Izixazululo zempandla yephethini yowesilisa nowesifazane

-Delile

• 1. I-Minoxidil
• 2. I-Finasteride
• 3. I-Spironolactone
• 4. IKetoconazole
• 5. I-Alphaestradiol
• 6. ICyproterone acetate

Ubumpandla, obaziwa nangokuthi i-androgenetic alopecia, bungelashwa ngamakhambi okusetshenziswa ngomlomo noma ukufaka isicelo sendawo, okufanele sisetshenziswe kuphela uma kunconywa udokotela, ngoba anokuphikisana okuthile futhi angadala imiphumela emibi.

Impandla ibonakala ngokuncipha noma ukungabikho kwezintambo zezinwele, okuvela ekuzweleni kwezinwele zezinwele ezindaweni ezithile zekhanda kuya kuma-androgens, inqubo lapho ukwelashwa kuphazamisa khona.

Eminye yemithi engabekwa ngudokotela ekwelapheni impandla yilena:

1. I-Minoxidil

I-Minoxidil yisixazululo esitholakala ekugxileni kwe-2% ne-5%, okumele isetshenziswe ekhanda. Le nto esebenzayo ivuselela ukukhula kwesikhumba sezinwele futhi inyuse izinga lemithambo yegazi, ithuthukise ukusakazwa kwesiza nokwandisa isigaba sokukhula kwezinwele. Funda kabanzi nge-minoxidil.

Isetshenziswa kanjani: Isixazululo se-minoxidil singasetshenziswa esikhumbeni esomile, ezifundeni lapho izinwele zibuthaka khona, ngosizo lokubhucungwa, kabili ngosuku. Ngokuvamile, izixazululo ezingama-5% zinqunyiwe kwabesilisa bese kuthi izixazululo ezi-2% zikhonjiswe kwabesifazane kanti inani elizosetshenziswa yi-1 ml ngasikhathi, kanti isikhathi sokwelashwa cishe izinyanga ezintathu kuya kwezi-6 noma njengoba kukhonjisiwe ngudokotela.

Ngubani okungafanele asebenzise: I-Minoxidil akufanele isetshenziswe ngabantu abazwela ngokweqile ezingxenyeni zefomula, kwabesifazane abakhulelwe nabancelisayo. Isixazululo se-5% se-minoxidil akufanele sisetshenziswe kwabesifazane, ngaphandle kwalapho udokotela ekuncoma.

2. I-Finasteride

I-1mg finasteride, kumathebulethi, ikhonjisiwe ekwelapheni amadoda ane-androgenic alopecia, ukukhulisa ukukhula kwezinwele nokuvimbela ukulahleka kwezinwele.

Isetshenziswa kanjani: Umthamo onconyiwe yithebhulethi eli-1 nsuku zonke ubuncane bezinyanga ezi-3.

Ngubani okungafanele asebenzise: I-Finasteride akufanele isetshenziswe ngabantu abazwela ngokweqile ezingxenyeni zefomula, abesifazane noma izingane, abesifazane abakhulelwe nabancelisayo.

3. I-Spironolactone

I-Spironolactone ngumuthi ovame ukukhonjiswa ekwelapheni umfutho wegazi ophezulu kanye nokuphazamiseka kokudumba, kepha, njengoba kunomphumela we-anti-androgenic, udokotela anganikeza le mithi ekwelapheni i-alopecia kwabesifazane. I-Spironolactone isebenza ngokunciphisa ukuqhubeka kokulahleka kwezinwele nokukhuthaza ukukhula kwezinwele, futhi ingasetshenziswa yodwa noma ihlotshaniswa ne-minoxidil, ukukhulisa ukukhula kwezinwele.

Isetshenziswa kanjani: I-Spironolactone kufanele isetshenziswe njengokuyalelwa ngudokotela, futhi ingasetshenziswa ngemithamo ye-50 kuye ku-300 mg.

Ngubani okungafanele asebenzise: I-Spironolactone iyaphikiswa kubantu abane-hypersensitivity ezingxenyeni, ngokuhluleka okukhulu kwe-renal, ukwehla okuphawulekayo ekusebenzeni kwezinso, i-anuria, isifo se-Addison ne-hyperkalaemia. Ngaphezu kwalokho, akufanele futhi isetshenziswe ngesikhathi sokukhulelwa noma se-lactation.

4. IKetoconazole

I-topical ketoconazole iyi-antifungal esetshenziselwa ukwelapha i-seborrheic dermatitis. Yize inkomba enkulu ingekona ukwelapha impandla, kuyaziwa ukuthi ukufakwa esihlokweni kwalesi sithako esisebenzayo, esihambisana nezinye izixazululo zempandla, kungasiza abantu abaphethwe yilesi sifo.

