Omanyi kookolo w’obukyala? Ka tukyogereko mu lwatu.

Leero tugenda kwogera ku mulamwa omukulu ennyo abakyala bangi gwe balonzalonza katono okwogerako, naye nga ffenna twetaaga okukimanya. Obwo bulwadde obuyitibwa Vaginal Cancer. Oyinza okutya ng’owulira erinnya lino. Naye totya. Kino kika kya kookolo ekitali kya bulijjo nnyo. Naye okukimanya kino kikulu nnyo eri obulamu bwo. Kale leero kino tujja kwogera mu ngeri ennyangu ennyo, nga tulinga twogera ne mukwano gwaffe, mu bujjuvu.

Mu ngeri ennyangu, kookolo w’obukyala kye ki?

Kookolo w’obukyala kookolo akula mu butoffaali obusimba layini y’obukyala bwo, oluwuzi lw’obutoffaali obw’omunda. Nga bw’omanyi, obukyala kitundu ekiringa ttanka ekiva wansi mu nnabaana, omumwa gwa nnabaana, okutuuka mu bitundu byo eby’ekyama eby’ebweru, ekibumba.

Waliwo ekintu ekikulu eky'okutegeera wano. Oluusi kookolo atandikira mu bifo ebirala, nga kookolo w’omumwa gwa nnabaana oba kookolo wa nnabaana, asobola okusaasaana mu bukyala. Naye kookolo w’obukyala gwe twogerako leero ye kookolo atandikira mu butoffaali bw’obukyala. Kino tekitera kubaawo nnyo okusinga okusaasaana kwa kookolo oyo omulala.

Bika ki ebikulu ebya kookolo ono?

Kookolo w’obukyala alina ebika ebiwerako. Zino zigabanyizibwa okusinziira ku kika ky’obutoffaali kookolo mw’atandikira. Ka tulabe ebika ebikulu.

Obulwadde buno butera kwenkana wa?

Nga bwe nnagambye emabegako, buno bulwadde bwa bbula nnyo. Abakyala nga omu yekka ku buli 100,000 y’azuulibwa n’obulwadde buno. Ku kookolo yenna ow’abakyala, kookolo w’obukyala akola ekitundu kitono nnyo, wakati wa 1% ne 2%. Kale tekyetaagisa kutya kino mu ngeri eteetaagisa, naye okutegeera kye kintu ekisinga obukulu.

Ani ali mu bulabe obw’amaanyi obw’okukwatibwa obulwadde buno?

Okufaananako n’obulwadde bwonna, waliwo ebintu ebimu ebiyinza okuleeta kookolo ono. Ka tulabe kiki kye bali.

• Okubeera n’emyaka egisukka mu 60: Obulabe bw’okufuna kookolo ono bweyongera ng’omuntu akula. Ekika ekisinga okumanyibwa, ``Squamous cell carcinoma,'' kitera okuzuulibwa ku myaka nga 60. Wabula oluusi kiyinza okukula mu bantu abato okusinga awo.
• Obulwadde bwa Human Papillomavirus (HPV): HPV kawuka akasiigibwa mu by’okwegatta. Kizibu nnyo okulwala kookolo w’omumwa gwa nnabaana nga kw’otadde ne kookolo w’obukyala. Okubeera n’ababeezi abawera n’obutagema HPV kyongera obulabe bw’okukwatibwa obulwadde.
• Embeera ya Vaginal Intraepithelial Neoplasia (VAIN): `(VAIN)` kitegeeza nti waliwo obutoffaali obutali bwa bulijjo mu lining y’obukyala, naye nga tebunnafuuka butoffaali bwa kookolo. Kino kiringa embeera nga kookolo tannabaawo. Abantu abamu embeera eno bagifuna nga kookolo, ate abalala tebagifuna. Abantu abalina obulwadde bwa `(HPV)` batera okulwala `(VAIN).`
• Okubeera ne kookolo w’omumwa gwa nnabaana oba okuzimba omumwa gwa nnabaana: Waliwo obulabe obumu obw’okufuna kookolo w’obukyala singa oba obadde ojjanjabiddwa kookolo w’omumwa gwa nnabaana. Waliwo n’obulabe bw’okubeera n’obutoffaali obutali bwa bulijjo mu nnabaana (cervical dysplasia).
• Okukwatibwa diethylstilbestrol (DES): ``DES'' busimu obukolebwa mu butonde obwaweebwa okuziyiza ebizibu ebiva mu lubuto wakati wa 1940 ne 1971. Singa maama wo yamira eddagala lino ng'oli lubuto, oba mu bulabe obw'okufuna ``Adenocarcinoma''.
• Okunywa sigala: Teweewuunya, okunywa sigala kikubisaamu emirundi ebiri emikisa gy’okufuna kookolo w’obukyala.

Bubonero ki obulaga kino?

Mu biseera ebisooka, kookolo ono atera kuleeta bubonero bwonna. Oyinza okukimanya singa omusawo asanga obutoffaali obutali bwa bulijjo mu kukeberebwa bulijjo, gamba nga Pap smear. Eno y’ensonga lwaki kikulu okukeberebwa abakyala buli kiseera.

