Hutano hwekubereka hunofamba muhupenyu hwedu hwese, uhwo hwakaonekwa sechimwe chezviratidzo zvakakosha zvehutano hwevanhu neWHO. Panguva imwecheteyo, "Hutano hwekubereka hwemunhu wese" hunoonekwa seUN Sustainable Development Goal. Sechikamu chakakosha chehutano hwekubereka, mashandiro ehurongwa hwekubereka, maitiro uye mabasa akakosha kune murume wese.
01 Njodziofzvirwere zvekubereka
Utachiona hwepamuviri hunokanganisa zvikuru hutano hwekubereka hwevarume, zvichikonzera kushaya mbereko muvanhu vanosvika 15%. Hunonyanya kukonzerwa neChlamydia Trachomatis, Mycoplasma Genitalium uye Ureaplasma Urealyticum. Zvisinei, varume vanosvika 50% nevakadzi vane hutachiona hwepamuviri havaratidzi zviratidzo, zvichiita kuti kudzivirira nekudzora kutapurirana kwehutachiona kuregedzwe. Kuongororwa kwezvirwere izvi nenguva uye zvinobudirira kunoita kuti pave nenzvimbo yakanaka yehutano hwekubereka.
Utachiona hweChlamydia Trachomatis (CT)
Utachiona hweChlamydia trachomatis urogenital tract hunogona kukonzera urethritis, epididymitis, prostatitis, proctitis uye kusabereka muvarume uye hunogonawo kukonzera cervicitis, urethritis, chirwere chekuzvimba kwechiuno, adnexitis, uye kusabereka muvakadzi. Panguva imwe chete, hutachiona hweChlamydia trachomatis muvakadzi vane pamuviri hunogona kukonzera kuputika kwema membrane nguva isati yakwana, kuberekwa kwemwana akafa, kubvisa pamuviri kamwe kamwe, endometritis mushure mekubvisa pamuviri nezvimwe zviitiko. Kana hukarapwa zvakanaka mumadzimai ane pamuviri, hunogona kutapurirwa kusvika kumwana achangoberekwa, zvichikonzera ophthalmia, nasopharyngitis uye pneumonia. Utachiona hweChlamydia trachomatis hunogara kwenguva refu uye hunodzokororwa hunowanzova zvirwere, zvakaita secervical squamous cell carcinoma neAIDS.
Neisseria Gonorrhoeae Infection (NG)
Zviratidzo zveNeisseria gonorrhoeae urogenital tract infection iurethritis necervicitis, uye zviratidzo zvayo zvinowanzova dysuria, weti kakawanda, urgent, dysuria, mucus kana purulent discharge. Kana ikasarapwa nenguva, gonococci inogona kupinda muurethra kana kupararira ichibva mumuromo wechibereko, zvichikonzera prostatitis, vesiculitis, epididymitis, endometritis, uye salpingitis. Muzviitiko zvakakomba, inogona kukonzera gonococcal sepsis nekupararira kweropa. Mucosal necrosis inokonzera squamous epithelium kana connective tissue repair inogona kutungamira muurethral stricture, vas deferens uye tubal decrease kana kutoita atresia uye kutoita ectopic pregnancy uye kusabereka muvarume nevakadzi.
Utachiona hweUreaplasma Urealyticum (UU)
Ureaplasma urealyticum inonyanya kupararira muurethra yevarume, ganda repamberi penhengo yemurume, uye chibereko chemukadzi. Inogona kukonzera hutachiona hwemunzira yeweti uye kushaya mbereko mune mamwe mamiriro ezvinhu. Chirwere chinowanzo konzerwa neureaplasma i nongonococcal urethritis, iyo inoumba 60% yeurethritis isina mabhakitiriya. Inogona zvakare kukonzera prostatitis kana epididymitis muvarume, vaginitis muvakadzi, cervicitis, kuberekwa nguva isati yakwana, kuzvarwa kushoma, uye inogona zvakare kukonzera hutachiona hwetsinga dzekufema nedzepakati dzevana vacheche.
Utachiona hweHerpes Simplex Virus (HSV)
Utachiona hweHerpes simplex, kana kuti herpes, hwakakamurwa muzvikamu zviviri: herpes simplex virus type 1 uye herpes simplex virus type 2. Utachiona hweHerpes simplex virus type 1 hunokonzera herpes yemuromo kunyanya kuburikidza nekubata muromo nemuromo, asi hunogonawo kukonzera herpes yenhengo dzesikarudzi. Utachiona hweHerpes simplex virus type 2 chirwere chinotapuriranwa pabonde chinokonzera herpes yenhengo dzesikarudzi. Herpes yenhengo dzesikarudzi inogona kudzoka uye kuva nepesvedzero huru pahutano hwevarwere uye pfungwa dzavo. Inogonawo kutapurira vacheche kuburikidza neplacenta nepaburi remudumbu, zvichikonzera hutachiona hwekuzvarwa nahwo hwevacheche.
