Omusawo bw'akugamba oba omwagalwa wo nti olina kookolo, oyinza okuba nga wawulira ekigambo "radiation therapy" ng'oyogera ku bujjanjabi obuddako. Bw’owulira erinnya lino, oyinza okuba nga wawulira ng’otya katono n’okutya. "Kino kinaaluma?", "Kiki ekigenda okutuuka ku mulambo?", "Kino kya bulabe?" Oyinza okuba ng’olina ebibuuzo bingi mu birowoozo byo. Kya bulijjo nnyo. Naye singa tumanyi bulungi era mu ngeri ennyangu ku nkola eno ey’obujjanjabi, tusobola okumalawo okutya okwo okuteetaagisa. Kale leero, ka twogere ku bujjanjabi buno obw’amasannyalaze.
Mu ngeri ennyangu, obujjanjabi obw’amasannyalaze kye ki?
Radiotherapy nkola nnungi nnyo mu kujjanjaba kookolo. Ekozesa X-rays ezirina amaanyi amangi okusaanyaawo obutoffaali bwa kookolo. Kilowoozeeko ng’ekitangaala kya layisi ekironda okuggyawo obutoffaali obubi bwokka mu mubiri gwaffe.
Oluusi obujjanjabi buno buweebwa bwokka. Oluusi kiweebwa nga kigatta wamu n’obujjanjabi obulala, gamba ng’okulongoosa oba eddagala eriweweeza ku bulwadde bwa ddagala. Omusawo akola ku bulwadde bwa kkansa (radiation oncologist) y’ajja okusalawo oba obujjanjabi buno bukusaanira, engeri gye buweebwamu, n’obungi bw’olina okubuwa. Ajja kutegeka obujjanjabi buno okutuuka ku butoffaali bwa kookolo bwokka, kikendeeze ku kwonooneka kw’obutoffaali bwo obulamu.
Jjukira nti ekigendererwa ekikulu eky’obujjanjabi buno kwe kusaanyaawo obutoffaali bwa kookolo ate nga bukendeeza ku kwonooneka kw’obutoffaali bwo obulamu.
Bujjanjabi ki obw’amasannyalaze (radiation treatments)?
Waliwo ebika bibiri ebikulu eby’obujjanjabi obw’amasannyalaze. Bombi balina ekigendererwa kimu: okusaanyaawo DNA egamba akatoffaali ka kookolo okukula n’okwekutula. Ebiragiro ebyo bwe bibula, obutoffaali bwa kookolo bufa era ekizimba ne kikendeera.
1. External Beam Radiation Therapy (EBRT): Eno y’enkola esinga okukozesebwa. Wano, ekyuma ekinene ekiri ebweru w’omubiri gwo kitunuulira emisinde gy’obusannyalazo (radiation beams) wekka kookolo w’ali.
2. Enzijanjaba y’obusannyalazo obw’omunda: Wano, ekintu ekikola obusannyalazo kiteekebwa munda mu mubiri gwo, okumpi ennyo n’obutoffaali bwa kookolo.
Katutunuulire enkola zino ebbiri mu bujjuvu katono.
1. External beam radiation therapy (EBRT) - obujjanjabi obuweebwa okuva ebweru
Mu kino, tewali kikukuba mu mubiri. Ekyuma kino kikutambula ne kissa essira ku masasi mu kifo ekituufu kyokka. Enkola eno kati ya mulembe nnyo. Y’ensonga lwaki esobola okujjanjabibwa mu ngeri entuufu ennyo, okukendeeza ku kwonooneka kw’ebitundu ebiramu.