Naye singa obubonero bulabika, buyinza okuba bwe buti:

Ozuula otya obulwadde buno?

Bw’olaba omusawo, ajja kusooka kuwuliriza bulungi obubonero bwo n’oluvannyuma akole ebigezo ebimu okukebera kookolo oba obutoffaali obusooka kookolo.

Ebigezo ebikulu

• Okukebera ekisambi: Omusawo ajja kwekebejja obukyala n’omumwa gwa nnabaana okukebera oba waliwo ebitali bya bulijjo oba ebizimba.
• Pap smear: Kino kizingiramu okuggya akatono ku butoffaali okuva mu nnabaana n’obukyala n’obutunula mu microscope okulaba oba waliwo obutoffaali obutali bwa bulijjo.
• Colposcopy: Okukebera kuno kukolebwa singa wabaawo ekitali kya bulijjo mu `Pap smear`. Mu kino, obukyala n’omumwa gwa nnabaana byekebejjebwa n’obwegendereza nga bakozesa ekitangaala eky’enjawulo n’ekyuma ekikuza (`Colposcope`).
• Biopsy: Eno y’engeri yokka ey’okukakasa 100% oba kookolo. Mu kiseera ky’okukebera omubiri (colposcopy), akatundu akatono ak’omubiri kaggyibwa mu kifo ekiteeberezebwa ne kasindikibwa mu laabu okukebera obutoffaali bwa kookolo.

Okuzuula omutendera gwa kookolo

Singa okukebera omubiri (biopsy) kukakasa nti kookolo, ekiddako kwe kuzuula we yasaasaanidde. Kino tukiyita okuteekebwa ku siteegi. Kino kikozesebwa ebika bya sikaani eby’enjawulo.

• CT scan, MRI scan, PET scan: Sikaani zino zisobola okukebera obunene bw’ekizimba, oba kisaasaanidde mu nnywanto z’omusaayi, era oba kisaasaana mu bitundu by’omubiri ebirala.
• Cystoscopy: Okukebera okulaba oba kookolo asaasaanidde mu kibumba.
• Proctoscopy: Okukebera okulaba oba kookolo asaasaanidde mu nseke.

Kijjanjabwa kitya?

Enteekateeka y’obujjanjabi esinziira ku bintu bingi, omuli ekika kya kookolo ky’olina, omutendera gwe, emyaka gyo, n’obulamu bwo okutwalira awamu. Bw’oba ​​oteekateeka okuzaala, oyinza okwagala okuteesa ku nsonga eno n’omusawo wo.

• Okulongoosa: Okulongoosa kuyinza okukolebwa okuggyawo kookolo n’ebitundu ebitono ebiramu ebimwetoolodde (`Wide local excision`), okuggya ekitundu oba byonna eby’obukyala (`Vaginectomy`), n’oluusi okuggyawo nnabaana n’ennywanto (`Hysterectomy`). Singa obulwadde budda, okulongoosa okunene, nga `Pelvic exenteration`, kuyinza okwetaagisa okuggyawo ebitundu ebiwerako mu kifuba.
• Obujjanjabi bw’amasannyalaze (radiation therapy):Kino kizingiramu okukozesa emisinde egy’amaanyi amangi (nga X-rays) okusaanyaawo obutoffaali bwa kookolo. Kino kiyinza okukolebwa nga tukozesa ekyuma ekiri ebweru w’omubiri (`External radiation`) oba nga oyingiza ebintu ebikola amasannyalaze mu bukyala (`Internal radiation`).
• Chemotherapy: Okuwa eddagala eritta obutoffaali bwa kookolo. Kino tekitera kukozesebwa kyokka ku kookolo w’obukyala. Kitera okuweebwa wamu n’obujjanjabi obw’amasannyalaze okwongera okukola obulungi.

Oyinza otya okukendeeza ku bulabe?

Wadde nga tewali ngeri yonna gy’oyinza kuziyiza kookolo ono 100%, waliwo ebintu ebiwerako by’osobola okukola okukendeeza ku bulabe bwo.

• Funa ebigezo by’abakyala buli kiseera n’okukeberebwa Pap. Yogerako n’omusawo wo ku mirundi gy’osaanidde okubeera na bino.
• Funa eddagala erigema HPV. Buuza omusawo wo ku ddagala erigema HPV. Kino kiyinza okukendeeza ennyo ku bulabe bwa kookolo w’omumwa gwa nnabaana nga kw’otadde ne kookolo w’obukyala.
• Weewale ddala okunywa sigala. Okunywa sigala kyongera obulabe bwa kookolo yenna.

N’ekisembayo, jjukira nti bw’ozuulibwa nti olina kookolo w’obukyala, si y’enkomerero y’ensi. Yogerako mu lwatu n’omusawo wo era obeere mulambulukufu ku kika kya kookolo, obuwanvu bw’okusaasaana kwe, n’engeri gy’oyinza okujjanjaba. Singa ozuulibwa nga bukyali, otera okujjanjabibwa obulungi, okuwona mu bujjuvu, n’okubeera n’obulamu obwa bulijjo. Era kikulu okunoonya obuyambi mu nneewulira okuva mu maka go, mikwano gyo, n‟omubuulirizi mu lugendo luno.