Ke holo nei ke olakino hānau ma ko mākou pōʻai ola, i manaʻo ʻia ʻo ia kekahi o nā hōʻailona koʻikoʻi o ke olakino kanaka e WHO.I kēia manawa, ʻike ʻia ʻo "Reproductive Health for All" ma ke ʻano he UN Sustainable Development Goal.Ma ke ʻano he ʻāpana koʻikoʻi o ke olakino hānau, ʻo ka hana o ka ʻōnaehana hānau, nā kaʻina hana a me nā hana e hopohopo nei i kēlā me kēia kāne.
01 Pilikiaofnā maʻi hānau
ʻO nā maʻi maʻi hānau keiki he mea hoʻoweliweli nui i ke olakino hānau kāne, e hoʻoulu ai i ka infertility ma kahi o 15% o nā maʻi.ʻO ka kumu nui ia e Chlamydia Trachomatis, Mycoplasma Genitalium a me Ureaplasma Urealyticum.Eia naʻe, ma kahi o 50% o nā kāne a me 90% o nā wahine me nā maʻi maʻi hānau keiki he subclinical a asymptomatic paha, e alakaʻi ana i ka pale ʻana a me ka mālama ʻana i ka lawe ʻana i nā pathogens.ʻO ka hōʻailona kūpono a me ka maikaʻi o kēia mau maʻi no laila e kūpono i kahi kūlana olakino reproductive maikaʻi.
Ka ma'i 'o Chlamydia Trachomatis (CT)
Hiki i ka Chlamydia trachomatis urogenital tract maʻi ke hoʻoulu i ka urethritis, epididymitis, prostatitis, proctitis a me ka infertility i nā kāne a hiki ke hoʻoulu i ka cervicitis, urethritis, pelvic inflammatory maʻi, adnexitis, a me ka infertility i nā wahine.I ka manawa like, hiki i ka maʻi me Chlamydia trachomatis i nā wahine hāpai ke alakaʻi i ka haki ʻana o nā membranes, ka hānau ʻana, ka hoʻohemo ʻole, ka endometritis post-abortion a me nā mea ʻē aʻe.Inā ʻaʻole i mālama maikaʻi ʻia i nā wahine hāpai, hiki ke hoʻoili ʻia i nā keiki hānau hou, e hoʻoulu ai i ka ophthalmia, nasopharyngitis a me ka pneumonia.ʻO nā maʻi Chlamydia trachomatis genitourinary maʻamau a hoʻomau pinepine ʻia e ulu i nā maʻi, e like me ka cervical squamous cell carcinoma a me AIDS.
Neisseria Gonorrhoeae Infection (NG)
ʻO nā hōʻailona hōʻailona o Neisseria gonorrhoeae urogenital tract maʻi he urethritis a me ka cervicitis, a ʻo kāna mau hōʻailona maʻamau he dysuria, urination pinepine, wikiwiki, dysuria, mucus a purulent discharge.Inā ʻaʻole mālama ʻia i ka manawa, hiki i ka gonococci ke komo i loko o ka urethra a i ʻole ka laha ʻana i luna mai ka pūpū, e hoʻoulu ai i ka prostatitis, vesiculitis, epididymitis, endometritis, a me salpingitis.I nā hihia koʻikoʻi, hiki iā ia ke hoʻoulu i ka maʻi gonococcal ma muli o ka hoʻolaha hematogenous.ʻO ka mucosal necrosis e hoʻoulu ai i ka epithelium squamous a i ʻole ka hoʻoponopono ʻana i nā ʻiʻo pili pili hiki ke alakaʻi i ka urethral stricture, vas deferens a me ka hōʻemi ʻana o ka tubal a i ʻole atresia a hiki i ka hāpai ʻana i ka ectopic a me ka infertility i nā kāne a me nā wahine.
Ureaplasma Urealyticum Infection (UU)
ʻO ka Ureaplasma urealyticum ka nui o ka parasitic i loko o ka urethra kāne, ka omaka o ka penis, a me ka wahine wahine.Hiki iā ia ke hoʻoulu i ka maʻi urinary tract a me ka infertility ma lalo o kekahi mau kūlana.ʻO ka maʻi maʻamau i hana ʻia e ka ureaplasma ʻo ia ka urethritis nongonococcal, ʻo ia ka 60% o ka urethritis nonbacterial.Hiki iā ia ke hoʻoulu i ka prostatitis a i ʻole epididymitis i nā kāne, vaginitis i nā wahine, cervicitis, hānau mua, haʻahaʻa haʻahaʻa kaumaha, a hiki ke hoʻoulu i nā maʻi o ka hanu a me nā ʻōnaehana kūloko o nā keiki hou.
