Xanuunada Polycystic Syndrom, ama PCOS , waa xaalad ay qanjidhada haweeneyda iyo qanjirrada adrenal soo saartaa in ka badan kuwa caadiga ah, waxaana keena timo jidhka, finanka iyo wakhtiyo aan caadi ahayn.
Inkastoo cilmi-baarayaasha aysan hubin sababta dhabta ah ee PCOS, waxaa la ogyahay in dheellitirka nidaamka qanjidhada casriga ah uu mas'uul ka yahay isbeddel badan oo la xidhiidha.
Si kastaba ha noqotee, weli lama yaqaan waxa dhabta ah ee isbeddeladan.
Halkan fiiri aragtida asaasiga ah ee la rumeysan yahay inay ka dambeyso PCOS:
Xiddiga Hypothalamic-Pituitary-Xooji ah
Hormoonnada waa borotiinada ay soo saarto qaab dhismeed gudaheed oo isbeddel ku yimaada unug ama xubin. Miisaanka Hypothalamic-Pituitary-Ovarian (HPO) waa habka hormuuninta hormoon ahaan jirka gudihiisa.
Hypothalamus waa maskaxda maskaxda gudaheeda, marka, kicin, waxay soo saartaa hoormoon, oo loo yaqaano Gonadotropin-Releasing hormone ama GnRH. GnRH waxay u safreysaa qanjirka pituitary, qaab kale oo yar oo maskaxda ah. Qanjirka 'pituitary' wuxuu soo saaraa noocyo kala duwan oo hoormoono kale kaas oo xakamaynaya isla markaana ilaalinaya hawlaha jirka ee badan.
Waxyaabaha muhiimka u ah PCOS, pituitary waxay soo saartaa FSH , ama Hermone Stimulating Hormone, iyo LH , ama Lutenizing Gormoon. LH waxay u socotaa ugxan-darka meesha ay kicineyso soosaarka of forrogens .
Waxaa la saadaaliyay in heerarka joogtada ah ee LH iyo androgens, yada testosterone, ay keento PCOS.
Si kastaba ha ahaatee, tani ma sharaxeyso sababta haween badan oo leh PCOS aysan lahayn heerar sare oo LH ah.
Insulin-Androgen Xidhiidhka
Insulin ayaa loo maleynayaa in ay door ka leedahay horumarinta PCOS. Marka lagu daro cabbiridda heerarka gulukooska, insulin waxay keenaysaa beerka inuu yareeyo wax soo saarka unugyada muhiimka ah ee loo yaqaan 'sex-hormone' globulin, ama SHBG.
Testosterone waxaa lagu qaadaa dhiigga SHBG marka uu molecule ku jiro. Haddii qadar yar ee SHBG la heli karo, baaritaan dheeraad ah oo bilaash ah (testosterone oo aan la qaadin SHBG) ayaa ku jira dhiigga. Waxa kale oo la rumeysan yahay in heerarka sare ee insulinta ay kordhin karaan qiyaasta cunnooyinka ay ka soo baxdo ugxan-yarta.
Tani sidoo kale ma si buuxda u sharxi PCOS, iyadoo haween badan oo leh PCOS aysan lahayn caabuq insulin , isbeddel ku yimaada sida unugyada jidhka ay u falceliyaan insulin, iyo arin guud oo lagu arkay PCOS.
Genetics
Mid ka mid ah muhiimada muhiimka ah waa PCOS in ay ku jiraan qoysaska. Haweenka haysta PCOS waxay inta badan leeyihiin walaash, hooyo, ina-adeer ama xaas. Inkasta oo dhakhaatiirta aysan ogeyn sababaha dhabta ah, waxay si cad u leeyihiin xiriirka ciriiriga.
Maalin kasta cilmi-baadhayaashu waxay u dhowaadaan si ay u aqoonsadaan cilladaha hidde-yada ee qalad noqon kara. Tani way adagtahay sababtoo ah la'aanta hal baaris oo keliya iyo sidoo kale doorka arimaha dibadda (sida cayilka, cuntada iyo jimicsiga) ayaa laga yaabaa inuu ka ciyaaro horumarinta cudurka.
Ilaha:
Harris, Colette iyo Carey, Adam. PCOS: Tilmaamaha Haweenka ee Hagaajinta Xanuunka Xanuunada Sigaarka. London. 2000.
Thatcher, Samuel. PCOS: Faafinta Qarsoon . Aaaddan Saxaafadeed; Indianopolis. 2000.
Prapas N, Karkanaki A, Prapas I, Kalogiannidis I, Katsikis I, Panidis D. Genetics of Polycystic Ovary Syndrome. Hippokratia . 2009; 13 (4): 216-223.