Olina enkyukakyuka nga eno mu nfuli zo? Ka tuyige ku bulwadde bwa Paget obw'amabeere!

Wali olabye ku nkyukakyuka entono, okusiiwa oba ekintu ekiringa ekizimba ku nfuli? Kiyinza okuba embeera y’olususu eya bulijjo naye bw’oba ​​olina okubuusabuusa okutono mu birowoozo byo, kikulu okugifaako. Kubanga, si bulijjo, obubonero buno buyinza okuba akabonero akasooka akalaga kookolo w’amabeere. Eyo y’emu ku mbeera ezo ezitatera kulabika, naye nga nkulu nnyo ze tugenda okwogerako leero.

Obulwadde bwa Paget obw’amabeere kye ki?

Mu ngeri ennyangu, obulwadde bwa Paget obw’amabeere kika kya kookolo ekitali kya bulijjo nnyo era akula mu lususu lw’enfuli yo . Oluusi era kiyinza okukosa olususu oluddugavu okwetoloola enfuli, oluyitibwa areola .

Lowooza, kino oluusi kiyinza okukoma ku nfuli, nga omutendera ogusooka ogwa kookolo w’amabeere (omutendera 0 kookolo w’amabeere) , ayitibwa `ductal carcinoma in situ` (DCIS) . Oba, kiyinza okuwerekerwako `kookolo w'amabeere ayingirira` ow'amaanyi ennyo asaasaana mu mifulejje gy'amata mu mabeere ge gamu. Kino era kiyitibwa obulwadde bwa mammary Paget .

Kino kiri bwe kityo kubanga olususu ku nfuli lulinga `eczema` , kale abantu bangi mu kusooka balowooza nti kizimba kya bulijjo kyokka. Obubonero buno buyinza okuli okusiiwa, okusekula olususu, okumyuuka, oluusi okulabika ng’okulumwa, n’okufulumya amazzi okuva mu nfuli . Naye jjukira nti si buli muntu alina obubonero buno nti alina obulwadde bwa Paget. Kyokka bw’oba ​​olina embeera eno, buno buyinza okuba obubonero obusooka obulaga nti alina kookolo w’amabeere .

Ani ayinza okukulaakulanya kino?

Obulwadde bwa Paget obw'amabeere businga kukwata bakyala . Wabula si bulijjo nnyo, abasajja ababadde baloopebwa nti babufuna. Emyaka gya bulijjo egy'okuzuulibwa obulwadde buno giri nga 57 . Kyokka, kizuuliddwa mu bantu abato ennyo n’abakulu okusinga awo. Obulwadde bwa Paget bukola ebitundu ebitakka wansi wa 4% ku kookolo w’amabeere yenna. Kale, nga bw’oyinza okulowooza, eno embeera etali ya bulijjo.

Obulwadde buno busaasaana mangu/bubi butya?

Ddala kisinziira ku oba olina kookolo w’amabeere wansi, era bwe kiba bwe kityo, ali mu mutendera ki Okugeza, bw’oba ​​olina kookolo mu mifulejje gy’amata gyo gyokka era nga tannasaasaana mu bitundu by’amabeere ebikwetoolodde, tumuyita ductal carcinoma in situ (DCIS) . Kino kitwalibwa ng’omutendera 0. Ekika kya kookolo kino atera okujjanjabibwa n’okulongoosebwa okuggyamu ekizimba (ebizimba) n’enfuli , n’addirirwa obujjanjabi obw’amasannyalaze .

Naye singa ono `ductal carcinoma` asaasaana okusukka emikutu gy’amata, ayitibwa `infiltrating ductal carcinoma`.Oba `invasive ductal carcinoma` . Kookolo ono yeeyongera okusajjuka mu mitendera . Mu mitendera egy’olubereberye, esobola okujjanjabibwa nga tuggyawo ebitundu by’amabeere ebikoseddwa n’ennywanto za `axillary lymph nodes` mu nnyindo. Naye, ono `invasive breast cancer` bw'asaasaana okusukka amabeere, kwe kugamba, mu mitendera egy'oluvannyuma , yeeyongera okubeera ey'obusungu era nga muzibu okujjanjaba.

