Chirwere cheropa
Gomarara rechiropa rinowanzoita vascular-rich bundu, uye bundu tsinga dzeropa dzinoita basa rakakosha mukukura kwegomarara rechiropa. Naizvozvo, iko zvino kwakanangwa kurapwa kwegomarara rechiropa kunoitwa kutenderedza anti-angiogenesis. Anti-angiogenesis kurapa idanho rakakosha mukurapa kwegomarara rechiropa.
SVIKIRA 2 MIEDZO
Muyedzo weREACH-2 unoitwa pahwaro hwemuyedzo weREACH. Muzvinafundo wekuChina wekuAmerica Muzvinafundo Andrew X. Zhu wekuchipatara cheMassachusetts chakabatana neHarvard University kuUnited States anoshanda sePI yepasi rose. For the gomarara rechiropa varwere vakakundikana kubata Sorafenib, kuenzanisa Ramucirumab kwakasiyana ne placebo muhutano hwechipiri-mutsara wekurapa, asi muedzo hauna kuwana zvinotarisirwa. Asi kuongororwa kwayo kweboka kunoratidza kuti varwere vane AFP (alpha-fetoprotein) vanopfuura 400 ng / ml vanogona kubatsirwa neRamucirumab kurapwa. Naizvozvo, Muzvinafundo Zhu akatungamira muyedzo weREACH-2 uye akawana kuti Ramucirumab inobatsira varwere mune zvese mukupona uye kufambira mberi-pasina nguva yekupona kana ichienzaniswa ne placebo. Muedzo uyu une kukosha kwekuita epoch, uye zvakare unoratidza kuti mumutsara wechipiri kurapwa kwegomarara rechiropa, anti-angiogenesis kurapwa ne macromolecular monoclonal antibodies inogona kuwana mabhenefiti ekupona ane chinangwa.
Parizvino, oxaliplatin yakabvumidzwa seyakajairwa chirongwa chekurapa munyika dzese dzemumba neEuropean. Pamishonga midiki-morekuru yakanangwa, sorafenib nelenvatinib zvinogona kushandiswa pakurapa mutsara wekutanga, uye regorafenib necarbotinib zvinoshandiswa pakurapa kwemutsara wechipiri. Kune mahombe-morekuru zvinodhaka, Nivolumab uye Ramucirumab ese ari maviri Sarudza mishonga.
Mukuwedzera, vazhinji vane kenza yechiropa vane hepatitis, uye murwere mumwe chete, nhengo imwechete panguva imwe chete, kune zvirwere zviviri zvakasiyana zvachose. Imwe mhando chirwere chechiropa chakakosha, kusanganisira hepatitis, ingave hutachiona hwehepatitis, kana doro rechiropa chirwere, mafuta echiropa, cirrhosis, panogona kunge paine kusashanda kwechiropa uye mamwe matambudziko. Chikamu chechipiri ndechegomarara rechiropa repamusoro. Zvirwere zviviri izvi zvinobata mumwe nemumwe uye zvinogadzira denderedzwa rakashata. Nokudaro, zvinodikanwa kupa kunyatsofungisisa kuongororwa uye nzira yekurapa, kudzivirira kurasikirwa kweumwe neumwe. Mumakore achangopfuura, zvave zvichitsigirwa kuti kurapa antiviral uye kurapwa kwekudzivirira chiropa kuitwe panguva imwe chete. Uku ndiko kumwe kufambira mberi kwakaitwa mukurapa gomarara rechiropa.