Kev noj qab haus huv ntawm kev yug me nyuam yog ib qho tseem ceeb uas WHO suav hais tias yog ib qho ntawm cov cim qhia tseem ceeb ntawm kev noj qab haus huv ntawm tib neeg. Lub sijhawm no, "Kev noj qab haus huv ntawm kev yug me nyuam rau txhua tus" tau lees paub tias yog Lub Hom Phiaj Txhim Kho Kom Ruaj Khov ntawm UN. Ua ib feem tseem ceeb ntawm kev noj qab haus huv ntawm kev yug me nyuam, kev ua haujlwm ntawm lub cev yug me nyuam, cov txheej txheem thiab kev ua haujlwm yog qhov txhawj xeeb rau txhua tus txiv neej.
01 Kev Pheej Hmooofcov kab mob kev yug me nyuam
Cov kab mob hauv txoj hnyuv me nyuam yog ib qho kev hem thawj loj heev rau kev noj qab haus huv ntawm cov txiv neej, ua rau muaj li ntawm 15% ntawm cov neeg mob tsis muaj menyuam. Nws feem ntau yog los ntawm Chlamydia Trachomatis, Mycoplasma Genitalium thiab Ureaplasma Urealyticum. Txawm li cas los xij, kwv yees li 50% ntawm cov txiv neej thiab 90% ntawm cov poj niam uas muaj cov kab mob hauv txoj hnyuv me nyuam tsis muaj tsos mob lossis tsis muaj tsos mob, ua rau kev tiv thaiv thiab tswj kev sib kis ntawm cov kab mob tsis raug tso tseg. Yog li ntawd, kev kuaj mob raws sijhawm thiab ua tau zoo ntawm cov kab mob no yog qhov zoo rau ib puag ncig kev noj qab haus huv ntawm cov txiv neej.
Kev kis kab mob Chlamydia Trachomatis (CT)
Kev kis tus kab mob Chlamydia trachomatis ntawm txoj hlab zis tuaj yeem ua rau mob urethritis, epididymitis, prostatitis, proctitis thiab tsis muaj menyuam rau cov txiv neej thiab nws kuj tuaj yeem ua rau mob cervicitis, urethritis, mob pelvic inflammatory, adnexitis, thiab tsis muaj menyuam rau cov poj niam. Tib lub sijhawm, kev kis tus kab mob Chlamydia trachomatis rau cov poj niam cev xeeb tub tuaj yeem ua rau cov ntaub so ntswg tawg ua ntej lub sijhawm, tuag menyuam, rho menyuam yam tsis tau npaj tseg, endometritis tom qab rho menyuam thiab lwm yam. Yog tias tsis kho zoo rau cov poj niam cev xeeb tub, nws tuaj yeem kis mus rau cov menyuam mos, ua rau mob qhov muag, mob nasopharyngitis thiab mob ntsws. Kev kis tus kab mob Chlamydia trachomatis mus ntev thiab rov ua dua feem ntau yuav ua rau muaj kab mob, xws li mob qog nqaij hlav ntawm lub tsev menyuam thiab AIDS.
Neisseria Gonorrhoeae Infection (NG)
Cov tsos mob ntawm tus kab mob Neisseria gonorrhoeae urogenital tract yog urethritis thiab cervicitis, thiab nws cov tsos mob feem ntau yog dysuria, tso zis ntau zaus, mob ceev, dysuria, mucus lossis purulent discharge. Yog tias tsis kho raws sijhawm, gonococci tuaj yeem nkag mus rau hauv urethra lossis kis mus rau sab saud ntawm lub qhov ncauj tsev menyuam, ua rau prostatitis, vesiculitis, epididymitis, endometritis, thiab salpingitis. Hauv cov xwm txheej hnyav, nws tuaj yeem ua rau gonococcal sepsis los ntawm hematogenous dispersion. Mucosal necrosis ua rau squamous epithelium lossis kho cov ntaub so ntswg txuas tuaj yeem ua rau urethral stricture, vas deferens thiab tubal narrowing lossis txawm tias atresia thiab txawm tias ectopic cev xeeb tub thiab infertility rau ob leeg txiv neej thiab poj niam.
Kev kis kab mob Ureaplasma Urealyticum (UU)
Ureaplasma urealyticum feem ntau yog kab mob nyob rau hauv cov txiv neej txoj hlab zis, daim tawv nqaij ntawm tus qau, thiab poj niam lub qhov chaw mos. Nws tuaj yeem ua rau muaj kab mob hauv txoj hlab zis thiab tsis muaj menyuam nyob rau hauv qee yam mob. Cov kab mob feem ntau tshwm sim los ntawm ureaplasma yog nongonococcal urethritis, uas suav txog 60% ntawm cov kab mob urethritis uas tsis yog kab mob. Nws kuj tseem tuaj yeem ua rau mob prostatitis lossis epididymitis rau cov txiv neej, mob vaginitis rau cov poj niam, mob cervicitis, yug ntxov, hnyav yug me nyuam tsawg, thiab tseem tuaj yeem ua rau muaj kab mob ntawm cov hlab pa thiab cov hlab ntsha hauv nruab nrab ntawm cov menyuam mos.
Kev kis tus kab mob Herpes Simplex (HSV)
Kab mob Herpes simplex, lossis herpes, muab faib ua ob pawg: kab mob herpes simplex hom 1 thiab kab mob herpes simplex hom 2. Kab mob Herpes simplex hom 1 ua rau mob herpes hauv qhov ncauj feem ntau yog los ntawm kev sib chwv hauv qhov ncauj, tab sis kuj tuaj yeem ua rau mob herpes ntawm qhov chaw mos. Kab mob Herpes simplex hom 2 yog kab mob sib kis los ntawm kev sib deev uas ua rau mob herpes ntawm qhov chaw mos. Kab mob herpes ntawm qhov chaw mos tuaj yeem rov tshwm sim dua thiab muaj kev cuam tshuam ntau dua rau kev noj qab haus huv thiab kev puas siab puas ntsws ntawm cov neeg mob. Nws kuj tseem tuaj yeem kis rau cov menyuam mos los ntawm lub tsev menyuam thiab qhov chaw yug menyuam, ua rau muaj kab mob rau cov menyuam mos txij thaum yug los.
