Ubuzima bw'imyororokere bunyura mu buzima bwacu bwose, bwafatwaga nk'imwe mu bimenyetso by'ingenzi by'ubuzima bw'abantu na OMS. Hagati aho, "Ubuzima bw'imyororokere kuri bose" bwemewe nk'Intego y'Iterambere Rirambye rya Loni. Nk'igice cy'ingenzi cy'ubuzima bw'imyororokere, imikorere y'uburyo bw'imyororokere, imikorere n'imikorere y'uburyo bw'imyororokere ni ingenzi kuri buri mugabo ku giti cye.
01 Ingarukaofindwara z'imyororokere
Indwara zo mu myanya ndangagitsina y'imyororokere ni ikibazo gikomeye ku buzima bw'imyororokere bw'abagabo, bigatuma abantu bagera kuri 15% by'abarwayi bandura indwara zo mu myanya ndangagitsina y'imyororokere bahura n'ikibazo cy'ubugumba. Iterwa ahanini na Chlamydia Trachomatis, Mycoplasma Genitalium na Ureaplasma Urealyticum. Ariko, abagabo bagera kuri 50% na 90% by'abagore bafite indwara zo mu myanya ndangagitsina y'imyororokere ntibaba bafite ibimenyetso cyangwa ntibaba bafite ibimenyetso, bigatuma gukumira no kugenzura ikwirakwira ry'udukoko bititabwaho. Gusuzuma izi ndwara ku gihe kandi neza bituma habaho ibidukikije byiza by'imyororokere.
Ubwandu bwa Chlamydia Trachomatis (CT)
Indwara ya Chlamydia trachomatis mu nzira y'uburogenital ishobora gutera urethritis, epididymitis, prostatitis, proctitis no kutabyara ku bagabo, kandi ishobora no gutera cervicitis, urethritis, indwara yo kubyimba mu kibuno, adnexitis, no kutabyara ku bagore. Muri icyo gihe, kwandura Chlamydia trachomatis ku bagore batwite bishobora gutera gucika kw'uturemangingo tw'umubiri, kubyara umwana wapfuye, gukuramo inda ku bushake, endometritis nyuma yo gukuramo inda n'ibindi bintu. Iyo idavuwe neza ku bagore batwite, ishobora kwandurira mu myanya ndangagitsina, igatera amaso, nasopharyngitis na pneumonia. Indwara za Chlamydia trachomatis zidakira kandi zisubiramo zikunda kuvamo indwara, nka kanseri y'inkondo y'umura na SIDA.
Indwara ya Neisseria Gonorrhoeae (NG)
Ibimenyetso by’indwara ya Neisseria gonorrhoeae urogenital tract infection ni urethritis na cervicitis, kandi ibimenyetso byayo bisanzwe ni dysuria, kwihagarika kenshi, kwihuta, dysuria, amatembabuzi cyangwa amashyira. Iyo idavuwe ku gihe, gonococci ishobora kwinjira mu muyoboro w’inkari cyangwa igakwirakwira iva mu muyoboro w’inkondo y’umura, bigatera prostatitis, vesiculitis, epididymitis, endometritis, na salpingitis. Mu bihe bikomeye, ishobora gutera gonococcal sepsis binyuze mu gukwirakwira kw’amaraso. Mucosal necrosis itera squamous epithelium cyangwa gusana ingirabuzima fatizo bishobora gutuma uturemangingo tw’inkari dufungana, vas deferens na tubal bigabanuka cyangwa ndetse no gutwita hanze y’inkari no kutabyara ku bagabo n’abagore.
Ubwandu bwa Ureaplasma Urealyticum (UU)
Ureaplasma urealyticum ikunze kuba mu muyoboro w'inkari w'abagabo, mu gahu k'igitsina gabo, no mu gitsina cy'abagore. Ishobora gutera indwara zo mu nzira y'inkari no kutabyara mu bihe bimwe na bimwe. Indwara ikunze guterwa na ureaplasma ni nongonococcal urethritis, ifata 60% by'indwara zo mu muyoboro w'inkari zitari bagiteri. Ishobora kandi gutera prostatitis cyangwa epididymitis ku bagabo, vaginitis ku bagore, cervicitis, kubyara igihe kitageze, kubyara umwana ufite ibiro bike, ndetse ishobora no gutera indwara zo mu myanya y'ubuhumekero n'imitsi yo hagati y'abana bavutse.
Ubwandu bwa virusi ya Herpes Simplex (HSV)
Virusi ya Herpes simplex, cyangwa herpes, igabanyijemo ibyiciro bibiri: virusi ya herpes simplex ubwoko bwa 1 na virusi ya herpes simplex ubwoko bwa 2. Virusi ya Herpes simplex ubwoko bwa 1 itera herpes yo mu kanwa ahanini binyuze mu gukoranaho mu kanwa, ariko ishobora no gutera herpes yo mu gitsina. Virusi ya Herpes simplex ubwoko bwa 2 ni indwara yandurira mu mibonano mpuzabitsina itera herpes yo mu gitsina. Herpes yo mu gitsina ishobora kongera kugaruka no kugira ingaruka zikomeye ku buzima bw'abarwayi no ku mitekerereze yabo. Ishobora kandi kwanduza abana bavutse binyuze mu nyababyeyi no mu nzira y'imyororokere, bigatera kwanduza abana bavutse.
