Oyagala omwana wo amanye ku bulwadde bwa Non-Hodgkin's Lymphoma? Ka twogere ku nsonga eno!

Abaana baffe abato ne bwe banaannyogoga katono, bawulira nga batidde nnyo, si bwe kiri? Oluusi, ne bw’oba ​​olowooza nti bulwadde bwa bulijjo, kiyinza okuba ekintu ekisingako katono. Ekyo kituufu, ekika kya kookolo ekibeera mu baana, naye nga kisobola okuwona singa ajjanjabwa obulungi, kiyitibwa Non-Hodgkin’s Lymphoma . Totya ng’owulira erinnya lino, kubanga kikulu nnyo okubeera ng’omanyi bulungi ku nsonga eno. Kino tukyogereko mu bujjuvu katono ?

Lindako katono, kino Non-Hodgkin's Lymphoma kye ki?

Mu ngeri ennyangu, non-Hodgkin lymphoma kika kya kookolo atandikira mu nkola y’amazzi mu baana. Omubiri gwo gulina ekintu ekiyitibwa lymphatic system . Kiringa enkola y’omubiri gwaffe ey’okwekuuma. Kiyamba okutukuuma okuva ku ndwadde n'obuwuka . Enkola eno erina ebitundu nga lymph nodes ne lymph vessels. Bino bisaasaanidde mu mubiri gwonna.

Obulwadde buno butera okukwata abaana abali wakati w’emyaka 5 ne 19. Naye oluusi n’abalongo basobola okubukwata. Amawulire amalungi gali nti abasawo balina obujjanjabi obulungi ku kino, era abaana bangi basobola okuwona. Kyokka, abaana abamu bayinza okufuna ebizibu ebilwawo oluvannyuma lw’emyaka nga bamaze okujjanjabibwa. Eno y’ensonga lwaki abanoonyereza buli kiseera bagezaako okunoonya obujjanjabi obusingako obulungi obutaliimu buzibu obutono obulwawo.

Embeera eno ekosa etya omwana wange?

Obulwadde buno obuyitibwa Non-Hodgkin’s Lymphoma, busobola okukula mu bitundu by’omubiri ebiyitibwa lymphoid tissue wonna mu mubiri gw’omwana. Kiyinza n'okukosa obusimu obw'omu makkati . Ekitundu kino ekiyitibwa lymphoid tissue nakyo kitundu ku baserikale b’omubiri.

Kookolo ono atandikira mu bika by’obutoffaali eby’enjawulo mu nkola y’amazzi. Zino ze butoffaali bwa B-lymphocytes (obutoffaali bwa B), obutoffaali bwa T-lymphocytes (obutoffaali bwa T), oba obutoffaali bwa Natural Killer (NK). Obutoffaali buno butukuuma okuva ku yinfekisoni ez'enjawulo eza bakitiriya n'akawuka .

Waliwo ebika bisatu ebikulu eby’obulwadde bwa non-Hodgkin’s lymphoma mu baana. Buli kika kiyinza okukosa abaana mu ngeri ey’enjawulo.

1. Obulwadde bwa lymphomas obw’obutoffaali bwa B obukulu

Bino bika bya lymphoma ebiva mu butoffaali bwa B. Zikola ekitundu ekisukka mu kimu kya kubiri ku bulwadde bwonna obutali bwa Hodgkin mu baana. Amawulire amalungi gali nti abaana abasoba mu 90% abalina obulwadde bwa lymphoma obw’ekika kino bawona mu bujjuvu oluvannyuma lw’okujjanjabibwa. Waliwo ebika ebikulu ebiwerako:

