
Ukwelashwa kokukhululwa kokulethwa kwezidakamizwa kunikeza indlela eguquguqukayo ekuphathweni kwemithi, okuhlinzeka ngamazinga ezidakamizwa angaguquki esikhathini eside. Lesi sihloko sihlola izindlela, izinzuzo, izinhlelo zokusebenza, nezikhombisi-ndlela zesikhathi esizayo ze ukukhululwa okuqhubekayo kokwelashwa kokulethwa kwezidakamizwa, ebhekelela ukucatshangelwa okubalulekile kweziguli nabasebenzi bezempilo.
Amasistimu ahlukahlukene ayasiza ukulethwa kwezidakamizwa ezikhishwa njalo. Amasistimu e-matrix, isibonelo, ahlanganisa umuthi ngaphakathi kwe-polymeric matrix eguguleka kancane kancane noma ewohlokayo, ikhiphe umuthi ngenani elilawulwayo. Ngakolunye uhlangothi, amasistimu e-reservoir, ahlanganisa umuthi ngaphakathi kolwelwesi, okuvumela ukukhululwa okulawulwa ukusabalalisa. Lawa masistimu ahlinzeka ngezinzuzo ezihlukile ngokusekelwe ezimpahleni zezidakamizwa kanye namaphrofayela okukhishwa afiswayo. Ukukhethwa kwesistimu kuthinta kakhulu ubude besikhathi kanye nokuvumelana kokulethwa kwezidakamizwa. Ukuqonda lezi zindlela kubalulekile ukuze ukwelashwa kuhambisane nezidingo zesiguli ngasinye.
Ziningana izici zithonya kinetics ukukhululwa kwezidakamizwa kusuka amasistimu okulethwa kwezidakamizwa okukhululwa okuqhubekayo. Lokhu kuhlanganisa izici ze-physicochemical zomuthi (ukuncibilika, ukuvuthwa), izici ze-polymer (izinga lokuwohloka, i-porosity), kanye nomklamo wesistimu (usayizi, umumo, ijometri). Ukulawula okunembile kulezi zici kubalulekile ukuze kuzuzwe umphumela wokwelapha ofunekayo kuyilapho unciphisa imiphumela emibi. Amasu okumodela athuthukile aya ngokuya esetshenziswa ukubikezela kanye nokwenza kahle amaphrofayili okukhishwa kwezidakamizwa.
Inzuzo eyodwa enkulu ye ukukhululwa okuqhubekayo kokwelashwa kokulethwa kwezidakamizwa ukuthotshelwa kwesiguli okuthuthukisiwe. Ukuncipha kwemvamisa yokudosa kusho ukuthi iziguli mancane amathuba okuthi ziphuthelwe imithamo, okuholela emiphumeleni engcono yokwelapha. Lokhu kunenzuzo ikakhulukazi ezimeni ezingelapheki ezidinga imithi yesikhathi eside. Ukusebenziseka kalula kokudosa kancane kukhulisa kakhulu ukubambelela ezinhlotsheni zokwelashwa.
Ngokugcina amazinga ezidakamizwa angashintshi, ukulethwa kwezidakamizwa ezikhishwa njalo kunganciphisa ukugxila okuphezulu kwe-plasma, ngaleyo ndlela kunciphise izehlakalo kanye nokuqina kwemiphumela emibi. Lokhu kubaluleke kakhulu emithini enezinkomba zokwelashwa eziwumngcingo, lapho ukuguquka kwamazinga e-plasma kungaba yingozi. Iphrofayili yokukhishwa elawulwayo ivumela ukulethwa kwezidakamizwa okuhlosiwe, ukunciphisa ukuchayeka kwesistimu kanye nemiphumela emibi ehlobene.
Ukugcina ukugxila kwemithi yokwelapha ngaphakathi kwebanga elifanele isikhathi eside kungathuthukisa kakhulu ukusebenza ngempumelelo kokwelapha. Lokhu kungaholela ekulawulweni kwezifo okuthuthukisiwe kanye nemiphumela engcono kakhulu yesiguli. Ngokwesibonelo, ekwelapheni umdlavuza, ukulethwa kwezidakamizwa ezikhishwa njalo ingathuthukisa ukusebenza kwe-chemotherapy ngokunikeza ukuchayeka okuqhubekayo kumaseli omdlavuza.
Ukwelashwa kokulethwa kwezidakamizwa kokukhululwa okuqhubekayo ibonise isithembiso esibalulekile ekwelapheni umdlavuza. Ivumela ukulethwa okuhlosiwe kwama-chemotherapeutic agents ngqo endaweni yesimila, kuncishiswe ubuthi besistimu. Le ndlela iguqule amasu okwelapha emidlavuza eminingana, yenza ngcono amazinga okusinda kanye nezinga lempilo.
Ekulawulweni kwesifo sikashukela, amasistimu okulethwa kwe-insulin aqhubekayo baye baguqula izindlela zokwelapha, banikeza amaphethini okukhululwa kwe-insulin engokomzimba kanye nokwenza ngcono ukulawulwa kwe-glycemic. Lezi zinhlelo zinikeza ukuthuthuka okubalulekile ekulawuleni amazinga kashukela egazini uma kuqhathaniswa nemijovo ye-insulin evamile.
Ezimweni zobuhlungu obungapheli, ukulethwa kwezidakamizwa ezikhishwa njalo inikeza ukukhululeka kobuhlungu okuphumelelayo ngemiphumela engemihle embalwa uma kuqhathaniswa nezakhiwo ezivamile ezikhishwa ngokushesha. Lokhu kunikeza iziguli induduzo eyengeziwe kanye nezinga lempilo elithuthukisiwe.
Inkambu ye ukulethwa kwezidakamizwa ezikhishwa njalo ilokhu ivela njalo. Intuthuko ku-nanotechnology, biomaterials, kanye nezinhlelo zokulethwa kwezidakamizwa zithembisa ukuqhubeka nokuthuthukisa ukusebenza kahle nokuphepha kwezidakamizwa. Izindlela zokwelashwa eziqondene nawe nazo ziyahlolwa, kulungiselelwa izinhlelo zokulethwa kwezidakamizwa nezidingo zesiguli ngasinye ngokusekelwe ezicini zofuzo kanye ne-metabolic. Ukuhlanganiswa kobuchwepheshe obuhlakaniphile, njengezinzwa nama-actuator, kuthembisa ukuqhubekisela phambili ukukhululwa kwezidakamizwa nokuqapha impendulo yokwelapha ngesikhathi sangempela.
Ukwelashwa kokulethwa kwezidakamizwa kokukhululwa okuqhubekayo imele intuthuko enkulu kwisayensi yezemithi. Izinzuzo zayo, okuhlanganisa ukuthobela isiguli okuthuthukisiwe, imiphumela engemihle encishisiwe, kanye nempumelelo yokwelapha ethuthukisiwe, ikwenza kube indlela ebalulekile yokwelapha izifo ezihlukahlukene. Imizamo yocwaningo nentuthuko eqhubekayo iyaqhubeka nokwandisa izinhlelo zayo zokusebenza futhi ithuthukise ukusebenza kwayo.
Ukuze uthole ulwazi olwengeziwe ngocwaningo nokwelashwa komdlavuza, sicela uvakashele I-Shandong Baofa Cancer Research Institute.
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