Omusawo bw’akugamba nti olina kookolo w’amabeere atayingirira, oba Ductal Carcinoma in Situ (DCIS), oyinza okuwulira okutya okunene n’okuwuniikirira. Kya bulijjo okuba n’ebibuuzo nga, ‘Kati nkole ntya? Bujjanjabi bwa ngeri ki bwe nneetaaga?’. Naye totya. Newankubadde kiyitibwa kookolo, kikyali mu ntandikwa nnyo, ekitegeeza nti tekinnasaasaana. Ka twogere ku nsonga eno mu ngeri ennyangu era mu ngeri entegeerekeka.
Ddala DCIS kye ki?
Mu ngeri ennyangu, DCIS mbeera obutoffaali bwa kookolo mwe bukula munda mu mifulejje gy’amata gyokka mu mabeere. Lowooza ku mikutu gino egy’amata nga payipu entonotono. Mu DCIS, obutoffaali bwa kookolo buba munda mu payipu zino zokka. Tezisaasaana wabweru wa payipu, ekitegeeza nti tezisaasaana mu bitundu ebirala ebigonvu mu bbeere. Kino abasawo kye bayita "in situ" (ekitegeeza 'mu kifo').
Kino era kimanyiddwa nga kookolo w’amabeere ‘Stage 0’ . Ekisinga obukulu era ekisinga obulungi ku kino kwe kuba nti singa kizuulibwa nga tekinnasaasaana, kisobola okuwona ddala n’obujjanjabi obutuufu. Ekigendererwa ekikulu eky’obujjanjabi kwe kuggyawo ddala obutoffaali buno obwa kookolo nga tebunnakutuka mu mifulejje gy’amata ne busaasaana mu bitundu by’amabeere ebirala.
Nneetaaga okulongoosebwa?
Okusinga, yee. Obujjanjabi obukulu era obusinga okukozesebwa ku DCIS kwe kulongoosa. Naye totya kugamba nti "okulongoosa." Okulongoosa kuliko ebika bibiri ebikulu. Omusawo ajja kukunnyonnyola enkola ki esinga ku mbeera yo.
| Ekika ky’okulongoosa | Mu ngeri ennyangu... | Ddi lwe kitera okukozesebwa? |
|---|---|---|
| Okusalako ekifuba (Okulongoosa okukuuma amabeere) | Kino tekiggyawo bbeere lyonna. Ekitundu ekirimu kookolo n’obutundutundu obutono obulamu obumwetoolodde byokka bye biggyibwamu. Ebbeere lyo lirekeddwa nga bwe liri. | Eno y’engeri esooka ku balwadde ba DCIS abasinga obungi naddala singa kookolo aba mu kitundu kimu ekitono. |
| Okusala amabeere | Mu kino, ebbeere lyonna lilongoosebwa. | Wandibaawo ensonga eziwerako lwaki omusawo ayinza okukuwa amagezi okulongoosebwa kuno. Okugeza nga: - Singa kookolo asaasaanidde mu kitundu ekinene eky’amabeere. - Singa kookolo abeera mu bitundu by’amabeere ebiwerako. - Okusinziira ku kifo kookolo w’ali, kiyinza okuba ekizibu okukuuma endabika y’amabeere oluvannyuma lw’okuggyibwako ekizimba. - Bw’oba olina emikisa mingi egy’okufuna kookolo w’amabeere mu biseera eby’omu maaso olw’ebyafaayo by’amaka go, ebyava mu kukeberebwa obuzaale, oba emyaka emito. |
Kiki ekibaawo oluvannyuma lw’okulongoosebwa?
Obujjanjabi bwo tebukoma oluvannyuma lw’okulongoosebwa. Wakyaliwo emitendera egiwerako gy’osobola okukola okutangira kookolo okuddamu.
Obujjanjabi bw’amasannyalaze (Radiation Therapy).
Bw’oba omaze okulongoosebwa lumpectomy , ebiseera ebisinga kirungi okukozesa eddagala eriyitibwa radiation therapy oluvannyuma lw’okulongoosebwa. Ekigendererwa kwe kusaanyaawo obutoffaali bwa kookolo bwonna obutono obutalabika obuyinza okusigala mu kitundu ekyo oluvannyuma lw’okulongoosebwa. Kino kikendeeza nnyo ku bulabe bwa kookolo okuddamu.