• Burkitt lymphoma/leukemia: Zino ngeri za njawulo ez’obulwadde bwe bumu. Enzijanjaba zino zifaanagana nnyo. Ebiseera ebisinga butandikira mu nnywanto z’amazzi mu lubuto oba mu kifuba. Naye oluusi kiyinza okukosa obusigo bw’amagumba, amagumba amawanvu mu bitundu by’omubiri oba obusimu obw’omu makkati. Mu bulwadde bwa Burkitt leukemia, mu musaayi gw’omwana mulimu obutoffaali obutali bwa bulijjo bungi, obuva mu butoffaali obuli mu busimu bw’amagumba. Obulwadde bwa Burkitt lymphoma ne leukemia byombi bikula mangu nnyo.
• Diffuse large B-cell lymphoma: Kino kisinga kubeera mu baana abato abali wakati w’emyaka 12-19 okusinga mu baana abato.
• Primary mediastinal B-cell lymphoma: Kino kitandikira mu butoffaali bwa B mu mediastinum, ekitundu ekiri emabega w’eggumba ly’amabeere g’omwana. Era kiyinza okusaasaana ne mu bitundu by’omubiri ebiyitibwa lymph nodes. Kino nakyo kisinga kubeera mu baana abato.

2. Obulwadde bw’omusaayi obuyitibwa lymphoblastic lymphoma

Ekika kino kikola nga kimu kya kusatu ku bulwadde bwonna obutali bwa Hodgkin mu baana. Era kisinga kubeera mu baana abato okusinga mu baana abakulu. Lymphoblastic lymphoma esobola okukosa obutoffaali bwa B oba obutoffaali bwa T.

Ebiseera ebisinga butandikira mu nnywanto z’omusaayi mu kitundu ky’omwana ekiyitibwa mediastinum (ekitundu ekiri emabega w’eggumba ly’ekifuba) oba mu bulago. Naye era kiyinza okukosa ennywanto z’amazzi mu lubuto, obusigo bw’amagumba oba ebitundu ebirala. Abaana abasoba mu 80% abajjanjabwa ekika kino bawangaala.

3. Obulwadde bw’obutoffaali obunene obuyitibwa Anaplastic large cell lymphoma (ALCL) .

Kino kikola ebitundu nga 15% ku bulwadde bwonna obutali bwa Hodgkin mu baana. Bukwata obutoffaali bwa T era ebiseera ebisinga butandikira mu nnywanto. Era kiyinza okukosa olususu n’amagumba. Abaana nga 70% abalina ALCL bawangaala.

Obulwadde buno butera kutya mu baana?

Buli mwaka, abaana abali wakati wa 800 ne 1,000 be bazuulibwa nga balina obulwadde bwa non-Hodgkin’s lymphoma. Busingako katono mu balenzi abazungu. Obulabe bw’okufuna obulwadde buno bwawukana okusinziira ku myaka gy’omwana, era akabi kayinza okweyongera katono ng’omwana akula.

Bubonero ki obulaga obulwadde bwa non-Hodgkin lymphoma?

Obubonero bw’obulwadde buno oluusi buyinza okufaananako n’obw’endwadde endala, ezitali za maanyi nnyo. Eno y’ensonga lwaki olina okweraliikirira. Singa omwana wo aba n’ennywanto ezizimba, obuzibu mu kussa obutasalako, okusesema okutambula oba okukulukuta ennyindo, .Mazima ddala olina okulaba omusawo.

Obubonero obulala buyinza okuli:

• Omusujja ogutera okubeerawo awatali nsonga.
• Okukolola.
• Entuuyo z’ekiro.
• Okugejja awatali nsonga.
• Okuzimba omutwe, ensingo, omubiri ogwa waggulu oba emikono.
• Okukaluubirirwa okumira (dysphagia).

Jjukira nti okubeera n’obubonero buno bumu oba bubiri tekitegeeza nti omwana wo alina obulwadde buno. Kyokka obubonero buno bwe busigala oba bweyongera okusajjuka, mazima ddala olina okugenda ew’abasawo amagezi.

Kiki ekivaako obulwadde buno mu baana?

Mu butuufu, ekituufu ekivaako obulwadde bwa non-Hodgkin’s lymphoma mu baana tekinnazuulibwa. Kyokka abasawo bazudde ebintu ebiwerako ebiyinza okuleeta akabi. Ebintu bino eby’obulabe ne bwe bibaawo, tekitegeeza nti ddala omwana ajja kufuna obulwadde buno. Naye kirungi okubeera n’obwegendereza ku bino.

