Waliwo enkyukakyuka mu lususu ku nfuli yo? Kyandiba nti bulwadde bwa Paget obw’amabeere?

Olowooza otya singa olaba akatundu akatono oba olususu nga lusekula ku nfuli? Ebiseera ebisinga, olowooza nti mbeera ya lususu eya bulijjo yokka, mpozzi ekintu ng’ekizimba. Kyo kituufu nti emirundi egisinga kiyinza okuba bwe kityo. Wabula si bulijjo nnyo, akabonero akatono nga kano kayinza okuba akabonero akasooka akalaga kookolo w’amabeere. Ekyo kye kimu ku bika bya kookolo ebyo ebitali bimu, naye ebikulu bye tugenda okwogerako leero.

Mu ngeri ennyangu, obulwadde bwa Paget obw’amabeere kye ki?

Obulwadde bwa Paget obw’amabeere kika kya kookolo ekitatera kulabika nnyo nga kibeera mu lususu lw’enfuli yo, n’oluusi mu lususu oluddugavu okwetooloola enfuli (areola). Oluusi kiyinza okukoma ku nfuli. Kino kiyitibwa kookolo w’amabeere ow’omutendera ogw’okubiri, oba kookolo w’emisuwa mu kifo . Naye oluusi, awamu n’enkyukakyuka eno ey’olususu, wayinza n’okubaawo kookolo w’amabeere ayingirira asaasaanidde mu mifulejje gy’amata munda mu mabeere.

Olw’okuba obubonero buno bufaananako n’obulwadde bwa eczema, abantu bangi basooka kubukyamusa nti embeera y’olususu eya bulijjo. Obubonero buno mulimu okusiiwa, okusekula, okumyuuka n’oluusi amazzi okuva mu nfuli. Jjukira nti si buli muntu alina obubonero buno nti alina obulwadde bwa Paget. Wabula bw’oba ​​olina embeera eno, eyinza okuba akabonero akasooka akalaga nti kookolo akula munda mu bbeere.

Ani asinga okukwatibwa obulwadde buno?

Obulwadde bwa Paget obw’amabeere businga kubeera mu bakyala. Wabula kibadde kizuuliddwa ne mu basajja. Emyaka gya wakati egy’okuzuula obulwadde buno gitera okuba nga gya myaka 57. Kyokka, kiyinza okubaawo mu bantu abato ennyo n’abakulu okusinga awo. Tekitera kubaawo nnyo ne kiba nti kikola ebitundu ebitakka wansi wa 4% ku kookolo w’amabeere yenna aloopebwa. Kale, newankubadde nga mbeera ya bbula nnyo, kikulu okugimanya.

Obulwadde buno busaasaana mangu butya? Kiyinza okuba eky’amaanyi kitya?

Ddala kisinziira ku oba olina kookolo omulala mu bbeere lyo oba nedda, era bwe kiba bwe kityo, ku mutendera ki.

• Singa kookolo akoma mu mifulejje gy'amata: Singa kookolo wo akoma mu mifulejje gy'amata era nga tasaasaana mu bitundu by'amabeere ebimwetoolodde, tumuyita "ductal carcinoma in situ" (DCIS) . Kino kitwalibwa nga kookolo wa stage 0. Kookolo ow’ekika kino ajjanjabibwa nga baggyawo obutoffaali bwa kookolo n’enfuli nga balongoosebwa, oluvannyuma ne bamulongoosa eddagala eriyitibwa radiation therapy. Singa obulwadde buzuulibwa ku mutendera guno, emikisa gy’okuwona mu bujjuvu giba mingi nnyo.

