Ekizimba ekiyitibwa Solitary Fibrous Tumor (SFT) kye ki? Kintu kya kutya? Ka twogere!

Wali olabye ekintu ekyewuunyisa oba ekizimba awalala ku mubiri gwo? Kya bulijjo okuwulira ng’otya katono oba nga weeraliikirira ng’ekyo kituuse. Leero tugenda kwogera ku kizimba ekitali kya bulijjo, naye nga si kya bulijjo nnyo. Mu ngeri y’obusawo, kino kiyitibwa Solitary Fibrous Tumor (SFT) . Wadde erinnya lino liyinza okuwulikika ng’ekizibu, ka tulikuume nga lyangu era nga litegeerekeka bulungi.

Mu ngeri ennyangu, Solitary Fibrous Tumor (SFT) kye ki?

Kino kitegeeza ekizimba ekitandikira mu bitundu ebigonvu eby’omubiri gwaffe. Lowooza ku bintu ng’ebinywa, amasavu, n’obusimu mu mubiri gwaffe. Bino biyitibwa ebitundu ebigonvu. Kale, ebizimba bino ebya SFT bisobola okukula wonna mu mubiri. Wabula zisinga kulabibwa mu kibikka eky’obukuumi okwetoloola amawuggwe (pleura) .

Obutonde bw’ebizimba bino buyinza okuba obw’ebika bibiri:

• Ebimu bikula mpola nnyo era tebisaasaana mu bitundu by’omubiri ebirala (non-cancerous - benign) .
• Ebimu bikula mangu era bisobola okusaasaana mu bifo ebirala (cancerous) .

Wadde nga bino bitera okuba ebizimba ebitali bya kookolo, abasawo batera okukuwa amagezi okuggyawo ekizimba ekyo kyonna, oba nga kiyita mu kulongoosa oba obujjanjabi obulala, kireme kuleeta buzibu mu biseera eby’omu maaso.

Waliwo amannya amalala agayitibwa ebizimba bino?

Yee, edda, kino waaliwo erinnya ery’enjawulo. Mu kiseera ekyo, abasawo baali balowooza nti ebizimba bino byakolebwa munda mu kifuba kyokka, kwe kugamba, mu luwuzi olwetoolodde amawuggwe. Olususu luno tuluyita pleura . Kino kye kiyamba amawuggwe okukola obulungi munda mu kifuba nga tussa. Kale, mu kiseera ekyo, ebizimba bino byayitibwa "benign fibrous tumors of the pleura."

Kyokka oluvannyuma okunoonyereza kwazuula nti ebizimba bino bisobola okutondebwa wonna mu mubiri, so si mu mawuggwe gokka, gamba ng’ekibumba, obwongo, ensingo, n’omutwe. Kale erinnya eryo erikadde era eddene terikyakozesebwa nnyo.

Njawulo ki eri wakati wa SFT ne Pleural Mesothelioma?

Abantu abamu bayinza okusoberwa kubanga byombi bisobola okubeera mu mawuggwe. Kyokka bino byombi bya njawulo ddala. Enjawulo eno ka tugitegeere bulungi nga tuyambibwako emmeeza.

Ani ali mu bulabe obw’amaanyi obw’okufuna ebizimba bino?

Wadde ebizimba bino bisobola okukula ku myaka gyonna, bisinga kulabibwa mu bantu abali wakati w’emyaka 50 ne 60. Embeera eno tetera nnyo mu baana abato.

Kino tekitera kubaawo nnyo ne kiba nti ekika kya SFT kino kirabibwa mu bizimba ebitakka wansi wa 2 ku buli 100 eby’ebitundu ebigonvu.

Ebitundu by’omubiri ebizimba bya SFT mwe biyinza okubeera

• Mu bitundu ebiyunga ebyetoolodde obwongo n’omugongo
• Mu kibumba
• Amawuggwe n’amawuggwe (pleura).
• Mu bifo ebiri munda mu nnyindo (Paranasal sinuses) .
• Mu bitundu ebigonvu ebiri munda mu socket y’amagumba (orbit) amaaso we gali
• Mu nnywanto ya thyroid

Lwaki ebizimba bino bikola? Kiki ekivaako?

Mu butuufu abasawo n’okutuusa kati tebannazuula nsonga ntuufu lwaki kino kivuddeko . Kyokka, okunoonyereza okwakakolebwa kutuwadde ebimu ku biyinza okutuyamba. Ye nti obuzaale bubiri mu mubiri gwaffe, kwe kugamba `NAB2` ne `STAT6`Ebizimba bino biyinza okuva ku kugatta obuzaale bubiri mu ngeri ey’ekifuulannenge (gene fusion). Enkyukakyuka eno mu buzaale eyinza okuleetera obutoffaali okutandika okukula nga tebufugibwa.

Bubonero ki obulaga obulwadde bwa SFT?