Obubonero bwe buliwa?

Obubonero buno butera okulabika ku nfuli yo ne/oba olususu oluddugavu olugyetoolodde (areola) . Ebiseera ebisinga, ebbeere limu lyokka lye likosebwa, naye si bulijjo nnyo, byombi bisobola okukosebwa. Mu kusooka, obubonero buno buyinza okulabika ng’obujja ne bugenda, naye ekiseera bwe kigenda kiyitawo buyinza okweyongera . Obubonero buyinza okuli:

• Okusiiwa kw'enfuli oluvannyuma ekiyinza okuvaako okuzimba .
• Olususu olukalu, okusekula olususu (ku nfuli oba okwetooloola).
• Olususu luyinza okulabika. Kiyinza okuba ekimyufu, ekigulumivu, ekikuta, ekiruma oba nga kivaamu omusaayi .
• Okuzimba n'obulumi .
• Okufaananako eczema bw’efuuka ennyogovu, ekikuta kitondebwawo era amazzi ne gakulukuta .
• Omusaayi oba amazzi agalinga amasira agafuluma mu nfuli .
• Enfuli empanvu oba ezikyusiddwa .
• Ekizimba ky’amabeere ekikwatibwako wansi w’olususu.

Ekikulu: Tosattira singa oba olina obubonero buno bumu oba bubiri. Kyokka bwe zisigala oba zeeyongera okwonooneka, mazima ddala wandibadde onoonya amagezi g’abasawo.

Ensonga ze ziruwa? Lwaki kino kibaawo?

Mu butuufu, bannassaayansi n’okutuusa kati tebamanyi bulungi kivaako kookolo . Naye okunoonyereza okupya kukolebwa buli kiseera okuzuula. Kye tumanyi nti obumu ku butoffaali mu mibiri gyaffe bufuna enkyukakyuka ezitali za bulijjo , ekivaako okwekutula n'okukoppa mu ngeri etafugibwa . Okunoonyereza okuliwo kati kulaga nti enkyukakyuka zino mu butoffaali ziyinza okutandika mu DNA yaffe (genetic code) . Naye tetumanyi bulungi lwaki enkyukakyuka zino zibaawo, oba ddi.

Bannasayansi bakizudde nti emirundi mingi wabaawo "ensonga ezimu ez'obulabe" eziviirako okulwala kookolo. Balowooza nti ensonga zino ziyinza okubaako kye zikola mu kukula kw’obulwadde buno. Okugeza, singa oba okwatibwa obutwa obuva mu butonde , oba singa onywa sigala oba omwenge ennyo, otera okukwatibwa obulwadde buno. Kyokka, ekyewuunyisa, kookolo w’amabeere ebitundu 85% abeera mu bantu abatalina nsonga ezimanyiddwa eziyinza okuvaako akabi .

Obulwadde buno buzuulibwa butya mu butuufu?

Bw’olaba omusawo, ayinza okusooka okugezaako okujjanjaba embeera yo ng’akozesa obujjanjabi bwe bumu n’okujjanjaba eczema . Ekyo bwe kitakola, oba bw’aba ateebereza nti alina obulwadde bwa Paget obw’amabeere, ayinza okwetaaga okutwala sampuli y’ebitundu by’amabeere n’abikebera mu microscope. Obutoffaali bwa Paget bwangu okuzuulibwa mu ngeri eno. Kirabika ajja kukola punch biopsy . Kino kizingiramu okuggyawo akatundu akatono ak’ekyekulungirivu ng’okozesa ekintu ekisala ekyekulungirivu (nga okukuba ekituli).