• Singa kookolo asaasaanidde ebweru w'emikutu gy'amata: Kookolo ali mu mifulejje gy'amata bw'atandika okusaasaana mu bitundu by'amabeere ebibyetoolodde, ayitibwa "invasive ductal carcinoma." Kookolo ono akula mu mitendera egiwerako. Mu biseera ebisooka, kisobola okujjanjabibwa nga tuggyawo ebitundu by’amabeere ebikoseddwa n’ennywanto z’omu kifuba (axillary lymph nodes). Kyokka kookolo bw’atandika okusaasaana ebweru w’amabeere, kwe kugamba, mu mitendera egy’oluvannyuma, obulwadde buno bweyongera okuba obw’amaanyi era buzibu okubujjanjaba.

Bubonero ki obulaga obulwadde bwa Paget?

Obubonero buno butera okulabika ku nfuli yo ne/oba olususu oluddugavu olugyetoolodde (areola). Ebiseera ebisinga, obubonero buno bulabibwa mu bbeere limu lyokka, naye si bulijjo nnyo, busobola okulabika mu mabeere gombi. Wadde ng’obubonero buno buyinza okulabika ng’obujja ne bugenda mu kusooka, butera okweyongera okumala ekiseera.

Ensonga entuufu lwaki kino kikoleddwa?

Ekituufu ekivaako kookolo kikyali kyama eri bannassaayansi. Naye okunoonyereza okupya kukolebwa buli kiseera okuzuula ensonga empya. Kye tumanyi kiri nti kookolo abaawo ng’obutoffaali obumu mu mubiri gwaffe bufuuse obutali bwa bulijjo, ne bwawukana ne bukula nga tebufugibwa. Mu kiseera kino kirowoozebwa nti enkyukakyuka zino mu butoffaali ziyinza okutandika n’enkyukakyuka mu nkola yaffe ey’obuzaale oba DNA . Naye n’okutuusa kati tewali kya kuddamu kitegeerekeka lwaki enkyukakyuka zino zibaawo.

Bannasayansi bakizudde nti waliwo "ensonga ezimu ez'obulabe" zongera obulabe bw'okukwatibwa kookolo. Ng’ekyokulabirako, okukwatibwa obutwa obumu obuva mu butonde, okunywa sigala, n’okunywa omwenge ekisusse byongera obulabe bwa kookolo. Naye ekyewuunyisa, kookolo w’amabeere ebitundu 85% abeera mu bantu abatalina nsonga nnene ya bulabe.

Osobola otya okuzuula obulwadde buno? (Okuzuula obulwadde)

Bw’ogenda ew’omusawo ng’alina obubonero nga buno, ayinza okusooka okulowooza nti kizimba kyokka. Kale ajja kukijjanjaba. Naye obujjanjabi obwo bwe butayamba, oba ng’ateeberezebwa okuba n’obulwadde bwa Paget, ajja kwetaaga okukola ebigezo ebimu okuzuula obulungi obulwadde buno.

Omutendera ogusooka era ogusinga obukulu kwe kuggya akatundu akatono okuva mu lususu lw’enfuli n’okakebera mu microscope (biopsy). Enkola esinga okukozesebwa ku kino ye "punch biopsy." Kino kitegeeza nti akatundu k’olususu akatono ak’enkulungo kakwatibwa ne kakeberebwa n’akavuga akatono, akafaananako n’okukuba empapula. Eno y’engeri ennyangu ey’okuzuula obutoffaali bwa kookolo obukwatagana n’obulwadde bwa Paget.

Obulwadde bwa Paget bwe bumala okukakasibwa, ekiddako kwe kuzuula oba waliwo kookolo omulala yenna mu mabeere era bwe kiba bwe kityo, we yasaasaana. Omusawo wo ajja kukikola kino.Oyinza okusindikibwa okukeberebwa ebifaananyi, gamba ng’okukeberebwa amabeere oba okukebera amabeere. Singa okukebera kuno kuzuula ekifo ekiteeberezebwa nti kirimu kookolo, "needle biopsy" eyinza okulagirwa, nga mu kino akatundu akatono akatundu akatundu akayitibwa tissue kaggyibwamu n'empiso ne kakeberebwa.

Obujjanjabi bwe buruwa?

