Obujjanjabi bw’eddagala kye ki? Katuyige ebikwata ku nsonga eno awatali kutya!

Oboolyawo ekigambo ‘chemo’ oba ‘chemotherapy’ owuliddeko, nedda? Oboolyawo owuliddeko mukwano gwo oba ow’oluganda ng’ayogera ku nsonga eno nga bajjanjabwa kookolo. Kya bulijjo okuwulira ng’otya katono oba ng’olina obunkenke ng’owulira ekigambo kino. Naye leero, ka twogere ku ddagala ly’eddagala kye liri, kiki ekibaawo nakyo, ne by’osaanidde oba by’otolina kutya, mu ngeri ennyangu gy’osobola okutegeera. Olwo ojja kusobola okukitegeera obulungi.

Ddala eddagala eriweweeza ku bulwadde (chemotherapy) kye ki?

Mu ngeri ennyangu, eddagala eriweweeza ku bulwadde bwa ddagala lya njawulo erikozesebwa okusaanyaawo obutoffaali bwa kookolo. Era kiyitibwa ‘chemo’ mu bufunze. Bino ddagala lya maanyi nnyo. Okubeera omutuufu, ‘chemo’ kitegeeza eddagala, ate ‘therapy’ kitegeeza obujjanjabi. Kale, buno bujjanjabi obukozesa eddagala.

Waliwo ebiseera ng’eddagala lino likozesebwa lyokka. Naye emirundi egisinga, abasawo bakozesa ebika by’eddagala eriweweeza ku bulwadde obuwerako nga ligatta wamu. Kino kikolebwa okulumba obutoffaali bwa kookolo okuva mu njuyi ez’enjawulo ne busaanyaawo ddala. Kiba ng’okulumba omulabe okuva mu njuyi eziwerako okusinga okulumba olumu lwokka. Okugatta eddagala eriweebwa kisinziira ku bintu ng’ekika kya kookolo n’obuwanvu bw’asaasaana.

Ka tulabe engeri kookolo gy’akulamu?

Kino okusobola okukitegeera, tulina okusooka okumanya katono ku butoffaali obuli mu mibiri gyaffe. Emibiri gyaffe gikolebwa obuwumbi n’obuwumbi bw’obutoffaali obutonotono. Obutoffaali buno bweyawukana ne bweyongera mu ngeri eya bulijjo, era obutoffaali obukadde ne bufa.

Kuba akafaananyi ng’olina olusuku awaka. Mu lusuku olwo, awamu n’ebimuli ebirabika obulungi, mulimu n’omuddo oguyinza okulutuusaako obulabe. Bwe kityo bwe kiri munda mu mibiri gyaffe. Kookolo y’obutoffaali obumu mu mibiri gyaffe bwe butandika okwawukana mu ngeri etafugibwa era mu bwangu. Obutoffaali buno obweyawukana mu ngeri etaali ya bulijjo bukola ebizimba. Ebizimba byonna si bya kookolo, naye obutoffaali bwa kookolo busobola okuyingira mu bitundu ebirala ebiramu ne busaasaana okuva mu kitundu ky’omubiri ekimu okudda mu kirala (metastasis).

Obujjanjabi bwa ddagala bukola butya?

Kati oyinza okuba nga weebuuza nti, ‘Eddagala lino erya Chemo lizuula litya n’okutta obutoffaali bwa kookolo bwokka?’ Eddagala ly’eddagala eriweweeza ku bulwadde businga kutunuulira butoffaali obweyawukana amangu ennyo. Obutoffaali bwa kookolo kika kya butoffaali obweyawukana amangu ennyo. Kale eddagala lya chemo lisanga obutoffaali buno obwa kookolo obwawukana amangu ne bubusaanyaawo, oba okubulemesa okwongera okwawukana.

Naye waliwo ekirala wano. Mu mibiri gyaffe, mulimu obutoffaali bwa kookolo n’obutoffaali obulamu obweyawukana amangu. Okugeza nga:

• Obutoffaali obuli ku bikoola by’enviiri zaffe (hair follicles) .
• Obutoffaali obusimba layini munda mu kamwa n’ebyenda
• Obutoffaali bw’omusaayi obutondebwa mu busimu bw’amagumba

Eddagala eriweweeza ku bulwadde bwa Chemotherapy nalyo liyinza okukosa obutoffaali obulamu, obwawukana amangu, kubanga litabula n’obutoffaali bwa kookolo. Eno y’ensonga lwaki eddagala eriweweeza ku bulwadde buleeta ebizibu. Ekyo tujja kukyogerako oluvannyuma.

