Izinwele Eziningi noma Ezingafuneki Kwabesifazane

-Delile

• Kungani abesifazane bekhula izinwele ezeqile noma ezingafuneki?
• Isifo se-Polycystic ovarian
• Izinkinga ze-adrenal gland
• Imithi
• Ukuhlonza i-hirsutism
• Ukwelashwa kwezinwele ezeqile noma ezingafuneki
• Ukuphathwa kweHormone
• Ukhilimu
• Ukususwa kwezinwele
• Umbono wezinwele ezeqile noma ezingafuneki
• Q:
• A:

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukuqonda izinwele ezeqile

Izinwele ezeqile noma ezingafuneki ezikhula emzimbeni nasebusweni besifazane kungumphumela wesimo esibizwa nge-hirsutism. Bonke abesifazane banezinwele zobuso nezomzimba, kepha izinwele ngokuvamile ziba zinhle kakhulu futhi zikhanyayo ngombala.

Umehluko omkhulu phakathi kwezinwele ezijwayelekile emzimbeni wesifazane nasebusweni (okuvame ukubizwa nge- “peach fuzz”) nezinwele ezibangelwa i-hirsutism ukuthungwa. Izinwele ezeqile noma ezingafuneki ezikhula ebusweni, ezingalweni, emuva, noma esifubeni sowesifazane zivame ukuba mnyama futhi zimnyama. Iphethini yokukhula kwe-hirsutism kwabesifazane ihlotshaniswa ne-virilization. Abesifazane abanalesi simo banezici ezivame ukuhlotshaniswa nama-hormone abesilisa.

I-Hirsutism ayifani ne-hypertrichosis, ebhekisela ezinweleni ezeqile ezindaweni ezingancikile kuma-androgens (ama-hormone abesilisa). I-Hirsutism yizinwele ezeqile ezindaweni lapho zivame ukubonakala emadodeni, njengasebusweni nasesiswini esingezansi. I-Hypertrichosis, ngakolunye uhlangothi, ingakhuphula izinwele noma kuphi emzimbeni.

Ngokusho kwe-hirsutism kuthinta abesifazane abaphakathi kuka-5 no-10%. Kuvame ukugijima emindenini, ngakho-ke kungenzeka ukuthi ube nokukhula kwezinwele okungafuneki uma umama wakho, udadewenu, noma esinye isihlobo sowesifazane naso sinaso. Abesifazane baseMedithera, eNingizimu Asia, naseMpumalanga Ephakathi nabo banamathuba amaningi okuthuthukisa lesi simo.

Ukuba khona kwezinwele zomzimba ezeqile kungaholela ekuzizweleni, kepha akuyona ingozi. Kodwa-ke, ukungalingani kwamahomoni okungaholela kukho kungahle kuphazamise impilo yowesifazane.

Kungani abesifazane bekhula izinwele ezeqile noma ezingafuneki?

Abesifazane baba nezinwele ezeqile zomzimba noma zobuso ngenxa yamazinga aphezulu kune-evamile we-androgens, kufaka phakathi i-testosterone. Bonke abesifazane bakhiqiza i-androgens, kepha amazinga ngokuvamile ahlala ephansi. Izimo ezithile zezokwelapha zingadala ukuthi owesifazane akhiqize ama-androgens amaningi kakhulu. Lokhu kungadala ukukhula kwezinwele zamaphethini wesilisa nezinye izici zesilisa, njengezwi elijulile.

Isifo se-Polycystic ovarian

I-Polycystic ovarian syndrome (i-PCOS) yimbangela eyodwa ejwayelekile ye-hirsutism. Ibandakanya amacala amathathu kwamane e-hirsutism, ngokusho kwe-American Family Physician. Ama-cyst ama-Benign akha kuma-ovari angathinta ukukhiqizwa kwama-hormone, okuholele kumjikelezo wokuya esikhathini ngokungajwayelekile nokwehla kokuzala. IHhovisi Lezempilo Labesifazane lithi abesifazane abane-PCOS bavame ukuba nezinduna ezinesilinganiso esiphakathi kuya kwesinzima futhi bavame ukukhuluphala ngokweqile. Izimpawu ezingeziwe zingabandakanya:

• ukukhathala
• ukuguquka kwemizwelo
• ukungazali
• ubuhlungu be-pelvic
• ikhanda
• izinkinga zokulala

Izinkinga ze-adrenal gland

Ezinye izinhlobo zokungalingani kwe-hormonal ezibangela ukukhula kwezinwele ngokweqile kufaka phakathi lokhu kuphazamiseka kwendlala ye-adrenal:

