Omwana wo abadde yeemulugunya ku kigere oba omukono okuluma ennaku zino? Oyinza okulowooza nti baagwa nga bazannya, oba nti bakooye nnyo. Naye oluusi, wayinza okubaawo ekintu eky’amaanyi ennyo emabega w’obulumi buno obw’amagumba obutasalako. N’olwekyo tokibuusa maaso. Leero, tugenda kwogera ku mbeera emu ey’amaanyi bwetyo, osteosarcoma, ekika kya kookolo w’amagumba atera okukwata abaana n’abavubuka abakulu.
Mu ngeri ennyangu, osteosarcoma kye ki?
Osteosarcoma kika kya kookolo akula mu magumba . Kitandika ng’obutoffaali bw’amagumba obwa bulijjo. Naye ekiseera bwe kigenda kiyitawo, obutoffaali buno bufuuka obutoffaali obubi (obwa kookolo), ne bukuŋŋaanyizibwa wamu, ne bukola ebizimba munda oba ku ngulu w’eggumba. Ebizimba bino binafuya ne bifuula eggumba obulamu obulungi.
Oluusi abasawo nabo kino bakiyita osteogenic sarcoma. Wano, ‘sarcoma’ linnya lya kookolo erya bulijjo erikula mu bitundu ebiyunga omubiri gwaffe, gamba ng’amagumba, eggumba n’ebinywa. Ekigambo ‘osteo’ kitegeeza ‘eggumba’. ‘Osteogenic’ kitegeeza nti ekola obutoffaali bw’amagumba.
Kookolo ow'ekika kino asinga kubeera mu baana n'abavubuka abakulu . Obulabe bw’okubufuna buba bungi naddala mu biseera by’okukula amangu n’okukula.
Magumba ki agasinga okulwala kookolo ono?
Kookolo w’amagumba asinga kubeera mu magumba amawanvu ag’omubiri gwaffe. Kwe kugamba, mu magumba amawanvu ag’emikono n’amagulu. Kitera nnyo naddala ku nkomerero z’amagumba gano, kwe kugamba, okumpi n’ennyondo. Lowooza ku bifo ng’okugulu, ekisambi, n’ekibegabega.
Kino ka twongere okukinnyonnyola n’emmeeza eri wansi.
| Ebifo kookolo w’asinga okubeera | Ebifo kookolo w’atatera kubeerawo |
|---|---|
| Eggumba ly’ekisambi (Femur) . | Eggumba ly’akawanga |
| Eggumba ly’omugongo (Tibia) . | Ekisambi (Pelvis). |
| Eggumba ly’omukono ogwa waggulu (Humerus) . | Ekiwanga |
| (Naddala okumpi n’okugulu n’ekibegabega) | Ebitundu ebigonvu mu lubuto ne mu kifuba |
‘Ekigero’ kya kookolo kitegeeza ki?
Abasawo bagabanya kookolo wa osteosarcoma okusinziira ku kye bayita ‘grading’. Kino kitegeeza engeri kookolo gy’ayinza okusaasaana amangu. Kwe kugamba, obusobozi bwayo okusaasaana (metastasize) mu bitundu by’omubiri ebirala. Waliwo ebigezo ebikulu bisatu.
- Ekika kya wansi: Kookolo ow’ekika kino akula mpola nnyo . Ebiseera ebisinga, busigala we bwatandikira era tebusaasaana mangu.
- Ekigezo kya waggulu: Kino kye kika ekisinga okuba eky’obulabe. Kookolo ono akula mangu nnyo era atera okusaasaana mu bitundu by’omubiri ebirala (nga amawuggwe).
- Ekibiina eky’omu makkati: Eno mbeera eri wakati w’ebika ebibiri ebyogeddwako waggulu.
Bubonero ki obulaga obulwadde bwa osteosarcoma?
