Omusawo bw’akugamba nti olina ‘Stage 0 Breast Cancer’, osanga olina ebibuuzo bingi n’okutya ebikujja mu birowoozo, nedda? Kya bulijjo ebintu nga "Ddala kino kitegeeza nti nnina kookolo?" ne "Kino kya bulabe?" okujja mu birowoozo. Kale leero, ka twogere ku nsonga eno mu ngeri ennyangu ennyo, mu ngeri gy’osobola okutegeera, ng’olinga ayogera ne mukwano gwo.
Ddala ‘omutendera 0’ guno kye ki?
Mu butuufu guno mulamwa muzibu katono. Abasawo abamu kino bakitwala ng’ekiseera ekisookerwako ennyo ekya kookolo w’amabeere. Abalala balowooza nti ‘precancer’ eyinza okukulaakulana n’efuuka kookolo.
Mu ngeri ennyangu, kookolo mbeera obutoffaali mu mubiri mwe bwawukana mu ngeri etaali ya bulijjo era nga tebufugibwa. Obutoffaali buno era busobola okulumba ebitundu ebiramu ebibyetoolodde. Wabula mu Stage 0 Breast Cancer , obutoffaali buno obutali bwa bulijjo bukyali munda mu mifulejje gy’amata gy’amabeere gyokka. Tezinnaba kusaasaana (invasive) mu bitundu ebibyetoolodde. Kino kitegeeza nti guno mutendera gwa mulembe nnyo era nga gukyali muto nnyo okusinga Omutendera 1.
Embeera eno erina ebika bibiri ebikulu:
1. Ductal Carcinoma In Situ (DCIS): Bwe twogera ku Stage 0 Breast Cancer, tutera okutegeeza embeera eno. Wano, obutoffaali obutali bwa bulijjo buba munda mu mifulejje gy’amata gyokka. Tezisaasaana mu masavu agakola ekitundu ekisinga obunene mu bbeere. Ekituufu ekivuddeko kino tekinnamanyika. Abantu abasinga tebafuna bubonero bwonna. Kyokka oluusi obutoffaali buno obutali bwa bulijjo busobola okukula ne bufuuka kookolo n’asaasaana mu biseera eby’omu maaso. Naye tewali ngeri yonna gye tuyinza kugamba mu bukakafu oba ekyo kinaabaawo oba nedda.
2. Obulwadde bwa Paget obutayingira mu nfuli: Buno bulwadde bwa kookolo w’amabeere obutatera kulabika nnyo.
Waliwo obubonero bwonna obulaga embeera eno?
Ebiseera ebisinga, Stage 0 Breast Cancer taleeta bubonero bwonna. Naye oluusi, wayinza okubaawo obubonero obumu. Ka tulabe kiki kye bali.
| Ennyimirira | Obubonero obuyinza okuvaamu |
|---|---|
| Obulwadde bwa Paget obw'enfuli |
|
| DCIS (Kkookolo w’ennywanto mu kifo) . |
Kino okitegeera otya?
Olw’okuba emirundi mingi tewabaawo bubonero, engeri esinga okuzuula kookolo w’amabeere ow’omutendera ogw’okubiri kwe kukeberebwa buli kiseera . Okukebera amabeere y’engeri esinga okuzuula embeera eno. Mu butuufu, ebitundu ebisoba mu 90% ku balwadde ba DCIS bazuulibwa nga bayita mu kukeberebwa. Y'ensonga lwaki abasawo bawa abakyala amagezi okwekebejjebwa nga bakyali bato.
Ani ali mu bulabe obw’amaanyi olw’embeera eno?
Ensonga eziyinza okuleeta kookolo w’amabeere ow’omutendera ogw’okubiri zifaanagana nnyo n’ebintu eby’obulabe eri kookolo w’amabeere owa bulijjo. Ka tulabe kiki kye bali. Okubeera n’ekimu oba ebisingawo ku bintu bino tekitegeeza nti ddala ojja kukwatibwa obulwadde buno, naye kitegeeza nti akabi kwo kali waggulu katono.
| Ensonga y’akabi | Okunnyonnyola |
|---|---|
| Emyaaka | Obulabe bweyongera n’emyaka. |
| Ebyafaayo by’amaka | Okubeera n’owooluganda ow’oku lusegere (maama, mwannyinaffe) alina kookolo w’amabeere. |
| Obutaba na baana | Abakyala abatazaalangako bali mu bulabe bwa maanyi. |
| Omwana asooka | Okuzaala omwana wo asooka oluvannyuma lw’emyaka 30. |
| Ebyafaayo by’omuntu ku bubwe | Okubeera n’endwadde z’amabeere ezitali za kookolo emabegako (e.g. Atypical Hyperplasia). |
| Okugenda mu nsonga | Okuva mu nsonga kutandika nga tonnaweza myaka 12 oba okuva mu nsonga kubaawo oluvannyuma lw’emyaka 55. |
| Enjawulo mu buzaale | Okubeera n’enkyukakyuka mu buzaale ezimanyiddwa okwongera ku bulabe bwa kookolo. |
Obujjanjabi bwe buruwa?
Bw’omala okuzuulibwa nti olina DCIS, lipoota yo ey’okukeberebwa ejja kubaamu ‘ekigezo’. Nuclear grade 3 kye kika ekisinga okusaasaana, ate grade 1 kye kika ekisinga obutasaasaana. Obutoffaali bwo obwa kookolo nabwo bujja kukeberebwa okulaba oba bulina ebirungo ebikwata estrogen. Bwe baba nga balina ER-positive (ER+) , kino kitegeeza nti kookolo ayolekedde okukula mpola.
