Ka tuyige buli kimu ekikwata ku kwekebejja kookolo w'amawuggwe!

Oli munywa ssigala ? Oba oli eyali omunywa sigala nga kati avudde ku ssigala? Bwe kiba bwe kityo, ekitundu kino kijja kuba kikulu nnyo gy’oli. Leero tugenda kwogera ku bulwadde abantu bangi bwe batya, naye nga bulina emikisa mingi okuwona singa buzuulibwa nga bukyali. Oyo ye kookolo w'amawuggwe . Ebiseera ebisinga kiyinza okulwawo ennyo nga kitandise okulaga obubonero. Kale, leero twogera ku nkola esobola okuzuula kookolo atandise okukula munda mu mubiri, ne bwe kiba nga tewali bubonero.

Okukebera kookolo w’amawuggwe kye ki?

Mu ngeri ennyangu, okwekebejja kookolo w’amawuggwe kwe kukebera okuzuula oba olina kookolo w’amawuggwe nga tonnaba kulaba bubonero bwonna . Kino kikolebwa ne sikaani ey’enjawulo ekolebwa omulundi gumu mu mwaka. Kino kiyitibwa CT scan eya dose entono (LDCT).

Kilowoozeeko ng’okukuba ebifaananyi ebitegeerekeka obulungi ennyo eby’amawuggwe agali munda mu mibiri gyaffe. Okuva mu bifaananyi bino, tusobola okuzuula n’obutundutundu obutono ennyo, obutalabika obw’obutoffaali bwa kookolo (ebizimba).

Oyinza okulowooza nti, "Sirina buzibu bwonna, sirina kusesema, sirina musujja, lwaki nnandibadde nnoonya kookolo?" Ekyo kye kizibu. Ekisinga obubi ku kookolo w'amawuggwe kwe kuba nti talaga bubonero bwonna mu ntandikwa . Obubonero ng’okusesema, omusujja , n’okulumwa mu kifuba we butandikira okulabika, kookolo ayinza okuba nga yasaasaana wala era n’afuuka muzibu okujjanjaba. Naye `okukebera` kuno kye kukola kwe kukwata kookolo nga tannatuuka ku mutendera ogwo ogw'akabi, ng'akyali kimera kitono. Olwo emikisa gy’okuwona mu bujjuvu ng’ofunye obujjanjabi giba mingi nnyo.

Ani ayagala okukola ekigezo kino?

Kino si kigezo ekisemba buli muntu. Kirungi nnyo eri abantu bokka abali mu bulabe obw’amaanyi obw’okukwatibwa kookolo w’amawuggwe. Okusinziira ku bakugu mu by’obujjanjabi, bw’oba ​​otuukiriza ebisaanyizo byonna ebisatu bino wammanga, kiba kya magezi okukeberebwa kuno omulundi gumu mu mwaka.

‘Pack-Year’ ebalwa etya?

Kino kiyinza okuwulikika ng’ekigambo ekipya, naye mu butuufu kyangu nnyo. ‘Pack-year’ kipimo kya sigala mmeka gw’onywedde mu bulamu bwo. Laba engeri gy'oyinza okugizuulamu:

Kubisaamu emyaka gy’onywa sigala n’omuwendo gwa paaka za sigala z’onywa buli lunaku (jjukira nti mu paaka mulimu sigala 20).

Ka tulabe ekyokulabirako:

• Eky’okulabirako 1: Sunil yafuuwa paaka ya sigala 1 (sigala 20) buli lunaku okumala emyaka 20.
• ‘Pack-years’ ze = emyaka 20 x pack 1 buli lunaku = ‘pack-years’ 20 .
• Eky’okulabirako 2: Kamal yanywa sigala okumala emyaka 10. Naye yanywa packs za sigala 2 (sigala 40) olunaku.
• ‘Pack-years’ ze = emyaka 10 x pack 2 buli lunaku = ‘pack-years’ 20 .
• Ekyokulabirako 3: Piyal yafuuwa ekitundu kya paaka ya sigala (sigala 10) olunaku okumala emyaka 40.
• ‘Pack-years’ ze = emyaka 40 x packs 0.5 buli lunaku = ‘pack-years’ 20 .

