Wakambonzwa zita rekuti 'Monoclonal Antibody' here? Ungave wakanzwa zita iri richishandiswa kurapa kenza, kana zvirwere zvakaita seCovid-19. Kunyangwe riri izwi risinganzwisisike uye guru, iri imhando yemushonga wakaita shanduko huru mukurapa kwedu. Usazvidya moyo, izvi hazvisi zvakaoma kunzwisisa. Nhasi, ngatitaurei nezvezvizvi, mashandiro azvo, uye zvirwere zvazvinoshandiswa.
Zvichitaurwa zviri nyore, chii chinonzi monoclonal antibodies?
Kuti tinzwisise izvi, ngatitangei tadzidza nezvechimwe chinhu chatinacho mumiviri yedu: 'MaAntibodies'.
Fungidzira kuti muviri wedu inyika. Saka masoja edu ekudzivirira muviri iuto renyika iyoyo. Masoja akakosha muuto iri anonzi 'Antibodies'. Kana muvengi anobva kunze, kureva kuti, chimwe chinhu chakaita sejemusi kana sero rekenza (mukurapa tinoti maantigen aya) achipinda mumuviri, masoja aya anoenda kunotora muvengi iyeye uye opa mamwe masero kuti amuparadze.
Zvino, 'monoclonal antibodies' imhando yakakosha yeantibody yatinogadzira murabhoritari. Aya akafanana chaizvo nemakopi eantibody atinawo mumiviri yedu.
- 'Mono' zvinoreva 'chimwe'.
- 'Clonal' zvinoreva 'clone'.
Kureva kuti, dzakafanana ne'fotokopi' dzakawanda dzeantibody imwe chete. Dzakagadzirwa kuti dzirwise muvengi mumwe chete (antigen). Semuenzaniso, ma antibodies akagadzirwa kuti arwise puroteni chaiyo pamusoro pesero rekenza. Ungave wakaona mazita emishonga iyi achiguma ne "mab" (semuenzaniso Trastuzumab, Rituximab).
Zvichitaurwa zviri nyore, ma antibodies e monoclonal 'makombora' akagadzirwa murabhoritari kuti aparadze muvengi chaiye uye asambopotsa chinangwa chake.
Ndezvipi zvirwere zvinorapwa neizvi?
Tekinoroji iyi yava kushandiswa kurapa zvirwere zvakasiyana-siyana. Kubva pakagamuchirwa mushonga wekutanga we monoclonal antibody muna 1986, mishonga yakasiyana-siyana yakagadzirwa.
| Rudzi rwezvirwere | Tsananguro nemienzaniso |
|---|---|
| Kenza | Kutsvaga nekuparadza masero ekenza akadai sekenza yemazamu, lymphoma, uye leukemia. |
| Matambudziko ekudzivirira muviri | Kudzora kushanda zvakanyanya kwemasoja emuviri pazvirwere zvakaita serheumatoid arthritis nechirwere cheCrohn. |
| Utachiona | Kudzivirira nekurwisa mavhairasi akadai seCOVID-19 virus. |
| Kurambwa Kwekuisirwa Nhengo Yemuviri | Kudzivirira muviri kuti usarambe nhengo, yakaita seitsvo, mushure mekunge yaisirwa. |
| Zvimwe zvirwere | Inoshandiswawo pakurapa osteoporosis, migraines, cholesterol yakakwira, mamwe matambudziko emaziso, uye zvirwere zvetsinga. |
Kurapwa uku kunopiwa sei?
Mushonga uyu unowanzopihwa semushonga wesaline mutsinga (mutsinga - IV) . Izvi zvinonziwo 'infusion'. Ungangopinda muchipatara kana kukiriniki 'infusion center' kwezuva rimwe chete wopihwa mushonga uyu kwemaawa akati wandei.
- Kurapwa kwekutanga: Kana iri nguva yako yekutanga kurapwa uku, ungangoda kukumbira nhengo yemhuri kuti iuye newe. Izvi zvinodaro nekuti vashandi vekurapa vachange vachinyatsoteerera iwe kuti vatsanangure kurapwa kwacho uye kuti vaongorore kana paine chero zviratidzo zvekurwara nazvo.
- Jekiseni remudumbu: Dzimwe nguva, mushonga uyu unopihwawo sejekiseni pasi peganda (subcutaneous) . Panyaya iyi, chiremba wako kana nesi vachakuratidza majekiseni ekuzvibaya iwe pachako. Izvi zvinowanzopihwa mudumbu kana pachidya.
Mhando dzenzira dzekurapa
Ma antibodies aya anoshandiswa nenzira dzakasiyana-siyana:
1. Naked Monoclonal Antibodies: Aya mushonga wega. Anonamira zvakananga kumasero ekenza, omisa kukura kwawo kana kuratidza kuti masoja emuviri anofanira kuaparadza.
