Bw’oba olwanyisa kookolo, kya bulijjo okuwulira ng’otya katono n’okutya ng’owulira ekigambo ‘radiation therapy’. Kyokka bw’owulira ekigambo ‘obusannyalazo eri omubiri gwonna’, okutya okwo kuyinza okusingawo. Naye Total Body Irradiation (TBI) gye twogerako leero, singa etegeerekeka bulungi, eyinza okuba eddaala eddene ennyo era eritali lya bulabe mu lugendo lwo olw’obujjanjabi. Kale ka tufune eby’okuddamu mu bibuuzo byo byonna ku nsonga eyo, nedda?
Okusannyalala kw’omubiri gwonna (TBI) kye ki?
Mu ngeri ennyangu, kino nakyo kika kya bujjanjabi bwa radiation. Naye si nga obujjanjabi obulala obw’amasannyalaze. Mu kifo ky’okutunuulira ennyo ddoozi y’obusannyalazo obw’amaanyi ku kizimba kyokka, TBI etuusa ddoozi entono ennyo ey’obusannyalazo eri omubiri gwonna mu ngeri efugibwa.
Kilowoozeeko ng’okuteekateeka ettaka mu lusuku lwo lwonna ng’ossaamu ekigimusa ekitono, so si kuggyamu muddo mitono. Ekigendererwa ekikulu mu kino kwe kukutegekera omutendera omunene oguddako mu bujjanjabi, nga guno kwe kusimbuliza obusigo bw’amagumba oba okukyusa obutoffaali obusibuka.
Lwaki weetaaga obujjanjabi buno?
Waliwo ensonga enkulu eziwerako lwaki omusawo ayinza okukuwa amagezi ku bujjanjabi buno.
- Okusaanyaawo obutoffaali bwa kookolo: Kino kiyamba okusaanyaawo obutoffaali bwa kookolo obukwese mu bifo ebizibu okutuukako naddala mu busimu bw’amagumba n’obusimu.
- Okusobola okufuna ekifo eky’okusimbuliza obusimu bw’amagumba: Bw’oba otegese okusimbuliza obusigo bw’amagumba, obujjanjabi buno buyamba okukendeeza ku butoffaali bw’amagumba obukadde okusobola okufuna ekifo obutoffaali obupya obulamu obulungi munda mu mubiri gwo.
- Fuga abaserikale b’omubiri: Okusobola okukyusa obusimu bw’amagumba okukola obulungi, abaserikale b’omubiri gwo tebalina kugaana butoffaali bupya. Obujjanjabi buno bufuga bulungi emirimu gy’abaserikale b’omubiri ogwo, ne bongera emikisa gy’okusimbuliza obulungi.
Obujjanjabi bwa TBI bukozesebwa mu mbeera ki?
Total Body Irradiation etera okuweebwa wamu n’obujjanjabi obulala obwa kookolo, gamba nga chemotherapy. Bino bye bimu ku mbeera eziyinza okujjanjabibwa nayo.
| Erinnya ly'obulwadde (Embeera) . | Enyanjula ennyimpimpi |
|---|---|
| Obulwadde bwa Leukemia | Kookolo w’omusaayi n’amagumba. |
| Obulwadde bwa lymphoma | Kookolo abeera mu nkola y’amazzi (lymphatic system). |
| Obulwadde bwa Myeloma obuyitibwa Multiple Myeloma | Kookolo w’obutoffaali bwa plasma mu busimu bw’amagumba. |
| Obulwadde bwa Myelodysplastic Syndrome | Obulwadde nga mu busimu bw’amagumba obutakola bulungi mu musaayi. |
Kiki ekibaawo nga tebannaba kujjanjabwa n’okujjanjabibwa?
Okuteekateeka nga tonnafuna bujjanjabi
Kino kiringa okwegezaamu mu muzannyo. Nga obusannyalazo obwennyini tebunnaweebwa, wabaawo ‘olukiiko lw’okuteekateeka’ (okusimula) okuteekateeka buli kimu mu butuufu. Mu kiseera kino, okeberebwa CT scan, era omusawo akola ku by’amasannyalaze n’akola ebipimo ebyetaagisa. Omubiri gwo guteekebwa mu kifo ekigere ennyo, era obubonero obutonotono buteekebwa ku lususu okukuuma ekifo ekyo mu bujjanjabi bwonna. Bino bitera okuba eby’olubeerera, naye nga bitono nnyo, ng’akabonero akali mu ttatu.
Mu kiseera ky’obujjanjabi
Oyinza okwetaaga okubeera mu ddwaaliro okumala ennaku ntono ng’ofuna obujjanjabi bwa TBI. Bino bye bibaawo mu kiseera ky'obujjanjabi:
- Omusawo akola ku by’amasannyalaze ajja kukuteeka mu kifo ekituufu nga bwe kyali kitegekeddwa.
- Okukendeeza ku ddoozi y’obusannyalazo eri ebitundu ebimu, gamba ng’amawuggwe, ku bitundu ebyo osobola okuteekebwako engabo ez’enjawulo.
- Omusawo akola ku by’amasannyalaze ajja kufuluma ekisenge. Ojja kuba wekka mu kiseera ky’obujjanjabi. Naye teweeraliikiriranga, bajja kuba bakutunuulira ne kkamera, era osobola okwogera nabo ng’oyita ku intercom.
