Obujjanjabi obupya ku kookolo w’amabeere: Ka tuyige ku Proton Therapy

Singa omusawo akugamba nti olina kookolo w’amabeere , oyinza okuweebwa obujjanjabi obw’amasannyalaze ng’ekimu ku bigenda mu maaso mu nteekateeka yo ey’obujjanjabi. Obujjanjabi buno butera okusemba naddala ng’obadde olongoosezza amabeere , singa kookolo aba munene, oba singa kookolo asaasaanidde mu nnywanto z’omusaayi mu nnywanto zo oba mu bitundu ebirala. Era kiyinza okuyamba okutangira kookolo okuddamu oluvannyuma lw’okulongoosebwa okukuuma amabeere.

Obujjanjabi bwa Proton kye ki?

Ekika ky’obujjanjabi obw’amasannyalaze obusinga okukozesebwa ku kookolo w’amabeere ye masanyalaze ag’ebweru (external beam radiation). Engeri ey’enjawulo, ey’omulembe eya kino eyitibwa obujjanjabi bwa pulotoni . Oluusi kiyitibwa intensity modulated proton therapy oba IMPT.

Ekintu eky’enjawulo mu bujjanjabi buno kwe kuba nti ekitangaala ky’amasannyalaze (radiation beam) kigendereddwa butereevu ku kizimba kya kookolo. N’olwekyo, okwonooneka kw’ebitundu ebiramu okwetooloola kookolo, kwe kugamba, ebitundu by’omubiri, bitono nnyo. Lowooza ku kino, amabeere gaffe gasangibwa kumpi nnyo n’omutima n’amawuggwe. N’olwekyo abasawo bagamba nti enkola eno ey’obujjanjabi bwa ‘proton therapy’ esobola okuwonya kookolo ate ng’ekendeeza ku kwonooneka kw’obusannyalazo bwe buyinza okuleeta ku bitundu ebyo eby’omuwendo.

Kino kyawukana kitya ku bujjanjabi obwa bulijjo obw’amasannyalaze?

Mu ngeri ennyangu, obujjanjabi bwa proton n’obujjanjabi obw’ekinnansi obw’amasannyalaze bwonoona DNA eri munda mu butoffaali bwa kookolo ne bubutta. Naye engeri gye bakikolamu ya njawulo.

Enjawulo eno ka tugitegeere bulungi katono.

Kino kireeta migaso ki eri abakyala abalina kookolo w’amabeere?

Abakyala abalina kookolo w’amabeere ku ludda olwa kkono abafuna obujjanjabi obwa bulijjo obw’amasannyalaze (X-rays) bali mu bulabe obw’okufuna ebizibu by’omutima ebinene, gamba ng’obulwadde bw’omutima obuyitibwa ischemic heart disease, obuva ku kufunda kw’emisuwa mu mutima. Okunoonyereza okwakolebwa mu 2017 kwazuula nti akabi kano kasobola okutandika mu myaka 10 egisooka ng’ofunye obujjanjabi.

Kale obujjanjabi bwa proton buyamba nnyo mu kwewala ebizibu ng’ebyo.

Emigaso emirala egy’obujjanjabi buno gye gino:

• Tewali bulumi: Buno si bujjanjabi buluma.
• Tekyetaagisa kulongoosa: Tekyetaagisa kusala oba kusala wonna ku mubiri (non-invasive).
• Kiyinza okukolebwa n’obujjanjabi obulala: Kino osobola okukikola n’obujjanjabi obulala bw’ofuna ku kookolo (e.g. chemotherapy).
• Okusimbira Amabeere Si Kizibu: Obujjanjabi buno osobola okubukola ne bw’oba ​​obadde ofunye amabeere.

Nga bwe kiri ku bujjanjabi bwonna, waliwo ebizibu ebitonotono ebivaamu. Ebisinga okulabika kwe kukoowa, okumyuuka , enviiri okugwa, n’okuwulira olususu mu kifo awajjanjabirwa . Kyokka bino tebitera kubaawo okusinga ku bujjanjabi obwa bulijjo obw’amasannyalaze.

Bika ki ebya kookolo w’amabeere ebiyinza okujjanjabibwa n’obujjanjabi bwa ‘proton therapy’?

