Oluusi ofuna okulumwa emimiro oba okukyuka mu ddoboozi? Kiyinza okuba nga kyannyogoga oba ekintu ekirala kyonna. Wabula bw’oba olina obubonero obutawona, kirungi n’ofaayo katono. Leero tugenda kwogera ku kookolo w'emimiro. Wadde guno mulamwa gwa ntiisa, kikulu okugumanya.
Ono kookolo w’emimiro kye ki?
Mu ngeri ennyangu, "kookolo w'emimiro" kwe kukula kw'obutoffaali bwa kookolo mu mumiro gwo, mu by'obujjanjabi obumanyiddwa nga ``pharynx'', oba ennyindo yo, ekitundu ky'eddoboozi lyo. Kino kitono nnyo okusinga ebika bya kookolo ebirala. Naye omuntu bw'afuna embeera eno, ebiseera ebisinga ebizimba bya kookolo bikula mu kitundu kya wakati eky'emimiro, ``oropharynx'', oba ennyindo.
Kookolo w'emimiro atera obutaba na bubonero mu ntandikwa . Obubonero bwe bulabika, buyinza okufaanana endwadde eza bulijjo, ezitali za maanyi nnyo, gamba ng’okulumwa emimiro oba okulumwa amatu. Eno y’ensonga lwaki abantu abamu balwawo okulaba omusawo.
Wabula bw’oba olina obubonero obuyinza okulaga nti olina kookolo w’emimiro naddala nga bumala wiiki ezisukka mu bbiri , tobubuusa maaso. Kookolo w’emimiro asinga asobola okujjanjabibwa n’okuwona. Ebimu bisobola n’okuwona ddala. Ekikulu kwe kuzuulibwa n'okujjanjabibwa nga bukyali .
Waliwo ebika by’embeera eno eby’enjawulo?
Yee, waliwo ebika bya kookolo w’emimiro ebiwerako. Ka tulabe kye bali:
- Kookolo w’omusulo: Ono akola mu kitundu kya wakati mu mumiro gwo. Kino kye kika kya kookolo w’emimiro ekisinga okubeera mu mawanga nga Amerika.
- Kookolo w’ennyindo: Kino kikosa ekibokisi ky’amaloboozi oba ennyindo. Kiyinza okutandika mu kitundu eky’okungulu eky’ennyindo (supraglottic cancer), mu kitundu eky’omu makkati awali emisuwa gy’eddoboozi (glottic cancer), oba mu kitundu ekya wansi (subglottic cancer).
- Kookolo w’omumwa gwa nnabaana: Ono akola mu kitundu ky’emimiro gyo waggulu w’omusuwa gwo n’omudumu gw’empewo.
- Kookolo w’ennyindo: Ono akula mu kitundu ky’emimiro gyo emabega w’ennyindo.
Bubonero ki obulaga kookolo w’emimiro?
Obubonero bwa kookolo w’emimiro butera okufaananako n’obw’embeera endala ezitali za maanyi nnyo, gamba ng’omusujja oba alergy. Obubonero bw’endwadde entonotono ng’ezo butera okukka mu nnaku ntono. Kyokka, singa tebujjanjabwa, obubonero bwa kookolo w’emimiro bujja kweyongera, so si kutereera .
Buno bwe bubonero n’obubonero bwa kookolo w’emimiro:
- Okulumwa emimiro (nga okulumwa emimiro) .
- Obulumi mu matu (oyinza okuwulira ng’okulumwa amatu) .
- Okukaluubirirwa okumira oba okulumwa ng’omira
- Ekizimba mu bulago, mu mumiro oba emabega w’akamwa
- Eddoboozi likyuka, gamba ng’okuwuuma
- Okusesema okutambula oba okusesema omusaayi
- Okugejja (ebiseera ebisinga kiva ku kukaluubirirwa okulya n’okumira) .
Bw’oba olina obubonero buno okumala wiiki ezisukka mu bbiri, laba omusawo obwogereko. Olwo basobola okuzuula ddala ekikutawaanya.
Bubonero ki obusooka okulaga kookolo w’emimiro?
Obubonero obusooka obwa kookolo w'emimiro bwawukana okusinziira ku kookolo w'ali . Ng’ekyokulabirako, obubonero obusooka obwa kookolo w’omumwa gwa nnyindo buyinza okuli okuzimba mu bulago, okulumwa amatu n’okulumwa ng’omira. Akabonero akasooka akamanyiddwa ennyo aka kookolo w’ennyindo kwe kuwuuma obutasalako.
