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Samarium Sm 153 lexidronam ni umuti ukoreshwa mu kuvura uburibwe bw'amagufa buterwa na kanseri yafashe mu magufa. Ubu buvuzi bwihariye buhuza ikintu gifite imirasire (samarium-153) n'ikindi kintu gishakisha amagufa gitanga imirasire yibanda ku duce turimo uburibwe bw'amagufa. Ikoreshwa cyane iyo indi miti igabanya uburibwe itatanze umusaruro uhagije ku bantu barwaye kanseri ikomeye.
Samarium Sm 153 lexidronam ni umuti ukoreshwa mu kuvura indwara zifata amagufa ziterwa na kanseri. Uwo muti ukora nk'igisasu kiyobora, gishakisha ahantu kanseri yafashe mu magufa yawe kandi gitanga imirasire yibanda ku buvuzi. Ubu buryo bufasha abaganga kuvura ahantu henshi harimo uburibwe bw'amagufa mu mubiri wawe wose hamwe n'urushinge rumwe.
Uwo muti ubarirwa mu cyiciro cy'imiti yitwa imiti ikoreshwa mu kuvura indwara zifata amagufa. Iyi miti igamije kwegerana ahantu hagaragara imikorere y'amagufa yiyongereye, niho selile za kanseri zikunda gukura iyo zifashe mu magufa. Samarium-153 ifite imirasire ifite igihe gito cyo kubaho, bivuze ko isenyuka mu buryo bwa kamere igasohoka mu mubiri wawe uko igihe kigenda.
Uyu muti ukoreshwa cyane mu kugabanya uburibwe bw'amagufa ku bantu barwaye kanseri yafashe ahantu henshi mu magufa. Bifasha cyane abarwayi bafite kanseri ya prostate, ibere, ibihaha, cyangwa impyiko zafashe mu magufa. Muganga wawe ashobora kugusaba ubu buvuzi iyo urimo guhura n'uburibwe bw'amagufa bukomeye kandi indi miti itagize icyo igufasha.
Ubu buvuzi bufite agaciro cyane kuko bushobora kuvura ububabare mu ngingo zawe zose icyarimwe. Aho kuvura ahantu hose hababaza mu magufa ukwaho, uyu muti ushobora kuvura ahantu henshi icyarimwe. Ibi bituma biba uburyo bwiza ku bantu bafite kanseri ibabaza mu magufa ahantu hatandukanye.
Abaganga bamwe kandi bakoresha uyu muti nk'igice cy'uburyo bwagutse bwo kuvura ububabare. Ushobora gufatanya n'ubundi buvuzi nk'imirasire yo hanze, imiti igabanya ububabare, cyangwa ubuvuzi bwa hormone kugira ngo bitange ubuvuzi bwuzuye ku bubabare bwa kanseri mu magufa.
Uyu muti ukora wohereza imirasire yihariye ahantu kanseri yagize ingaruka ku magufa yawe. Iyo imaze guterwa mu maraso yawe, umuti ushakisha amagufa ujyana samarium-153 ifite imirasire ahantu hari ibikorwa byinshi by'amagufa. Inzeli za kanseri mu magufa zikora amagufa menshi kurusha ibice by'umubiri bizima, ibi bituma biba intego zisanzwe z'ubu buvuzi.
Samarium-153 ifite imirasire itanga ibice bya beta bigenda intera ngufi cyane mu mubiri wawe. Ibi bivuze ko imirasire igira ingaruka cyane cyane ku gace gakikije inzeli za kanseri, bigabanya kwangirika kw'ibice by'umubiri bizima biri hafi. Imirasire yibanze ifasha kugabanya ububabare mugihe yibanda ku nzeli za kanseri n'inzira zishyushye zikora mu magufa yawe.
Ibi bifatwa nk'uburyo bwo kuvura bufite imbaraga ziringaniye. Nubwo bitari bikomeye nk'ubundi buvuzi bwa imirasire, biribanda kurusha imiti ya chemotherapy ikoreshwa mu mubiri wose. Urutonde rw'imirasire rurabarwa neza hashingiwe ku miterere yawe yihariye n'ubuzima bwawe muri rusange.