Mu mbeera ki eddagala ly’eddagala lye likozesebwa?

Chemotherapy ekozesebwa mu mirimu egy’enjawulo.

• Ekiwonya: Ebika bya kookolo ebimu bisobola okuwona ddala ng’okozesa eddagala lyokka oba ng’ogasseeko n’obujjanjabi obulala (nga okulongoosa n’obujjanjabi obw’amasannyalaze).
• Okufuga kookolo: Mu mbeera nga kookolo tasobola kuwona ddala, eddagala eriweweeza ku bulwadde busobola okuyamba okumulemesa okwongera okusaasaana, oba okukendeeza ku bunene bw’ekizimba n’okukuuma obulwadde nga bufugibwa. Kino kisobozesa omulwadde okuwangaala.
• Obujjanjabi obukkakkanya obulumi: Kookolo bw’aba asaasaana era nga muzibu okuwona, eddagala eriweweeza ku bulwadde buno bukozesebwa okukendeeza ku bubonero ng’obulumi n’okukaluubirirwa okussa, n’okwanguyiza katono obulamu obwa bulijjo. Kino kiyitibwa okulabirira okukkakkanya obulumi .
• Nga tonnalongoosebwa (Neoadjuvant Chemotherapy): Oluusi baweebwa eddagala eriweweeza ku bulwadde nga tebannaggyamu kizimba kya kookolo nga balongooseddwa okukikendeeza. Kino kifuula okulongoosa okwangu n’okutuuka ku buwanguzi. Kino kiyitibwa neoadjuvant chemotherapy .
• Oluvannyuma lw’okulongoosebwa (Adjuvant Chemotherapy): Oluvannyuma lw’okuggyibwako ekizimba kya kookolo nga bayita mu kulongoosebwa, eddagala lya ddagala liweebwa n’okusaanyaawo obutoffaali bwonna obutono obwa kookolo obuyinza okuba nga bukyasigadde mu mubiri, bwe tutasobola kulaba. Kino kikolebwa okukendeeza ku bulabe bwa kookolo okudda. Kino kiyitibwa eddagala eriyambako .

Ekisinga obukulu kwe kukebera embeera yo n’okusalawo enteekateeka y’obujjanjabi esinga obulungi gy’oli.

Waliwo ebika by’eddagala eriweweeza ku bulwadde bungi? Lwaki buli kika kikozesebwa?

Yee, waliwo ebikumi n’ebikumi by’ebika by’eddagala ery’enjawulo. Buli ddagala likola mu ngeri ya njawulo. Eddagala erimu liremesa obutoffaali bwa kookolo okwawukana, ate eddala lyonoona DNA y’obutoffaali bwa kookolo ne butta.

Abasawo balondawo ekika (oba eddagala erigatta) lye banakuwa okusinziira ku bintu ebiwerako:

• Ekika kya kookolo ky’olina: Eddagala eriweebwa ku kookolo w’amabeere si lye limu n’eddagala eriweebwa ku kookolo w’amawuggwe.
• Omutendera gwa kookolo: Kino kitegeeza kookolo w’asaasaanidde n’obunene bw’ali.
• Obulamu bwo okutwalira awamu: Ebintu ng’emyaka gyo n’okumanya oba olina endwadde endala yonna.
• Oba emabegako wali ofunye obujjanjabi bwa kookolo.

Ebiseera ebisinga, obujjanjabi obw’eddagala obugatta businga ku bujjanjabi obw’eddagala limu. Kino kiri bwe kityo kubanga buli ddagala lilumba obutoffaali bwa kookolo mu ngeri ez’enjawulo, ekifuula obutoffaali bwa kookolo obutawona okulumbibwa. Ate era, obutoffaali bwa kookolo busobola okugumira eddagala erimu. Okuwa eddagala eringi awamu kiyinza okukendeeza ku bulabe obwo.

Obujjanjabi bw’omubiri buweebwa butya?

Waliwo engeri eziwerako ez’okugaba eddagala eriweweeza ku bulwadde bwa kookolo, okusinziira ku kika kya kookolo, ekifo w’ali, n’ekika ky’eddagala erikozesebwa.

