Ofuna n’ebizimba nga bino mu nkwaso zo? (Ovarian Germ Cell Tumors) Ka twogere ku nsonga eno!

Wali owuliddeko nti waliwo ebika by’ebizimba eby’enjawulo ebikula mu nkwaso? Ebimu ku byo si bya bulabe, naye ebimu ku byo kintu kya kweraliikirira. Leero tugenda kwogera ku kika ky’ekizimba eky’enjawulo ekikula mu nkwaso z’abakyala. Bino biyitibwa ‘Ovarian Germ Cell Tumors’. Wadde erinnya lino lizibu katono, ka tulitegeere mu ngeri ennyangu.

Bino ‘Ovarian Germ Cell Tumors’ ebibeera mu nkwaso bye biruwa?

Mu ngeri ennyangu, ekizimba eky’ekika kino kiva mu butoffaali bw’obuwuka obuli munda mu nkwaso z’omukazi. Nga bw’omanyi, enkwaso bye bitundu bibiri ebikulu mu nkola y’okuzaala y’abakyala. Zino ze zikola amagi mu myaka gyo egy’okuzaala. Kale, obutoffaali bw’obuwuka obuli munda mu nkwaso zino bwe bufuuka amagi oluvannyuma. Kyokka, oluusi, obutoffaali buno obuwerako bwe bukwatagana ne bukola ekizimba ekitali kya bulijjo. Ekyo kye tuyita ‘ebizimba by’obutoffaali bw’obuwuka’.

Ebiseera ebisinga, ebizimba bino bikula mu nkwaso emu yokka, naye si bulijjo nnyo, bisobola okulabibwa mu nkwaso zombi.

Ekikulu nti ebizimba bino ebisinga obungi eby'obutoffaali bw'obuwuka tebirina bulabe . Kwe kugamba, si za kookolo. Kyokka, si bulijjo nnyo, ziyinza okufuuka ez’obulabe . Ekyo bwe kibaawo, ebizimba bino bisobola okusaasaana ne byonoona ebitundu ebiramu. Ebizimba bino eby’obutoffaali bw’obuwuka obuleeta kookolo kika kya kookolo w’enkwaso ekitali kya bulijjo nnyo.

Waliwo ebika by’ebizimba bino ebya ‘germ cell tumors’?

Yee, waliwo ebika by’entangawuuzi bino eby’enjawulo nabyo. Ka tulabe ebika ebikulu ebirabibwa:

• Mature teratoma (dermoid cyst): Zino ze kika ky’ekizimba ky’obutoffaali bw’obuwuka ekisinga okubeerawo, ekitali kya bulabe . Zitera okubeera mu bantu abali mu myaka gyabwe egy’obutiini, amakumi abiri oba amakumi asatu. Oluusi ziyitibwa teratoma kubanga ziyinza okubeeramu enviiri oba amannyo. Naye teweeraliikiriranga, si kookolo.
• Dysgerminoma: Kino kye kika ky’ekizimba ekisinga okubeera mu butoffaali bw’obuwuka obubi . Wabula ebitundu 70% ku bino kigambibwa nti tebalina bukambwe. Era zijjanjabibwa nnyo. Zisinga kukula mu bantu abali mu myaka gya makumi abiri n’amakumi asatu.
• Immature teratoma: Kino kika kya kizimba kya kookolo (ekizibu) ekikula mpola . Kiyinza okusaasaana okuva mu nkwaso okutuuka mu bitundu by’omubiri ebirala (metastasis). Businga kubeera mu bantu abalina emyaka 20 n’okudda wansi.
• Ebizimba by’ensawo y’ensawo (ebimanyiddwa nga endodermal sinus tumors): Bino nabyo biba bya bulabe.Ekika ky’ekizimba. Bino bikula mangu nnyo era bisaasaana mangu. Zisinga kubeera mu bantu ab’emyaka 20 n’okudda wansi. Era zisobola okubeerawo mu baana abato abatannatandika kugenda mu nsonga (nga 40%).
• Ebizimba by’obutoffaali bw’obuwuka obutabuliddwamu: Bino bizimba bya bulabe . Ziyinza okubaamu ekika ky’ebizimba ebirala ekimu oba ebisingawo. Ebiseera ebisinga, zibeera nga zigatta ebizimba bya dysgerminoma n’ebizimba by’ensawo y’ensawo.

Ng’oggyeeko ebika bino ebikulu, waliwo ebika ebirala ebiwerako ebitali bimu nnyo eby’ebizimba by’obutoffaali bw’obuwuka:

• Kookolo w’enkwaso
• Obulwadde bwa kookolo w’amayinja
• Obulwadde bwa Polyembryoma

Embeera eno ya bulijjo etya?