Obubonero bw’obulwadde buno tebulabika mangu. Zikula mpolampola. Oluusi obubonero buno bulabika ng’obuvune obwa bulijjo oba okunyiga, n’olwekyo abantu bangi tebasooka kubufaako. Naye kikulu nnyo okubeera nga omanyi obubonero buno.
| Obubonero | Ennyinyonnyola ennyangu |
|---|---|
| Obulumi bw’amagumba | Kano ke kabonero akasinga okulabika. Obulumi bweyongera okumala ekiseera. Obulumi buno buyinza okuba obw’amaanyi naddala ekiro n’okukola dduyiro. |
| Okuzimba oba ekizimba | Ekitundu ky’obulumi kijja kutandika okuzimba. Oluusi kiyinza okuwulira ng’ekizimba mu ngalo zo. Bw’okwata ku kitundu ekyo, kiyinza okuwulira nga kibuguma katono okusinga ebifo ebirala. |
| Entambula y’awamu ekoma | Singa kookolo aba kumpi n’ekiwanga, kiyinza okuba ekizibu okufukamira oba okukyusakyusa ekiwanga ekyo. Ng’ekyokulabirako, bwe kiba okumpi n’okugulu, kiyinza okuba ekizibu okufukamira ekigere. |
| Okumenya amagumba awatali nsonga | Kookolo anafuya eggumba. N’olwekyo, eggumba liyinza okukutuka ne bwe ligwa oba akabenje akatono akaali tekagenda kulimenya. Bino tubiyita ``pathologic fractures``. |
| Ebintu ebirala ebirimu | Oyinza n’okulaba ebintu ng’omusujja ogutategeerekese, langi y’olususu okukyuka, era bwe kiba kookolo mu kigere, okulemererwa. |
Ekisinga obukulu nti omwana bw’aba yeemulugunya olw’obulumi mu kifo kye kimu okumala wiiki, mazima ddala alina okulaba omusawo, awatali kukigoba ng’ekintu kye yakola ng’azannya.
Lwaki kookolo ow’ekika kino afuna?
Abakugu n’okutuusa kati tebasobola kwogera kituufu ekivaako kino. Wabula bazudde ebintu ebiwerako ebiyinza okuleeta kookolo ono.
Okukula amangu kw’amagumba
Mu biseera by’okukula, omwana bw’akula mu bwangu n’akula ennyo, amagumba ge nago gakula mangu nnyo. Mu kiseera kino, obutoffaali bwawukana mangu nnyo. Kiteeberezebwa nti waliwo ekikyamu mu kiseera kino eky’okugabanya obutoffaali obw’amangu, ne kyongera emikisa gy’obutoffaali bwa kookolo okutondebwawo. Eno y’ensonga enkulu lwaki obulwadde buno buyitiridde mu bavubuka.
Okubeera mu mbeera y’obusannyalazo
Bw’oba wali ofunye obujjanjabi obw’amasannyalaze ku kookolo omulala, waliwo akabi akatono ak’okufuna obulwadde bwa osteosarcoma mu magumba mu bitundu ebyaweebwa obusannyalazo.
Ensonga z’obuzaale
Kino kizibu katono. Mu ngeri ennyangu, waliwo obuzaale obw’enjawulo mu mubiri gwaffe obulemesa kookolo okutondebwa. Nga abakuumi b'omubiri gwaffe bennyini. Bino biyitibwa `obuzaale obuziyiza ebizimba`. `p53` y'emu ku ggiini ng'ezo. Singa wabaawo enkyukakyuka mu buzaale buno, kwe kugamba, `enkyukakyuka`, obulabe bw'okufuna kookolo bweyongera. Era, ekirungo ekiyitibwa `retinoblastoma (Rb)`, ekikwatagana ne kookolo w’amaaso mu baana abato, kizuuliddwa nti kikwatagana ne kino.
Okugatta ku ekyo, abantu abalina embeera z’obuzaale zino wammanga ezitatera kulabika nabo bali mu bulabe obw’amaanyi obw’okukwatibwa obulwadde bwa osteosarcoma:
- Obulwadde bwa Li-Fraumeni
- Obulwadde bwa Paget obw’amagumba (osteitis deformans) .
- Obulwadde bwa retinoblastoma obw’ensikirano
- Obulwadde bwa Bloom syndrome
- Okukendeera kw’omusaayi mu mubiri (Diamond-Blackfan).