- Enkola esinga okukozesebwa: Eno erimu okusiiga ebweru obusannyalazo ku bbeere okuva mu kyuma okumala ennaku nga 5 mu wiiki okumala wiiki eziwera.
- Enkola endala: Oluusi, obusannyalazo buweebwa ekitundu ky’amabeere kyokka kookolo we yali, okusinga ebbeere lyonna. Waliwo n’enkola ng’ensigo entono ekola obusannyalazo eyingizibwa mu bbeere okujjanjabibwa. Wabula enkola zino zombi ezituusa obusannyalazo mu mabeere gonna, zikyanoonyezebwa okulaba oba zikola nga bwe zityo.
Ekisinga obukulu kiri nti bw’oba omaze okulongoosebwa amabeere , ebiseera ebisinga tekyetaagisa obujjanjabi bwa radiation.
Obujjanjabi bw’obusimu
Abakyala abamu bayinza okulagirwa okumira eddagala erijjanjaba obusimu, gamba nga tamoxifen , nga kwotadde n’eddagala eriweweeza ku masanyalaze. Kino era kiyamba okukendeeza ku bulabe bwa kookolo okudda.
Naye eddagala lino liweebwa singa kookolo wo aba ‘hormone-receptor-positive’ . Ekyo kitegeeza ki? Kitegeeza nti obusimu obuyitibwa estrogen obukolebwa mu butonde mu mubiri gwo buyamba obutoffaali bwa kookolo okukula. Omusawo ajja kukukebera alabe oba kookolo wo wa kika kino. Ekyo kye kijja okusalawo oba weetaaga obujjanjabi buno oba nedda.
Nnaaba nneetaaga obujjanjabi bw’eddagala?
Okusinga si bwe kiri. Kino kitiisa kinene eri abantu bangi. Chemotherapy bujjanjabi obukozesa eddagala ery’amaanyi okusaanyaawo obutoffaali obweyawukana amangu (nga obutoffaali bwa kookolo) mu mubiri gwonna. Wabula olw’okuba DCIS mbeera ekoma mu mifulejje gy’amata era nga tesaasaana mu bitundu by’omubiri ebirala, eddagala eriweweeza ku bulwadde buno tebutera kulagirwa ku bujjanjabi bwayo.
Nnaddamu okulongoosebwa?
Oluusi kino kiyinza okubaawo. Naddala nga obadde olongooseddwa lumpectomy , singa oluvannyuma lw’okukebera ebitundu ebiggiddwamu, omusawo alowooza nti ebitundu ‘ebiyonjo’ (obulamu) bimala okuggyibwawo okwetooloola obutoffaali bwa kookolo, kiyinza okwetaagisa okulongoosebwa omulundi ogw’okubiri. Kino kiyitibwa ‘clear margins’. Kino kikolebwa okuggyawo ddala obutoffaali bwa kookolo bwonna obusigaddewo n’okukukuuma.
Olina okulowooza ku ky’okuddamu okuzimba amabeere?
Oluvannyuma lw’okusala amabeere oba okusala amabeere, abakyala abamu basalawo okulongoosebwa okuddamu okuzimba amabeere. Kino kisalawo kya muntu ku bubwe ddala . Tekyetaagisa mu by’obujjanjabi. Era tekiteekwa kukolebwa amangu ddala nga bamaze okulongoosebwa okusooka. Bw’oba oyagala, wulira nga oli waddembe okwogera n’omusawo wo ku by’oyinza okukola, engeri gye bikolebwamu, n’okumanya oba bikusaanira.
Obubaka Obutwala Awaka
- DCIS ngeri ya kookolo w’amabeere eyasooka nnyo, etali ya kuyingirira, n’olwekyo totya.
- Enzijanjaba ezikolebwa ku kino zikola bulungi nnyo. Emikisa gy’okuwona ddala giri waggulu nnyo.
- Obujjanjabi obukulu kwe kulongoosa. Kino kiyinza okuba okusalako amabeere (okuggyawo ekizimba kyokka) oba okusala amabeere (okuggyawo ebbeere lyonna).
- Oluvannyuma lw’okulongoosebwa, eddagala eriyitibwa radiation therapy oba hormone therapy kiyinza okwetaagisa okuziyiza kookolo okuddamu.
- Obujjanjabi bwa ddagala tebutera kwetaagisa ku DCIS.
- Ddembe lyo okuteesa obulungi n’omusawo wo byonna ebikweraliikiriza n’ebikutya.
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