Uyu muti utangwa nk'urushinge rumwe mu urugingo rw'imitsi, akenshi mu bitaro cyangwa ahantu havurirwa indwara zidasanzwe. Ntabwo bisaba ko wiyiriza mbere yo guterwa urushinge, ariko muganga wawe ashobora kugusaba kunywa amazi menshi mbere na nyuma yo kuvurwa kugira ngo bifashe impyiko zawe gutunganya umuti. Uru rushinge ubwarwo akenshi bifata iminota mike.
Mbere yo guterwa urushinge, ugomba gusukura inkari zawe rwose. Ibi bifasha kugabanya imirasire ku mpyiko zawe n'izindi ngingo zikwegereye. Itsinda ryawe ry'ubuzima rizagusobanurira amabwiriza yihariye yerekeye ingamba zo kwirinda imirasire nyuma yo kuvurwa.
Urashobora kurya uko bisanzwe mbere na nyuma yo guterwa urushinge. Abaganga bamwe basaba ko uguma ufite amazi ahagije unywa amazi menshi mu minsi ikurikira kuvurwa. Ibi bifasha umubiri wawe gukuraho ibikoresho bya radiyoactive neza binyuze mu nkari zawe.
Ubu buvuzi akenshi butangwa ku buryo umuntu avurirwa hanze y'ibitaro, bivuze ko ushobora gutaha uwo munsi. Ariko, ugomba gukurikiza amabwiriza yihariye yo kwirinda kugira ngo urinde abagize umuryango wawe n'abandi ku kwegerwa n'imirasire, cyane cyane mu minsi mike nyuma yo kuvurwa.
Abantu benshi bakira ubu buvuzi nk'urushinge rumwe, nubwo bamwe bashobora gukenera urundi rushinge nyuma y'amezi menshi. Samarium-153 ya radiyoactive ikomeza gukora mu mubiri wawe mu byumweru byinshi nyuma yo guterwa urushinge, igenda igabanuka uko ibikoresho bya radiyoactive bisenyuka mu buryo busanzwe.
Muganga wawe azakurikiza uko witwara ku buvuzi n'imibare y'amaraso mu byumweru n'amezi akurikira. Niba urushinge rwa mbere rutanga ubufasha bwiza ku mubabaro, ntushobora gukenera izindi nshuro zo kuvurwa. Ariko, niba umubabaro ugarutse cyangwa utaragenzurwa neza, muganga wawe ashobora kugusaba urundi rushinge nyuma y'uko imibare y'amaraso yawe yagarutse.
Igihe cyo gutegereza hagati y'imiti, niba bikenewe, ni byibuze amezi 2-3. Ibi bituma umushongi wawe w'amagufa ukira ingaruka zatewe n'imirasire kandi imibare y'uturemangingo tw'amaraso ikagaruka ku rwego ruzewe. Muganga wawe azakoresha ibizamini by'amaraso n'ububabare bwawe kugira ngo amenye niba kandi igihe cyo kongera imiti byaba bifasha.
Kumenya ingaruka zishobora guterwa birashobora kugufasha kwitegura imiti no kumenya icyo witegura. Ingaruka nyinshi zishobora gucungwa kandi ni iz'igihe gito, nubwo zimwe zisaba gukurikiranwa neza n'ikipe yawe y'ubuzima.
Ingaruka zisanzwe zirimo kongera ububabare bw'amagufa by'igihe gito, umunaniro, na isesemi. Ibi bikunda kubaho mu minsi mike ya mbere nyuma yo kuvurwa kandi akenshi bikora byonyine. Muganga wawe ashobora kwandika imiti kugira ngo ifashe gucunga ibi bimenyetso niba bibaye bibi.
Ingaruka zifitanye isano n'amaraso nazo zirakunda kubaho kandi zisaba gukurikiranwa:
Muganga wawe azakurikiranira hafi imibare y'amaraso yawe buri gihe kugira ngo yemeze ko iguma mu ntera yizewe kandi ikire neza uko igihe kigenda.