Omwana wo bw’aba alina ekimu ku bizibu bino eby’obulamu, buuza omusawo wo ku mbeera eno:

• Omwana wo bw’aba abadde ajjanjabiddwa kookolo ow’ekika ekirala.
• Singa omwana wo abadde alina obulwadde bwa mononucleosis (Mononucleosis – Epstein-Barr virus) oba siriimu (Human Immunodeficiency Virus).
• Singa omwana wo aba n’abaserikale b’omubiri abanafuye (okugeza, singa aba bamaze okusimbuliza ekitundu ky’omubiri oba obusigo bw’amagumba).
• Singa omwana aba amira eddagala eriziyiza abaserikale b’omubiri.
• Singa omwana aba n’endwadde ezimu ez’obuzaale ezikosa abaserikale b’omubiri.

Endwadde z’abaserikale b’omubiri ezisikira

Endwadde ez’obuzaale nga zino ziyinza okwongera ku bulabe bw’okufuna obulwadde bwa non-Hodgkin’s lymphoma:

• Ataxia-telangiectasia: Buno bulwadde bwa busimu obukwata obusimu obw’omu makkati, abaserikale b’omubiri n’enkola endala ez’omubiri mu baana.
• Obulwadde bwa Chediak-Higashi: Kino kikosa abaserikale b’omubiri n’obusimu mu baana.
• Common variable immunodeficiency: Abaana abalina embeera eno balina obutoffaali obuziyiza endwadde (obutoffaali obulwanyisa yinfekisoni) butono mu musaayi gwabwe.
• Nijmegen breakage syndrome: Abaana abalina embeera eno baba n’obusimu obuziyiza endwadde ate nga n’obutoffaali obuziyiza endwadde n’obutoffaali bwa T buba butono.
• Severe combined immunodeficiency disorder (SCID): Kino kikosa obutoffaali bw’abaana obuyitibwa T-cells ne B-cells, ne kinafuya abaserikale b’omubiri ne kibateeka mu bulabe obw’amaanyi obw’okufuna kookolo ezimu omuli n’obulwadde bwa non-Hodgkin lymphoma.
• Obulwadde bwa Wiskott-Aldrich:Kino kikosa obutoffaali bw’omusaayi bw’abaana n’obutoffaali bw’abaserikale b’omubiri. Abaana abalina embeera eno baba n’obutoffaali obutono obuyitibwa platelets. Platelets butoffaali obuyamba omusaayi okuzimba. Bino bwe biba wansi, bisobola okuvaako okunyiga amangu n’okuvaamu omusaayi. Obulwadde buno era bukosa obutoffaali bwa T n’obutoffaali bwa B obw’abaserikale b’omubiri.
• X-linked lymphoproliferative syndrome: Kino kikosa abaserikale b’omubiri mu baana. Abaana abalina obulwadde buno bayinza okuba n’okuddamu okw’amaanyi mu ngeri etaali ya bulijjo eri okukwatibwa akawuka ka Epstein-Barr.

Abasawo bazuula batya obulwadde bwa non-Hodgkin lymphoma mu baana?

Okuzuula obulwadde buno nkola ya detailed katono. Ebiseera ebisinga, bikolebwa emirundi egiwerako egy’okukebera omusaayi, okukebera ebifaananyi eby’enjawulo, n’okukebera ebitundu by’omubiri. Omusawo ajja kukebera omwana n’obwegendereza alabe oba waliwo ebintu ebitali bya bulijjo, gamba ng’ebizimba oba endwadde ezizimba. Era bajja kutunuulira ebikwata ku bulamu bw’amaka, kwe kugamba, ab’eŋŋanda ez’oku lusegere n’abooluganda ab’ewala, n’okumanya oba waliwo ebyafaayo bya kookolo.

Okukebera omusaayi

• Complete blood count (CBC): Kino kipima omuwendo gw’obutoffaali obw’enjawulo mu musaayi gw’omwana wo. Ebivuddemu bisobola okuyamba okuzuula oba omwana wo alina obubonero bw’obulwadde bwa lymphoma mu magumba ge oba obujjanjabi bukosezza amagumba ge.
• Okunoonyereza ku kemiko w’omusaayi: Sampuli z’omusaayi zitwalibwa okupima emiwendo gy’ebintu ebimu ebifulumizibwa mu musaayi okuva mu bitundu by’omubiri oba ebitundu by’omwana. Ekintu bwe kiba kinene oba ekitono mu ngeri etaali ya bulijjo kiyinza okuba akabonero k’obulwadde.
• Okukebera enkola y’ekibumba: Kino nakyo kikebera musaayi. Kipima obungi bw’ebintu ebimu ebifulumizibwa ekibumba mu musaayi. Singa wabaawo obungi obusukka ku bwa bulijjo, kiyinza okuba akabonero ka kookolo.

