Kizibu okwogera ddala kiki ekituufu ekivaako kookolo w’amabeere. Naye tumanyi ensonga enkulu eziyinza okuvaako akabi. Oluusi, abakyala abamu abalowooza nti bali mu bulabe bwa maanyi okufuna kookolo w’amabeere tebamufuna. Ate era abantu bangi abatalina bulabe bwonna bafuna obulwadde buno. N’olwekyo, kikulu nnyo okukimanya ku kino.
Mu ngeri ennyangu, ebisinga okuleeta akabi kwe kukaddiwa n’okuba n’ebyafaayo by’amaka ga kookolo w’amabeere. Abakyala abalina ebika by’ebizimba by’amabeere ebimu ebitali bya kookolo n’abakyala abafunye kookolo w’enkwaso nabo bali mu bulabe bwa maanyi. Bw’oba obaddeko kookolo w’amabeere emabegako, waliwo omukisa nti ajja kuddamu okukula.
Mikisa ki egy’okukwatibwa kookolo w’amabeere?
Edda ennyo, mu myaka gya 1940, obulabe bw’omukyala okukwatibwa kookolo w’amabeere obulamu bwe bwonna bwali nga 5%. Naye kati akabi ako kweyongedde okutuuka ku bitundu nga 13%. Era lowooza ku nsonga eno, nga kimu kya kubiri ku abo abafuna obulwadde buno tebalina bintu bimanyiddwa biyinza kuvaako bulwadde buno. Ekyo kiraga engeri kino gye kizibu ennyo.
Ensonga ez’akabi ze tutasobola kukyusa
Waliwo ebintu ebimu ebiyinza okuleeta akabi nga tetusobola kubifuga. Ekyo kitegeeza nti tetusobola kuzikyusa. Ka tulabe kye bali.
Okubeera omukazi
Abasajja nabo basobola okufuna kookolo w’amabeere, naye abakazi batera okumufuna emirundi nga 100 .
Obadde ofunye kookolo w’amabeere emabegako.
Omukyala abadde ne kookolo mu bbeere erimu, gamba nga Ductal Carcinoma in Situ (DCIS) oba kookolo omulala ow’amaanyi, emikisa gy’okufuna kookolo omupya mu mabeere amalala oba awalala mu bbeere lye limu emirundi esatu oba ena . Kino si kuddamu ku kookolo eyasooka, wabula mupya.
Emyaaka
Eno nsonga nkulu nnyo. Kumpi 90% ku bakyala abazuuliddwa ne kookolo w’amabeere basukka emyaka 45. Era abasoba mu 46% basukka emyaka 65. Ekibinja ky’emyaka ekisinga okubeera mu bulabe bwe bali wakati w’emyaka 65-74.
Okubeera n’ab’omu maka ag’oku lusegere
Singa ow’oluganda ali ku ddaala erisooka, gamba nga maama wo, mwannyoko, oba muwala wo, aba alina kookolo w’amabeere, oba mu bulabe obw’amaanyi. Obulabe bwo busingako n’okusingawo singa ow’oluganda oyo yafuna kookolo nga tannaweza myaka 50 era ng’alina kookolo mu mabeere gombi.
- Singa ow’oluganda omu ow’eddaala erisooka alina kookolo, akabi kwo kakubisaamu emirundi ebiri .
- Singa ab’eŋŋanda babiri ab’eddaala erisooka bagifuna, akabi keyongera emirundi nga esatu .
- Ekirala, obulabe bw’abakyala bweyongera singa omuntu omusajja mu maka alina kookolo w’amabeere.
Ensengekera y’obuzaale
Wakati wa 5% ne 10% ku kookolo w’amabeere wa nsikirano. Kwe kugamba, ziyisibwa okuyita mu buzaale. Obulabe buno bungi nnyo naddala mu abo abalina enkyukakyuka ezimu mu buzaale bubiri obuyitibwa `BRCA1` oba `BRCA2` .
- Omukyala alina enkyukakyuka mu ggiini ya `BRCA1` alina emikisa 72% okukwatibwa kookolo w'amabeere ku myaka 80.
- Omuntu alina enkyukakyuka mu ggiini ya `BRCA2` alina emikisa gya 69% okukwatibwa kookolo ku myaka egyo.
Amabeere Amanene
Amabeere gaffe gakolebwa ebitundu by’amasavu, ebiwuziwuzi, n’ebitundu by’ennywanto. Amabeere amanene galina ebitundu by’endwadde n’ebiwuziwuzi bingi okusinga amasavu. Omukyala alina amabeere ag’ekika kino alina emikisa gy’okukwatibwa kookolo w’amabeere emirundi 1.5 ku 2 .
Ebiwundu Ebirala Ebikwata ku Mabeere
Bw’oba olina embeera nga `Atypical Hyperplasia` (lobular oba ductal) oba `Lobular Carcinoma in Situ`, obulabe bwo obwa kookolo w’amabeere buyinza okweyongera emirundi ena ku etaano.
