Kya bulijjo okuwulira ng'otya katono n'obunkenke ng'owulira ebigambo "kkookolo" ne "radiation therapy" oba nga bwe twagala okubiyita, "radiation therapy." Naye kino ddala kye ki? Kino kitegeeza ki? Bw’omala okumanya obulungi kye kiri, okutya kwo kujja kuggwaawo. Kale, leero tugenda kwogera ku buli kimu ekikwata ku bujjanjabi bw’amasannyalaze (radiation therapy) ku kookolo w’amabeere, mu ngeri ennyangu ennyo, mu ngeri gy’osobola okutegeera.
Mu ngeri ennyangu, obujjanjabi obw’amasannyalaze kye ki?
Obujjanjabi bw’amasannyalaze bukozesa X-ray ez’amaanyi amangi okutta oba okwonoona obutoffaali bwa kookolo mu mabeere go. Ebiseera ebisinga, omuntu alina kookolo w’amabeere alongoosebwa okumuggyamu kookolo. Naye ne bwe kiggwaawo, wayinza okubaawo obutoffaali bwa kookolo obutono ennyo obusigadde mu kitundu ekyo bwe tutasobola kulaba. Obujjanjabi bw’amasannyalaze (radiation therapy) bukozesebwa okusaanyaawo ddala obutoffaali bwa kookolo bwonna obusigaddewo.
Oluusi, singa kookolo aba asaasaanidde mu bitundu by’omubiri ebirala (metastatic breast cancer), obujjanjabi buno era bukozesebwa okufuga obubonero ng’obulumi. Kiba ng’okukwata omumuli ogw’amaanyi amangi n’ogugenderera ddala obutoffaali bwa kookolo n’obusaanyaawo.
Bujjanjabi ki obw’amasannyalaze obuliwo?
Waliwo engeri eziwerako ez’okuwa obujjanjabi buno. Omusawo ajja kusalawo enkola esinga okukukwatako okusinziira ku bintu bingi, gamba ng’ekika kya kookolo gw’olina ne gy’ali.
Katutunuulire enkola enkulu nga zino.
| Erinnya ly’enkola y’obujjanjabi | Engeri y’okukikola nnyangu. |
|---|---|
| Obujjanjabi bw’obusannyalazo obw’ebweru (EBRT) . | Eno y’enkola esinga okukozesebwa. Ekyuma ekinene (Linear Accelerator) kikozesebwa okutuusa emisinde gy’obusannyalazo ku bbeere. Obujjanjabi buno butera okuweebwa ennaku ttaano mu wiiki, okumala wiiki emu okutuuka ku mukaaga. |
| Obujjanjabi bw’amasannyalaze ag’omunda (Brachytherapy) . | Kino kizingiramu okuyingiza ekintu ekiringa ensigo ekikola obusannyalazo okuyita mu ttanka entono (catheter) mu kifo kookolo we yali. Kirekebwa mu kifo kyayo okumala eddakiika ntono oluvannyuma ne kiggyibwamu. Obujjanjabi buno bukolebwa emirundi ebiri olunaku okumala ennaku nga ttaano. |
| Obujjanjabi bw’amasannyalaze mu kulongoosa (IORT) . | Kino kikolebwa mu kiseera kye kimu n’okulongoosebwa. Omusawo aggyawo ekizimba kya kookolo n’awa ddoozi y’amasannyalaze mu kitundu ekizimba we kyali nga tannaggalawo kiwundu. |
Kiki ekibaawo ku lunaku olusooka? (Olusoma lw'okuteekateeka)
Olunaku olusooka olw’obujjanjabi bwo mu butuufu si lwe lunaku lw’obujjanjabi. Lunaku lwa kutegeka. Tukozesa olunaku luno okubuuza ebibuuzo byo byonna, n’okuyamba ttiimu y’abasawo okukunnyonnyola buli kimu.
Kiki ekigenda okubaawo olwo?
- Okwogera ku nteekateeka y’obujjanjabi: Bajja kukunnyonnyola ebbanga ly’ogenda okwetaaga okufuna obujjanjabi, emirundi emeka, n’ebbanga lye bunaatwala omulundi gumu. Wadde nga kitera okutwala eddakiika nga 30-45, mu butuufu emisinde giweebwa okumala eddakiika ntono zokka.
- Ojja kunnyonnyolwa enkola: engeri emisinde gye ginaaweebwamu, ttiimu y’abasawo gy’egenda okuba mu kiseera ekyo, ne by’otosobola kukola (okugeza, obutatambula).
- Ojja kuyigirizibwa obukodyo bw’okukuuma omutima gwo n’amawuggwe: Ojja kuyigirizibwa obukodyo obw’enjawulo, gamba ng’okukwata omukka ogw’amaanyi mu kussa, ng’ojjanjabwa. Kino kijja kuyamba okukendeeza ku bikolwa by’obusannyalazo ku mutima gwo n’amawuggwe.
- Ojja kuwabulwa ku bintu by’oyinza okukola okweyagaza: okugeza okwambala engoye ezitazitowa nga tezinywezeddwa ng’ozze okujjanjabibwa, kuba kino kijja kukendeeza ku bungi bw’olususu okusiiga amabeere.
