Umoyo wobereka umadutsa m'moyo wathu wonse, womwe bungwe la WHO limauona ngati chimodzi mwa zizindikiro zofunika kwambiri za thanzi la anthu. Pakadali pano, "Umoyo wobereka kwa onse" umazindikirika ngati Cholinga cha Chitukuko Chokhazikika cha UN. Monga gawo lofunika kwambiri la thanzi lobereka, magwiridwe antchito a njira yoberekera, njira zake, ndi ntchito zake ndizofunikira kwa mwamuna aliyense.
01 Zoopsaofmatenda obereketsa
Matenda opatsirana pogonana ndi chiwopsezo chachikulu pa thanzi la kubereka la amuna, zomwe zimayambitsa kusabereka kwa odwala pafupifupi 15%. Amayambitsidwa makamaka ndi Chlamydia Trachomatis, Mycoplasma Genitalium ndi Ureaplasma Urealyticum. Komabe, pafupifupi 50% ya amuna ndi 90% ya akazi omwe ali ndi matenda opatsirana pogonana amakhala osawoneka bwino kapena alibe zizindikiro, zomwe zimapangitsa kuti kupewa ndi kuwongolera kufalikira kwa matenda opatsirana kunyalanyazidwa. Kuzindikira matendawa nthawi yake komanso moyenera kumathandiza kuti pakhale malo abwino oberekera.
Matenda a Chlamydia Trachomatis (CT)
Matenda a Chlamydia trachomatis m'njira ya urogenital tract angayambitse urethritis, epididymitis, prostatitis, proctitis ndi kusabereka mwa amuna ndipo angayambitsenso cervicitis, urethritis, matenda otupa m'chiuno, adnexitis, ndi kusabereka mwa akazi. Nthawi yomweyo, matenda a Chlamydia trachomatis mwa amayi apakati angayambitse kuphulika kwa nembanemba msanga, kubereka mwana wakufa, kuchotsa mimba mwadzidzidzi, endometritis pambuyo pochotsa mimba ndi zina. Ngati sachiritsidwa bwino mwa amayi apakati, amatha kufalikira kwa makanda obadwa kumene, zomwe zimayambitsa maso, nasopharyngitis ndi chibayo. Matenda a Chlamydia trachomatis osatha komanso obwerezabwereza nthawi zambiri amakhala matenda, monga khansa ya m'chiberekero ndi AIDS.
Matenda a Neisseria Gonorrhoeae (NG)
Zizindikiro za matenda a Neisseria gonorrhoeae urogenital tract ndi urethritis ndi cervicitis, ndipo zizindikiro zake zodziwika bwino ndi dysuria, kukodza pafupipafupi, kufulumira, dysuria, kutuluka kwa mafinya kapena mafinya. Ngati sichichiritsidwa pa nthawi yake, gonococci imatha kulowa mu urethra kapena kufalikira kuchokera pachibelekeropo, zomwe zimayambitsa prostatitis, vesiculitis, epididymitis, endometritis, ndi salpingitis. Pa milandu yoopsa, ingayambitse gonococcal sepsis mwa kufalikira kwa magazi. Mucosal necrosis yomwe imayambitsa squamous epithelium kapena kukonzanso minofu yolumikizana ingayambitse kutsekeka kwa urethral, vas deferens ndi tubal kuchepa kapena ngakhale atresia komanso ngakhale mimba ya ectopic ndi kusabereka kwa amuna ndi akazi.
Matenda a Ureaplasma Urealyticum (UU)
Ureaplasma urealyticum nthawi zambiri imapezeka m'njira ya mkodzo ya amuna, pakhungu la mbolo, ndi kumaliseche kwa akazi. Ingayambitse matenda a mkodzo komanso kusabereka m'mikhalidwe ina. Matenda ofala kwambiri omwe amayamba chifukwa cha ureaplasma ndi nongonococcal urethritis, yomwe imayambitsa 60% ya urethritis yopanda mabakiteriya. Ingayambitsenso prostatitis kapena epididymitis mwa amuna, vaginitis mwa akazi, cervicitis, kubadwa msanga, kubadwa kochepa, komanso ingayambitse matenda a kupuma ndi mitsempha yapakati ya makanda obadwa kumene.
