Ko te hauora uri e rere ana i roto i te huringa ora katoa o te tangata, e kiia ana e te WHO ko tētahi o ngā tohu nui o te hauora tangata. I taua wā, ko te "hauora uri mō te katoa" kua whakamanahia hei Whāinga Whakawhanake Tauwhiro a te UN. Hei wāhanga nui o te hauora uri, ko te mahi a te pūnaha uri, ngā tukanga me ngā mahi he mea nui ki ia tāne.
01 Ngā Tūponotangaofngā mate whānau
He tino mōrearea ngā mate pāwera o te ara uri ki te hauora uri o ngā tāne, ā, ka pāngia te 15% o ngā tūroro e te kore tamariki. Ko te nuinga o ēnei mate ko te Chlamydia Trachomatis, Mycoplasma Genitalium me te Ureaplasma Urealyticum. Heoi, tata ki te 50% o ngā tāne me te 90% o ngā wāhine e pāngia ana e ngā mate pāwera o te ara uri kāore i te kitea he tohu, ā, kāore e arohia te ārai me te whakahaere i te tuku o ngā mate. Nō reira, ko te tātaritanga tika me te wā tika o ēnei mate ka āwhina i te hauora uri kia pai ake te taiao.
Matepukupuku Chlamydia Trachomatis (CT)
Ka taea e te mate urutā Chlamydia trachomatis te whakaputa i te urethritis, te epididymitis, te prostatitis, te proctitis me te kore tamariki i roto i ngā tāne, ā, ka taea hoki e ia te whakaputa i te cervicitis, te urethritis, te mate mumura o te pelvis, te adnexitis, me te kore tamariki i roto i ngā wāhine. I taua wā anō, ka taea e te mate Chlamydia trachomatis i roto i ngā wāhine hāpu te arahi ki te pakaru wawe o ngā kiriuhi, te whānautanga mate, te whakatahe ohorere, te endometritis i muri i te whakatahe me ētahi atu āhuatanga. Ki te kore e rongoatia pai i roto i ngā wāhine hāpu, ka taea te hora poutū ki ngā pēpi hou, ka puta te ophthalmia, te nasopharyngitis me te niumōnia. Ko ngā mate urutā Chlamydia trachomatis genitourinary mau tonu me te maha o ngā wā ka whanake hei mate, pērā i te mate pukupuku pūtau squamous cervical me te AIDS.
Neisseria Gonorrhoeae Infection (NG)
Ko ngā tohu haumanu o te mate urutā Neisseria gonorrhoeae ko te urethritis me te cervicitis, ā, ko ōna tohu noa ko te dysuria, te mimi pinepine, te hiahia nui, te dysuria, te hūpē, te wai rānei. Ki te kore e rongoatia i te wā tika, ka taea e te gonococci te tomo ki te urethra, te horapa rānei ki runga mai i te cervix, ka puta te prostatitis, te vesiculitis, te epididymitis, te endometritis, me te salpingitis. I ngā wā kino, ka taea e ia te puta te sepsis gonococcal mā te horapa hematogenous. Ko te necrosis mucosal e hua ai te whakatikatika i te epithelium squamous, te kiko honohono rānei, ka arahi ki te urethral stricture, te vas deferens me te tubal whaiti, tae noa ki te atresia, tae noa ki te haputanga ectopic me te kore tamariki i roto i ngā tāne me ngā wāhine.
Mate urutā Ureaplasma Urealyticum (UU)
Ko te nuinga o te wā, ko te Ureaplasma urealyticum he pirinoa kei roto i te urethra tāne, te kiri matamata o te ure, me te tara wahine. Ka taea e ia te whakararu i te ara mimi me te kore tamariki i raro i ētahi āhuatanga. Ko te mate tino noa e pāngia ana e te ureaplasma ko te urethritis kore-gonococcal, e 60% o te urethritis kore-huakita. Ka taea hoki e ia te whakararu i te prostatitis, te epididymitis rānei i roto i ngā tāne, te vaginitis i roto i ngā wāhine, te cervicitis, te whānautanga wawe, te taumaha whānau iti, ā, ka taea hoki e ia te whakararu i te pūnaha manawa me te pūnaha io pokapū o ngā pēpi hou.
Mate Huaketo Herpes Simplex (HSV)
E rua ngā wāhanga o te huaketo herpes simplex, arā, te herpes: te huaketo herpes simplex momo 1 me te huaketo herpes simplex momo 2. Ka pā te herpes ā-waha ki te huaketo herpes simplex momo 1 mā te pa atu o te waha ki te waha, engari ka pā anō hoki te herpes taihemahema. Ko te huaketo herpes simplex momo 2 he mate tuku iho e pā ana ki te herpes taihemahema. Ka taea e te herpes taihemahema te hoki mai anō, ā, he nui ake te pānga ki te hauora me te hinengaro o ngā tūroro. Ka taea hoki e ia te pangia ngā pēpi hou mā te whenua whānau me te awa whānau, ka hua ake he mate whānau o ngā pēpi hou.