Kale, singa omuwendo gwo ogwa ‘pack-year’ guba 20 oba okusingawo, era ng’otuukiriza emisingi emirala ebiri, wandibadde olowooza ku ky’okukeberebwa kuno. Bwoba tokakasa ku kubalirira kuno, ekyo si kibi. Osobola okwogera n’omusawo w’amaka go n’osaba okunnyonnyola.

Engeri sikaani gy’ekolebwamu

Nze nneetaaga okwetegeka nga sinnaba sikaani?

Ebiseera ebisinga, tewali nteekateeka ya njawulo yeetaagibwa ku sikaani eno eya `LDCT`. Kino kitegeeza nti teweetaaga kusiiba wadde okumira eddagala lyonna ery’enjawulo. Wabula ekifo we bakukola sikaani bwe kiba nga kikuwadde ebiragiro ebirala, bigoberere ddala. Kirungi okwambala engoye z’osobola okwanguyirwa okukyusaamu n’okukendeeza ku bintu eby’ekyuma ku mubiri gwo, gamba ng’amajolobero n’essaawa.

Ekirala ekikulu kiri nti, bw’oba ​​olina obulwadde bw’okussa ng’omusujja oba okusesema ku lunaku lw’okusika, tegeeza oyo akola sikaani nga bukyali. Okukola sikaani mu kiseera ng’ekyo kiyinza okukosa obutuufu bw’ebivuddemu. Kale bayinza okukuwa olunaku olulala.

Kiki ekibaawo mu kiseera ky’okusika?

Kino tekitiisa nga bw’oyinza okulowooza. Enkola ya mangu nnyo era etaliimu bulumi.

1. Okusooka, omukugu akola sikaani ajja kukusaba okuggyako ebintu byonna eby’ekyuma, essaawa oba eby’okwewunda mu mubiri gwo. Oyinza okusabibwa okwambala gomesi gye bagenda okukuwa okuva mu kiwato okutuuka waggulu.

2. Olwo ojja kukolebwa okugalamira ku kitanda nga olina sikaani.

3. Ku mulundi guno, omulwadde atambula n’ayingira mu sikaani, eringa donut ennene.

4. Ekyuma bwe kikutambula ne kikukuba ebifaananyi, ekitanda kiyinza okugenda mu maaso n’emabega katono.

5. Mu kiseera kino, omukugu ajja kwogera naawe ng’ayita mu mayirofooni akuwe ebiragiro ng’okussa, okufulumya omukka, n’okukwata omukka okumala akaseera katono. Kikulu nnyo okugoberera ebiragiro bino ddala okusobola okutegeera obulungi ebivuddemu.

6. Omukugu newankubadde tali mu kisenge kimu naawe, buli kimu akitunuulira ng’ali bweru n’ayogera naawe. Kale tewali nsonga lwaki tutya.

7. Ebifaananyi byonna ebyetaagisa bwe bimala okukubwa, ekitanda kiddamu okuvaayo, era osobola okusituka n’ogenda. Enkola yonna etwala eddakiika ntono zokka.

Obulabe n’emigaso ki ebiri mu kukebera kuno?

Nga bwe kiri ku kukebera kwonna okw’obujjanjabi, waliwo akabi akatono n’emigaso eminene. Ekyo tukitegeere.

