O le soifua maloloina o fanau e faʻasolosolo atoa i lo tatou taamilosaga o le olaga, lea na manatu o se tasi o faʻailoga taua o le soifua maloloina o tagata e WHO.I le taimi nei, "Soifua Maloloina mo tagata uma" ua aloaia o se UN Sustainable Development Manulauti.I le avea ai o se vaega taua o le soifua maloloina o fanau, o le fa'atinoina o le tino, fa'agasologa ma galuega e fai ma popolega i tama ta'ito'atasi.
01 Tulaga lamatiaoffa'ama'i fanau
O fa'ama'i fa'ama'i fanau ose fa'amata'u tele i le soifua maloloina o tama tane, ma mafua ai le le maua o fanau ile 15% o gasegase.E masani ona mafua mai Chlamydia Trachomatis, Mycoplasma Genitalium ma Ureaplasma Urealyticum.Peita'i, e tusa ma le 50% o tane ma le 90% o tama'ita'i e maua i fa'ama'i fa'ama'i fa'ama'i e fa'aletonu pe leai, e mafua ai le puipuia ma le fa'atonutonuina o fa'ama'i pipisi e le amana'ia.O su'esu'ega vave ma lelei o nei fa'ama'i e maua ai se si'osi'omaga lelei o le soifua maloloina o fanau.
Chlamydia Trachomatis Fa'ama'i (CT)
Chlamydia trachomatis urogenital tract infection e mafai ona mafua ai le urethritis, epididymitis, prostatitis, proctitis ma le infertility i tane ma e mafai foi ona mafua ai le cervicitis, urethritis, pelvic inflammatory disease, adnexitis, ma le le fanau mai o fafine.I le taimi lava e tasi, o le faʻamaʻi pipisi o le Chlamydia trachomatis i fafine maʻitaga e mafai ona taʻitaʻia ai le malepelepe vave o le paʻu, le fanau mai, faʻauʻu faʻafuaseʻi, endometritis post-faʻapau ma isi mea faʻapitoa.Afai e le togafitia lelei i fafine maʻitaga, e mafai ona tuʻu saʻo i pepe fou, mafua ai le ophthalmia, nasopharyngitis ma le niumonia.Ole fa'ama'i pipisi ole Chlamydia trachomatis ile genitourinary fa'aumiumi ma fa'asolosolo e matele lava ina fa'atupu fa'ama'i, pei ole cervical squamous cell carcinoma ma le AIDS.
Neisseria Gonorrhoeae Infection (NG)
O faʻaaliga faʻapitoa o le Neisseria gonorrhoeae urogenital tract infection o le urethritis ma le cervicitis, ma o ona faʻaʻailoga masani o le dysuria, faʻasolosolo taimi, faanatinati, dysuria, mucus poʻo le purulent discharge.Afai e le togafitia i le taimi, e mafai ona ulu le gonococci i le urethra pe sosolo i luga mai le manava, ma mafua ai le prostatitis, vesiculitis, epididymitis, endometritis, ma salpingitis.I tulaga ogaoga, e mafai ona mafua ai le gonococcal sepsis e ala i le faʻasalalauina o le hematogenous.O le mucosal necrosis e mafua ai le epithelium squamous poʻo le toe faʻaleleia o aano o fesoʻotaʻiga e mafai ona oʻo atu ai i le faʻamaʻi o le urethral, vas deferens ma le faʻamaʻi puʻupuʻu poʻo le atresia ma e oʻo lava i le maʻitaga ectopic ma le le maua o tama tane ma fafine.
Ureaplasma Urealyticum Infection (UU)
Ureaplasma urealyticum e tele lava parasitic i le male urethra, o le paʻu o le penis, ma le vaʻa fafine.E mafai ona mafua ai faʻamaʻi pipisi o le urinary tract ma le le fanautama i lalo o nisi tulaga.Ole fa'ama'i taatele e mafua mai ile ureaplasma ole nongonococcal urethritis, lea e maua ai le 60% ole nonbacterial urethritis.E mafai foi ona mafua ai le prostatitis poʻo le epididymitis i tane, vaginitis i fafine, cervicitis, fanau vave, maualalo le mamafa o le fanau mai, ma e mafai foi ona mafua ai faʻamaʻi pipisi o le manava ma le ogatotonu o le tino o pepe faatoa fananau mai.