Ebiseera ebisinga, kookolo w’emimiro talaze bubonero bwonna mu ntandikwa. W’otandika okwetegereza enkyukakyuka, kookolo ayinza okuba nga yakula dda. Eno y’ensonga lwaki kikulu okulaba omusawo singa obubonero bwo tebutereera mu wiiki bbiri oba ssatu.
Biki ebivaako kookolo w’emimiro?
Kookolo w’emimiro abaawo nga waliwo enkyukakyuka mu buzaale (enkyukakyuka mu buzaale) mu butoffaali obuli mu mumiro gwo. Enkyukakyuka zino mu buzaale zireetera obutoffaali obulamu okutandika okukula ne bufuuka obutoffaali bwa kookolo. Singa obutoffaali buno bwa kookolo tebujjanjabwa, busobola okusaasaana mu bitundu by’omubiri gwo ebirala. Abanoonyereza bakyagezaako okuzuula ekivaako enkyukakyuka zino.
Ensonga ezireeta akabi
Waliwo ebintu ebiwerako ebyongera obulabe bw’okufuna kookolo w’emimiro. Ebyo nabyo tubitegeere.
- Okunywa sigala oba okukozesa ebintu ebirala ebikolebwa mu taaba: Ekikulu era ekisinga okuleeta kookolo w’emimiro kwe kukozesa taaba .
- Obulwadde bwa HPV: Akawuka ka Human Papillomavirus (HPV) kawuka akayinza okusiigibwa nga kayita mu kwegatta mu kamwa. Mu nsi ezaakulaakulana, HPV y’esinga okuvaako kookolo w’emimiro omupya asinga obungi.
- Okunywa omwenge ekisusse: Abanoonyereza bakizudde nti kookolo w’emimiro abamu alina akakwate n’okunywa omwenge. Obulabe buba bungi nnyo singa naawe okozesa taaba.
- Obulwadde bw’akawuka ka Epstein-Barr: Akawuka kano akaleeta obulwadde bwa mononucleosis (mono) era kasobola okwongera ku bulabe bwa kookolo w’emimiro. (Kitera okukwata kookolo w’ennyindo.)
- Okubeera n’ebintu eby’obutwa: Okumala ebbanga eddene ng’olina ebirungo ebireeta kkansa nga asibesito, enfuufu y’enku, ne formaldehyde nakyo kyongera ku bulabe.
- Okulya ennyo oba okutono ku mmere ezimu: Okulya ennyo ennyama enkuumiddwa n’obutalya nva n’ebibala ebimala nakyo kyongera ku bulabe.
Oyinza otya okukendeeza ku bulabe?
Wadde nga tewali ngeri yonna gy’oyinza kuziyiza ddala kookolo w’emimiro, waliwo ebintu by’oyinza okukola okukendeeza ku bulabe bwo:
- Tokozesa sigala oba ebintu ebirala byonna ebikolebwa mu taaba. (Bw’oba onywa sigala, saba omusawo akuyambe okulekera awo.)
- Funa eddagala erigema HPV.
- Weewale ddala omwenge oba gunywe mu kigero.
- Lya emmere erimu enva endiirwa, ebibala n’emmere ey’empeke, gamba ng’emmere ey’omu Mediterranean.
Abasawo bazuula batya embeera eno?
Abasawo bakozesa ebigezo ebiwerako okuzuula kookolo w’emimiro. Ebimu ku byo bye bino:
- Okukebera omubiri: Omusawo ajja kunoonya obubonero bwa kookolo w’emimiro, gamba ng’ekizimba mu bulago, era ajja kukubuuza ku mize gyo egy’okwongera ku bulabe, gamba ng’okunywa sigala.
- Okukebera ng’okozesa endoscope: Omusawo ayinza okuyingiza akatuba akatono akalimu kkamera akayitibwa scope mu mumiro gwo okukebera kookolo w’emimiro. Kino kiyitibwa endoscopy. Singa ennyindo zeekebejjebwa, ziyitibwa laryngoscopy.
- Biopsy: Mu kiseera ky’okukebera endoscopy, omusawo ayinza okutwala ekitundu ky’ekitundu ekiteeberezebwa n’akisindika mu laabu okukebera obutoffaali bwa kookolo. Okukebera omubiri (biopsy) y’engeri yokka gy’oyinza okumanya mu butuufu oba olina kookolo w’emimiro.