Okugatta ku ekyo, abasawo era bakozesa okukebera omusaayi okukebera akawuka akayinza okuba nga kakwatagana n’obulwadde bwa non-Hodgkin’s lymphoma mu baana.

Ebigezo by’okukuba ebifaananyi

• CT scan (Computed tomography – CT scan): Kino kiyinza okukuba ebifaananyi ebikwata ku bitundu ebiri munda mu mubiri gw’omwana wo mu bujjuvu. Okukebera kuno kukolebwa okunoonya ennywanto ezizimba oba obubonero obulala obw’obulwadde bwa lymphoma.
• MRI scan (Magnetic resonance imaging – MRI): Kino kikozesa magineeti, amayengo ga leediyo, ne kompyuta okukola ebifaananyi ebiwerako ebikwata ku munda mu mubiri. Kikozesebwa okukebera obubonero bw’obulwadde bwa lymphoma mu bwongo bw’omwana oba mu mugongo.
• Sikaani ya PET (Positron emission tomography – Sikaani ya PET):Kino kikozesebwa okulaba oba omwana alina obulwadde bwa lymphoma oba engeri obujjanjabi gye bukosezzaamu lymphoma. Okukebera PET kizingiramu okufuyira omwana akatono akayitibwa glucose, oba ekika kya ssukaali, mu mubiri gw’omwana. Obutoffaali bwa kookolo bukola nnyo okusinga obutoffaali obwa bulijjo, n’olwekyo bukozesa glucose mungi. Kale sikaani eno esobola okulaga obutoffaali bwa kookolo we buli.
• Ultrasound: Kino kikozesa amaloboozi ag’amaanyi amangi. Amayengo gano gabuuka okuva mu bitundu oba ebitundu by’omubiri ebiri munda mu mubiri ne gakola eddoboozi. Ebiwujjo bino bikozesebwa okukola ekifaananyi ekiyitibwa sonogram. Kino kikozesebwa okunoonya obusimu obuyitibwa lymph nodes obubeera okumpi n’omubiri gw’omwana, oba mu lubuto, ekibumba oba mu nnywanto.

Okukebera ebitundu by’omubiri (biopsies).

Abasawo bakola ebitundu by’omubiri (biopsies) okutwala sampuli z’ennywanto z’omusaayi, ebizimba bya kookolo n’obusigo bw’amagumba ne babikebera nga bakozesa microscope oba mu kukeberebwa okulala mu laabu. Okukebera obulwadde buno y’engeri yokka ey’okuzuula obulwadde buno mu ngeri enkakafu. Ekisinga obukulu, ebyava mu biopsy bisobola okuyamba okuzuula ekika kyennyini eky’obulwadde bwa lymphoma. Kino olwo kiyinza okuyamba okuzuula obujjanjabi obusinga obulungi eri ekika ekyo.

Waliwo ebika by’okukebera ebitundu by’omubiri ebiwerako. Abasawo balondawo ekika ky’okukebera omwana ekigenda okuleeta obuzibu obutono ku mwana era nga kijja kuggyawo obutoffaali n’ebitundu ebimala okukeberebwa. Mu kukebera kuno, omwana bamuwa eddagala eriweweeza ku bulwadde, eddagala eriwunyiriza, oba eddagala eribudamya mu kitundu oba erya bulijjo okukakasa nti tawulira buzibu bwonna.

• Okulongoosa ebitundu by’omubiri: Ennywanto yonna, ekizimba ky’ebitundu by’omubiri oba akatundu akatono ak’ekizimba ekinene ekya kookolo osobola okulongoosebwa.
• Needle biopsies: Oba core biopsies oba fine-needle biopsies zikolebwa okuggyamu ebitundu oba ebitundu by’ennywanto.

Ebika ebirala eby’okukebera ebitundu by’omubiri (biopsies).

