Nenzira yakawanda, kubudirira kwekenza kurapwa kwakabatanidzwa nekuvhiyiwa, nokuti izvi ndizvo zvinokubvumira kubvisa tumarara. Asi incology chirongwa chakajairika, saka nzira dzokugadzirira haigoni kuparadza zvose metastases.
Chii chinonzi chirongwa chekurapa?
Munguva pfupi yapfuura, kutariswa kwakanyanya kunobhadharwa nekugadzirwa kwemapromology uye biotechnology, nokuti ndeye rubatsiro rwavo kuti murwere anokwanisa kukanganwa nokusingaperi pamusoro pechirwere. Imwe yenyanzvi itsva inoshandiswa mumunda we oncology inotarisirwa kurapwa. Kurapa kwekenza nenzira iyi inobva pamitemo yezvakagadziriswa zvekurapa kwezvokurapa pamaitiro makuru emakemikari anokonzera kuonekwa kwechirwere. Mamwe molecule, iyo inobatanidzwa nekukura kwemarara masero, inodzivirirwa panguva yekurapa inorapwa. Nokudaro, metastases mumapapu, tsvete, mazamu emakumbo uye dzimwe nhengo dzinodzingwa uye kwete chete hazvifambi mberi, asi dzakaparadzwa zvachose.
Target therapy yakasiyana zvachose nedzimwe chirwere, chemotherapy uye rayation therapy , sezvo inokonzera rufu rwezvimwe tumor cells chete. Izvo hazvive nemigumisiro yakaipa pamatumbu ane utano hwomuviri womunhu, ndiko kuti, hazvikonzeri migumisiro. Izvi zvinokubvumira kuti uende kumubatsiro wake, kunyange mune izvo zviitiko apo chemotherapy inopesana, semuenzaniso, kana murwere ari mumamiriro ezvinhu akaoma.
Ndezvipi zvinotarirwa zvinodhaka zvinoshandiswa?
Target therapy inogona kuitwa kana une:
- colorectal cancer;
- kenza yebonde;
- mutsara wepyoyo;
- kenza yemapapu .
Iyi nzira inoshandiswawo kubata mamwe mhando dzakawanda dzekenza. Inobatsira:
- kugadzirisa hutachiona hutano;
- kutora hutachiona hwehutano kubva pamusangano unobudirira wekutsvaga kusvika kune asingagumi;
- kuti kuderedze miviri yeyero uye chiro chemotherapy;
- kudzivirira kuitika kwekudzoka kwekenza shure kwekupedzwa kwehutano nemamwe nzira;
- kuti uchengetedze kukura kwekenza metastases.
Ndezvipi zvinodhaka zvinoshandiswa pakutsvaga kurapwa?
Nenzira yemigumisiro, zvinodhaka zvekurwisa kenza inoparadzaniswa zvakagoverwa muzvikamu zvitatu:
- Monoclonal antibodies maitiro anogens-oncogenes anonamatira pamagetsi uye munguva pfupi vanodzivisa basa ravo.
- Kinase inhibitors iine mashoma emakemikari anoita kuti kuderedza basa re oncogenes rinobata kukanganisa kusingadzorwi kwemasero ekenza.
- Vashandi ndivo vanosimudzira necrosis, kusiyana kana apoptosis.
Mishonga inonyanya kushandiswa inorapwa ndeyekuti:
- Imatinib;
- Avastin;
- Herceptin;
- Rituximab.
Avastin
Mushonga uyu unonyatsopedza kukura kwemidziyo yechipfuva. Inopa kuparidzika kunoonekwa mumasetetetomu anenge atova mukutanga kwerapi. Mushonga uyu unoderedza ropa rinozadza shuga, rinotadzisa kukura kwekenza. Target therapy neAvastin inobvumira kukunda kenza yemazamu, ikoni uye kunyange glioblastoma yeuropi.
Tarceva
Mushandi anoonekwa seanozivikanwa zvikuru pamishonga inodhaka. Inoderedza, uye mune zvimwe zviitiko zvinodzima zvachose, kukura kwemarara, kunopedza zviratidzo zvechirwere uye kunobatsira hupenyu hwevarwere. Parizvino, chinangwa chekurapa nemushonga uyu chinopa chibereko chakanaka chemapapu emapapu, kenza yepancreatic
Iressa
Ichi chemishonga, iyo inowanzoshandiswa mukurapa chemotherapy yemukenza wemapapu. Asi nerubatsiro rwayo unogona kuderedza hukuru hwechirwere uye nemamwe marudzi ekenza. Chigumisiro chakanakisisa ndechokubatanidzwa kwemishonga iyi nehutano hwemishonga inodhaka. Istria yakananga kurapwa inorayirwa zvakare kune kenza yeminyo yemapapu kumapfupa ekuregedza mamiriro emurwere uyo chemotherapy asina kupa chiitiko chakanaka.