{"id":27149,"date":"2025-06-24T14:44:59","date_gmt":"2025-06-24T12:44:59","guid":{"rendered":"https:\/\/www.clinica-sante.com\/ro\/analize-fara-categorie\/detectie-in-secretie-uretrala-adn-hpv-depistare-si-genotipare-28-tulpini\/"},"modified":"2026-02-27T17:58:22","modified_gmt":"2026-02-27T15:58:22","slug":"detectie-in-secretie-uretrala-adn-hpv-depistare-si-genotipare-28-tulpini","status":"publish","type":"product","link":"https:\/\/www.clinica-sante.com\/ro\/analize-genetica-infectioasa\/detectie-in-secretie-uretrala-adn-hpv-depistare-si-genotipare-28-tulpini\/","title":{"rendered":"Detectie in secretie uretrala ADN-HPV (depistare si genotipare 28 tulpini)"},"content":{"rendered":"<p><strong>HPV (Human Papilloma Virus) <\/strong>reprezint\u0103 un grup de peste 200 de virusuri ADN care infecteaz\u0103 pielea \u0219i mucoasele.<\/p>\n<p>La b\u0103rba\u021bi, infec\u021bia cu HPV poate fi asimpomatic\u0103 sau se poate manifesta prin veruci genitale, leziuni precanceroase ori, mai rar, cancere de penis, anus sau orofaringe.<\/p>\n<\/p>\n<p>Transmiterea se face \u00een principal pe cale sexual\u0103, prin contact direct piele\u2013piele sau mucoas\u0103\u2013mucoas\u0103, dar \u0219i prin contact manual cu zone infectate.<\/p>\n<\/p>\n<p>De cele mai multe ori, infec\u021bia este tranzitorie, eliminat\u0103 spontan de organism. Totu\u0219i, \u00een unele cazuri, virusul persist\u0103 \u0219i poate provoca modific\u0103ri celulare cu poten\u021bial malign.<\/p>\n<\/p>\n<p>Testul ADN-HPV este \u00een prezent cea mai sensibil\u0103 metod\u0103 de depistare a infec\u021biei HPV, fiind complementar\u0103 examin\u0103rii clinice \u0219i citologice.<\/p>\n<\/p>\n<p><strong>Afec\u021biuni \u0219i simptome asociate<\/strong><\/p>\n<\/p>\n<p>Majoritatea infec\u021biilor HPV sunt subclinice, dar pot ap\u0103rea:<\/p>\n<\/p>\n<ul>\n<li>Veruci genitale (condiloame acuminate) la nivelul glandului, prepu\u021bului, frenului, scrotului sau zonei perianale;<\/li>\n<li>Leziuni subclinice ale epiteliului uretral sau penian, detectabile doar prin metode moleculare;<\/li>\n<li>Infec\u021bii persistente cu tulpini HPV oncogene (ex. 16, 18, 31, 33, 45), asociate cu risc crescut de cancer anal, penian sau orofaringian;<\/li>\n<li>Papilomatoz\u0103 orofaringian\u0103, cauzat\u0103 frecvent de tulpinile 6 \u0219i 11, uneori transmis\u0103 prin contact oral-genital;<\/li>\n<li>Infertilitate masculin\u0103 \u2013 unele studii asociaz\u0103 prezen\u021ba HPV \u00een sperm\u0103 cu sc\u0103derea motilit\u0103\u021bii spermatozoizilor \u0219i fragmentarea ADN-ului spermic.<\/li>\n<\/ul>\n<p><strong>Cui se adreseaz\u0103 analiza<\/strong><\/p>\n<\/p>\n<ul>\n<li>B\u0103rba\u021bilor cu veruci genitale sau antecedente de infec\u021bii cu transmitere sexual\u0103 (ITS);<\/li>\n<li>B\u0103rba\u021bilor cu partener\u0103 diagnosticat\u0103 cu infec\u021bie HPV;<\/li>\n<li>Pacien\u021bilor cu simptome persistente de uretrit\u0103 sau secre\u021bie uretral\u0103 f\u0103r\u0103 cauz\u0103 bacterian\u0103 confirmat\u0103;<\/li>\n<li>Persoanelor active sexual care doresc screening preventiv pentru infec\u021biile HPV;<\/li>\n<li>B\u0103rba\u021bilor inclu\u0219i \u00een programe de fertilitate sau planificare familial\u0103, ca parte a evalu\u0103rii andrologice extinse.<\/li>\n<\/ul>\n<p><strong>Metodologie de testare<\/strong><\/p>\n<\/p>\n<ul>\n<li>Detec\u021bia ADN-ului viral se realizeaz\u0103 prin tehnica PCR (Reac\u021bia de Polimerizare \u00een Lan\u021b), cu genotipare multipl\u0103 pentru cele 28 de tulpini.<\/li>\n<li>Testul furnizeaz\u0103 informa\u021bii privind:\n<ul>\n<li>prezen\u021ba infec\u021biei (pozitiv \/ negativ);<\/li>\n<li>identificarea exact\u0103 a tulpinii virale;<\/li>\n<li>diferen\u021bierea \u00eentre tulpinile cu risc sc\u0103zut \u0219i cele cu risc crescut oncogen.