Nucleic-acid amplification tests, inozivikanwawo seNATs kana NAATs, inoshandiswa kuzivisa maduku maduku eDNA kana RNA muzvidzidzo zvekuedzwa. Kana zvasvika pakuongorora kweSDD , pane NATs iripo iyo inogona kuona zviratidzo zvakasiyana-siyana zveSDD. Ichokwadi, maitiro emucheni akawanda emakondombera anoshandiswa achishandisa nucleic-acid amplification tests.
Nucleic-Acid Amplification Test Inoshanda Sei?
Kune marudzi akasiyana-siyana e-nucleic-acid amplification test, asi zvose zvinowanikwa pane imwecheteyo.
NAT inoshandisa nzira dzakawanda dzinoshandiswa pamakemikari kuitira kuti zvive nemakopi akawanda eDNA kana RNA ayo vanachiremba vari kuedza kuona. Izvi zvinogadzirisa zviratidzo zve nucleic acids mumuenzaniso wokuedza kuitira kuti zvive nyore kuziva. Zviri nyore kuti uwane makopi 10 000 ejeni kupfuura 10.
Izvi Zvinorevei Nekuongororwa kweSDD?
Nzira yekusimudzira bhakitiriya kana chirwere chekuita nucleic acids haisi pachedu muedzo weDDD . Pane kudaro, kana chiyero cheDNA kana RNA chakawedzerwa mumuenzaniso unoshandisa PCR kana LCR , miedzo yakawanda inowanzoshandiswa kuiona. Aya maedzo anowanzosanganisira mamwe maitiro e nucleic acid hybridization. Mune miedzo iyo, muenzaniso wacho unobatanidzwa nechigadzirwa chakabatanidzwa cheDNA kana RNA chakave chakanyorwa mune imwe nzira inoita kuti zvive nyore kuona. Inogona kubatsira kuifungidzira sechiedza mumutsara werima unongonamatira kune imwe tsanangudzo chaiyo yekutsanangura ruzivo.
Nucleic-acid kukumikidza zviratidzo zvinoshamisa chaizvo zvinobatsira pakuongorora kweSDD. Vanobvumira vanachiremba kuti vaone dhiyabhorosi pathogen kunyange kana ine nhamba shomanana yezvipenyu zviripo. Iyo ndiyo yakadai yekombiyuta yakaita kuti zvive nyore kuita urine kuongororwa kweSDD dzaimbove dzichingoonekwa chete nes swab.
Uyezve, sezvo nucleic-acid amplification miedzo inonzwisisika zvikuru kunyange yakawanda yeDV yakawanda, inokosha zvikuru pakuongorora ropa. Iyi miedzo inoita kuti zvive nyore kuona mikana yakawanda yeHIV uye dzimwe zvirwere zvinotakura ropa izvo zvingave zvisina kukanganisa.
Kunewo zvisina kusimbiswa nucleic acid test inowanikwa kune dzimwe zvirwere, zvakadai segonorrhea uye chlamydia . Izvo zvisina kukudziridzwa nucleic acid kuongororwa zvirwere zvinogona kushandiswa apo huwandu hwakawanda hwebhakitiriya kana hutachiona hweDNA (kana kuti RNA) hunotarisirwa kuti huvepo, hwakadai sechitsva chechirwere kana kuti muchengeti wechibage chebhakitiriya . Mumamiriro ezvinhu akadaro, hapana kukurudzira kunokosha. Mune zvidzidzo izvi, kana DNA kana RNA iripo, inofanira kunge iripo pakuonekwa kwezviyero.
Muenzaniso weTe test iyi mukuita
Nucleic-acid amplification test ndiyo nzira dzinoshamisa dzekucherechedza kana bhakitiriya kana hutachiona huripo muenzanisi yehupenyu. Kana zvasvika pakutsvaga hepital genital muchirwere kubva kune munhu ane zviratidzo, izvi zvinoshandiswa zvinoshanda sechinhu chinogona kushandiswa kune utachiona hwehutachiona . Zvitendero zvepiritori zvinogona kuva zvakaoma kune mamwe mabhakatori kuti aite. Kusiyana ne herpes blood test , NAT ichiri kusanganisira kusarudza zvakananga kana chirwere chinowanikwa mumuenzaniso kunze kwekutarisa anti-herpes antibodies.
Nucleic-acid amplification yakabvumirawo kuti kuwedzerwa kwechlamydia uye gonorrhea kuongorora munyika yose. Iye zvino kuongororwa kwakadaro kunogona kuitika zvino pamumasipireti emurudo panzvimbo yekuda urethral kana cervicovaginal swab. Saka zvakava nyore kuedza nhamba dzakawanda dzevarume nevakadzi vechidiki nokuda kwezvirwere zveSDD mune zvakasiyana-siyana zvechirwere chechipatara uye kwete zvekuchirapa. Kuunganidza urini kunoda kusawana unyanzvi hwezvokurapa, uye vanhu vanowanzove vakagadzirira kuvhara mukombe kunze kwekuti vawane swab genital.
Vanotsvakurudza vakashandisawo nucleic-acid aclification tests kuti vawane mamwe mashoko pamusoro pehuwandu hwechinetso chekuita zvirwere zveSDD muUnited States.
Zvikwereti zvakakura zveNAT-based screening zvirongwa zvakashandiswa muuto rehondo, mumakore ekuyaruka, mune varume vanoita zvepabonde nevarume, uye mune mamwe mahombekombe akaipisisa uye ari pasi pengozi. Iyi miedzo inobvumira kuonekwa kweSDD muzvidzidzo zviduku zvinowanzotorwa sechikamu chekuongorora kukuru kwehutano hwehuwandu hwevanhu.
> Sources:
> Bernstein KT, Chow JM, Patha P, Chipo TL. Bhakitiriya Zvepabonde Zvirwere Zvirwere Kuongorora kunze kwechipatara - Maitiro echirongwa chemazuva ano chepabonde chepabonde. Sex Transm Dis. 2016 Feb; 43 (2 Suppl 1): S42-52. doi: 10.1097 / OLQ.0000000000000343.
> Chow EPF, Walker S, Verenga TRH, Chen MY, Bradshaw CS, Fairley CK. Kuzvidzivirira Kunoshandiswa Kwemushonga uye Pharyngeal Gonorrhea Kuongorora neNucleic Acid Amplification Test. Sex Transm Dis. 2017 Oct; 44 (10): 593-595. doi: 10.1097 / OLQ.0000000000000654.
> Trembizki E, Costa AM, Tabrizi SN, Whiley DM, Twin J. Mikana pamwe nematanda ekuongororwa kwemasomendi yekuona zvirwere zvepabonde zvepabonde. Pathology. 2015 Mbudzi; 47 (3): 219-26. doi: 10.1097 / PAT.0000000000000239.