A cikin ƙwayar cutar sikila , a halin yanzu mafi kyau maganin da muke da shi don hana rikitarwa ana kira hydroxyurea, wani lokaci an rage HU. An fara amfani da hydroxyurea a matsayin magani na chemotherapy a shekarun 1960. An yi amfani dashi da yawa a cikin mummunan yanayi a farkon, amma an yi amfani dashi a cikin cutar sikila a yanzu har fiye da shekaru 25. Hydroxyurea shine kawai FDA (Abincin da Drug Administration) da aka yarda da magani don bi da cutar anadia.
Ta yaya aikin Hydroxyurea a Sickle Cell Anemia?
A cikin ƙwayar cutar sikila, hydroxyurea yana taimaka wa jiki ya samar da haemoglobin tayi (Hb F). Wannan shi ne haemoglobin da aka samu a jariri. Yaran jariran da ke ɗauke da ciwon sikila ba su da rikitarwa a cikin 'yan watanni na farkon rayuwa saboda mahaglobin tayi ya hana jini jini daga sickling. Wannan karuwa a cikin haemoglobin fetal zai taimaka wajen dakatar da jinin jinin ku maimakon rashin lafiya. Wadannan kwayoyin jan jini suna iya gudana ta hanyar jinin lafiya.
Mene ne Amfanin Sanin Halitta na Hydroxyurea?
A cikin binciken da yawa a cikin yara da kuma tsofaffi waɗanda ke dauke da ciwon sikila, an yi amfani da maganin hydroxyurea tare da ƙananan damuwa mai raɗaɗi, ƙananan ciwon ƙwayar ƙwayar cuta (ƙwayar cuta), ragewa cikin buƙatar transfusion, da kuma ragewa a buƙatar samun asibiti. Hydroxyurea kuma yana ƙaruwa da haemoglobin, yana sa ka ƙasa da anemic .
Bugu da ƙari, halayyar hydroxyurea an hade shi tare da tsawon rai rai a cikin manya da ciwon sikila anemia.
Hanyoyin Gaba
Bisa ga allurai da aka yi amfani da su a cikin ƙwayar cuta ta sikila, illa masu tasiri ba su da kyau. Asarar gashi, bakin daɗaɗɗa, da kuma yawan kamuwa da kamuwa da cuta da ke hade da chemotherapy suna da wuya a gani.
Hydroxyurea zai iya rage kwayoyin jinin jini, haemoglobin, da plalets. Saboda wannan sakamako na gaba, likitanku zai duba ƙididdigarku a hankali tare da ƙididdigar jini da ƙididdigar reticulocyte. Lokaci-lokaci, jin zafi na ciki yana gani amma wannan yakan kasance mai sauƙi kuma yana warware ba tare da yin magana ba. Wani tasiri na gaba shine darkening na kusoshi da ake kira melanonichyia. Gaba ɗaya, mafi yawan marasa lafiya suna iya samun kashi na hydroxyurea zasu iya jurewa tare da ƙananan sakamako masu illa.
Mene Ne Abubuwa Suke Yi Nazari Tare Da Hydroxyurea?
Bisa ga ka'idodin kula da sikila na kwanan nan daga Cibiyar Lafiya ta Duniya, Lung, da kuma Hutun jini (wani ɓangare na Cibiyoyin Lafiya ta Ƙasar) da aka buga a shekara ta 2014, duk yara da keraglobin SS da sickle beta zero thalassemia ya kamata a ba da magani ga hydroxyurea don hana rikitarwa bayan watanni 9. A cikin tsofaffi, kamata a yi la'akari da farfadowa na hydroxyurea ga marasa lafiya wadanda ke fama da damuwa guda uku ko mafi zafi a kowace shekara, ciwo da ke damuwa da ayyukan yau da kullum, tarihin babban ciwo na kirji, ko kuma mummunan cututtukan da ke shawo kan ayyukan yau da kullum.
Yaya Hydroxyurea Yaya Cutar Cancer?
A tarihi, wannan ya zama babbar damuwa. Wadanda suka kamu da cutar da farko tare da hydroxyurea suna da yanayin da suka kara yawan ciwon malignancy (ciwon daji) amma saboda sun ci gaba da ciwon daji yayin da ake amfani da su a cikin hydroxurea.
A cikin cutar sikila, amsar ita ce a'a. Bisa ga wani binciken da aka buga a shekara ta 2014 neman musamman ga marasa lafiya da cututtukan ciwon sikila, wadanda suka dauki hydroxyurea ba su kara yawan hadarin ciwon daji ba idan aka kwatanta da waɗanda basu karbi hydroxyurea ba.
Zan iya ɗaukar hawan jini lokacin da ake ciki?
A wannan lokaci ba'a bada shawarar daukar hydroxyurea a lokacin daukar ciki. Hydroxyurea ne magani na D na nuna cewa yana nuna haɗari ga tayi girma. Akwai ƙananan ƙwayoyin da ke ba da rahoton haihuwa a al'ada a cikin mata da ciwon sikila wanda ke ci gaba da hydroxyurea amma ana buƙatar ƙarin bayani.
Shin Zan iya Dakatar da Shan Hydroxyurea?
A'a, hydroxyurea ba magani bane. Yana aiki kawai idan ka ɗauki shi kamar yadda aka umurce shi. Hydroxyurea shi ne magani na kullum don cutar da ta kamu da cutar kamar magunguna masu dauke da cutar hawan jini a kowace rana.
> Sources:
> Castro O, Nouraie M, Oneal P. Hydroxycarbamide Jiyya a Cutar Sickle Cell: Bayani ga Mawuyacin Halin Rashin Haɗari da kuma Samun Rayuwa na Gida. Jaridar British Journal of Hematology . 2014; 167: 687-691.
> Ware RE. Yadda zan Yi amfani da Hydroxyurea don bi da marasa lafiya. Jinin jini . 2010; 115 (26): 5300-5311.