Oluusi, obulwadde obw’amaanyi nga kookolo tebusobola kuwona na bujjanjabi bwa mutindo. Oluvannyuma abasawo boogera ku bujjanjabi obw’omulembe. Mu biseera ng’ebyo, erimu ku mannya g’ogenda okuwulira ye ‘stem cell transplant’ oba ‘bone marrow transplant’. Wadde ebigambo bino biyinza okuwulikika ng’ebitiisa katono, mu butuufu buno bujjanjabi bwa muwendo nnyo obuyinza okuyamba okutaasa obulamu bw’abantu bangi. Kino ka twogere mu ngeri ennyangu ennyo era mu ngeri entegeerekeka.
Obutoffaali buno obusibuka mu mubiri kye ki?
Kino okukitegeera, ka tusooke tulabe obutoffaali obusibuka mu mubiri kye buli. Teebereza nti mu mubiri gwaffe mulimu ekkolero erikola omusaayi. Abakozi abakulu mu kkolero eryo be butoffaali buno obuyitibwa stem cells. Bino bisinga kusangibwa mu magumba gaffe. Obutoffaali buno bwe bukola obutoffaali bwonna obumyufu, obutoffaali obweru, n’obutoffaali obuyitibwa platelets omubiri gwaffe bye gwetaaga.
Kale, okukyusa obutoffaali obusibuka mu mubiri, mu ngeri ennyangu, kwe kuggyawo obusigo bw’amagumba obulwadde, obwonooneddwa oba obwa kookolo n’okuzzaawo obutoffaali obusibuka obulungi. Kino era kiyitibwa okukyusa obusimu bw'amagumba .
Waliwo ebika bibiri ebikulu eby’okusimbuliza kuno:
Enkola eno ey’okujjanjaba esobola okwawulwamu ebitundu bibiri ebikulu. Kisinziira ku ani obutoffaali obupya obulamu bwe buggyibwa.
| Ekika ky’obujjanjabi (Ekika) . | Mu ngeri ennyangu... |
|---|---|
| Okukyusa omubiri mu ngeri ey’okwetongola | Kino kizingiramu okukozesa obutoffaali bwo obusibuka obulungi . Abasawo nga tebannakuwa bujjanjabi bwa kookolo nga chemotherapy, bakung’aanya obutoffaali obusibuka obulungi okuva mu mubiri gwo ne babutereka bulungi. Oluvannyuma lw’okujjanjabwa, obutoffaali obwo buddizibwa mu mubiri gwo. |
| Okukyusa omubiri mu ngeri ya Allogeneic | Kino kwe kukozesa eby'omuntu omulala (contributor's) .Funa obutoffaali obusibuka obulungi. Omugabi ono asobola okuba ow’omu maka (muganda, mwannyinaffe) oba omuntu omulala yenna akwatagana n’ebitundu by’omubiri. |
Obujjanjabi buno bukolebwa butya? Kiruma?
Abantu bangi balowooza nti kuno kulongoosebwa kwa maanyi, naye mu butuufu si bwe kiri. Engeri obutoffaali buno gye buyingizibwa mu mubiri nnyangu nnyo.
Kiwulira ng’omunnyo oba okuteekebwamu omusaayi. Obutoffaali buweebwa okuyita mu ttanka (omusuwa ogw’omu makkati) oguteekebwa mu musuwa omunene mu kifuba oba mu bulago bwo.
Enkola eno esobola okutwala essaawa eziwerako. Mu kiseera kino abasawo ne ba nurse bajja kukulabirira bulungi, nga bakukebera buli kiseera oba temuli musujja n’okuziyira.
Tewali bulumi mu kiseera ky’obujjanjabi. Kyokka oyinza okuziyira, okusesema n’obutabeera bulungi mu kiseera ky’okuwona oluvannyuma lw’okujjanjabibwa. Naye teweeraliikiriranga, omusawo ajja kukuwa eddagala eryetaagisa okufuga ebizibu bino.
Obujjanjabi buno bukola butya?
Kino kibuuzo abantu bangi kye balina. Naye kizibu okuwa eky’okuddamu kimu. Obuwanguzi bw’obujjanjabi businziira ku bintu ebiwerako.
- Embeera yo: Obujjanjabi buno bukola nnyo ku ndwadde ezimu.
- Obulwadde buno oba buli mu ntandikwa oba ku mutendera ogw’okukula.
- Obujjanjabi bw’ofunye emabegako.
- Emyaka gyo n’obulamu bwo okutwaliza awamu.
- Obusobozi bw'omubiri gwo okuwona.
Bino byonna byawukana okusinziira ku muntu. N’olwekyo, omusawo akujjanjaba yekka y’asobola okunnyonnyola obulungi obuwanguzi bw’obujjanjabi bwo okusinziira ku mbeera yo entongole.
Migaso ki n’ebizibu ebiyinza okuvaamu?
Birungi ki ebirimu?
Ekirungi ekisinga obunene ekiri mu bujjanjabi buno kwe kuba nti busobola okuwonya oba okufuga ddala kookolo n’endwadde ezimu ez’amaanyi ezeekuusa ku musaayi ezitannawonyezebwa bujjanjabi bulala. Mazima ddala ssuubi ddene eri obulamu.
Obulabe n’ebizibu ebiyinza okuvaamu
Nga bwe kiri ku bujjanjabi bwonna obw’omulembe, waliwo akabi n’ebizibu ebivaamu. Obulabe obusinga obunene kwe kuba nti obulwadde bujja kudda (okuddamu) oluvannyuma lw’okujjanjabwa. Kyokka, akabi ako kakendeera okumala ekiseera.
