Kev noj qab haus huv ntawm kev yug me nyuam khiav los ntawm tag nrho peb lub neej voj voog, uas suav tias yog ib qho ntawm cov cim tseem ceeb ntawm tib neeg kev noj qab haus huv los ntawm WHO.Lub caij no, "Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv rau txhua tus" tau lees paub tias yog UN Sustainable Development Lub Hom Phiaj.Raws li ib feem tseem ceeb ntawm kev noj qab haus huv ntawm kev ua me nyuam, kev ua haujlwm ntawm kev ua me nyuam, cov txheej txheem thiab kev ua haujlwm yog kev txhawj xeeb rau txhua tus txiv neej.
01 Kev pheej hmooofkab mob kev ua me nyuam
Kev kis kab mob hauv cov menyuam yaus yog ib qho kev hem thawj loj rau txiv neej kev noj qab haus huv, ua rau muaj menyuam tsis muaj menyuam nyob hauv kwv yees li 15% ntawm cov neeg mob.Nws feem ntau tshwm sim 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 kab mob hauv plab hnyuv yog subclinical lossis asymptomatic, ua rau kev tiv thaiv thiab tswj kev sib kis ntawm cov kab mob yog tsis saib xyuas.Kev kuaj mob raws sij hawm thiab ua tau zoo ntawm cov kab mob no yog li ua rau muaj kev noj qab haus huv ntawm kev yug me nyuam.
Kab mob Chlamydia Trachomatis (CT)
Chlamydia trachomatis urogenital kab mob tuaj yeem ua rau urethritis, epididymitis, prostatitis, proctitis thiab infertility hauv cov txiv neej thiab nws tuaj yeem ua rau cervicitis, urethritis, pelvic inflammatory disease, adnexitis, thiab infertility hauv cov poj niam.Nyob rau tib lub sijhawm, kev kis tus kab mob Chlamydia trachomatis hauv cov poj niam cev xeeb tub tuaj yeem ua rau muaj kev puas tsuaj ntxov ntxov ntawm daim nyias nyias, tseem yug me nyuam, rho menyuam tawm, tom qab rho menyuam endometritis thiab lwm yam tshwm sim.Yog tias tsis kho tau zoo hauv cov poj niam cev xeeb tub, nws tuaj yeem raug xa mus rau cov menyuam yug tshiab, ua rau ophthalmia, nasopharyngitis thiab mob ntsws.Cov kab mob Chlamydia trachomatis ntev thiab rov ua dua genitourinary yuav kis mus rau cov kab mob, xws li ncauj tsev menyuam squamous cell carcinoma thiab AIDS.
Neisseria Gonorrhoeae Infection (NG)
Cov tsos mob ntawm Neisseria gonorrhoeae urogenital kab mob yog urethritis thiab cervicitis, thiab nws cov tsos mob yog dysuria, nquag tso zis, ceev, dysuria, mucus los yog purulent tawm.Yog tias nws tsis kho raws sijhawm, gonococci tuaj yeem nkag mus rau hauv cov zis los yog kis mus rau ntawm lub 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 kev nthuav tawm hematogenous.Mucosal necrosis ua rau squamous epithelium los yog cov ntaub so ntswg kho tuaj yeem ua rau urethral nruj, vas deferens thiab tubal nqaim lossis txawm atresia thiab txawm mus rau ectopic cev xeeb tub thiab tsis muaj menyuam hauv cov txiv neej thiab poj niam.
Ureaplasma Urealyticum Infection (UU)
Ureaplasma urealyticum feem ntau yog parasitic nyob rau hauv cov txiv neej urethra, foreskin ntawm noov, thiab poj niam qhov chaw mos.Nws tuaj yeem ua rau muaj kab mob urinary thiab infertility nyob rau hauv qee yam mob.Feem ntau cov kab mob tshwm sim los ntawm ureaplasma yog nongonococcal urethritis, uas suav txog 60% ntawm cov kab mob urethritis.Nws kuj tuaj yeem ua rau prostatitis lossis epididymitis hauv cov txiv neej, vaginitis hauv cov poj niam, cervicitis, yug ntxov ntxov, tsis muaj hnub yug, thiab tseem tuaj yeem ua rau muaj kab mob ntawm lub ntsws thiab lub paj hlwb ntawm cov menyuam mos.