2. MaAntibodies eMonoclonal Akasanganiswa:Izvi zvakafanana ne'parcel'. Mushonga wechemotherapy kana kuti radioactive particle zvinosungirirwa kune antibody zvotumirwa. Antibody iyi inowana sero rekenza chairo uye 'inotumira' iyi 'parcel' ipapo. Izvi hazvikonzeri kukuvara kudiki kumasero ane hutano.
3. MaAntibodies eBispecific Monoclonal: Aya anogona kurwisa vanhu vaviri panguva imwe chete. Zvakafanana nemaoko maviri achiita mabasa maviri. Semuenzaniso, paunenge uchibata sero rekenza neruoko rumwe, rumwe ruoko runobata sero rekudzivirira muviri, richibatanidza maviri acho pamwe chete uye richibatsira kuparadza sero rekenza.
Ndezvipi zvakanakira uye njodzi dzekurapa uku?
Zvakanakira
- Chinangwa chacho ndechechokwadi: Kurapa kwechivanhu kwakadai sechemotherapy kunokuvadza masero ese anokamuka nekukurumidza (masero ekenza pamwe nemasero ebvudzi neganda ane hutano). Asi nekuti izvi zvinorwisa zvakananga masero ane chekuita nechirwere chete, migumisiro yacho mishoma.
- Zvinoshanda zvakanyanya: Izvi zvakabudirira zvikuru mukurapa zvimwe zvirwere, kunyanya kenza.
- Mutemo mumwe chete: Nekuti inogadzirwa murabhoritari, mushonga wega wega une mhando imwe chete.
Njodzi
Sezvinongoita chero mushonga upi zvawo, kurapwa uku kunogona kuva nenjodzi. Asi usazvidya moyo, chiremba wako achakudzidzisa nezve zvese izvi uye achakutarisira zvakanaka.
- Kubatwa neInfusion: Aya ndiwo maitiro anowanzoitika panguva yekubatwa neinfusion kana kuti nguva pfupi mushure mekubatwa. Izvi zvinogona kusanganisira kurwadziwa kwemuviri, fivha, kutonhora, kunetseka kufema, kudikitira, uye kuchinja kweBP. Izvi zvinogona kudzorwa nekuderedza mwero wekubatwa neinfusion.
- Kuitika kwakakomba (kashoma): Kashoma, asi kuitika kwakakomba kunogona kuitika.
- Acute Anaphylaxis: Kurwara kwakanyanya kunoitika kamwe kamwe.
- Cytokine Release Syndrome (CRS): Masoja emuviri anogona kushanda zvakanyanya uye kukuvadza nhengo dzemuviri.
- Kurwara neSerum: Kurwiswa kwemishonga nemasoja emuviri.
Izvi zvinokonzerwa nekuti zvinhu zvakaita seizvi zvinogona kuitika, saka vanachiremba nevanamukoti vanokungwarira zvikuru, kunyanya kana uri kurapwa kekutanga.
Unoda kutaura nachiremba here?
Ehe, zvechokwadi. Kana muine mibvunzo nezvekurapa uku, kana kuti muchida kuziva kana kurapwa uku kwakakunakirai, taurai pachena nachiremba wenyu. Iye achakupai mazano akanakisisa zvichienderana nemamiriro enyu ehutano uye mamiriro enyu ehutano.
Zvakakosha: Kana ukasangana nemhinduro isingatarisirwi mushure mekurapwa, kunyanyaKana uchinzwa dambudziko rekufema, kurwadziwa pachipfuva, maronda akanyanya, kuoma kutaura, kana kuchinja kwekuziva, fonera chiremba wako nekukasika, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
Mharidzo Yekuenda Nayo Kumba
- Ma antibodies eMonoclonal imhando yeprotein yakagadzirwa murabhoritari inoshanda sezvikamu zvemuviri wedu wekudzivirira muviri.
- Iyi inzira yemazuva ano uye inobudirira inoshandiswa kurapa zvirwere zvakasiyana-siyana, zvinosanganisira kenza, arthritis, uye COVID-19.
- Nekuti kurapwa uku kunoshanda kune chinangwa, kunogona kuva nemigumisiro mishoma pane kurapwa kwechinyakare.
- Kurwadziwa kwakadai sefivha uye mapundu kunogona kuitika kana mushonga wacho wapihwa. Zvisinei, migumisiro yakaipa haiwanzoitiki.
- Gara uchikurukura nachiremba wako kana mushonga uyu wakakunakira uye zvakanakira nezvakaipira.











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