Waliwo emikisa mingi egy’okuzibuwalirwa naddala mu kusimbuliza ‘allogeneic’ ng’obutoffaali bufunibwa okuva mu mugabi omulala.
- Yinfekisoni: Abaserikale b’omubiri banafu nnyo oluvannyuma lw’okujjanjabwa, n’olwekyo osobola bulungi okufuna yinfekisoni za bakitiriya, akawuka oba ffene.
- Obulwadde bwa Graft vs. Obulwadde bw’omugenyi (GvHD):Eno embeera nzibu katono. Mu ngeri ennyangu, obutoffaali obupya obuva mu muntu oyo bukola ku mubiri gwo. Kiringa obutoffaali obupya bwe bulowooza nti, "Guno si mubiri gwange," ne bulumba ebitundu byo ng'olususu lwo n'ekibumba. Naye waliwo obujjanjabi obufuga embeera eno.
Nga tonnafuna bujjanjabi buno, omusawo ajja kukunnyonnyola bulungi akabi kano konna.
Kinatwala bbanga ki okudda mu mbeera eya bulijjo?
Kino nakyo kisinziira ku kika ky’okusimbuliza kye walina.
- If you have had an autologous (your own cells) transplant , okuwona ebiseera ebisinga kutandika mu myezi nga ebiri.
- If you have an allogeneic (donor cell) transplant , kiyinza okutwala emyezi egiwerako okutuuka ku mwaka gumu oba okusingawo okuwona mu bujjuvu. Mu kiseera kino naddala mu nnaku 100 ezisooka, kiyinza okwetaagisa okujja ennyo mu ddwaaliro oba okubeera okumpi n’eddwaliro.
Kiki kye nnyinza okukola okusobola okwanguyiza ekiseera kino eky’okuwona?
Kino si kyamagero kya kiro kimu. Luno lugendo luwanvu. Kale bino bye bimu ku bintu ebiyinza okukuyamba mu kkubo.
- Faayo nnyo olususu lwo: Olususu lwo luyinza okuba nga lunyirira nnyo oluvannyuma lw’okujjanjabwa. Kozesa ssabbuuni omugonvu ne ssabbuuni ng’onaaba. Siiga eddagala erifukirira olususu lwo era lukuume omusana.
- Lya emmere erimu ebiriisa: Lya ennyama etaliimu masavu, ebibala n’enva endiirwa ez’enjawulo, emmere ey’empeke, n’emmere ey’amata erimu amasavu amatono. Weewale ddala ennyama, ebyennyanja, ebibala, enva endiirwa, n’emmere y’amata etafumbiddwa bulungi.
- Weekuume obutakwatibwa yinfekisoni: Naaba nnyo mu ngalo. Weewale abantu abalwadde. Buuza omusawo wo kugema ki kw’olina okufuna.
- Labirira amannyo go: Genda ew’omusawo w’amannyo buli luvannyuma lwa myezi 6. Senya amannyo go bulungi.
- Kitwale mpola era nga kinywevu: Ennaku ezimu ojja kuwulira ng’okooye ddala. Ennaku endala ojja kuwulira bulungi. Olunaku lw’owulira ng’okooye tekitegeeza nti obujjanjabi bwo bulemereddwa. Kitegeeza kyokka nti omubiri gwo gwetaaga okuwummulako.
- Lowooza ku bulamu bwo obw’omutwe: Enneewulira zo ziyinza okukyukakyuka mu kiseera kino. Ekyo kya bulijjo. Okwogera n‟omubuulirizi oba okwegatta ku kibiina ekiwagira abantu nga ggwe kiyinza okuyamba ennyo.
Ku ssaawa mmeka ze weetaaga okwogera n’omusawo?
Singa obubonero buno wammanga bubaawo ng’owona, tegeeza omusawo wo mangu .
- Bw’oba onnyogoga era ng’okankana
- Okusesema, okusesema oba okukulukuta mu nnyindo
- OmusujjaSinga eba waggulu okusinga 100.4 Fahrenheit (38 Celsius) .
- Bw’ofuka ennyo oba ng’olumizibwa
- Bwoba owulira nga oziyira /vertigo
- Okusiiyibwa kw’olususu
- Okukaluubirirwa okussa
Ekintu nga kino kiyinza okuba eky’amaanyi oba obutaba kya maanyi. Naye omusawo wo y’asinga okusalawo. Kale, kisinga bulabe okukiloopa, ne bwe kiba kintu kitono.
Obubaka Obutwala Awaka
- Okusimbuliza obutoffaali obusibuka mu mubiri bujjanjabi bwa mulembe nnyo era bukola bulungi ku kookolo n’endwadde ezeekuusa ku musaayi.
- Kino kirina ebika bibiri ebikulu: enkola ya autologous, ekozesa obutoffaali bwo, n’enkola ya allogeneic, ekozesa obutoffaali okuva mu mugabi.
- Wadde ng’obujjanjabi bwennyini tebuluma, wayinza okubaawo ebizibu ebivaamu mu kiseera ky’okuwona. Waliwo eddagala eriweebwa bano.
- Kiyinza okutwala emyezi oba n’omwaka mulamba okuwona mu bujjuvu. Okwekuuma okuva ku yinfekisoni n’endya ennungi bikulu nnyo mu kiseera kino.
- Wulira nga oli waddembe okwogera mu lwatu n’omusawo wo ku bujjanjabi buno, akabi n’emigaso gyabwo, n’ebibuuzo byonna by’oyinza okuba nabyo.
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