Caafimaadka taranku waxa uu dhex maraa gebi ahaan meertada nolosheenna, taas oo ay WHO u aragto mid ka mid ah tilmaamayaasha muhiimka ah ee caafimaadka aadanaha.Dhanka kale, "caafimaadka taranka ee dhammaan" loo aqoonsaday inuu yahay Himilada Horumarka Waara ee Qaramada Midoobay.Sida qayb muhiim ah oo ka mid ah caafimaadka taranka, waxqabadka nidaamka taranka, hababka iyo hawlaha ayaa walaac ku haya nin kasta oo lab ah.
01 Khatartaofcudurada taranka
Caabuqyada mareenka taranka ayaa khatar weyn ku ah caafimaadka taranka ragga, taasoo keenta dhalmo la'aan qiyaastii 15% bukaannada.Inta badan waxaa keena Chlamydia Trachomatis, Mycoplasma Genitalium iyo Ureaplasma Urealyticum.Si kastaba ha ahaatee, qiyaastii 50% ragga iyo 90% haweenka qaba caabuqyada mareenka taranka ayaa ah kuwo aan caadi ahayn ama asymptomatic, taas oo horseedaysa ka hortagga iyo xakameynta gudbinta cudurada faafa waa la dayacay.Baaritaanka waqtiga iyo wax ku oolka ah ee cudurradan ayaa sidaas darteed ku habboon jawi caafimaad oo taran oo wanaagsan.
Chlamydia Trachomatis Infekshanka (CT)
Kalamiidiya trachomatis caabuqa kaadi mareenka kaadi mareenka waxa uu keeni karaa urethritis, epididymitis, prostatitis, proctitis iyo madhalaysnimo ragga iyo waxa ay sidoo kale keeni kartaa ilmo-galeenka, urethritis, miskaha bararka, adnexitis, iyo dhalmo la'aanta haweenka.Isla mar ahaantaana, infekshanka Chlamydia trachomatis ee haweenka uurka leh waxay keeni kartaa dillaac degdeg ah ee xuubabka, bakhtinimada, ilmo iska soo rididda kediska ah, endometritis ka dib ilmo soo rididda iyo ifafaale kale.Haddii aan si fiican loo daaweynin haweenka uurka leh, waxay si toos ah ugu gudbin kartaa dhallaanka cusub, taasoo keenta indhaha, nasopharyngitis iyo oof-wareen.Chlamydia trachomatis infekshannada joogtada ah iyo kuwa soo noqnoqda ee genitourinary waxay u muuqdaan inay u koraan cudurro, sida kansarka unugyada unugyada ilmagaleenka ilmagaleenka iyo AIDS.
Caabuqa Neisseria Jabtada (NG)
Calaamadaha caafimaad ee Neisseria jabtada caabuqa kaadi mareenka kaadi mareenka waa urethritis iyo afka ilmo-galeenka, calaamadihiisa caadiga ah waa dysuria, kaadi joogto ah, degdeg ah, dysuria, xab ama dheecaan dheecaan leh.Haddii aan la daweyn waqtigeeda, gonococci waxay geli kartaa kaadi mareenka ama kor uga sii fidi karaa afka ilmagaleenka, taasoo keenta prostatitis, vesiculitis, epididymitis, endometritis, iyo salpingitis.Xaaladaha daran, waxay keeni kartaa sepsis gonococcal by faafinta hematogenous.Necrosis xuubka oo keena epithelium squamous ama hagaajinta unugyada isku xiran waxay u horseedi kartaa adkaanta kaadi mareenka, vas deferens iyo tuubada cidhiidhi ama xitaa atresia iyo xitaa uurka ectopic iyo dhalmo la'aanta ragga iyo dumarka labadaba.
Ureaplasma Ureayticum Infection (UU)
Ureaplasma urealyticum inta badan waa dulin ku dhaca kaadi mareenka labka, buuryada xubinta taranka, iyo xubinta taranka dumarka.Waxay sababi kartaa caabuqyada kaadi mareenka iyo dhalmo la'aanta xaaladaha qaarkood.Cudurka ugu badan ee uu keeno ureaplasma waa nongonococcal urethritis, kaas oo 60% ka ah urethritis aan bakteeriyada ahayn.Waxa kale oo ay keeni kartaa prostatitis ama epididymitis ragga, siilka dumarka, afka ilmo-galeenka, dhalmada dhicis ah, miisaanka dhalmada oo hooseeya, iyo sidoo kale waxay keeni kartaa caabuq ku dhaca habdhiska neefsiga iyo habdhiska dhexe ee dhallaanka cusub.