| Ekika ky’obujjanjabi bwa EBRT | Mu ngeri ennyangu... |
|---|---|
| Obujjanjabi bwa 3D Conformal Radiation Therapy | CT scan ekola ekifaananyi kya kookolo eky’ebitundu bisatu (3D) era n’elungamya ddala emisinde gy’obusannyalazo gy’ali. |
| Obujjanjabi bw’obusannyalazo obukyukakyuka mu maanyi (IMRT) . | Eno nkola ya mulembe nnyo. Ekozesa ebikondo eby’amaanyi ag’enjawulo okutuusa obusannyalazo obusinga ku kookolo ate obutono ku bitundu ebiramu ebimwetoolodde. |
| Obujjanjabi bw’amasannyalaze obulung’amibwa ebifaananyi (IGRT) . | Nga buli bujjanjabi tebunnabaawo, bakwatibwa akafaananyi akatono aka X-ray oba CT scan okukakasa ekifo ekituufu kookolo w’ali n’oluvannyuma obusannyalazo ne buweebwa. Kino kifuula obutuufu okubeera obw’amaanyi ennyo. |
| Okulongoosa ku leediyo (okugeza Gamma Knife) . | Kino kituufu ng’okulongoosa, naye nga tewali kutema kwonna. Ekozesa ddoozi ya radiation enkulu ennyo okusaanyaawo ebizimba ebitonotono mu bwongo. |
| Obusannyalazo obuva mu kulongoosebwa (IORT) . | Kino kikolebwa mu kiseera ky’okulongoosebwa. Oluvannyuma lw’okulongoosebwa ekizimba, singa wabaawo obutoffaali bwa kookolo obutono ennyo obutasobodde kuggyibwawo, mu kiseera kye kimu baweebwa obusannyalazo okubusaanyawo. |
2. Internal Radiation Therapy - Obujjanjabi obuweebwa okuva munda
Enkola eno ekozesebwa ku kookolo omutono mu bitundu ng’omutwe, ensingo, amabeere, n’omumwa gwa nnabaana. Era kiweebwa mu ngeri bbiri.
- Obujjanjabi bwa Brachytherapy:Kino kizingiramu okuteeka "ensigo" entonotono erimu ekirungo ekikola obusannyalazo munda oba okumpi ennyo n'ekizimba. Ebimu ku bino bifulumya emisinde mpola mu bbanga lya wiiki. Abamu bafulumya ddoozi ennene mu ddakiika ntono. Ebimu ku bino biba bya kaseera buseera, ate ebirala bisigala mu mubiri enkalakkalira (obusannyalazo bwabyo bukendeera okumala ekiseera).
- Systemic Therapy: Kino kizingiramu okuwa ekintu ekirimu obusannyalazo ng’amazzi. Kiyinza okuweebwa ng’amazzi okunywa oba ng’empiso ng’eyita mu musuwa (IV). Ekintu kino kitambula mu musaayi, ne kizuula obutoffaali bwa kookolo, ne kibukwatako, ne kibusaanyaawo.
Kiki ekibaawo nga tebannaba kujjanjabwa n’okujjanjabibwa?
Nga tebannaba kujjanjaba EBRT, waliwo olukiiko lw'okuteekateeka oluyitibwa "simulation". Mu lukuŋŋaana olwo, ojja:
- Okukuteeka mu kifo: Ojja kuteekebwa ku mmeeza y’obujjanjabi. Oyinza okuweebwa ekikuta oba masiki okuyamba okukuuma omubiri gwo nga tegukyuse. Olwo, ekitundu ekituufu ekigenda okujjanjabwa kijja kuteekebwako akabonero.
- Sikaani: Bakola CT scan oba MRI okulaba ddala kookolo w’ali. Ttiimu y’abasawo ekozesa amawulire gano okukola enteekateeka y’obujjanjabi.
Ku lunaku lw’ogenda okujjanjabibwa, ojja kugalamira ku mmeeza y’emu nga bwe wagalamira mu simulation. Ekyuma ekikuba amasannyalaze kijja kukutambula, naye tekijja kukukuba. Omusawo akola ku by’amasannyalaze ajja kuddukanya ekyuma kino mu kisenge eky’enjawulo. Osobola okwogera nabo essaawa yonna ng’oyita ku intercom. Tojja kuwulira bulumi bwonna mu kiseera ky’obujjanjabi.