• Okuyisibwa mu misuwa (IV): Eno y’enkola esinga okukozesebwa. Okufaananako n’okuwa omunnyo, akatuli akatono (cannula) kayingizibwa mu musuwa mu mukono oba awalala, eddagala ne liyingizibwa mpola mu mubiri nga liyita mu gwo. Oluusi, okujjanjaba okumala ebbanga eddene, kateekebwa wansi w’olususu lw’ekifuba akatono (port) era eddagala ne liweebwa nga liyita mu lyo.
• Mu kamwa: Eddagala erimu ery’obujjanjabi osobola okulimira awaka mu ngeri y’empeke. Wabula kikulu nnyo bino okumira mu kiseera ekituufu ne mu ddoozi entuufu ng’omusawo bw’akulagidde.
• Ng’empiso: Eddagala erimu liweebwa ng’empiso, wansi w’olususu oba mu binywa.
• Intrathecal: Okujjanjaba kookolo asaasaanidde ku bwongo oba ku mugongo , oluusi eddagala liteekebwa mu mulyango gw’omugongo.
• Mu bituli by’omubiri (Intracavitary): Okugeza, eddagala liyinza okufukibwa butereevu mu kisenge ky’olubuto (Intraperitoneal) oba mu kisenge ky’amawuggwe ekibikka amawuggwe (Intrapleural).
• Ebizigo oba ebizigo ebiteekebwa ku mubiri: Ku bika bya kookolo by’olususu ebimu, ekizigo ekirimu eddagala eriweweeza ku ddagala kisiigibwa ku lususu. Kino kibeera kitono nnyo.

Lwaki ebizibu ebiva mu chemo bibaawo? Biki?

Kino kye kimu ku bintu ebitiisa abantu bangi bwe boogera ku ddagala. Nga bwe twagambye emabegako, eddagala lya chemo ligenderera obutoffaali obweyawukana amangu. Kale, awamu n’obutoffaali bwa kookolo, eddagala lino likwata obutoffaali obulamu, obwawukana amangu mu mubiri gwaffe. Eno y’ensonga lwaki ebizibu ebivaamu bibaawo.

Naye jjukira kino:

• Si buli muntu nti afuna ebizibu byonna.
• Obuzibu bw’ebizibu ebivaamu bwawukana okusinziira ku muntu.
• Ebizibu ebisinga biba bya kaseera buseera era nga biweddewo ng’obujjanjabi buwedde.
• Kati waliwo eddagala ddene eddungi erifuga ebizibu ebivaamu.

Bino bye bimu ku bizibu ebitera okuvaamu:

• Okugwa kw’enviiri: Kino kizibu abantu bangi kye bamanyi. Wabula eddagala lyonna erya chemo si lye livaako enviiri okugwa. Ne bw’omala enviiri, zijja kuddamu okukula obulungi ng’obujjanjabi buwedde.
• Okuziyira n’okusiiyibwa: Kino nakyo kitera okubaawo. Naye kati waliwo eddagala eddungi ennyo okufuga kino. Omusawo ajja kukuwa bino nga bukyali.
• Amabwa mu kamwa: Amabwa amatono gayinza okulabika munda mu kamwa ne mu mumiro.
• Okubulwa apetite n’obuwoomi bukyuka.
• Ekiddukano oba Okuziyira.
• Obukoowu: Kino abantu bangi kye bayitamu. Kikulu okufuna ekiwummulo ekimala.
• Okukendeera kw’obutoffaali bw’omusaayi:
• Obutoffaali obweru obutono (Neutropenia): Kino kyongera obulabe bw’okufuna yinfekisoni. Bw’ofuna obubonero ng’omusujja n’okuziyira, olina okutegeeza omusawo mu bwangu.
• Obutoffaali obumyufu obutono (Anemia): Kino kiyinza okuvaako okukoowa, okunafuwa, n’olususu okufuuka olumyufu.
• Thrombocytopenia: Kino kiyinza okuvaako omusaayi n’okunyiga.
• Enkyukakyuka mu lususu: Olususu luyinza okukala, okusiiwa n’okuwulira omusana.
• Enkyukakyuka mu misumaali: Emisumaali giyinza okukyuka langi ne gikutuka.

Kino kiyinza okukuwulikika ng’ekikutiisa katono. Wabula ttiimu yo ey’abasawo ejja kukusomesa ku bizibu bino byonna era ejja kukuyamba okubiddukanya. Totya kubabuulira ku buzibu bwonna bw’owulira.

Kiki ky’osaanidde okumanya nga tonnaba kujjanjaba ddagala n’okujjanjabibwa?

Waliwo ebintu ebiwerako by’olina okumanya nga tonnafuna bujjanjabi bwa ddagala, ng’omaze okujjanjabwa n’oluvannyuma lw’okujjanjabwa.

