Ka twogere ku kookolo ayitibwa Yolk Sac Tumor (endodermal sinus tumor).

Bwe tuwulira ekigambo kookolo, ffenna tufuna okutya katono, si bwe kiri? Naye era waliwo ebika bya kookolo bye tutawulirangako, era nga bitono nnyo. Yolk Sac Tumor y’emu ku zo. Erinnya lino liyinza okuba eppya gy’oli. Leero, tugenda kwogera ku kookolo ono, asobola okukula naddala mu baana abato n’abato abakulu, mu ngeri ennyangu ennyo gy’osobola okutegeera. Kikulu nnyo okukimanya ku kino.

Ddala Yolk Sac Tumor kye ki?

Mu ngeri ennyangu, Yolk Sac Tumor kika kya kookolo. Era kiyitibwa Endodermal Sinus Tumor. Kiva mu kika ky’obutoffaali obw’enjawulo mu mubiri gwaffe. Kwe kugamba, okuva mu butoffaali obufuuka ensigo mu musajja, n’okuva mu butoffaali obufuuka amagi mu mukazi. Mu busawo, obutoffaali buno tubuyita obutoffaali bw’obuwuka. Kale kino kiri mu kiti kya Germ Cell Tumor.

Ebizimba bino bisinga kukula mu nkwaso mu bakyala oba mu nsigo mu basajja. Kyokka, si bulijjo nnyo, zisobola okukula ebweru w’ebitundu bino eby’okuzaala, okugeza mu kifuba, mu lubuto oba obwongo.

Ekikulu ku kino kiri nti kookolo ono akula mangu era asobola okusaasaana amangu . N’olwekyo, singa tebujjanjabwa, kiyinza okutta omuntu. Naye amawulire amalungi gali nti singa obulwadde buno buzuulibwa nga bukyali, busobola okuwona ddala n’obujjanjabi . N’olwekyo, kikulu nnyo okutegeera obubonero nga bukyali.

Bika ki ebikulu ebya kookolo ono?

Nga bwe twayogeddeko emabegako, kookolo ono asobola okwawulwamu ebika ebikulu ebiwerako okusinziira ku kifo w’akula.

• Ebizimba by’ensawo y’ensigo: Kino kika kya kookolo w’ensigo. Businga kubeera mu balenzi abali wansi w'emyaka 3 n'abavubuka abali mu myaka 20 ne 30 . Emirundi egisinga, bino bisobola okuzuulibwa nga bukyali, nga tebinnasaasaana mu bitundu by’omubiri ebirala. Kino kibaleetera okuwona.
• Ebizimba by’ensawo y’enkwaso: Kino kika kya kookolo w’enkwaso. Kika kya busungu nnyo, ekitegeeza nti kisobola okusaasaana amangu. Businga kubeera mu bawala abato ab'emyaka 20 n'okudda wansi . Kigambibwa nti kimu kya kusatu ku bazuuliddwa n’obulwadde buno bawala abato abatannatandika kugenda mu nsonga.
• Kookolo akula ebweru w’ebitundu by’okuzaala (Extragonadal germ cell tumors):Oluusi, kookolo ono ow’obutoffaali bw’obuwuka akula mu bitundu by’omubiri ebirala, ebweru w’enkwaso oba ensigo. Ng’ekyokulabirako, ziyinza okukula mu bwongo, wakati mu kifuba, emabega w’olubuto oba mu ggumba ly’omukira .

Bubonero ki obuyinza okuba nga buva ku kino?

Obubonero bw’ekizimba ky’ensawo ya Yolk businziira ku kifo ekizimba we kiri mu mubiri. Ng’ekyokulabirako, maama ayinza okusanga akatundu akatono mu nseke z’omwana ng’anaaba. Oba omuwala omuto ayinza okugenda mu nsonga ezitali za bulijjo wamu n’okulumwa olubuto. Kikulu okumanya obubonero buno.

Laba ekipande wansi okumanya obubonero obutera okulabika okusinziira ku kifo kookolo w’ali.

Lwaki kookolo ow’ekika kino afuna?

Kino kizibu abantu bangi kye balina. Naye okubeera omwesimbu, abanoonyereza ku by’obujjanjabi tebannazuula kituufu ekivaako Yolk Sac Tumor. Okufaananako ne kookolo omulala, ono ava ku nkyukakyuka (enkyukakyuka) mu buzaale oba DNA mu butoffaali. Enkyukakyuka zino zireetera obutoffaali okwekutula amangu era nga tebufugibwa. Ekiseera bwe kigenda kiyitawo, obutoffaali buno busobola okukula awamu ne bukola ekizito. Singa obutoffaali buno bwa kookolo tebujjanjabwa, busobola okusaasaana mu bitundu by’omubiri ebirala.

Kyokka, okunoonyereza kukyagenda mu maaso ku nsonga lwaki enkyukakyuka zino mu buzaale zitandika mu kusooka.

Osobola otya okuzuula obulwadde buno?

Ggwe oba omwana wo bw’oba ​​olina obubonero bwonna obulagiddwa waggulu, olina okugenda ew’omusawo amangu ago. Omusawo ajja kusooka kwekebejja omubiri n’anoonya ebizimba oba ebizimba byonna ebitali bya bulijjo mu lubuto oba ensigo. Olwo, bajja kukubuuza ku bubonero bwo.

