Bw’oba lwanagana ne kookolo w’amabeere, tumanyi olugendo luno bwe luyinza okukusoomooza. Olw’okukulaakulana kw’eddagala ery’omulembe, kati waliwo obujjanjabi obukola ennyo ku kookolo w’amabeere. Eno y’ensonga lwaki n’omuwendo gw’abakyala abawona kookolo gweyongera. Naye mu lutalo luno, oyinza okuba mu bulabe bw’okufuna ekizibu ekirala eky’obulamu ky’oyinza obutamanya. Kwe kugamba, amagumba ganafuwa, magonvu era mangu okumenyeka. Kino mu ddagala tukiyita ‘Osteoporosis’. Olw'okuba kitera okujja nga tekirina bubonero bwonna, abantu abamu nabo bakiyita "obulwadde obusirise". N’olwekyo, kikulu nnyo okwesomesa ku nsonga eno.
Kakwate ki akaliwo wakati wa kookolo w’amabeere n’okugonza amagumba?
Mu ngeri ennyangu, waliwo akakwate ak’amaanyi wakati wa kookolo w’amabeere n’obulwadde bw’amagumba. Kino kiva ku nsonga eziwerako.
Lowooza ku kino: Kookolo w’amabeere asinga kubeera mu bakyala abasukka emyaka 60. Obulabe bw’okuggwaamu amagumba nagwo bweyongera ku myaka gino. Naddala oluvannyuma lw’okuggwaamu amaanyi mu nsonga, nga estrogen mu mubiri ekendedde. Estrogen busimu obuyamba okukuuma amagumba gaffe nga ganywevu. Kale obusimu buno bwe bukendeera, amaanyi g’amagumba gaffe nago gatandika okukendeera mpolampola.
Ng’oggyeeko ekyo, kookolo yennyini aleeta okuzimba mu mubiri. Kino kyongera ku sipiidi obutoffaali bw’amagumba obukadde bwe bumenyeka era ne kikendeeza ku sipiidi obutoffaali bw’amagumba obupya kwe butondebwa. Eno y’ensonga endala lwaki amagumba ganafuwa.
Okunoonyereza kulaga nti ebitundu nga 80% ku bantu abawona kookolo w’amabeere oluvannyuma lw’okugenda mu nsonga bali mu bulabe bw’okufiirwa amagumba.
Obujjanjabi bwa kookolo bunafuya butya amagumba?
Okufiirwa amagumba tekiva ku kookolo yekka. Obujjanjabi obumu obwa kookolo nabwo busobola okukosa kino butereevu. Okusingira ddala, obujjanjabi bw’obusimu n’obusimu busobola okuleetera amagumba okukendeera. Okukendeera kw’amagumba kuyinza okusooka okubaawo, oluvannyuma ne kutuuka ku kuzimba amagumba.
Ekisinga obukulu, okufiirwa amagumba okuva ku bujjanjabi bwa kookolo kuyinza okubaawo amangu emirundi nga musanvu okusinga ku ekyo ekibaawo mu butonde ng’omuntu akaddiye.
Ebitundu nga bibiri ku bisatu ebya kookolo w’amabeere alina obusimu obuyitibwa hormone receptor-positive. Kino kitegeeza nti obutoffaali bwa kookolo busikirizibwa okukula obusimu nga estrogen. Kale obujjanjabi bw’embeera eno bukola nga bukendeeza ku miwendo gya estrogen mu mubiri, oba nga buziyiza obusimu. Wadde kino kyetaagisa nnyo mu kufuga kookolo, ebyembi era kinyaga amagumba gaffe estrogen ge geetaaga.
Katutunuulire ekipande kino wansi tulabe obujjanjabi bwa kookolo obukulu obuyinza okukosa amagumba.
| Ekika ky’obujjanjabi | Engeri gye kikwata ku magumba |
|---|---|
| Eddagala lya Tamoxifen | Eddagala lino liziyiza ekikolwa ky’obusimu obuyitibwa estrogen ku butoffaali bwa kookolo. Wadde kyongera katono ku bulabe bw’okugonza amagumba mu bakyala nga tebannagenda mu nsonga, kyokka kikendeeza ku bulabe mu bakyala nga bavudde mu nsonga. |
| Ebiziyiza Aromatase (AIs) . | Eddagala lino (e.g. Anastrozole, Letrozole) likendeeza ku mubiri okukola estrogen, ekyongera nnyo obulabe bw’okugonza amagumba. |
| Okunyigiriza Enkwaso | Enkwaso zikoma okukola estrogen. Kino osobola okukikola okumala akaseera ng’okozesa eddagala nga Goserelin (Zoladex) oba enkalakkalira ng’olongoosa enkwaso. Kino kyongera obulabe bw’okufiirwa amagumba. |
| Obujjanjabi bw’eddagala | Wadde eddagala lino ery’amaanyi litta obutoffaali bwa kookolo, naye era liyinza okwonoona enkwaso n’okuleetera omuntu okuva mu nsonga ng’akyali muto, ne kyongera obulabe bw’amagumba okugonza. |
Ensonga endala ezongera akabi
Bw’oba ng’ojjanjabibwa kookolo w’amabeere, obulabe bwo obw’okugonza amagumba buyinza n’okusingawo singa ensonga zino wammanga nazo zikukwatako:
- Okubeera ng’alina emyaka egisukka mu 65 egy’obukulu.
- Okunywa sigala.
- Okunywa ennyo omwenge buli lunaku.