Ng’oggyeeko bino byonna, omusawo ayinza n’okukuwa amagezi okukeberebwa obuzaale.
By’oddako okukola kisinziira ku bintu bino byonna, awamu n’ebyo by’oyagala. Abakugu abasinga balowooza nti kirungi n’ofuna obujjanjabi. Kubanga newankubadde kookolo wa Stage 0 tasaasaana, asobola okukyuka mu maaso, balowooza nti kirungi okubeera omutebenkevu okusinga okwesonyiwa.
Obujjanjabi obumanyiddwa ennyo ku DCIS mulimu:
- Okulongoosa: Ku bizimba ebitono ebya DCIS, okulongoosebwa kw’amabeere, okuggyawo obutoffaali obutali bwa bulijjo n’obutundutundu obutono obw’amabeere obugyetoolodde, kuyinza okukolebwa. Abantu abamu basalawo okulongoosebwa amabeere, ekiggyamu ebbeere lyonna. Olwo okulongoosa amabeere okuddamu okuzimba kuyinza okukolebwa bwe kiba kyetaagisa.
- Radiation Therapy: Kino kitera okukolebwa oluvannyuma lw’okuggyibwako ekizimba. Obujjanjabi bw’amasannyalaze buyamba okusaanyaawo obutoffaali bwonna obutali bwa bulijjo obutaggyibwawo nga balongooseddwa era bukendeeza ku bulabe bwa kookolo okudda.
- Obujjanjabi bw’obusimu: Obujjanjabi buno oluvannyuma lw’okulongoosebwa busobola okuyamba okuziyiza kookolo omupya okuva mu mabeere gombi.
Ekisinga obukulu, eddagala eriweweeza ku bulwadde (chemotherapy) likozesebwa okujjanjaba DCIS.Kino tekikwetaagisa. Ensonga lwaki kino kibaawo eri nti akabi k’obutoffaali buno okusaasaana mu bitundu by’omubiri eby’ewala katono nnyo.
Kirungi okutunula n’okulinda nga tolina bujjanjabi?
Eno nsonga ya maanyi nnyo era nkulu. Abantu nga kimu kya kusatu abalina DCIS balina emikisa okukwatibwa kookolo ayingirira mu biseera eby’omu maaso. N’olwekyo, abasawo abamu bayinza okukuwa amagezi okukozesa enkola ya ‘watch and wait’, nga bakeberebwa enfunda eziwera, okusinga okujjanjaba amangu.
Kino kirimu okusika omuguwa. Teebereza, singa olongoosebwa (oboolyawo n’obujjanjabi obw’amasannyalaze) omulundi gumu, oyinza okukuumibwa obutakwatibwa kookolo atayinza kusaasaana. Ate era oyinza okuba ng’ofuna obujjanjabi nga mu butuufu tebwetaagisa.
Naye bw’osalawo okubuuka okulongoosa n’obujjanjabi obw’amasannyalaze mu kusooka n’omala kwekebejjebwa buli kiseera, waliwo emikisa mitono nti kookolo ajja kuba agenda mu maaso katono (okukaluba okujjanjaba) abasawo we banaakizuula. Kino kikusalawo ggwe n’omusawo wo n’obwegendereza.
Omuwendo gw’abawona embeera eno guli gutya?
Gano ge mawulire amalungi. Bw’oba olina kookolo w’amabeere ow’omutendera ogw’okubiri, emikisa gyo egy’okuwona n’okuwangaala okutwalira awamu giri waggulu nnyo okusinga abo abalina kookolo ow’omutendera ogw’okusatu oba ogw’okuna. Kino kiri bwe kityo kubanga obulwadde buno tebunnasaasaana mu bitundu by’omubiri ebirala.
Omuwendo gw’okuwangaala okw’emyaka 5 ogw’abantu abalina kookolo w’amabeere ‘ow’omu kitundu’ (i.e., emisango ng’obutoffaali obutali bwa bulijjo bukyali mu mabeere, gamba ng’Omutendera 0) guli 99% . Mu ngeri ennyangu, kino kitegeeza nti omuntu azuuliddwa nga alina kookolo wa Stage 0 alina emikisa gya 99% okuwona emyaka 5 egijja, nga omuntu atalina kookolo.
Nga 1 ku buli 5 abapya abazuuliddwa kookolo w’amabeere ye DCIS. Naye kumpi buli muntu alina embeera eno asobola okuwona ddala. Si kya bulijjo nnyo DCIS okudda oluvannyuma lw’okujjanjabwa.
Obubaka Obutwala Awaka
- Omutendera 0 Kookolo w’amabeere mutendera gwa kookolo nga bukyali nnyo. Wano, obutoffaali obutali bwa bulijjo tebunnasaasaana wabweru w’emikutu gy’amata.
- Ebiseera ebisinga embeera eno terina bubonero bwonna. Kizuulibwa nga bayita mu kukeberebwa ng’okukebera amabeere.
- Waliwo engeri eziwerako ez’obujjanjabi. Olina okulonda eyo esinga okukukwatako ng’omaze okwogera n’omusawo wo.
- Tekyetaagisa kujjanjaba ddagala ku mbeera eno.
- Tofaayo. Omuwendo gw’abantu abalina kookolo w’amabeere owa Stage 0 guli waggulu nnyo.Bw’ofuna obujjanjabi obutuufu, kisoboka okuwona mu bujjuvu.











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