Ubuzima bw'imyororokere butambuka mubuzima bwacu bwose, bufatwa nkimwe mubimenyetso byingenzi byubuzima bwabantu na OMS.Hagati aho, "Ubuzima bw'imyororokere kuri bose" byemewe nk'intego y'iterambere rirambye ya Loni.Nkigice cyingenzi cyubuzima bwimyororokere, imikorere ya sisitemu yimyororokere, inzira n'imikorere bireba buri mugabo ku giti cye.
01 Ingarukaofindwara z'imyororokere
Indwara zifata imyanya ndangagitsina ni ikibazo gikomeye ku buzima bw'imyororokere y'abagabo, bigatuma ubugumba ku barwayi bagera kuri 15%.Byatewe ahanini na Chlamydia Trachomatis, Mycoplasma Genitalium na Ureaplasma Urealyticum.Nyamara, hafi 50% by'abagabo na 90% by'abagore bafite indwara zandurira mu myororokere ni subclinical cyangwa simptomatic, biganisha ku gukumira no kugenzura kwanduza virusi birengagizwa.Gusuzuma ku gihe kandi neza kuri izo ndwara rero bifasha ubuzima bwiza bw'imyororokere.
Indwara ya Chlamydia Trachomatis (CT)
Indwara ya Chlamydia trachomatis urogenital ishobora gutera urethritis, epididymitis, prostatitis, proctitis n'ubugumba ku bagabo kandi irashobora no gutera inkondo y'umura, urethritis, indwara zifata imyanya ndangagitsina, adnexite, n'ubugumba ku bagore.Muri icyo gihe kandi, kwandura Chlamydia trachomatis ku bagore batwite bishobora gutera kuvunika imburagihe imburagihe, kubyara, gukuramo inda bidatinze, endometrite nyuma yo gukuramo inda n'ibindi bintu.Iyo itavuwe neza ku bagore batwite, irashobora kwanduzwa mu buryo buhagaritse ku bana bavutse, bigatera indwara y'amaso, nasofaryngitis na pnewoniya.Indwara zidakira kandi zisubiramo Chlamydia trachomatis zandura zikunda kwandura indwara, nka kanseri y'inkondo y'umura kanseri na sida.
Indwara ya Neisseria Gonorrhoeae (NG)
Kugaragara kwa clinique ya Neisseria gonorrhoeae urogenital tract infection ni urethritis na cervicitis, kandi ibimenyetso byayo bisanzwe ni dysuria, inkari nyinshi, byihutirwa, dysuria, mucus cyangwa gusohora.Niba itavuwe mugihe, gonococci irashobora kwinjira muri urethra cyangwa igakwirakwira hejuru yinkondo y'umura, igatera prostatite, vesiculitis, epididymitis, endometritis, na salpingitis.Mugihe gikabije, irashobora gutera gonococcal sepsis ikwirakwizwa na hematogenous.Mucosal necrosis itera epitelium squamous cyangwa guhuza ingirabuzimafatizo zishobora gutera inkari, gukomera kwa vas deferens no kugabanuka kwa tubal cyangwa ndetse na atresia ndetse no gutwita kwa ectopique no kutabyara kubagabo nabagore.
Indwara ya Ureaplasma Urealyticum (UU)
Ureaplasma urealyticum ahanini ni parasitike muri urethra yumugabo, uruhu rwimboro, nigituba cyumugore.Irashobora gutera inkari kwandura no kutabyara mubihe bimwe.Indwara ikunze kwibasirwa na ureaplasma ni urethritis ya nongonococcal, ingana na 60% ya urethritis idafite bagiteri.Irashobora kandi gutera prostatite cyangwa epididymitis ku bagabo, vaginite ku bagore, cervicitis, kubyara imburagihe, ibiro bike, kandi irashobora no gutera indwara zandurira mu myanya y'ubuhumekero na nervice yo hagati y'abana bavutse.
Herpes Simplex Virus Yanduye (HSV)
Virusi ya Herpes simplex, cyangwa herpes, igabanyijemo ibyiciro bibiri: virusi ya herpes simplex virusi ya 1 na virusi ya herpes simplex virusi 2. Ubwoko bwa virusi ya Herpes simplex yo mu bwoko bwa 1 itera herpes yo mu kanwa cyane cyane binyuze mu kanwa ku munwa, ariko kandi ishobora no gutera indwara ya herpes.Herpes simplex virusi ubwoko bwa 2 ni indwara yandurira mu mibonano mpuzabitsina itera herpes.Imyanya ndangagitsina irashobora kwisubiramo kandi ikagira uruhare runini mubuzima bwabarwayi na psychologiya.Irashobora kandi kwanduza impinja zivuye mu muyoboro no mu muyoboro w’amavuko, biganisha ku kuvuka kuvuka.
