Ffenna tumanyi okutya n'okukankana ebijja mu birowoozo nga tuwulira ebigambo "kookolo w'amabeere." Ekibuuzo ekisinga okujja mu birowoozo byange kiri nti, "Nnaaba nnina okuggyibwako ebbeere lyange lyonna?" Abantu bangi kino bakitya nnyo. Kyokka si kookolo w’amabeere yenna nti yeetaaga kulongoosebwa. Leero, twogera ku kulongoosa okw’enjawulo okuyinza okukuyamba mu mbeera ng’eno, okukuuma ebbeere n’okuggyawo kookolo yekka. Okwo kwe kulongoosa kwa `Lumpectomy`.
Mu ngeri ennyangu, Lumpectomy kye ki?
Okulongoosa ekizimba ekiggyamu ekizimba kya kookolo kyokka n’obutundutundu obutono obulungi obukyetoolodde, n’oleka ebbeere lyo nga teririna kamogo. Kino era kiyitibwa okusala amabeere ekitundu. Ekigendererwa kwe kuggyawo kookolo yenna ate ng’okuuma endabika n’enkola y’amabeere go nga bwe kisoboka. Eno y'ensonga lwaki era kiyitibwa "okulongoosa okukuuma amabeere."
Obujjanjabi bw’amasannyalaze butera okuweebwa oluvannyuma lw’okusalako ekizimba okukendeeza ku bulabe bwa kookolo okuddamu.
Oluusi okulongoosa kuno kukolebwa okukebera oba ekizimba mu mabeere kirimu kookolo, naye emirundi egisinga kukolebwa ng’obujjanjabi bwa kookolo.
Waliwo ebika by’okulongoosa kuno eby’enjawulo?
Yee, waliwo enkola ez’enjawulo omusawo z’agenda okusalawo okusinziira ku mbeera gy’olimu. Ka tulabe kye bali.
| Ekika ky’okulongoosa | Mu ngeri ennyangu... |
|---|---|
| Okukebera ebitundu by’omubiri (Excisional Biopsy). | Mu butuufu eno nkola ya kuzuula bulwadde. Wano, ekizimba kiggyibwawo ddala ne kisindikibwa okukeberebwa okulaba oba kya kookolo (ekizibu oba ekitali kya bulabe). |
| Okusalako mu kitundu ekigazi | Kookolo aggyibwawo wamu n’ekitundu ekitono ennyo eky’ebitundu ebiramu (margin) ebimwetoolodde. Olwo ekitundu kino ekiramu ne kikeberebwa oba temuli butoffaali bwa kookolo. Singa tewabaawo butoffaali, okulongoosebwa kuba kwa buwanguzi. |
| Okusalako ebitundu bina (Quadrantectomy). | Mu kino, nga kimu kyakuna eky’amabeere kiggyibwamu. Ekizimba kiggyibwamu wamu n’ebitundu ebiramu ebikyetoolodde n’ekitundu ekirimu emikutu gy’amata. |
| Okuddamu okusalako Margins | Oluvannyuma lwa ‘Wide Local Excision’ eyogeddwako waggulu, singa lipoota zifunibwa nti waliwo obutoffaali bwa kookolo mu bitundu ebiramu ebyaggyibwamu, okulongoosa okw’okubiri kujja kukolebwa okuggyamu ebitundu ebirala. |
Ani asaanira okuggyibwako olubuto?
Omusawo wo y’ajja okusalawo oba okulongoosebwa kuno kukusaanira. Mu budde obutuufu, oyinza okusemba okulongoosebwa kuno mu mbeera zino wammanga:
- Singa kookolo akoma ku kitundu kimu eky'amabeere go .
- Singa kookolo aba si munene nnyo bw’ogeraageranya n’obunene bw’amabeere go.
- Singa omusawo awulira nti obungi bw’ebitundu ebisigaddewo oluvannyuma lw’okuggyamu ekizimba bumala okuddamu okuzimba ebbeere.
- Bw’oba oli mu bulamu bulungi okumaliriza obujjanjabi bw’amasannyalaze obwetaagisa oluvannyuma lw’okulongoosebwa.
Ani yandibadde asinga obutalongoosebwa kuno?
Mu mbeera ezimu, okuggyamu amabeere gonna, kiyinza okuba ekituufu okusinga okusala amabeere.
