Caafimaadka taranka wuxuu si buuxda u maraa wareegga nolosheenna, kaas oo loo arkay mid ka mid ah tilmaamayaasha muhiimka ah ee caafimaadka aadanaha ee ay bixiso WHO. Dhanka kale, "Caafimaadka taranka ee dhammaan" waxaa loo aqoonsaday Hadaf Horumar Waara oo Qaramada Midoobay ah. Iyada oo qayb muhiim ah ka ah caafimaadka taranka, waxqabadka nidaamka taranka, hababka iyo shaqooyinka ayaa walaac ku ah qof kasta oo lab ah.
01 Khatarahaofcudurada taranka
Caabuqyada taranka ayaa khatar weyn ku ah caafimaadka taranka ragga, taasoo keenta dhalmo la'aan ku dhacda qiyaastii 15% bukaanada. Inta badan waxaa sababa Chlamydia Trachomatis, Mycoplasma Genitalium iyo Ureaplasma Urealyticum. Si kastaba ha ahaatee, qiyaastii 50% ragga iyo 90% dumarka qaba caabuqyada taranka ayaa ah kuwo aan caafimaad ahayn ama aan lahayn astaamo, taasoo keentay in ka hortagga iyo xakamaynta gudbinta jeermiska la dayaco. Sidaa darteed, ogaanshaha waqtiga ku habboon ee wax ku oolka ah ee cuduradan ayaa ku habboon jawi caafimaad oo wanaagsan oo taranka ah.
Caabuqa Chlamydia Trachomatis (CT)
Caabuqa Chlamydia trachomatis ee marinnada kaadi mareenka wuxuu sababi karaa urethritis, epididymitis, prostatitis, proctitis iyo dhalmo la'aan ragga waxayna sidoo kale sababi kartaa cervicitis, urethritis, cudurka bararka miskaha, adnexitis, iyo dhalmo la'aan haweenka. Isla mar ahaantaana, caabuqa Chlamydia trachomatis ee haweenka uurka leh wuxuu keeni karaa dillaac degdeg ah oo xuubka ah, dhalashada meydka, ilmo soo rididda iskeed ah, endometritis ilmo soo rididda ka dib iyo ifafaale kale. Haddii aan si wax ku ool ah loogu daaweyn haweenka uurka leh, waxaa si toos ah loogu gudbin karaa dhallaanka cusub, taasoo keenta indho la'aan, nasopharyngitis iyo oof-wareen. Caabuqyada daba-dheeraada ee soo noqnoqda ee xubnaha taranka ee Chlamydia trachomatis waxay u muuqdaan inay isu beddelaan cudurro, sida kansarka unugyada squamous ee ilmo-galeenka iyo AIDS.
Caabuqa Neisseria Jabtada (NG)
Calaamadaha caafimaad ee caabuqa kaadi mareenka ee Neisseria gonorrhoeae waa urethritis iyo cervicitis, calaamadaha caadiga ahna waa dysuria, kaadida oo soo noqnoqota, degdega, dysuria, xab ama dheecaan dheecaan ah. Haddii aan waqtigeeda lagu daaweyn, gonococci waxay geli kartaa kaadi mareenka ama waxay ku faafi kartaa kor afka ilmo-galeenka, taasoo keenta prostatitis, vesiculitis, epididymitis, endometritis, iyo salpingitis. Xaaladaha daran, waxay sababi kartaa sepsis gonococcal ah iyadoo faafinaysa hematogenous. Necrosis-ka xuubka oo keena epithelium squamous ama hagaajinta unugyada isku xira waxay keeni kartaa adkaanta kaadi mareenka, vas deferens iyo cidhiidhiga tuubada ama xitaa atresia iyo xitaa uurka ectopic iyo dhalmo la'aanta ragga iyo dumarka labadaba.
Caabuqa Ureaplasma Urealyticum (UU)
Ureaplasma urealyticum badanaa waa dulin ku dhaca kaadi mareenka ragga, maqaarka guska, iyo siilka dumarka. Waxay sababi kartaa caabuqyada kaadi mareenka iyo dhalmo la'aan xaalado gaar ah. Cudurka ugu badan ee uu keeno ureaplasma waa urethritis nongonococcal, kaas oo ah 60% urethritis-ka aan bakteeriyada lahayn. Waxay sidoo kale sababi kartaa prostatitis ama epididymitis ragga, vaginitis dumarka, cervicitis, dhalashada dhicis ah, miisaanka dhalmada oo hooseeya, waxayna sidoo kale sababi kartaa caabuqyada habdhiska neefsashada iyo neerfaha dhexe ee dhallaanka cusub.
Caabuqa Fayraska Herpes Simplex (HSV)
Fayraska Herpes simplex, ama herpes, wuxuu u qaybsan yahay laba qaybood: fayraska herpes simplex nooca 1aad iyo fayraska herpes simplex nooca 2aad. Fayraska Herpes simplex nooca 1aad wuxuu keenaa herpes afka ah inta badan iyada oo loo marayo taabashada afka, laakiin sidoo kale wuxuu sababi karaa herpes xubinta taranka. Fayraska Herpes simplex nooca 2aad waa caabuq galmo oo keena herpes xubinta taranka. Herpes xubinta taranka ayaa soo laaban kara oo saameyn weyn ku yeelan kara caafimaadka bukaanka iyo cilmi nafsiga. Waxay sidoo kale ku dhici kartaa dhallaanka cusub iyada oo loo marayo mandheerta iyo kanaalka dhalmada, taasoo horseedaysa caabuq ku dhaca dhallaanka cusub.
