I-Hirsutism: kuyini, izimpawu eziyinhloko nokwelashwa
-Delile
I-Hirsutism yisimo esingenzeka kubantu besifazane futhi sibonakala ngokuba khona kwezinwele ezifundeni ezisemzimbeni ngokuvamile ezingenazo izinwele, ezifana nobuso, isifuba, isisu nethanga langaphakathi, ngokwesibonelo, futhi ezingabonakala ngesikhathi ukuthomba noma ukunqamuka kokuya esikhathini.
Lesi simo ngokuvamile sihlobene nezinguquko ze-hormonal, ngokukhiqizwa okuphezulu kwe-testosterone noma ukwehla kokukhiqizwa kwe-estrogen, okuholela ekwandeni kwenani lezinwele emzimbeni.
Njengoba ukutholakala kwezinwele ezeqile kungakhathazi kwabanye besifazane, kubalulekile ukulandela ukwelashwa okukhonjiswe ngudokotela wezifo zabesifazane, udokotela wesikhumba noma i-endocrinologist, ongakhombisa ukusetshenziswa kwemithi yokulawula amazinga ama-hormone nezinqubo zobuhle zokususa izinwele ezeqile.
Izimpawu eziyinhloko ze-hirsutism
Izimpawu nezimpawu ze-hirsutism zingavela ngesikhathi sokuthomba noma sokuya esikhathini, futhi zingabonwa ebusweni, esiswini, nxazonke zamabele, emathangeni angaphakathi nasemhlane. Izimpawu zivame ukwehluka ngamazinga we-hormone ajikelezayo, ikakhulukazi amazinga e-testosterone. Ukuphakama kwezinga le-testosterone elijikelezayo, kwehla izinga le-estrogen, izici zesilisa ezengeziwe owesifazane angazithuthukisa.
Ngokuvamile, izimpawu nezimpawu ze-hirsutism yilezi:
- Ukuqhamuka kwezinwele ohlangothini lobuso, ukufohla, emuva, izinqe, isisu esingezansi, nxazonke zamabele nethanga langaphakathi;
- Amashiya ajiyile futhi ajwayele ukujoyinwa;
- Ukwanda induna;
- Inkwethu nokulahleka kwezinwele;
- Ukwandiswa kwe-Clitoral;
- Ukwandisa isisindo somzimba noma isisindo;
- Ukuguqulwa kwethoni yezwi;
- Ukuya esikhathini okungajwayelekile;
- Ukungabi nenzalo.
Lapho kukhona lezi zimpawu, kuyathakazelisa ukuthi owesifazane abonane nodokotela wezifo zabesifazane, udokotela wesikhumba noma i-endocrinologist ukuze kwenziwe ukuhlolwa okujwayelekile, ukuxilongwa kuphothulwe bese kuqala ukwelashwa.
Ukuxilongwa kokuqala kwenziwa ngudokotela ngokuhlola inani lezinwele ezikhona ezifundeni zowesifazane ngokuvamile ezingenazo izinwele, isifunda sihlukaniswa kusuka ku-1 kuye ku-4 ngokwenani lezinwele. Ngakho-ke, amaphuzu aphakathi kuka-0 no-8 abhekwa njengokujwayelekile, phakathi kuka-8 no-15 kubhekwa njenge-hirsutism elinganiselayo nangaphezulu ukuthi kukhonjisiwe ukuthi umuntu une-hirsutism enzima.
Ngaphezu kwalokho, ukugcwalisa ukuxilongwa, udokotela futhi angabona ubukhona bezimpawu zesilisa, ngaphezu kokucela ukusebenza kwe-transvaginal ultrasound ne-laboratory test, njenge-testosterone, prolactin, TSH ne-FSH ejikeleza egazini. imbangela ehlobene ne-hirsutism.
Izimbangela eziyinhloko
I-Hirsutism ivame ukuhlotshaniswa nokungalingani phakathi kwamazinga we-testosterone ajikelezayo, okungenzeka ngenxa yezinguquko kwizindlala ze-adrenal noma kuma-ovari. Ngaphezu kwalokho, kujwayelekile ukuthi abesifazane abane-polycystic ovary syndrome bahlakulele i-hirsutism, ngoba lesi simo sibonakala ngokushintsha kwamahomoni. Funda kabanzi mayelana ne-polycystic ovary syndrome.
Ezinye izimo ezingavuna ukuthuthukiswa kwe-hirsutism yizinguquko ku-thyroid, i-congenital adrenal hyperplasia, i-Cushing's syndrome kanye nokusetshenziswa kwemithi ethile, njenge-minoxidil, phenothiazines ne-danazol. Ngaphezu kwalokho, abesifazane abanomlando womndeni we-hirsutism, abakhuluphele noma basebenzisa izithasiselo ze-anabolic ukuthola ubukhulu bemisipha, ngokwesibonelo, basengozini enkulu yokuthola i-hirsutism.
Yelashwa kanjani
Ukwelashwa kwe-hirsutism kuhlose ukulawula amazinga we-hormone, okusiza ukunciphisa inani lezinwele emzimbeni. Kubalulekile futhi ukuthi kwenziwe izivivinyo ukukhomba imbangela ye-hirsutism, ngoba lesi simo sivame ukuxazululwa lapho kulashwa imbangela.
Ngakho-ke, ngaphezu kokwelapha lesi sifo esiyimbangela, udokotela angancoma ukusetshenziswa kwezindlela zokuvimbela inzalo zamahomoni, ezikhuthaza ukwehla kokukhiqizwa kwe-testosterone, okusiza ukulawula amazinga wama-hormone ajikeleza egazini. Kwezinye izimo, udokotela angancoma ukusebenzisa iSpironolactone, iCyproterone Acetate noma iFinasteride ngokuhlangana nesizathu se-hirsutism.
Ngaphezu kwamakhambi, izinqubo zobuhle zinganconywa futhi ukuqeda izinwele ezedlulele, nokusetshenziswa kokhilimu bokuchitha umzimba noma izinqubo ezichazayo ezinciphisa inani lezinwele kuzo zonke izikhathi, njenge-electrolysis, ukwelashwa nge-pulsed light noma nge-laser hair ukususwa. Kubalulekile ukuthi indlela yokususwa kwezinwele ikhethwe ngokuya ngesimo sodokotela besikhumba ukuze kuvinjelwe izilonda zesikhumba nokuvuvukala.