Whakarāpopototia te tuhinga:  He rongoā whakahirahira, e kiia nei ko te ibrutinib, e "whakatika ana i te mate pukupuku" ka taea te tuku wawe ki nga turoro me etahi momo mate. He whakaahua tūmau. He rongoā whakahirahira e "whakakorehia ana" ana te mate pukupuku ka taea te tuku wawe ki nga turoro me etahi momo o te mate. Mēnā ka whakahaeretia, ka taea e te pire kotahi-i-te-ra, e kiia nei ko te ibrutinib, te whakaora i ngā tūroro mate pukupuku toto i ngā pānga kino o te chemotherapy tuku iho. Ko te Ibrutinib tetahi o nga rongoa hou e waatea ana ma te Cancer Drugs Fund i muri i nga whakamatautau e rua i roto i nga hohipera 28 o Ingarangi i whakaatu he tino whai hua ki te whakaora i te lymphoma pūtau mantle (MCL) me te mate pukupuku lymphocytic roa (CLL). E ai ki te Ahorangi Stephen Devereux, kaitohutohu haematologist i King's College Hospital i Rānana, he momo rongoā hou tēnei, e mōhiotia ana ko Bruton's tyrosine kinase inhibitor. E mahi ana mā te ū ki tētahi pūmua i roto i ngā pūtau mate pukupuku. "Ka mate te rongoā matū i ngā pūtau mate pukupuku engari ka mate hoki i ngā pūtau hauora, nō reira he maha ngā pānga taha", e ai ki a ia. <unk> I te mea e arotahi ana tēnei rongoā ki ngā pūtau B, he iti noa iho ngā pānga taha. Hei taapiri, kaore nga tuuroro e hiahia ki te haere ki te hohipera kia whakahaeretia. <unk> Tata ki te kotahi i roto i nga tāngata 25 ka kitea he mate pukupuku toto i roto i to rātau oranga <unk> ko te 25,000 tāngata ia tau i te UK. I roto i ēnei, 2,800 ka whai CLL, te momo tino noa o te mate pukupuku toto, a 500 ka whai MCL, he momo onge o te B-cell lymphoma. I tēnei wā, he akoranga o te ibrutinib <unk> e utu ana ki te £74,000 ia tau <unk> ka whakahaeretia anake ki ngā tūroro kāore i rongo ki te rongoā matū, ki te hunga rānei kua hoki mai i muri i te rongoā matū. Engari kei te whakahaerehia hoki ngā whakamātautau e whakamahi ana i te rongoā hei rongoā tuatahi. E ai ki a Prof Devereux: <unk>E titiro whakamua ana mātou ki tētahi wā kei mua, kāore anō he rongoā matū, ahakoa kāore anō mātou kia tae atu ki reira. <unk>Ko tēnei rongoā e mau ana i tētahi mate kino, ā, ka meinga kia pai. Ehara i te rongoā <unk> he mate koreutu ēnei mate <unk> engari ka huri i a rātau hei mate taimaha. Kei te mōhio kē mātou ka taea e ia te mahi mō ētahi...
Ka tukuna te Ibrutinib mā te Pūtea Rongoā Mate Mate Mate i muri i ngā whakamātautau e rua. Ko ngā whakamātautau, i roto i ngā hōhipera o Ingarangi e 28, i whakaatu he tino whai hua ki te whakaora i te lymphoma pūtau ārai me te mate pukupuku lymphocytic roa. I tēnei wā, ka whakahaeretia anake te ibrutinib (e 74,000 pauna te utu ia tau) ki ngā tūroro kāore e aro ana te mate ki te rongoā matū.