Matenda a Herpes Simplex Virus (HSV)
Kachilombo ka herpes simplex, kapena herpes, kagawidwa m'magulu awiri: kachilombo ka herpes simplex mtundu 1 ndi kachilombo ka herpes simplex mtundu 2. Kachilombo ka herpes simplex mtundu 1 kamayambitsa herpes pakamwa makamaka kudzera pakamwa ndi pakamwa, komanso kangayambitse herpes m'mimba. Kachilombo ka herpes simplex mtundu 2 ndi matenda opatsirana pogonana omwe amayambitsa herpes m'mimba. Herpes m'mimba imatha kubwereranso ndipo imakhudza kwambiri thanzi la odwala komanso maganizo awo. Imathanso kufalitsa makanda obadwa kumene kudzera mu placenta ndi ngalande yoberekera, zomwe zimapangitsa kuti makanda obadwa kumene adwale matenda obadwa nawo.
Matenda a Mycoplasma Genitalium (MG)
Mycoplasma genitalium ndi kachilombo kakang'ono kwambiri kodziwika bwino komwe kamadzipanga kokha pa 580kb ndipo kamapezeka kwambiri mwa anthu ndi nyama zomwe zimakhalamo. Mwa achinyamata omwe amachita zogonana, pali mgwirizano wamphamvu pakati pa zovuta za m'mimba ndi Mycoplasma genitalium, ndipo mpaka 12% ya odwala omwe ali ndi zizindikiro amakhala ndi Mycoplasma genitalium. Kupatula apo, Mycoplasma Genitalium yomwe ili ndi kachilombo imathanso kukhala urethritis yopanda gonococcal komanso prostatitis yosatha. Matenda a Mycoplasma genitalium ndi omwe amayambitsa kutupa kwa khomo lachiberekero kwa akazi ndipo amagwirizanitsidwa ndi endometritis.
Mycoplasma Hominis Infection (MH)
Matenda a Mycoplasma hominis m'njira ya genitourinary angayambitse matenda monga urethritis yosakhala gonococcal ndi epididymitis mwa amuna. Amaonekera ngati kutupa kwa njira yoberekera mwa akazi komwe kumafalikira pakati pa chiberekero, ndipo matenda ena ofanana ndi salpingitis. Endometritis ndi matenda otupa m'chiuno amatha kuchitika mwa odwala ochepa.
02Yankho
Macro & Micro-Test yakhala ikugwira ntchito kwambiri popanga zinthu zodziwira matenda okhudzana ndi matenda a m'mimba, ndipo yapanga zida zodziwira matenda (njira ya Isothermal Amplification Detection) motere:
03 Mafotokozedwe a Zamalonda
| Dzina la Chinthu | Kufotokozera |
| Chlamydia Trachomatis Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | Mayeso 20/zida Mayeso 50/zida |
| Kiti Yodziwira Nucleic Acid ya Neisseria Gonorrhoeae (Enzymatic Probe Isothermal Amplification) | Mayeso 20/zida Mayeso 50/zida |
| Ureaplasma Urealyticum Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | Mayeso 20/zida Mayeso 50/zida |
| Herpes Simplex Virus Type 2 Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | Mayeso 20/zida Mayeso 50/zida |
04 Aubwino
1. Kulamulira kwamkati kumayikidwa mu dongosololi, lomwe lingathe kuyang'anira bwino njira yoyesera ndikuwonetsetsa kuti kuyesako kuli bwino.
2. Njira yodziwira kuchuluka kwa kutentha kwa thupi (Isothermal Amplification Detection) imachepetsa nthawi yoyesera, ndipo zotsatira zake zitha kupezeka mkati mwa mphindi 30.
3. Ndi Macro & Micro-Test Sample Release Reagent ndi Macro & Micro-Test Automatic Nucleic Acid Extractor (HWTS-3006), ndi yosavuta kugwiritsa ntchito ndipo ndi yoyenera pazochitika zosiyanasiyana.
4. Kuzindikira kwambiri: LoD ya CT ndi makope 400/mL; LoD ya NG ndi 50 pcs/mL; LoD ya UU ndi makope 400/mL; LoD ya HSV2 ndi makope 400/mL.
5. Kuchuluka kwapadera: palibe kuyanjana ndi matenda ena opatsirana (monga syphilis, genital warts, chancroid chancre, trichomoniasis, hepatitis B ndi AIDS).
Maumboni:
[1] LOTTI F,MAGGI M. Kusagwira ntchito bwino pogonana komanso kusabereka kwa amuna [J].NatRev Urol,2018,15(5):287-307.
[2] CHOY JT, EISENBERG ML. Kusabereka kwa amuna ngati njira yopezera thanzi [J].Fertil Steril,2018,110(5):810-814.
[3] ZHOU Z, ZHENG D, WU H, ndi ena. Epidemiology ya kusabereka ku China: kafukufuku wozikidwa pa anthu [J].BJOG,2018,125(4):432-441.
Nthawi yotumizira: Novembala-04-2022