Olina kookolo w'amabeere ow'omutendera ogw'okubiri? Ka twogere ku bujjanjabi!

Kya bulijjo okuwulira ng’otya n’okweraliikirira ng’okizudde nti olina kookolo w’amabeere. Naddala bw'owulira ekigambo nga "Stage II," ebibuuzo ebijja mu birowoozo bingi. "Kati nkole ntya?" ne "Kino kisobola okuwona?" osanga ziri mu birowoozo byo. Naye teweeraliikiriranga. Leero, tugenda kwogera ku kino, kwe kugamba, kookolo w’amabeere ow’omutendera ogw’okubiri n’obujjanjabi obumuwangudde, mu ngeri ennyangu ennyo era ey’omukwano.

Okusookera ddala, omutendera guno ogw’okubiri (Stage II) kye ki?

Mu ngeri ennyangu, kookolo w’amabeere ow’omutendera ogw’okubiri mbeera nga kookolo akyali mu mabeere oba mu nnywanto eziriraanyewo. Kino kitegeeza nti kookolo tasaasaana mu bitundu by’omubiri eby’ewala mu mubiri. Kino kikulu nnyo kubanga kookolo ajjanjabibwa nnyo ku mutendera guno.

Abasawo abakujjanjaba bajja kutera okukozesa obujjanjabi obw’enjawulo okusinga okukozesa enkola emu. Kino kijja kukuwa ebivaamu ebisinga obulungi. Kati ka tulabe obujjanjabi obwo bwe buli.

Ka twogere ku bujjanjabi mu bujjuvu.

Kati katutunuulire buli emu ku nkola zino ez’obujjanjabi mu bujjuvu katono.

Okulongoosa: Emitendera Emikulu

Okulongoosa bwe bujjanjabi obwa bulijjo eri kookolo w’amabeere ow’omutendera ogw’okubiri. Waliwo enkola bbiri enkulu:

• Lumpectomy: Kino kizingiramu okuggyamu ekizimba kya kookolo kyokka n’ebitundu ebitono ebikyetoolodde. Kino era kiyitibwa okulongoosa okukuuma amabeere . Kino kitera okukolebwa singa ekizimba kya kookolo kiba kitono.
• Okusala amabeere: Singa ekizimba kya kookolo kiba kinene, omusawo ayinza okusalawo okuggyamu ebbeere lyonna. Okulongoosa kuno kuyitibwa `Mastectomy`.

Ka kibeere nti kulongoosa ki ku bino ebibiri, omusawo atera n’okuggyawo n’okukebera ennywanto eziwerako mu kitundu ky’enkwaso okulaba oba kookolo asaasaaniddeyo. Oluvannyuma lw’okusala amabeere, osobola n’okwogera n’omusawo wo ku ky’okulongoosa amabeere okuddamu okuzimba bw’oba ​​oyagala.

Radiation Therapy: Okusaanyaawo obutoffaali obusigaddewo

Obujjanjabi bw’amasannyalaze (radiation therapy) butera okuweebwa oluvannyuma lw’okuggyibwako ekizimba. Jjukira nti okulongoosebwa kuyinza okulekawo obutoffaali bwa kookolo obutonotono obutalabika. Obujjanjabi buno buweebwa okusaanyaawo ddala obutoffaali bwonna obusigaddewo n’okutangira kookolo okudda. Oluusi, abakyala abalongooseddwa amabeere nabo baweebwa obujjanjabi obw’amasannyalaze naddala ng’ekizimba kinene oba nga mu mabeere mulimu obutoffaali bwa kookolo.

Chemotherapy: Bujjanjabi obw’amaanyi obukola mu mubiri gwonna

Buno bujjanjabi abantu bangi bwe bamanyi, naye nga butiisa katono. `Chemotherapy` bujjanjabi bwa ddagala bwa maanyi obuweebwa okusaanyaawo obutoffaali bwa kookolo bwonna obuyinza okusigala awalala mu mubiri oluvannyuma lw'okulongoosebwa.

Obujjanjabi buno busobola okuweebwa mu ngeri eziwerako. Kiyinza okuweebwa ng’empeke oba amazzi. Naye gusinga kuweebwa mu misuwa. Obujjanjabi buno tebuweebwa butasalako. Kiweebwa mu nsengekera, kiwa omubiri okuwummulamu.Kiweebwa mu ngeri eziwerako.

Obujjanjabi bw’obusimu: Ku kookolo eyeesigama ku busimu

Buno bujjanjabi bwa njawulo nnyo. Waliwo ebika bya kookolo w’amabeere ebimu ebikula obulungi ku busimu nga estrogen mu mibiri gyaffe. Zino ziyitibwa kookolo ayitibwa hormone receptor-positive cancers.

Singa kookolo wo y’emu ku bika bino, omusawo ayinza okukuwa amagezi ku bujjanjabi bw’obusimu. Eddagala lino likola nga liziyiza obusimu obutoffaali bwa kookolo bwe bwetaaga.

• Eddagala lya Tamoxifen liweebwa abakyala ab’emyaka gyonna.
• Eddagala nga Anastrozole (Arimidex), Exemestane (Aromasin), ne Letrozole (Femara) likozesebwa ku bakyala abava mu nsonga.
• Ng’oggyeeko kino, waliwo n’ebika by’eddagala ebirala.

Ku bakyala abatannaggwa mu nsonga, okulongoosa okuggyamu enkwaso kuyinza okulowoozebwako okukomya okukola obusimu obuyamba kookolo okukula. Oba, eddagala nga Goserelin (Zoladex) liyinza okuyimiriza enkwaso okukola obusimu okumala akaseera.

Biological/Targeted Therapy: Enkola empya era ey’omulembe

Buno bujjanjabi buwanguzi nnyo obuzze n’okukulaakulana kw’eddagala ery’omulembe. Abakyala nga 25% abalina kookolo w’amabeere balina ekirungo ekiyitibwa HER2 ekisusse ku ngulu w’obutoffaali bwa kookolo waabwe. Puloteeni eno ereetera kookolo okukula n’okusaasaana amangu.

Enzijanjaba ezigendereddwamu zitunuulira puloteyina ya HER2 ne zigikomya okukola.

• Eddagala lya Trastuzumab (Herceptin) ne Pertuzumab (Perjeta) lye ddagala erisinga okukozesebwa ery’ekika kino.
• Eddagala lino litera okuweebwa awamu n’eddagala eriweweeza ku bulwadde, bwe kityo ne kyongera ku buwanguzi bw’eddagala eriweweeza ku bulwadde.

Manya ku kugezesebwa mu malwaliro.

Okugezesa mu malwaliro kwe kunoonyereza okugezesa obulungi n’obukuumi bw’obujjanjabi obupya obuzuuliddwa, eddagala oba obujjanjabi obugatta mu bantu. Abakyala bangi abalina kookolo w’amabeere ow’omutendera ogw’okubiri bafuna omukisa okwetaba mu kugezesebwa kuno.

Kino kiyinza okukuwa okufuna obujjanjabi obw’omulembe, obw’omulembe. Jjukira nti buli bujjanjabi obutuuse ku buwanguzi bwe tukozesa leero bwatandika ng’okugezesebwa mu malwaliro mu kiseera ekimu. Osobola okwogera n’omusawo wo ku nsonga eno n’obuuza oba waliwo okugezesebwa okukusaanira.