Ebizimba by’obutoffaali bw’obuwuka bw’enkwaso kye kika ky’ekizimba ekisinga okubeera mu bakyala abali mu myaka egy’okuzaala n’abato. Okugeza ebizimba by’enkwaso ebitundu 70% mu bakyala abali wakati w’emyaka 10 ne 30 bya kika kino. Wabula tezitera kubeera mu bakyala abasukka mu myaka 40.

Amawulire amalungi gali nti ebitundu nga 95% ku bizimba bino eby’obutoffaali bw’obuwuka si teratomas ezitali nnungi, ezikuze . Ebizimba by’obutoffaali bw’obuwuka bikola ebitundu 2% ku 3% byokka ku kookolo w’enkwaso.

Obubonero bwe buliwa? Okitegeera otya?

Ebizimba bino eby’obutoffaali bw’obuwuka biyinza okuba ebizibu okutegeera mu ntandikwa. Ebizimba ebitali bya bulabe biyinza obutaleeta bubonero bwonna okutuusa nga biba binene. Ebizimba ebibi biyinza obutalaga bubonero okutuusa nga kookolo asaasaanye.

N’olwekyo, kikulu okufaayo ku bubonero buno:

• Obulumi mu lubuto, obutabeera bulungi oba okulumwa ng’onyigiddwa. (Kino kiyinza okutandika mu bwangu ne kiba kya maanyi.)
• Olubuto olujjudde, oluusi olubuto lwokka lwe lukula ate ebitundu by’omubiri ebirala ne bigonvuwa.
• Enkyukakyuka mu nkola y’ekyenda , gamba ng’ekiddukano oba okuziyira.
• Enkyukakyuka mu mize gy’okulya , gamba ng’okubulwa apetite.
• Okuvaamu omusaayi mu bukyala obutasalako , ekitegeeza okuvaamu omusaayi ebweru w’ensonga oba oluvannyuma lw’okuggwaamu amaanyi.

Entangawuuzi zino zisobola okukola obusimu obumu, ekiyinza okuleeta enkyukakyuka ezimu mu mubiri gwo. Okugeza nga:

• Obubonero bw’olubuto nga bukyali ng’okukoowa, okuziyira, n’okunyiga amabeere.
• Early puberty , naye kino tekitera kubaawo nnyo.

Lwaki ‘ebizimba bino eby’obutoffaali bw’obuwuka’ bitondebwa?

Ebizimba by’obutoffaali bw’obuwuka bw’enkwaso biva ku nkyukakyuka mu butoffaali bw’ekikula, oba obutoffaali obuzaala , obwegatta ne bukola ekizimba. Abakugu bakyanoonyereza lwaki kino kibaawo n’ani asinga okuzikulaakulanya.

Wadde ebizimba bino bisobola okukula mu muntu yenna alina enkwaso, bisinga kulabibwa mu bakyala abali mu myaka egy’okuzaala n’abato.

Kino kiyinza okuleeta bizibu ki?

Obujjanjabi bukulu nnyo kubanga, ne bwe kiba nti ekizimba tekiba kya bulabe , kiyinza okukutuka oba okuleeta enkwaso okukyusakyusa . Ekizimba gye kikoma okuba ekinene, kino gye kikoma okubeerawo.

Okuggyawo ekizimba kiyinza okuziyiza ebizibu bino.

Abasawo kino bakizuula batya?

Oluvannyuma lw’okubuuza ku bubonero bwo, omusawo ajja kukukebera ebiwerako. Ekisinga obukulu ku bino kwe kukebera ekisambi okukebera oba waliwo ebizimba oba ebirala ebitali bya bulijjo mu lubuto lwo, ekisambi n’obukyala. Era kiyinza okwetaagisa okukeberebwa sikaani n’okukeberebwa omusaayi.

• Okukebera ebifaananyi: Singa kiteeberezebwa nti waliwo ekizimba ky’obutoffaali bw’obuwuka mu nkwaso, abasawo bajja kusooka kukola ‘ transvaginal ultrasound’ . Kino kiyinza okutunula munda mu lubuto lwo okulaba oba waliwo ebizimba. Okugatta ku ekyo, CT scan (Computed Tomography - CT scan) oba MRI (Magnetic Resonance Imaging - MRI) nayo eyinza okukolebwa okuyamba okuzuula embeera eno. Sikaani zino zisobola okulaga ebikwata ku nsonga nnyingi okusinga okukozesa eddoboozi ery’omwanguka.
• Okukebera omusaayi: Oyinza okukeberebwa omusaayi ekiyitibwa serum tumor marker test . Kino kikebera emiwendo gy’ebintu ebimu mu mubiri gwo. Ebintu ebingi nga alpha-fetoprotein (AFP) , lactate dehydrogenase (LDH) , oba human chorionic gonadotropin (HCG) mu musaayi biyinza okuba akabonero k’ebizimba by’obutoffaali bw’obuwuka mu nkwaso.