Ingaruka zitabaho cyane ariko zikomeye zirimo kugabanuka cyane kw'imibare y'uturemangingo tw'amaraso, indwara zikomeye, cyangwa kuva amaraso cyane. Ibi ni bike ariko bisaba ubufasha bwihuse bw'abaganga niba bibaye. Ikipe yawe y'ubuzima izasobanura ibimenyetso byo kwitondera no kumenya igihe cyo kubahamagara.
Abantu bamwe baragira ububabare bw'amagufa bwiyongera by'igihe gito mu minsi mike ya mbere nyuma yo kuvurwa, akenshi bita
Ubu buvuzi ntibukwiriye buri wese, kandi muganga wawe azasuzuma neza niba bifite umutekano ku miterere yawe yihariye. Indwara zimwe na zimwe n'ibihe bituma uyu muti udakwiriye cyangwa ushobora guteza akaga.
Abantu bafite umubare muto cyane w'uturemangingo tw'amaraso ntibagomba guhabwa ubu buvuzi. Uyu muti ushobora gukomeza kugabanya umubare w'uturemangingo tw'amaraso, bishobora gutera ibibazo bikomeye nk'indwara zikomeye cyangwa kuva amaraso bikabije. Muganga wawe azagenzura umubare w'uturemangingo tw'amaraso yawe mbere yo kuvurwa kugirango yemeze ko bihagije.
Uyu muti ntusabwa ku bantu bafite:
Muganga wawe azatekereza kandi ku buzima bwawe muri rusange, imiti indi urimo gufata, n'imiterere ya kanseri yawe yihariye mugihe cyo kumenya niba ubu buvuzi bukugirira akamaro.
Imyaka yonyine ntikuraho umuntu mu kuvurwa, ariko abantu bakuze bashobora gukenera gukurikiranwa neza kubera ko bishobora gutinda kugaruka kw'uturemangingo tw'amaraso. Itsinda ryawe ry'ubuvuzi rizagereranya inyungu zishoboka n'ibibazo ku miterere yawe yihariye.
Uyu muti uzwi cyane ku izina ry'ubwoko rya Quadramet. Izina rusange, samarium Sm 153 lexidronam, ni rirerire kandi ririmo ubuhanga, bityo abaganga n'abarwayi bakunze kwita ku izina ry'ubwoko bwawo kugirango byoroshye.
Quadramet ikorwa n'inganda zikora imiti kandi ntishobora kuboneka mu bitaro byose bivura. Muganga wawe azagufasha gushaka ikigo gishobora gutanga ubu buvuzi niba busabwa kubera uko urwaye.
Ubuvuzi butandukanye bushobora gufasha kugabanya ububabare bw'amagufa buturuka kuri kanseri, nubwo buri bumwe bufite inyungu n'ibitekerezo bitandukanye. Muganga wawe azagufasha gusobanukirwa uburyo bwiza bushobora gukora neza kubera uko urwaye.
Izindi miti ikoresha imirasire irimo radium-223 (Xofigo), yemejwe by'umwihariko kuri kanseri ya prostate yafashe amagufa. Strontium-89 (Metastron) ni ubundi buvuzi bukoresha imirasire bugamije amagufa, nubwo bukoreshwa gake ugereranije na samarium-153.
Izindi miti itakoresha imirasire irimo:
Muganga wawe azatekereza ibintu nk'ubuzima bwawe muri rusange, ubwoko bwa kanseri, urugero amagufa yafashwe, n'ubuvuzi bwakozwe mbere mugihe asaba uburyo bwiza bwo kugabanya ububabare bw'amagufa yawe.
Imiti yombi ifite akamaro mugufasha kuvura ububabare bw'amagufa buturuka kuri kanseri, ariko ikora mu buryo butandukanye kandi yemejwe kubera ibibazo bitandukanye. Guhitamo hagati yazo biterwa n'ubwoko bwa kanseri yawe n'uko urwaye.