Singa omwana wo alina obulwadde bwa non-Hodgkin’s lymphoma, okukeberebwa okulala kuyinza okukolebwa okukung’aanya ebitundu by’omubiri okulaba oba lymphoma esaasaanidde. Nga bwe kiri ku biopsies endala, bino bikolebwa wansi w’eddagala erikkakkanya n’/oba okubudamya okukakasa nti omwana wo tawulira buzibu bwonna.

• Lumbar puncture (spinal tap): Kino kikolebwa okulaba oba kookolo asaasaanidde ku bwongo bw’omwana n’omugongo.
• Okusiba obusigo bw’amagumba n’okukebera obusimu bw’amagumba: Okukebera kuno kukolebwa okulaba oba obulwadde bwa lymphoma busaasaanidde mu magumba g’omwana wo. Kino okukikola, omusawo ayingiza empiso eriko ekituli mu ggumba ly’omwana wo n’akwata akatundu akatono ak’obusigo bw’amagumba n’amagumba.
• Okulongoosa ekifuba:Singa obulwadde bwa lymphoma busaasaana mu kifuba ky’omwana wo oba ku luwuzi olubikka amawuggwe ge, amazzi gayinza okukuŋŋaanyizibwa. Amazzi gano gaggyibwamu nga bakozesa empiso eriko ekituli ne bakeberebwa oba temuli butoffaali bwa kookolo.
• Paracentesis: Kino kizingiramu okuggya amazzi mu lubuto lw’omwana.
• Mediastinoscopy: Eno nkola ya kulongoosa ekolebwa nga bakozesa eddagala eribudamya abantu bonna. Kikolebwa okunoonya ebitali bya bulijjo mu bitundu by’omubiri, ebitundu by’omubiri, n’ennywanto z’amazzi wakati w’amawuggwe g’omwana wo. Kikolebwa n’ekyuma ekiyitibwa mediastinoscope. Kikozesebwa kigonvu ekiringa ttanka nga kirina ekitangaala ne lenzi okulaba okuyita mu, era nga kye kimu ku bikozesebwa okutwala sampuli z’ebitundu by’omubiri oba amazzi g’omubiri. Kiyingizibwa nga kiyita mu katundu akatono akasaliddwa mu kitundu eky’okungulu eky’eggumba ly’amabeere g’omwana wo.

Abasawo bagabanyaamu obulwadde bw’abaana obutali bwa Hodgkin lymphoma mu mitendera?

Yee, waliwo emitendera egy’okugabanyaamu obulwadde bwa Non-Hodgkin’s lymphoma. Enkola zino ez’okugereka kookolo mu mitendera zikozesebwa okukola enteekateeka z’obujjanjabi.

Emitendera gy’obulwadde bwa lymphoma obutali bwa Hodgkin

• Omutendera I: Kookolo ali mu kitundu kimu kyokka, oba waggulu oba wansi w’ekinywa ky’omwana (ekinywa ekinene ekyawula ekifuba n’olubuto).
• Omutendera II: Kookolo ali mu kitundu kimu n’ennywanto eziriraanyewo, oba mu nnywanto bbiri oba okusingawo, oba mu bitundu ebirala ku ludda lwe lumu olw’ennywanto.
• Omutendera III: Kookolo ali mu gumu ku mitendera ena gino wammanga:
• Waliwo kookolo mu bitundu by’omubiri oba mu bitundu by’omubiri ebiyitibwa lymph nodes ku njuyi zombi ez’ekibumba.
• Omwana alina kookolo w’amabeere.
• Omwana alina kookolo w’olubuto, era tasobola kuggyibwawo ng’alongooseddwa.
• Omutendera IV: Kookolo ali mu magumba g’omwana, omugongo, ne/oba obwongo.

Obulwadde bwa non-Hodgkin lymphoma mu baana bujjanjabwa butya?

Abasawo bakyagenda mu maaso n’okunoonya obujjanjabi obupya naddala engeri y’okuwonya obulwadde bwa lymphoma awatali kuleeta buzibu bwa maanyi obulwawo. Ebiva mu kiseera ekikeerezi mbeera za bulamu ez’amaanyi eziyinza okubaawo oluvannyuma lw’emyaka ng’obujjanjabi buweddewo ate ng’obulwadde bw’omwana obutali bwa Hodgkin buweddewo.

