Tumanyi engeri gy’oyinza okutya n’okweraliikirira singa osanga ekizimba mu bbeere. Ekigambo “kookolo” kiyinza okutuleetera okutya ennyo. Naye ekisinga obukulu ky’olina okumanya nti kookolo w’amabeere yenna si y’emu. Waliwo ebika bya kookolo ebimu ebitali bya bukambwe okusinga ebirala era nga bikola bulungi nnyo ku bujjanjabi. Leero twogera ku kika kya kookolo w’amabeere ekitali kya bulijjo nnyo , naye nga kirimu omuwendo omunene ogw’okuwona.
Kookolo w’amabeere ayitibwa Mucinous kye ki?
Mu ngeri ennyangu, kookolo wa mucinous carcinoma kika kya kookolo w’amabeere atatera kulabika nnyo. Kikola ebitundu ebitakka wansi wa 2% ku kookolo w’amabeere yenna. Era kika kya kookolo atandikira mu mifulejje gy’amata g’amabeere n’asaasaana mu bitundu ebigyetoolodde. Okubeera omutuufu, kigwa mu kiti kya `(Invasive Ductal Cancer)`.
Naye eky’enjawulo ku kino kiri nti waliwo ekintu ekiyitibwa ‘mucin’ okwetoloola obutoffaali buno obwa kookolo . Kilowoozeeko ng’ekintu ekinene era ekikwatagana ng’omusulo mu nnyindo n’ebyenda byaffe. Kino kye ki mucin ono. Mu kookolo ono, obutoffaali bwa kookolo buba bulengejja munda mu kintu kino ekiringa jelly ekiyitibwa mucin. Kino oluusi kiyitibwa kookolo wa colloid.
Olw’ekizigo kino ekiringa omusulo ekiyitibwa mucin, obutoffaali bwa kookolo tebusobola nnyo kutambula mangu, ekitegeeza nti tebusobola nnyo kuyingira mu bitundu ebigyetoolodde, okusinga ebika bya kookolo ebirala. Eno y’ensonga enkulu lwaki kookolo ono takola nnyo era ayanukula bulungi mu bujjanjabi.
Oluusi ekizimba kirimu obutoffaali buno bwokka obwa kookolo obuyitibwa mucinous cancer cells. Tukiyita ‘pure mucinous carcinoma’. Oluusi obutoffaali buno obuyitibwa mucinous cells busobola okulabibwa nga butabuddwamu ebika bya kookolo w’amabeere ebirala. Wabula ekika kya ‘pure’ kirina omuwendo omunene ennyo ogw’okuwona.
Ani ali mu bulabe obw’amaanyi obw’okukwatibwa kookolo ono?
Kookolo ow’ekika kino asinga kukwata bakyala. Kiba kya bulijjo nnyo omusajja okukikulaakulanya.
Wadde ng’embeera eno esobola okubaawo ku myaka gyonna, esinga kulabibwa oluvannyuma lw’okuggwaamu amaanyi mu nsonga , kwe kugamba, mu bakyala abali wakati w’emyaka 60 ne 70.
Bubonero ki obulaga kookolo w’omubiri (mucinous carcinoma)?
Okufaananako ne kookolo w’amabeere asinga obungi, ono ayinza obutalaga bubonero bwonna mu ntandikwa. Naye ekiseera bwe kigenda kiyitawo, akabonero akakulu k’oyinza okwetegereza kwe kuzimba ekizimba mu bbeere .
Oyinza okuwulira ekizimba kino ng’ogenda okwekebera amabeere mu ngalo. Oba kiyinza okusangibwa ng’omusawo akeberebwa. Ebiseera ebisinga, ekizimba kino kiyinza okuba nga kya sentimita 3 mu bunene. Kyokka abantu abamu bayinza okuba n’ebizimba ebitono oba ebinene.
Omusawo kino akizuula atya? (Okuzuula obulwadde)
Bw’ogenda ew’omusawo ng’olina ekizimba mu bbeere, ajja kudduka okukeberebwa okuwerako okuzuula oba mucinous carcinoma oba ekika ekirala.