Oluvannyuma lw’okuzuulibwa nti olina obulwadde bwa Paget’s Disease of the Breast, omusawo wo ajja kwagala okumanya oba olina ductal carcinoma in situ era bwe kiba bwe kityo, yabuna wa . Kino okukikola, ajja kusooka kwekebejja ebitundu by’amabeere go ng’akozesa ebifaananyi . Okugeza , okukebera amabeere oba okukebera amabeere kuyinza okukolebwa. Singa wasangibwawo ekitundu ekiteeberezebwa, ayinza okukuwa amagezi okukebera empiso okutwala sampuli y’ebitundu by’amabeere.

Kijjanjabwa kitya?

Obujjanjabi buno mulimu okulongoosa n'oluusi n'obujjanjabi obulala obwa kookolo .

Okuloongoosa

Kookolo yenna ali mu mabeere go yeetaaga okulongoosebwa. Wabula ebitundu by’omubiri ebiggyibwamu bisinziira ku mbeera gy’olimu. Bw’oba ​​olina obulwadde bwa Paget obw’amabeere bwokka, era nga tewali bizimba birala, oyinza okulongoosebwa okutono ennyo, okukuuma amabeere . Kino kitegeeza nti omusawo akulongoosa ajja kugezaako okuggyamu ebitundu ebikoseddwa byokka. Ajja kuggyawo enfuli yo, olususu oluddugavu olugyetoolodde (areola), n’obutundutundu obutono obwa bulijjo obugyetoolodde .

Okusinziira ku kifo kookolo w’asaasaanidde, omusawo akulongoosa ayinza okukugamba nti olongoose amabeere (okulongoosebwa okuggyamu ebbeere lyonna) . Bw’oba ​​oyagala, osobola n’okulongoosebwa okuddamu okuzimba amabeere oluvannyuma.

Obujjanjabi obuyambi

Oluvannyuma lw’okulongoosebwa, kirabika ojja kuweebwa obujjanjabi obulala, obujjuvu okutangira kookolo okuddamu. `Eddagala lino eriyamba` liyinza okuli:

• Obujjanjabi bw’amasannyalaze: Emisinde egy’amaanyi amangi gikozesebwa okusaanyaawo obutoffaali bwa kookolo.
• Chemotherapy: Eddagala likozesebwa okutta obutoffaali bwa kookolo oba okubulemesa okukula.
• `Eddagala ly'obusimu`:Obusimu buyamba kookolo w’amabeere abamu okukula. Obujjanjabi buno buziyiza obusimu obwo.
• Obujjanjabi bw’abaserikale b’omubiri: Buyamba abaserikale b’omubiri bo okulwanyisa kookolo.

Obulwadde buno busobola okuwona ddala?

Emikisa gy'okuwona kookolo w'amabeere gisinziira ku mutendera kookolo w'azuulibwa . Bw’oba ​​olina obulwadde bwa Paget obw’enfuli, obubeera mu mabeere gokka, oba ductal carcinoma in situ (stage 0) , etasaasaana kusukka mifulejje gya mata, prognosis yo nnungi nnyo . Abantu abasinga abazuulibwa ne bajjanjabwa nga bukyali mu mbeera zino bawona mu bujjuvu . Kyokka kookolo w’amabeere bw’amala okusaasaana, yeeyongera okukaluba okukuba.

Eno y’ensonga lwaki kikulu nnyo okufaayo ku nkyukakyuka entonotono n’okunoonya amagezi g’abasawo.

Ddi lwe nnina okulaba omusawo?

Bw’olaba enkyukakyuka yonna mu mabeere go, ka kibeere nkyukakyuka mu lususu oba enkyukakyuka wansi w’olususu, bulijjo laba omusawo. Ebiseera ebisinga kiyinza obutaba kookolo, naye bulijjo kirungi okwekebejjebwa . Bwoba olina obubonero nga eczema ku oba okwetoloola enfuli oba areola, era nga ogezezzaako okubujjanjaba wekka era tekiyamba , definitely make an appointment to see a doctor for further testing.

