Ekizimba mu kamwa? Ka tuyige ku kookolo w’ennywanto z’amalusu mu bigambo ebyangu.

Wali olabye ekintu ng’akazimba akatono munda mu kamwa ko, ku ttama oba wansi w’akawanga ko? Kiyinza n’obutaluma mu kusooka. Ebiseera ebisinga, tetufaayo nnyo ku bintu nga bino, nga tulowooza nti, "Oboolyawo kizimba kyokka, kijja kutereera ku bwakyo." Kyokka, oluusi n’ekintu ekitono nga kino kiyinza okuba entandikwa y’ekintu kye twetaaga okweraliikirira. Leero tugenda kwogera ku kintu nga kino. Oyo ye kookolo abeera mu nnywanto z’amalusu, kwe kugamba, kookolo w’ennywanto z’amalusu . Tofaayo, tujja kwogera ku buli kimu mu ngeri ennyangu era mu ngeri entegeerekeka.

Okusooka, ka tulabe, endwadde zino ez’amalusu ze ziruwa?

Mu ngeri ennyangu, endwadde z’amalusu ze nnywanto eziri mu kamwa kaffe ne mu mumiro ezivaamu amalusu. Bwe tulya, amalusu gano ge gayamba okutandika okugaaya emmere. Amalusu era geetaagisa nnyo okukuuma akamwa nga kanyogovu, okwogera n’okumira emmere.

Mu kamwa kaffe mulimu ebika by’amalusu ebikulu bisatu.

• Parotid glands: Zino ze nnywanto z’amalusu ezisinga obunene. Zisangibwa munda mu matama, mu maaso g’amatu.
• Endwadde eziyitibwa submandibular glands: Zino zisangibwa wansi w’eggumba lyaffe ery’akawanga.
• Endwadde eziri wansi w’olulimi: Zino zisangibwa wansi w’olulimi, wansi w’akamwa.

Ng’oggyeeko endwadde zino ennene, waliwo ebikumi n’ebikumi by’obusimu obutono obufulumya amalusu, obutono ennyo obutasobola kulabibwa na maaso, mu kasolya k’akamwa kaffe, munda mu mimwa gyaffe, munda mu matama gaffe, ku lulimi lwaffe, mu nnyindo yaffe, ne mu mumiro gwaffe.

Kale, kookolo w’amalusu mbeera ya kookolo ebeerawo mu nnywanto yonna ey’amalusu gye twaakayogerako. Ebizimba bino biyinza okubaawo ebika bibiri. Ebimu biba bizimba ebitali bya kookolo (benign) . Ekika ekirala bye bizimba bya kookolo (ebibi) . Tusinga kwogera ku bizimba bino ebya kookolo leero.

Kookolo ono atera okubaawo?

Nedda.Mu butuufu, kookolo w’ennywanto z’amalusu kika kya kookolo ekitali kya bulijjo nnyo . Kikola ekitundu kitono nnyo ku buli kikumi, nga 1%, ku kookolo yenna ow’omutwe n’ensingo.

Mu bino, ebika bibiri ebisinga okumanyibwa ye `(mucoepidermoid carcinoma)` ne `(adenoid cystic carcinoma)`. Ebika bino ebibiri bivaako kitundu kya kookolo yenna akula mu nnywanto z’amalusu.

Ebizimba bino ebisinga, ebya kookolo n’ebitali bya kookolo, bitandikira mu nnywanto z’omubiri (parotid glands) ezisangibwa munda mu matama. Kyokka singa ebizimba bikula mu nseke entonotono ezifulumya amalusu, bitera okuba nga bya kookolo.

Ani ali mu bulabe obw’amaanyi obw’okukwatibwa kookolo ono?

Wadde embeera eno esobola okukula mu muntu yenna, abantu abamu bali mu bulabe bwa maanyi. Abasajja batera okufuna ebizimba bya kookolo okusinga abakyala.

Ebirala ebiyinza okuleeta akabi bye bino:

• Emyaka egisukka mu 55:Bwe tukaddiwa, obulabe bwa kookolo ono bweyongera, nga n’endwadde endala nnyingi bwe zikola.
• Okunywa sigala n’okunywa omwenge: Si kipya nti okunywa sigala n’okunywa omwenge ekisusse bivaako kookolo omungi. Kale kikwata ne ku kino.
• Bw’oba ​​ofunye obujjanjabi bw’amasannyalaze ku mutwe oba mu bulago: Bw’oba ​​ofunye obujjanjabi bw’amasannyalaze ku mutwe oba mu bulago olw’embeera endala naddala kookolo omulala, emikisa gyo egy’okufuna kookolo w’amalusu mu biseera eby’omu maaso giyinza okweyongera.
• Emirimu egimu: Okunoonyereza kuzudde nti abantu abakola mu by’amazzi, okukola emipiira, okusima asibesito, n’okukola amaliba bayinza okuba n’obulabe obutono obw’okukwatibwa kookolo ono. Kino kiyinza okuba nga kiva ku ddagala lye bafuna.