• Yogerako n’omusawo wo: Buuza omusawo wo ku bibuuzo byonna oba ebikweraliikiriza by’olina. Nnyonnyola buli kimu, omuli enteekateeka y’obujjanjabi, ebizibu ebiyinza okuvaamu, n’eky’okubikola.
• Funa okukeberebwa okwetaagisa: Nga tonnatandika kukola chemo, omusawo ajja kukusaba okukeberebwa ebimu, gamba ng’okukeberebwa omusaayi ne X-ray. Bino bijja kukebera engeri omubiri gwo gye gukwatamu obujjanjabi.
• Zimba enkola y‟obuyambi: Obuwagizi n‟okwagala kw‟ab‟omu maka, mikwano, n‟abaagalwa bo bya muwendo nnyo mu kiseera kino. Amaanyi mangi nnyo okubeera n'omuntu akuyamba.
• Weetegeke olunaku lw’ogenda okujjanjabibwa: Bw’oba ​​ofuna eddagala lya IV, kiyinza okukutwalira essaawa eziwera. Leeta ekintu ky’osoma oba ky’owuliriza mu kiseera ekyo. Yambala engoye ezinyuma.
• Goberera ddala ebiragiro by’abasawo: Goberera ebiragiro ebiweereddwa ku budde bw’eddagala n’emmere gy’olya.
• Weegendereze ebizibu ebivaamu: Bw’olaba obubonero obupya oba ekintu kyonna ekitali kya bulijjo, tegeeza omusawo oba nnansi wo amangu ago.
• Wummula nnyo, lya emmere erimu ebiriisa, era sigala nga muyonjo: ebintu bino bijja kuwa omubiri gwo amaanyi okugumira obujjanjabi.

Kiki ekibaawo nga chemo ewedde?

Enzirukanya zonna ez’obujjanjabi bw’eddagala bwe zinaggwa, kijja kutwala ekiseera omubiri gwo okudda engulu. Ebizibu ebivaamu bijja kukendeera mpolampola. Enviiri zo bwe ziba zaabula dda, zijja kutandika okuddamu okukula obulungi.

Naye, abasawo tebakwerabira olw’okuba obujjanjabi buweddewo.

• Enteekateeka z’okugoberera: Ojja kwetaaga okugenda mu maaso n’okulaba omusawo wo n’okukeberebwa. Kino kijja kukebera okulaba oba kookolo akomyewo oba waliwo ebiyinza okuva mu bujjanjabi okumala ebbanga eddene.
• Okuwona:Ekiseera kino kikulu nnyo mu kudda engulu mu mubiri n’obwongo. Osobola n’okunoonya okubudaabudibwa bwe kiba kyetaagisa.

Kale, bintu ki bye tulina okujjukira ku bujjanjabi bw’eddagala?

Chemotherapy bujjanjabi bukulu nnyo era bwa maanyi eri kookolo. Okumanya kino kijja kukuyamba okugumira embeera singa ggwe oba omuntu gw’omanyi alina okuweebwa obujjanjabi buno.

• Chemotherapy kika kya ddagala lya njawulo erisaanyaawo obutoffaali bwa kookolo.
• Kikola nga kitunuulira obutoffaali obweyawukana amangu, kale kisobola okukosa obutoffaali bwa kookolo awamu n’obutoffaali obumu obulamu.
• Ebizibu ebiyinza okuvaamu, naye ebiseera ebisinga biba bya kaseera buseera era nga bisobola okuddukanyizibwa. Tofaayo.
• Abasawo balondawo enteekateeka y’obujjanjabi bw’eddagala eriweweeza ku bulwadde esinga okukwatagana ne buli mulwadde.
• Totya kubuuza ttiimu y’abasawo ekibuuzo kyonna oba ekikweraliikiriza ky’oyinza okuba nabyo. Bali wano okukuyamba.
• Obuwagizi bw’ab’omu maka n’emikwano bwa muwendo nnyo mu lugendo luno. Toli wekka.

Obujjanjabi bw’eddagala buyinza okuba ekizibu, naye singa omuntu alina okumanya okutuufu, obuyambi bw’abasawo, n’amaanyi g’abaagalwa bo, okusoomoozebwa kuno kuyinza okuvvuunukibwa.

` eddagala eriweweeza ku bulwadde, eddagala eriweweeza ku bulwadde, obujjanjabi bwa kookolo, ebizibu ebivaamu, ekiwandiiko ky’obusawo eky’Olusinhala