Abũbuwan amfãni da rashin amfani na haɗuwa Chemotherapy
Mene ne hade da chemotherapy, yaushe aka yi amfani dashi, kuma menene amfanin da rashin amfani da wannan hanyar kulawa?
Bayani
Haɗuwa da cutar shan magani yana nufin kawai don amfani da fiye da ɗaya chemotherapy magani a lokaci don bi da ciwon daji. A baya, yawancin ciwon daji ke shawo kan ciwon daji, amma magani na yanzu ga yawancin ciwon daji na amfani da hade biyu ko fiye da kwayoyi guda daya.
Tarihin Haɗuwa Chemotherapy
Amfani da hade da cutar shan magani don magance ciwon daji an yi wahayi a cikin shekarun 1960 lokacin da masana kimiyya suka yi tunani ko tsarin kulawa da tarin fuka - ta amfani da maganin maganin rigakafi don rage hadarin juriya - zaiyi aiki don maganin ciwon daji. Amfani da wannan tsarin, cututtuka da suka kasance kusan kusan duniya baki daya kamar cututtukan ciwon sankarar lymphocytic mai tsanani kuma lymphoma na Hodgkin ya zama mawuyaci. Tun daga wannan lokaci, hadewar cutar shan magani sun samu karbar maganin magunguna da dama.
A cikin shekarun 1970s, an gano magungunan chemotherapy don ya fi tasiri ga mutanen da ke fama da ciwon huhu, kuma mafi tasiri fiye da "chemotherapy na al'ada" ko amfani da kwayoyi chemotherapy ɗaya a lokaci a cikin jerin, maimakon a lokaci guda.
Abũbuwan amfãni
Akwai wadata da dama da dama don amfani da haɗarin magungunan likitan chemotherapy maimakon magunguna daya kadai.
Wasu daga cikinsu sun haɗa da:
- Rage yiwuwar cewa ƙwayar cutar za ta kasance mai tsayayya ga magani. Kamar yadda haɗarin maganin rigakafi za a iya amfani dashi idan kwayoyin kwayoyin sunyi tsayayya zuwa daya daga magunguna, ta yin amfani da magunguna biyu ko fiye da ƙwayoyin cutar shan magani sun rage haɗarin cewa ƙwayar za ta kasance tsayayya ga magani.
- Yin yiwuwar ba duk magunguna da wuri da wuri a cikin cutar.
- Samun damar magance matsalolin da yawa a cikin tsarin ciwon daji a lokaci guda. Ciwon magungunan ƙwayar cuta ce mai yawa da yawa. Yin amfani da magungunan ƙwayoyin cutar shan-jijiyo da ke aiki akan wasu kwayoyin cutar, ko mahimmanci a cikin tsarin ciwon daji, ya kamata, a ka'idar, ta samo damar kawar da ciwon daji.
- Maganin "tumbuguwa" mai tsayi - Masana kimiyya sunyi amfani da kalmar tumutturan tumo don bayyana yadda kwayoyin cutar ciwon daji ke bambanta daga juna. Duk da yake kwayoyin farko a cikin ciwon daji ne "clones" - a cikin wasu kalmomi maɗaukaka - raguwa na gaba yana haifar da canje-canje a jikin. Wasu daga cikin kwayoyin da ke haifar da ƙwayar cutar za su iya amsa maganin wata magani yayin da wasu zasu iya karuwa da wani magani.
- Binciken da aka yi a kwanan nan yana duban hanyoyi da amfani da hade da magunguna na shan magani na iya amfani da su don ba da damar likitoci suyi amfani da wasu kwayoyi a ƙananan ƙwayoyin, saboda haka rage rashin lafiyar cututtuka.
A aikace, ana amfani da amfani da hade da kwayar cuta tare da yawancin cututtuka don inganta rayuwar, ko haifar da kyakkyawar amsawa ga magani.
Abubuwa mara kyau
Wasu yiwuwar disadvantages na hade sun hada da:
- Ƙarin ƙarami na yiwuwar cutar chemotherapy- yana ci gaba da cewa duk wani lokacin da ake amfani da magunguna fiye da shi zai iya faruwa.
- Difficulty sanin abin da miyagun ƙwayoyi ya haifar da wani sakamako na musamman - Idan mai haɓaka yana tasowa a yayin da ake amfani da magunguna da dama, zai iya zama da wuya a san ko wane ne magunguna yake da alhakin.
- Hulɗar maganin Drug - Wasu lokuta ba sa faruwa ba saboda wani magani ba, amma saboda halayen da ke tsakanin magunguna.
- Hadawa na sakamakon illa - Alal misali, idan ka yi amfani da kwayoyi guda biyu wadanda ke haifar da ƙananan jinin jini, haɗarin kimanin kwayar cutar kwayar cutar kwayar cutar kwayar cutar kwayar cutar kwayar cuta (ƙananan yawan nau'in jini da aka sani da neutrophils) ya karu.
Misalai
Akwai abubuwa da yawa da aka yi amfani da su don maganin cututtukan da aka yi amfani da su don daban-daban na ciwon daji. Misali tare da ciwon huhu na huhu shine amfani da haɗin Platinol (cisplatin) da Cibinbine (vinorelbine) don magance cutar ciwon huhu na kananan kwayoyin halitta.
Wasu lokuta ana amfani da wani maganin maganin maganin ƙwayar cuta. Misali daya ne ABVD don cutar Hodgkin wadda take nufin haɗin magunguna na Adriamycin (doxorubicin), Blenoxane (bleomycin), Oncovin (vinblastine) da DTIC-Dome (dacarbazine).
Ciyarwa
Sanar da lafiyar kwayar cutar kwayar cutar ta jiki, kazalika da cututtuka na tsawon lokaci na chemotherapy , amma ka tuna cewa hanyoyin magance wadannan bayyanar cututtuka sun inganta sosai a cikin 'yan shekarun nan. Alal misali, mutane da yawa ba su taɓa yin amfani da tashin hankali da zubar da jini ba ko da a kan kwayoyi sun fi dacewa su haifar da waɗannan bayyanar cututtuka.
Don yin kwanakinku a lokacin chemo tafi dan kadan kadan, duba jerin abubuwan da suka dace da abin da za a shirya don chemotherapy .
Sources:
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DeVita, V. da E. Chua. A Tarihin Ciwon daji Ciwon daji. Cibiyar Cancer . 2008. 68: 8643.
Hu, Mista, Huang, P., Wang, Y, Su, Y, Zhou, L., Zhu, X. da D. Yan. Haɗin Gwiwar Halitta na Halittaci na Camptothecin da Floxuridine ta hanyar Ƙungiyar Ƙungiyar Harkokin Kwayoyin Cutar Drug-Drug ta Amphiphilic. Masanin ilimin halitta . 2015. 26 (12): 2497-506.
Zimmermann, G. et al. Magungunan magunguna masu yawa: lokacin da duk ya fi yawan kuɗin. Harkokin Drug A yau . 2007. 12 (1-2): 34-42.