- Obulwadde bwa Rothmund-Thomson
- Obulwadde bwa Werner
Okuzimba amagumba
Singa omusaayi ogugenda mu kitundu ky’eggumba gusalibwako olw’ensonga ezimu, obutoffaali obuli mu kitundu ekyo bufa. Kino era kirowoozebwa nti y’ensonga lwaki obutoffaali bwa kookolo oluusi busobola okutondebwawo.
Omusawo azuula atya obulwadde buno?
Bw’olaba omusawo ng’alina obubonero bw’oyogedde waggulu, ajja kugoberera emitendera mitono okumanya obutonde bwennyini obw’obulwadde.
1. Okubuuza ku bubonero: Okusooka, omusawo wo ajja kukubuuza n’omwana wo ku bubonero (obulumi bwe bwatandika, bwe buwulira, waliwo okuzimba n’ebirala) n’okumanya oba waliwo omuntu yenna mu maka go eyafuna kookolo.
2. Okukebera omubiri: Olwo, ne bakeberebwa mu bujjuvu okukebera oba waliwo ebizimba oba okuzimba.
3. Okusindikibwa okukeberebwa: Oluvannyuma lw’ekyo, ojja kusindikibwa okukeberebwa okuwerako okukakasa obulwadde.
- Okukebera mu X-ray: Kino kiyinza okuwa endowooza esooka oba waliwo enkyukakyuka ya kookolo mu ggumba.
- MRI oba CT scan: Bino bisobola okuwa ekifaananyi ekitegeerekeka obulungi ennyo ku bunene bw’ekizimba kya kookolo n’ewala gye kibunye mu bitundu ebikyetoolodde.
- A biopsy: Kino kye kigezo ekisinga obukulu okukakasa okuzuula obulwadde 100% . Wano, akatundu akatono ak’omubiri kaggyibwa mu kitundu kookolo w’ali ne kakeberebwa mu microscope. Kino kijja kuyamba okuzuula oba osteosarcoma oba ekika kya kookolo ekirala, n’ekigero kya kookolo.
- Okukebera omusaayi: Bino biyamba okuzuula embeera y’obulamu mu bulambalamba n’ebimu ku biraga kookolo.
Obulwadde bwe bumala okukakasibwa nti osteosarcoma, ekiddako kwe kulaba oba kookolo asaasaanidde mu bitundu by’omubiri ebirala. Kino kiyitibwa ‘okuteeka mu siteegi’ . Kino kiyinza okuzingiramu ‘okukebera amagumba’ oba ‘PET scan’, nga kino kyekenneenya amagumba g’omubiri gwonna.
Obujjanjabi bwe buruwa?
Obujjanjabi bw’obulwadde bwa osteosarcoma butera kukolebwa ttiimu. Kino kitegeeza nti abantu bangi omuli abakugu mu by’obulwadde bwa kkansa, abalongoosa n’abajjanjaba omubiri, bajja wamu. Waliwo enkola bbiri enkulu ez’obujjanjabi.
Enteekateeka y’obujjanjabi eya bulijjo eri nti: Chemotherapy → Okulongoosa → Chemotherapy
1. Chemotherapy: Kino kizingiramu okuwa omubiri eddagala ery’amaanyi eritta obutoffaali bwa kookolo. Olw’okuba eddagala lino litambula mu mubiri gwonna nga liyita mu musaayi, liyinza okutta obutoffaali obuli mu kizimba ekikulu wamu n’obutoffaali obutono obwa kookolo obusaasaanye mu bitundu by’omubiri ebirala (bw tutasobola kulaba ku sikaani). Chemotherapy eweebwa nga tannalongoosebwa esobola okukendeeza ku kizimba n’okwanguyira okulongoosebwa. Eddagala eriweebwa oluvannyuma lw’okulongoosebwa liyinza okutta obutoffaali bwa kookolo bwonna obusigaddewo n’okuziyiza obulwadde buno okudda.
