Izinwele ezeqile noma ezingafuneki kwabesifazane

Isikhathi esiningi, abesifazane banezinwele ezinhle ngaphezu kwezindebe zabo nasesilevini, esifubeni, esiswini noma emhlane. Ukukhula kwezinwele ezimnyama ezimnyama kulezi zindawo (okujwayelekile kakhulu ukukhula kwezinwele zamaphethini wesilisa) kubizwa nge-hirsutism.

Abesifazane ngokujwayelekile bakhiqiza amazinga aphansi ama-hormone wesilisa (androgens). Uma umzimba wakho wenza le hormone eningi kakhulu, ungahle ube nokukhula kwezinwele okungafuneki.

Ezimweni eziningi, imbangela ngqo ayikaziwa. Isimo sivame ukusebenza emindenini.

Isizathu esivamile se-hirsutism yi-polycystic ovarian syndrome (i-PCOS). Abesifazane abane-PCOS nezinye izimo zehomoni ezibangela ukukhula kwezinwele okungafuneki nabo bangaba nalokhu:

• Izinduna
• Izinkinga ngezikhathi zokuya esikhathini
• Inkinga yokwehlisa isisindo
• Isifo sikashukela

Uma lezi zimpawu ziqala kungazelelwe, ungaba nesimila esikhipha ama-hormone wesilisa.

Okunye, izimbangela ezingavamile zokukhula kwezinwele okungafuneki zingafaka:

• Isimila noma umdlavuza wendlala ye-adrenal.
• Isimila noma umdlavuza we-ovary.
• I-Cushing syndrome.
• I-hyperplasia yokuzalwa ye-adrenal.
• I-Hyperthecosis - isimo lapho ama-ovari akhiqiza khona ama-hormone wesilisa amaningi kakhulu.

Ukusetshenziswa kwemithi ethile kungaba yimbangela yokukhula kwezinwele okungafuneki, kufaka phakathi:

• I-testosterone
• IDanazol
• Ama-Anabolic steroids
• I-DHEA
• Ama-Glucocorticoids
• ICyclosporine
• I-Minoxidil
• Phenytoin

Abakhi bomzimba besifazane bangathatha ama-hormone wesilisa (ama-anabolic steroids), okungaholela ekukhuleni ngokweqile kwezinwele.

Ezimweni ezingavamile, abesifazane abane-hirsutism banamazinga ajwayelekile amahomoni wesilisa, futhi imbangela ethile yokukhula kwezinwele okungafuneki ayikwazi ukubonwa.

Uphawu olukhulu lwalesi simo ukuba khona kwezinwele ezimnyama ezimnyama ezindaweni ezizwelayo kuma-hormone abesilisa. Lezi zindawo zifaka:

• I-Chin nodebe olungaphezulu
• Isifuba nesisu esingenhla
• Emuva nezinqe
• Ithanga langaphakathi

Umhlinzeki wakho wokunakekelwa kwezempilo uzokuhlola abuze ngezimpawu zakho.

Ukuhlolwa okungenziwa kungafaka noma yikuphi okulandelayo:

• Ukuhlolwa kwe-testosterone
• Ukuhlolwa kwe-DHEA-sulfate
• I-pelvic ultrasound (uma i-virilization, noma ukuthuthukiswa kwezici zesilisa, ikhona)
• I-CT scan noma i-MRI (uma ngabe i-virilization ikhona)
• Ukuhlolwa kwegazi okungu-17-hydroxyprogesterone
• Ukuhlolwa kokukhuthaza kwe-ACTH

I-Hirsutism ngokuvamile iyinkinga yesikhathi eside. Kunezindlela eziningi zokususa noma zokwelapha izinwele ezingafuneki. Eminye imiphumela yokwelashwa ihlala isikhathi eside kunabanye.

• Imithi-- Izidakamizwa ezinjengamaphilisi okulawula ukubeletha nemithi elwa ne-androgen ziyindlela abanye besifazane abangayisebenzisa.
• Ukuhlolwa kwe-Electrolysis -- Amandla kagesi asetshenziselwa ukonakalisa unomphela izintambo zezinwele ngazinye ukuze zingabuyeli emuva. Le ndlela iyabiza, futhi kudingeka ukwelashwa okuningi. Ukuvuvukala, isibazi, nokubomvu kwesikhumba kungenzeka.
• Amandla e-Laser aqondiswe kumbala omnyama (i-melanin) ezinweleni - Le ndlela ingcono kakhulu endaweni enkulu yezinwele ezimnyama kakhulu. Akusebenzi ezinwele ezimhloshana noma ezibomvu.

Izinketho zesikhashana zifaka:

• Ukushefa -- Yize lokhu kungabangeli ukuthi kukhule izinwele eziningi, kungenza izinwele zibukeke zijiyile.
• Amakhemikhali, ukukha, nokuxhuma -- Lezi zinketho ziphephile futhi azibizi. Kodwa-ke, imikhiqizo yamakhemikhali ingasicasula isikhumba.

Kwabesifazane abakhuluphele ngokweqile, ukwehlisa isisindo kungasiza ekunciphiseni ukukhula kwezinwele.

Izinwele zezinwele zikhula cishe izinyanga eziyisithupha ngaphambi kokuwa. Ngakho-ke, kuthatha izinyanga eziningi ukuthatha umuthi ngaphambi kokuthi ubone ukwehla kokukhula kwezinwele.

Abesifazane abaningi bathola imiphumela emihle ngezinyathelo zesikhashana zokususa izinwele noma ukuzenza lula.

Isikhathi esiningi, i-hirsutism ayizibangeli izinkinga zempilo. Kepha abesifazane abaningi bakuthola kukuhlupha noma kuyaphoxa.

Shayela umhlinzeki wakho uma unokunye kwalokhu okulandelayo:

• Izinwele zikhula ngokushesha.
• Futhi unezici zesilisa ezifana nezinduna, ukujulisa izwi, ukwanda kwemisipha, ukuncipha kwephethini lesilisa izinwele zakho, usayizi okhulayo we-clitoris, nokwehla kosayizi webele.
• Ukhathazekile ngokuthi umuthi owuthathayo kungenzeka ukhulise ukukhula kwezinwele ezingafuneki.

I-hypertrichosis; I-Hirsutism; Izinwele - ngokweqile (abesifazane); Izinwele ezeqile kwabesifazane; Izinwele - abesifazane - ngokweqile noma okungafuneki

I-Bulun SE. I-Physiology kanye ne-pathology ye-eksisi yokuzala yabesifazane. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 17.

IHabif TP. Izifo zezinwele. Ku: Habif TP, ed. I-Clinical Dermatology: Umhlahlandlela Wombala Wokuxilongwa Nokwelapha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 24.

URosenfield RL, uBarnes RB, u-Ehrmann DA. I-Hyperandrogenism, i-hirsutism, ne-polycystic ovary syndrome. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 133.