Cudurka qaaxada iyo cudurka qanjidhada ugxan-sidaha ( PCOS) waa laba ka mid ah cudurrada ugu badan (oo laga yaabo in la daaweyn karo) ee haweenka. Inkasta oo ay la mid tahay hypothyroidism iyo PCOS way ka duwan yihiin, labadan xaaladood waxay la wadaagaan sifooyin badan oo la mid ah.
Halkan waxaa ku yaala 5 waxyaabo muhiim ah oo haween ah oo leh PCOS waa inay ogaadaan cudurka hypothyroid.
Hypothyroidism Aad ayay u badan tahay PCOS
Hypothyroidism, gaar ahaan, Hashimoto's thyroiditis , waxay ku badan tahay haweenka PCOS marka loo eego guud ahaan dadweynaha.
Hashimoto waa xaalad dhedhexaad ah kaas oo jidhku isdilayo.
Sinha iyo shaqaalaheeduba waxay ogaadeen in 22.5% haweenka qaba PCOS ay qabaan hypothyroidism marka la barbar dhigo 8.75% ee kontoroolka iyo difaaca jirka ee tirakoobka ayaa lagu arkay 27% bukaanka qaba PCOS iyo 8% ee kontoroolka. Dhawaan dhowaan, daraasad lagu daabacay Endokrin Research ayaa muujisay kor u kac wayn oo Hashimoto's iyo kor u kacday TSH (tilmaamista hypothyroid) ee bukaanka PCOS.
Tirada iyo PCOS waa isku xiran yihiin
Xaaladaha hiddaha iyo deegaanka ayaa labadaba la rumeysan yahay in ay ka qayb qaadanayaan xanuunka thyroid ee PCOS. Hypothyroidism waxaa loo yaqaanaa in uu ugxan-sidaha ugudbiyo PCOS iyo guud ahaan ka sii darista PCOS iyo caabbinta insulin.
Hypothyroidism waxay kordhin kartaa testosterone iyadoo la yareeynayo heerka hormoonka galmada xirmo ee globulin ( SHBG ), kordhinta isbostenedione ee testosterone iyo estradiol, iyo yaraynta naafaynta dheef-shiid kiimikaadka ah ee androstenedione.
Qiyaasta estrogen iyo estrogen / progesterone waxay u muuqataa inay si toos ah ugu lug leedahay heerarka antibody sare ee ku jira bukaanada PCOS.
Qanjirka 'Thyroid' wuxuu saameeyaa jirkaaga oo dhan
Waxay ku taal saldhiga hungurigaaga iyadoo la isticmaalayo qaabka balastarka, qanjirka thyroid wuxuu xakameynayaa qiyaasta jirkaagu u badalo cuntada tamarta, u shaqeyneysa heerkulbeeg si loo xakameeyo dheef-shiid kiimikaadka iyo hababka kale.
Haddii aad si dhakhso ah u shaqeysid ( hyperthyroid ) waxay u egtahay in ay kor u qaaddo dheef-shiid kiimikaadkaaga. Haddii uu si aad ah u shaqeeyo (hypothyroid) taasi waxay u egtahay inay hoos u dhigto dheef-shiid kiimikaad, taasoo keentay miisaan korodh ama dhibaatooyin culus.
Dhammaan unugyada jidhkaaga ku jira waxay ku tiirsan yihiin hoormoonka qarsoodiga ah ee qarsoodigaaga si sax ah u shaqeynaya. Marka lagu daro xakamaynta heerka uu jirkaagu u beddelo carbohydrates, borootiinka, iyo dufanka shidaalka, hoormoonka tayroodhku wuxuu kaloo xakameynayaa garaaca wadnahaaga wuxuuna saameyn karaa wareegga caadadaada, oo saameynaya bacriminta.