Caabuqa fayraska ee Herpes Simplex (HSV)
Herpes simplex virus, ama Herpes, waxa loo kala qaybiyaa laba qaybood: fayraska herpes simplex nooca 1 iyo fayraska herpes simplex nooca 2. Herpes simplex virus nooca 1 waxa uu keenaa herbeska afka inta badan afka iyo afka, laakiin waxa kale oo uu keeni karaa herpes xubinta taranka.Fayraska Herpes simplex nooca 2 waa infekshan lagu kala qaado galmada oo sababa herbes xubinta taranka.Herbeska xubinta taranka ayaa soo noqon kara oo saameyn weyn ku yeelan kara caafimaadka bukaanka iyo cilmi nafsiga.Waxa kale oo ay ku qaadsiin kartaa ilmaha dhasha mandheerta iyo kanaalka dhalmada, taasoo keenta caabuq ku dhasha dhallaanka cusub.
Cudurka Mycoplasma Genitalium (MG)
Mycoplasma genitalium waa noolaha ugu yar ee la yaqaan ee is-badaleeya genome noolaha oo leh kaliya 580kb waxaana si weyn looga helaa dadka iyo xayawaanka.Dadka da'da yar ee firfircoon, waxaa jira xiriir xooggan oo ka dhexeeya cilladaha aan caadiga ahayn ee kaadi mareenka iyo Mycoplasma genitalium, iyada oo ilaa 12% bukaannada calaamaduhu ay si fiican u qabaan Mycoplasma genitalium.Ka sokow, xuubka Mycoplasma Genitalium wuxuu sidoo kale u koraan karaa non-gonococcal urethritis iyo prostatitis raaga.Caabuqa xubinta taranka ee Mycoplasma waa wakiilka madax-bannaan ee caabuqa ilmo-galeenka ee haweenka wuxuuna la xiriiraa endometritis.
Cudurka Mycoplasma Hominis (MH)
Mycoplasma hominis infekshanka xubinta taranka ee kaadi mareenka wuxuu keeni karaa cudurro ay ka mid yihiin urethritis non-gonococcal iyo epididymitis ragga.Waxay u muuqataa barar ku dhaca habka taranka ee haweenka kaas oo ku faafaya xudunta u ah makaanka afkiisa, iyo xanuunka caadiga ah waa salpingitis.Endometritis iyo cudurka bararka miskaha ayaa laga yaabaa inay ku dhacaan tiro yar oo bukaan ah.
02Xalka
Macro & Micro-Test waxay si qoto dheer ugu hawlanaayeen horumarinta caabuqa kaadi mareenka ee la xidhiidha ogaanshaha cudurrada, waxayna soo saareen qalabyada ogaanshaha (habka ogaanshaha Isothermal Amplification) sida soo socota:
03 Tilmaamaha Alaabta
| Magaca Alaabta | Tilmaamid |
| Chlamydia Trachomatis Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 tijaabo/xirmo 50 tijaabo/xirmo |
| Qalabka ogaanshaha Asiidhka Neisseria ee Xuddunta (Enzymatic Probe Isothermal Amplification) | 20 tijaabo/xirmo 50 tijaabo/xirmo |
| Ureaplasma Urealyticum Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 tijaabo/xirmo 50 tijaabo/xirmo |
| Qalabka lagu ogaado fayraska Herpes Simplex Nooca 2 ee Ashitada Nukliyeerka ah (Enzymatic Probe Isothermal Amplification) | 20 tijaabo/xirmo 50 tijaabo/xirmo |
04 Afaa'iido darrada
1. Xakamaynta gudaha ayaa lagu soo bandhigay nidaamkan, kaas oo si buuxda ula socon kara habka tijaabada iyo hubinta tayada tijaabada.
2. Habka ogaanshaha Isothermal Amplification waa ka gaaban yahay waqtiga tijaabada, natiijadana waxaa lagu heli karaa 30 daqiiqo gudahood.
3. Iyadoo Macro & Micro-Test Tusaalaha Siideynta Reagent iyo Macro & Micro-Test Automatic Nucleic Acid Extractor (HWTS-3006), way fududahay in la shaqeeyo oo ku habboon noocyo kala duwan oo xaalado ah.
4. Dareenka sare: LoD ee CT waa 400 koobi/mL;LoD ee NG waa 50 pcs/mL;LoD ee UU waa 400 koobi/mL;LoD ee HSV2 waa 400 koobi/mL.
5. Si gaar ah u gaar ah: ma jiro falcelin ka hortag ah oo lala yeesho wakiilada kale ee faafa ee caanka ah (sida waraabowga, burooyinka xubnaha taranka, chancroid chancre, trichomoniasis, cagaarshowga B iyo AIDS).
Tixraacyo:
[1] LOTTI F,MAGGI M.Cilmi la'aanta galmada iyo dhalmo la'aanta ragga [J].NatRev Urol,2018,15(5):287-307.
[2] CHOY JT, EISENBERG ML. Dhalmo la'aanta lab ee daaqadda caafimaadka [J].Fertil Steril,2018,110(5):810-814.
[3] ZHOU Z,ZHENG D,WU H,iyo al.Epidemiology of infertility in China:Daraasad ku salaysan dadwaynaha[J].BJOG,2018,125(4):432-441.
Waqtiga boostada: Nov-04-2022