Okugatta ku ekyo, waliwo endowooza nti ebika bya kookolo by’amalusu ebimu ebitali bimu bisinga kubeera mu bantu abalina obulwadde obumu obw’akawuka, gamba nga akawuka ka Epstein-Barr ne Human Papillomavirus (HPV). Kyokka kino tekitegeeza nti akawuka kano ke kavaako kookolo. Okunoonyereza ku kakwate kano kukyagenda mu maaso.

Bubonero ki obulaga kookolo ono?

Ebiseera ebisinga, obubonero obukulu era obusooka obwa kookolo w’ennywanto z’amalusu bwe buzimba obutaliimu bulumi mu kamwa, ku ttama, wansi w’akawanga oba mu bulago. Kino kye kintu abantu abasinga kye basooka okwetegereza.

Kyokka ebizimba byonna tebirina kookolo. Kyokka bwe kiba kya kookolo, obubonero obulala buyinza okulabika ng’ekiseera kigenda kiyitawo. Kino olina okukimanya naddala.

Omusawo akizuula atya kino?

Bw’olaba omusawo, ky’agenda okusooka okukola kwe kukubuuza ku bubonero bwo n’oluvannyuma akukebere omubiri. Ajja kuwulira ebizimba munda mu kamwa ko, ku bulago bwo ne wansi w’akawanga ko. Era ajja kukebera enkola y’obusimu bwo mu maaso.

Oluvannyuma lw’ekyo, kirungi okukola okukebera okulala okuwerako okukakasa nti omuntu azuuliddwa.

• CT Scan: Kino kikozesa X-rays okufulumya ebifaananyi ebitegeerekeka obulungi eby’ebizimba ebiri munda mu nnywanto z’amalusu. Kisobola okuzuula obunene n’ekifo ekizimba we kiri, awamu n’okumanya oba kookolo asaasaanidde (metastasized) mu bitundu ebirala, gamba ng’amawuggwe oba amagumba.
• MRI scan (Magnetic Resonance Imaging): Eno ekozesa magineeti n’amayengo ga leediyo okukuba ebifaananyi ebitegeerekeka obulungi ennyo eby’omunda mu mubiri. MRI kikulu nnyo naddala okulaba oba kookolo asaasaanidde mu bitundu ebigonvu ng’ebinywa, emisuwa n’obusimu.
• PET scan (Positron Emission Tomography): Kino kikozesa ebintu ebitonotono ebikola amasannyalaze okuzuula obutoffaali bwa kookolo we buli. Kino kiyamba okuzuula oba kookolo asaasaanidde mu nnywanto oba ebitundu by’omubiri ebirala ebiri ewala.
• Biopsy: Eno y’engeri yokka ey’okukakasa 100% oba kookolo oba nedda. Kino kizingiramu okuggya akatundu oba amazzi akatono ennyo okuva mu kizimba n’empiso n’okyekebejja mu microscope mu laboratory. Kino kijja kukubuulira ddala oba kirimu obutoffaali bwa kookolo oba nedda.

Bujjanjabi ki obukolebwa ku kino?

Bw’omala okukakasibwa nti olina obulwadde buno, omusawo ajja kusalawo obujjanjabi obusinga okukusaanira. Kino kijja kusinziira ku bintu ng’ekika ky’ekizimba, obunene bwakyo, oba kyasaasaana, n’obulamu bwo okutwalira awamu.

Ebiseera ebisinga, obujjanjabi obukulu kwe kuggyawo ekizimba nga bayita mu kulongoosa.

Enzijanjaba empya

Ng’oggyeeko obujjanjabi buno obukulu, omusawo wo ayinza n’okwogera ku bujjanjabi obupya obuwerako obukyali mu mutendera gw’okunoonyereza.

• Obujjanjabi bw’abaserikale b’omubiri: Okuwa eddagala eriyamba abaserikale b’omubiri gwaffe okutegeera n’okulumba obutoffaali bwa kookolo.
• Obujjanjabi obugendereddwamu: Okukozesa eddagala erigenderera n’okulumba obunafu obw’enjawulo mu butoffaali bwa kookolo.
• Radiosensitizers: Eddagala erifuula obutoffaali bwa kookolo okubeera obw’amaanyi mu bujjanjabi bw’amasannyalaze. Bino biweebwa wamu n’obujjanjabi obw’amasannyalaze.

Kookolo ono asobola okuwona ddala?

Yee. Emirundi egisinga, kookolo w’amalusu asobola okuwona ddala singa azuulibwa nga bukyali era n’ajjanjabwa obulungi . Enteebereza yo esinziira ku bintu ebiwerako.

• Ekizimba kinene kitya?
• Kookolo ono asaasaanidde mu bifo ebirala?
• Kookolo ali mu nseke ki ey’amalusu?
• Obutonde bw’obutoffaali bwa kookolo (engeri gye buba bukambwe) .
• Embeera y’obulamu bwo okutwalira awamu

Okugeza, singa kookolo akoma mu nnywanto y’amalusu, omuwendo gw’abantu abawangaala emyaka 5 guba waggulu nga 94%. Kyokka kookolo bw’aba asaasaanidde, omuwendo ogwo gukendeera.