Eno nsonga nkulu nnyo. Mazima ddala olina okwogera n’omusawo wo oba obujjanjabi buno bukusaanira, ku kika kya kookolo n’omutendera gwo.

Waliwo embeera eziwerako eza bulijjo obujjanjabi buno mwe buyinza okulowoozebwako:

• Bw’oba ​​olina kookolo w’amabeere ow’omutendera 1, 2 oba 3 (Stage I, II, oba III).
• Singa kookolo asaasaana mu bbugwe w’ekifuba, olususu, oba endwadde z’enkizi, naye nga tasaasaana mu bitundu ebirala eby’ewala, ayitibwa `kookolo w’amabeere ow’omu kitundu`.
• Singa wabaawo obutoffaali bwa kookolo mu nnywanto z’omusaayi, kiyitibwa ``node-positive breast cancer``.

Ate era kookolo wo ayinza okuba ng’asaanira obujjanjabi buno ne bw’aba nga kimu ku bika bino wammanga:

• Estrogen receptor (ER) nga nnungi oba nga nnungi.
• Progesterone receptor (PR) nga nnungi oba nga terimu.
• HER2/neu positive oba negative.
• Triple positive: Okubeera positive ku byonna ebisatu bino wammanga: ER, PR, ne HER2.
• Triple negative: Negative ku byonna ebisatu bino wammanga: ER, PR, ne HER2.

Okunoonyereza ku nsonga eno kukyagenda mu maaso, n’olwekyo engeri esinga obulungi ey’okufunamu ebipya kwe kwogera n’omusawo wo.

Obujjanjabi buno bukola butya?

Abasawo bo abakola ku by’okukuba ebifaananyi (radiologists) n’abasawo bakolera wamu okukola enteekateeka y’obujjanjabi ekusaanira.

1. Simulation Session: Ng’ebula ennaku ntono obujjanjabi bwo obusooka, ojja kutwalibwa mu session eno. Wano, ttiimu ekola ku by’amasannyalaze ejja kussaako akabonero ku kitundu kyennyini ku mubiri gwo obujjanjabi we bugenda okuweebwa. Kino kiyinza okukolebwa nga bakuba layini n’akabonero ak’olubeerera oba ng’ossaako obutundutundu obutonotono, obufaananako ne ttatu.

2. Mu kiseera ky’obujjanjabi: Ojja kwetaaga okugalamira ku kitanda ng’ojjanjabwa. Singa osenguka, ekitangaala ky’amasannyalaze kiyinza okusubwa kookolo. Oyinza okuteekebwa mu fuleemu ey’enjawulo okusobola okukusigala ng’osirise. Obujjanjabi buyinza okumala eddakiika nga 30.

3. Ekiseera ky’obujjanjabi: Ebiseera by’obujjanjabi ng’ebyo ebiwerako bijja kwetaaga okukolebwa mu bbanga lya wiiki nga 6.

Obujjanjabi buno buliwo mu Sri Lanka?

Obujjanjabi bwa pulotoni bwetaagisa ebyuma ebinene ennyo, eby’enjawulo era eby’ebbeeyi ebiyitibwa cyclotrons oba synchrotrons. N’olwekyo, si buli nsi oba eddwaaliro mu nsi nti lirina ekifo kino.

Olw’okuba ono tekinologiya wa mulembe nnyo era mupya,Obujjanjabi buno buyinza obutabaawo nnyo mu Sri Lanka mu kiseera kino. Kyokka nga tekinologiya bw’agenda akulaakulana, ekifo kino kijja kujja mu ggwanga lyaffe mu biseera eby’omu maaso. Engeri esinga obulungi ey’okufuna amawulire amatuufu era ag’omulembe ku nsonga eno kwe kwogera n’omusawo wo ow’obulwadde bwa kkansa naddala oyo okuva mu ddwaaliro eddene erya kookolo nga Apeksha Hospital.

Kookolo w'amabeere, obujjanjabi bwa proton, obujjanjabi bwa radiation, obujjanjabi bwa kookolo, obulamu bw'abakyala, kookolo w'amabeere sinhala , obujjanjabi bwa proton Sri Lanka