- Okukebera ebifaananyi: Okukebera CT scan ne MRI bisobola okulaga oba olina kookolo mu mumiro n’ennyindo. Sikaani ya PET era esobola okulaba oba kookolo asaasaanidde okusukka emimiro.
Okuteekebwa mu mitendera gya kookolo
Okuteeka kookolo mu mitendera kisobozesa abasawo okuzuula kookolo w’emimiro gy’akula n’okusaasaana. Kino kitundu kikulu nnyo mu kuzuula obulwadde. Engeri emitendera gino gye gituumibwa amannya ya njawulo okusinziira ku kika kya kookolo. Kookolo w’emimiro atera okuteekebwa mu kibinja kya stage I (ekimu) - ekisinga obutono - okutuuka ku mutendera IV (ennya) - ekisinga okukula n’okusaasaana.
Okugeza kookolo w’emimiro ow’omutendera I kitegeeza nti ekizimba kitono era tekisaasaanye mu nnywanto oba ebitundu ebirala. Kookolo ow’omutendera ogw’okuna ayinza okuba nga yasaasaana (yasaasaana) mu bitundu ebirala.
Kookolo w’emimiro ajjanjabibwa atya?
Abasawo bakozesa enkola ez’enjawulo okujjanjaba kookolo w’emimiro. Bw’oba onywa sigala, bayinza okukuwa amagezi okulekera awo okunywa sigala nga tonnatandika kujjanjaba kookolo. Kino kijja kwongera ku buwanguzi bw’obujjanjabi n’okukendeeza ku bulabe bw’ebizibu ebivaamu.
Okuloongoosa
Ekigendererwa ekikulu eky’okulongoosa kwe kuggyawo kookolo mungi nga bwe kisoboka ate ng’okuuma obusobozi bwo obw’okussa, okwogera n’okumira. Omusawo asobola okuggyako obuzimba obutonotono ng’atwala ebitundu by’omubiri okukeberebwa. Ku bizimba ebinene, oyinza okwetaaga okulongoosebwa ennyindo, oba okulongoosebwa okuggule okuggyamu ekitundu oba byonna eby’eddoboozi lyo. Oyinza n’okwetaaga okusalako ensingo okuggyawo ennywanto z’omusaayi obutoffaali bwa kookolo we busaasaanidde.
Obujjanjabi bw’amasannyalaze (radiation therapy).
Obujjanjabi obusinga okukozesebwa ku kookolo w’emimiro bwe bujjanjabi bw’amasannyalaze (radiation therapy), nga buno bukozesa ekyuma okusindika emisinde gy’amaanyi egy’amaanyi amangi okutta obutoffaali bwa kookolo. Kino kiyinza okumala ku bizimba ebitono ebitannasaasaana. Oba, obujjanjabi obw’amasannyalaze (radiation therapy) buyinza okuweebwa awamu n’obujjanjabi obulala, gamba ng’okulongoosa oba obujjanjabi bw’eddagala.
Obujjanjabi bw’eddagala
Chemotherapy ekozesa eddagala okutta obutoffaali bwa kookolo. Abasawo batera okukozesa eddagala eriweweeza ku bulwadde bwa ‘chemotherapy’ ne radiation therapy wamu okujjanjaba kookolo w’emimiro. Chemotherapy ekozesebwa okukendeeza ebizimba nga tonnalongoosebwa n’okutta obutoffaali bwa kookolo bwonna obusigaddewo oluvannyuma lw’okulongoosebwa.
Obujjanjabi obugendereddwamu n’obujjanjabi bw’abaserikale b’omubiri
Omusawo ayinza okukuwa amagezi obujjanjabi obugendereddwamu oba obujjanjabi obuziyiza endwadde, obutatera kukozesebwa ku kookolo w’emimiro. Enzijanjaba ezigendereddwamu zikola nga ziziyiza obutoffaali obutoffaali bwa kookolo bwe bukozesa okukula. Obujjanjabi bw’abaserikale b’omubiri bukola nga bukola abaserikale b’omubiri gwo okulwanyisa kookolo.
Obujjanjabi buno butera okusemba ku kookolo w’emimiro agenda mu maaso ne kookolo azzeemu oluvannyuma lw’okujjanjabibwa.
Ddi lwe nnina okulaba omusawo?