- Okwogera ku bizibu ebiyinza okuvaamu n’engeri y’okubikwatamu: Kikunnyonnyola ebizibu ebiyinza okuvaamu ne by’oyinza okubikolako.
CT scan ekoleddwa mu kiseera ky’okuteekateeka
Ku lunaku lwe lumu, ojja kukeberebwa CT scan okulaga ddala mu bbeere lyo w’oyagala okufuna obusannyalazo. Kino kiyinza okutwala essaawa nga emu.
- Ojja kukuumibwa ng’okyali ku kitanda ky’obujjanjabi ng’oyambibwako ekyuma eky’enjawulo. Kino kiyamba okukukuuma mu mbeera y’emu mu buli bujjanjabi bwonna.
- Oluvannyuma, obubonero buna obutonotono buteekebwa ku nsonda ennya ez’ekifo ekigenda okujjanjabwa. Buno bubonero butono obufaanana ng’ekiwujjo. Oluusi zino zibeera ttatu ez’olubeerera, oluusi za kaseera buseera. Kino osobola okukisalawo ng’oyogera n’omusawo wo, okusinziira ku ky’oyagala. Obubonero buno buliwo okukuyamba okugenderera emisinde mu kifo kye kimu buli mulundi.
Kiki ddala ekibaawo mu kiseera ky’obujjanjabi?
Bw’otuuka okujjanjabibwa, omu ku ttiimu y’abasawo ajja kukulamusa n’okukuwa gomesi ey’enjawulo gy’ogenda okwambala ng’ojjanjabwa. Awo:
1. Ojja kutwalibwa mu kisenge omujjanjabirwa.
2. Okukuyamba okulinnya ku kitanda ky’obujjanjabi. Ebiseera ebisinga, ojja kuba olina okugalamira ku ludda lwo. Ojja kwetaaga okukuuma omukono ku ludda kookolo wo gy’ali waggulu w’omutwe gwo.
3. Ojja kuteekebwa ddala munda mu kyuma ekiziyiza okutambula ekyogeddwako waggulu.
4. Oluvannyuma lw’ekyo, ttiimu y’abasawo ejja kufuluma ekisenge. Naye teweeraliikiriranga, basobola okukulaba ku kkamera ne bawulira by’oyogera.
5. Ekyuma kikoleddwa. Ojja kuwulira eddoboozi ettono okuva mu kyuma, naye tojja kulaba bitangaala byonna, era tojja kuwulira kintu kyonna.
6. Obujjanjabi bwe bunaggwa, bajja kudda mu kisenge bakuyambe okuva ku kitanda.
Jjukira nti tojja kuwulira bulumi bwonna mu nkola eno yonna, n’olwekyo tewali nsonga lwaki otya.
Biki ebiyinza okuva mu bujjanjabi buno?
Obujjanjabi bw’amasannyalaze (radiation therapy) tebuleeta buzibu bwonna amangu ddala ng’omaze okutandika. Wabula ebizibu eby’ekiseera ekitono n’eby’ekiseera ekiwanvu biyinza okubaawo nga bajjanjabwa n’oluvannyuma lw’okujjanjabwa.
| Ebizibu ebiva mu bbanga ettono (mu kiseera ky’obujjanjabi n’oluvannyuma lw’akaseera katono) . | Ebizibu ebimala ebbanga eddene (emyezi oba emyaka oluvannyuma lw’okujjanjabwa) . |
|---|---|
| Obukoowu: Abantu bangi bawulira nga bakooye katono. Kino kigenda mu wiiki ntono ng’obujjanjabi buwedde. | Emisuwa gy’enjuki (Telangiectasias): Emisuwa emitono emimyufu giyinza okulabika ku lususu. Kino kyabulijjo era tewali kweraliikirira. |
| Enkyukakyuka mu lususu: Olususu luyinza okukala, okufuukuuka n’okumyuuka. Abantu abamu bayinza okufuna amazzi amangi mu nnyindo oba wansi w’amabeere. | Enkyukakyuka mu sayizi y’amabeere: Ebbeere liyinza okufuuka ennene oba entono okusinga edda. |
| Okukyusa langi y’olususu: Omuntu alina olususu olutangaavu ayinza okuba ng’endabika yayokeddwa omusana, ate omuntu alina olususu oluddugavu ayinza okuba n’olususu oluddugavu. | Lymphedema: Singa obusannyalazo buweebwa ennywanto mu nnywanto, omukono oguli ku ludda olwo guyinza okuzimba. |
| Obulumi mu mabeere: Abantu abamu bayinza okulumwa oluusi n’oluusi oba okulumwa amabeere nga bafumita. | Obukoowu obuwangaala: Abantu abamu bayinza okuwulira nga bakooye okumala emyezi ng’obujjanjabi buwedde. |
Ekikulu: Obutafaananako bujjanjabi bwa ddagala, obujjanjabi buno tebuggyawo nviiri ku mutwe. Kyokka enviiri z’omu kisambi ziyinza...
Migaso ki egiri mu bujjanjabi buno?
