Kiniinka ka hortagga uurka wuxuu ka kooban yahay xannibaadda ugxan-sidaha iyada oo ay ugu wacan tahay hoormoono kala duwan oo u dhaqmi doona dhidibka hypotalamic-pituitary, dhidibka maskaxda ee xakamaynta ugxan-yari, laftooda asal ahaan dheecaannada hormoonnada kala duwan ee wareegga ugxan-sidaha. Ficilkan waa la rogi karaa isla marka kaniiniga la joojiyo, iyadoon loo eegin muddada isticmaalka. Si kastaba ha noqotee, mararka qaarkood waxaan aragnaa "caajisnimo" marka waxqabadka dhidibka hypotalamo-pituitary iyo ugxan-yari ay dib u bilaabaan (1). Dhacdadani aad ayey ugu kala duwan tahay dumarka, iyadoo aan loo eegin muddada qaadashada kiniinka. Qaarkood waxay dib u heli doonaan ugxansidaha isla marka wareegga ka dib joojinta kaniiniga, halka kuwa kale, ay qaadan doonto dhawr bilood dib u soo celinta wareegga caadiga ah ee ugxan.

Markii hore, dhakhaatiirta haweenka qaarkood waxay ku taliyeen in la sugo 2 ama 3 bilood ka dib joojinta kaniiniga si loo helo ugxansi fiican iyo xuubka ilmo-galeenka. Si kastaba ha ahaatee, wakhtiyadan kama dambaysta ah maaha kuwo caafimaad ahaan loo aasaasay. Ma jirto daraasad awood u leh inay muujiso kororka soo noqnoqda cilladaha aan caadiga ahayn ama dhicinta, ama uurarka badan ee haweenka uurka leh markii la joojiyo kaniiniga (2). Sidaa darteed waxaa habboon in la joojiyo kaniiniga laga bilaabo marka aad uurka rabto. Sidoo kale, caafimaad ahaan xaq uma laha in la qaato "nasasho" marka la qaadanayo kaniiniga si loo ilaaliyo bacriminta.

Waxay dhacdaa in kaniiniga, kaas oo keenaya xeerar macmal ah oo dhiig-bax ah (iyada oo loo marayo hoos u dhaca hormoonnada dhammaadka xirmada), ayaa daboolay cilladaha ugxan-sidaha, kaas oo. dib u soo bixi doona markaad joojiso qaadashada kaniiniga. Sababaha ugu badan waa hyperprolactinemia, polycystic ovary syndrome (PCOS), anorexia nervosa ama ugxan-sidaha dhicisoobay (3).

Mid ka mid ah werwerka weyn ee haweenka ka haysta kiniinka ayaa ah saamaynta suurtogalka ah ee uu ku leeyahay bacriminta, gaar ahaan haddii si joogto ah loo qaato sannado badan. Si kastaba ha ahaatee, shaqada sayniska ayaa ah mid niyad-jab ku ah mawduuca.

Daraasad (4) lagu sameeyay qaabka Euras-OC (Barnaamijka Yurub ee ilaalinta firfircoon ee ka hortagga uurka) oo ay ku lug leeyihiin 60 haween ah oo qaadanaya ka hortagga afka ayaa muujisay in bisha ku xigta joojinta kaniiniga, 000 % ay uur leeyihiin. Tiradan u dhiganta tan bacriminta dabiiciga ah, waxay u egtahay inay caddeyso in kaniiniga uusan saameyn ku yeelan bacriminta iyo fursadaha uurka. Daraasaddan ayaa sidoo kale muujisay in muddada qaadashada kaniiniga aysan sidoo kale wax saameyn ah ku yeelan fursadaha uurka: 21% haweenka qaata kiniinka wax ka yar laba sano ayaa uur yeeshay hal sano gudaheed, marka la barbardhigo 79,3% haweenka isticmaala. in ka badan laba sano.

Haddii aysan jirin wax daahitaan ah oo u dhexeeya joojinta kaniiniga iyo bilowga tijaabooyinka rimidda, si kastaba ha ahaatee waxaa aad loogu talinayaa inaad la tashato dhakhtarkaaga haweenka, dhakhtarkaaga guud ama umulisada ka hor inta aanad joojin kaniiniga. la tashi hore fikradeed. La tashigan, oo ay ku taliyeen Haute Autorité de Santé (5), waxaa ka mid ah:

• su'aalo weydiin ku saabsan caafimaadka, qaliinka, taariikhda dhalmada
• baaritaan caafimaad
• smear dysplasia ilmo-galeenka haddii uu ka weyn yahay 2 ilaa 3 sano
• shaybaadhka: kooxaha dhiigga, raadinta agglutinin aan joogto ahayn, serology ee toxoplasmosis iyo rubella, iyo suurto gal ah baaritaanka HIV, cagaarshow C, B, waraabowga.
• folic acid supplement (fitamiin B9)
• tallaalka la-qabsiga ee jadeecada rubella, xiiq-dheerta, haddii aysan wali la socon
• ka hortagga khataraha hab-nololeedka: sigaarka, khamriga iyo isticmaalka maandooriyaha