Okusobola okuzuula obulungi obulwadde, omusawo ajja kwetaaga okuggyamu ekizimba oba enkwaso yonna ekoseddwa okwekebejjebwa. Omukugu mu by’endwadde , omusawo omukugu mu kwekenneenya ebitundu by’omubiri, ajja kwekenneenya obutoffaali buno mu laabu okuzuula ekika ky’ekizimba kye kiri n’okumanya oba kya bulabe oba tekirina bulabe.

Bwe kiba nti mbeera ya kookolo, ‘emitendera’ gyayo gye giruwa?

Singa ekizimba kiba kibi , abasawo bajja kugabanya kookolo ng’ekimu ku bigenda okuzuulibwa. Kino kiyitibwa okuteekebwa ku siteegi . Bagenda kukozesa sikaani nga CT scan oba PET scan (positron emission tomography scan) okupima obunene bw’ekizimba n’okuzuula ddala we kiri. Amawulire gano gajja kuyamba omusawo wo okusalawo ekika ky’obujjanjabi bwe weetaaga n’ebinaava mu bujjanjabi.

Okutwalira awamu, ‘omutendera’ gye gukoma okuba wansi, emikisa gy’okuwonya kookolo gye gikoma okuba eminene.

Emitendera gy’ebizimba by’obutoffaali bw’obuwuka bw’enkwaso obwa kookolo giri bwe giti:

• Omutendera 1: Kookolo abeera mu nkwaso zo zokka.
• Omutendera 2: Kookolo asaasaanidde mu bitundu ebirala ebiri mu kisambi kyo, gamba ng’ennywanto oba nnabaana.
• Omutendera 3: Kookolo asaasaanidde mu nnywanto oba mu lubuto lw’ebitundu by’omu kifuba oba olubuto ( peritoneum ), naye teyasaasaana kusukka lubuto.
• Omutendera ogw’okuna (metastatic cancer): Kookolo ono asaasaanidde mu kibumba kyo oba mu nnywanto, oba mu bitundu by’omubiri n’ebitundu ebiri ebweru w’olubuto lwo, gamba ng’amawuggwe go.

Bujjanjabi ki obukolebwa ku kino?

Ebizimba by’obutoffaali bw’obuwuka ebisinga bisobola okujjanjabibwa n’okuwona. Enteekateeka y’obujjanjabi gy’ofuna ejja kusinziira ku bunene bw’ekizimba n’okumanya oba kya bulabe (eky’obulabe) oba kya bulabe (ekitali kya bulabe).

Wabula bw’oba ​​olina emyaka gy’okuzaala, omusawo ajja kufuba okukuuma enkwaso zo nga bwe kisoboka okukuuma obuzaale bwo.

Obujjanjabi bw’ebizimba by’obutoffaali bw’obuwuka bw’enkwaso ebitali bya bulabe

Abasawo bagenda kulongoosa okuggyawo ebizimba ebitali bya bulabe. Oluusi, enkwaso yonna ( oophorectomy ) oba ekitundu ky’enkwaso ( ovarian cystectomy ) kiyinza okwetaagisa okuggyibwamu okusobola okuggyawo ekizimba ekyo. Era bayinza okukuwa amagezi okulongoosa mu lwatu ( laparotomy ) oba ekika ky’okulongoosa ekitali kya kuyingirira nnyo nga bakozesa obusala obutonotono ( laparoscopy ).

Si kya bulijjo nnyo ebizimba ebitali bya bulabe okuddamu okukula nga bimaze okuggyibwamu.

Obujjanjabi bw’ebizimba by’obutoffaali bw’obuwuka bw’enkwaso obubi

Obujjanjabi businziira ku kika ky’ekizimba n’omutendera gwa kookolo. Obujjanjabi obumanyiddwa ennyo mulimu:

• Okulongoosa: Omusawo ayinza okukuwa amagezi okuggyako enkwaso zo emu oba zombi oba enseke zo ( oophorectomy ). Singa kookolo asaasaana okusukka enkwaso n’enkwaso, oyinza n’okulongoosebwa nnabaana yonna, ekiggyawo nnabaana wo n’omumwa gwa nnabaana .
• Chemotherapy: Mu chemotherapy, omusawo akuwa eddagala mu misuwa gyo, ebiseera ebisinga ng’ayita mu kugifuyira . Eddagala eriweweeza ku bulwadde bwa kemiko litta obutoffaali bwa kookolo ne bulemesa okweyongera. Oyinza okufuna obujjanjabi bw’eddagala okumala wiiki oba emyezi egiwerako.

