Wali okirabye nti ku kikoola kyo kuliko akazimba akatono akatawona oluusi ne kakula? Oba akazimba akatono aka kyenvu mu nsonda
y'eriiso lyo ? Oluusi ebintu bino tetubifaako nnyo, naye oluusi biyinza okuba ekintu eky’okweraliikirira. Leero tugenda kwogera ku kimu ng’ekyo ekitali kya bulijjo, naye nga
kikwata ku kika kya kookolo w’olususu.
Sebaceous Carcinoma kye ki?
Mu ngeri ennyangu, `Sebaceous Carcinoma` kika kya kookolo ekitali kya bulijjo ekikula mu
nseke ezikola amafuta mu lususu lwaffe, `sebaceous glands`. Obadde okimanyi nti ekigambo `sebaceous` kitegeeza `oil-producing`. Kookolo ono
asinga kukwata bikowe by'amaaso . Ensonga lwaki kino kiri bwe kityo eri nti ebikoola byaffe birina endwadde zino ezikola amafuta nnyingi. Wabula olw’okuba endwadde zino teziri mu bikoola by’amaaso byokka, wabula ne wonna ku mubiri gwaffe awali enviiri, kookolo ono asobola okukula mu bitundu by’omubiri ebirala. Endwadde zino zikola ekikuta ky’amafuta ekiyitibwa
`sebum` . Omubisi guno gukuuma olususu lwaffe obutakwatibwa buwuka.
Ono kookolo wa maanyi?
Yee, `Sebaceous Carcinoma`
kika kya kookolo asobola okusaasaana amangu, era nga wa bukambwe . Kiyitibwa bwe kityo kubanga kitera okusaasaana amangu okuva we kyasooka okutandikira okutuuka mu bitundu by’omubiri ebirala. Kookolo asaasaanidde mu bifo ebirala nga bino ayitibwa `Metastatic cancer`.
Amannya ki amalala agategeeza kino?
"Carcinoma" kye kigambo ky'obusawo ekitegeeza kookolo. N'olwekyo, abasawo bayinza okuyita kino "sebaceous carcinoma" "sebaceous gland carcinoma" "sebaceous gland adenocarcinoma."
Kino kya bulijjo kitya?
Sebaceous carcinoma
kookolo atatera kulabika nnyo . Lowooza nti ebitundu 5% ku 10% ku kookolo w’olususu bizimba ebikula ku bikoola by’amaaso. Ku bizimba ebyo, ebitundu nga 1% byokka bye biba kookolo w’amasavu.
Businga kubeera mu bakyala ne mu bantu abali wakati w’emyaka 60 ne 80. Kyokka buyinza n’okubeera mu bavubuka, abakadde, n’oluusi n’abaana abato.
Biki ebivaako kookolo w’amasavu?
Abakugu tebamanyi bulungi lwaki abantu abamu bafuna kookolo w’amasavu. Kyokka okufaananako n’ebika bya kookolo w’olususu ebirala,
okukwatibwa emisinde egy’obulabe egy’omusana egya ultraviolet (UV) kiyinza okuvaako akabi.Kino kirowoozebwa nti y’emu ku nsonga. Ate era abantu abafunye obujjanjabi bw’amasannyalaze okutuuka ku mutwe oba mu bulago naddala nga bakyali bato, bali mu bulabe bwa maanyi okukwatibwa kookolo ono.
Biki ebiyinza okuvaako akabi?
Abantu abamu bali mu bulabe bwa maanyi okukwatibwa kookolo ono. Okugeza nga:
- Abantu abalina embeera ey’obuzaale etali ya bulijjo eyitibwa Muir-Torre syndrome bali mu bulabe obw’okufuna kookolo w’amasavu . Era bali mu bulabe bwa kookolo w'olubuto n'omumwa gwa nnabaana . Obulwadde bwa Muir-Torre syndrome ngeri ya Lynch syndrome, ereetera ebizimba okutondebwa mu nseke z’amasavu.
- Okunoonyereza okumu kulaga nti akabi kano nako kasingako katono ku bantu abava mu Asia .
