
Ukukhululwa konyango oluzinzileyo lonikezelo lwamachiza lubonelela ngendlela yoguqulo kulawulo lwamayeza, lubonelela ngamanqanaba angaguqukiyo amachiza kwithuba elongeziweyo. Eli nqaku liphonononga iindlela, izibonelelo, izicelo, kunye nezalathiso zexesha elizayo ze Ukukhutshwa okuzinzileyo konyango lokuhanjiswa kweziyobisi, ukujongana neengqwalasela eziphambili kwizigulane kunye nabasebenzi bezempilo.
Iinkqubo ezahlukeneyo ziququzelela ukukhutshwa okuzinzileyo kokunikezelwa kweziyobisi. Iinkqubo zematrix, umzekelo, zibandakanya ichiza ngaphakathi kwe-polymeric matrix ethi ngokuthe ngcembe ikhukulise okanye ithobeke, ikhuphe iyeza ngesantya esilawulwayo. Iisistim zamanzi, kwelinye icala, zigquma iyeza ngaphakathi kwenwebu, evumela ukukhutshwa okulawulwa yi-diffusion. Ezi nkqubo zibonelela ngoncedo olwahlukileyo olusekwe kwiipropathi zamachiza kunye neeprofayili ezifunwayo zokukhupha. Ukhetho lwenkqubo luchaphazela kakhulu ubude bexesha kunye nokungaguquguquki kokuhanjiswa kweziyobisi. Ukuqonda ezi ndlela kubalulekile ekulungiseleleni unyango ngokweemfuno zesigulana ngasinye.
Izinto ezininzi ziphembelela ukukhululwa kwe kinetics yamachiza ukusuka Ukukhutshwa okuzinzileyo kweenkqubo zokuhanjiswa kweziyobisi. Ezi ziquka iimpawu ze-physicochemical yeziyobisi (i-solubility, permeability), iimpawu ze-polymer (izinga lokuhla, i-porosity), kunye noyilo lwenkqubo (ubukhulu, imilo, ijometri). Ukulawulwa ngokuchanekileyo kwezi zinto kubalulekile ukufezekisa umphumo ofunekayo wonyango ngelixa unciphisa imiphumo emibi. Ubuchule bokumodela obukwinqanaba eliphezulu buya kusetyenziswa ngakumbi ukuqikelela kunye nokwandisa iiprofayili zokukhupha ichiza.
Enye inzuzo enkulu ye Ukukhutshwa okuzinzileyo konyango lokuhanjiswa kweziyobisi kuphuculwe ukuthotyelwa kwezigulane. Ukuncitshiswa kokuphindaphinda kwedosi kuthetha ukuba abaguli abanakufane baphoswe ngamayeza, okukhokelela kwiziphumo ezingcono zonyango. Oku kuluncedo ngakumbi kwiimeko ezingapheliyo ezifuna amayeza exesha elide. Ukulungeleka kwedosi kaninzi kwandisa kakhulu ukubambelela kwiirejimeni zonyango.
Ngokugcina amanqanaba angatshintshiyo amachiza, ukukhutshwa okuzinzileyo kokunikezelwa kweziyobisi inokunciphisa ukugxilwa kwe-plasma ephezulu, ngaloo ndlela inciphisa izehlo kunye nobukhulu beziphumo ezibi. Oku kubaluleke ngakumbi kumachiza anezalathisi zonyango ezimxinwa, apho ukuguquguquka kumanqanaba eplasma kunokuba yingozi. Iprofayili yokukhululwa elawulwayo ivumela ukuhanjiswa kweziyobisi okujoliswe kuyo, ukunciphisa ukuvezwa kwenkqubo kunye neziphumo ebezingalindelekanga ezinxulumene nazo.
Ukugcina ugxininiso lwamachiza onyango phakathi koluhlu olufanelekileyo ixesha elongeziweyo kunokuphucula kakhulu ukusebenza konyango. Oku kunokukhokelela ekuphuculeni ulawulo lwezifo kunye neziphumo ezingcono zesigulane. Ngokomzekelo, kunyango lomhlaza, ukukhutshwa okuzinzileyo kokunikezelwa kweziyobisi inokuphucula ukusebenza kwe-chemotherapy ngokubonelela ngokutyhileka okuqhubekayo kwiiseli zomhlaza.
Ukukhululwa konyango lokunikezelwa kweziyobisi ubonise isithembiso esibalulekileyo kunyango lomhlaza. Ivumela ukuhanjiswa okujoliswe kuyo kwee-agent ze-chemotherapeutic ngqo kwindawo ye-tumor, ukunciphisa ubuthi benkqubo. Le ndlela iye yaziguqula iindlela zonyango lwemihlaza emininzi, iphucula amazinga okuphila kunye nomgangatho wobomi.
Kulawulo lweswekile, Iinkqubo zokuhanjiswa kwe-insulin ezizinzileyo baye baguqula iindlela zonyango, ukubonelela ngeepatheni zokukhululwa kwe-insulin ye-physiological kunye nokuphucula ulawulo lwe-glycemic. Ezi nkqubo zibonelela ngokuphuculwa okubalulekileyo ekulawuleni amanqanaba eglucose yegazi xa kuthelekiswa nenaliti ye-insulin yemveli.
Kwiimeko ezibuhlungu ezingapheliyo, ukukhutshwa okuzinzileyo kokunikezelwa kweziyobisi inika isiqabu esisebenzayo sokuthomalalisa iintlungu kunye neziphumo ebezingalindelekanga ezimbalwa xa kuthelekiswa neendlela eziqhelekileyo ezikhutshwa kwangoko. Oku kunika izigulane intuthuzelo eyandisiweyo kunye nokuphucula umgangatho wobomi.
Intsimi ye ukukhutshwa okuzinzileyo kokunikezelwa kweziyobisi iyakhula rhoqo. Inkqubela phambili kwi-nanotechnology, biomaterials, kunye neenkqubo zokuhanjiswa kweziyobisi zithembisa ukunyusa ngakumbi ukusebenza kweziyobisi kunye nokhuseleko. Iindlela zamayeza obuqu nazo ziyaphononongwa, zilungelelanisa iinkqubo zokuhanjiswa kwechiza ngokweemfuno zesigulana ngasinye ngokusekwe kwimfuzo nakwimiba yemetabolism. Ukudityaniswa kweetekhnoloji ezihlakaniphile, ezifana ne-sensor kunye ne-actuators, zithembisa ukuqhubela phambili ukukhululwa kweziyobisi kunye nokubeka iliso kwimpendulo yonyango ngexesha langempela.
Ukukhululwa konyango lokunikezelwa kweziyobisi imele inkqubela phambili ebalulekileyo kwinzululwazi yoxubo-mayeza. Izibonelelo zayo, kubandakanywa ukuthotyelwa kwesigulane esiphuculweyo, ukunciphisa iziphumo ebezingalindelekanga, kunye nokuphucula ukusebenza konyango, kuyenza ibe yindlela ebalulekileyo yokunyanga izifo ezahlukeneyo. Uphando oluqhubekayo kunye nemizamo yophuhliso iyaqhubeka nokwandisa izicelo zayo kunye nokuphucula ukusebenza kwayo.
Ngolwazi oluthe vetshe ngophando lomhlaza kunye nonyango, nceda undwendwele IZiko loPhando ngoMhlaza laseShandong Baofa.
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