Cudurka Mycoplasma Genitalium (MG)
Mycoplasma genitalium waa noolaha ugu yar ee la yaqaan ee is-tarjuma, miisaankiisuna yahay 580kb oo keliya, waxaana si weyn looga helaa dadka iyo xayawaanka. Dadka da'da yar ee galmada ku jira, waxaa jira xiriir xooggan oo u dhexeeya cilladaha marinnada kaadi mareenka iyo Mycoplasma genitalium, iyadoo ilaa 12% bukaanada calaamadaha leh ay qabaan Mycoplasma genitalium. Intaa waxaa dheer, Mycoplasma Genitalium oo ay ku dhacday pepole ayaa sidoo kale isu beddeli kara urethritis aan gonococcal ahayn iyo prostatitis daba-dheeraaday. Caabuqa Mycoplasma genitalium waa sabab madaxbannaan oo keenta bararka afka ilmo-galeenka ee haweenka wuxuuna la xiriiraa endometritis.
Cudurka Mycoplasma Hominis (MH)
Caabuqa Mycoplasma hominis ee marinnada taranka ee ragga wuxuu sababi karaa cudurro sida urethritis-ka aan gonococcal ahayn iyo epididymitis-ka ragga. Waxay u muuqataa barar ku dhaca habdhiska taranka ee haweenka kaasoo ku faafa xudunta ilmo-galeenka, cudur caadi ahna waa salpingitis. Cudurka Endometritis iyo cudurka bararka miskaha ayaa laga yaabaa inay ku dhacaan tiro yar oo bukaanno ah.
02Xalka
Macro & Micro-Test waxay si qoto dheer uga qayb qaadatay horumarinta walxaha lagu ogaado cudurrada la xiriira caabuqa marinnada kaadi mareenka, waxayna samaysay qalab lagu ogaan karo cudurrada la xiriira (habka ogaanshaha Isothermal Amplification Detection) sida soo socota:
03 Qeexitaanka Badeecada
| Magaca Badeecada | Faahfaahinta |
| Qalabka Ogaanshaha Aashitada Nucleic ee Chlamydia Trachomatis (Amplification Isothermal Probe) | 20 tijaabo/xirmo 50 tijaabo/qalab |
| Qalabka Ogaanshaha Aashitada Nukliyeerka ee Neisseria Gonorrhoeae (Amplification Isothermal Probe) | 20 tijaabo/xirmo 50 tijaabo/qalab |
| Qalabka Ogaanshaha Aashitada Nucleic ee Ureaplasma (Amplification Isothermal Probe) | 20 tijaabo/xirmo 50 tijaabo/qalab |
| Qalabka Ogaanshaha Aashitada Nucleic-ga ee Nooca 2 ee Fayraska Herpes Simplex (Amplification Isothermal Probe) | 20 tijaabo/xirmo 50 tijaabo/qalab |
04 Afaa'iidooyinka
1. Xakamaynta gudaha ayaa lagu soo bandhigay nidaamkan, kaas oo si buuxda ula socon kara habka tijaabada isla markaana hubin kara tayada tijaabada.
2. Habka Ogaanshaha Kor-u-qaadista Isothermal-ka oo waqti gaaban oo tijaabo ah, natiijadana waxaa lagu heli karaa 30 daqiiqo gudahood.
3. Iyada oo la adeegsanayo Macro & Micro-Test Sample Release Reagent iyo Macro & Micro-Test Automatic Nucleic Acid Extractor (HWTS-3006), way fududahay in la shaqeeyo waxayna ku habboon tahay xaalado kala duwan.
4. Xasaasiyadda sare: LoD-ga CT waa 400 nuqul/mL; LoD-ga NG waa 50 xabbo/mL; LoD-ga UU waa 400 nuqul/mL; LoD-ga HSV2 waa 400 nuqul/mL.
5. Gaar ahaansho sare: ma jiro fal-celin isdhaafsi ah oo lala sameeyo wakiilada kale ee faafa ee caadiga ah (sida waraabowga, burooyinka xubinta taranka, chancroid chancre, trichomoniasis, hepatitis B iyo AIDS).
Tixraacyada:
[1] LOTTI F,MAGGI M. Cilladda galmada iyo dhalmo la'aanta ragga [J].NatRev Urol,2018,15(5):287-307.
[2] CHOY JT, EISENBERG ML. Ma-dhalaysnimada ragga oo ah daaqad caafimaad [J].Fertil Steril,2018,110(5):810-814.
[3] ZHOU Z, ZHENG D, WU H, iwm. Cudurrada faafa ee dhalmo la'aanta ee Shiinaha: daraasad ku salaysan dadweynaha[J].BJOG,2018,125(4):432-441.
Waqtiga boostada: Noofambar-04-2022