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A halin yanzu, akwai kusan nau'ikan magungunan cutar kansa guda 81 da aka saba amfani da su a asibiti.1. Ana rarraba magungunan rigakafin ƙwayar cuta gwargwadon tushensu da tsarin aikinsu.Gabaɗaya an raba su zuwa magungunan alkylating, antimetabolites, maganin rigakafi, tsire-tsire, hormones da sauran magunguna.Sauran magungunan sun haɗa da platinum, asparaginase, magungunan da aka yi niyya, da dai sauransu, ban da reagents na nazarin halittu da magungunan ƙwayoyin cuta.Wannan rarrabuwa ba zai iya taƙaita ci gaban da ake samu a yanzu na magungunan ƙwayoyin cuta ba.Na biyu, sauran rarrabuwa ya dogara ne akan maƙasudin ƙwayoyin ƙwayoyin cuta, waɗanda suka kasu kashi da yawa.Kashi na farko shine magungunan da ke aiki akan tsarin sinadarai na DNA, kamar su alkylating ko mahadi na platinum.Nau'i na biyu shine magungunan da ke shafar hadadden acid nucleic, irin su antimetabolites.Nau'i na uku shine maganin da ke aiki akan samfurin DNA, yana rinjayar rubutawa da hana DNA, kuma yana hana haɗin RNA ta hanyar dogaro da RNA polymerase.Nau'i na hudu shine magungunan da ke shafar furotin, irin su paclitaxel, vinblastine da sauransu.Kashi na ƙarshe shine wasu nau'ikan kwayoyi, irin su hormones, aspartic acid, magungunan da aka yi niyya, da dai sauransu, amma magungunan rigakafin ƙwayar cuta na yanzu suna haɓaka cikin sauri, kuma nau'ikan da ke sama ba za su iya taƙaita magungunan da ke akwai da magungunan da ke game da su ba. shiga asibitin.."

A halin yanzu, akwai magunguna da yawa na rigakafin ƙwayar cuta a cikin aikin asibiti.Misali,oxaliplatin, fluorouracil, kuma ana iya amfani da irinotecan don ciwace-ciwacen ciki.Marasa lafiya da ciwon daji na ciki za a iya bi da su da kwayoyi irin sucisplatinkumapaclitaxel.Gabaɗaya, cututtuka daban-daban suna zaɓar magunguna daban-daban.Bugu da ƙari, ana iya kula da masu ciwon daji tare da magungunan kwayoyin da aka yi niyya, irin su erlotinib, osimertinib, cetuximab da sauran magunguna.

Magungunan rigakafin ƙwayar cuta na yau da kullun waɗanda ke haifar da CIPN sun haɗa daPaclitaxel, Platinum, Vinblastine,Methotrexate, Fluorouracil, Ifosfamide,Cytarabine, Fludarabine, thalidomide,Bortimiazoleda sauransu.

Paclitaxel yana amfani da haɓakar haɓakar jijiyoyi don rage ko juyar da neurotoxicity;cisplatin yana amfani da rage glutathione da amifostine don hana neuropathy da ya haifar da shi;oxaliplatin baya tuntuɓar motsa jiki mai sanyi yayin amfani don hana haɓakar sanyi daga shafar jijiyoyi na gefe Ƙarfafawa, yin amfani da cakuda calcium-magnesium na iya rage abin da ya faru da tsananin alamun cututtukan neurotoxicity, da jinkirta faruwar tarin neuropathy;ifosfamide zai iya zaɓar methylene blue don hana neurotoxicity;amfani da thiamine don fluorouracil na iya hana jijiyoyi Tasiri mai guba.


Lokacin aikawa: Satumba 15-2020