ku bulwadde) .
- Enkyukakyuka mu ndowooza n’okujjukira
Yogera mu lwatu ne ttiimu yo ey’abasawo ku buli kimu ku bizibu bino.
Ebikwata ku biseera eby’omu maaso n’ebikwata ku bulamu
Omuwendo gw’omuntu awangaala ne glioma gusinziira ku bintu ebiwerako. Ekika ky’ekizimba, ekigero kyakyo, n’emyaka gy’omulwadde bye bimu ku bikulu. Okutwaliza awamu, emyaka obulwadde gye buzuulibwamu n’okutandika okujjanjabibwa gye gikoma okuba emito, ebivaamu gye bikoma okuba ebirungi.
Naye jjukira nti ebibalo biba bya bulijjo byokka. Embeera yo eyinza okukwatagana oba teyinza kukwatagana na bibalo ebyo. Kale tosattira wadde okubulwa essuubi ng’olaba ennamba zino. Omusawo ajja kukuwa ekifaananyi ekitegeerekeka obulungi ku mbeera gy’olimu.
Okubeera ne kookolo kusoomoozebwa kwa maanyi nnyo, mu birowoozo ne mu mubiri. Yogerako mu bwesimbu ne ttiimu yo ey’abasawo n’abaagalwa bo ku ngeri gy’owuliramu. Noonya okubudaabudibwa bwe kiba kyetaagisa. Ate era, okwegatta ku bibiina ebiwagira n‟abalala ababadde n‟ebyo ebifaananako bwe bityo kiyinza okuba ensibuko y‟amaanyi ennyo gy‟oli n‟ab‟omu maka go.
Obubaka Obutwala Awaka
- Glioma kika kya kizimba ekisookerwako ekibeera mu bwongo oba mu mugongo.
- Bw’oba olina obubonero ng’okulumwa omutwe obutasalako, okukonziba, enkyukakyuka mu kulaba oba enkyukakyuka mu nneeyisa, laba omusawo mu bwangu.
- MRI oba CT scan ne biopsy byetaagisa nnyo okuzuula obulwadde.
- Obujjanjabi bumu oba obusingawo ku buno wammanga bwe bukozesebwa: okulongoosa, obujjanjabi obw’amasannyalaze, n’obujjanjabi obw’eddagala.
- Togezaako kuyita mu lugendo luno wekka. Saba obuyambi okuva mu ttiimu yo ey’abasawo, ab’omu maka go, n’emikwano gyo. Yogera mu lwatu ku ngeri gy’owuliramu.











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