Obulabe

• False positives: Kino kye kisinga okuleeta akabi. Kino kitegeeza nti sikaani eyinza okulaga akazimba akatono mu mawuggwe akalinga kookolo (pulmonary nodule), naye mu butuufu kayinza obutaba kookolo. Ebizimba by’amawuggwe ebisinga tebirina bulabe. Kyokka, okubeera nga olina okwongera okukeberebwa (era nga kiyinzika n’okulongoosebwa) okutuusa nga kyeyoleka bulungi oba kookolo oba nedda kiyinza okunyigiriza ennyo.
• Okukwatibwa emisinde: Omuwendo gw’obusannyalazo obufuluma okuva mu sikaani ya LDCT butono nnyo. Kitono nnyo okusinga CT scan eya bulijjo. Naye si zero. Okubeera n’obusannyalazo buno obutasalako okumala emyaka mingi kiyinza okwongera katono ku bulabe bwa kookolo. Kyokka bw’ogeraageranya n’akabi akali mu kookolo w’amawuggwe eri oyo anywa sigala, akabi akava mu sikaani eno tekalina maanyi.
• Ebizuuliddwa mu butanwa:Oluusi, sikaani ekolebwa okunoonya kookolo w’amawuggwe eyinza okuzuula embeera endala mu butanwa. Okugeza, embeera eyitibwa COPD (chronic obstructive pulmonary disease) oba ekizimba mu mabeere eyinza okusangibwa. Ebimu ku bino biyinza okwetaagisa okujjanjabibwa, ate ebirala biyinza obutaba na bujjanjabi. Naye era bisobola okuvaako okukeberebwa n’okunyigirizibwa ebiteetaagisa.

Ebirungi ebirimu

• Okuzuula amangu: N’obuzimba obutonotono obwa kookolo obutono ennyo obutasobola kuzuulibwa ku X-ray y’ekifuba eya bulijjo osobola okugiraba bulungi ku CT scan. Kookolo gy’akoma okuzuulibwa amangu, emikisa gy’okujjanjabibwa n’okuwona gye gikoma okubeera eminene.
• Dozi y’obusannyalazo entono: Nga bwe kyayogeddwako emabegako, kino kikozesa ddoozi y’obusannyalazo entono okusinga ku CT scan eya bulijjo, n’olwekyo akabi kali katono.

Ebintu ebiyinza okuba mu lipoota yo

Oluvannyuma lwa sikaani, omusawo akola ku by’okukuba ebifaananyi n’omusawo wo bajja kwetegereza ebifaananyi ne bakuwa lipoota. Lipoota eyinza okubaamu ebigambo nga bino. Ka tulabe amakulu gaazo amangu.

Ebivaamu bwe biba si bya bulijjo, kiki ekiddako?

Tofaayo singa wabaawo ekintu ekiteeberezebwa ku lipoota ya sikaani. Tekitegeeza nti olina kookolo. Kitegeeza kyokka nti kyetaaga okwongera okunoonyezebwa. Omusawo ajja kukunnyonnyola buli kimu era akulambika ku ky’olina okuddako.

Ekiddako kiyinza okuba ekimu ku bino:

• Ddamu LDCT scan mu myezi 3-6 (okulaba oba ekizimba kikyuse)
• Sikaani ya `Diagnostic CT` oba `PET/CT` scan esingawo.
• Okusisinkana omusawo wa kkansa.
• Ku mbeera endala ez’okussa ezitali za kookolo, laba omusawo w’amawuggwe.

Ddi lwe tuyinza okulekera awo okukola ekigezo kino?

Okugezesebwa kuno okwa buli mwaka tekyetaagisa bulamu bwonna. Osobola okukikomya singa:

• Bw’oba ​​olina emyaka 81 n’okudda waggulu.
• Bw’oba ​​omaze emyaka 15 n’okusoba ng’onywa sigala (gy’okoma okumala ebbanga nga tolina sigala, emikisa gy’okufuna kookolo gye gikoma okukka).
• Singa, olw’embeera endala ey’obulamu, ozuulibwa nti olina kookolo w’amawuggwe mu kiseera ekisookerwako naye nga tosobola kulongoosebwa, oba nga toyagala kulongoosebwa.

Mu kumaliriza, kookolo w’amawuggwe bulwadde bwa maanyi. Kyokka sikaani eno ennyangu ekolebwa omulundi gumu mu mwaka, kya maanyi nnyo ekisobola okuzuula obulwadde buno obw’amaanyi nga bukyali n’okutaasa obulamu. Kookolo w’amawuggwe tasobola kuzuulibwa mu kukeberebwa musaayi. N’olwekyo, bw’oba ​​olowooza nti oli mu bulabe obw’amaanyi obw’okulwala obulwadde buno, nsaba oyogere n’omusawo wo ku nsonga eno.Kiyinza okuba ensonga lwaki otaasa obulamu bwo.