Ekitongore kya NICE kihaire obuhabuzi omurundi gw’okubanza aha bujanjabi obusya oburikubaasa kuhwera abaana abato, abaana n’eminyeeto abarikutunga obujanjabi bwa kansa okwetantara okuhurira.
Cisplatin n’omubazi gw’amaani ogurikukoresibwa munonga omu kujanjaba emiringo mingi ya kansa y’abaana. Obwire ku burikuhinguraho, cisplatin neebaasa kweyongyera omu matu g‘omunda kandi ereete okuzimba n‘okushiisha okurikumanyirwa nka ototoxicity, ekimwe aha birikureetaho okuhurira kubi.
Ebiteiso by‘aha muheru nibihabura ngu bakozese omubazi ogutarimu maizi ogwa sodium thiosulfate, ogurikumanyirwa nka Pedmarqsi kandi ogurikukorwa Norgine, okuzibira okuhurira okurikureetwaho obujanjabi bwa cisplatin omu baana b‘emyaka y‘okwezi 1 kuhika 17 abaine ebizimba ebigumire ebitakajanjaire omu bicweka ebindi eby‘omubiri.
Abaana nka 60% abarikujanjabwa na cisplatin nibaija kutunga obuzibu bw‘okuhurira obutahwaho, n‘abantu 283 abasya abaine obuzibu bw‘okuhurira obutwa ototoxic bakakyeberwa omu baana abari ahansi y‘emyaka 18 omuri Bungyereza ahagati ya 2022 na 2023.
Omubazi ogu ogurikuheebwa omurwaire nari omushaho nk’omubazi gw’okuta omu mubiri, nigukora gurikukwatiraine na cisplatin etakatwairwe obutafaari kandi gukazibira okukora kwayo, obwo gukazibira obutafaari bw’amatu kushiisha. Okukozesa sodium thiosulfate etaine maizi tikirikuteganisa oburungi bw‘okujanjaba kwa cisplatin.
Nikiteekateekwaho ngu omu mwaka gw’okubanza ogw’okuhabura ngu abantu bakorese omubazi ogu ogutarimu maizi ogwa sodium thiosulfate, abaana n’eminyeeto abarikuhika miriyooni 60 omuri Bungyereza nibaija kutunga omubazi ogu.
Okubura okuhurira ahabw‘okujanjaba endwara ya kansa nikibaasa kukwata munonga aha baana n‘amaka gaabo, n‘ahabw‘ekyo twine okushemererwa ahabw‘okubaasa kuhabura aha nkora egi ey‘okujanjaba ey‘obuhanguzi.
Ogu n‘omubazi gw‘okubanza oguhamibwe ngu niguzibira n‘okukyendeeza aha bizibu by‘okuhurira kandi nigwija kugira eki gwakora aha magara g‘abaana n‘eminyeeto.
Helen akagumizamu ati: “Okuhabura kwaitu aha bujanjabi obu obusya nikyoreka ngu NICE eyehaireyo kuta omutima aha kikuru munonga: okuhitsya obujanjabi oburungi aha barwaire omu bwangu n’okuhamya ngu omushoro gwatunga sente nungi.”
Ebihandiiko kuruga omu kucondooza kwa kabiri okwakozirwe aha irwariro nibyoreka ngu obujanjabi obu bukakyendeeza haihi kimwe kya kabiri ky‘omubaro gw‘okuhurira omu baana abatungire obujanjabi bwa cisplatin. Okucondooza kumwe okwakozirwe aha irwariro kukashanga ngu abaana abatungire obujanjabi bwa cisplatin bwanyima y‘okutunga obujanjabi bwa anhydrous sodium thiosulfate bakaba baine omubaro gw‘okuhurira 32.7%, kugyeragyeranisa n‘omubaro gw‘okuhurira 63% omu baana abatungire obujanjabi bwa cisplatin bonka.
Omu kucondooza okundi, 56.4% b‘abaana abatungire cisplatin bonka bakatunga obuzibu bw‘okuhurira, kugyeragyeranisa n‘abaana 28.6% abatungire cisplatin bakuratirwa sodium thiosulfate etarimu maizi.
Okucondooza oku kukooreka ngu abaana baaba baine oburemeezi bw‘okuhurira, okutwarira hamwe kikaba kitari ky‘amaani munonga omu bantu abarikukoresa sodium thiosulfate etaine maizi.
Abazaire bagambiire akakiiko ka NICE akarikwetongora ngu okuhurira kwabaho ahabw‘okukoresa emibazi ya cisplatin, nikibaasa kukwata aha kugamba n‘orurimi, hamwe n‘okukora aha ishomero n‘omu ka.
Nitushemererwa kubamanyisa ngu omubazi ogu ogurikutandikaho nigwija kukoresibwa omu barwaire abato abarikutunga obujanjabi bwa kansa okuzibira okuhurira nk’ekizibu ky’okujanjaba omubazi gwa cisplatin.
Ralph akagumizamu ati: “Nituteekateeka kureeba omubazi ogu omu marwariro omu ihanga ryona kandi twine amatsiko ngu abaana boona abarikubaasa kugugasirwamu nibaija kutunga obujanjabi obu oburikukiza amagara juba. ekikozirwe buzima okuzibira okuhurira kandi nikihaburwa ngu kikoresibwe aha NHS Eki n‘ekintu kikuru ekiraahe abo abarikuta sente omu n‘okukora obujanjabi bw‘okuhurira obwesigye ngu nibabaasa kusingura omu kureetaho omubazi omu katare.”
Obujanjabi obu nibwija kuba buriho aha NHS omuri Bungyereza omu myezi eshatu kuruga obu obuhabuzi bwa NICE obw‘aha muheru bwashohozibwa.
Kampuni egi etaahire omu ndagaano y'eby'obushuubuzi ey'ekihama ey'okuha ekitongore ky'eby'amagara omu ihanga omubazi ogutarimu maizi ogwa sodium thiosulfate aha muheendo mukye.