Mycoplasma Genitalium Infection (MG)
Mycoplasma genitalium yog cov kab mob me tshaj plaws uas paub tias muaj tus kheej tsim cov noob caj noob ces tsuas yog 580kb thiab pom dav hauv tib neeg thiab tsiaj txhu. Hauv cov tub ntxhais hluas uas muaj kev sib deev, muaj kev sib raug zoo ntawm cov kab mob urogenital thiab Mycoplasma genitalium, nrog rau txog li 12% ntawm cov neeg mob uas muaj tsos mob pom tias muaj Mycoplasma genitalium. Dhau li ntawm qhov ntawd, Mycoplasma Genitalium uas muaj tus kab mob kuj tseem tuaj yeem tsim mus rau hauv cov kab mob urethritis uas tsis yog gonococcal thiab mob prostatitis ntev. Kev kis tus kab mob Mycoplasma genitalium yog tus kab mob ywj pheej ua rau mob caj dab rau cov poj niam thiab cuam tshuam nrog endometritis.
Tus kab mob Mycoplasma Hominis (MH)
Kev kis tus kab mob Mycoplasma hominis ntawm txoj hlab zis tuaj yeem ua rau muaj cov kab mob xws li mob urethritis uas tsis yog gonococcal thiab epididymitis rau cov txiv neej. Nws qhia tau tias yog kev o ntawm lub cev yug me nyuam rau cov poj niam uas kis mus rau ntawm lub qhov ncauj tsev menyuam, thiab ib qho kab mob sib koom ua ke yog salpingitis. Endometritis thiab mob pelvic inflammatory disease yuav tshwm sim rau cov neeg mob me me.
02Kev daws teeb meem
Macro & Micro-Test tau koom tes nrog kev tsim cov tshuaj reagents kuaj mob ntsig txog kev kis kab mob ntawm txoj hlab zis, thiab tau tsim cov khoom siv kuaj mob ntsig txog (Isothermal Amplification Detection method) raws li hauv qab no:
03 Cov Lus Qhia Txog Khoom
| Lub Npe Khoom | Cov Lus Qhia Tshwj Xeeb |
| Cov Khoom Siv Tshawb Nrhiav Chlamydia Trachomatis Nucleic Acid (Enzymatic Probe Isothermal Amplification) | 20 qhov kev kuaj/pawg khoom siv 50 qhov kev kuaj/pawg khoom siv |
| Cov Khoom Siv Tshawb Nrhiav Neisseria Gonorrhoeae Nucleic Acid (Enzymatic Probe Isothermal Amplification) | 20 qhov kev kuaj/pawg khoom siv 50 qhov kev kuaj/pawg khoom siv |
| Cov Khoom Siv Tshawb Nrhiav Ureaplasma Urealyticum Nucleic Acid (Enzymatic Probe Isothermal Amplification) | 20 qhov kev kuaj/pawg khoom siv 50 qhov kev kuaj/pawg khoom siv |
| Cov Khoom Siv Tshawb Nrhiav Kab Mob Herpes Simplex Hom 2 Nucleic Acid (Enzymatic Probe Isothermal Amplification) | 20 qhov kev kuaj/pawg khoom siv 50 qhov kev kuaj/pawg khoom siv |
04 Aqhov zoo
1. Kev tswj hwm sab hauv tau muab tso rau hauv lub kaw lus no, uas tuaj yeem saib xyuas cov txheej txheem sim thiab xyuas kom meej qhov zoo ntawm kev sim.
2. Txoj kev tshawb nrhiav Isothermal Amplification siv sijhawm sim luv dua, thiab qhov tshwm sim tuaj yeem tau txais hauv 30 feeb.
3. Nrog Macro & Micro-Test Sample Release Reagent thiab Macro & Micro-Test Automatic Nucleic Acid Extractor (HWTS-3006), nws yooj yim rau kev khiav lag luam thiab haum rau ntau yam xwm txheej.
4. Kev rhiab heev: LoD ntawm CT yog 400copies / mL; LoD ntawm NG yog 50 pcs / mL; LoD ntawm UU yog 400copies / mL; LoD ntawm HSV2 yog 400 daim / mL.
5. Kev tshwj xeeb siab: tsis muaj kev sib kis nrog lwm cov kab mob sib kis (xws li mob syphilis, mob qog ntawm qhov chaw mos, mob chancroid, trichomoniasis, mob siab B thiab AIDS).
Cov ntaub ntawv siv:
[1] LOTTI F, MAGGI M. Kev ua tsis taus haujlwm ntawm kev sib deev thiab kev tsis muaj menyuam ntawm cov txiv neej [J]. NatRev Urol, 2018, 15 (5): 287-307.
[2] CHOY JT, EISENBERG ML. Kev tsis muaj menyuam ntawm txiv neej ua lub qhov rais rau kev noj qab haus huv [J]. Fertil Steril, 2018, 110 (5): 810-814.
[3] ZHOU Z, ZHENG D, WU H, thiab lwm yam. Kev sib kis ntawm kev tsis muaj menyuam hauv Suav teb: kev tshawb fawb raws li cov pej xeem [J]. BJOG, 2018, 125 (4): 432-441.
Lub sijhawm tshaj tawm: Kaum Ib Hlis-04-2022