NICE yakakurudzira kekutanga mushonga mutsva unogona kubatsira vacheche, vana nevechidiki vari kurapwa kenza kuti vasanzwe zvakanaka.
Cisplatin mushonga une simba wekurapa kenza yevana unoshandiswa zvakanyanya kurapa mhando dzakasiyana dzekenza dzevana. Nekufamba kwenguva, cisplatin inogona kuungana munzeve yemukati uye kukonzera kuzvimba nekukuvadzwa kunozivikanwa se ototoxicity, inova imwe yezvikonzero zvekurasikirwa nekunzwa.
Chinyorwa chekupedzisira chinokurudzira kushandiswa kwe anhydrous sodium thiosulfate, inozivikanwawo sePedmarqsi uye inogadzirwa neNorgine, kudzivirira kurasikirwa nekunzwa kunokonzerwa ne cisplatin chemotherapy muvana vane mwedzi mumwe kusvika kumakore gumi nemanomwe vane bundu rakaoma risina kupararira kune dzimwe nhengo dzemuviri.
Vana vanosvika 60% vanorapwa ne cisplatin vacharasikirwa nekunzwa zvachose, uye nyaya itsva 283 dzekurasikirwa nekunzwa kwakakonzerwa ne ototoxic dzakaonekwa muvana vari pasi pemakore 18 muEngland pakati pa2022 na2023.
Mushonga uyu, unopihwa nemukoti kana chiremba semushonga, unoshanda nekusunga cisplatin iyo isina kutorwa nemasero uye wovhara kushanda kwayo, nokudaro uchidzivirira kukuvara kwemasero enzeve. Kushandiswa kwe sodium thiosulfate anhydrous hakukanganisi kushanda kwe cisplatin chemotherapy.
Zvinofungidzirwa kuti mugore rekutanga rekurudziro yekushandiswa kweanhydrous sodium thiosulfate, vana nevechidiki vanosvika mamiriyoni makumi matanhatu muEngland vachakodzera kugamuchira mushonga uyu.
Kurasikirwa nekunzwa nekuda kwekurapwa kwegomarara kunogona kukanganisa vana nemhuri dzavo, saka tinofara kuti tinogona kukurudzira nzira iyi itsva yekurapa.
Uyu ndiwo mushonga wekutanga wakaratidzwa kuti unodzivirira nekuderedza migumisiro yekurasikirwa nekunzwa uye uchava nemhedzisiro yakakura pahupenyu hwevana nevechidiki.
Helen akaenderera mberi achiti: “Kurudziro yedu yekurapwa uku kunoratidza kuzvipira kweNICE pakutarisa pane zvinonyanya kukosha: kupa rubatsiro rwakanakisisa kuvarwere nekukurumidza uye kuona kuti muridzi wemitero anowana kukosha kwakanaka.”
Ruzivo rwakabva mumiedzo miviri yekiriniki rwakaratidza kuti kurapwa kwacho kwakaderedza nehafu yehuwandu hwekurasikirwa nekunzwa muvana vakapihwa cisplatin chemotherapy. Imwe ongororo yekiriniki yakawana kuti vana vakapihwa cisplatin chemotherapy yakateverwa ne anhydrous sodium thiosulfate vaive nehuwandu hwekurasikirwa nekunzwa hwe32.7%, zvichienzaniswa nehuwandu hwe63% hwekurasikirwa nekunzwa muvana vakapihwa cisplatin chemotherapy chete.
Mune imwe ongororo, 56.4% yevana vakagamuchira cisplatin chete vakarasikirwa nekunzwa, zvichienzaniswa ne28.6% yevana vakagamuchira cisplatin ichiteverwa neanhydrous sodium thiosulfate.
Miedzo iyi yakaratidzawo kuti kana vana vakarasikirwa nekunzwa, kazhinji kacho zvaisanyanya kuipa kune avo vaishandisa anhydrous sodium thiosulfate.
Vabereki vakaudza komiti yakazvimirira yeNICE kuti kana kurasikirwa nekunzwa kukaitika nekuda kwemishonga yekurapa inonzi cisplatin chemotherapy, zvinogona kukanganisa kukura kwekutaura nemutauro, pamwe nekushanda zvakanaka kuchikoro nekumba.
Tinofara kuzivisa kuti mushonga uyu unoshamisa uchashandiswa kuvarwere vechidiki vari kurapwa kenza kudzivirira kurasikirwa nekunzwa nekuda kwemishonga yekurapa inonzi cisplatin chemotherapy.
Ralph akaenderera mberi achiti: “Tinotarisira kuona mushonga uyu muzvipatara munyika yese uye tinotarisira kuti vana vese vanogona kubatsirwa nawo vachakurumidza kuwana mushonga uyu unoponesa hupenyu. Tinotenda vatsigiri vedu nerubatsiro rwavo, izvo zvakaita kuti RNID ipe NICE mazano akakosha nehumbowo hwekubatsira kuita kuti mushonga uyu uwanikwe zvakanyanya muUK yese. Iyi ndiyo nguva yekutanga kuti mushonga ugadziriswe kudzivirira kurasikirwa nekunzwa uye unokurudzirwa kushandiswa paNHS. Iyi inhanho inokosha ichapa avo vanoisa mari mukurapa kurasikirwa nekunzwa chivimbo chekuti vanogona kubudirira kuunza mushonga kumusika.”
Kurapa uku kuchawanikwa paNHS muEngland mukati memwedzi mitatu kubva pakaburitswa gwara rekupedzisira reNICE.
Kambani iyi yapinda muchibvumirano chekutengeserana chakavanzika chekupa anhydrous sodium thiosulfate kuNational Health Service nemutengo wakaderera.