Ng’oggyeeko emyaka n’okubeera omusana, waliwo ebintu ebirala ebiwerako ebiyinza okuleeta akabi:
Obubonero bwe buliwa?
Sebaceous carcinoma
asinga kusangibwa ku kikoola ky’amaaso ekya waggulu , anti wano we wali endwadde z’amasavu. Wabula era esobola okukula ku kikoola ky’eriiso ekya wansi. Oluusi kiyinza okwetaagisa okusiba ekibikka kyo okulaba oba olina.
Obubonero obulabibwa ku kikoola ky’amaaso:
- Ekizimba ekikaluba, ekyetooloovu, ekya kyenvu, ekitaliimu bulumi nga kiringa ekizimba.
- Ekiwundu ekivaamu omusaayi, ekitawona oba okuwona ne kiddamu okulabika.
- Olususu olugonvu, olwa kyenvu oba olumyufu, oluliko ebikuta osobola okulabibwa mu nsonda z’ebikowe, okumpi n’enviiri.
Obubonero obuyinza okulabika singa obulwadde buno bweyongera:
Singa ono ``Sebaceous Carcinoma'' alekebwa nga tegujjanjabiddwa, embeera eyinza okweyongera n'okulaga obubonero nga buno:
- Enviiri z’amaaso nga zigwa.
- Okutondebwa kw’ebizimba ebirimu amazzi, ebirimu amazzi ku bikoola by’amaaso byombi ebya waggulu n’ebya wansi.
- Amaaso gamyufu, nga galabika ng’obulwadde bw’amaaso .
- Obuzibu mu kulaba.
Ebizimba byonna ebiri ku kikoola ky’eriiso biba bya kookolo?
Kookolo w’amasavu tatera kubaawo. N’olwekyo,
tosattira singa olaba ekizimba ku kibikka kyo . Naye, kakasa nti olaba omusawo okukikebera. Ebiseera ebisinga, si kookolo, wabula embeera y’olususu eya bulijjo nga eno:
- Okuzimba kw’ebikowe by’amaaso `(Blepharitis)`
- Chalazion (era eyitibwa ‘ekizimba ku liiso’) .
- Obulwadde bw’amaaso
- Ekizimba mu liiso , tukiyita ‘stye’ (obulwadde bw’endwadde y’amafuta) .
Ekisinga obukulu kwe kufuna amagezi g’omusawo singa olaba ekizimba ekipya ku kibikka ky’eriiso, ekiwundu ekitawona oba ekintu ekirala kyonna eky’enjawulo ku kya bulijjo.
Wa ekirala ku mubiri bino we biyinza okubaawo ng’oggyeeko ebikoola by’amaaso?
Kookolo w’amasavu era asobola okukula ku
mutwe, mu matu, oba mu bulago . Tekitera kubaawo, era kiyinza okukula ku mugongo, mu kifuba, olubuto, ebitundu by’ekyama oba mu bisambi. Olina okulaba omusawo singa olaba ekimu ku bino wammanga:
- Bw’olaba enkyukakyuka mu kabonero k’okuzaalibwa oba akatundu akalala ku lususu lwo.
- Singa amabwa amapya galabika ku lususu, ne munda mu kutu.
- Bw’olaba ebizimba by’olususu ebigenda byeyongera obunene, ebya pinki oba ebya kyenvu, n’ovaamu omusaayi mangu .
Kookolo w’amasavu asaasaana atya?
Sebaceous Carcinoma asinga kusaasaana mu
nnywanto z'omusaayi . Zino nnywanto ntono ezibeera mu nkola yaffe ey’amazzi, eyoza n’okuggyawo obutoffaali obwonooneddwa.
Kino okizuula otya ddala? (Okuzuula obulwadde)
Bw’oba oteebereza nti olina ekintu nga kino, olina okusooka okulaba
omusawo w’ensusu . Ajja kutunuulira ekizimba ekyo, akitwale akatundu akatono, era akyekebe mu microscope okulaba oba waliwo obutoffaali bwa kookolo. Okukebera kuno kuyitibwa
skin biopsy . Singa ekizimba kiba ku kibikka ky’amaaso, oyinza n’okulaba
omusawo w’amaaso . Era asobola okukola biopsy eno.