Mycoplasma Indwara Yandura (MG)
Mycoplasma genitalium ni yo ngirabuzimafatizo ntoya izwiho kwikora ubwayo, ifite uburemere bwa 580kb gusa kandi iboneka cyane mu bantu no mu nyamaswa. Mu rubyiruko rukora imibonano mpuzabitsina, hari isano ikomeye hagati y’indwara zo mu myanya ndangagitsina y’umugore n’indwara ya Mycoplasma genitalium, aho 12% by’abarwayi bafite ibimenyetso by’indwara ya Mycoplasma genitalium banduye. Uretse ibyo, Mycoplasma Genitalium yanduye ishobora no kuvamo indwara ya gonococcal urethritis na chronic prostatitis. Kwandura kwa Mycoplasma genitalium ni ikintu cyigenga gitera ububyimbirwe bw’inkondo y’umura ku bagore kandi bifitanye isano na endometritis.
Indwara ya Mycoplasma Hominis (MH)
Ubwandu bwa Mycoplasma hominis mu nzira y'imitsi ishobora gutera indwara nka gonococcal urethritis na epididymitis ku bagabo. Bigaragara nk'ububyimbirwe bw'imyanya myibarukiro ku bagore bukwirakwira mu mura w'inkondo y'umura, kandi indwara ikunze kugaragara ni salpingitis. Endometrite n'indwara yo kubyimba mu kibuno bishobora kugaragara ku barwayi bake.
02Umuti
Macro & Micro-Test yagize uruhare runini mu guteza imbere ibikoresho byo gupima indwara ziterwa n’ubwandu mu nzira y’ubura, kandi yateguye ibikoresho bifitanye isano nabyo byo gupima indwara (uburyo bwo gupima indwara ziterwa n’izuba) nk'ibi bikurikira:
03 Ibisobanuro by'ibicuruzwa
| Izina ry'igicuruzwa | Ibisobanuro |
| Kit yo Gupima Aside Nucleic ya Chlamydia Trachomatis (Enzymatic Probe Isothermal Amplification) | Ibipimo 20 ku gikoresho Ibipimo 50 ku gikoresho |
| Kit yo Gupima Aside ya Nucleic ya Neisseria Gonorrhoeae (Enzymatic Probe Isothermal Amplification) | Ibipimo 20 ku gikoresho Ibipimo 50 ku gikoresho |
| Kiti yo Gupima Acide Nucleic ya Ureaplasma (Enzymatic Probe Isothermal Amplification) | Ibipimo 20 ku gikoresho Ibipimo 50 ku gikoresho |
| Kit yo Gupima Acide Nucleic ya Herpes Simplex Virus Type 2 (Enzymatic Probe Isothermal Amplification) | Ibipimo 20 ku gikoresho Ibipimo 50 ku gikoresho |
04 Ainyungu
1. Ubugenzuzi bw'imbere bushyirwa muri ubu buryo, bushobora gukurikirana mu buryo bwuzuye inzira y'igerageza no kwemeza ireme ry'igerageza.
2. Uburyo bwo Gupima Isothermal Amplification bugabanya igihe cyo gupima, kandi igisubizo gishobora kuboneka mu minota 30.
3. Hamwe na Macro & Micro-Test Sample Release Reagent na Macro & Micro-Test Automatic Nucleic Acid Extractor (HWTS-3006), biroroshye kuyikoresha kandi ikwiriye ibintu bitandukanye.
4. Ububasha bwo kwihuta cyane: LoD ya CT ni kopi 400/mL; LoD ya NG ni 50 pcs/mL; LoD ya UU ni kopi 400/mL; LoD ya HSV2 ni kopi 400/mL.
5. Uburyo bworoshye bwo kuvura indwara: nta ndwara ishobora kwanduzanya n'izindi ndwara zisanzwe ziterwa n'indwara (nk'indwara ya syphilis, genital warts, chancre, trichomoniasis, hepatite B na SIDA).
Imbonerahamwe:
[1] LOTTI F,MAGGI M. Kudakora neza mu mibonano mpuzabitsina no kutabyara kw'abagabo [J].NatRev Urol,2018,15(5):287-307.
[2] CHOY JT, EISENBERG ML. Ubugumba bw'abagabo nk'idirishya ry'ubuzima [J]. Fertil Steril, 2018,110 (5): 810-814.
[3] ZHOU Z, ZHENG D, WU H, n'abandi. Epidemiology y'ubugumba mu Bushinwa: ubushakashatsi bushingiye ku baturage [J].BJOG, 2018,125 (4): 432-441.
Igihe cyo kohereza: Ugushyingo-04-2022