Isetshenziswa kanjani: I-shampoo ene-ketoconazole kufanele isetshenziswe ezingxenyeni ezithintekile, ishiye ukuthi isebenze imizuzu emi-3 ukuya kwemihlanu ngaphambi kokuhlanza. Ukuze welaphe i-seborrheic dermatitis, kunconywa ukusebenzisa umkhiqizo kabili ngesonto, amasonto amabili kuya kwamane. Ukuvimbela ukubonakala kwesikhumba seborrheic, i-shampoo ingasetshenziswa kanye ngesonto noma kanye njalo emavikini amabili.

Ngubani okungafanele asebenzise: I-Ketoconazole akufanele isetshenziswe ngabantu abazwela ngokweqile ezingxenyeni zefomula.

5. I-Alphaestradiol

Isixazululo se-alfaestradiol, njengoba kunjalo nge-Avicis noma i-Alozex, ngokwesibonelo, siboniswa ekwelapheni i-androgenetic alopecia kwabesilisa nabesifazane. Funda kabanzi ngalomuthi.

Isetshenziswa kanjani: Umkhiqizo kufanele usetshenziswe kanye ngosuku, mhlawumbe ebusuku, usebenzisa umfakisicelo ekunyakazeni okukhanyayo, cishe umzuzu owodwa, ukuze cishe i-3 ml yesisombululo ifinyelele ekhanda. Bese, uhlikihla indawo bese ugeza izandla zakho ekugcineni.

Ngubani okungafanele asebenzise: Lo muthi akufanele usetshenziswe kubantu abaphikisana nezakhi zefomula, abakhulelwe, abancelisayo nangaphansi kweminyaka engu-18 ubudala.

6. ICyproterone acetate

ICyproterone acetate, njengoba kunjalo nge-Androcur, inezinkomba eziningi zokwelapha, kufaka phakathi inkomba yokwelashwa kwempandla kwabesifazane, ngenxa yesenzo sayo se-antiandrogenic.

Isetshenziswa kanjani: Kwabesifazane abaneminyaka yobudala bokuzala, ukwelashwa kufanele kuqalwe nge-100 mg ngosuku lokuqala lomjikelezo (usuku lokuqala lokopha), izinsuku eziyishumi. Ngaphezu kwalokho, inqubo yokuvikela inzalo ehlangene, ekhonjiswe ngudokotela, kufanele isetshenziswe kusukela ngosuku lokuqala kuya kumhla wama-21 womjikelezo, ukuzinzisa umjikelezo. Ngemuva kwalokho, kufanele uthathe ikhefu lezinsuku eziyi-7 futhi, ekugcineni kwalelo khefu, uqale kabusha ukwelashwa kwe-cyproterone acetate futhi ezinsukwini zokuqala eziyi-10 zomjikelezo kanye nokuvimbela inzalo okuhlanganisiwe, kusukela ngosuku lokuqala kuya kwele-21, njalonjalo . Kodwa-ke, udokotela anganciphisa umthamo we-cyproterone acetate kusuka ku-100 mg kuye ku-50 mg noma ku-25 mg, noma ancoma kuphela ukuthatha i-cyproterone acetate contraceptive + ethinyl estradiol, uma ekholelwa ukuthi kwanele.

Ngubani okungafanele asebenzise: I-cyproterone acetate akufanele isetshenziswe ngesikhathi sokukhulelwa, i-lactation, uma kwenzeka isifo sesibindi, i-Dubin-Johnson ne-Rotor syndrome, abantu abanomlando we-jaundice noma ukuluma okuqhubekayo ngesikhathi sokukhulelwa kwangaphambilini, umlando we-herpes wokukhulelwa, izicubu zamanje zesibindi noma ezedlule, umlando we-meningioma, izifo ezikhubazayo, ukucindezeleka okungapheli, umlando we-thrombosis, isifo sikashukela esibi esinezinguquko zemithambo yegazi, i-sickle cell anemia noma ukungezwani komzimba nezinto ezithile zokwakheka.

Ngaphezu kwemithi enikezwe udokotela, izithasiselo zokudla okunempilo zingahlotshaniswa namavithamini, amaminerali kanye nama-antioxidants, njengamavithamini B, uvithamini C, uvithamini E, i-zinc kanye nama-amino acid, ngokwesibonelo, okungaba nomthelela ekukhuleni kwezinwele. Bona izibonelo zezithasiselo zokulahleka kwezinwele.