• umdlavuza we-adrenal
• izimila adrenal
• azalwa naso adrenal hyperplasia
• Isifo sikaCushing

Izindlala ze-adrenal, ezingaphezulu nje kwezinso zakho, zibhekene nokukhiqizwa kwamahomoni. Abantu abane-hyperplasia yokuzalwa kwe-adrenal bazalwa bengenayo i-enzyme edingekayo ekukhiqizeni ama-hormone. Labo abanesifo sikaCushing banamazinga aphezulu kunejwayelekile we-cortisol. I-Cortisol kwesinye isikhathi ibizwa nge- "hormone yokucindezela." Zonke lezi zimo zingathinta indlela umzimba wakho okhiqiza ngayo ama-androgens.

Izimpawu zokuphazamiseka kwezindlala ze-adrenal zifaka:

• umfutho wegazi ophakeme
• ubuthakathaka bamathambo nemisipha
• isisindo esiningi emzimbeni ongenhla
• ikhanda
• amazinga aphezulu noma aphansi kashukela egazini

Imithi

Ukukhula ngokweqile komzimba noma izinwele ebusweni nakho kungavela ekuthatheni noma iyiphi yale mithi elandelayo:

• I-Minoxidil, esetshenziselwa ukukhuthaza ukukhula kwezinwele
• ama-anabolic steroids, okuyizinhlobonhlobo zokwenziwa kwe-testosterone
• testosterone, engathathwa uma kwenzeka kushoda i-testosterone
• i-cyclosporine, okuwumuthi we-immunosuppressant ovame ukusetshenziswa ngaphambi kokufakelwa komzimba

Kwezinye izimo, abesifazane bangathola i-idiopathic hirsutism, okusho ukuthi asikho isizathu esibonakalayo sokuthi kungani i-hirsutism yathuthuka. Ngokuvamile akuhlala njalo futhi kungaba nzima ukwelashwa.

Ukuhlonza i-hirsutism

Udokotela wakho uzothatha umlando wezokwelapha oningiliziwe lapho ehlonza i-hirsutism. Xoxa nodokotela wakho ngokusetshenziswa kwemithi ukuze ubasize bathole imbangela yesimo sakho. Udokotela wakho kungenzeka a-oda ukuhlolwa kwegazi ukukala amazinga akho ama-hormone. Kwezinye izimo, udokotela wakho angahle futhi ayalele umsebenzi wegazi ukuze aqiniseke ukuthi awunaso isifo sikashukela.

Ama-Ultrasounds noma i-MRI scan yama-ovari akho kanye nezindlala ze-adrenal kungadingeka ukuhlola ubukhona bezimila noma ama-cysts.

Ukwelashwa kwezinwele ezeqile noma ezingafuneki

Ukuphathwa kweHormone

Uma ukhuluphele ngokweqile, udokotela wakho mhlawumbe uzophakamisa ukuthi wehlise isisindo ukuze unciphise ukukhula kwezinwele zakho. Ukukhuluphala kungashintsha indlela umzimba wakho okhiqiza futhi usebenze ngayo ama-hormone. Ukugcina isisindo esinempilo kungalungisa izinga lakho le-androgens ngaphandle kokusebenzisa umuthi.

Ungadinga ukwelashwa uma ukukhula ngokweqile kwezinwele kuyisibonakaliso se-PCOS noma ukuphazamiseka kwe-adrenal. Ukwelashwa kwezidakamizwa ngendlela yamaphilisi okulawula ukubeletha nemithi ye-antiandrogen kungasiza ukulinganisela amazinga akho ama-hormone.

Imithi ye-antiandrogen: Ama-androgens we-Steroidal nama-antiandrogens angenawo ama-steroid (noma amsulwa) angavimba ama-androgen receptors futhi anciphise ukukhiqizwa kwe-androgen kuzindlala ze-adrenal, ama-ovari, nezindlala ze-pituitary.

Inhlanganisela yamaphilisi okulawula ukubeletha: Lawa maphilisi, ane-estrogen ne-progesterone, angasiza ukunciphisa ama-cysts avela ku-PCOS. I-estrogen nayo ingasiza ekwehliseni izinwele ezeqile. Le mithi imvamisa iyisixazululo sesikhathi eside se-hirsutism. Cishe uzobona ukuthuthuka ngemuva kwezinyanga ezintathu kuya kweziyisithupha zokwelashwa kwezidakamizwa.

Ukhilimu

Udokotela wakho angakunika ukhilimu we-eflornithine ukunciphisa ukukhula kwezinwele zobuso. Ukukhula kwezinwele ebusweni kufanele kwehle ngemuva kwenyanga eyodwa kuya kwezimbili. Imiphumela emibi ye-eflornithine ifaka ukuqubuka kwesikhumba nokucasuka.