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/p>\n<p><strong>Beneficii \u0219i importan\u021b\u0103 clinic\u0103<\/strong><\/p>\n<\/p>\n<ul>\n<li>Permite depistarea precoce a infec\u021biilor HPV, chiar \u00een absen\u021ba simptomelor;<\/li>\n<li>Identific\u0103 tulpinile cu risc oncogen, utile pentru evaluarea riscului de cancer penian, anal sau orofaringian;<\/li>\n<li>Contribuie la prevenirea transmiterii c\u0103tre partener(\u0103);<\/li>\n<li>Permite monitorizarea eficien\u021bei tratamentului \u00een cazurile de condiloame genitale sau infec\u021bii recurente;<\/li>\n<li>Reprezint\u0103 un instrument complementar de screening pentru b\u0103rba\u021bii cu partener\u0103 HPV-pozitiv\u0103.<\/li>\n<\/ul>\n<p><strong>Particularit\u0103\u021bi \u0219i limit\u0103ri<\/strong><\/p>\n<\/p>\n<ul>\n<li>Infec\u021biile aflate \u00een faz\u0103 latent\u0103 sau cu \u00eenc\u0103rc\u0103tur\u0103 viral\u0103 sc\u0103zut\u0103 pot fi temporar nedetectabile;<\/li>\n<li>Un rezultat negativ nu exclude complet infec\u021bia, mai ales dac\u0103 proba a fost recoltat\u0103 necorespunz\u0103tor;<\/li>\n<li>Interpretarea rezultatelor trebuie realizat\u0103 \u00een context clinic, ideal \u00een asociere cu examinare dermatologic\u0103 sau urologic\u0103.<\/li>\n<\/ul>\n<p><strong>Recoltare:<\/strong><\/p>\n<\/p>\n<ul>\n<li>Se efectueaz\u0103 de personal medical calificat, prin introducerea u\u0219oar\u0103 a unui tampon steril \u00een uretr\u0103 (aproximativ 2\u20133 cm)<\/li>\n<li>Proba se colecteaz\u0103 \u00een recipient dedicat ThinPrep sau \u00een mediu de transport specific, furnizat de laborator<\/li>\n<li>Instruc\u021biuni pentru pacient:\n<ul>\n<li>s\u0103 nu urineze cu minimum 2 ore \u00eenainte de recoltare;<\/li>\n<li>s\u0103 nu utilizeze antiseptice, antibiotice locale sau solu\u021bii intime \u00een ziua recolt\u0103rii;<\/li>\n<li>s\u0103 evite contactul sexual cu cel pu\u021bin 48 de ore \u00eenainte.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Analize asociate recomandate<\/strong><\/p>\n<\/p>\n<p>Pentru o evaluare complet\u0103 a s\u0103n\u0103t\u0103\u021bii urogenitale, se pot recomanda teste complementare:<\/p>\n<\/p>\n<ul>\n<li>Detec\u021bie ITS 7 (Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Mycoplasma hominis, Ureaplasma urealyticum, Ureaplasma parvum, Trichomonas vaginalis) \u2013 Real-Time PCR;<\/li>\n<li>Examen bacteriologic al secre\u021biei uretrale;<\/li>\n<li>Examen citologic uretral;<\/li>\n<li>Testare HPV a partenerei, pentru corelare epidemiologic\u0103.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p><strong>Testul HPV<\/strong> este o analiz\u0103 molecular\u0103 avansat\u0103 care depisteaz\u0103 prezen\u021ba virusului Papiloma Uman (HPV) \u2014 principala cauz\u0103 a verucilor genitale \u0219i un factor major de risc pentru cancerele ano-genitale \u0219i orofaringiene.<\/p>\n<\/p>\n<p>Analiza permite detec\u021bia \u0219i genotiparea celor mai frecvente 28 de tulpini HPV, dintre care:<\/p>\n<\/p>\n<ul>\n<li>19 tulpini cu risc crescut oncogen: 16, 18, 26, 31, 33, 35, 39, 45, 51, 52, 53, 56, 58, 59, 66, 68, 69, 73, 82;<\/li>\n<li>9 tulpini cu risc sc\u0103zut: 6, 11, 40, 42, 43, 44, 54, 61, 70.<\/li>\n<\/ul>\n<p>Testul utilizeaz\u0103 metoda PCR (Reac\u021bia de Polimerizare \u00een Lan\u021b) pentru identificarea ADN-ului viral, oferind o detec\u021bie precis\u0103 chiar \u0219i \u00een stadiile incipiente ale infec\u021biei.<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false},"product_brand":[],"product_cat":[1209,3172,2876],"product_tag":[],"class_list":["post-27149","product","type-product","status-publish","product_cat-analize","product_cat-genetica-infectioasa","product_cat-serviciu-laborator","pa_medical-conditions-infectii-cu-transmitere-sexuala","first","instock","sale","virtual","purchasable","product-type-simple"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product\/27149","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"wp:attachment":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media?parent=27149"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_brand?post=27149"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_cat?post=27149"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_tag?post=27149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}