Ekisinga obukulu kwe kwogera mu lwatu n’omusawo wo ku bujjanjabi ki obusinga ku mbeera yo.
Omusawo ayinza obutakuwa magezi kulongoosa kuno singa oba olina ensonga zino wammanga:
- Singa wabaawo ebizimba bya kookolo ebingi mu bbeere lye limu .
- Singa ekizimba kiba kinene nnyo bw’okigeraageranya n’obunene bw’amabeere.
- Singa kookolo asaasaanidde ku lususu lw'amabeere oba ku bbugwe w'ekifuba .
- Bw’oba olina ekika kya kookolo asaasaana amangu (nga kookolo w’amabeere azimba).
- Bw’oba olina obulabe obw’amaanyi obw’okuddamu okulwala kookolo olw’ebyafaayo by’amaka ga kookolo oba ensonga z’obuzaale (nga `BRCA` gene mutations).
- Bw’oba nga wali omaze okulongoosebwa lumpectomy ne radiation therapy, era nga kookolo azzeemu .
Ate era, okulongoosa kuno tekusaanira singa wabaawo obulabe obuyinza okuva mu bujjanjabi obw’amasannyalaze. Eby’okulabirako:
- Bwoba nga emabegako wafuna obujjanjabi bwa radiation ku bbeere lye limu .
- Bw’oba oli mu bulabe bw’okufuna ebizibu okuva mu bujjanjabi bw’amasannyalaze olw’embeera z’olususu nga `Scleroderma` oba `Sjögren's syndrome`.
- Oli lubuto.(Naye oluusi okulongoosa kuyinza okukolebwa mu myezi esatu egisembayo ng’oli lubuto era obujjanjabi obw’amasannyalaze busobola okuweebwa ng’omwana amaze okuzaalibwa).
Kiki ekibaawo mu kiseera ky’okulongoosebwa?
Ka tulabe mutendera ku mutendera ku bibaawo ku lunaku lw’okulongoosebwa.
1. Okulaga ekifo ekizimba we kiri: Okusooka, omusawo akola ku by’okukuba ebifaananyi akozesa ekyuma ekiyitibwa ultrasound oba mammogram okuzuula ekifo ekituufu ekizimba we kiri munda mu bbeere. Oluvannyuma, mu kifo ekyo bateekebwamu waya oba chip entono okusobola okwanguyirwa omusawo alongoosa okutuuka.
2. Okubudamya: Ojja kuweebwa eddagala eriweweeza ku bulumi. Ebiseera ebisinga, ojja kuweebwa eddagala eribudamya abantu bonna, ekijja okukuteeka otulo ddala. Oluusi, ojja kuweebwa eddagala okuzimba ekitundu kyokka ekikulongoosebwa n’okuwulira ng’olina otulo.
3. Okuggyawo ekizimba: Omusawo alongoosa akozesa akabonero akaakolebwa emabegako okuggyawo ekizimba kya kookolo n’oluwuzi olugonvu olw’ebitundu ebiramu ebikyetoolodde.
4. Okussaako obubonero: Ebikwaso by’ebyuma ebitonotono (marker clips) biteekebwa awali ekizimba. Kino kikulu omusawo wa kkansa ow’amasannyalaze asobole okumanya bulungi w’alina okutunuulira amasannyalaze ng’awa obujjanjabi obw’amasannyalaze oluvannyuma.
5. Okutunga: Ekisembayo, olususu luddamu okutungibwa wamu. Ebiseera ebisinga, kino kye bakozesa emisono egy’okusaanuuka. Kale tekyetaagisa kuddayo kuddamu kuzisala.
Obukulu bw’okuggyawo emisuwa gy’amagulu (Sentinel Node Biopsy) .
Mu kiseera ky’okusalako kookolo, ennywanto emu oba eziwera mu nnyindo yo ezisinga okumpi ne kookolo wo ziggyibwamu ne zisindikibwa mu laabu okukeberebwa. Kino kiyitibwa Sentinel Node Biopsy (SNB). Ensigo zino ze zisooka okukeberebwa singa obutoffaali bwa kookolo busaasaanidde. Singa obutoffaali bwa kookolo busangibwa mu nnyindo zino, kitegeeza nti kookolo asaasaanidde okusukka ekizimba. Oyinza okwetaaga obujjanjabi obw’enjawulo.
Kiki ekibaawo oluvannyuma lw’okulongoosebwa?
