Omusawo bw'akugamba nti olina kookolo, n'oluvannyuma n'agamba nti, "Nnina okuggyawo ennywanto ezimu wamu n'ekizimba," kya bulijjo okuwulira ng'otya katono. "Lwaki baggyawo nodes zino? Kiki ekigenda okubaawo ne kino? Kino kikwekweto kinene ?" Ebibuuzo bingi nga bino osanga bijja mu birowoozo byo. Totya. Leero, twogera ku kulongoosa kuno okuyitibwa Lymphadenectomy okuddamu ebibuuzo ebyo.
Okusookera ddala, Lymphadenectomy kye ki?
Mu ngeri ennyangu, okulongoosa omusaayi (lymphadenectomy) kwe kulongoosa okuggyawo ennywanto emu oba eziwera mu mubiri gwo. Mu lulimi lwaffe olwa bulijjo, kino era kiyitibwa "lumpectomy."
Teebereza nti omubiri gwaffe gulinga ekibuga ekinene. Waliwo omukutu gw’enguudo (emisuwa) buli wamu mu kibuga kino. Ekirala, waliwo enkola ey’enjawulo ey’okuggyawo kasasiro n’okukakasa obukuumi mu kibuga kino. Bw’etyo enkola y’amazzi mu mubiri gwaffe bw’eri. Enkola eno erina ebifo ebitonotono eby’obukuumi. Ebifo ebyo ebikebera tubiyita lymph nodes .
Omulimu gwabwe omukulu kwe kusengejja n’okuyonja amazzi agakulukuta mu nkola y’amazzi. Kwe kugamba, zikwata ne zisaanyaawo obuwuka, obutoffaali obwonooneddwa, n’okusingira ddala obutoffaali bwa kookolo mu mazzi gano. Kale kitundu kikulu nnyo mu baserikale b’omubiri gwaffe.
Olwo lwaki okuggyawo ennywanto zino ku muntu alina kookolo?
Ensonga enkulu lwaki kino kikoleddwa kwe kumanya ddala oba kookolo asaasaanidde mu bitundu by’omubiri ebirala. Ekkubo erisinga okusaasaana kuno (metastasis) mwe kuyitamu liyita mu nkola y’amazzi.
Teebereza kino. Olina ekizimba mu kitundu ekimu eky’omubiri gwo. Kiba ng’omuliro omutono mu kisenge kimu eky’ennyumba. Kati twagala okumanya oba omuliro guno gusaasaanidde mu bisenge ebirala. Kale tukola ki? Tugenda mu bisenge ebituli okumpi ne tulaba oba omuliro gubunye eyo.
Mu ngeri y’emu abasawo bakebera n’ennywanto eziriraanye ekizimba okulaba oba obutoffaali bwa kookolo busaasaanidde eyo.
Okulongoosa kuno kutuukiriza ebigendererwa ebikulu ebiwerako:
- Okuzuula omutendera gwa kookolo: Abasawo basobola okuzuula omutendera gwa kookolo okusinziira ku oba waliwo obutoffaali bwa kookolo mu nnywanto z’omusaayi oba nedda. Kino kikulu nnyo mu kutegeka obujjanjabi mu biseera eby’omu maaso.
- Ng’obujjanjabi: Singa wabaawo obutoffaali bwa kookolo mu nnywanto, okuggyawo ennywanto ezo nakyo kiggyawo obutoffaali obwo obwa kookolo mu mubiri. Kino kitegeeza nti kino kizuula era kijjanjaba.
- Okukomya kookolo okwongera okusaasaana: Okuggyawo enseke ezirimu obutoffaali bwa kookolo kiyimiriza kookolo okwongera okusaasaana mu mubiri.
- Okutangira kookolo okuddamu:Oluvannyuma lw’okuggyawo ekizimba, okuggyawo obutoffaali bwa kookolo bwonna obuyinza okusigala mu nnywanto ezigyetoolodde kiyinza okukendeeza ku bulabe bwa kookolo okudda mu biseera eby’omu maaso.
Bika ki ebya kookolo ebisinga okwetaagisa okulongoosebwa kuno?
Okulongoosa kuno kirungi ku bika bya kookolo ebiwerako ebisinga okusaasaana okuyita mu nkola y’amazzi. Ebika bya kookolo ebisinga okubeerawo mulimu:
- Kookolo w’amabeere
- Kookolo w’olususu ayitibwa Melanoma
- Kookolo w’omutwe n’ensingo
- Kookolo w’ekibumba
- Kookolo w’amawuggwe
- Kookolo w’olubuto
- Kookolo w’olubuto n’omumwa gwa nnabaana
- Kookolo w’ensigo n’enkwaso
- Kookolo w’ekibumba, ow’omu lubuto, n’omumwa gwa nnabaana
Bika ki ebikulu eby’okulongoosa omusaayi (lymphadenectomy)?