Herpes Simplex Virus Infection (HSV)
O le herpes simplex virus, po'o le herpes, ua vaevaeina i ni vaega se lua: herpes simplex virus type 1 ma herpes simplex virus type 2. O le herpes simplex virus type 1 e mafua ai le herpes o le gutu e masani lava ona fa'afeso'ota'i le gutu-i-gutu, ae e mafai fo'i ona fa'atupu ai le herpes.Herpes simplex virus type 2 ose fa'ama'i pipisi fa'afeusuaiga e mafua ai le fa'ama'i fa'afeusuaiga.E mafai ona toe fo'i mai le fa'ama'i fa'afeusua'i ma e sili atu lona a'afiaga i le soifua maloloina ma le mafaufau o tagata mama'i.E mafai foi ona aafia ai pepe faatoa fananau mai e ala i le placenta ma le ala fanau, e oo atu ai i siama o pepe faatoa fananau mai.
Mycoplasma Genitalium Infection (MG)
O le Mycoplasma genitalium o le tino sili ona la'ititi lea e mafai ona faia e le tagata lava ia i le na'o le 580kb ma e maua lautele i tagata ma manu.I tupulaga talavou fa'afeusuaiga, o lo'o i ai se feso'ota'iga malosi i le va o fa'aletonu o le urogenital tract ma le Mycoplasma genitalium, ma e o'o atu i le 12% o fa'ama'i ma'i e lelei mo Mycoplasma genitalium.E lē gata i lea, e mafai fo'i ona tupu a'e ile urethritis e le o le gonococcal ma le prostatitis tumau.O le fa'ama'i o le Mycoplasma genitalium ose fa'ama'i tuto'atasi e mafua ai le mumū o le fa'a'au'au mo fafine ma e feso'ota'i ma le endometritis.
Fa'ama'i ole Mycoplasma Hominis (MH)
Mycoplasma hominis fa'ama'i o le genitourinary tract e mafai ona mafua ai fa'ama'i pei ole non-gonococcal urethritis ma epididymitis i tane.E fa'aalia e pei o le fulafula o le faiga fanau i fafine e sosolo fa'atotonu i luga o le manava, ma o se fa'alavelave masani o le salpingitis.Endometritis ma le pelvic inflammatory faʻamaʻi e mafai ona tupu i se numera toʻaitiiti o tagata mamaʻi.
02Fofo
Macro & Micro-Su'ega ua matua'i galue i le atina'eina o fa'ama'i fa'ama'i e feso'ota'i ma fa'ama'i fa'ama'i, ma ua fa'atupuina pusa fa'atatau (Isothermal Amplification Detection method) e pei ona taua i lalo:
03 Fa'amatalaga o oloa
| Igoa Oloa | Fa'amatalaga |
| Chlamydia Trachomatis Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 suʻega / pusa 50 su'ega / pusa |
| Neisseria Gonorrhoeae Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 suʻega / pusa 50 su'ega / pusa |
| Ureaplasma Urealyticum Nucleic Acid Detection Kit(Enzymatic Probe Isothermal Amplification) | 20 suʻega / pusa 50 su'ega / pusa |
| Herpes Simplex Virus Type 2 Nucleic Acid Detection Kit (Enzymatic Probe Isothermal Amplification) | 20 suʻega / pusa 50 su'ega / pusa |
04 Amea lelei
1. O le faʻatonuga i totonu o loʻo faʻaofiina i totonu o lenei faiga, lea e mafai ona mataʻituina lelei le faʻataʻitaʻiga faʻataʻitaʻiga ma faʻamautinoa le lelei o le suʻega.
2. Isothermal Amplification Detection metotia puupuu taimi suʻega, ma o le taunuuga e mafai ona maua i totonu ole 30 minute.
3. Faʻatasi ai ma le Macro & Micro-Test Sample Release Reagent ma le Macro & Micro-Test Automatic Nucleic Acid Extractor (HWTS-3006), e faigofie ona faʻaogaina ma talafeagai mo le tele o faʻaaliga.
4. Ma'ale'ale maualuga: o le LoD o le CT e 400kopi/mL;o le LoD o NG e 50 pcs/mL;o le LoD o le UU e 400kopi/mL;o le LoD o le HSV2 e 400 kopi/mL.
5. Tulaga fa'apitoa: leai se feso'ota'iga fa'atasi ma isi fa'ama'i pipisi masani (e pei o le syphilis, fa'ama'i toto, chancroid chancre, trichomoniasis, hepatitis B ma le AIDS).
Fa'asinomaga:
[1] LOTTI F,MAGGI M. Fa'aletonu tau feusuaiga ma le le maua o tama [J].NatRev Urol,2018,15(5):287-307.
[2] CHOY JT,EISENBERG ML.Male infertility as a window to health[J].Fertil Steril,2018,110(5):810-814.
[3] ZHOU Z,ZHENG D,WU H,et al.Epidemiology of infertility in China:suʻesuʻega faʻavae tagata [J].BJOG,2018,125(4):432-441.
Taimi meli: Nov-04-2022