Okebera otya oba kookolo asaasaanidde?
Singa okukebera olususu kukakasa nti olina kookolo w’amasavu, ojja kwetaaga okulaba ttiimu y’abasawo okuzuula n’okujjanjaba. Omusawo ajja kukutwala ebyafaayo by’obujjanjabi bwo, akukebere omubiri, era akebere okulaba oba kookolo asaasaanidde mu nnywanto zo oba ebitundu ebirala. Omusawo w’amaaso ajja kukukebera amaaso alabe oba ekizimba kibunye mu liiso.
Obujjanjabi bwe buruwa?
Obujjanjabi obusinga ku kookolo w’amasavu kwe kulongoosa.
Enkola z’okulongoosa:
- Okusalako ekitundu ekigazi:Kino kizingiramu okusalako ekizimba kya kookolo n’akatundu akatono ak’olususu olulamu olukyetoolodde. Kino kikolebwa okulaba ng’obutoffaali bwa kookolo bwonna buggyibwamu.
- Mohs surgery: Kino kika kya kulongoosa kya njawulo. Kookolo n’ebitundu ebiramu ebimwetoolodde (the margin) biggyibwamu mu layers eziwerako. Buli layeri bw’eggyibwawo, ekeberebwa wansi wa microscope okulaba oba waliwo obutoffaali bwa kookolo obusigaddewo. Bwe wabaawo, nazo ziggyibwawo. Enkola eno eddibwamu okutuusa ng'obutoffaali bwa kookolo bwonna buggyiddwawo .
- Obujjanjabi bw’amasannyalaze: Bw’oba tosobola kulongoosebwa, oyinza okulowoozebwako ku bujjanjabi bw’amasannyalaze.
Okusinziira ku bunene bw’okulongoosebwa, era kiyinza okwetaagisa
okulongoosebwa okuddamu okuzimba . Kino kikolebwa okukendeeza ku nkovu ezibeerawo oluvannyuma lw’okulongoosebwa n’okuyamba okuzzaawo enkola y’ebikowe by’amaaso n’okubeera nga ffeesi bikwatagana bulungi. Omusawo w’ensusu oba omusawo w’amaaso, bwe kiba kyetaagisa, asobola okukola enkola eno amangu ddala ng’ekizimba kiggyiddwako.
Obujjanjabi bwa kookolo agenda mu maaso
Singa kookolo w’amasavu asaasaanidde mu bitundu ebirala (metastatic), obujjanjabi bwawukana, okusinziira ku kookolo w’asaasaanidde. Okulongoosebwa kuyinza okukolebwa okuggyamu ennywanto ezikoseddwa. Obujjanjabi bw’amasannyalaze oba obujjanjabi obulala obwa kookolo nabwo buyinza okukozesebwa.
Kino kiyinza okutta omuntu? Emikisa ki egy’okuwona?
Amawulire amalungi gali nti bwe bafuna obujjanjabi, abantu abasukka mu 90% abalina obulwadde buno bawangaala. Abo abafuna obujjanjabi mu myezi mukaaga bukya obubonero butandise balina emikisa mingi nnyo okuwona. Wabula kookolo w’amasavu ayinza okutta omuntu singa asaasaana.
Okulwawo okuzuula obulwadde n’okujjanjaba kiyinza okwonoona ebivaamu. Kiki ekibaawo oluvannyuma lw’okujjanjabwa?
Olw’okuba kookolo w’amasavu asobola okuba kookolo ow’amaanyi, ne bwe baba bamaze okujjanjabwa, abantu abamu,
nga omu ku buli bana, balina omukisa gwa kookolo okuddamu oba okusaasaana (metastasizing). N’olwekyo, kyetaagisa okugenda ew’omusawo okukugoberera mu kiseera ekigere. Mu ngeri eno, abasawo basobola okukebera oba obulwadde buno buzzeemu era bwe wabaawo obubonero bwonna obulaga nti buzzeemu, batandika obujjanjabi mu bwangu.
