Obusannyalazo bw’omubiri gwonna kye ki? (Total Body Irradiation) Ka twogere ku nsonga eno mu ngeri ennyangu.

Bw’oba ​​oyogera ku bujjanjabi bwa kookolo, oyinza okuba nga wali owulidde ku bujjanjabi obuyitibwa radiation therapy, oba radiation therapy. Naye bw'owulira "radiation to the whole body," oyinza okuwulira ng'otya katono. Naye buno bujjanjabi bukulu nnyo oluusi obulina okukolebwa. Kale leero, ka twogere ku Total Body Irradiation (TBI) kye ki, lwaki ekolebwa, n'engeri gy'ekola.

Mu ngeri ennyangu, Total Body Irradiation (TBI) kye ki?

Total Body Irradiation (TBI) kika kya bujjanjabi bwa radiation. Kyokka, obutafaananako bujjanjabi bwa bulijjo obw’amasannyalaze, obusannyalazo tebugenda mu kitundu kimu kyokka eky’omubiri. Wabula , ddoozi entono ennyo ey'obusannyalazo butuusibwa mu mubiri gwo gwonna .

Lowooza ku kino: obujjanjabi obwa bulijjo obw’amasannyalaze buba ng’okumasamasa omumuli ku kifo kimu. Naye TBI eringa okukoleeza ettaala mu kisenge kyonna, n’okola ettaala entono okugwa buli wamu. Dozi y’obusannyalazo obukozesebwa wano eri wansi nnyo okusinga obujjanjabi obw’ekifo kimu.

Lwaki obujjanjabi buno bukolebwa? Kigendererwa ki?

Obujjanjabi bwa TBI businga kukolebwa kukuteekateeka kulongoosebwa busimu bwa magumba oba okusimbuliza obutoffaali obusibuka mu mubiri. Waliwo ensonga ssatu enkulu lwaki omusawo ayinza okukuwa amagezi ku bujjanjabi buno.

• Okusaanyaawo obutoffaali bwa kookolo: Kino kiyamba okusaanyaawo ddala obutoffaali bwa kookolo obukwese mu busimu bwo obw’amagumba, mu busimu oba ebifo obujjanjabi obulala bwe butasobola kutuuka mangu.
• Fuula ekifo mu busimu bw’amagumba: Obujjanjabi buno buyamba okuwa ekifo munda mu mubiri eri obusigo bw’amagumba obulungi obupya obusimbibwa n’okukendeeza ku mirimu gy’amagumba amakadde.
• Fuga abaserikale b’omubiri gwo: Kino kiyamba okukuuma abaserikale b’amagumba bo obutamanya busimu bw’amagumba obupya obusimbibwa nga "obw'ebweru" ne bugaana, bwe kityo ne kifuula okusimbuliza okulungi ennyo.

Embeera ki ezijjanjabwa n’obulwadde bwa TBI?

Obujjanjabi bwa TBI tebutera kukolebwa bwokka. Kitera okukozesebwa awamu n’obujjanjabi obulala obwa kookolo, gamba ng’eddagala eriweweeza ku bulwadde bwa kookolo. Omulongooti wansi gulaga ezimu ku mbeera ezisinga okukozesebwa obujjanjabi buno.

Kiki ekibaawo nga tebannaba kujjanjabwa? (Okukoppa)

Nga tonnafuna bujjanjabi bwo obwa TBI, ojja kuba n'essaawa ey'enjawulo eyitibwa "simulation." Kino kiringa okupima nga tonnafuna ssuuti ekoleddwa. Kiba ng’okwegezangamu nga tonnafuna bujjanjabi. Ekigendererwa ekikulu ekya kino kwe kutegeka ekifo ekisinga obulungi gy’oyinza okubeera okulaba ng’omubiri gwo gufuna ddoozi entuufu ey’obusannyalazo, mu ngeri entuufu .

Mu kusiiga kuno:

• Ojja kuteekebwa ku mmeeza ey’enjawulo era CT scan ejja kukolebwa okukola maapu y’ekitundu ky’ogenda okujjanjabwa.
• Omusawo akola ku by’amasannyalaze ajja kupima omubiri gwo ebiwerako.
• Oluvannyuma lw’okuzuula ekifo ekisinga obulungi omubiri gwo, bajja kukola obubonero obutonotono ennyo ku lususu lwo. Era bagenda kukuba ebifaananyi. Bino bijja kukuyamba okusigala mu mbeera y’emu ku lunaku lw’ogenda okujjanjabibwa. Obubonero buno buyinza okuba obw’olubeerera, naye nga butono nnyo.

Kiki ekibaawo mu kiseera ky’obujjanjabi?

Oyinza okwetaaga okubeera mu ddwaaliro okumala ennaku ntono oluvannyuma lw’okufuna obujjanjabi bwa TBI. Bino bye bibaawo mu kiseera ky'obujjanjabi:

• Omusawo akola ku by’amasannyalaze ajja kukuteeka mu kifo kye kimu nga bwe wali mu kusiiga okwali kutegekeddwa emabegako.
• Okukendeeza ku ddoozi y’obusannyalazo eri ebitundu ebimu, gamba ng’amawuggwe go, osobola okuteekebwako ebipande oba engabo ez’enjawulo ku bitundu ebyo.
• Okulaba ng’obusannyalazo buno busaasaanyizibwa kyenkanyi mu mubiri gwo gwonna, osobola n’okuteekawo ekintu nga ssirini ennene mu maaso go.
• Olwo omusawo omujjanjabi n’afuluma ekisenge. Naye teweeraliikiriranga, toli wekka. Osobola okwogera nabo ng’oyita ku intercom. Bakutunuulira okuva bweru.
• Ekyuma ekinene ekiyitibwa "linear accelerator" kikutambula, nga kituusa emisinde mu ngeri etegekeddwa.