Waliwo ebika by’obujjanjabi ebikulu mukaaga:

• Chemotherapy: Buno bwe bujjanjabi obusinga ku baana abalina obulwadde bwa non-Hodgkin lymphoma. Abasawo bayinza okukozesa eddagala limu lyokka oba okugatta eddagala eriwerako.
• Okulongoosa: Mu mbeera ezimu, ebizimba bya kookolo bilongoosebwa mu kiseera kye kimu n’okuggyibwamu ebitundu by’omubiri. Ne mu kiseera ekyo, omwana ayinza okwetaaga obujjanjabi obulala, gamba ng’obujjanjabi obw’eddagala oba obusimu obuziyiza endwadde.
• Obujjanjabi obugendereddwamu:Kino kikosa obuzaale bwa kookolo obw’enjawulo, puloteyina oba obutundutundu obutonotono munda mu butoffaali bwa lymphoma obubuyamba okuwona ebiva mu bujjanjabi bw’eddagala.
• Obujjanjabi bw’abaserikale b’omubiri: Obujjanjabi buno bukola nga busitula abaserikale b’omubiri gw’omwana, oba nga bakozesa ebitundu eby’obutonde eby’abaserikale b’omubiri, okusaanyaawo obutoffaali bwa lymphoma.
• Obujjanjabi bw’amasannyalaze: Mu mbeera ezimu, obujjanjabi obw’amasannyalaze bukozesebwa okusaanyaawo obutoffaali bwa kookolo bwonna obusigaddewo.
• Okusimbuliza obutoffaali obusibuka mu mubiri: Obutoffaali obusibuka mu musaayi oba mu busimu bw’amagumba bukozesebwa okukyusa obutoffaali obutali bulungi ne buteekebwamu obutoffaali obulamu.

Biki ebiva mu kulwawo okujjanjaba kookolo?

Ebiva mu bujjanjabi bwa kookolo ekikeerezi ze mbeera z‟obulamu eziyinza okubaawo nga wayise emyezi oba emyaka ng‟obujjanjabi buwedde. Ebimu ku bikolwa ebilwawo biyinza okutta omuntu. Nga abaana beeyongera okuwangaala oluvannyuma lw’okujjanjabwa obulwadde bwa non-Hodgkin’s lymphoma, abasawo bagezaako okuzuula n’okujjanjaba ebizibu bino ebilwawo nga bukyali.

Ebimu ku bisinga okulwawo okulabibwa mu baana abalina obulwadde bwa non-Hodgkin lymphoma bye bino:

• Kookolo ow’okubiri: Nga erinnya bwe liraga, ono kookolo mupya ajja mu baana oluvannyuma lw’okujjanjabwa obulwadde bwa non-Hodgkin lymphoma. Ebitera okubaawo mulimu obulwadde bwa acute myeloid leukemia, myelodysplastic syndrome, kookolo w’amabeere ne kookolo w’ekibumba.
• Embeera z’omutima: Abaana abamu abaweebwa eddagala eriweweeza ku mutima bayinza okufuna embeera z’omutima gamba ng’omutima okulemererwa okuzimba, omutima okunafuwa (cardiomyopathy), emisuwa okukaluba oba okufunda (obulwadde bw’emisuwa gy’omutima), omutima okukuba mu ngeri etaali ya bulijjo (arrhythmia), oba okwonooneka kw’ekibikka omutima ekikuuma (pericarditis).
• Obulwadde bw’amawuggwe (okuzimba amawuggwe): Eddagala erimu erijjanjaba eddagala liyinza okukosa amawuggwe mu baana.
• Ebizibu by’ekibumba: Abaana abamira eddagala erimu ery’eddagala bayinza okufuna ekibumba ekigazi oba okuzimba ekibumba.

Ate kiri kitya ku kugezesebwa mu malwaliro ku baana abatali ba Hodgkin lymphoma?