Ebyafaayo by’okuzaala
Obulabe bweyongera ng’obungi bwa estrogen omubiri gwo gwe gukola mu bulamu bwo bwonna bweyongera.
- Okugenda mu nsonga kutandika nga tannaweza myaka 12.
- Okuva mu nsonga oluvannyuma lw’emyaka 55.
- Obutafuna lubuto.
Ensonga zino zongera ku budde omubiri bwe gumala okukwatibwa estrogen, ekyongera obulabe.
Ensonga endala
- Obujjanjabi bw’amasannyalaze: Bw’oba obadde ofunye obujjanjabi bw’amasannyalaze okutuuka mu kitundu ky’ekifuba nga tonnaweza myaka 30 (e.g. ku kookolo nga lymphoma).
- Kookolo omulala mu maka: Singa omuntu mu maka aba alina kookolo w’enkwaso nga tannaweza myaka 50.
- Okwolesebwa eddagala `DES`: Diethylstilbestrol (DES) yakozesebwa okuziyiza okuvaamu embuto wakati wa 1940 ne 1971. Singa ggwe oba maama wo mulifunye, akabi ko kayinza okweyongera katono.
Ensonga z’akabi ze tusobola okukyusaamu
Amawulire amalungi gali nti waliwo ebintu eby’akabi ebitufuga era bye tusobola okukyusa. Bwe tussaayo omwoyo ku bino, tusobola okukendeeza ku bulabe bwe tulina.
| Ensonga y’akabi | Nga kinnyonnyoddwa mu ngeri ennyangu |
|---|---|
| Obuzito bw’omubiri (Obuzito) . | Omugejjo gwongera obulabe oluvannyuma lw’okuggwaamu amaanyi mu nsonga. Kikulu okukuuma omugejjo omulungi. |
| Omwenge | Obulabe bweyongera n’omwenge gw’onywa. Abo abanywa omwenge 2-3 buli lunaku balina obulabe obweyongedde ebitundu 20%. |
| Obujjanjabi bw’obusimu (HRT) . | Okumira eddagala lya Hormone Replacement Therapy (HRT) okumala ebbanga eddene kyongera ku bulabe, naye akabi kabula oluvannyuma lw’emyaka nga 5 ng’okomye. |
| Obutakola kintu kyonna | Obutakola mirimu gya mubiri kyongera ku bulabe. Dduyiro wa buli lunaku asobola okukendeeza ku bulabe. |
| Ebyafaayo by’okuzaala | Okuzaala omwana wo asooka ng’amaze emyaka 30, obutazaala, n’obutayonsa mwana wo kiyinza okwongerako katono ku bulabe bwo. Bino by’osalawo ku muntu ku bubwe, n’olwekyo towulira bubi ku nsonga eyo, naye kikulu okukimanya. |
Ekisinga obukulu kwe kussa essira ku nsonga zino ezikyusibwakyusibwa n’okwettanira obulamu obulungi. Kino kijja kukuyamba okukuuma si kookolo w’amabeere yekka, wabula n’endwadde endala nnyingi.
Ebintu ebitali bikwatagana na kookolo w’amabeere (enfumo) .
Waliwo enfumo nnyingi ezikwata ku kookolo w’amabeere mu bantu. Ebintu bino tobitya. Okunoonyereza kukakasizza nti ebintu bino wammanga tebirina kakwate na bulabe bwa kookolo w’amabeere.
- Okwambala obuleega obwa underwire.
- Okukozesa eddagala eriweweeza ku ntuuyo.
- Okuggyamu olubuto oba okuvaamu olubuto.
- Okunywa ebyokunywa ebirimu caffeine nga kaawa.
- Okubeera n'embeera z'amabeere eza `fibrocystic` (zino bizimba ebitali bya kookolo).
- Okufuna embuto eziwera.
Tewali nsonga yonna lwaki tulina ennaku oba okutya olw’ebintu bino.
Obubaka Obutwala Awaka
- Kookolo w’amabeere bulwadde buzibu. Okubeera n’ebintu ebiyinza okuleeta akabi tekitegeeza nti ojja kubufuna, era obutaba nabyo tekitegeeza nti tojja kubufuna. Kale totya, beera mwegendereza .
- Manya ebyafaayo bya kookolo w’amaka go. Yogerako n’omusawo wo ku nsonga eno. Kikulu nnyo.
- Essira lisse ku bintu bye tusobola okukyusa. Kuuma omugejjo omulungi, dduyiro, kkomo ku mwenge .
- Tokkiriza nfumo ezikwata ku bbulawuzi eziriko waya n’ebiwunya.
- Bw’olaba enkyukakyuka yonna etali ya bulijjo mu mabeere go (ekizimba, enkyukakyuka y’olususu, obulumi), laba omusawo awatali kulwa . Gy’okoma okuzuulibwa amangu, obujjanjabi gye bukoma okukola obulungi.
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