Weerabirira otya singa oba olina obulwadde buno?

Ekisinga obulungi ky'oyinza okwekolera kwe kutandika obujjanjabi amangu ddala nga bwe kisoboka . Naye, era weetaaga obuwagizi . At the very least , funa omuntu gwe weesiga okwogera naye, genda mu appointments zo, oba okuyambako ku mirimu gy’awaka.

Leeta olukalala lw’ebibuuzo by’olina okubuuza omusawo, era beera mwetegefu okuwandiika ebyo ebyogerwa, oba saba omuntu akuwandiikire. Mwembi musobola okukyetegereza oluvannyuma.

Era kikulu okusigala ng’oli mugumu mu birowoozo mu biseera nga bino. Kola ebintu ebikubudaabuda, yogerako n’ab’omu maka gaabwe n’emikwano, era funa okubudaabudibwa bwe kiba kyetaagisa.

Waliwo akakwate wakati w’obulwadde bwa Paget obw’amabeere n’endwadde endala eza ‘Paget’?

Kino kibuuzo abantu bangi kye babuuza. Sir James Paget, omusawo Omuzungu eyalongoosa ku nkomerero y’ekyasa eky’ekkumi n’omwenda, yazuula ebintu bingi mu by’obujjanjabi. Waliwo endwadde eziwerako ezituumiddwa amannya ge, naye si zonna nti zirina akakwate ku ndala .

Okugeza, `Obulwadde bwa Paget obw'amagumba` bulwadde bw'amagumba obutali bwa kookolo. Tekikwatagana na bulwadde bwa Paget obw’amabeere.

Naye,Waliwo kookolo omulala atatera kulabika ayitibwa `extramammary Paget's disease` (EMPD), nga mu butonde afaanagana.

Obulwadde bwa Paget obw’amabeere bumanyiddwa olw’okubeerawo kw’obutoffaali bwa kookolo obw’enjawulo mu lususu lw’enfuli obuyinza okulabibwa mu microscope. Ziyitibwa obutoffaali bwa Paget kubanga Paget ye yasooka okuzinnyonnyola. Obulwadde bwa Paget obw’ebweru w’amabeere (EMPD) nabwo bulina obutoffaali buno obwa Paget. Era erina ekizimba ekifaananako bwe kityo, naye tekibeera ku nfuli, wabula ku bitundu by’ekyama . Wadde ng’endwadde zino ebbiri zifaanagana, ndwadde za njawulo . Tezibeerawo wamu.

Obubaka Obutwala Awaka

Okay, kale bino bye bimu ku bintu ebikulu bye twogeddeko leero okukuyamba okujjukira:

• Obulwadde bwa Paget obw’amabeere kookolo abeera mu ntandikwa y’emikutu gy’amata mu nfuli . Oluusi, kiyinza okuwerekerwako kookolo w’amabeere agenda mu maaso.
• Oyinza okulaba enkyukakyuka mu nfuli yo, gamba ng’ekizimba ekikuta, olususu olusekula, amazzi agakulukuta, oba ekiwundu ekitawona .
• Kino gy’okoma okukimanya amangu n’okukijjanjaba, gy’okoma okuwona.
• Abantu abasinga bawona ddala , naye kiyinza okwetaagisa okulongoosebwa okugiggyamu .
• Bw’olaba enkyukakyuka yonna etali ya bulijjo mu mabeere go naddala mu nfuli zo, kirungi okugenda mu basawo amagezi nga tomala biseera .

Tusuubira nti otegeezeddwa amawulire gano. Sigala nga oli mulamu bulungi!

` Kookolo w'amabeere, obulwadde bwa Paget, obubonero bw'enfuli, obulamu bw'amabeere, obulamu bw'abakyala, okuzuula kookolo, okujjanjaba kookolo