Mycoplasma Genitalium Infection (MG)
Ko te Mycoplasma genitalium te mea iti rawa e mōhiotia ana ka taea te whakaputa uri i a ia anō, he 580kb noa iho te rahi, ā, he whānuitia te kitea i roto i te tangata me te kararehe. I roto i ngā taiohi e moe tāne ana, he hononga kaha kei waenganui i ngā hapa o te ara urogenital me te Mycoplasma genitalium, tae atu ki te 12% o ngā tūroro e whakaatu ana i ngā tohu he pai te mate Mycoplasma genitalium. Haunga tēnā, ka taea hoki e te Mycoplasma Genitalium kua pangia e te tangata te whanake hei urethritis kore-gonococcal me te prostatitis mau tonu. Ko te mate Mycoplasma genitalium he take motuhake o te mumura o te kaki o te kōpū mō ngā wāhine, ā, e pā ana ki te endometritis.
Mycoplasma Hominis Infection (MH)
Ka taea e te mate Mycoplasma hominis o te ara urogenital te whakaputa i ngā mate pēnei i te urethritis non-gonococcal me te epididymitis i roto i ngā tāne. Ka puta mai i te mumura o te pūnaha whakaputa uri i roto i ngā wāhine ka horapa ki te cervix, ā, ko tētahi atu mate noa ko te salpingitis. Tērā pea ka puta te endometritis me te mate mumura pelvic i roto i te hunga torutoru.
02Otinga
Kua kaha te whai wāhi a Macro & Micro-Test ki te whakawhanake i ngā matū kimi mate e pā ana ki te mate urogenital, ā, kua whakawhanakehia e rātou ngā kete kimi e pā ana (tikanga kimi whakanui Isothermal) e whai ake nei:
03 Whakatakotoranga Hua
| Ingoa Hua | Whakatakotoranga |
| Kete Kimi Waikawa Karihi Chlamydia Trachomatis (Whakanuia te Whakamātautau Enzymatic Isothermal) | 20 ngā whakamātautau/kete 50 ngā whakamātautau/kete |
| Kete Kimi Waikawa Karihi Neisseria Gonorrhoeae (Whakanuia te Whakamātautau Enzymatic Isothermal) | 20 ngā whakamātautau/kete 50 ngā whakamātautau/kete |
| Kete Kimi Waikawa Matū Ureaplasma Urealyticum (Whakanuia te Whakamātautau Wawerangi) | 20 ngā whakamātautau/kete 50 ngā whakamātautau/kete |
| Kete Kimi Waikawa Matūriki Momo 2 mō te Huaketo Herpes Simplex (Whakanuia te Whakamātautau Wawerangi) | 20 ngā whakamātautau/kete 50 ngā whakamātautau/kete |
04 Angā painga
1. Kua whakaurua te mana whakahaere ā-roto ki roto i tēnei pūnaha, e taea ai te aroturuki whānui i te tukanga whakamātautau me te whakarite i te kounga o te whakamātautau.
2. He poto ake te wā whakamātautau mā te tikanga kimi whakanui isothermal, ā, ka taea te whiwhi hua i roto i te 30 meneti.
3. Mā te Macro & Micro-Test Sample Release Reagent me te Macro & Micro-Test Automatic Nucleic Acid Extractor (HWTS-3006), he māmā noa iho te whakahaere, ā, he pai hoki mō ngā momo āhuatanga maha.
4. Te tino aro: ko te LoD o te CT he 400 tārua/mL; ko te LoD o te NG he 50 pcs/mL; ko te LoD o te UU he 400 tārua/mL; ko te LoD o te HSV2 he 400 tārua/mL.
5. Te tino motuhake: kāore he tauhohenga whakawhiti me ētahi atu mate pāwera noa (pērā i te syphilis, ngā kiriuhi ira tangata, te chancroid chancre, te trichomoniasis, te hepatitis B me te AIDS).
Ngā Tohutoro：
[1] LOTTI F, MAGGI M. Te ngoikore o te ira tangata me te kore tamariki o ngā tāne [J].NatRev Urol,2018,15(5):287-307.
[2] CHOY JT,EISENBERG ML. Te kore tamariki o te tāne hei matapihi ki te hauora [J].Fertil Steril,2018,110(5):810-814.
[3] ZHOU Z,ZHENG D,WU H, et al. Te mate urutā o te kore tamariki i Haina: he rangahau e hangai ana ki te taupori[J].BJOG,2018,125(4):432-441.
Wā tuku: Whiringa-ā-rangi-04-2022