1.Muhiimadda ogaanshaha
Kooxda B Streptococcus (GBS) ayaa sida caadiga ah lagu gumaystaa xubinta taranka haweenka iyo malawadka, taas oo u horseedi karta infekshanka hore ee dhallaanka (GBS-EOS) ee dhallaanka iyada oo si toos ah hooyada u gudbisa cunugga, waana sababta ugu weyn ee sambabada dhallaanka, meningitis, septicaemia iyo xataa dhimasho.Sannadka 2021, Oggolaanshaha Khabiirka ee Maareynta Kiliinikada ee Dhallaanka Khatarta sare leh ee Qaba Caabuqa Hore ee Hooyada iyo Dhallaanka Shiinaha ee Ururka Caafimaadka Hooyada iyo Dhallaanka ayaa soo jeediyay in GBS baadhista 35-37 toddobaad ka hor dhalmada iyo ka hortagga antibiyootiga intrapartum (IAP) ) waxay ahaayeen tallaabooyin wax ku ool ah oo looga hortagayo GBS-EOS ee dhallaanka cusub.
2. Caqabadaha ay la kulmaan hababka ogaanshaha hadda
Dilaac degdega ah ee xuubka (PROM) waxaa loola jeedaa dillaaca xuubka foosha ka hor, taas oo ah dhibka caadiga ah ee xilliga dhalmada.Xuub dillaaca degdega ah Sababo la xiriira dillaaca xuubabka, GBS ee xubinta taranka dumarka waxay aad ugu dhowdahay inay kor u faafto, taasoo keenta caabuqa intrauterine.Khatarta infekshanku waxay si toos ah u tahay korriinka xilliga dillaaca xuubka (> 50% haweenka uurka leh waxay ku dhalaan 1-2 saacadood gudahood ka dib dillaaca xuubka, ama xitaa 1-2 saacadood).
Hababka ogaanshaha jira si buuxda uma buuxin karaan shuruudaha wakhtiga (< 1h), saxnaanta iyo ogaanshaha GBS ee wicitaanka inta lagu jiro dhalmada.
Qalabka lagu ogaanayo | Dhaqanka bakteeriyada | Waqtiga dhaqanka: 18-24hHaddii tijaabada dareenka daroogada: kordhi 8-16h | 60 % heerka ogaanshaha togan ;Inta lagu jiro habka muunada, waxay u nugushahay bakteeriyada sida Enterococcus faecalis agagaarka siilka iyo futada, taasoo keenta natiijooyin been abuur ah / been abuur ah. |
Immunochromatography | Waqtiga lagu ogaanayo: 15min. | Dareenku wuu hooseeyaa, wayna fududahay in la seego ogaanshaha, gaar ahaan marka xadiga bakteeriyadu yar tahay, way adag tahay in la ogaado, iyo tilmaamaha laguma talinayo. | |
PCR | Waqtiga ogaanshaha: 2-3h | Waqtiga ogaanshaha waa in ka badan 2 saacadood, qalabka PCR-ga wuxuu u baahan yahay in lagu tijaabiyo dufcad, suurtagalna ma aha in la raaco baaritaanka. |
3. Macro & Micro-Test sheyga ugu muhiimsan
Ogaanshaha degdega ah: Isticmaalka baaritaanka dheef-shiid kiimikaad ee enzyme-ka ee dariiqa xoojinta heerkulka joogtada ah, bukaannada wanaagsani waxay ogaan karaan natiijada isla markiiba 5 daqiiqo.
Ogaanshaha wakhti kasta, looma baahna in la sugo: waxay ku qalabaysan tahay heerkulka joogtada ah ee nucleic acid amplification analyzer Easy Amp, iyo afarta qaybood ayaa si madaxbannaan u shaqeeya, shaybaaradana waa la kormeeraa marka ay yimaadaan, markaa looma baahna in la sugo muunado.
Nooca muunada badan: suufka siilka, suufka malawadka ama suufka siilka ee isku dhafan ayaa la ogaan karaa, kaas oo buuxiya talada tilmaamaha GBS, hagaajinta heerka ogaanshaha togan wuxuuna yareeyaa heerka cilladda.
Waxqabad heersare ah: Xaqiijinta muunadda weyn ee xarumaha badan leh (> 1000 xaaladood), dareenka 100%, gaar ahaan 100%.
Fur reagent: la jaan qaadaya qalabka PCR ee tirooyinka fluorescence ee hadda socda.
4. Macluumaadka alaabta
Lambarka Alaabta | Magaca Alaabta | Tilmaamid | Lambarka shahaadada diiwaangelinta |
HWTS-UR033C | Kooxda B Streptococcus nucleic acid xirmada lagu ogaanayo Baadhista Enzymatic Probe Isothermal Amplification | 50 imtixaan/xirmo | Diiwaangelinta Mashiinnada Shiinaha 20243400248 |
HWTS-EQ008 | Fudud Amp-waqtiga-dhabta ah Nidaamka ogaanshaha Fluorescence Isothermal | HWTS-1600P (4-channel) | Diiwaangelinta Mashiinnada Shiinaha 20233222059 |
HWTS-1600S (2-channel) | |||
HWTS-EQ009 |
Waqtiga boostada: Mar-07-2024