Mycoplasma Genitalium Infection (MG)
Mycoplasma genitalium ndiyo diki diki inozivikanwa inobereka majini inokwana 580kb chete uye inowanikwa zvakanyanya muvanhu nemhuka. Muvanhu vechidiki vanoita zvepabonde, pane hukama hwakasimba pakati pezvirwere zvemudumbu neMycoplasma genitalium, uye vanhu vanosvika 12% vane zviratidzo zveMycoplasma genitalium vanogonawo kukura nechirwere cheMycoplasma genitalium. Pamusoro pezvo, Mycoplasma Genitalium ine utachiona inogonawo kukura isina gonococcal urethritis uye chronic prostatitis. Utachiona hweMycoplasma genitalium inokonzera kuzvimba kwemuromo wechibereko kuvakadzi uye hunobatanidzwa ne endometritis.
Mycoplasma Hominis Infection (MH)
Utachiona hweMycoplasma hominis hwemudumbu unogona kukonzera zvirwere zvakaita sekusabatwa negonococcal urethritis uye epididymitis muvarume. Hunoonekwa sekuzvimba kwenhengo dzekubereka muvakadzi kunopararira pakati pemuromo wechibereko, uye chimwe chezvirwere zvinowanzoonekwa isalpingitis. Endometritis uye chirwere chekuzvimba muchiuno chinogona kuitika muvarwere vashoma.
02Mhinduro
Macro & Micro-Test yave ichinyanya kushanda mukugadzira mishonga yekuona zvirwere zvine chekuita nehutachiona hwemudumbu, uye yakagadzira michina yekuona zvirwere zvine chekuita nehutachiona (Isothermal Amplification Detection method) seinotevera:
03 Tsanangudzo yeChigadzirwa
| Zita rechigadzirwa | Tsanangudzo |
| Kiti yeKuona Chlamydia Trachomatis Nucleic Acid (Enzymatic Probe Isothermal Amplification) | bvunzo makumi maviri pakiti bvunzo makumi mashanu/kit |
| Neisseria Gonorrhoeae Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | bvunzo makumi maviri pakiti bvunzo makumi mashanu/kit |
| Kiti yeKuona Ureaplasma Urealyticum Nucleic Acid (Enzymatic Probe Isothermal Amplification) | bvunzo makumi maviri pakiti bvunzo makumi mashanu/kit |
| Herpes Simplex Virus Type 2 Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | bvunzo makumi maviri pakiti bvunzo makumi mashanu/kit |
04 Amabhenefiti
1. Kudzora kwemukati kunoiswa muhurongwa uhwu, hunogona kutarisa zvizere maitiro ekuyedza uye kuona kuti kuyedza kwakanaka.
2. Nzira yeIsothermal Amplification Detection ipfupisa nguva yekuedza, uye mhedzisiro yacho inogona kuwanikwa mukati memaminitsi makumi matatu.
3. NeMacro & Micro-Test Sample Release Reagent uye Macro & Micro-Test Automatic Nucleic Acid Extractor (HWTS-3006), iri nyore kushandisa uye yakakodzera mamiriro akasiyana-siyana.
4. Kunzwa kwakanyanya: LoD yeCT i400copies/mL; LoD yeNG i50 pcs/mL; LoD yeUU i400copies/mL; LoD yeHSV2 i400 copies/mL.
5. Kunyatsojeka: hapana kusangana kwezvirwere zvinotapukira (senge syphilis, genital warts, chancroid chancre, trichomoniasis, hepatitis B neAIDS).
Mareferensi:
[1] LOTTI F,MAGGI M. Kusashanda zvakanaka pabonde uye kusabereka kwevarume [J].NatRev Urol,2018,15(5):287-307.
[2] CHOY JT,EISENBERG ML. Kushaya mbereko kwevarume senzira yekuona hutano[J].Fertil Steril,2018,110(5):810-814.
[3] ZHOU Z, ZHENG D, WU H, et al. Epidemiology yekushaya mbereko muChina: chidzidzo chakavakirwa pahuwandu hwevanhu[J].BJOG,2018,125(4):432-441.
Nguva yekutumira: Mbudzi-04-2022