
Cov lus qhia dav dav no tshawb txog qhov tsis txaus ntseeg ntawm kev kho mob txhawb kev tso tawm tshuaj kho mob, tshuaj xyuas nws cov txheej txheem, cov txiaj ntsig, kev sib tw, thiab cov lus qhia yav tom ntej. Peb delve rau hauv ntau daim ntawv thov, txiav txim siab txog hom tshuaj tshwj xeeb thiab cov neeg mob cov neeg mob, muab kev nkag siab meej txog qhov kev kho tshiab no.
Sustained release drug delivery therapy, tseem hu ua tswj-tso tshuaj xa, yog cov txheej txheem tshuaj tsim los tswj tus nqi ntawm cov tshuaj tso tawm los ntawm nws daim ntawv ntau npaum. Tsis zoo li tam sim-tso formulations qhov twg cov tshuaj tso tawm sai sai, sustained-tso systems aims muab ib tug zoo ib yam thiab ntev kev kho nyhuv nyob rau hauv ib tug ncua sij hawm. Txoj hauv kev no txo qis qhov kev hloov pauv hauv cov tshuaj plasma concentrations, txo qhov zaus ntawm kev tswj hwm thiab muaj peev xwm txhim kho kev ua raws li tus neeg mob. Cov txheej txheem tshwj xeeb koom nrog sib txawv nyob ntawm kev tsim, thiab cov tshuab no yuav koom nrog ntau yam thev naus laus zis xws li matrix systems, reservoir systems, thiab osmotic twj. Lub hom phiaj ntawm qhov kawg yog optimized kho kev ua tau zoo nrog kev txhim kho cov neeg mob cov txiaj ntsig.
Muaj ntau mechanisms underpin lub functionality ntawm sustained tso tawm tshuaj muab kev kho mob. Cov no suav nrog diffusion-tswj tshuab, qhov twg cov tshuaj diffuses los ntawm polymeric matrix; erosion-tswj tshuab, qhov twg matrix nws tus kheej degrades lub sij hawm, tso cov tshuaj; thiab osmotic-tswj tshuab, uas siv osmotic siab los tswj cov tshuaj tso tawm. Kev xaiv ntawm kev siv tshuab thiab thev naus laus zis feem ntau yog kho raws li cov tshuaj tshwj xeeb cov khoom thiab qhov xav tau tso tawm profile.
Los ntawm kev tswj cov qib tshuaj zoo ib yam, sustained tso tawm tshuaj muab kev kho mob feem ntau ua rau cov txiaj ntsig kho tau zoo dua. Cov kev hloov pauv txo qis kom tsawg kawg ob qho kev pheej hmoo ntawm cov qib subtherapeutic (ua rau kev kho tsis ua haujlwm) thiab muaj peev xwm ua rau muaj kev phom sij siab tshaj plaws. Qhov no yog tshwj xeeb tshaj yog zoo rau cov tshuaj nrog ib tug nqaim kho index.
Ib qho txiaj ntsig tseem ceeb tshaj plaws yog txhim kho kev ua raws li tus neeg mob. Qhov txo koob tshuaj ntau npaum li cas cuam tshuam nrog kev tso tawm cov tshuaj ua kom yooj yim rau cov neeg mob ua raws li lawv cov tshuaj noj. Qhov no yog ib qho tseem ceeb rau cov mob uas yuav tsum tau kho mus ntev.
Txawm hais tias tsis yog ib txwm muaj nyob rau txhua qhov kev tso tawm-tso tawm, qee qhov kev tsim kho qib siab suav nrog cov phiaj xwm xa khoom. Cov tshuab no tuaj yeem coj cov tshuaj mus rau cov ntaub so ntswg lossis cov kabmob, yog li ua kom muaj txiaj ntsig zoo tshaj plaws thaum txo cov kev mob tshwm sim hauv lwm qhov ntawm lub cev. Qhov kev tshawb fawb no tsis tu ncua, ua rau kev siv tshiab.
Ntau cov tshuaj siv cov cuab yeej tso tawm kom ruaj khov. Piv txwv suav nrog tab sis tsis txwv rau cov tshuaj kho mob plawv (piv txwv li, qee cov tshuaj beta-blockers), cov tshuaj tua kab mob (xws li, qee yam tshuaj opioid analgesics), thiab tshuaj tiv thaiv kab mob. Qhov kev xaiv ntawm kev xa khoom yog nyob ntawm cov yam ntxwv xws li cov tshuaj physicochemical zog, qhov xav tau kev tso tawm profile, thiab tus neeg mob qhov kev xav tau.
Tsim kom muaj kev ruaj khov thiab txhim khu kev qha-tso tawm qauv tuaj yeem nyuaj. Cov yam ntxwv xws li tshuaj solubility, stability, thiab muaj peev xwm cuam tshuam nrog kev xa khoom yuav tsum tau ua tib zoo xav.
Sustained-tso formulations feem ntau koom nrog ntau txoj kev tsim khoom ntau dua li tam sim-tso tawm, ua rau muaj peev xwm ntau dua.
Txawm hais tias feem ntau muaj txiaj ntsig zoo, cov tshuaj pharmacokinetic thiab cov tshuaj pharmacodynamic ntawm cov tshuaj tiv thaiv-tso tawm tuaj yeem sib txawv nyob ntawm tus neeg mob yam xwm txheej, suav nrog hnub nyoog, metabolism, thiab co-morbidities. Kev saib xyuas kom zoo yog qhov tseem ceeb.
Kev tshawb fawb txuas ntxiv thawb cov ciam teb ntawm sustained tso tawm tshuaj muab kev kho mob. Kev nce qib hauv nanotechnology, biomaterials, thiab implantable devices tau cog lus tias yuav muaj tseeb dua, tsom mus rau, thiab kev siv tshuaj zoo rau yav tom ntej. Qhov no suav nrog kev nce qib hauv biodegradable polymers, stimuli-responsive systems, thiab cov tshuaj kho tus kheej kom haum rau cov neeg mob cov kev xav tau.
Yog xav paub ntxiv txog kev kho mob qog noj ntshav thiab lwm yam kev pabcuam, thov mus saib Shandong Baofa Cancer Research Institute.