Oluvannyuma lw’okukeberebwa ebbeere lyo olw’ensonga endala, omusawo yakugamba nti olina embeera eyitibwa LCIS? Oteekwa okuba nga watya nnyo bwe wawulira ekigambo ‘carcinoma’. Kubanga bwe tuwulira ekigambo ekyo, amangu ago tulowooza ku kookolo. Naye teweeraliikiriranga. Tujja kwogera mu ngeri ennyangu gy’osobola okutegeera ddala LCIS kye ki, kookolo, era kiki ky’olina okukikola.
Ddala LCIS kye ki?
Mu ngeri ennyangu, LCIS kwe kukula kw’obutoffaali obutali bwa bulijjo mu nseke ezikola amata (lobules) ez’amabeere go. Lowooza ku kino, obutoffaali obuli mu mibiri gyaffe buli kiseera buba bwawukana era ne bweyongera obuggya. N’olwekyo obutoffaali obuli munda mu nnywanto zino ez’amata bwe bwawukana, butandika okukula ne bufuuka obutoffaali obw’enjawulo katono, obutali bwa bulijjo mu kifo ky’obutoffaali obwa bulijjo. Ekyo LCIS ky’eri.
Ekisinga obukulu ky’olina okujjukira wano kiri nti, wadde ekigambo ‘carcinoma’ mu linnya, LCIS si kookolo wa mabeere. Wadde abamu bakitwala ng’ekisookera ddala kookolo, naye si kookolo yennyini.
Obutoffaali buno obutali bwa bulijjo buli mu mbeera eyitibwa ‘in situ’. Ekyo kitegeeza nti zisigala we ziri ne zitasaasaana mu bitundu by’amabeere birala. Eno y’ensonga lwaki si kya bulabe.
Naye, okubeera ne LCIS kitegeeza nti olina akabi akasingako katono ak’okufuna kookolo w’amabeere mu biseera eby’omu maaso okusinga omuntu wa bulijjo. Kiringa ekipande ekirabula ku luguudo. Kikugamba nti wayinza okubaawo akabi mu maaso, n’olwekyo vuga n’obwegendereza. LCIS kwe kulabula okw’ekika ekyo.
Bika ki ebikulu ebya LCIS?
Abasawo batunuulira obutoffaali obutali bwa bulijjo nga bakozesa microscope ne bagabanya LCIS mu bika bisatu ebikulu okusinziira ku ngeri gye bulabika. Okumanya ekika ky’olina kikulu nnyo mu kusalawo ku bujjanjabi.
| ekika kya LCIS | Engeri gye kirabika wansi wa microscope (simplified) . |
|---|---|
| LCIS ya kikula kya waggulu | Obutoffaali obutali bwa bulijjo obuzing’amya endwadde z’amabeere bulabika nga butono okusinga obutoffaali obwa bulijjo. Kino kye kika ekisinga okubeerawo. |
| LCIS ey’ekika kya Pleomorphic | Wano, obutoffaali obutali bwa bulijjo bunene okusinga obutoffaali obwa bulijjo era endabika yaabwo ya njawulo nnyo. |
| Florid LCIS (Ekitongole kya Florida LCIS) . | Obutoffaali obutali bwa bulijjo bukuŋŋaanye ne bukola ekibinja. Oluusi, ekibinja ky’obutoffaali obufu kiyinza okulabibwa wakati mu kibinja ekyo. |
Waliwo obubonero bwonna obulaga LCIS?
Ebiseera ebisinga, LCIS terina bubonero bwonna bwa njawulo. Ekyo kitegeeza nti towulira ng’olina ekizimba mu bbeere, towulira bulumi, era tolina mazzi gafuluma mu bbeere.
Kale kizuulibwa kitya? Ebiseera ebisinga, kizuulibwa mu butanwa. Okugeza, LCIS ezuulibwa mu kiseera ky’okukebera omubiri (biopsy) nga bakolebwa olw’ensonga endala, mpozzi olw’enkyukakyuka elabibwa ku mammogram oba olw’ekizimba ekirala ekiwulirwa mu mabeere.
Bizibu ki ebiyinza okuva mu LCIS?
Kino kye kintu ekitiisa abantu bangi. Si buli muntu alina LCIS nti ajja kukwatibwa kookolo. Ekyo kikuume mu birowoozo. Wabula okunoonyereza kulaga nti abantu nga omu ku buli kkumi (10%) abalina LCIS balina omukisa okukwatibwa kookolo w’amabeere mu biseera eby’omu maaso naddala embeera eyitibwa `ductal carcinoma in situ (DCIS)` oba `lobular breast cancer`.
Kikulu okwogera n’omusawo wo ku bulabe buno n’omubuuza obulungi akabi kwo, kubanga akabi kano kayinza okwawukana okusinziira ku nsonga ng’ekika kya LCIS ky’olina n’ebyafaayo by’amaka go ebya kookolo.
Obujjanjabi bwa LCIS bwe buruwa?
Obujjanjabi bw’ofuna businziira ddala ku kika kya LCIS ky’olina. Si buli muntu nti ayisibwa mu ngeri y’emu.
1. Okulondoola Okukola
Bw’oba olina ‘Classic LCIS’, omusawo ajja kutera okukuwa amagezi ku nkola eno. Kino kizingiramu okukuuma embeera yo ennyo nga tokuwa ddagala lyonna wadde okulongoosebwa.