Oluvannyuma lw’okulongoosebwa, obujjanjabi bwo obw’omu maaso bujja kusalibwawo okusinziira ku lipoota y’obulwadde bw’ekizimba ekiggiddwawo n’ebitundu ebikyetoolodde.
- Ekisinga obulungi: Tewali butoffaali bwa kookolo mu kizimba era tewali butoffaali bwa kookolo mu bitundu ebiramu ebiggiddwawo okwetooloola ekizimba (negative margin).
- "Positive Margin" result: Singa wabaawo obutoffaali bwa kookolo mu kitundu ky'ebitundu ebiramu ebyaggyibwamu, okulongoosa okulala kuyinza okwetaagisa okuggyawo obutoffaali bwa kookolo bwonna obusigadde.
- Obutoffaali bwa kookolo mu nsigo: Singa obutoffaali bwa kookolo busangibwa mu nsigo, oyinza okwetaaga obujjanjabi obulala oba okukeberebwa .
- Ebintu eby’enjawulo ebikwata ku butoffaali bwa kookolo: Obutoffaali bwa kookolo obumu buyambibwa okukula obusimu (nga estrogen). Mu mbeera eyo, kiyinza okwetaagisa okutandika obujjanjabi bw’obusimu .
Omusawo wo ajja kukunnyonnyola bino byonna.
Emigaso n’obulabe obuyinza okuva mu kulongoosebwa
Ebirungi ebikulu
Ekirungi ekisinga obunene mu kino kwe kufuna okukuuma ebbeere lyo ate ng’oggyawo kookolo. Kisobola okukuuma endabika yaakyo, engeri gye kiwuliramu, ne buli kimu ekiri wakati waakyo.
Lumpectomy yakolebwanga mu biseera bya kookolo ebisooka byokka. Kyokka, okunoonyereza okwakakolebwa kulaga nti emirundi egisinga, tewali njawulo nnene mu biva mu kuwangaala wakati w’okusala amabeere n’obujjanjabi obw’amasannyalaze, n’okusala amabeere, okuggyawo ebbeere lyonna . N’olwekyo, kati kirungi ng’eddagala erisooka eriwonya ebika bya kookolo bingi.
Obulabe obuyinza okubaawo (Ebizibu) .
Okufaananako n’okulongoosa kwonna, kuno kuyinza okuba n’akabi akatono.
- Obulwadde mu kifo we batunga.
- Okukuŋŋaanyizibwa kw’amazzi mu kifo we balongoosebwa (Seroma).
- Okukunganya omusaayi `(Hematoma)`.
- Enkovu olw’obujjanjabi bw’amasannyalaze.
- Okuzimba mu mukono oba mu nnyindo (Lymphedema).
- Obulumi mu kifo we balongoosezza (bukendeera mu wiiki ntono).
Bw’oba weetaaga okuyita omusawo mu bwangu
Singa olaba obubonero bwonna obulaga nti olina obulwadde ng’owona, kiyinza okuba eky’amaanyi. Kale beera mwegendereza obubonero buno. Bw'oba olina ekimu ku bino , tegeeza omusawo wo amangu ago .
- Okumyuuka n’okuzimba kw’amabeere agalongooseddwa.
- Okuwulira ebbugumu ng’okwata ku lususu.
- Amazzi amanene agalinga amata (mas) gakulukuta okuva mu kiwundu.
- Omusujja, okuwunya, okutuuyana .
- Okwongera okukuŋŋaanyizibwa kw’amazzi okwetoloola oba munda mu bbeere.
- Obulumi bweyongera oluvannyuma lw’okulongoosebwa.
Obubaka Obutwala Awaka
- Lumpectomy kulongoosa kirungi nnyo era okutali kwa bulabe kuyinza okukuuma ebbeere lyo ate nga kuggyawo kookolo w’amabeere.
- Okulongoosa kuno tekusaanira buli muntu. Omusawo ajja kusalawo obujjanjabi obusinga okukusaanira okusinziira ku ngeri ya kookolo wo.
- Emirundi mingi, okusala ebbeere nga kigatta wamu n’obujjanjabi obw’amasannyalaze kivaamu ebirungi nnyo ng’okuggyawo ebbeere lyonna.
- Teesa ku byonna ebikweraliikiriza n’okutya n’omusawo wo awatali kulonzalonza. Kikulu nnyo okukusalawo ekisinga obulungi.











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