Obujjanjabi buzingiramu okulongoosa n’oluusi n’obujjanjabi obw’enjawulo obwa kookolo (adjuvant therapies).

1. Okulongoosa kookolo w’amabeere

Kookolo yenna ali mu mabeere go ajja kwetaaga okulongoosebwa, naye obungi bw’ebitundu by’omubiri gw’ogenda okuggyibwamu bujja kusinziira ku mbeera gy’olimu.

• Okulongoosa okukuuma amabeere: Bw’oba ​​olina obulwadde bwa Paget obw’enfuli yokka ate nga tolina bizimba birala, omusawo akulongoosa ajja kugezaako okuggyamu ebitundu ebikoseddwa byokka. Kino kizingiramu okuggyamu enfuli yo, olususu olugyetoolodde (areola), n’obutundutundu obutono obulungi obugyetoolodde.
• Okusala amabeere: Singa kookolo asaasaanidde mu kitundu ekinene, omusawo akulongoosa ayinza okukuwa amagezi okuggyamu amabeere gonna (mastectomy). Oluvannyuma lw’okulongoosebwa, osobola okulongoosebwa okuddamu okuzimba amabeere bw’oba ​​oyagala.

2. Obujjanjabi obuyamba

Oluvannyuma lw’okulongoosebwa, obujjanjabi obw’enjawulo, obujjuvu buweebwa okutangira kookolo okuddamu. Kino kiyitibwa obujjanjabi obuyamba.

• Radiation therapy: Okukozesa emisinde egy’amaanyi amangi okusaanyaawo obutoffaali bwa kookolo bwonna obusigaddewo.
• Chemotherapy: Okukozesa eddagala okutta obutoffaali bwa kookolo oba okukomya okukula.
• Obujjanjabi bw’obusimu: Obusimu bukola kinene mu kukula kwa kookolo w’amabeere omu. Ku kookolo ng’oyo, eddagala eriziyiza obusimu okukola.
• Immunotherapy: Bujjanjabi obusitula abaserikale b’omubiri gwo okulwanyisa obutoffaali bwa kookolo.

Kino kisobola okuwona ddala?

Bw’oba ​​olina obulwadde bwa Paget obw’enfuli bwokka, oba DCIS (omutendera 0) obutasaasaana kusukka emikutu gy’amata, emikisa gyo egy’okuwona giri waggulu nnyo. Abantu bangi abazuulibwa ne bajjanjabwa nga bukyali mu mbeera zino bawona mu bujjuvu. Kookolo w’amabeere bw’atandika okusaasaana, yeeyongera okukaluba okukuba. N’olwekyo kikulu okumanya obubonero n’okulaba omusawo amangu ddala nga bwe kisoboka.

Nsaana okulaba omusawo ku ssaawa mmeka?

Okusingira ddala bw’oba ​​olina obubonero bw’enfuli oba okwetooloola enfuli zo, ate nga tezigenda ne bw’omala okuzijjanjaba, kakasa nti ogenda ew’omusawo okwongera okukeberebwa. Tobuusa maaso kintu kitono.

Nnyinza ntya okwerabirira singa mba n’obulwadde buno?

Engeri esinga okwerabirira kwe kutandika obujjanjabi amangu ddala nga bwe kisoboka. Naye era weetaaga obuyambi bungi obw’eby’omwoyo.

• Mubeere n’omuntu akuwagira: yogera naawe, okugabana ku nneewulira zo, genda naawe ew’omusawo, era okuyamba ku mirimu gy’awaka n’omuntu gwe weesiga (omwami, omuntu w’omu maka, mukwano gwo).
• Wandiika ebibuuzo byo: Nga tonnagenda kulaba musawo, wandiika ebibuuzo byonna by’oyagala okumanya ku lupapula.
• Weetegereze: Weetegereze omusawo by’ayogera. Bw’osaba munno okukola kye kimu, osobola okuwa omusawo okufaayo kwo mu bujjuvu. Mwembi musobola okwetegereza amawulire ago oluvannyuma.