Kookolo w’amabeere, naye nga talina kizimba? Ka twogere ku bulwadde bwa Invasive Lobular Carcinoma (ILC) .

Bwe tulowooza ku ‘kookolo w’amabeere’, tutera okulowooza ku kizimba mu mabeere, nedda? Naye okimanyi nti kookolo w’amabeere yenna si y’avaayo ng’ekizimba? Leero, tugenda kwogera ku kika kya kookolo eyeeyisa mu ngeri ey’enjawulo katono, asaasaana mu bubbi munda mu mubiri. Kino kiyitibwa Invasive Lobular Carcinoma, oba (ILC) mu bufunze.

Mu ngeri ennyangu, Invasive Lobular Carcinoma (ILC) kye ki?

Okay, ka tukiteeke bwe tuti. Amabeere go galina endwadde ezivaamu amata. Abasawo bino babiyita "lobules." Kookolo ow’ekika kino atandikira mu nseke zino ezikola amata.

Obutafaananako bika bya kookolo w’amabeere ebirala, obutoffaali buno obwa kookolo obwa ILC, mu kifo ky’okukwatagana ne bukola ekizimba, busaasaana okuyita mu bitundu by’amabeere mu nnyiriri z’obutoffaali ssekinnoomu . Kilowoozeeko ng’olunyiriri lw’enseenene. Eno y’ensonga lwaki ekizimba kisaasaana mu ngeri eno.

ILC ekola ebitundu nga 10% ku 15% ku kookolo w’amabeere. Kookolo ow’ekika kino atera okusikirizibwa obusimu bw’omukazi obuyitibwa estrogen. Era kookolo akula mpola nnyo . Kiyinza okumala emyaka nga tonnaba kufuna bubonero bwonna oba okuzuulibwa nga bakukebera amabeere. Okufaananako ne kookolo omulala, ILC esobola okusaasaana okuyita mu bitundu by’amabeere oba mu bitundu by’omubiri ebirala.

Bwe kiba nga tewali kizimba, omanya otya obubonero bwa kino?

Kino kye kintu ekisinga obukulu. Okuva kookolo wa ILC bw’atakola kizimba, olina okwegendereza ennyo enkyukakyuka endala ezitali za maanyi mu mabeere. Oyinza obutalaba nkyukakyuka yonna mu biseera ebisooka. Naye kookolo bw’agenda yeeyongera, obubonero buno buyinza okulabika.

Biki ebiyinza okuleeta kookolo ono?

Nga bwe kiri ku kookolo yenna, kizibu okwogera ekituufu ekivaako ono. Ye nkyukakyuka mu buzaale ereetera obutoffaali obulamu okufuuka kookolo. Wabula abanoonyereza bazudde ensonga eziwerako ezongera obulabe bw’okulwala ILC.

• Okubeera nga wa myaka egisukka mu 55.
• Okuzaala omwana wo asooka ng’amaze emyaka 30 oba obutazaala.
• Olw’okuba yali afunye kookolo w’amabeere emabegako.
• Okubeera n’omuntu w’omu maka (naddala maama, mwannyinaffe, muwala we) alina kookolo w’amabeere oba kookolo w’enkwaso.
• Okubeera n’embeera eyitibwa Lobular Carcinoma In Situ (LCIS): Kino si kookolo, wabula enkyukakyuka mu butoffaali eyongera obulabe bw’okufuna kookolo mu biseera eby’omu maaso.
• Enkyukakyuka ezimu mu buzaale zisikira.
• Okutuuka mu myaka gy’obuvubuka nga tannaweza myaka 12.
• Okuva mu nsonga kubaawo oluvannyuma lw’emyaka 55.
• Okumira obujjanjabi obumu obw’obusimu ku bubonero obubaawo oluvannyuma lw’okuggwaamu amaanyi mu nsonga.

Bizibu ki ebitongole ebiva mu ILC?

Waliwo ebizibu bibiri eby’enjawulo katono ebiva ku kookolo wa ILC ebyetaagisa okufaayo ennyo.

1. Okusaasaana mu bifo ebitali bya bulijjo mu mubiri: Ebika bya kookolo w’amabeere ebirala bitera okusaasaana mu bwongo, amagumba, ekibumba n’amawuggwe. Kookolo wa ILC naye asobola okusaasaana mu bifo ebyo. Naye okugatta ku ekyo, era asobola okusaasaana mu bifo ebitali bya bulijjo kookolo w’atatera kusaasaana.