Obujjanjabi bw’amasannyalaze (radiation therapy) ngeri nnungi nnyo ey’okutunuulira obutoffaali bwa kookolo awatali kutuusa bulabe ku bitundu ebiramu ebibyetoolodde. Okunoonyereza kuzudde nti abalwadde ba kookolo w’amabeere mu kiseera ekisookerwako abafuna obujjanjabi bw’amasannyalaze oluvannyuma lw’okulongoosebwa balina emikisa emitono nnyo egya kookolo waabwe okuddamu. Mu butuufu, abalwadde abatakka wansi wa 5% abalongoosebwa n’obujjanjabi obw’amasannyalaze balina omuwendo gw’okuddamu okulwala oluvannyuma lw’emyaka 10 nga balongooseddwa.
Waliwo akabi oba ebizibu ebiyinza okuvaamu?
Bino bitera nnyo , naye kikulu okubimanya.
- Okumenya embiriizi
- Ebizibu by’omutima (Obulwadde bw’omutima obuva ku masanyalaze) .
- Ebizibu by’amawuggwe (Pulmonary fibrosis) .
- Okwonooneka kw’obusimu mu kibegabega n’omukono (Brachial plexopathy) .
- Tekitera nnyo, kookolo omupya (Angiosarcoma) ayinza okuva mu kitundu ekijjanjabiddwa.
Jjukira nti obulabe buno butono nnyo. Omusawo wo ajja kukola kyonna ekisoboka okukendeeza ku bulabe buno.
Nkola ntya okwerabirira nga nfunye obujjanjabi n’oluvannyuma lw’okujjanjabibwa?
Ekiseera ky’obujjanjabi kiyinza okukutawaanya katono. Oyinza okuwulira ng’osiiwa, ng’okuluma era ng’okooye. Wano waliwo amagezi agayinza okukuyamba mu kiseera kino.
- Yambala engoye za ppamba ezitazitowa: Okwambala engoye ezinywezeddwa n’obuleega obunywezeddwa kiyinza okusiiga olususu n’okwongera okulumizibwa.
- Faayo nnyo ku lususu lwo: Naaba olususu lwo ne ssabbuuni omugonvu n’amazzi agabuguma. Buuza ttiimu y’abasawo ku bizigo ebitanyiiza ebituukira ku lususu lwo.
- Wummula bulungi:Oyinza okuwulira ng’okooye nnyo mu nnaku ezisembayo ng’ofunye obujjanjabi. Kakasa nti ofuna obudde n’owummula ng’okola emirimu gyo egya bulijjo.
- Lya bulungi: Endya erimu ebiriisa (empeke, ebibala, enva endiirwa, ennyama etaliimu masavu, amata agataliimu masavu mangi) ejja kukuyamba okukuuma ng’oli mugumu.
- Dduyiro: Dduyiro owangu ng’okutambula okumala eddakiika 30 olunaku asobola okuyamba okufuga obukoowu.
Ebimu ku bibuuzo ebikulu by’olina okubuuza omusawo wo
Totya kwogera na musawo wo ku buli kimu ekikuli mu birowoozo. Bino bye bimu ku bibuuzo by’osobola okwebuuza.
- Bujjanjabi ki obw’amasannyalaze (radiation therapy) obunteesebwako era lwaki?
- Obujjanjabi buno butwala bbanga ki? Mirundi emeka gye nneetaaga okujja?
- Biki ebiyinza okuva mu bbanga ettono bye nsobola okusuubira nga nfunye obujjanjabi?
- Kiki ekiyinza okukolebwa okukendeeza ku buzibu obwo?
- Bwe mba nnina ebizibu ebivaamu, ani gwe nsaanidde okubuulira? Mbabuulire mangu wa?
- Obujjanjabi buno bujja kukwata butya ku bulamu bwange obwa bulijjo? Nnasobola okugenda ku mulimu oba okukola dduyiro?
- Biki ebiyinza okuva mu bujjanjabi buno okumala ebbanga eddene?
- Singa mpulira nga ntya nnyo oba nga nneeraliikirivu olw’obujjanjabi buno, ani gwe nsobola okwogera naye?
- Ddi lwe tunaamanya oba obujjanjabi buno buba buwanguzi? Tya?
Obubaka Obutwala Awaka
- Obujjanjabi bw’amasannyalaze (radiation therapy) bujjanjabi bukola nnyo, obugendereddwamu okujjanjaba kookolo w’amabeere. Tokitya mu ngeri eteetaagisa.
- Enkola eno ey’obujjanjabi ekendeeza nnyo ku bulabe bw’okuddamu okulwala kookolo.
- Ebizibu ng’okukoowa n’okukyuka kw’olususu biyinza okubaawo nga bajjanjabwa, naye ebisinga bisobola okuddukanyizibwa.
- Tolonzalonza kutegeeza musawo wo oba ttiimu y’abasawo ku buzibu bwonna bw’oyinza okuba ng’olina.
- Kikulu nnyo okuwummula ekimala, okulya emmere erimu ebiriisa, n’okukuuma ebirowoozo byo nga biwummudde ng’ojjanjabibwa.
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