Bw’oba olina obubonero bw’omutwe oba mu bulago obutategeerekese nga tebutereera oluvannyuma lwa wiiki ntono, kola essaawa okulaba omusawo. Tosattira, ng’olowooza nti kookolo. Naye totwala mikisa gyonna. Buulira omusawo wo ku by’oyitamu.
Kiki kye nsuubira singa mba nnina kookolo w’emimiro?
Ebinaavaamu oba okuteebereza kwo kisinziira ku bintu bingi eby’enjawulo gy’oli. Abasawo oluusi basobola okuwonya kookolo w’emimiro atasaasaana mu bitundu ebiriraanyewo oba mu bitundu by’omubiri ebiyitibwa lymph nodes. Kyokka kookolo abadde asasaana asinga kuzibuwalira kuwona. Era batera okudda nga bamaze okujjanjabibwa.
Obulamu bwo okutwalira awamu, ekifo ekizimba kya kookolo we kiri, n’okumanya oba olina obulwadde bwa HPV nabyo bikulu. Kookolo w’emimiro eyeekuusa ku HPV alabika ng’akola bulungi ku bujjanjabi okusinga ebika ebirala.
Omuwendo gw’abawona kookolo w’emimiro guli gutya?
Emiwendo gy’abawona kookolo giraga abantu bameka abalamu oluvannyuma lw’emyaka etaano nga bazuuliddwa. Mu mbeera ya kookolo w’emimiro, emiwendo gy’abawona gyawukana okusinziira ku kika kya kookolo, ekifo n’omutendera gwa kookolo.
Okugeza, abantu nga 7 ku buli 10 abalina kookolo w’akamwa oba mu mumiro bajja kuwangaala emyaka etaano oluvannyuma lw’okuzuulibwa. Kyokka, singa kookolo aba tannasaasaana, omuwendo ogwo gukendeera ne gutuuka ku bantu nga 8 oba 9 ku 10. Kya lwatu nti ebibalo bino bya bantu bonna. Teziraga nsonga ntongole ezikwatagana n’engeri gy’ozuddemu obulwadde.
Omusawo wo amanyi okusinga omuntu yenna engeri ebibalo bino gye binaakukosaamu. Mubuuze engeri okuzuulibwa kwo gye kunaakwata ku bulamu bwo.
Waliwo kye nsobola okukola okuwulira obulungi?
Bw’oba ojjanjabibwa kookolo w’emimiro, oyinza okwetaaga okuyambibwa okuddukanya ebizibu ebiyinza okuvaamu okumala ebbanga eddene. Obujjanjabi bw’amasannyalaze n’okulongoosebwa byombi bisobola okukosa obusobozi bwo obw’okumira, okwogera n’okuwulira. Okuddaabiriza n’omusawo akola ku bulwadde bw’okwogera n’olulimi kiyinza okuba ekikulu okusobola okuwona. Bw’oba weeraliikirira endabika yo oluvannyuma lw’okulongoosebwa, oyinza okwetaaga okulongoosebwa okuddamu okuzimba.
Omusawo ayinza n’okukuwa amagezi ku bujjanjabi obukkakkanya obulumi okukuyamba okuddukanya ebizibu ebiva mu bujjanjabi. Okwawukanako n‟okulabirira abalwadde mu ddwaaliro, obujjanjabi obw‟okukkakkanya obulumi mpeereza gy‟osobola okufuna awatali kulowooza ku mutendera gwa kookolo wo oba okuteebereza kwo.
Ekintu ekisinga obukulu okujjukira (Take-Home Message)
Obubonero bwa kookolo w’emimiro butera okulabibwa mu mbeera endala, gamba ng’omusujja, yinfekisoni, ne alergy. N’olwekyo, bw’ofuna eddoboozi ery’amaanyi mu bwangu n’otosobola kutegeera lwaki, tosattira. Wabula singa embeera eno tetereera mu wiiki emu oba bbiri, kye kiseera okulaba omusawo. Mu kiseera kino, osobola okukendeeza ennyo ku bulabe bw’okufuna kookolo w’emimiro ng’okwewala okukozesa taaba n’okukola emitendera gy’okuziyiza okukwatibwa HPV. Okwegendereza kati kiyinza okukukuuma obutafuna kookolo w’emimiro oluvannyuma.
` Kookolo w'emimiro, obubonero bwa kookolo, HPV, okunywa sigala, kookolo w'ennyindo, obujjanjabi bwa kookolo, amagezi g'abasawo











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