• Enkola y’okugaaya emmere (ebyenda, olubuto) .
• Enkola y’okuzaala y’abakyala (enkwaso, nnabaana) .
• Ekitundu eky’omunda eky’olubuto (peritoneum) .
• Ebibikka ebyetoolodde obwongo n’omugongo (Leptomeninges) .
• Ebitundu ebyetoolodde eriiso

2. Okuddamu okulwala oluvannyuma lw’okujjanjabwa okumala ebbanga: Kino kye kintu ekisinga okuba eky’obulabe ku kookolo ono. Ne bwe bamala okujjanjabwa n’olowooza nti awonye, ​​kookolo asobola okuddamu mu kitundu ky’omubiri eky’ewala ne bw’amala emyaka 10 ku 15 . Kino tukiyita `(Metastatic Invasive Lobular Carcinoma)`.

Kino abasawo bakizuula batya?

Bw’olaba omusawo ku kizimba ky’amabeere, ajja kusooka kukubuuza ku bubonero bwo n’okukebera ebbeere n’enkwaso. Okuva ILC bwe si kizimba, eyinza obutazuulibwa kigezo kya bulijjo. N’olwekyo, oyinza okusindikibwa okukeberebwa nga bino.

• Mammogram: Okukebera ebbeere ku X-ray. Wabula olw’engeri kookolo wa ILC gy’asaasaanamu, oluusi tayinza kulabibwa bulungi ku mammogram.
• Breast Ultrasound: Kino kiyamba okutunuulira ennyo ekitundu ky’amabeere ekigere.
• Breast MRI scan: Kino kiyinza okuvaamu ebifaananyi ebitegeerekeka obulungi ennyo, ebikwata ku bitundu by’amabeere mu bujjuvu. MRI kikulu nnyo okuzuula kookolo omuzibu okuzuula nga ILC.

Singa wabaawo okubuusabuusa kwonna okuva mu kukeberebwa kuno, ekiddako kwe kukebera omubiri . Kino kitegeeza nti akatundu akatono ennyo akaggibwa mu bbeere nga kabudamya ne kakeberebwa mu microscope. Biopsy eno yokka esobola okukakasa 100% oba obutoffaali bwa kookolo buliwo oba nedda.

Emitendera gya kookolo

Oluvannyuma lw’okukebera omubiri (biopsy) okukakasa nti kookolo, kizuulibwa obunene bwa kookolo era n’omutendera gwe guzuulibwa. Obujjanjabi butegekebwa okusinziira ku mutendera guno.

Bujjanjabi ki obw’okujjanjaba ILC?

Omusawo wo ajja kulowooza ku bintu bingi, omuli omutendera gwa kookolo wo, oba alina obusimu (ER+), n’obulamu bwo okutwalira awamu, okukola enteekateeka y’obujjanjabi ekusinga obulungi. Kino kitera okuzingiramu obujjanjabi bumu oba okugatta awamu.

• Okulongoosa: Okuggyawo ekitundu ky’amabeere oba ebbeere lyonna omuli obutoffaali bwa kookolo.
• Chemotherapy: Okuwa eddagala ery’amaanyi okutta obutoffaali bwa kookolo. Kiyinza okuweebwa nga tonnalongoosebwa oba oluvannyuma lw’okulongoosebwa.
• Radiation Therapy: Okukozesa emisinde egy’amaanyi amangi okusaanyaawo obutoffaali bwa kookolo bwonna obuyinza okusigalawo oluvannyuma lw’okulongoosebwa.
• Obujjanjabi bw’obusimu: Singa kookolo aba alina estrogen-sensitive (ER+), baweebwa eddagala eriziyiza obusimu obwo okukola.
• Obujjanjabi obugendereddwamu: Eddagala erigenderera enkyukakyuka ez’enjawulo ez’obuzaale ezikosa okukula kw’obutoffaali bwa kookolo.

Ekiseera ky’okuwona oluvannyuma lw’okujjanjabibwa kyawukana okusinziira ku muntu era okusinziira ku bujjanjabi bw’ofuna. Yogerako n’omusawo wo ku nsonga eno mu lwatu.

Emikisa ki egy’okubeera n’obulwadde buno?

Ffenna tutya bwe tuwulira ekigambo kookolo. Naye kikulu okumanya ebintu bino. ``Emiwendo gino egy'okuwangaala'' bye bitundu by'abantu abawangaala emyaka 5 oba 10 oluvannyuma lw'okuzuulibwa nga balina kookolo.

Okunoonyereza kulaga nti abakyala 94% abazuuliddwa nga balina kookolo wa ILC bakyali balamu oluvannyuma lw’emyaka 5. Oluvannyuma lw’emyaka 10, ekitundu kino kyeyongera okutuuka ku bitundu nga 86% . Bw’ogeraageranya n’ebika bya kookolo w’amabeere ebirala, omuwendo gw’abantu abawangaala mu myaka 10 guli wansi katono. Abasawo bakyagenda mu maaso n’okunoonyereza okuzuula ebivaako n’okulongoosa obujjanjabi.