Bwe kituuka ku kookolo w’amabeere , ekimu ku bitya ebisinga okujja mu birowoozo by’abasinga obungi ku ffe kwe kuba nti anaasaasaana mu bitundu by’omubiri ebirala. Era oyinza okuba ng’owulira okutya kuno. Obutoffaali bwa kookolo bwe buva mu mabeere ne bugenda mu bitundu by’omubiri ebirala, mu by’obusawo tumuyita kookolo w’amabeere agenda mu bitundu ebirala . Oluusi omusawo wo ayinza n’okuyita kino ‘Stage IV’ oba ‘advanced cancer’. Naye teweeraliikiriranga, waliwo obujjanjabi obuliwo leero obuyinza okukuyamba okuddukanya embeera eno n’obeera n’obulamu obujjuvu. Ka twogere ku nsonga eno mu bujjuvu.
Kookolo w’amabeere ayinza okusaasaana wa?
Kookolo w’amabeere okusinga asaasaana mu magumba, amawuggwe , ekibumba , n’obwongo . Ekikulu wano kiri nti kookolo ne bw’asaasaana mu bitundu by’omubiri ebirala, akyayitibwa ‘kookolo w’amabeere’ kubanga yasibuka mu mabeere. Kookolo bw’asaasaana mu ngeri eno, obubonero obw’enjawulo butandika okulabika mu kitundu ky’omubiri gy’asasaanye.
Jjangu tulabe obubonero buno bwe bufaanana.
| Okusaasaanya ekitundu ky’omubiri | Obubonero obuyinza okuwulirwa |
|---|---|
| Amagumba | Okuzimba amagumba, okulumwa ennyo mu mugongo, ensingo, ennyondo oba amagumba, n’amagumba okumenya amangu. |
| Amawuggwe | Okusesema okumala ebbanga, okussa obubi, okulumwa mu kifuba. |
| Ekibumba | Olususu okufuuka emmyufu (jaundice), okusiiyibwa ku lususu n’okusiiwa, obutayagala mmere, okulumwa olubuto. |
| Obwongo | Omutwe ogutaggwaawo, obutalaba bulungi, okukonziba, okusesema n’okuziyira, obuzibu mu kujjukira, n’okuziyira. |
Ng’oggyeeko ebitundu bino ebikulu, waliwo n’ebitundu ebirala kookolo w’asobola okusaasaana oluusi, naye bino tebitera kubeerawo.
- Enkwaso
- Kolon
- Endwadde z’ekibumba (endwadde entonotono ezisangibwa waggulu w’ensigo) .
- Olubuto oluyitibwa pancreas
- Omubiri
Bw’oba olina obubonero buno, tegeeza omusawo mu bwangu. Okubeera n’obubonero buno tekitegeeza nti kookolo asasaanye, naye omusawo ayinza okusalawo okukola ebigezo ebyetaagisa okuzuula ekituufu.
Kookolo asaasaana atya?
Ka tutegeere butegeere engeri kino gye kibaawo. Ekisooka, obutoffaali bwa kookolo obuli mu mabeere bwekutuka. Olwo obutoffaali buno butambula mu mubiri gwonna nga buyita mu misuwa gyaffe n'enkola y'amazzi . Enkola y’amazzi (lymphatic system) kitundu ku baserikale b’omubiri gwaffe.
Ebiseera ebisinga, obutoffaali buno busooka kugenda mu busimu obutono obuyitibwa lymph nodes wansi w’enkwawa n’okwetooloola amabeere. Oluusi era zisobola okugenda mu nnywanto eziriraanye eggumba ly’omu bulago oba ery’amabeere. Okuva awo, obutoffaali buno busobola okugenda mu maaso n’okukula ne bufuuka ebizimba ebipya mu bitundu by’omubiri ebirala.
Omanya otya nti kookolo asasaanye?
Omusawo ajja kukozesa okukebera okw’enjawulo okuwerako okuzuula ddala oba kookolo wo asaasaanidde mu bitundu by’omubiri gwo ebirala.
Okusooka omusawo ajja kukubuuza ku bubonero bwo n’obuzibu bwonna bw’ofuna. Era ajja kwogera ku bulamu bwo okutwalira awamu. Ayinza n’okukebera obunene bw’ekizimba n’ennywanto.