Ebizimba bino bitera okukula mpola nnyo . N’ekyavaamu, nga kitundu ku bantu abalina SFT tebafuna bubonero bwonna . Obubonero butera okutandika ng’ekizimba kikula ekinene ekimala okusika ebitundu by’omubiri, amagumba oba ebitundu ebirala ebiriraanyewo. Kale, obubonero businziira ku kifo ekizimba we kiri.

Ka tulabe obubonero obuzimba buno bwe bulaga nga bulabika mu bitundu by’omubiri eby’enjawulo.

Omusawo azuula atya obulwadde buno?

Okusinziira ku bubonero bwo n’ekifo ekiteeberezebwa okuba ekizimba, omusawo ajja kukusindika okukeberebwa mu ngeri ez’enjawulo.

• Okukeberebwa abasawo: Ekintu ky’olina okusooka okukola kwe kuwuliriza obulungi obubonero bwo n’oluvannyuma n’okukeberebwa omubiri.
• Imaging Scans: Bino biyamba okulaba ekifo ekizimba we kiri, obunene, n’obutonde. Mu bino biyinza okuli okukebera X-ray, CT scans, MRI scans, ultrasound scans , ne PET scans .
• Okukebera amaaso: Singa ekizimba kibeera okumpi n’eriiso, okukebera amaaso okw’enjawulo (Optical Coherence Tomography - OCT) kukolebwa okuzuula ekituufu ekivaako obuzibu mu kulaba.
• Biopsy: Kino kye kigezo ekisinga obukulu . Kino kizingiramu okuggya akatundu akatono ennyo ak’ekitundu ky’omubiri okuva mu kizimba ekyo n’akikebera ng’okozesa microscope. Kino kijja kukubuulira n’obukakafu 100% ekika ky’ekizimba kye kiri era oba kya kookolo oba nedda.

Ensengeka y’obuzibu bw’ennywanto za SFT

Ekitongole ky’ebyobulamu mu nsi yonna (WHO) kyawuddemu ebizimba bino ebya SFT mu bibinja ebiwerako okusinziira ku buzibu bwabyo n’omutindo gw’okukula kwabyo. Kino kiyitibwa okugabanya.

• Ekibiina I (Low-grade): Bino bye bika ebisinga obutaba bya bukambwe. Obutoffaali bwazo businga kuba butoffaali bwa bulijjo. Zikula mpola nnyo.
• Ekibiina kya II (Intermediate-grade): Obutoffaali buno bulabika nga butali bwa bulijjo katono. Ziyinza okukula amangu katono okusinga Grade I. Era zitera okufuuka kookolo katono.
• Ekibiina kya III (High-grade): Bino bye bika ebisinga okubeera eby’obusungu. Obutoffaali buno tebuli bwa bulijjo nnyo. Zikula mangu. Zirina emikisa mingi egy’okudda, okufuuka kookolo, n’okusaasaana mu bitundu by’omubiri ebirala.

Obujjanjabi bwe buruwa?

Obujjanjabi obukulu era obusinga obulungi ku kizimba kya SFT kwe kukiggyawo ddala ng'oyita mu kulongoosa .

Mu mbeera ezimu, okulongoosa kiyinza okuba ekizibu okusinziira ku kifo ekizimba we kiri. Oba ekizimba kiyinza okuba ekinene mu sayizi. Mu mbeera ng’ezo, .

• Obujjanjabi bw’amasannyalaze (radiation therapy):Obujjanjabi bw’amasannyalaze buweebwa okusaanyaawo oba okukendeeza ku kizimba. Oluusi, obujjanjabi buno era buweebwa nga tebannalongoosa kizimba kitono ate nga kyangu okukiggyamu.

Kino kiyinza okuleeta bizibu ki?

Ekisinga okutya ng’okizudde nti olina ekizimba kwe kuba nti kinaafuuka kookolo oba okusaasaana mu bitundu ebirala (metastatic cancer). Bw’olongoosebwa okugiggyamu, akabi ako kakendeera nnyo.

Ng’oggyeeko ekyo, ebizibu ebirala biyinza okubaawo okusinziira ku kifo ekizimba we kiri.

• Okusannyalala: Singa wabaawo ekizimba okwetoloola omugongo.
• Pleural effusion: okukuŋŋaanyizibwa kw’amazzi munda mu luwuzi lw’amawuggwe.
• Optic atrophy: Okwonooneka kw’obusimu obutambuza obubaka okuva ku liiso okutuuka ku bwongo.

Omuwendo gw’abawona guli gutya oluvannyuma lw’okujjanjabibwa?

Abantu bangi bawona bulungi nnyo oluvannyuma lw’okulongoosebwa ekizimba. Wabula nga bwe twagambye emabegako, tekitera kubaawo kizimba kudda, kale omusawo ajja kusigala ng’akulondoola. Kino kitegeeza okukola ebintu nga sikaani buli luvannyuma lwa kiseera okukebera oba ekizimba kidda. Kino kikulu nnyo okukuuma obulamu bwo.