Ntegedde engeri gye kiteekwa okuba eky’entiisa era ekyewuunyisa omusawo wo bw’akugamba nti olina kookolo w’amabeere, era nga ye Stage I. Kiyinza okuwulira ng’ensi yo yonna ezze mu bwangu ng’egwa wansi. Naye lindako katono, ka twogere ku nsonga eno. Omutendera I gwe mutendera ogusooka ennyo ogwa kookolo. Mu mutendera guno, kookolo tasaasaana nnyo kusukka mabeere. N’olwekyo, embeera eno okusinga ewona . Ekisinga obukulu kwe kulonda enteekateeka y’obujjanjabi esinga obulungi gy’oli.
Bujjanjabi ki obuliwo?
Kookolo w’amabeere ow’omutendera I atera okujjanjabibwa n’obujjanjabi obw’okugatta, okusinga okujjanjabibwa omulundi gumu. Okufaananako n’okugattako ebirungo bisatu oba bitaano eby’enjawulo mu mmere, obujjanjabi buno bukolera wamu okumalawo ddala kookolo n’okuyamba obutadda. Ka tulabe obujjanjabi obukulu.
Okulongoosa - Guno gwe mutendera ogusooka.
Mu kiseera kino, okulongoosa y’obujjanjabi obw’omutindo. Olw’okuba ekizimba kya kookolo kikyali kitono, kyangu okukiggyamu. Wano, osobola okwogera n’omusawo wo ku ngeri bbiri.
1. Lumpectomy: Kino kizingiramu okuggyamu ekizimba kya kookolo kyokka n’akatundu akatono akalamu akamwetoolodde. Kino era kiyitibwa "okulongoosa okukuuma amabeere" kubanga amabeere agasinga galekebwa nga tegafudde.
2. Okusala amabeere: Mu mbeera ezimu, ebbeere lyonna kiyinza okwetaagisa okulongoosebwa. Kino kiyitibwa okusala amabeere.
Ka kibe nti olongoosa mu ngeri ki, omusawo ajja kuggyawo ennywanto emu oba eziwera mu nnywanto zo n’azikebera. Omanyi lwaki? Okulaba oba waliwo obutoffaali bwa kookolo obugenzeyo. Bwe baba tebannaba, ago mawulire malungi nnyo!
Oluvannyuma lw’okusala amabeere, oyinza n’okulongoosebwa okuddamu okuzimba amabeere bw’oba oyagala. Yogerako n’omusawo wo ku nsonga eno.
Radiation Therapy - Ka tumalirize obutoffaali bwonna obusigaddewo.
Teebereza nti bw’omala okusenya ennyumba yo, ogisiimuula bulungi okukakasa nti tewali wadde akatundu k’enfuufu akasigaddewo. Obujjanjabi bw’amasannyalaze (radiation therapy) bwe bumu. Obujjanjabi buno buweebwa oluvannyuma lw’okulongoosebwa okusaanyaawo ddala obutoffaali bwa kookolo bwonna obuyinza okulekebwa emabega, ne bwe buba nga tebulabika na maaso.
- Obujjanjabi buno butera kuweebwa oluvannyuma lw'okuggyibwako ekizimba .
- Oluusi, ne bwe kiba nga kimaze okuggyibwako amabeere , obujjanjabi obw’amasannyalaze buyinza okwetaagisa okusinziira ku bulabe bwa kookolo okuddamu.
| Enkola y’obujjanjabi | Mu ngeri ennyangu... | Ekigendererwa ekikulu |
|---|---|---|
| Okuloongoosa | Okusalako ekizimba kya kookolo. | Okuggya kookolo mu mabeere mu mubiri. |
| Obujjanjabi bw’amasannyalaze (Radiation Therapy). | Okusaanyaawo obutoffaali bwa kookolo nga tukozesa emisinde egy’amaanyi amangi. | Okusaanyaawo obutoffaali bwa kookolo bwonna obusigaddewo oluvannyuma lw’okulongoosebwa n’okutangira kookolo okudda. |
| Obujjanjabi bw’eddagala | Okusaanyaawo obutoffaali bwa kookolo n’eddagala ery’amaanyi eritambula mu mubiri gwonna. | Okusaanyaawo obutoffaali bwa kookolo obuyinza okuba nga bwasaasaana wonna mu mubiri n’okukendeeza ku bulabe bw’okuddamu okulwala. |
Chemotherapy - okutangira kookolo okudda
Chemotherapy ddagala lya maanyi eritta obutoffaali bwa kookolo. Eddagala lino liweebwa mu misuwa (IV) oba oluusi ng’empeke. Olw’okuba eddagala lino litambula mu mubiri gwonna mu musaayi, lisobola okuzuula n’okutta n’obutoffaali bwa kookolo obutono ennyo obuyinza okuba nga bwasaasaana ebweru w’amabeere.
