Kutaya Tsitsi Mwa Akazi
Zamkati
- Tsitsi limafala kwa akazi, nawonso
- Zizindikiro zakutha kwa tsitsi
- Mitundu 4 ya alopecia
- Matenda ambiri amatha kupangitsa tsitsi
- Zizindikiro zina zomwe zimathandiza pakuzindikira
- Kusamba kwa kusamba ndi mahomoni
- Mavuto osiyanasiyana amatha kupweteketsa tsitsi
- Kusintha kwadzidzidzi koma kwakanthawi
- Kusowa kwa mavitamini a B kumatha kubweretsa tsitsi
- Mankhwala othandizira tsitsi
- Minoxidil
- Mankhwala a Estrogen
- Spironolactone
- Tretinoin
- Corticosteroids
- Anthralin
- Momwe tsitsi la amayi limasiyanirana ndi la amuna
- Kumaliza ndalama
- Opaleshoni
- Kutenga
Tsitsi limafala kwa akazi, nawonso
Pali zifukwa zambiri zomwe amayi amatha kutaya tsitsi. Chilichonse kuchokera kuchipatala mpaka kusintha kwa mahomoni kukhala kupsinjika zitha kukhala zoyambitsa. Sizovuta nthawi zonse kupeza chomwe chimayambitsa, koma Nazi zina mwazotheka komanso zomwe mungachite.
Zizindikiro zakutha kwa tsitsi
Tsitsi limatha kubwera m'njira zosiyanasiyana kutengera chifukwa. Mutha kuwona kutaya tsitsi mwadzidzidzi kapena kupatulira pang'onopang'ono pakapita nthawi. Kungakhale kothandiza kusunga zolemba tsiku ndi tsiku kuti muzitsatira kusintha kulikonse komwe mungaone kapena zomwe mukukumana nazo, ndikuyang'ana mawonekedwe.
Zizindikiro zina zimaphatikizapo:
- Kuchepetsa kwathunthu. Pang'ono ndi pang'ono kupatulira pamutu ndiye kutayika kwatsitsi kofala kwambiri. Zimakhudza amuna ndi akazi. Ngakhale abambo amakonda kuwona tsitsi likuchepa, azimayi nthawi zambiri amazindikira kuti gawo lawo limakulitsa.
- Mawanga opanda dazi. Zitha kukhala zozungulira kapena zosalimba. