Singa omuntu mu maka go, oboolyawo maama wo, mwannyoko, oba ssenga wo, alina kookolo w’amabeere , obeera n’okutya mu birowoozo byo nti, “Nange nja kumufuna?” Kino si kutya abantu bangi kwe balina? Abakyala abamu abali mu bulabe obw’amaanyi ennyo obw’okukwatibwa kookolo w’amabeere balongoosebwa amabeere gaabwe gombi nga kookolo tannatuuka na kukula. Kino kye tuyita preventive mastectomy . Okuva bwe kiri nti kino kusalawo kunene, ka tubeere balambulukufu era abatuufu ku nsonga eyo.
Preventive Mastectomy kye ki?
Mu ngeri ennyangu, kino kwe kulongoosa okuggyamu ebitundu by’amabeere ebiyinza okubaamu obutoffaali bwa kookolo okumalawo oba okukendeeza ennyo emikisa gy’okufuna kookolo w’amabeere mu biseera eby’omu maaso. Kino tekikolebwa nga kookolo amaze okukula, wabula ng’okwegendereza nga tannabaawo, olw’obulabe obw’amaanyi obw’okufuna kookolo. Mu ngeri y’obusawo, kino era kiyitibwa `Bilateral Prophylactic Mastectomy`.
Ekigendererwa ekikulu eky’okulongoosa kuno kwe kuggyawo ebitundu by’amabeere bingi nga bwe kisoboka ebiyinza okufuuka kookolo, n’okukuuma akabi akayinza okubaawo mu biseera eby’omu maaso.
Ddala okulongoosa kuno kusaanira ani?
Kino kibuuzo kikulu nnyo. Okulongoosa kuno si kirungi eri buli muntu. N’ebibiina nga National Cancer Institute bigamba nti abakyala bokka abali mu bulabe obw’amaanyi ennyo obw’okukwatibwa kookolo bakirowoozeeko.
Jjukira nti kino si kintu ky’okola olw’okuba olina okutya okufuna kookolo w’amabeere (cancer phobia). Wateekwa okubaawo ensonga z’obujjanjabi ezitegeerekeka obulungi ku kino.
Omuntu yenna alina ekimu oba ebisingawo ku bintu ebiyinza okuleeta akabi mu kipande wansi asobola okwogera n’omusawo we ku nsonga eno.
| Ensonga y’akabi | Ennyinyonnyola ennyangu |
|---|---|
| Enkyukakyuka mu buzaale bwa BRCA1 oba BRCA2 | Zino buzaale bwongera nnyo obulabe bwa kookolo w’amabeere. Bino bisobola okuzuulibwa nga bayita mu kukebera obuzaale. |
| Ebyafaayo by’amaka ebinywevu ennyo | Singa ab’eŋŋanda ez’oku lusegere abawerako (maama, mwannyinaffe, muwala we) baba bafunye kookolo w’amabeere naddala singa obulwadde buno baabufuna ku myaka emito. |
| Embeera ya kookolo w’omu lubuto mu kifo (LCIS). | Wadde ono si kookolo, mbeera eyongera obulabe bwa kookolo mu biseera eby’omu maaso. Obulabe buba bungi nnyo singa wabaawo ebyafaayo by’amaka ebikwata ku kino. |
| Nga yafuna obujjanjabi bw’amasannyalaze mu kifuba nga tannaweza myaka 30 | Singa wafuna obujjanjabi bw’amasannyalaze okutuuka mu kitundu ky’ekifuba ng’omwana olw’obulwadde obulala (e.g. Hodgkin’s Lymphoma), kyongera ku bulabe bw’okufuna kookolo w’amabeere mu biseera eby’omu maaso. |
| Okubeera ne kookolo mu bbeere erimu ate ng’olina emikisa mingi egy’okumufuna mu mabeere amalala | Kookolo bw’aba yawona dda mu bbeere erimu era nga waliwo emikisa mingi egy’okukwatibwa kookolo mu mabeere amalala olw’ensonga z’obuzaale oba endala. |
Nga tonnasalawo nga kino, kyetaagisa okunoonya okubudaabudibwa ku buzaale n’okubudaabudibwa mu by’empisa , kuba kino kusalawo kunene okukosa omubiri n’ebirowoozo.
Ddala kino kimalawo obulabe bwa kookolo 100%?
Kino abantu bangi kye babuuza. Mu butuufu, kizibu okuwa omusingo 100%. Naye, akabi kasobola okukendeezebwako ebitundu ebinene ennyo, nga 90% - 95% . Kino kituufu naddala eri abo abalina enkyukakyuka mu buzaale bwa BRCA.