ʻO ka maʻi maʻi maʻi Herpes Simplex (HSV)
Ua māhele ʻia ʻo Herpes simplex virus, a i ʻole herpes, i ʻelua ʻāpana: herpes simplex virus type 1 a me herpes simplex virus type 2. ʻO ka maʻi herpes simplex type 1 ke kumu o ka herpes waha ma o ka hoʻopili ʻana i ka waha, akā hiki ke hoʻoulu i ka herpes genital.ʻO ka maʻi maʻi Herpes simplex type 2 he maʻi i hoʻouna ʻia e ka wahine e hoʻoulu ai i ka herpes genital.Hiki i ka maʻi herpes ke hoʻi hou a loaʻa ka mana nui i ke olakino a me ka noʻonoʻo o nā maʻi.Hiki iā ia ke hoʻopili i nā keiki hānau hou ma o ka placenta a me ke ala hānau, e alakaʻi ana i ka maʻi congenital o nā keiki hānau hou.
Mycoplasma Genitalium Infection (MG)
ʻO Mycoplasma genitalium ka mea liʻiliʻi loa i ʻike ʻia e hoʻopiʻi ponoʻī iā ia iho ma 580kb wale nō a ʻike nui ʻia i loko o nā kānaka a me nā pūʻali holoholona.I loko o ka poʻe ʻōpio e pili ana i ka moekolohe, aia kahi pilina ikaika ma waena o nā abnormalities urogenital tract a me Mycoplasma genitalium, a hiki i ka 12% o nā maʻi symptomatic he maikaʻi no Mycoplasma genitalium.Ma waho aʻe, hiki i ka pepole i loaʻa i ka Mycoplasma Genitalium ke ulu aʻe i ka urethritis non-gonococcal a me ka prostatitis mau.ʻO ka maʻi Mycoplasma genitalium he kumu kūʻokoʻa kūʻokoʻa o ka mumū o ka cervical no nā wahine a pili pū me ka endometritis.
Ma'i 'o Mycoplasma Hominis (MH)
ʻO ka maʻi Mycoplasma hominis o ka ʻāpana genitourinary hiki ke hoʻoulu i nā maʻi e like me ka urethritis non-gonococcal a me ka epididymitis i nā kāne.Hōʻike ia ma ke ʻano he mumū o ka ʻōnaehana hānau i loko o nā wahine e laha ana i waena o ka pūpū, a ʻo ka maʻi maʻamau ʻo salpingitis.Hiki ke loaʻa ka Endometritis a me ka maʻi pelvic i loko o kahi helu liʻiliʻi o nā maʻi.
02Hoʻoholo
Ua komo nui ka Macro & Micro-Test i ka hoʻomohala ʻana i ka maʻi urogenital tract e pili ana i nā maʻi ʻike maʻi, a ua hoʻomohala i nā pahu ʻike pili (Isothermal Amplification Detection method) penei:
03 Hōʻike huahana
| inoa mea kūʻai | Hōʻike |
| Chlamydia Trachomatis Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 ho'āʻo/kit 50 ho'āʻo / pahu |
| Neisseria Gonorrhoeae Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 ho'āʻo/kit 50 ho'āʻo / pahu |
| Ureaplasma Urealyticum Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 ho'āʻo/kit 50 ho'āʻo / pahu |
| Herpes Simplex Virus Type 2 Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 ho'āʻo/kit 50 ho'āʻo / pahu |
04 Anā mea maikaʻi
1. Hoʻokomoʻia ka mana o loko i loko o kēia pūnaewele, hiki ke nānā pono i ke kaʻina hana hoʻokolohua a hōʻoia i ka maikaʻi o ka hoʻokolohua.
2. Isothermal Amplification Detection ala pōkole manawa ho'āʻo, a hiki ke loaʻa ka hopena i loko o 30 minuke.
3. Me ka Macro & Micro-Test Sample Release Reagent a me ka Macro & Micro-Test Automatic Nucleic Acid Extractor (HWTS-3006), ua maʻalahi ka hana a kūpono i nā ʻano hiʻohiʻona.
4. ʻO kaʻike kiʻekiʻe:ʻo ka LoD o CT he 400 kope / mL;ʻo ka LoD o NG he 50 pcs / mL;ʻo ka LoD o UU he 400 kope/mL;ʻO ka LoD o HSV2 he 400 kope/mL.
5. Kiʻekiʻe kikoʻī: ʻaʻohe cross-reactivity me nā mea maʻamau maʻamau e pili ana (e like me syphilis, genital warts, chancroid chancre, trichomoniasis, hepatitis B a me AIDS).
Kuhikuhi:
[1] LOTTI F, MAGGI M. ʻAi ʻole i ka moe kolohe a me ka male ʻole o ke kāne [J].NatRev Urol,2018,15(5):287-307.
[2] CHOY JT,EISENBERG ML. ʻAʻole i hānau ʻia nā kāne ma ke ʻano he puka makani no ke olakino [J]. Fertil Steril,2018,110(5):810-814.
[3] ZHOU Z, ZHENG D, WU H, et al. Epidemiology of infertility in Kina: ka hoʻopaʻa ʻana i ka lehulehu [J].BJOG,2018,125(4):432-441.
Ka manawa hoʻouna: Nov-04-2022