Omusawo bw’akugamba nti olina kookolo w’amabeere, kyabulijjo nnyo okuwulira ng’otya, okukankana n’okuba n’ebibuuzo bingi. Omusawo bw'agamba nti, "Ono kookolo wa Stage 2" oba "Grade 3," oyinza okwebuuza ebigambo bino ddala kye bitegeeza. Kya bulijjo okwongera okutya ng’owulira ebigambo nga bino. Kyokka, okutegeezebwa obulungi ebintu bino kijja kukuyamba ggwe n’ab’omu maka go okubeera abagumu mu birowoozo n’okusalawo ku bujjanjabi mu biseera eby’omu maaso. Kale ka twogere ku nsonga eno mu ngeri ennyangu ennyo leero.
Waliwo ebika bya kookolo bibiri eby’enjawulo: ‘Stage’ ne ‘Grade’?
Yee, kino kikwata ku bintu bibiri. Bino byombi biwa abasawo amawulire amakulu ku ngeri ya kookolo wo.
Mu ngeri ennyangu:
- Omutendera gwa kookolo: Lowooza ku kookolo ng’omuliro omutono ogutandikira mu nnyumba. ‘Stage’ kitegeeza omuliro we gusaasaanidde munda mu nnyumba, oba gusaasaanidde okusukka ebbeere okutuuka ku nnywanto z’amazzi mu nnyindo oba mu bitundu by’omubiri ebirala. Omuwendo gw’omutendera gye gukoma okuba wansi, kookolo gy’akoma okusaasaana okutono.
- Ekika kya kookolo: Ddamu olowooze ku muliro ogwo. ‘Ekigero’ kitegeeza engeri omuliro gye guli ogw’amaanyi n’engeri gye gusaasaana amangu. Abasawo batunuulira obutoffaali bwa kookolo nga bakozesa microscope okulaba engeri gye bufaanagana n’obutoffaali obulamu n’engeri gye bwawukana amangu. Ekigezo gye kikoma okuba waggulu, kookolo gy’akoma okuba ow’obusungu.
Ebitundu bino byombi bikulu nnyo omusawo okulonda enkola y’obujjanjabi esinga okukusaanira.
Mitendera ki egya kookolo w’amabeere?
Emitendera gya kookolo w’amabeere gisinga kulagibwa namba okuva ku 0 okutuuka ku 4. Oluusi ennukuta nga A, B, ne C zikozesebwa okwongera okunnyonnyola emitendera gino.
| Siteeji | Simply amakulu |
|---|---|
| Omutendera 0 | Guno gwe mutendera ogusooka okukwatibwa kookolo w’amabeere. Obutoffaali obutali bwa bulijjo buba munda mu mifulejje gy’amabeere gyokka egy’okutwala amata. Tezisaasaana mu bitundu ebigyetoolodde. Kino era kiyitibwa `Ductal Carcinoma In Situ (DCIS)`. |
| Omutendera I (Omutendera 1) . | Kati kookolo ono ayingirira, ekitegeeza nti asaasaanidde mu bitundu by’amabeere ebiramu ebimwetoolodde. Naye ekizimba kikyali kitono nnyo (ekitakka wansi wa sentimita 2) era tekisaasaanye mu nnywanto eziriraanyewo, oba nga kisaasaana kitono nnyo. Mu kiseera kino, emikisa gy’okuwona giri waggulu nnyo. |
| Omutendera II (Omutendera 2) . | Kookolo ayinza okuba nga munene katono (wakati wa sentimita 2-5) oba nga asaasaanidde mu nnywanto entono eziriraanyewo mu nnywanto. Wabula kookolo akyakoma mu bitundu by’amabeere n’enkwaso. |
| Omutendera III (Omutendera 3) . | Guno mutendera gwa mulembe nnyo mu kitundu . Kookolo ono ayinza okuba nga yasaasaana ebweru w’amabeere, okutuuka ku bbugwe w’ekifuba, olususu oba ennywanto z’amazzi mu nnyindo. Naye tebunnasaasaana mu bitundu by’omubiri eby’ewala ng’ekibumba oba amawuggwe. |
| Omutendera IV (Omutendera 4) . | Omutendera guno guyitibwa Metastatic Breast Cancer . Wano kookolo bw’aba asaasaanye okusukka amabeere n’ennywanto eziriraanyewo okutuuka mu bitundu eby’ewala ng’amagumba, amawuggwe, ekibumba oba obwongo . |
Ekigero kya kookolo n’ebigezo ebirala ebikulu
Omusawo asalawo ekigezo ng’akebera obutoffaali bwa kookolo obufunibwa okuyita mu kulongoosebwa oba okukebera ebitundu by’omubiri.
- Ekibiina 1: Obutoffaali bwa kookolo bufaanagana nnyo n’obutoffaali obulamu. Zikula mpola mpola.
- Ekibiina ekyokubiri: Obutoffaali bwa kookolo bwawukana katono ku butoffaali obulamu. Zikula ku sipiidi ya kigero.