- Ekyuma ekinene ekiyitibwa linear accelerator kikutambula ne kikuwa emisinde gy’obusannyalazo.
Mu budde obutuufu, obujjanjabi omulundi gumu busobola okumala eddakiika 60. Oyinza n’okufuna omukisa okukola ebintu ebirala mu kiseera kino, gamba ng’okuwuliriza ennyimba, bw’oba oyagala. Abantu abasinga bafuna obujjanjabi buno emirundi ebiri oba esatu olunaku, okumala ennaku ssatu oba ttaano.
Ekisinga obukulu, obujjanjabi buno tebuluma ddala . Tojja kuwulira busannyalazo bwonna oba okuwulira ekyuma nga kikuba omubiri gwo.
Biki ebiyinza okuvaamu n’akabi akayinza okuvaamu?
Okufaananako n’obujjanjabi bwonna obwa kookolo, TBI esobola okuleeta ebizibu. Naye bino bitera okuddukanyizibwa. Ebizibu bino bisobola okwawukana okusinziira ku bungi bw’obujjanjabi bw’ofuna, ddoozi y’obusannyalazo n’obulamu bwo okutwalira awamu.
| Ekika ky’ebizibu ebivaako | Biki by’osuubira |
|---|---|
| Ebizibu ebiva mu bbanga ettono (oluvannyuma lw’ennaku oba wiiki ntono oluvannyuma lw’okujjanjabwa) . | |
| Okuziyira n’okusiiyibwa | Okuziyira n’okusiiyibwa. Waliwo eddagala erifuga bino. |
| Obukoowu | Okuwulira ng’okooye nnyo era ng’okooye. |
| Okugwa kw’enviiri | Okugwa kw’enviiri n’okugwa kw’enviiri mu mubiri (ebiseera ebisinga bya kaseera buseera) . |
| Embiro | Okuzimba omubiri. |
| Olususu lukyuka | Olususu olusiiwa, olukalu oba olukyuse langi. |
| Obutoffaali bw’omusaayi okukendeera | Kino kiyinza okuvaako obulabe obw’okwongera okukwatibwa yinfekisoni, okuvaamu omusaayi (e.g. okuvaamu omusaayi mu nnyindo , okuvaamu omusaayi mu nnyindo), n’okubulwa omusaayi olw’obutaba na kyuma. |
| Ebizibu ebiwangaala (biyinza obutatera kubaawo) . | |
| Okuzimba amaaso | Okuzimba ebire mu lenzi y’eriiso. |
| Ebikosa obusobozi bw‟okuzaala (Obutazaala) . | Waliwo akabi k’obutazaala. |
| Enkovu mu mawuggwe (Pulmonary Fibrosis) . | Enkovu ku bitundu by’amawuggwe. |
| Obulwadde bwa Hypothyroidism | Okukendeera kw’obusimu obukola thyroid. |
Ekikulu: Wadde ng’obulabe bw’okufuna kookolo owookubiri oluvannyuma lw’okusimbuliza obusigo bw’amagumba buyinza okweyongera katono, kikulu okujjukira nti akabi akali mu bulamu bw’obutakyusiddwa kasinga nnyo .
Nkola ntya okwerabirira nga mmaze okujjanjabibwa?
Okuddukanya ebizibu ebivaamu kiyinza okwanguyiza ekiseera kino.
- Bw’owulira ng’oziyira, saba eddagala .
- Goberera amagezi g’omusawo wo ku ndabirira y’olususu. Bwe baba bakugamba okukozesa eddagala erifukirira, kakasa nti okikola.
- Weebake bulungi, era bwe kiba kisoboka, genderera okwebaka waakiri essaawa 8 ekiro .
- Yogera ku nneewulira yo, okutya kwo, n’ennaku yo n’omuntu gwe weesiga oba omubuulirizi.
- Bw’omala okuva mu ddwaaliro, bwe kiba kisoboka, funa akadde okuva ku mulimu owummuleko.
Nkubire omusawo ku ssaawa mmeka?
Bw’ofuna ekintu kyonna nga kino ng’ofunye obujjanjabi oba ng’omaze okujjanjabibwa, olina okwogera n’omusawo wo mu bwangu .
- Obubonero bw’okuziyira
- Omusujja awatali nsonga
- Enkyukakyuka mu lususu ng’okuzimba olususu n’okusekula
Obubaka Obutwala Awaka
- Total Body Irradiation (TBI) ddagala lya njawulo eriweebwa omubiri gwonna ku ddoozi entono okukuteekateeka okusimbuliza obusigo bw’amagumba.
- Obujjanjabi buno tebuluma, naye wayinza okubaawo ebizibu eby’ekiseera ekitono (nga okuziyira, okukoowa, okuggwaamu enviiri). Bino bisobola okuddukanyizibwa.
- Yogerako mu lwatu n’omusawo wo ku nteekateeka yo ey’obujjanjabi, ebizibu ebiyinza okuvaamu, n’okutya oba ebikweraliikiriza byonna by’oyinza okuba nabyo.
- Ekigendererwa ky’obujjanjabi buno kwe kusaanyaawo obutoffaali bwa kookolo mu bitundu ebizibu okutuukako n’okuyamba okukyusa obusigo bw’amagumba bwo okutuuka ku buwanguzi.
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