Waliwo engeri bbiri ez’okukolamu okulongoosa kuno. Kiringa poliisi okubuuza oba ekebere ekitundu kyokka ekiteeberezebwa oba ekitundu kyonna.
| Ekika ky’okulongoosa | Mu ngeri ennyangu... |
|---|---|
| Okusala amazzi mu bitundu (Selective) Lymphadenectomy | Kino kizingiramu okuggya sampuli yokka, kwe kugamba, entono yokka, okuva mu kitundu ky’ennywanto ekisinga okumpi n’ekizimba kya kookolo. |
| Okusalako omusaayi mu ngeri ey’ekimpatiira (Complete/Total) Lymphadenectomy | Kino kizingiramu okuggyawo ennywanto zonna eziri mu kitundu ekyo. Kino kikolebwa singa wabaawo okuteebereza nti kookolo asaasaanidde wala ekimala. |
Oluusi, abasawo basooka kukola Sentinel Node Biopsy.Kye kiyitibwa. Kwe kugamba, okuzuula ekitundu ekiyitibwa "sentinel" lymph node, obutoffaali bwa kookolo we buyinza okusooka okutambula okuva mu kizimba, n'okuggyawo n'okukebera ekyo kyokka. Bwe kiba nga tekirimu butoffaali bwa kookolo, kitera okusalibwawo obutaggyawo bulala. Singa kikola, nodes endala zijja kuba zirina okuggyibwawo.
Wa ku mubiri gw’oggyayo ebiwuka mu ngeri eno?
Kino kisinziira ku kookolo wo gy’ali, kuba buli kika kya kookolo kisaasaana okuyita mu bitundu by’ennywanto ebitongole mu mubiri.
| Erinnya ly’okulongoosebwa | Awali enseenene ezirina okuggyibwawo | Ebiseera ebisinga kookolo akwatagana nabyo |
|---|---|---|
| Okulongoosa omusaayi mu bitundu by’omubiri (Axillary Lymphadenectomy). | Ekitundu ky’enkwaso | Kookolo w’amabeere, melanoma y’omukono |
| Okulongoosa omusaayi mu nnyindo (inguinal Lymphadenectomy). | Ekitundu ky’omugongo | Kookolo w’obusajja n’enkwaso |
| Okulongoosa omusaayi mu nnabaana | Ekitundu ky’ensingo | Kookolo w’omutwe, ensingo ne thyroid |
| Okulongoosa omusaayi mu lubuto (Retroperitoneal Lymphadenectomy). | Emabega w’olubuto (munda mu lubuto) . | Kookolo w’ensigo n’enkwaso |
| Okuggyamu omusaayi mu kifuba (Pelvic Lymphadenectomy). | Ekisambi (Pelvis). | Kookolo w’ekibumba, mu nseke, kookolo w’enseke |
| Okulongoosa omusaayi mu bitundu by’omubiri (mediastinal Lymphadenectomy). | Ekitundu ekiri wakati mu kifuba | Kookolo w’amawuggwe, Lymphoma |
Kiki ekibaawo nga tebannaba kulongoosebwa, nga balongooseddwa n’oluvannyuma lw’okulongoosebwa?
Nga tannalongoosebwa
Nga tannategeka kulongoosebwa kwo, kirabika omusawo ajja kulagira okukeberebwa nga sikaani okukebera embeera y’ennywanto zo. Era bayinza okukola okukebera empiso, nga kino kizingiramu okuggyamu akatundu akatono ak’omubiri okwekebejjebwa. Singa okukebera kuno kulaga obubonero bwa kookolo, balongoosebwa omusaayi (lymphadenectomy).
Mu kiseera ky’okulongoosebwa
Okulongoosa kuno kutera kukolebwa mu ngeri ya general anesthesia. Kino kitegeeza nti tojja kuwulira kintu kyonna, ojja kuba weebase ddala. Waliwo engeri bbiri okulongoosa gye kuyinza okukolebwamu.
1. Okulongoosa mu lwatu: Mu kino, basalako ekitundu kimu ekiwanvu mu kifo ekikwatagana era n’ennywanto z’omusaayi ne ziggyibwamu.
2. Okulongoosa mu bitundu by’omubiri (Laparoscopic Surgery): Kino kizingiramu okusala obutundutundu obutonotono obuwerako, okuyingiza kkamera mu kimu, n’okuyingiza ebikozesebwa mu bitundu ebirala. Enkola eno erina ekiseera ekitono eky’okuwona n’enkovu entono.