Mu bujjanjabi obw’omunda, eddagala eribudamya likozesebwa okugaba ekintu ekirimu amasannyalaze, n’olwekyo tewali bulumi buzingirwamu.
Waliwo ebizibu byonna ebivaamu oluvannyuma lw’okujjanjabibwa?
Yee, okufaananako n’obujjanjabi bwonna, waliwo ebizibu ebimu ebivaamu. Naye teweeraliikiriranga. Ebizibu bino ebiseera ebisinga bikosa ekitundu ky’omubiri kyokka ekijjanjabwa. Ate era olw’okuba obujjanjabi buno tebuweebwa butasalako wabula buweebwa mu biseera ebiwerako buli luvannyuma lwa nnaku ntono, obutoffaali bwo obulamu buba n’obudde okudda engulu. Kino kikendeeza nnyo ku bizibu ebivaamu.
Ebimu ku bisinga okuvaamu ebizibu bye bino:
- Obukoowu
- Okuziyira n’okusiiyibwa
- Embiro
- Okulumizibwa omutwe
- Enkyukakyuka mu lususu mu kifo awajjanjabirwa (okumyuuka, okukala, okusiiwa) .
- Amabwa mu kamwa
- Obulumi nga omira
- Endya
- Okwokya ng’ofulumya omusulo oba obwetaavu bw’okufulumya omusulo ennyo
Buli buzibu bwonna buloope omusawo mu bwangu. Ajja kukuwa ebiragiro ebyetaagisa n’eddagala okusobola okuddukanya ebizibu ebivaamu.
Waliwo akabi eri abalala oluvannyuma lw’okujjanjabwa?
- Mu bujjanjabi bw’amasannyalaze ag’ebweru (EBRT): Tewali. Tewali busannyalazo busigala mu mubiri gwo ng’omaze okujjanjabwa. Osobola okudda eka mu ngeri eya bulijjo, okubeera n’ab’omu maka go, n’okukolagana n’abaana abato. Tewali bulabe bwonna.
- Ku bujjanjabi bw’obusannyalazo obw’omunda: Okuva bwe kiri nti munda mu mubiri mulimu ekirungo ekikola obusannyalazo, ojja kwetaaga okugoberera emitendera egimu egy’okwegendereza okumala akaseera katono. Okugeza, obusannyalazo obutonotono busobola okufuluma nga buyita mu ntuuyo n’omusulo. N’olwekyo, omusawo ayinza okukuwa amagezi okukendeeza ku kukwatagana n’abakyala ab’embuto oba abaana abato okumala akaseera. Kikulu nnyo okugoberera ddala ebiragiro by’omusawo.
Obubaka Obutwala Awaka
- Obujjanjabi bw’amasannyalaze (radiation therapy) bujjanjabi bukola nnyo era bwa mulembe obukozesebwa okusaanyaawo obutoffaali bwa kookolo. Tokitya mu ngeri eteetaagisa.
- Tojja kuwulira bulumi bwonna mu kiseera ky’obujjanjabi.
- Oluvannyuma lw’obujjanjabi bw’amasannyalaze ag’ebweru (EBRT), tolina bulabe bwonna eri abalala.
- Ebizibu ebiva mu bujjanjabi biba bya kaseera buseera era bisobola okuddukanyizibwa. Yogerako mu lwatu n’omusawo wo ku buzibu bwonna bw’oyinza okuba ng’olina.
- Abantu abamu basobola okugenda mu maaso n’emirimu egya bulijjo nga bajjanjabwa, ate abalala beetaaga okuwummula. Wuliriza omubiri gwo.
- Ddembe lyo okubuuza n’okunnyonnyola ebibuuzo byonna, okutya, oba okubuusabuusa kwonna kw’oyinza okuba nakwo ne ttiimu y’abasawo nga tonnafuna bujjanjabi.
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