Oluusi owulira ng’okugenda mu nsonga tekutambula bulungi nnyo? Oba olaba ng’omusaayi guvaamu katono ne bw’omala okugenda mu nsonga (oluvannyuma lw’okuggwaamu amaanyi)? Kya bulijjo nnyo okuwulira ng’otya katono n’okweraliikirira ng’olaba ekintu nga kino. Naye ebiseera ebisinga, ekivaako kino kiba kika kya polipo entono ekula mu nnabaana. Leero, ka twogere ku nnabaana, oba `(Uterine Polyps)`, awatali kutya, era mu ngeri ennyangu.
Obulwadde bwa nnabaana (uterine polyps) kye ki?
Okay, kino ka tukitegeere mu ngeri ennyangu. Kuba akafaananyi ng’olina ekikuta munda mu nnabaana wo. Mu ngeri y’obusawo, tugiyita endometrium . Lining eno eyiwa buli mwezi ng’ogenda mu nsonga. Ebitundu ebimu eby’omu lubuto bikula nnyo ne bikula ne biyingira mu nnabaana ng’ekizimba ekitono, ng’ekizimba ekitono. Ekyo kye tuyita `Uterine Polyps`.
Wayinza okubaawo ekimu oba ebisingawo ku bino. Ziyinza okuva ku butono ng’omuwemba okutuuka ku bunene ng’omupiira gwa Golf. Zitera okwesiba ku bbugwe wa nnabaana n’akakolo akatono.
Ekikulu kiri nti ebitundu ebisinga obungi ku bimera bino si bya kookolo (benign) . Kale totya ng’owulira erinnya lino. Wabula ziyinza okuleeta obuzibu mu nsonga z’ekikyala n’oluusi zikosa katono ku kuzaala.
Ani ali mu bulabe obw’amaanyi obw’okufuna bino?
Emikisa gy’okukulaakulanya enkula zino gyeyongera n’emyaka. Zisinga kubeera wakati w’emyaka 40 ne 50 , nga kino kye kiseera ekisemberera okuva mu nsonga (perimenopause). Era zisobola okubaawo oluvannyuma lw’okuggwaamu amaanyi mu nsonga (postmenopause). Wabula embeera eno tetera kubaawo nnyo mu bantu abali wansi w’emyaka 20.
Okugatta ku ekyo, era oli mu bulabe obusingako katono singa oba olina bino wammanga:
- Bw’oba n’obuzito bw’omubiri obuyitiridde: Ekyo kitegeeza nti omugejjo oba omugejjo.
- Bw’oba olina puleesa (Hypertension).
- Bw’oba omira eddagala lya Tamoxifen: Lino ddagala eritera okuweebwa ku kookolo w’amabeere.
- Bw’oba omira obujjanjabi bw’obusimu obulimu dose nnyingi ez’obusimu obuyitibwa estrogen.
Bubonero ki obulaga kino?
Emirundi mingi, akabonero akakulu era akasinga okulabika ku bizimba bino kwe kuvaamu omusaayi mu ngeri etaali ya bulijjo . Kyokka abantu abamu basobola okuzifuna nga tewali bubonero bwonna. Oluusi zizuulibwa mu butanwa ng’ekintu nga sikaani kikoleddwa ku kintu ekirala.
Ka tulabe obubonero obukulu bwe buli.
| Obubonero | Mu ngeri ennyangu... |
|---|---|
| Obutabeera bulungi mu nsonga | Omuwendo gw’ennaku mu nsonga z’ekikyala gukyukakyuka ne kiba nti tekisoboka kuteebereza ddi lwennyini lwe gunaatuuka. |
| Okuvaamu omusaayi omungi | Okuvaamu omusaayi mungi nnyo okusinga ogwa bulijjo ng’oli mu nsonga. |
| Okuvaamu omusaayi ng’oli mu nsonga | Okulaba, ne ku nnaku nga togenda mu nsonga. |
| Okuvaamu omusaayi oluvannyuma lw’okuggwaamu amaanyi mu nsonga | Okuvaamu omusaayi oba amabala okuva mu bukyala ne bw’omala okugenda mu nsonga. Kino si kyabulijjo era olina okulaba omusawo mu bwangu. |
| Obuzibu mu kuzaala abaana (Obutazaala) . | Okugezaako okufuna olubuto naye nga tosobola oba okuvaamu olubuto. |
| Okuvaamu omusaayi oluvannyuma lw’okwegatta | Mu mbeera ezimu, kino nakyo kiyinza okuba akabonero. |
Bino bireeta obulumi?
Ebiseera ebisinga, fibroids za nnabaana tezireeta bulumi bungi. Kyokka bwe ziba ennene, oluusi ziyinza okuleeta obulumi obutono mu lubuto olwa wansi oba mu mugongo, okufaananako n’obwawo ng’oli mu nsonga. Kyokka obulumi si bwe bubonero obukulu obulaga embeera eno.
Lwaki ebizimba bino bitondebwa mu nnabaana?
Ekituufu ekivuddeko kino tekinnamanyika. Kyokka, abanoonyereza balowooza nti obusimu , naddala obusimu obuyitibwa estrogen, bukola kinene. Lowooza ku kino, estrogen y’efuula lining ya nnabaana yo (endometrium) okunene buli mwezi. Kale kirowoozebwa nti olw’enkola y’obusimu buno, ebitundu ebimu ku bbugwe wa nnabaana ne bikula ekisusse era ebizimba bino ne bikola.
Omusawo kino akizuula atya?
Bw’olaba omusawo ku bubonero bw’oyogedde waggulu, ajja kusooka kukubuuza ku bubonero bwo. Ajja kukubuuza ebibuuzo bingi ebikwata ku nsonga z’ogenda mu nsonga, obungi bw’omusaayi gw’ovaamu, ebbanga ly’omaze ng’ofuna ekizibu kino n’ebirala Olwo ajja kukola ekigezo ky’abakyala.