2. Okulongoosa: Ekigendererwa ekikulu wano kwe kuggyawo ddala ekizimba kya kookolo. Omusawo alongoosa aggyawo ekizimba wamu n’ebitundu ebiramu ebikyetoolodde. Kino kikolebwa okulaba nga tewali katoffaali ka kookolo kamu kasigadde mabega. Waliwo ebika by’okulongoosa ebiwerako.
| Ekika ky’okulongoosa | Okunnyonnyola |
|---|---|
| Okulongoosa okutaasa ebitundu by’omubiri | Eno y’enkola esinga okukozesebwa ennaku zino. Omukono oba ekigere kyonna tekiggyibwamu. Ekitundu ky’eggumba ekirimu kookolo kyokka kye kiggyibwamu ne kikyusibwa ne kiteekebwamu ekyuma ekiyitibwa prosthesis oba bone graft okuva ku muntu omulala. |
| Okusalako ebitundu by’omubiri | Singa kookolo asaasaanidde nnyo, oba singa emisuwa oba obusimu obukulu bwayonoonese, oluusi kiba kyetaagisa okuggyawo omukono oba okugulu. Olwo omukono oba ekigere eky’ekinnansi osobola okukikozesa. |
| Okukyusakyusa (Rotationplasty) okukola | Kino kirongooseddwa ekitali kya bulijjo, eky’enjawulo. Mu mbeera za kookolo w’okugulu, ekitundu ky’okugulu omuli kookolo kiggyibwamu, ekigere ne kikyusibwa diguli 180, oluvannyuma ne kiddamu okugattibwa ku kisambi. Olwo ekigere ne kikola ng’okugulu. Kiyinza okuteekebwako ekigere eky’ekikugu n’osobola okutambula obulungi. |
Mu mbeera ezimu, obujjanjabi obw’amasannyalaze buyinza okuweebwa singa kookolo asaasaanidde mu bitundu ebitasoboka kulongoosebwa.
Waliwo ebizibu byonna ebivaamu oluvannyuma lw’okujjanjabibwa?
Yee, obujjanjabi buno naddala obw’eddagala, bwa maanyi era busobola okuvaako ebizibu eby’ekiseera ekitono n’eby’ekiseera ekiwanvu. Ebintu ng’okuziyira, okusiiyibwa, okuggwaamu enviiri, n’okukoowa bisobola okubaawo nga bajjanjabwa. Ate era, mu bbanga eggwanvu, .
- Obulabe bw’okufuna ekika kya kookolo ekirala
- Enkosa ku busobozi bw'okuzaala (`Obutazaala`) .
- Ebikosa enkola y’ebitundu by’omubiri ng’omutima, amawuggwe, ensigo, n’amatu
- Ebikosa okulowooza n’okujjukira
Ebintu nga bino bisobola okubaawo. N’olwekyo, kikulu nnyo okugenda mu maaso n’okugoberera omusawo wo ne bw’oba omaze okujjanjabibwa.
Obubaka Obutwala Awaka
- Tobuusa maaso bulumi obutasalako oba okuzimba mu magumba g’omwana naddala okwetooloola amaviivi n’ebibegabega. Tokibuusa maaso, ng’olowooza nti kya bulijjo, naye genda ew’omusawo mu bwangu.
- Osteosarcoma kookolo w’amagumba asinga kubeera mu bavubuka. Kyokka, singa kizuulibwa nga bukyali, kisobola okujjanjabibwa obulungi ne kiwona ddala .
- Obujjanjabi butera kuba bwa ddagala lya ddagala n’okulongoosa. Olw’obujjanjabi obw’omulembe obw’ennaku zino, kyeyongera okusoboka okujjanjaba obulwadde buno nga toggyiddwaako kitundu kya kitundu.
- Obuwagizi bw‟eby‟omwoyo kikulu nnyo eri omwana n‟abazadde mu kiseera kino ekizibu. Ekyo nakyo kyogere n’omusawo wo.
- Bw’oba olina ekibuuzo kyonna ku bulwadde buno, obujjanjabi bwabwo, oba ebizibu ebibukwata, tolwawo kubuuza musawo wo.
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