Embeera eri etya oluvannyuma lw’okujjanjabwa? (Endowooza)

BenignEbiva mu kujjanjaba ebizimba by’obutoffaali bw’obuwuka bw’enkwaso birungi nnyo. Ebizimba bino ebitali bya bulabe ebiseera ebisinga tebiddayo oluvannyuma lw’okubiggyamu.

Ebiva mu bizimba by’obutoffaali bw’obuwuka obubi byawukana okusinziira ku kika ky’ekizimba n’omutendera gwa kookolo. Kino abakugu mu by’obulwadde bwa kkansa bakizuula nga babala abantu bameka abalina kookolo yennyini abalamu oluvannyuma lw’emyaka etaano bukya bazuuliddwa. Kino kiyitibwa omuwendo gw’abantu abawangaala mu myaka etaano.

Okugeza singa kookolo aba tannasaasaana kusukka nkwaso, omuwendo gw’abawangaala guba wakati wa 94% ne 98%. Ku kookolo asaasaanidde okusukka ekifo we yasooka, omuwendo gw’abantu abawangaala mu myaka etaano guli nga 73%. Mu kiseera kino omusawo ajja kukulondoola nnyo era akujjanjabe singa kookolo azzeemu .

‘Kkookolo w’obutoffaali bw’obuwuka’ ono asobola okuwona ddala?

Era kisinziira ku kika n’omutendera gw’ekizimba. Okugeza, dysgerminoma mu kiseera ekisookerwako esobola okujjanjabibwa n’eddagala eriweweeza ku bulwadde, ng’omuwendo gw’okuwona kumpi ku bitundu 100%. Ebika eby’amaanyi ennyo, gamba ng’ebizimba by’ensawo y’ensawo, biyinza obutawona ddala, naye obujjanjabi busobola okufuga okukula kw’ekizimba n’okusaasaana kwa kookolo.

Omusawo wo asobola okukunnyonnyola endowooza (nga mw’otwalidde n’okuwona) kookolo w’obutoffaali bw’obuwuka bw’enkwaso, okusinziira ku ngeri gy’ozudde.

Waliwo engeri y’okuziyiza bino okubaawo?

Ebizimba by’obutoffaali bw’obuwuka tebisobola kuziyizibwa. Kyokka osobola okuyamba omusawo wo okulondoola obulamu bwo n’okukebera obulabe bwa kookolo ng’ogenda okwekebejjebwa buli kiseera .

Ddi lwe nnina okulaba omusawo?

Bw'oba ggwe oba omwana wo mulina obubonero bw'ekizimba ky'obutoffaali bw'obuwuka bw'enkwaso , laba omusawo amangu ago . Ebizimba ebimu eby’obutoffaali bw’obuwuka bikula mangu nnyo. Okuzizuula nga bukyali n’okufuna obujjanjabi amangu ddala kiyinza okwongera ennyo emikisa gyo egy’okuwona.

Bibuuzo ki ebikulu by’olina okubuuza omusawo?

Bw’okizuula nti olina ekizimba ky’obutoffaali bw’enkwaso, bino bye bimu ku bibuuzo by’olina okubuuza omusawo wo:

• Ekizimba kino kya bulabe oba kya bulabe?
• Biki ebirala bye nneetaaga okukola okusalawo ekika ky’obujjanjabi bwe nneetaaga?
• Bujjanjabi bwa ngeri ki gy’oteesa?
• Kiki kye nsobola okusuubira oluvannyuma lw’okujjanjabibwa?
• Engeri gye nnazuulibwamu oba obujjanjabi bwange bunaakwata ku busobozi bwange obw’okuzaala omwana?

Twala awaka obubaka

Bw’oba ​​ggwe oba omwana wo mulina obubonero bw’ekizimba ky’obutoffaali bw’enkwaso , laba omusawo mu bwangu.. Ebiseera ebisinga, bino si bya bulabe (benign). Okulongoosa kuyinza okuziyiza ebizibu ng’okukutuka oba okukyusakyusa ekizimba ekinene. Tekitera kubaawo, singa ekizimba kiba kibi, okuzuula amangu n’okukijjanjaba kiyinza okwongera ennyo emikisa gyo egy’okuwona. Ne bw’oba ​​tolina bubonero bwonna, yogerako n’omusawo wo ku ky’okukeberebwa buli kiseera okulondoola obulamu bwo obw’okuzaala n’ebitundu by’omubiri byo.

` Ebizimba by’enkwaso, ebizimba by’obutoffaali bw’obuwuka, kookolo w’enkwaso, obulamu bw’abakyala, teratoma, dysgerminoma, obubonero bwa kookolo