TSH Kaliya ma'aha
KH ka keliya ma ahan tijaabo lagu kalsoon yahay si loo go'aamiyo shaqadaada qanjirka. TSH wuxuu cabbiraa inta T4 ee loo yaqaan 'thyroid' lagu weydiisto inuu sameeyo. Baaritaan aan caadi aheyn oo sarreeya ayaa macnaheedu noqon karaa inaad qabto hypothyroidism. Ku tiirsan QT kelidiis kuma filna in la sameeyo baaritaanka saxda ah iyo hal sabab sababta dad badan oo qaba hypothyroid aan la aqoon .
Tijaabooyinka kale ee tirakoobka waxaa ka mid ah:
T4 baaritaanno (T4 lacag la'aan ah, T4 indhayn bilaash ah, wadarta guud T4): wuxuu qiimeeyaa qadarka T4 ee dheef-shiidkaaga.
Daawada Thyroid Peroxidase (anti-TPO) (TgAb): waxay hubiyaan difaaca jirka ee tirtirka iyo in la ogaado xaaladaha tayroodhka ee autoimmune sida Hashimoto.
T3 iyo Dib-u-celinta T3 (rT3): wuxuu qiimeeyaa qadarka T3-gaaga tirtirkiisa iyo awooda inuu u beddelo T4 ilaa T3.
Iodine oo door weyn ka ciyaara
Qanjirka 'thyroid' waa inuu leeyahay iodiin si uu u sameeyo hoormoonka tayroodh. Ilaha ugu muhiimsan ee cuntada ee iodine waxa ka mid ah waxyaabaha caanaha laga sameeyo, digaaga, hilibka lo'da, hilibka doofaarka, kalluunka, iyo cusbo iodineed. Kiimikada qamriga iyo cusbada badda ma aha ilo hodan ah ama iodine. Haysashada wax soo saarka hoormoonka tayroodhka ee dheellitirka waxay u baahan tahay qadarka saxda ah ee iodine. Kaadi yar ama aad u badan oo iodine ah waxay keeni kartaa ama ka sii dari kartaa hypothyroidism. Kala hadal dhakhtarkaaga ka hor intaadan qaadanin daawada iodine oo isticmaal taxadar leh oo kaliya adigoo kormeeraya bixiyaha daryeelka caafimaadka.
> Ilo:
> Hypothyroidism: Buug-yare Bukaanka iyo Qoysaska. Daabacaad ka timid Ururka Aids-ka Maraykanka (ATA)
> Rajiv Singla, Yashdeep Gupta, Manju Khemani, iyo Sameer Aggarwal. Xanuunada qanjidhka kaadimareenka iyo dhakhtarka ugxanta ee loo yaqaan 'polycystic syndrome'. Indian J Endocrinol Metab. 2015 Jan-Feb; 19 (1): 25-29.
> Sinha U, Sinarra K, Saha S, Longkumer TA, Baul SN, Pal SK. Dhibaatooyinka qanjirka 'thyroid' ee mawduucyada 'polycystic syndrome': Daraasad isweydaarsi ah oo ku saleysan isbitaal ku yaal Eastern India. Indian J Endocrinol Metab. 2013 Mar; 17 (2): 304-9.
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> Arduk A, Dogan BA, Bilmez S, > Imga > Nasiroglu N, Tuna MM, Isik S, Berker D, Guler S. Kacsanaanta Hashimoto's thyroiditis ee bukaanka qaba cudurka kansarka ugxan-la'aanta ah: ma dheellitirka u dhaxeeya estradiol iyo progesterone doorka ? Endocr Res. 2015 Maarso 30: 1-7.
> Mueller A, Schöfl C, Dittrich R, Cupisti S, Oppelt PG, Schild RL, Beckmann MW, Häberle L. Hore uurjiifka hormoonka ah wuxuu la xiriiraa caabbinta insulin-ta madaxbannaan oo ka madaxbannaan calaamadaha jirka iyo da'da haweenka qaba cudurka kansarka ugxanta. Mawduuca waa la daabacaa. 2009 Nov; 24 (11): 2924-30.
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