Oluvannyuma lw’okulongoosebwa, omusawo ajja kuteeka akatuli akatono akayitibwa drain munda mu kifo ekisaliddwamu n’akayunga ku ttanka. Kino kikolebwa okutangira amazzi agateetaagisa okukuŋŋaanyizibwa mu kifo we balongoosezza. Omudumu guno gujja kwetaaga okulekebwa mu kifo kyalyo okumala ennaku oba wiiki eziwera.
Oluvannyuma lw’okulongoosebwa
Singa walongoosebwa ekisumuluzo ekitono, ojja kusobola okudda eka ku lunaku lwe lumu. Bw’oba olongooseddwa mu lwatu, ojja kwetaaga okubeera mu ddwaaliro okumala olunaku lumu oba ssatu. Bw’odda eka, ojja kuweebwa ebiragiro ebikwata ku ngeri y’okulabirira ekiwundu n’engeri y’okumira eddagala lyo. Ojja kwetaaga okuddamu okulaba omusawo okuggyamu omudumu, okusala emisono, n’okufuna lipoota y’okukebera omubiri.
Migaso ki, kabi ki, n’ebizibu ebiva mu kulongoosa kuno?
Okufaananako n’okulongoosa kwonna, kuno kulina emigaso nga kw’otadde n’akabi n’ebizibu ebimu.
| Emigaso | Obulabe & Ebikosa |
|---|---|
| Osobola okumanya bulungi oba kookolo asasaanye. | Obulwadde bw’ebiwundu. |
| Okuzuula omutendera gwa kookolo kiyamba okulonda obujjanjabi obusinga obulungi. | Okwonooneka kw’obusimu n’emisuwa egyetooloddewo. |
| Aggyawo obutoffaali bwa kookolo mu nnywanto z’omusaayi n’abulemesa okusaasaana. | Okuzirika n’okukaluba okwetooloola ekifo ekisaliddwa. |
| Kikendeeza ku bulabe bw’okuddamu okulwala kookolo. | Okukuŋŋaanyizibwa kw’amazzi mu kifo we balongoosebwa (Seroma). |
| Lymphedema: Kino kizibu ky’olina okukimanya. Ensigo nnyingi bwe ziggyibwawo, okutambula kw’amazzi g’omusaayi kuyinza okutaataaganyizibwa, ne kivaako ekitundu ky’omubiri okuzimba enkalakkalira, gamba ng’omukono oba okugulu. Embeera eno tetuuka ku buli muntu. Naye kikulu okukimanya. |
Nga olina okuyita omusawo wo
Bw’ofuna obubonero buno bwonna oluvannyuma lw’okulongoosebwa, kuba essimu y’omusawo mu bwangu .
- Singa ekiwundu kiba kimyufu, nga kikulukuta amasira oba ng’olina omusujja (buno bubonero bwa yinfekisoni).
- Singa wabaawo obulumi obutagumiikiriza, okuziyira oba okukaluba.
- Singa ekitundu ky’omubiri, gamba ng’omukono oba ekigere, kizimba ekisusse.
- Singa entambula ezimu ziba nzibu okukola.
Okusalako omusaayi (lymphadenectomy) ddaala ddene nnyo mu nkola y’okujjanjaba kookolo. Ekuwa amawulire ag’omugaso agakwata ku mbeera yo era esobola okuyamba okukomya kookolo okusaasaana. Nga bwe kiri ku kulongoosa kwonna, waliwo akabi, naye emigaso gyayo gisaanira akabi. Ekisinga obukulu kwe kwogera n’omusawo wo ku nsonga eno n’okubuuza ebibuuzo byonna by’oyinza okuba nabyo.
Obubaka Obutwala Awaka
- Lymphadenectomy kwe kulongoosa okuggyamu ennywanto (nodes) eziyinza okubaamu obutoffaali bwa kookolo.
- Ekigendererwa ekikulu mu kino kwe kuzuula oba kookolo asaasaanye (okuzuula) n’okuggyawo obutoffaali obusaasaana (obujjanjabi).
- Amawulire agafunibwa okuva mu kulongoosebwa kuno geetaagisa nnyo okuzuula omutendera gwa kookolo wo n’okuteekateeka obujjanjabi mu biseera eby’omu maaso.
- Lymphedema, embeera ng’ebitundu by’omubiri bizimba, y’emu ku nsonga enkulu eziyinza okuvaako oluvannyuma lw’okulongoosebwa. Kyokka kino tekituuka ku buli muntu.
- Mu kiseera ky’okuwona, beera mwegendereza obubonero bwonna obulaga nti olina yinfekisoni, okuzimba ekisusse oba obulumi obutagumiikiriza. Kino bwe kibaawo, tegeeza omusawo mu bwangu.
- Yogerako mu lwatu n’omusawo wo ku kutya kwonna oba okubuusabuusa kwonna kw’oyinza okuba nakwo.
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