Omusawo w’omwana wo ayinza okukuwa amagezi okwetaba mu kugezesebwa okw’obujjanjabi okujjanjaba obulwadde bwa non-Hodgkin’s lymphoma. Mu kugezesebwa mu malwaliro, abantu abamu bafuna omutindo gw’okulabirira, ate abalala bafuna obujjanjabi obwekenneenyezebwa.

Enzijanjaba eza mutindo ze ddagala n’obujjanjabi obulala obwakkirizibwa edda era nga bukakasiddwa nti bukola. Obujjanjabi obw’okugezesa, ng’erinnya bwe liraga, bwe bujjanjabi obukeberebwa okulaba oba bukola bulungi okusinga obujjanjabi obwa bulijjo, oba bukola mu ngeri y’emu naye nga tebulina bizibu bitono.

Okugezesebwa mu malwaliro kuyinza okuzingiramu eddagala eppya, ddoozi empya ez’eddagala eririwo, oba okugatta obujjanjabi obupya obuliwo. Emirundi mingi, abasawo mu bifo ebijjanjaba kookolo w’abaana be balabirira okugezesebwa kuno okw’obujjanjabi. Buuza omusawo wo oba okugezesebwa mu malwaliro kuyinza okuba obujjanjabi eri omwana wo.

Obulwadde bwa non-Hodgkin lymphoma mu baana busobola okuwona?

Yee, abasawo basobola okuwonya abaana bangi abalina obulwadde bwa non-Hodgkin’s lymphoma n’obujjanjabi bwe balina. Ekyo ddala kibudaabuda, si bwe kiri?

Omuwendo gw’abaana abawona obulwadde bwa non-Hodgkin lymphoma guli gutya?

Omuwendo gw’abaana abawangaala abalina obulwadde bwa non-Hodgkin’s lymphoma gwawukana okusinziira ku kika kya lymphoma. Ku kigero, wakati wa 70% ne 90% ku baana abalina obulwadde buno bawangaala emyaka egisukka mu etaano oluvannyuma lw’okuzuulibwa.

Kiki ekibaawo ng’omwana wange amaze okujjanjaba obulwadde bwa non-Hodgkin lymphoma?

Obujjanjabi bwa kookolo bwe bunaggwa, oboolyawo ggwe n’omwana wo mujja kuwulira obuweerero bungi n’essanyu. Jaguza essanyu eryo, naye jjukira nti omwana wo ajja kuba akyalina okukwatagana n’omusawo okumala emyaka emirala egiwerako.

Mu myaka egisooka oluvannyuma lw’okujjanjabwa, omusawo wo ajja kukuwa amagezi okukeberebwa n’okukeberebwa buli kiseera. Kino kijja kuyamba okulondoola obulamu bw’omwana wo okutwalira awamu, okukebera oba kookolo azzeemu okukwatibwa, n’okulondoola obubonero obulaga nti kookolo amuddirira. Omwana wo ajja kwetaaga okukeberebwa omusaayi ne sikaani.

Nze/omwana wange nsobola ntya okuddukanya ebiva mu bujjanjabi bwa kookolo?

Abaana basobola okufuna ebiva mu bujjanjabi bwa kookolo oluvannyuma lw’emyezi oba n’emyaka ng’obujjanjabi buwedde. Okumanya kino kiyinza okuleetera ggwe n’omwana wo okweraliikirira ebiseera eby’omu maaso. Naye manya nti omusawo w’omwana wo ajja kulondoola obulamu bw’omwana wo ng’amaze okujjanjabibwa, kale ekizibu kyonna kisobola okuzuulibwa n’okujjanjabibwa mu bwangu.

Buuza omusawo wo ku biyinza okuvaamu omwana wo n’obubonero obusooka bwe buli. Kubiriza omwana wo okubeera obulindaala okulaba obubonero bw’ebizibu bino ng’agenda akula n’atandika okwerabirira obulamu bwe.

Nsobola okukendeeza ku mikisa gy’omwana wange okulwala obulwadde bwa non-Hodgkin lymphoma?

Abaana abalina abaserikale b’omubiri abanafuye bayinza okulwala obulwadde bwa non-Hodgkin’s lymphoma. Okugeza omwana wo bw’aba akyusiddwa obusigo bw’amagumba oba ebitundu by’omubiri, ayinza okuba mu bulabe bw’okulwala obulwadde buno. Ate era singa omwana wo aba n’endwadde ezimu ez’obuzaale ezikosa abaserikale b’omubiri, akabi kayinza okweyongera.