Kiki ky’oyinza okukola okutumbula obulamu bwo?
Osobola okwongera ku mikisa gyo egy’okuwona ng’okola ebintu bino:
- Kola okwekebera olususu buli mwezi. Kino kijja kukuyamba okuzuula amangu enkyukakyuka mu lususu.
- Funa okukeberebwa olususu buli kiseera mu ofiisi y’omusawo.
- Kola emitendera okukendeeza ku musana. Ekyo kitegeeza nti, .Okukozesa eddagala eriziyiza omusana, okwambala enkoofiira eziriko emimwa emigazi, n’okwambala engatto z’omusana ezikuuma UV.
Njawulo ki eri wakati wa kookolo w’amasavu, obulwadde bw’amasavu obuyitibwa sebaceous hyperplasia, n’ebizimba by’amasavu?
Amannya gano gayinza okubutabula kubanga gawulikika nga gafaanagana, naye zino mbeera ssatu ez’enjawulo:
- Sebaceous hyperplasia: Ono si kookolo. Kye kikula ekitali kya bulabe ekikula mu kitundu ky’enviiri. Oyinza okuba n’ebizimba ebiwerako ebigonvu ebitambula nga bino. Bino bitera okusangibwa ku kalevu, ku matama, mu kyenyi, ennyindo oba mu kifuba, mu mugongo ne ku bibegabega.
- Ebizimba ebiyitibwa Sebaceous cysts: Bino nabyo si bya kookolo. Zikolebwa wansi w’olususu ng’endwadde z’amasavu zizibiddwa olw’obutoffaali bw’olususu obufu n’amafuta ebikuŋŋaanyiziddwa. Zisobola okutambuzibwa mu ngeri ennyangu wansi w’olususu. Zisinga kubeera mu maaso, mu bulago oba ku mugongo. Ebizimba bino biyinza okwetaaga obujjanjabi singa biba binene oba nga bifunye obuwuka.
Ddi lw’osaanidde okulaba omusawo?
Bwoba olaba ekintu nga kino
, definitely laba omusawo :
- Ekizimba oba okukula ku kikoola kyo.
- Okukula okupya ku lususu oba enkyukakyuka mu bubonero bw’okuzaalibwa oba amabala amalala.
- Ebizimba by’olususu ebivaamu omusaayi amangu.
Ebintu by’olina okubuuza omusawo
Bw’olaba omusawo osobola okubuuza ebibuuzo bino:
- Lwaki nnafuna kookolo ono ow’olususu?
- Ndi mu bulabe bw’okufuna ebika bya kookolo w’olususu ebirala?
- Bujjanjabi ki obusinga okunkwatako?
- Ndi mu bulabe bwa kookolo okusaasaana (metastatic cancer)?
- Mirundi emeka gye nnina okwekebejjebwa kookolo?
- Ndi mu bulabe bw’okufuna ebika bya kookolo ebirala munda mu mubiri gwange?
N’ekisembayo, by’olina okujjukira (Obubaka bw’okutwala awaka) .
Bw’olaba enkyukakyuka yonna mu lususu lwo, kirungi n’otegeeza omusawo. Ebiseera ebisinga, enkyukakyuka zino tezirina bulabe. Mu butuufu ebintu ng’ebizimba n’ebizimba ku bikowe by’amaaso nabyo bisobola okuva ku mbeera ezitali za kookolo.
Wabula `Sebaceous Carcinoma` bulwadde obutatera kulabika naye nga bwa maanyi era nga busobola okusaasaana amangu. Okuzuula amangu obulwadde n’okubujjanjaba kiyinza okukosa kinene ku kudda engulu kwo. N’olwekyo, awatali kubuusabuusa kwonna, funa amagezi g’abasawo. Obulamu bwo bwe bukulu!
Sebaceous Carcinoma, Kookolo w’olususu, Kookolo w’amaaso, Kookolo w’olususu, Obubonero bwa kookolo, Obujjanjabi bwa kookolo
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