Tsitsi Lambiri Kapena Losafunikira Mwa Akazi

Zamkati

• Chifukwa chiyani azimayi amakula tsitsi lopitirira kapena losafunika?
• Matenda a Polycystic ovarian
• Matenda a adrenal gland
• Mankhwala
• Kuzindikira hirsutism
• Chithandizo cha tsitsi lochulukirapo kapena losafunikira
• Kusamalira mahomoni
• Kirimu
• Kuchotsa tsitsi
• Maonekedwe a tsitsi lochulukirapo kapena losafunikira
• Funso:
• Yankho:

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kumvetsetsa tsitsi lochulukirapo

Tsitsi lokwanira kapena losafunikira lomwe limakula mthupi mwa mayi ndi nkhope yake ndi zotsatira za chikhalidwe chotchedwa hirsutism. Amayi onse amakhala ndi nkhope ndi tsitsi, koma tsitsili nthawi zambiri limakhala labwino komanso lowala.

Kusiyanitsa kwakukulu pakati pa tsitsi lenileni pathupi la mkazi ndi nkhope (yomwe nthawi zambiri imatchedwa "pichesi fuzz") ndi tsitsi lomwe limayambitsidwa ndi hirsutism ndi kapangidwe kake. Tsitsi lokwanira kapena losafunikira lomwe limamera pankhope ya mkazi, mikono, kumbuyo, kapena chifuwa nthawi zambiri limakhala lolimba komanso lakuda. Kukula kwa hirsutism mwa amayi kumalumikizidwa ndi virilization. Amayi omwe ali ndi vutoli ali ndi mawonekedwe omwe nthawi zambiri amakhudzana ndi mahomoni amphongo.

Hirsutism siyofanana ndi hypertrichosis, yomwe imanena za tsitsi lochulukirapo m'malo osadalira ma androgens (mahomoni achimuna). Hirsutism ndi tsitsi lochulukirapo m'malo omwe amawoneka mwa amuna, monga nkhope ndi pamimba. Hypertrichosis, kumbali inayo, imatha kukulitsa tsitsi kulikonse pathupi.

Malinga ndi a hirsutism amakhudza akazi pakati pa 5 ndi 10%. Amakonda kuyenda m'mabanja, chifukwa chake mutha kukhala ndi tsitsi losafunikira ngati amayi anu, mlongo, kapena wachibale wina wamkazi alinso nalo. Amayi aku Mediterranean, South Asia, ndi Middle East cholowa nawonso atha kukhala ndi vutoli.

Kukhalapo kwa tsitsi lopitirira thupi kumatha kubweretsa kudzimva kuti ndikudzidalira, koma sikowopsa. Komabe, kusamvana kwa mahomoni komwe kumatha kubweretsa izi kumatha kusokoneza thanzi la mzimayi.

Chifukwa chiyani azimayi amakula tsitsi lopitirira kapena losafunika?

Azimayi amakhala ndi tsitsi lokwanira thupi kapena nkhope chifukwa cha ma androgens apamwamba, kuphatikiza testosterone. Amayi onse amapanga ma androgens, koma milingo imakhala yotsika. Matenda ena atha kupangitsa kuti mayi apange ma androgens ambiri. Izi zitha kupangitsa kukula kwa tsitsi la amuna ndi mawonekedwe ena achimuna, monga liwu lakuya.

Matenda a Polycystic ovarian

Polycystic ovarian syndrome (PCOS) ndichimodzi mwazomwe zimayambitsa hirsutism. Amakhala atatu mwa milandu inayi ya hirsutism, malinga ndi American Family Physician. Zotupa za Benign zomwe zimapanga thumba losunga mazira zimatha kukhudza kupanga ma mahomoni, zomwe zimayambitsa kusamba kosazolowereka ndikuchepetsa kubereka. Ofesi ya Women's Health imati azimayi omwe ali ndi PCOS nthawi zambiri amakhala ndi ziphuphu zolimbitsa thupi ndipo amakhala onenepa kwambiri. Zizindikiro zowonjezera zitha kuphatikiza:

• kutopa
• zosintha
• osabereka
• kupweteka kwa m'chiuno
• kupweteka mutu
• mavuto ogona

Matenda a adrenal gland

Mitundu ina yakusamvana kwama mahomoni komwe kumapangitsa kukula kwa tsitsi kumaphatikizapo zovuta za adrenal gland:

• khansa ya adrenal
• zotupa za adrenal
• kobadwa nako adrenal hyperplasia
• Matenda a Cushing

Zilonda za adrenal, zomwe zili pamwamba pa impso zanu, zimayambitsa kupanga mahomoni. Anthu omwe ali ndi congenital adrenal hyperplasia amabadwa opanda enzyme omwe amafunikira kuti apange mahomoni. Omwe ali ndi matenda a Cushing amakhala ndi cortisol yoposa yachibadwa. Cortisol nthawi zina amatchedwa "mahomoni opsinjika." Zonsezi zimatha kukhudza momwe thupi lanu limapangira ma androgens.