| Ekigezo | Mu ngeri ennyangu, kiki ekizingiramu? |
|---|---|
| Okukebera Omubiri | Omusawo ajja kukebera amabeere go gombi n’engalo okukebera obutonde bw’ekizimba, obunene bwakyo, n’okutambula oba nedda. |
| Okukebera amabeere | Eno eba X-ray y’amabeere. Mucinous carcinoma atera okuba n’empenda etegeerekese obulungi era alabika ng’ekizimba ekifuluma okuva mu bitundu ebikyetoolodde. Tekitera kulaga bitereke bya kalisiyamu (calcifications). |
| Okukebera mu ngeri ya Ultrasound | Okugezesebwa kuno kuyamba okufuna ebifaananyi ebitegeerekeka obulungi eby’ekizimba, ka kibeere kigumu oba kijjudde amazzi, n’obutonde bwakyo. |
| MRI Scan | Mu mbeera ezimu, kiyinza okulagirwa okukebera MRI okusobola okufuna ekifaananyi ekitegeerekeka obulungi ku kusaasaana kwa kookolo n’ebitundu ebirala eby’amabeere. |
| Okukebera ebitundu by’omubiri (biopsy). | Eno y’engeri enkakafu ey’okuzuula obulwadde buno. Empiso entono oba ekitundu ekisaliddwako kikozesebwa okuggya ekitundu ky’ekikuta mu kizimba ne kikeberebwa mu microscope. Okukebera kuno kukebera oba waliwo ekintu ekiyitibwa mucin mu kizimba. |
Bujjanjabi ki obukolebwa ku kino?
Omusawo wo y’ajja okusalawo enteekateeka y’obujjanjabi bwa kookolo w’omubiri (mucinous carcinoma). Kino kisinziira ku bunene bwa kookolo, ekika ky’ekizimba, embeera y’obusimu bwakyo, n’okumanya oba kookolo asaasaanidde mu nnywanto.
Enkola enkulu ez’obujjanjabi zisobola okugabanyizibwamu bwe ziti:
| Obujjanjabi | Okunnyonnyola |
|---|---|
| Okusalako ekifuba | Kino kizingiramu okuggyawo ekizimba kya kookolo kyokka n’akatundu akatono akalamu akamwetoolodde. Ebbeere lyonna teriggyibwamu. |
| Okusala amabeere | Kino kizingiramu okuggyamu ebbeere lyonna. Okulongoosa kuno kirungi singa ekizimba kiba kinene oba nga waliwo ebitundu ebingi mu bbeere. |
| Obujjanjabi bw’eddagala | Okuwa omubiri eddagala eritta obutoffaali bwa kookolo. Singa kookolo w’omubiri (mucinous cancer) aba tannasaasaana mu nnywanto oba ng’akwata obusimu, eddagala eriweweeza ku bulwadde buyinza obuteetaagisa. Kino omusawo ajja kukisalawo. |
| Obujjanjabi bw’amasannyalaze (Radiation Therapy). | Oluvannyuma lw’okulongoosebwa olususu, bakozesa emisinde egy’amaanyi amangi okusaanyaawo obutoffaali bwa kookolo bwonna obusigaddewo. |
| Obujjanjabi bw’obusimu | Kookolo w’omusulo asinga obungi akwata obusimu obuyitibwa estrogen oba progesterone. Obujjanjabi buno buzingiramu okuwa eddagala (nga tamoxifen) eriziyiza obusimu buno okukola. Buno bujjanjabi bukola nnyo. |
Ekisinga obukulu, mucinous carcinoma alina prognosis ennungi nnyo. Bw’ogeraageranya ne kookolo w’amabeere omulala ow’amaanyi, omuwendo gw’abalwadde abazuuliddwa nga balina ekika kino abawangaala guli waggulu nnyo. N’olwekyo, singa wabaawo enteekateeka entuufu ey’obujjanjabi, emikisa gy’okuwona ddala giba mingi nnyo.
Obubaka Obutwala Awaka
- Mucinous Breast Cancer kika kya kookolo w’amabeere atatera kulabika nnyo era nga si mukambwe nnyo .
- Olw’okuba obutoffaali bwa kookolo bwetooloddwa ekintu ekiringa omusulo (mucin), omutindo gwa kookolo gw’okusaasaana gugenda mpola. Kino kifuula omuwendo gw’okuwona okuba waggulu ennyo.
- Obubonero obukulu bwe buzimba mu bbeere. Bw’owulira ekintu ng’ekyo, totya era olabe omusawo mu bwangu.
- Okuzuula obulwadde buno kukakasibwa n’okukebera omubiri (biopsy).
- Okulongoosa, obujjanjabi obw’amasannyalaze, n’obujjanjabi obw’obusimu byonna bujjanjabi bukola nnyo. Omusawo wo y’ajja okusalawo enteekateeka y’obujjanjabi ekusinga obulungi.
- Kikulu nnyo okwekebera amabeere buli mwezi n’okukeberebwa amabeere agatuukana n’emyaka.
Kookolo w'amabeere, Mucinous Breast Cancer, Colloid Carcinoma, Ebizimba by'amabeere, Obulamu bw'abakyala, Obujjanjabi bwa kookolo, kookolo w'amabeere sinhala
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