Olwo lwaki si 100%?
Lowooza ku kino... Ebitundu by’amabeere byaffe tebiri mu kifo kimu nga bwe tulowooza. Busaasaana okuva ku ggumba ly’omu bulago okutuuka ku mbavu eza wansi, n’okuva wakati mu kifuba okutuuka mu nnyindo. Endwadde ezikola amata (milk lobules) n’emikutu gy’amata, ebiyinza okufuuka kookolo, bisaasaana mu kitundu kino kyonna eky’amabeere, ne wansi w’olususu.
Omusawo alongoosa ne bw’aba mukugu atya, ne bw’alongoosebwa n’obwegendereza atya, si kya mugaso okuggyawo buli katoffaali akali mu bitundu by’omubiri akasaasaana mu ngeri eno. N’olwekyo, ebitundu ebitono ennyo biyinza okulekebwawo. Eno y’ensonga lwaki akabi tekaggyibwawo 100%. Naye akabi kakendeera nnyo kubanga omuwendo ogusigaddewo mutono nnyo.
Oluvannyuma lw'okulongoosebwa... waliwo eby'omulembe?
Yee. Ekirungi, leero waliwo enkola ez’omulembe ennyo ez’okulongoosa kuno. Okwawukanako n’edda, ebivuddemu kati bifunye buwanguzi bungi.
Okusala amabeere nga tekukendeeza ku lususu
Eno y’enkola esinga okukozesebwa ennaku zino. Mu nkola eno, abasawo baggyamu n’obwegendereza ebitundu by’endwadde byokka ebiri wansi w’amabeere ebiri mu bulabe bw’okukwatibwa kookolo, awatali kwonoona lususu. Kino kiggyawo ebitundu ebinene ennyo ebiyinza okufuuka kookolo.
Ebiseera ebisinga, enfuli n’olususu oluddugavu olugyetoolodde (areola) biggyibwamu. Kino kiri bwe kityo kubanga emikutu gy’amata gyonna giyungiddwa ku nfuli, era mu kitundu ekyo mulimu ebitundu by’ennywanto bingi. Wabula olw’okuba olususu lw’amabeere lusigaddewo, kyangu nnyo okuddamu okuzimba ebbeere (breast reconstruction).
Okuddamu okuzimba amabeere mu bwangu
Emirundi mingi, okuddamu okuzimba amabeere kati kisoboka mu kiseera kye kimu n’okusala amabeere, ng’okozesa ebitundu by’omubiri okuva awalala wonna mu mubiri gwo oba ebintu eby’enjawulo ebiteekebwa mu mubiri gwo.
Enkola zino ebbiri bwe zigatta, kwe kugamba, olususu bwe lukuumibwa, amabeere ne gaggyibwamu, ate ne gaddamu okuzimbibwa mu kiseera kye kimu, ebivaamu biba birungi nnyo. Abakyala bangi abalongoosebwa kuno basanyufu nnyo olw’okusalawo kwabwe n’endabika gye bafuna oluvannyuma lw’okulongoosebwa.
Obubaka Obutwala Awaka
- Okusala amabeere mu ngeri ey’okuziyiza si kintu buli muntu ky’asobola okukola. Kirungi ku bakyala bokka abali mu bulabe obw’amaanyi ennyo obwa kookolo w’amabeere.
- Wadde ng’okulongoosa kuno tekumalawo ddala (100%) bulabe bwa kookolo, kuyinza okubukendeeza ebitundu ebisukka mu 90% .
- Nga tonnasalawo kinene bwe kityo, kikulu nnyo okunoonya okubudaabudibwa ku buzaale n’okubudaabudibwa ku by’omwoyo .
- Olw’okulongoosebwa okw’ennaku zino okukekkereza olususu n’obukodyo bw’okuddamu okuzimba amangu , kisoboka okuddamu okufuna endabika ennungi ennyo.
- Ekisinga obukulu kwe kuteesa mu lwatu ebibuuzo byonna n’okutya kwonna kw’olina ku nsonga eno n’omusawo wo. Ajja kukunnyonnyola akabi kwo ssekinnoomu n’engeri ezisinga obulungi gy’oli.
Kookolo w’amabeere, Okusala amabeere okuziyiza, Okusala amabeere, BRCA, Obulabe bwa kookolo, Okusala amabeere, Obulamu bw’abakyala
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