Mycoplasma Indwara Yandura (MG)
Mycoplasma genitalium niyo ntoya izwi kwisubiramo ibinyabuzima bya genome kuri 580kb gusa kandi iboneka cyane mubantu ndetse no mubakira inyamaswa.Mu rubyiruko rukora imibonano mpuzabitsina, hari isano rikomeye hagati yinzira zidasanzwe za urogenital na mycoplasma genitalium, aho abarwayi bagera kuri 12% bafite ibimenyetso byindwara ya Mycoplasma.Uretse ibyo, pepole yanduye Mycoplasma Genitalium irashobora kandi gukura muri urethritis itari gonococcal na prostatite idakira.Indwara ya Mycoplasma genitalium niyigenga yigenga itera inkondo y'umura kubagore kandi ifitanye isano na endometritis.
Indwara ya Mycoplasma Hominis (MH)
Indwara ya Mycoplasma hominis yandurira mu mibonano mpuzabitsina irashobora gutera indwara nka urethritis itari gonococcal na epididymitis ku bagabo.Iragaragaza nko gutwika sisitemu yimyororokere ku bagore ikwirakwira ishingiye ku nkondo y'umura, kandi indwara rusange ni salpingite.Endometritis n'indwara ya pelvic inflammatory irashobora kugaragara mubarwayi bake.
02Igisubizo
Macro & Micro-Test yagize uruhare runini mugutezimbere kwanduza urogenital kwandura indwara ziterwa no kwandura indwara, kandi yashyizeho ibikoresho bifitanye isano (Isothermal Amplification Detection method) kuburyo bukurikira:
03 Ibicuruzwa
| izina RY'IGICURUZWA | Ibisobanuro |
| Chlamydia Trachomatis Nucleic Acide Detection Kit (Enzymatic Probe Isothermal Amplification) | Ibizamini 20 / kit Ibizamini 50 / kit |
| Neisseria Gonorrhoeae Nucleic Acide Detection Kit (Enzymatic Probe Isothermal Amplification) | Ibizamini 20 / kit Ibizamini 50 / kit |
| Ureaplasma Urealyticum Nucleic Acide Detection Kit (Enzymatic Probe Isothermal Amplification) | Ibizamini 20 / kit Ibizamini 50 / kit |
| Herpes Simplex Virus Ubwoko bwa 2 Nucleic Acide Detection Kit (Enzymatic Probe Isothermal Amplification) | Ibizamini 20 / kit Ibizamini 50 / kit |
04 A.ibyiza
1. Igenzura ryimbere ryinjijwe muri ubu buryo, bushobora gukurikirana byimazeyo inzira yubushakashatsi no kwemeza ubwiza bwikigereranyo.
2. Isothermal Amplification Detection uburyo bwo kugerageza igihe gito, kandi ibisubizo birashobora kuboneka muminota 30.
3. Hamwe na Macro & Micro-Ikigereranyo Cyitegererezo cyo Kurekura Reagent na Macro & Micro-Test Automatic Nucleic Acide Extractor (HWTS-3006), biroroshye gukora kandi bikwiranye nibintu bitandukanye.
4. Ubukangurambaga bukabije: LoD ya CT ni 400copies / mL;LoD ya NG ni 50 pcs / mL;LoD ya UU ni 400copies / mL;LoD ya HSV2 ni 400 kopi / mL.
5. Umwihariko wihariye: nta reaction-reaction hamwe nizindi miti isanzwe yanduye (nka sifilis, imyanya ndangagitsina, chancroid chancre, trichomoniasis, hepatite B na sida).
Reba ：
[1] LOTTI F, MAGGI M. Imikorere idahwitse nubugumba bwumugabo [J] .NatRev Urol, 2018,15 (5): 287-307.
[2] HITAMO JT, EISENBERG ML. Ubugumba bwumugabo nkidirishya ryubuzima [J] .Fertil Steril, 2018,110 (5): 810-814.
[3] ZHOU Z, ZHENG D, WU H, nabandi
Igihe cyo kohereza: Ugushyingo-04-2022