Tsitsi lokwanira kapena losafunikira mwa akazi

Nthawi zambiri, azimayi amakhala ndi tsitsi labwino pamwamba pamilomo yawo komanso pachibwano, pachifuwa, pamimba, kapena kumbuyo. Kukula kwa tsitsi lakuda mdima m'malo awa (makamaka kukula kwa tsitsi lamwamuna) kumatchedwa hirsutism.

Amayi nthawi zambiri amatulutsa mahomoni amphongo ochepa (androgens). Ngati thupi lanu limapanga mahomoni ochulukirapo, mutha kukhala ndi tsitsi losafunikira.

Nthawi zambiri, chifukwa chenicheni sichimadziwika. Vutoli limakonda kuyenda m'mabanja.

Chifukwa chodziwika cha hirsutism ndi polycystic ovarian syndrome (PCOS). Amayi omwe ali ndi PCOS ndi mahomoni ena omwe amayambitsa kukula kosafunika kwa tsitsi amathanso kukhala ndi:

• Ziphuphu
• Mavuto ndi msambo
• Vuto lakutaya thupi
• Matenda a shuga

Zizindikiro izi zikayamba mwadzidzidzi, mutha kukhala ndi chotupa chomwe chimatulutsa mahomoni achimuna.

Zina, zomwe zimayambitsa kusowa kwa tsitsi kosafunikira ndi monga:

• Chotupa kapena khansa ya adrenal gland.
• Chotupa kapena khansa ya m'mimba.
• Matenda a Cushing.
• Kobadwa nako adrenal hyperplasia.
• Hyperthecosis - vuto lomwe thumba losunga mazira limatulutsa mahomoni amphongo ochulukirapo.

Kugwiritsiridwa ntchito kwa mankhwala ena kumathanso kuchititsa kukula kwa tsitsi losafunikira, kuphatikiza:

• Testosterone
• Zamgululi
• Anabolic steroids
• DHEA
• Glucocorticoids
• Cyclosporine
• Minoxidil
• Phenytoin

Omanga thupi achikazi amatha kutenga mahomoni amphongo (anabolic steroids), omwe atha kubweretsa tsitsi lochulukirapo.

Nthawi zambiri, amayi omwe ali ndi hirsutism amakhala ndi mahomoni amphongo, ndipo chomwe chimayambitsa tsitsi lomwe silikufuna sichingadziwike.

Chizindikiro chachikulu cha vutoli ndi kupezeka kwa tsitsi lakuda mdima m'malo omwe amakhudzidwa ndi mahomoni amphongo. Madera awa ndi awa:

• Chin ndi mlomo wapamwamba
• Chifuwa ndi chapamwamba pamimba
• Kumbuyo ndi matako
• Ntchafu yamkati

Wothandizira zaumoyo wanu adzakufunsani ndikufunsani za zomwe mukudwala.

Mayeso omwe angachitike atha kuphatikizira izi:

• Mayeso a testosterone
• Mayeso a DHEA-sulfate
• Pelvic ultrasound (ngati virilization, kapena kukulitsa mawonekedwe amphongo, alipo)
• CT scan kapena MRI (ngati virilization ilipo)
• Mayeso a magazi a 17-hydroxyprogesterone
• Mayeso olimbikitsa a ACTH

Hirsutism nthawi zambiri imakhala vuto lanthawi yayitali. Pali njira zambiri zochotsera kapena kuthandizira tsitsi losafunika. Zotsatira zina zamankhwala zimatenga nthawi yayitali kuposa zina.

• Mankhwala-- Mankhwala monga mapiritsi oletsa kubereka ndi mankhwala a anti-androgen ndi njira kwa azimayi ena.
• Kusanthula kwamagetsi -- Makina amagetsi amagwiritsidwa ntchito kuwonongekeratu ma follicles amtsitsi kuti asabwererenso. Njira imeneyi ndi yokwera mtengo, ndipo pamafunika mankhwala osiyanasiyana. Kutupa, mabala, ndi kufiyira kwa khungu kumatha kuchitika.
• Mphamvu ya Laser yolunjika pamdima wakuda (melanin) mu tsitsili - Njira iyi ndiyabwino kudera lalikulu la tsitsi lakuda kwambiri. Siligwira ntchito tsitsi lalitali kapena lofiira.

Zosankha zakanthawi ndizo:

• Kumeta -- Ngakhale izi sizimapangitsa kuti tsitsi lizikula, zimatha kupangitsa tsitsi kuwoneka lolimba.
• Mankhwala, kubudula, ndi phula -- Izi ndizotetezeka komanso zotsika mtengo. Komabe, zopangidwa ndi mankhwala zimatha kukhumudwitsa khungu.

Kwa amayi omwe ali onenepa kwambiri, kuchepa thupi kumatha kuthandizira kuchepetsa kukula kwa tsitsi.

Mitundu ya tsitsi imakula pafupifupi miyezi 6 isanathe. Chifukwa chake, zimatenga miyezi yambiri kumwa mankhwala musanazindikire kuchepa kwa tsitsi.

Amayi ambiri amapeza zotsatira zabwino ndi masitepe akanthawi kochepa kuti atsitsire tsitsi kapena kupeputsa.

Nthawi zambiri, hirsutism siyimayambitsa matenda. Koma azimayi ambiri zimawawona kukhala zosokoneza kapena zochititsa manyazi.

Itanani omwe akukuthandizani ngati muli ndi izi:

• Tsitsi limakula msanga.
• Mulinso ndi mawonekedwe achimuna monga ziphuphu, mawu ozama, kuchuluka kwa minofu, kupatulira tsitsi kwa amuna, kukula kwa nkhongo, ndikuchepetsa kukula kwa mawere.
• Mukudandaula kuti mankhwala omwe mukumwa atha kukulitsa kukula kwa tsitsi losafunikira.

Hypertrichosis; Hirsutism; Tsitsi - owonjezera (akazi); Tsitsi lochuluka mwa akazi; Tsitsi - akazi - mopitirira muyeso kapena osafunikira

Bulun SE. Physiology ndi matenda amtundu woberekera wamkazi. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 17.

Khalani TP. Matenda atsitsi. Mu: Habif TP, mkonzi. Clinical Dermatology: Buku Lopangira Kuzindikira ndi Chithandizo. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 24.

Rosenfield RL, Barnes RB, Ehrmann DA. Hyperandrogenism, hirsutism, ndi polycystic ovary syndrome. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 133.