
Iyi mfashanyigisho yuzuye irasesengura ubuhanga bwa ubuvuzi burambye kurekura imiti yo gutanga imiti, gusuzuma imikorere yacyo, inyungu, imbogamizi, hamwe nicyerekezo kizaza. Twinjiye mubikorwa bitandukanye, urebye ubwoko bwibiyobyabwenge byabantu n’abarwayi, dutanga gusobanukirwa neza nubu buryo bushya bwo kuvura.
Kurekura kuramba kuvura imiti, bizwi kandi ko kugenzura ibiyobyabwenge-bigenzurwa, ni tekinike ya farumasi yagenewe kugena igipimo imiti isohoka muburyo bwa dosiye. Bitandukanye no guhita urekura aho imiti irekurwa vuba, sisitemu irekura-igamije gutanga ingaruka zihoraho kandi ndende zo kuvura mugihe kinini. Ubu buryo bugabanya ihindagurika ry’imiti ya plasma yibiyobyabwenge, bigabanya inshuro zubuyobozi kandi bishobora kuzamura abarwayi kubahiriza. Uburyo bwihariye burimo buratandukanye bitewe nuburyo bwakozwe, kandi sisitemu zishobora kuba zirimo tekinoroji zitandukanye nka sisitemu ya matrix, sisitemu y'ibigega, na pompe osmotic. Intego nyamukuru ni uburyo bwiza bwo kuvura hamwe nibisubizo byabarwayi.
Inzira nyinshi zishimangira imikorere ya gukomeza kurekura imiti itanga imiti. Harimo sisitemu igenzurwa na diffuzione, aho ibiyobyabwenge bitandukana binyuze muri materique polymeric; sisitemu igenzurwa nisuri, aho matrix ubwayo yangirika mugihe, ikarekura ibiyobyabwenge; na sisitemu igenzurwa na osmotic, ikoresha umuvuduko wa osmotic kugirango igenzure ibiyobyabwenge. Guhitamo uburyo na tekinoroji bikunze guhuzwa nimiterere yihariye yibiyobyabwenge hamwe numwirondoro wo kurekura.
Mugukomeza ibiyobyabwenge bihoraho, gukomeza kurekura imiti itanga imiti akenshi biganisha ku kuvura neza. Kugabanuka guhindagurika kugabanya ingaruka ziterwa na subtherapeutique (biganisha ku kunanirwa kuvurwa) hamwe nuburozi bwimpanuka. Ibi ni byiza cyane kubiyobyabwenge bifite indangantego yo kuvura.
Imwe mu nyungu zingenzi ni kunoza kubahiriza abarwayi. Kugabanuka inshuro nyinshi zijyanye no gusohora-kurekura byorohereza abarwayi gukurikiza uburyo bwabo bwo gufata imiti. Ibi nibyingenzi mubihe bidakira bisaba kuvurwa igihe kirekire.
Nubwo atari buri gihe kuranga sisitemu zose zirambye-kurekura, bimwe byateye imbere bikubiyemo uburyo bwo gutanga intego. Izi sisitemu zirashobora kuyobora imiti mubice cyangwa ingingo runaka, bityo bikagabanya ingaruka zo kuvura mugihe hagabanijwe ingaruka mbi mubindi bice byumubiri. Uru rwego rwubushakashatsi rugenda rutera imbere, ruganisha kubikorwa bishya.
Ibiyobyabwenge byinshi bifashisha tekinoroji irekura. Ingero zirimo ariko ntabwo zigarukira gusa kumiti yumutima nimiyoboro (urugero, bimwe mubitera beta-blokers), kugabanya ububabare (urugero, analojique ya opioid), na antipsychotics. Guhitamo uburyo bwo kubyara biterwa nibintu nkibiyobyabwenge bya fiziki ya chimique, umwirondoro wifuza kurekurwa, hamwe n’umurwayi ku giti cye.
Gutezimbere ihamye kandi yizewe irambye-kurekura birashobora kugorana. Ibintu nko kwikuramo ibiyobyabwenge, gutuza, hamwe nubusabane bushobora gutangwa na sisitemu yo kubyara bikeneye kwitabwaho neza.
Kuramba-kurekura kuramba akenshi bikubiyemo ibintu bigoye byo gukora kuruta guhita-kurekura bagenzi babo, biganisha kubiciro byisumbuyeho.
Nubwo muri rusange ari ingirakamaro, imiti ya farumasi na farumasi yimikorere ihoraho-irekura irashobora gutandukana bitewe nimpamvu z'abarwayi ku giti cyabo, harimo imyaka, metabolisme, hamwe n’indwara. Gukurikirana neza ni ngombwa.
Ubushakashatsi bukomeje gusunika imipaka ya gukomeza kurekura imiti itanga imiti. Iterambere muri nanotehnologiya, biomaterial, nibikoresho byaterwa byizeza uburyo bunoze, bugamije, kandi bunoze bwo gutanga ibiyobyabwenge mugihe kizaza. Ibi bikubiyemo iterambere muri polymers biodegradable polymers, sisitemu yo gukangura, hamwe nubuvuzi bwihariye bujyanye nibyo abarwayi bakeneye.
Kubindi bisobanuro bijyanye no kuvura kanseri na serivisi zijyanye nabyo, nyamuneka sura Shandong Baofa Ikigo Cyubushakashatsi Kanseri.