Ukususwa kwezinwele

Amasu okususa izinwele ayindlela yokwelashwa yokuphatha izinwele ezeqile noma ezingafuneki. Lezi yizindlela ezifanayo zokususa izinwele ezisetshenziswa ngabesifazane abaningi ukugcina imilenze yabo, ulayini we-bikini, nezikhwama zangaphansi zingenaboya.

I-Waxing, ukushefa, kanye nezindawo zokuthambisa: Uma une-hirsutism, kungadingeka ukuthi usebenze kakhudlwana mayelana nokufaka i-waxing, ukushefa, nokusebenzisa izidakamizwa (amagwebu amakhemikhali). Konke lokhu kungabizi kakhulu futhi kusebenza ngokushesha, kepha kudinga ukwelashwa okuqhubekayo. Thenga izindawo zokugeza.

Ukususwa kwezinwele ze-Laser: Ukususwa kwezinwele ze-Laser kuhilela ukusebenzisa imisebe ekhanyayo egxilile ukulimaza izinwele zakho zezinwele. Amafollic alimele awakwazi ukukhiqiza izinwele, nezinwele ezikhona ziyawa. Ngokwelashwa okwanele, ukususwa kwezinwele ze-laser kunganikeza ngemiphumela ehlala njalo noma eseduze.

Ukuhlolwa kwe-Electrolysis: I-Electrolysis ukukhishwa kwezinwele kusetshenziswa amandla kagesi. Iphatha i-follicle ngayinye yezinwele ngawodwana, ngakho-ke izikhathi zingathatha isikhathi eside.

Kokubili ukukhishwa kwezinwele ze-laser kanye ne-electrolysis kungabiza futhi kudinga izikhathi eziningi ukufeza imiphumela oyifunayo. Ezinye iziguli zithola ukuthi lezi zindlela zokwelapha zingakhululeki noma zibuhlungu kancane.

Umbono wezinwele ezeqile noma ezingafuneki

Izinwele zomzimba ezeqile noma ezingafuneki yinselelo yesikhathi eside. Iningi labesifazane abanokungalingani kwamahomoni okutholakele baphendula kahle ekwelashweni, kepha izinwele zingakhula futhi uma amazinga akho e-hormone engasavumelani futhi. Uma lesi simo sikwenza uzenyeze, ukwelulekwa nokwesekwa okuvela kubangani nomndeni kungakusiza ukubhekana nakho.

Ngokuya ngesizathu esiyimbangela nokhetho lwakho lokwelashwa, ukuphatha i-hirsutism kungenzeka noma kungabi ukuzibophezela impilo yonke. Ukususwa kwezinwele ze-Laser noma i-electrolysis kunganikeza imiphumela ehlala unomphela kunokushefa, ukugcotshwa kwe-wax, noma izidakamizwa. Izimo ezibangela i-hirsutism, njenge-PCOS noma i-adrenal gland disorders, zingadinga ukwelashwa impilo yonke.

Q:

Yini amaphuzu kaFerriman-Gallwey?

Isiguli esingaziwa

A:

Inkomba kaFerriman-Gallwey iyindlela yokuthola izinga lokukhula kwezinwele zomzimba womuntu wesilisa kwabesifazane. Iqukethe izithombe zokusatshalaliswa kwezinwele odebeni olungaphezulu, esilevini, esifubeni, emuva, esiswini, engalweni, ingalo, ithanga, nomlenze ongezansi. Indawo ngayinye itholwa kusuka ku-0 kuye ku-4, kuthi i-4 kube ukukhula kwezinwele okusindayo. Ngemuva kokutholwa kwendawo ngayinye, izinombolo ziyangezwa ndawonye ukuthola amaphuzu aphelele. Iningi lochwepheshe liyavuma ukuthi ingqikithi engu-8 ikhombisa i-hirsutism.

Isikolo sikaFerriman-Gallwey siyithuluzi lokuxilonga elilula, elingabizi, futhi elithembekile le-hirsutism. Kodwa-ke, kunezindlela ezinabile futhi ezibizayo zokunquma izinga lokukhula kwezinwele ngokweqile okungaba okuqondile kakhulu. Lokhu kufaka phakathi izinyathelo zokuthatha izithombe, ukuhlolwa ngekhompyutha kwezithombe, nokukalwa okuncane kakhulu nokubalwa kwemiphini yezinwele.

Izimpendulo zikaDeborah Weatherspoon, PhD, RN, CRNA, COIA zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.