- Olw’okuba yali amaze okumenya.
- Okukozesa eddagala lya steroid okumala ebbanga eddene.
- Obuzito bw’omubiri obutawera kkiro 57 (pawundi 125).
Singa ekimu oba ebisingawo ku bino bikukwatako, kakasa nti oyogera n’omusawo wo ku bulabe bwo ku bubwo. Tekyetaagisa kusattira, naye kikulu okutegeezebwa nga bukyali.
Okebera otya obulamu bw’amagumba?
Omusawo asobola okulondoola obulamu bw’amagumba go nga tannajjanjabwa kookolo, ng’amaze okujjanjabibwa kookolo, n’oluvannyuma lw’okujjanjabibwa. Ekigezo ekikulu ekikozesebwa ku kino ye DEXA scan .
Kino kigezo ekitaliimu bulumi, kyangu nnyo. Kiringa X-ray ey’enjawulo. Kipima obuzito bw’amagumba g’omugongo n’ekisambi. Kirungi okukolebwako sikaani eno nga tonnatandika bujjanjabi n’okugikuuma ng’ekipimo ky’omusingi. Oluvannyuma osobola okukigeraageranya oluvannyuma olabe oba amagumba go gakendedde.
Ebyava mu kugezesebwa kuno biweebwa nga T-score. Singa omuwendo guno guba -2.5 oba wansi, kitwalibwa ng’obulwadde bw’amagumba era kiyinza okwetaagisa obujjanjabi.
Bujjanjabi ki obuweebwa okunyweza amagumba?
Bw’oba olina amagumba amatono oba ng’oli mu bulabe bw’okumenya, omusawo ayinza okukuwa eddagala erinyweza amagumba. Bakozesa ekintu nga ekintu kya FRAX okubala akabi kwo.
| Ekika ky’eddagala | Enkola n’ebyokulabirako |
|---|---|
| Ebirungo ebiyitibwa Bisphosphonates | Bino bitangira amagumba okugwa ate ne bikendeeza ku bulabe bw’okumenya. Ziweebwa ng’empeke oba empiso eziteekebwa mu misuwa. Eby’okulabirako: Alendronate, Ibandronate, Asidi wa Zoledronic. |
| Denosumab (Eddagala lya Denosumab - Prolia) . | Eno y’engeri endala eri abo abatasobola kukozesa bisphosphonates. Kiweebwa ng’empiso buli luvannyuma lwa myezi 6. Kino nakyo kikendeeza ku kumenyaamenya ebitundu by’amagumba. |
| Eddagala lya Raloxifene (Eddagala lya Raloxifene - Evista) . | Kikola ng’obusimu obuyitibwa estrogen ku magumba, ne ganyweza. Akozesebwa okuziyiza n’okujjanjaba obulwadde bw’amagumba. |
Ebintu by’osobola okwekolera okukuuma amagumba go
Ng’oggyeeko eddagala, okukyusa mu bulamu bwo nakyo kiyinza okuyamba okukuuma amagumba go nga ganywevu.
- Lya emmere erimu ekirungo kya ‘calcium’ ne vitamiini D. Ebiriisa bino ebibiri byetaagisa nnyo mu magumba. Okwetaaga miligiraamu nga 1000-1200 eza kalisiyamu ne yuniti z’ensi yonna (IU) 800-1000 eza vitamiini D buli lunaku. Bino biba bingi mu mata n’amata, yogati, kkeeki, enva endiirwa eza kiragala omuddugavu (sipinaki, kale), n’ebyennyanja ebitonotono (nga sardines). Bw’oba tofuna kimala mu mmere yo, lowooza ku ky’okumira eddagala eriweweeza ku bulwadde ng’omusawo akubuulirirwa .
- Kola dduyiro ow’okusitula obuzito. Ebintu ng’okutambula, okulinnya amadaala, n’okuzannya ttena biteeka puleesa ku magumba go ne binyweza. Okusitula obuzito n’okukozesa bbandi eziziyiza nakyo kirungi nnyo.
- Lekera ddala okunywa sigala n’omwenge. Bino byombi binafuya amagumba. Okusingira ddala okunywa sigala kikendeeza ku busobozi bw’omubiri okunyiga kalisiyamu okuva mu mmere.
Mu kiseera ky’obujjanjabi bwa kookolo n’oluvannyuma lw’okujjanjabibwa, bulijjo yogera ku bulamu bw’amagumba go n’omusawo wo. Totya kubuuza ku kintu kyonna ekikweraliikiriza oba ekibuuzo ky’oyinza okuba nabyo.
Obubaka Obutwala Awaka
- Kookolo w’amabeere n’obumu ku bujjanjabi bwayo (naddala obusimu) bisobola okunafuya amagumba go n’okwongera ku bulabe bw’okulwala amagumba.
- Olw'okuba buno "bulwadde obusirise," kikulu nnyo okukimanya nga bukyali, okusinga okulinda obubonero okulabika.
- Yogerako n’omusawo wo era olowooze ku ky’okukeberebwa DEXA scan bwe kiba kyetaagisa.
- Osobola okukuuma amagumba go ng’olya emmere erimu ekirungo kya ‘calcium’ ne vitamiini D, ng’okola dduyiro ow’okugejja, n’okwewala okunywa sigala/omwenge.
- Yogerako mu lwatu n’omusawo wo ku kintu kyonna ekikwata ku bulamu bwo naddala ekintu kyonna ekikweraliikiriza ekikwata ku bulamu bw’amagumba.
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