Radium-223 (Xofigo) yemejwe byihariye ku kanseri ya prostate yaguye mu magufa kandi ishobora gufasha abantu kubaho igihe kirekire. Itangwa mu nshinge nyinshi mu gihe cy'amezi menshi. Ku rundi ruhande, Samarium-153 yemejwe ku bwoko butandukanye bwa kanseri yaguye mu magufa kandi isanzwe itangwa mu nshinge imwe.
Muganga wawe azatekereza ku bintu nk'ubwoko bwa kanseri yawe, ubuzima muri rusange, imiti wahawe mbere, n'intego z'imiti igihe afata icyemezo cy'umuti ushobora kuba ukwiriye kurushaho. Byombi birashobora kugira akamaro, ariko guhitamo neza bitandukanye ku muntu ku giti cye.
Abantu barwaye indwara zikomeye z'impyiko muri rusange ntibagomba guhabwa ubu buvuzi kuko impyiko zabo zishobora kutabasha gukuraho ibikoresho bya radiyo neza. Ibi bishobora gutuma bahura n'imirasire igihe kirekire kandi bikongera ibyago byo kugira ingaruka mbi.
Niba ufite ibibazo byoroheje kugeza ku bikomeye by'impyiko, muganga wawe ashobora gutekereza kuri ubu buvuzi ariko azagukurikiranira hafi. Bashobora guhindura urugero rw'umuti cyangwa gufata ingamba zinyongera kugira ngo barebe ko umuti ukorwa neza n'umubiri wawe.
Kubera ko uyu muti utangwa n'abanyamwuga bo mu buvuzi ahantu hacungwa, gufata umuti ku buryo butunganye ntibishoboka cyane. Urugero rw'umuti rubarwa neza hashingiwe ku gipimo cy'umubiri wawe n'uburwayi bwawe, kandi inshinge zitegurwa kandi zigatangwa n'abahanga babihuguriwe.
Niba ufite impungenge ku rugero wahawe, vugana n'umuganga wawe ako kanya. Barashobora gusuzuma amateka yawe y'ubuvuzi no gukemura impungenge zose ushobora kuba ufite ku bwinshi bw'umuti wahawe.
Ibi bisanzwe ntibibaho kuko uyu muti akenshi utangwa nk'urushinge rumwe mu kigo cy'ubuzima. Niba waraburiwe umwanya wagenewe kuvurwa, hamagara ibiro bya muganga wawe vuba bishoboka kugira ngo wongere uteganyirizwe.
Niba waragombaga guhabwa urushinge rukurikira kandi ukabura umwanya, muganga wawe azagomba gusuzuma uko umeze ubu n'imibare y'amaraso mbere yo kumenya igihe cyiza cyo kuvurwa.
Kubera ko ubu busanzwe ari ubuvuzi bumwe, ntugomba "guhagarika gufata" mu buryo busanzwe. Ibikoresho bya radiyo bikora mu buryo bwa kamere kandi bigasohoka mu mubiri wawe mu byumweru byinshi nyuma yo guterwa urushinge.
Ariko, uzakenera gukurikiza ingamba zo kwirinda radiyo mu minsi myinshi nyuma yo kuvurwa. Itsinda ryawe ry'ubuzima rizatanga amabwiriza yihariye yerekeye igihe izi ngamba zishobora guhagarikwa, akenshi nyuma y'icyumweru kimwe igihe urwego rwa radiyo rugabanutse cyane.
Abantu benshi batangira kubona ko ububabare bugabanuka mu byumweru 1-4 nyuma yo guterwa urushinge, nubwo bamwe bashobora kubona impinduka mbere cyangwa nyuma. Ingaruka zose z'ubuvuzi ntizishobora kugaragara mu byumweru byinshi kuko radiyo ikomeza gukora ku ngirangingo za kanseri mu magufa yawe.
Abantu bamwe baragira ububabare bw'agateganyo mu magufa mu minsi mike ya mbere nyuma yo kuvurwa mbere yo gutangira koroherwa. Ibi ni ibisanzwe kandi akenshi bigaragaza ko umuti ukora. Muganga wawe ashobora gutanga imiti igabanya ububabare kugira ngo ifashe gucunga ibibazo byose by'agateganyo muri iki gihe.