Olwo, okukakasa obukakafu oba kino kisenya ennyama, ojja kusabibwa okukola ekigezo kimu oba ebisingawo ku bino wammanga.
| Ekigezo | Mu ngeri ennyangu, kino kye kibaawo... |
|---|---|
| Okukuba Ultrasound okuyita mu bukyala | Kino kiringa sikaani eya bulijjo. Kyokka kiyingizibwamu ekintu ekitono ekigonvu nga kiyita mu bukyala okusobola okulaba obulungi munda mu nnabaana. Kino kisobola okuzuula ebintu ng’okugonza okutali kwa bulijjo mu bbugwe wa nnabaana ne polyps. |
| Okukebera omusaayi mu ngeri ya sonohysterography | Guno mutendera mulala mu sikaani y’emu n’eyo eyogeddwako waggulu. Wano, amazzi amatono agataliimu buwuka, gamba ng’omunnyo, gafukibwa mu nnabaana nga gayita mu ttanka ennyimpi okufuuwa nnabaana. Kino kisobozesa sikaani okulaba obulungi n’obutundutundu obutono obw’ennyama obuli munda. |
| Okukebera nnabaana | Ekibaawo wano, ttanka ennyimpi ennyo, empanvu nga kuliko kkamera (hysteroscope) eyisibwa mu bukyala n’omumwa gwa nnabaana okuyingira mu nnabaana. Kino kisobozesa omusawo okwekebejja ebiri munda mu nnabaana n’amaaso ge. Ekirungi ekisinga obunene mu kino kiri nti,Bwe wabaawo obukuta bw’ennyama, osobola okubuggyawo amangu ago ng’okozesa obuuma obutonotono. |
| Okukebera ebitundu by’omubiri eby’omu lubuto | Wano, akatundu akatono akaggibwa mu bbugwe ow’omunda mu nnabaana ne kasindikibwa mu laabu okukeberebwa. Kino kisobola okuzuula oba waliwo obutoffaali obutali bwa bulijjo, gamba ng’obutoffaali bwa kookolo. |
Bujjanjabi ki obukolebwa ku kino?
Oba olina okujjanjabibwa oba nedda kisinziira ku bintu ebiwerako, gamba ng’obubonero bwo, emyaka gyo, n’obulabe bwo obw’okufuna kookolo w’amawuggwe.
1. Okulinda n’obwegendereza: Bw’oba okyali muto, nga toyise mu nsonga, era nga tolina bubonero bwonna, omusawo ayinza okukugamba nti olindeko akaseera, kuba obuzimba obumu buyinza okugenda ku bwabwo.
2. Eddagala: Eddagala erimu (e.g. progestins) eritebenkeza obusimu liyinza okuyamba okufuga obubonero. Kyokka obubonero butera okuddamu ng’eddagala liyimiriziddwa.
3. Okulongoosa okuggyawo: Singa wabaawo obubonero, bw’oba ng’ovudde mu nsonga, oba singa wabaawo akabi akatono ak’okufuna kookolo, omusawo ajja kusalawo okuggyamu ekirungo ekiyitibwa polyp (polypectomy). Kino kitera okukolebwa nga tukozesa enkola ya hysteroscopy eyogeddwako waggulu. Enkola ntuufu nnyo era etali ya bulabe. Polyp eggyiddwa mu ngeri eno mazima ddala esindikibwa mu laabu okukeberebwa obutoffaali bwa kookolo.
Tekitera nnyo, kwe kugamba, singa kikakasibwa nti mu kitundu ekiggiddwamu mulimu obutoffaali bwa kookolo, oyinza okuddukira mu kulongoosebwa okuggyamu nnabaana (hysterectomy). Naye kimanye nti kino tekitera kubaawo nnyo.
Kino nsaanidde okweraliikirira? Kyandiba nga kookolo?
Kino kye kisinga okutya abantu bangi kwe balina.
Amawulire amalungi gali nti ebitundu nga 95% ku fibroids za nnabaana si kookolo . Ekyo kitegeeza nti abakyala nga 5 ku buli 100 balina akabi k’okukwatibwa kookolo. Obulabe buno busingako katono ku muntu avaamu omusaayi mu ngeri etaali ya bulijjo oluvannyuma lw’okuva mu nsonga.
Y’ensonga lwaki omusawo bw’alaba ekizimba naddala mu muntu alina obubonero, ajja kukiggyamu n’akikebera. Ekyo kiyinza okukakasa 100% oba kirimu obutoffaali bwa kookolo oba nedda. N’olwekyo totya mu ngeri eteetaagisa, naye era tobuusa maaso bubonero.
Obubaka Obutwala Awaka
- Bw’oba ovaamu omusaayi mu ngeri etategeerekeka, ng’ovaamu omusaayi wakati w’ensonga, oba wadde ng’ovaamu omusaayi omutono naddala ng’ovudde mu nsonga , tokibuusa maaso era ddala olabe omusawo.
- Obulwadde bwa nnabaana (uterine polyps) mbeera ya bulijjo. Totya kubayita kookolo ng’owulira erinnya. Abasinga obungi tebalina kookolo.
- Obujjanjabi businziira ku bubonero bwo n’embeera gy’olimu. Oyinza okulinda, okumira eddagala, oba okulongoosebwa mu ngeri ennyangu okugiggyamu.
- Okulongoosa okuggya bino kati kwa mulembe nnyo era tekulina bulabe. Kale tewali nsonga lwaki tukitya. Yogerako n’omusawo wo ku nsonga eno mu lwatu.
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