Oluvannyuma lw’ekyo, omusawo ayinza okukusindika okukeberebwa kuno:
- Okukebera omusaayi: Bino bisobola okuwa obubonero ku bintu ebitali bya bulijjo mu mubiri. Ng’ekyokulabirako, okukebera enkola y’ekibumba kuyinza okuwa endowooza oba kookolo ono asaasaanidde mu kibumba. Ate era, ebintu ebimu ebingi mu musaayi, gamba nga kalisiyamu, biyinza okuba akabonero akalaga nti kookolo asaasaanidde mu magumba.
- Sikaani z’ebifaananyi: Zino zikuba ebifaananyi ebitegeerekeka obulungi munda mu mubiri okuzuula ddala kookolo w’asasaanye. Mu bino biyinza okuli:
- X-ray
- MRI
- Okukebera amaloboozi aga Ultrasound
- Okukebera CT
- Sikaani ya PET
- Sikaani y’amagumba
- Okukebera ebitundu by’omubiri (biopsy): Kino kizingiramu okuggya akatundu akatono mu kitundu ekiteeberezebwa n’okukakebera ng’okozesa microscope . Kino kiyinza okukubuulira n’obukakafu 100% oba kirimu obutoffaali bwa kookolo oba nedda.
Bujjanjabi ki bw’oyinza okukozesa?
Tewali ddagala lya kookolo w’amabeere agenda mu bitundu ebirala. Wabula waliwo obujjanjabi bungi obulungi obuyinza okuyamba okufuga embeera eno, okukendeeza ku bubonero n’okukuyamba okubeera n’obulamu obulungi. Ggwe n’omusawo wo mujja kukolera wamu okusalawo enteekateeka y’obujjanjabi esinga obulungi.
| Enkola y’obujjanjabi | Engeri gye kikola |
|---|---|
| Obujjanjabi bw’eddagala | Okuwa eddagala eritta oba okukendeeza ku butoffaali bwa kookolo. |
| Obujjanjabi bw’obusimu | Kikomya obutoffaali bwa kookolo okufuna obusimu bwe bwetaaga okukula. |
| Obujjanjabi bw’abaserikale b’omubiri | Ayamba abaserikale b’omubiri gwo bennyini okulwanyisa kookolo. |
| Obujjanjabi obugendereddwamu | Okuwa eddagala erigenderera ebitundu ebitongole eby’obutoffaali bwa kookolo ne bubalemesa okukula. |
Obujjanjabi okumalawo obubonero
Obujjanjabi buno era busobola okukozesebwa okumalawo oba okuziyiza obubonero bwa kookolo agenda mu bitundu ebirala:
- Radiation therapy: Okukozesa emisinde egy’amaanyi amangi okusaanyaawo obutoffaali bwa kookolo mu kitundu ekimu eky’omubiri.
- Okulongoosa: Okulongoosa okuggyawo ebizimba ebivaako obulumi oba obubonero obulala.
Oluusi oyinza okwetaaga obujjanjabi obusukka mu bumu ku buno. Kikulu okwogera n’omusawo wo okusalawo enteekateeka y’obujjanjabi esinga okukukwatako.
Obubaka Obutwala Awaka
- Wadde nga kookolo w’amabeere agenda mu bitundu ebirala kintu kya kutya, kitegeere nti mbeera esobola okuddukanyizibwa.
- Amagumba, amawuggwe, ekibumba n’obwongo bye bitundu kookolo w’asinga okusaasaana.
- Bulijjo beera ku bunkenke bw’obubonero ng’okulumwa omubiri mu ngeri etaali ya bulijjo, okukaluubirirwa okussa, okufuuka okwa kyenvu kw’olususu oba okulumwa omutwe obutasalako.
- Bw’oba olina obubonero bwonna obuteeberezebwa, tuukirira omusawo mu bwangu obuteese.
- Leero, waliwo obujjanjabi obukola ennyo (Chemotherapy, Targeted therapy, n’ebirala) okufuga embeera eno n’okumalawo obubonero.
Kookolo w’amabeere, Kookolo w’amabeere agenda mu bitundu ebirala, Okusaasaana kwa kookolo, Obubonero bwa kookolo, Obujjanjabi bwa kookolo, Chemotherapy, Sri Lanka
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