Naddala singa ekizimba kyo kiba kinene nnyo, omusawo ayinza okukuwa amagezi okukozesa eddagala eriweweeza ku bulwadde. Obujjanjabi buno buweebwa mu nsengekera . Kino kitegeeza nti eddagala bakuweebwa ennaku ntono, olwo ne bakuweebwa ennaku ntono ez’okuwummula. Mu kiseera kino eky’okuwummula, obutoffaali bw’omubiri gwo obulamu bufuna omukisa okudda engulu.
Enzijanjaba ez’enjawulo ezikulu, ne bwe ziba nga tezeetaagisa buli muntu
Kati waliwo obujjanjabi obusingawo obugendereddwamu ku bika bya kookolo ebimu. Oluvannyuma lw’okukebera obutoffaali bwa kookolo wo, omusawo ajja kusalawo oba obujjanjabi buno bukusaanira.
Obujjanjabi bw’obusimu
Kino kinyuma nnyo. Lowooza ku ngeri ebimera ebimu gye byetaaga ebigimusa eby’enjawulo okusobola okukula. Mu ngeri y’emu, ebika bya kookolo w’amabeere ebimu byetaaga obusimu nga estrogen mu mibiri gyaffe okukula.Ekozesebwa nga "emmere". Kino kiyitibwa kookolo wa "hormone receptor-positive" .
Singa kookolo wo aba bw’ati, obujjanjabi bw’obusimu nkola nnungi nnyo. Kino kye kikola kwe kukomya obutoffaali bwa kookolo okufuna obusimu obu "buliisa". Eddagala nga `(Tamoxifen)` lye likozesebwa ku kino. Waliwo n'eddagala eddala nga `(Anastrozole)` ne `(Letrozole)` eri abakyala abayise mu nsonga.
Oluusi, ku bakyala abato abatannayita mu nsonga, okulongoosebwa okuggyibwako enkwaso okulekera awo okukola obusimu kiyinza okulowoozebwako. Bino byonna by’osaanidde okukubaganyaako ebirowoozo n’omusawo wo.
Obujjanjabi obugendereddwamu
Buno bujjanjabi bwa mulembe nnyo. Abakyala nga 20% abalina kookolo w’amabeere balina ekirungo ekiyitibwa `HER2` (Her-two) ekisusse mu butoffaali bwa kookolo waabwe. Puloteeni ono asobola okuvaako kookolo okukula n’okusaasaana amangu katono.
Singa kookolo wo aba HER2-positive , obujjanjabi obugendereddwamu bukola nga butunuulira butereevu puloteyina ya HER2 n’egiyimiriza okukola. Trastuzumab (Herceptin) lye ddagala erisinga okukozesebwa. Obujjanjabi buno buyimiriza okukula kw’obutoffaali bwa kookolo era bufuula obujjanjabi bw’eddagala okukola obulungi.
Oyagala okumanya ku bujjanjabi obusembyeyo? - Okugezesebwa mu malwaliro
Bino bye kunoonyereza ku by’obujjanjabi ebinoonyereza ku bujjanjabi obusembyeyo. Abakyala bangi abalina kookolo wa Stage I bafuna omukisa okwetaba mu bino. Okuyita mu kino, oyinza okufuna omukisa okufuna obujjanjabi obw’omulembe obutannaba kukozesebwa nnyo. Bw’oba oyagala kino, kakasa nti obuuza omusawo wo ebisingawo.
Obubaka Obutwala Awaka
- Kookolo w'amabeere ow'omutendera I atandika nnyo . Musanyuke nti wagikutte, kubanga okusinga ewona.
- Olina obujjanjabi obuwerako bw’osobola okulondamu. Okulongoosa bwe bujjanjabi obusinga.
- Obujjanjabi nga obujjanjabi obw’amasannyalaze, eddagala, obujjanjabi bw’obusimu, n’obujjanjabi obugendereddwamu bukozesebwa okukendeeza ku bulabe bwa kookolo okuddamu .
- Si buli muntu nti yeetaaga obujjanjabi bwonna. Okusinziira ku ngeri ya kookolo wo, enteekateeka y’obujjanjabi ejja kukolebwa okukukwatako.
- Yogerako mu lwatu n’omusawo wo ku ngeri zino zonna. Totya kubuuza bibuuzo. Wano w’osobola okusalawo ekisinga obulungi. Si ggwe wekka mu lugendo luno!
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