Umhlaza womlomo wesibeleko, oyena nobangela uphambili wokufa phakathi kwabasetyhini kwihlabathi liphela, ubangelwa kakhulu lusulelo lwe-HPV. Amandla omhlaza osulelo lwe-HR-HPV axhomekeke ekubonakalisweni okwandileyo kwezakhi zofuzo ze-E6 kunye ne-E7. Iiproteni ze-E6 kunye ne-E7 zibophelela kwiiproteni zokunciphisa ithumba i-p53 kunye ne-pRb ngokulandelelana, kwaye ziqhuba ukwanda kunye nokuguqulwa kweeseli zomlomo wesibeleko.
Nangona kunjalo, uvavanyo lwe-HPV DNA luqinisekisa ukubakho kwentsholongwane, alubonisi phakathi kosulelo olufihlakeleyo noluguqulelwa ngokukuko. Ngokwahlukileyo koko, ukufunyanwa kwee-HPV E6/E7 mRNA transcripts kusebenza njenge-biomarker ecacileyo yokubonakaliswa kwe-viral oncogene esebenzayo, kwaye ke ngoko, luphawu oluchanekileyo lwe-cervical intraepithelial neoplasia (CIN) okanye i-invasive carcinoma.
I-HPV E6/E7 mRNAUvavanyo lubonelela ngeenzuzo ezibalulekileyo ekuthinteleni umhlaza womlomo wesibeleko:
- Uvavanyo oluchanekileyo loMngcipheko: Luchonga usulelo lwe-HPV olusebenzayo nolunobungozi obuphezulu, lubonelela ngovavanyo lomngcipheko oluchanekileyo kunovavanyo lwe-HPV DNA.
- I-Triage Esebenzayo: Ikhokela oogqirha ekuchongeni izigulana ezifuna uphando olongezelelekileyo, inciphisa iinkqubo ezingafunekiyo.
- Isixhobo Sokuhlola Esinokubakho: Singasebenza njengesixhobo sokuhlola esizimeleyo kwixesha elizayo, ingakumbi kubantu abasengozini enkulu.
- Iintlobo ezili-15 ze-High-risk Human Papillomavirus E6/E7 Gene mRNA Detection Kit (Fluorescence PCR) evela kwi-#MMT, efumanisa ngokwemigangatho uphawu losulelo olunokwenzeka oluqhubekekayo lwe-HR-HPV, sisixhobo esiluncedo sokuhlola i-HPV kunye/okanye ulawulo lwezigulane.
Iimpawu zemveliso:
- Ugutyungelwe ngokupheleleyo: Iintlobo ezili-15 ze-HR-HPV ezinxulumene nomhlaza womlomo wesibeleko zigutyungelwe;
- Uvakalelo olugqwesileyo: iikopi ezingama-500/mL;
- Ukuchaneka okugqwesileyoAkukho msebenzi udibeneyo ne-cytomegalovirus, i-HSV II kunye ne-DNA ye-genomic yomntu;
- Ixabiso eliphantsi: Iinjongo zovavanyo zinxulumene kakhulu nesifo esinokubakho, ukunciphisa uvavanyo olungeyomfuneko ngeendleko ezongezelelweyo;
- Ukuchaneka okugqwesileyo: IC kuyo yonke inkqubo;
- Ukuhambelana okubanzi: Ngeenkqubo ze-PCR eziqhelekileyo;
Ixesha leposi: Julayi-25-2024