Ekitundu ekya bulijjo kiyinza okumala eddakiika 60. Ekitundu kyo ekisooka kiyinza okutwala ekiseera ekiwanvuko katono kubanga omusawo ajja kutwala X-ray endala okukakasa nti enyimirira yo ntuufu 100%. Oyinza n’okukkirizibwa okukola ebintu ng’okuwuliriza ennyimba mu kiseera kino.

Obujjanjabi buno nja kuba nnina okumala bbanga ki?

Abantu abasinga bafuna obujjanjabi bwa TBI emirundi ebiri oba esatu olunaku okumala ennaku ssatu oba ttaano. Ttiimu yo ey’abasawo ejja kunnyonnyola emirundi gy’obujjanjabi gy’ogenda okwetaaga nga tonnatandika bujjanjabi.

Obulabe ki n’ebizibu ebiva mu kino?

Nga bwe kiri ku bujjanjabi bwonna, obujjanjabi bwa TBI buyinza okuba n’ebizibu ebivaamu. Ebizibu bino bisobola okwawukana okusinziira ku muntu. Waliwo ebintu ebiwerako ebiyinza okubakosa:

• Omuwendo gw’obujjanjabi bw’ogenda okufuna.
• Dozi y’obusannyalazo obuweebwa.
• Obulamu bwo okutwalira awamu.

Ebizibu ebivaamu okusinga bisobola okwawulwamu ebika bibiri: eby’ekiseera ekitono n’eby’ekiseera ekiwanvu.

Ebizibu ebiva mu bbanga ettono

Bino bitera okulabika nga wayise ennaku oba wiiki ntono ng’omaze okutandika okujjanjaba era ekiseera bwe kigenda kiyitawo ne kibula.

Ebizibu ebivaamu okumala ebbanga eddene

Bino tebitera nnyo, biyinza okulabika ebbanga ddene oluvannyuma lw’okujjanjabwa, era biyinza okumala ebbanga eddene.

• Cataracts: Okuzimba ebire mu lenzi y’eriiso.
• Obutazaala: Okukosa obusobozi bw’okuzaala.
• Pulmonary fibrosis: Enkovu ku bitundu by’amawuggwe, ekivaako okukaluubirirwa okussa.
• Hypothyroidism: Okukendeera kw’obusimu bwa thyroid obufuga enkyukakyuka mu mubiri.

Oyinza otya okwerabirira ng’omaze okujjanjabibwa?

Okuddukanya ebizibu ebivaamu kiyinza okuyamba nnyo mu kwanguyiza ekiseera kino eky’obujjanjabi. Bino bye bimu ku bintu by’osobola okukola:

• Bw’oba ​​owulira ng’oziyira, tolwawo kusaba ddagala .
• Labirira olususu lwo. Goberera ebiragiro by’omusawo wo eby’okulabirira olususu. Siiga eddagala erifukirira buli kiseera.
• Bw’oba ​​osobola, weegatte ku kibiina ekiwagira abantu n’abantu ababadde n’ebyo ebifaananako bwe bityo.
• Gabana ebirowoozo byo n‟enneewulira zo ku bujjanjabi buno n‟omuntu gwe weesiga (omusawo omujjanjabi, omuntu w‟omu ​​maka, mukwano gwo).
• Fuba okwebaka obulungi waakiri essaawa munaana buli kiro.
• Bw’omala okuva mu ddwaaliro, bwe kiba kisoboka , funa akadde okuva ku mulimu owummuleko obulungi.

Ddi lwe weetaaga okwogera n’omusawo?

Bw’ofuna obubonero bumu ku buno wammanga ng’ofunye obujjanjabi oba ng’omaze okujjanjabibwa, tegeeza omusawo wo mu bwangu.

• Okuwunya
• Omusujja
• Enkyukakyuka mu lususu (e.g., ebizimba, okusekula olususu) .

Kya bulijjo okuwulira ng'otya ng'owulira ebigambo "total body radiation" era ani atawulira? Naye yogerako n’omusawo wo akola ku bulwadde bwa kkansa (radiation oncologist) ku bibuuzo byonna oba ebikweraliikiriza by’oyinza okuba nabyo. TBI ekozesa dose entono nnyo ez’obusannyalazo okusinga obujjanjabi obulala obw’obusannyalazo. Tekinologiya omupya era akendeezezza nnyo ku bungi bw’obusannyalazo obukozesebwa okujjanjaba ebitundu ebiramu. Kiyinza okutta obutoffaali bwa kookolo obugumira obujjanjabi obulala. Era kyongera nnyo emikisa gy’okusimbuliza obusigo bw’amagumba okutuuka ku buwanguzi awatali kugaanibwa.