Kab mob Herpes Simplex Virus (HSV)
Herpes simplex virus, los yog herpes, muab faib ua ob pawg: herpes simplex virus type 1 and herpes simplex virus type 2. Herpes simplex virus type 1 ua rau qhov ncauj herpes tsuas yog los ntawm qhov ncauj mus rau qhov ncauj, tab sis kuj tuaj yeem ua rau qhov chaw mos herpes.Herpes simplex virus type 2 yog ib hom kab mob sib deev uas ua rau qhov chaw mos herpes.Qhov chaw mos herpes tuaj yeem rov muaj dua thiab muaj kev cuam tshuam ntau dua rau cov neeg mob kev noj qab haus huv thiab kev puas siab puas ntsws.Nws kuj tseem tuaj yeem kis tus menyuam mos los ntawm qhov chaw mos thiab cov kwj dej yug me nyuam, ua rau muaj kab mob hauv cov menyuam yug tshiab.
Mycoplasma Genitalium Infection (MG)
Mycoplasma genitalium yog qhov tsawg tshaj plaws paub tus kheej-replicating genome kab mob ntawm tsuas yog 580kb thiab dav pom nyob rau hauv tib neeg thiab tsiaj hosts.Hauv cov tub ntxhais hluas uas muaj kev sib deev, muaj kev sib raug zoo ntawm cov kab mob urogenital abnormality thiab Mycoplasma genitalium, nrog rau 12% ntawm cov neeg mob cov tsos mob zoo rau Mycoplasma genitalium.Tsis tas li ntawd, pepole tus kab mob Mycoplasma Genitalium kuj tuaj yeem tsim mus rau hauv cov kab mob uas tsis yog gonococcal urethritis thiab mob prostatitis.Mycoplasma genitalium kab mob yog ib qho kev ywj pheej ua tus neeg sawv cev ntawm lub ncauj tsev menyuam o rau cov poj niam thiab cuam tshuam nrog endometritis.
Mycoplasma Hominis Kab Mob (MH)
Mycoplasma hominis kab mob ntawm cov kab mob genitourinary tuaj yeem ua rau cov kab mob xws li tsis yog gonococcal urethritis thiab epididymitis hauv cov txiv neej.Nws manifests raws li o ntawm lub cev xeeb tub nyob rau hauv cov poj niam uas kis tau nyob rau hauv lub ncauj tsev menyuam, thiab ib tug comorbidity yog salpingitis.Endometritis thiab pelvic inflammatory kab mob tej zaum yuav tshwm sim nyob rau hauv ib tug me me ntawm cov neeg mob.
02 ibKev daws
Macro & Micro-Test tau mob siab rau hauv kev txhim kho cov kab mob urogenital kab mob ntsig txog cov kab mob tshawb nrhiav cov tshuaj tiv thaiv kab mob, thiab tau tsim cov khoom siv txheeb xyuas ntsig txog (Isothermal Amplification Detection method) raws li hauv qab no:
03 Khoom Specification
| Khoom npe | Specification |
| Chlamydia Trachomatis Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 xeem/kit 50 test/kit |
| Neisseria Gonorrhoeae Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 xeem/kit 50 test/kit |
| Ureaplasma Urealyticum Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 xeem/kit 50 test/kit |
| Herpes Simplex Virus Type 2 Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 xeem/kit 50 test/kit |
04 Aqhov zoo
1. Kev tswj sab hauv yog nkag rau hauv qhov system no, uas tuaj yeem saib xyuas cov txheej txheem kev sim thiab xyuas kom zoo ntawm qhov kev sim.
2. Isothermal Amplification Detection txoj kev siv sijhawm luv dua, thiab cov txiaj ntsig 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. Siab rhiab heev: LoD ntawm CT yog 400copies/mL;LoD ntawm NG yog 50 pcs / mL;LoD ntawm UU yog 400 daim / mL;LoD ntawm HSV2 yog 400 daim / mL.
5. Cov ntsiab lus siab: tsis muaj qhov cuam tshuam nrog lwm cov kab mob sib kis (xws li mob syphilis, qhov chaw mos, kab mob chancre, trichomoniasis, kab mob siab B thiab AIDS).
Cov ntaub ntawv:
[1] LOTTI F,MAGGI M.Sexual dysfunction and txiv neej infertility [J].NatRev Urol,2018,15(5):287-307.
[2] CHOY JT,EISENBERG ML.Male infertility as a window to health[J].Fertil Steril,2018,110(5):810-814.
[3] ZHOU Z,ZHENG D,WU H,et al.Epidemiology of infertility in China:apopulation-based study[J].BJOG,2018,125(4):432-441.
Post lub sij hawm: Nov-04-2022