- Omusawo akebere amabeere buli luvannyuma lwa myezi 6 .
- Okukeberebwa amabeere buli mwaka .
- Okukebera ebirala, gamba ng’okukebera amabeere MRI, nakyo kiyinza okulagirwa.
2. Obujjanjabi obw’okuziyiza
Ekigendererwa ky’obujjanjabi buno kwe kutangira obutoffaali obwo obutali bwa bulijjo okufuuka kookolo. Bakozesa eddagala eriyamba okukendeeza ku bulabe bwa kookolo.
- Ku kino, osobola okukozesa eddagala nga `Selective Estrogen Receptor Modulators (SERM)` oba `Aromatase Inhibitors`. Bino biyamba okukendeeza ku bulabe bwa kookolo naddala alina estrogen-sensitive (ER-positive). Kino omusawo ajja kukunnyonnyola mu bujjuvu.
3. Okulongoosa
Okulongoosa kutera okusemba abantu abalina ebika bya LCIS ebya ‘Pleomorphic’ oba ‘Florid’, kubanga ebika ebyo birina akabi katono ak’okukwatibwa kookolo.
- Lumpectomy: Kino kizingiramu okulongoosa ekitundu kyokka ekirimu obutoffaali obutali bwa bulijjo n’obutundutundu obutono obulamu obukyetoolodde.
- Prophylactic Bilateral Mastectomy: Kuno kulongoosa kunene katono. Amabeere gombi gaggyibwamu. Wabula, kirungi mu mbeera ez’akabi ennyo. Ng’ekyokulabirako, singa omuntu wo ow’oku lusegere, gamba nga maama wo, mwannyoko, oba muwala wo, aba alina kookolo w’amabeere, omusawo ayinza okukubaganya ebirowoozo naawe ku ngeri eno.
Kiki kye tuyinza okukola okukendeeza ku bulabe bwa LCIS?
Wadde nga tewali ngeri ntongole ey’okuziyiza LCIS okukula, waliwo ebintu ebiwerako by’oyinza okukola okukendeeza ku bulabe bw’okufuna kookolo w’amabeere akwatagana nayo.
- Fuga obuzito bwo: Omugejjo gwe gusinga okuleeta kookolo w’amabeere. N’olwekyo fuba okukuuma omugejjo omulungi.
- Dduyiro buli kiseera: Kirungi okukola dduyiro ow’amaanyi ag’ekigero waakiri eddakiika 150 mu wiiki (e.g. eddakiika 30 olunaku, ennaku 5 mu wiiki) ng’otambula oba okuvuga obugaali.
- Ekkomo ku kunywa omwenge: Okunoonyereza kulaga akakwate akaliwo wakati w’omwenge ne kookolo w’amabeere. N’olwekyo, kikulu okukomya ddala oba okukomya ennyo okunywa omwenge.
- Weegendereze eddagala ly’omira: Bw’oba omira eddagala ly’obusimu oba ebika by’empeke ezimu eziziyiza okuzaala, kakasa nti oyogera n’omusawo wo ku bulabe obuli mu bino ne LCIS. Bayinza okukuwa amagezi okukyusa n’odda ku ddagala eddala.
Nkola ntya okwerabirira nga mbeera ne LCIS?
Bw’okizuula nti olina LCIS, owulira ng’otya, naye era olina okwongera okulabirira omubiri gwo.
- Okwekebera amabeere: Kebera amabeere go buli mwezi. Bw’olaba ekintu kyonna ekipya, gamba ng’ekizimba, okukyuka kw’olususu oba enkyukakyuka mu nfuli, laba omusawo amangu ago.
- Weetegereze enkyukakyuka: Buuza omusawo wo ku bubonero obuyinza okuvaamu singa LCIS efuuka kookolo.
- Tosubwa obulwaliro:Kakasa nti ogenda ku ssaawa zonna ez’okugoberera omusawo wo z’akuwa. Ebigezo bino bijja kukuyamba okuzuula amangu enkyukakyuka yonna.
Kya bulijjo okuwulira ng’otya ng’ozuuliddwa nti olina LCIS. Naye tekitegeeza nti olina kookolo. Kitegeeza kyokka nti olina okufaayo ennyo ku bulamu bwo. Bw’oba olina amawulire amatuufu n’enkola ey’okukolagana n’omusawo wo, osobola okubeera n’obulamu obulungi, obw’essanyu n’embeera eno.
Obubaka Obutwala Awaka
- LCIS (Lobular Carcinoma in Situ) si kookolo wa mabeere, naye mbeera eyongera ku bulabe bw’okufuna kookolo w’amabeere mu biseera eby’omu maaso.
- Embeera eno etera obutaba na bubonero era etera okuzuulibwa mu kiseera ky’okukebera omubiri (biopsy) okukolebwa olw’ensonga endala.
- Obujjanjabi businziira ku kika kya LCIS ky’olina. Abantu abamu, okwetegereza kwokka kumala, ate abalala bayinza okwetaaga eddagala oba okulongoosebwa.
- Yogerako mu lwatu n’omusawo wo era otegeere obulabe bwo n’engeri gy’oyinza okukozesaamu obujjanjabi. Totya era salawo mu ngeri ey’amagezi.
- Obulamu obulungi (okukuuma obuzito obulungi, okukola dduyiro, okukendeeza ku mwenge) buyamba okukendeeza ku bulabe bwa kookolo w’amabeere.











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