Omusawo w’omwana wo amanyi ebyafaayo by’obulamu bw’omwana wo. Bw’oba ​​olina ekikweraliikiriza ku nsonga eno, buuza omusawo wo oba omwana wo alina embeera yonna emuteeka mu bulabe bw’okufuna obulwadde buno. Olwo, osobola okutunuulira ebintu ebitongole ebiyinza okuba obubonero obusooka obw’obulwadde bwa non-Hodgkin lymphoma.

Omwana wange alina obulwadde bwa non-Hodgkin lymphoma. Nnyinza ntya okumuyamba?

Kkookolo muzibu eri buli muntu, naye muzibu nnyo eri abaana. Abaana abato bayinza obutaba bakuze bumala kutegeera nsonga lwaki kibazibuwalira nnyo. Bayinza okutya okukeberebwa n’okujjanjabibwa. Kya butonde abaana abato abayiga ku bulwadde bwabwe okuwulira obusungu n’okutya olw’embeera yaabwe. Bw’oba ​​ggwe n’omwana wo mulwana okugumira ebizibu bya kookolo, buuza omusawo wo ku mpeereza y’obulamu bw’abaana. Empeereza zino zikolebwa abakugu abayamba abaana n’amaka okugumira okusoomoozebwa kwa kookolo.

Akaseera kamu ofuna omwana omulamu obulungi, n’olowooza nti balina obulwadde obwa bulijjo. Akaseera akaddako, ofuna omwana alina kookolo. Si kyangu kukizuula nti omwana wo alina obulwadde bwa non-Hodgkin lymphoma. Wadde abasawo bawonya abaana bangi abalina embeera eno, omwana wo akyalina okwolekagana n’obujjanjabi obw’amaanyi obutaataaganya obulamu bwe obwa bulijjo. Ne bw’amala okujjanjabibwa, omwana wo ayinza okufuna ebizibu ebivaamu, embeera z’obulamu ez’amaanyi ezeetaaga obujjanjabi obw’enjawulo. Byonna bizibu okugumira embeera. Oyinza okuwulira ng’ensi yo ekyusiddwa, era oyinza okwebuuza oba ejja kuddamu okubeera entuufu.

Naye jjukira nti omusawo w’omwana wo ategeera ggwe n’omwana wo bye muyitamu. Basabe obuyambi, nga buno buyinza okuli amawulire agakwata ku mbeera y’omwana wo, eby’obugagga by’olina okukozesa ggwe n’ab’omu maka go, era basanyufu okukola kyonna kye basobola.

N’ekisembayo, obubaka obutwala awaka

• Non-Hodgkin’s Lymphoma mu baana kookolo abeera mu nkola y’amazzi.
• Kino kitera okujjanjabibwa obulungi naddala singa kizuulibwa nga bukyali.
• Weegendereze obubonero (nga ennywanto ezizimba, okusesema okutambula obutasalako, omusujja, okugejja). Bino bwe bibaawo, laba omusawo.
• Waliwo obujjanjabi obuwerako (nga obujjanjabi obw’eddagala, okulongoosa, n’obujjanjabi obw’amasannyalaze). Omusawo ajja kulonda obujjanjabi obusinga omwana wo.
• Ebivaamu biyinza okubaawo oluvannyuma lw’okujjanjabwa, n’olwekyo kikulu okugenda mu maaso n’okukeberebwa abasawo.
• Toli wekka. Abasawo, ba nurse, n’ababuulirira abantu baliwo okukuyamba n’omwana wo. Totya kubasaba buyambi.

Nsuubira nti amawulire gano gakuyambye okufuna okutegeera okutono ku bulwadde buno. Jjukira nti bw’oba ​​n’endowooza ennungi era ng’olina obujjanjabi obutuufu, osobola okuvvuunuka okusoomoozebwa kuno.

` Non-Hodgkin's Lymphoma, Kookolo w'abaana, Lymphoma, Enkola y'amazzi, Obubonero bwa kookolo, Obujjanjabi bwa kookolo, Obulamu bw'abaana