Zizindikiro za mavuto am'magazi a adrenal ndi awa:

• kuthamanga kwa magazi
• kufooka kwa mafupa ndi minofu
• kulemera kwambiri m'thupi
• kupweteka mutu
• shuga wambiri kapena wotsika magazi

Mankhwala

Kukula kwambiri kwa tsitsi kapena nkhope kumathanso chifukwa chomwa mankhwala aliwonse otsatirawa:

• Minoxidil, yomwe imagwiritsidwa ntchito kupangitsa kukula kwa tsitsi
• anabolic steroids, omwe ndi mitundu yosiyanasiyana ya testosterone
• testosterone, yomwe ingatengedwe ngati testosterone ikusowa
• cyclosporine, yomwe ndi mankhwala osokoneza bongo omwe amagwiritsidwa ntchito nthawi zambiri ziwalo zisanachitike

Nthawi zina, azimayi amatha kukhala ndi hirsutism yopanda tanthauzo, zomwe zikutanthauza kuti palibe chifukwa chodziwikiratu chomwe hirsutism idakhalira. Nthawi zambiri zimakhala zosalekeza ndipo zimakhala zovuta kuchiza.

Kuzindikira hirsutism

Dokotala wanu atenga mbiri yakale yazachipatala mukazindikira za hirsutism. Kambiranani za momwe mumagwiritsira ntchito mankhwala ndi dokotala kuti muwathandize kudziwa zomwe zimayambitsa matenda anu. Dokotala wanu amatha kuyitanitsa mayeso amwazi kuti athe kuyeza kuchuluka kwamahomoni. Nthawi zina, dokotala wanu amathanso kuyitanitsa magazi kuti awonetsetse kuti mulibe matenda ashuga.

Kupanga ma ultrasound kapena MRI kusanthula mazira anu ndi ma adrenal gland kungakhale kofunikira kuti muwone ngati kuli zotupa kapena zotupa.

Chithandizo cha tsitsi lochulukirapo kapena losafunikira

Kusamalira mahomoni

Ngati mukulemera kwambiri, dokotala wanu angakuuzeni kuti muchepetse kunenepa kuti muchepetse kukula kwa tsitsi lanu. Kunenepa kwambiri kumatha kusintha momwe thupi lanu limapangira ndikupanga mahomoni. Kukhala ndi thupi lolemera kumatha kukonza mayendedwe anu osagwiritsa ntchito mankhwala.

Mungafunike chithandizo chamankhwala ngati kukula kwa tsitsi kwambiri ndi chizindikiro cha PCOS kapena matenda a adrenal. Mankhwala osokoneza bongo monga mapiritsi oletsa kubereka ndi mankhwala a antiandrogen amatha kuthandizira kuchuluka kwama mahomoni.

Mankhwala a antiandrogen: Steroidal androgens ndi nonsteroidal (kapena purest) antiandrogens amatha kutseka ma androgen receptors ndikuchepetsa kutulutsa kwa androgen kuchokera ku adrenal gland, ovaries, ndi pituitary gland.

Kuphatikiza mapiritsi oletsa kubereka: Mapiritsiwa, omwe ali ndi estrogen ndi progesterone, amatha kuthandizira kuchepa kwa ma PCOS. Estrogen imathandizanso kuchepetsa tsitsi lochulukirapo. Mankhwalawa nthawi zambiri amakhala yankho la nthawi yayitali la hirsutism. Mudzawona kusintha pakatha miyezi itatu kapena isanu ndi umodzi yamankhwala osokoneza bongo.

Kirimu

Dokotala wanu akhoza kukupatsani zonona eflornithine kuti muchepetse kukula kwa tsitsi lakumaso. Kukula kwa tsitsi lanu kumaso kumayenera kuchepa pakatha mwezi umodzi kapena iwiri. Zotsatira zoyipa za eflornithine zimaphatikizapo kuphulika pakhungu komanso kukwiya.