Okukebera okuwerako kuyinza okukolebwa okukakasa obulwadde buno:

• Okukebera omusaayi: Baggyibwako sampuli y’omusaayi gwo ne bakeberebwa puloteyina ey’enjawulo. Kiyitibwa Alpha-fetoprotein (AFP) . Omuwendo guno ogwa AFP mu musaayi guli waggulu nnyo mu buli muntu alina Yolk Sac Tumor. Kino kiraga kikulu nnyo okuzuula kookolo ono.
• Okukebera ebifaananyi: Okukebera CT (Computed Tomography scans) ne MRI (Magnetic Resonance Imaging) bye bisinga okukozesebwa. Bino bisobola okulaba obulungi ebizimba munda mu mubiri.
• Okulongoosa okusalako: Eno y’engeri yokka ey’okubeera omukakafu 100% ku bulwadde buno. Omusawo ajja kulongoosa okuggyamu ekizimba kyonna (oluusi ekitundu kyonna ekizimba mwe kiri). Olwo ekizimba kino kigenda kusindikibwa mu laabu okukeberebwa obutoffaali bwa kookolo.

Emitendera gya kookolo gizuulibwa gitya?

Obulwadde bwe bumala okuzuulibwa, abasawo basalawo kookolo w’asaasaanidde, oba ‘omutendera’ gwa kookolo we guli. Omutendera guno gusalibwawo ensonga ng’obunene bw’ekizimba n’ewala kookolo gy’asaasaanye. Singa omutendera guba wansi (e.g. Omutendera 1), kitegeeza nti kookolo ali mu mitendera gye egy’olubereberye. Singa omutendera guba waggulu (e.g. Omutendera 3, 4), kitegeeza nti kookolo asaasaaniddeko katono. Okumanya omutendera guno kyetaagisa nnyo okulonda obujjanjabi obusinga obulungi.

Ku bizimba by’ensigo

• Omutendera 1: Kookolo abeera mu nsigo yokka.
• Omutendera 2: Kookolo asaasaanidde okuva mu nsigo okutuuka mu nnywanto.
• Omutendera 3: Obutoffaali bwa kookolo busaasaanidde mu bitundu by’omubiri ebirala.

Ku bizimba by’enkwaso

• Omutendera 1: Kookolo akoma ku nkwaso emu oba zombi.
• Omutendera 2: Obutoffaali bwa kookolo busaasaanidde mu bitundu ebirala munda mu kisambi, naye nga tebutuuse mu nseke.
• Omutendera 3: Kookolo asaasaanidde mu nnywanto n’oluwuzi oluli mu layini munda mu lubuto (peritoneum).
• Omutendera 4: Kookolo asaasaanidde ebweru w’olubuto n’agenda mu bitundu ebirala n’ebitundu by’omubiri.

Bujjanjabi ki obukolebwa ku kino?

Ekigendererwa ekikulu eky’obujjanjabi kwe kuggyawo ddala ekizimba kya kookolo. Enkola bbiri enkulu ez’obujjanjabi ze zikozesebwa ku kino.

1. Okulongoosa: Kino kizingiramu okuggyamu ensigo yonna (eyitibwa orchiectomy ) oba enkwaso (eyitibwa oophorectomy ) ekoseddwa kookolo. Singa kookolo asaasaanidde mu bitundu by’ensigo, nabyo biyinza okwetaaga okuggyibwamu.

2. Chemotherapy: Oluvannyuma lw’okulongoosebwa, obujjanjabi buno buweebwa okutta obutoffaali bwa kookolo bwonna obuyinza okulekebwa mu mubiri nga tebulabika na maaso. Oluusi, singa ekizimba kiba kinene nnyo, bayinza n’okuweebwa eddagala eriweweeza ku bulwadde okukendeeza ekizimba nga tebannalongoosebwa.

Enkola y’obujjanjabi bwa BEP

Obujjanjabi obukulu obw'eddagala erijjanjaba Yolk Sac Tumor buyitibwa BEP . Okusinziira ku mutendera gwa kookolo n’engeri omubiri gwo gye gukwatamu obujjanjabi, kiyinza okwetaagisa okumira lawundi eziwerako eza BEP. BEP ddagala ssatu nga ligatta wamu:

• B eddagala lya leomycin
• E toposide
• Ekirungo kya Cisplatin ( P latinol®) .

Eddagala lino essatu bwe ligatta, likola bulungi nnyo okusaanyaawo obutoffaali bwa Yolk Sac Tumor.

Embeera eri etya oluvannyuma lw’okujjanjabwa? (Okuteebereza)

Kino abantu bangi kye balina okumanya. Kituufu nti singa tezijjanjabwa, Yolk Sac Tumor essa obulamu mu matigga. Eno y'ensonga lwaki okuva ku ntandikwa twagambye nti kikulu nnyo okuzuula obulwadde buno n'okutandika okujjanjabibwa nga bukyali . Nga bwe kiri ku kookolo yenna, obujjanjabi gye bukoma okutandika amangu, emikisa gy’okuwona gye gikoma okubeera eminene.

Enteebereza yo esinziira ku bintu ebiwerako. Olina okukubaganya ebirowoozo n’omusawo wo ebintu ng’omutendera gwa kookolo, engeri omubiri gwo gye gukwatamu obujjanjabi, n’omutindo gwa AFP yo nga tonnatandika kujjanjaba ddagala (kino gye kikoma okuba wansi, ebiseera ebisinga ebivaamu biba birungi).