- Ekibiina eky’okusatu: Obutoffaali bwa kookolo bwawukana nnyo ku butoffaali obulamu era bulabika nga butabuse. Zisobola okukula ne zisaasaana mangu.
Ekisinga obukulu, okumanya ekigezo kino kijja kuyamba nnyo omusawo wo okuzuula obwetaavu n’ekika ky’obujjanjabi, gamba ng’obujjanjabi bw’eddagala, bw’olina.
Okugatta ku ekyo, omusawo ono akola ebigezo ebirala ebikulu ebiwerako.
- Embeera y’obusimu obukwata obusimu: Obutoffaali obumu obwa kookolo w’amabeere bukozesa obusimu obuyitibwa estrogen ne progesterone okukula.
- ER-positive (ER+) kitegeeza nti kookolo akozesa obusimu obuyitibwa estrogen okukula.
- PR-positive (PR+) kitegeeza nti obusimu obuyitibwa progesterone bwe bukozesebwa.
- Singa bino biba birungi, kookolo asobola okufugibwa nga bamuwa eddagala ly’obusimu.
- Embeera ya HER2: `HER2` ye puloteyina efuga okukula kw’obutoffaali. Obutoffaali bwa kookolo obumu bukola ekisusse ku puloteyina eno eya `HER2` (`HER2-positive`). Olwo kookolo asobola okukula amangu. Ku kookolo `HER2-positive`, waliwo eddagala eryetongodde (Targeted Therapy) erigenderera puloteyina eyo.
Enkola ya TNM kye ki?
Eno y’enkola ekkirizibwa mu nsi yonna abasawo gye bakozesa okuzuula obulungi omutendera gwa kookolo. Wadde nga kiyinza okulabika ng’ekizibu katono, kiyinza okukuwa ekifaananyi ekituufu ennyo ku kookolo wo.
- T (Tumor): Epima obunene bwa kookolo n’okumanya oba asaasaanidde mu bitundu ebimwetoolodde.
- N (Nodes): Epima oba kookolo asaasaanidde mu nnywanto eziriraanyewo , era bwe kiba bwe kityo, ku kigero ki.
- M (Metastasis): Epima oba kookolo asaasaanidde mu bitundu eby’ewala ebweru w’amabeere.
Omutendera okutwalira awamu ogwa kookolo wo gusalibwawo nga ogatta ennamba ezikwatagana ne buli emu ku nnukuta zino (e.g. T1, N0, M0). Bw’olaba obubonero buno bwonna ku lipoota yo, totya kubuuza musawo akunnyonnyola.
Ddala tusaanidde okweraliikirira omuwendo gw’abawona mu myaka 5?
Ebigambo bino bikuba okutya mu birowoozo by’omuntu yenna. Kino kitegeeza abantu bameka ku 100 abazuuliddwa nga balina kookolo ku mutendera ogugere abajja okuba abalamu oluvannyuma lw’emyaka 5.
Naye kino kikuume mu birowoozo: Bino bibalo bya bulijjo byokka ebyesigamiziddwa ku biwandiiko okuva mu nkumi n’enkumi z’abalwadde. Tebasobola kuteebereza mbeera yo ssekinnoomu.
- Ku kookolo ow’omutendera ogusooka (ow’omu kitundu), omuwendo guno guli waggulu nga 99% .
- Wadde ng’omuwendo guno guba wansi nga kookolo asaasaanidde mu bitundu by’omubiri eby’ewala (Ewala/Omutendera 4), olw’obujjanjabi obw’omulembe obw’ennaku zino, abantu bangi basobodde okukuuma omutindo gw’obulamu omulungi n’okuwangaala okumala emyaka mingi ne bwe baba ne kookolo ow’omutendera ogw’okuna .
Kale, tozitoowererwa bibalo ebiri ku yintaneeti. Essira lyo lirina kubeera ku kunywerera ku nteekateeka yo ey’enjawulo ey’obujjanjabi.Yogerako mu lwatu n’omusawo wo ku nsonga eno.
Obubaka Obutwala Awaka
- ‘Omutendera’ gwa kookolo w’amabeere gutegeeza engeri kookolo gy’asasaanye. ‘Ekigero’ kitegeeza engeri kookolo gy’akola obusungu.
- Okumanya omutendera omutuufu n’ekigero kya kookolo wo kyetaagisa nnyo okuzuula enteekateeka y’obujjanjabi esinga obulungi gy’oli.
- Kookolo ow’omutendera ogw’okuna (Metastatic) si y’enkomerero y’obulamu. Olw’obujjanjabi obw’omulembe obw’ennaku zino, embeera eno esobola okuddukanyizibwa n’okubeera obulungi.
- Bw’oba tolina ky’otegedde mu lipoota yo, totya oba okulonzalonza okubuuza omusawo wo enfunda n’enfunda. Ddembe lyo.
- Toyita mu lugendo luno wekka. Noonya obuwagizi bw’ab’omu maka go, mikwano gyo, n’ebibiina ebiwagira bwe kiba kyetaagisa. Kijja kukuwa amaanyi mangi mu birowoozo.
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