Kuchotsa tsitsi

Njira zochotsera tsitsi ndi njira yosasamalirira yosamalira tsitsi lambiri kapena losafunika. Izi ndi njira zofananazo zochotsa tsitsi zomwe amayi ambiri amagwiritsa ntchito kusunga miyendo yawo, mzere wa bikini, ndi malaya opanda tsitsi.

Kulimbikitsa, kumeta ndevu, ndi ma depilatories: Ngati muli ndi hirsutism, mungafunikire kukhala olimbikira pantchito yoluka, kumeta ndevu, komanso kugwiritsa ntchito depilatories (mankhwala opangira mankhwala). Zonsezi ndizotsika mtengo ndipo zimayamba kugwira ntchito nthawi yomweyo, koma zimafunikira chithandizo chokhazikika. Gulani malo ochotsera.

Kuchotsa tsitsi kwa Laser: Kuchotsa tsitsi kwa Laser kumaphatikizapo kugwiritsa ntchito kuwala kounikira kuti muwononge ma follicles anu. Mafinya owonongeka sangatulutse tsitsi, ndipo tsitsi lomwe lilipo limagwa. Ndi mankhwala okwanira, kuchotsa tsitsi la laser kumatha kupereka zotsatira zosatha kapena zosakhalitsa.

Kusanthula kwamagetsi: Electrolysis ndiko kuchotsa tsitsi pogwiritsa ntchito magetsi. Imagwiritsa ntchito pakhosi la tsitsi lililonse, kotero magawo amatha kutenga nthawi yayitali.

Kuchotsa tsitsi kwa laser komanso electrolysis kumatha kukhalaokwera mtengo ndipo kumafunikira magawo angapo kuti akwaniritse zomwe mukufuna. Odwala ena amavutika ndi mankhwalawa kapena amapweteka pang'ono.

Maonekedwe a tsitsi lochulukirapo kapena losafunikira

Tsitsi lokwanira kapena losafunika la thupi ndi nkhope ndizovuta kwanthawi yayitali. Amayi ambiri omwe ali ndi vuto la kusamvana kwama mahomoni amalabadira chithandizo, koma tsitsi limatha kubwereranso ngati mahomoni anu sangayanjanenso. Ngati vutoli limakupangitsani kudzidera nkhawa, uphungu ndi chithandizo kuchokera kwa abwenzi ndi abale kungakuthandizeni kuthana nazo.

Kutengera chomwe chikuyambitsa komanso chithandizo chomwe mungasankhe, kuchiza hirsutism kumatha kukhala kudzipereka kwanthawi zonse. Kuchotsa tsitsi kwa laser kapena electrolysis kumatha kupereka zotsatira zosatha kuposa kumeta ndevu, kupukuta, kapena kuchotsera depilatories. Zinthu zomwe zimayambitsa hirsutism, monga PCOS kapena adrenal gland zovuta, zimafunikira chithandizo chamoyo wonse.

Funso:

Kodi Ferriman-Gallwey ndi chiyani?

Wosadziwika wodwala

Yankho:

Mndandanda wa Ferriman-Gallwey ndi njira yodziwira kukula kwa tsitsi lamwamuna mwa akazi. Zimakhala ndi zithunzi zogawa tsitsi pakamwa chapamwamba, pachibwano, pachifuwa, kumbuyo, pamimba, mkono, mkono, ntchafu, ndi mwendo wapansi. Dera lililonse limachokera ku 0 mpaka 4, pomwe 4 ndikukula kwa tsitsi lolemera. Dera lirilonse likapezedwa, manambala amaphatikizidwa pamodzi kuti akwaniritse zonse. Akatswiri ambiri amavomereza kuti okwanira 8 akuwonetsa hirsutism.

Chiwerengero cha Ferriman-Gallwey ndichida chosavuta, chotchipa, komanso chodalirika chodziwira hirsutism. Komabe, pali njira zambiri komanso zokwera mtengo zodziwira kukula kwa tsitsi lomwe lingakhale lolondola kwambiri. Izi zikuphatikiza zojambula, kuwunika zithunzi pamakompyuta, komanso kuyeza zazing'onoting'ono komanso kuwerengera kwa shafts.

Mayankho a Deborah Weatherspoon, PhD, RN, CRNA, COIA amayimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.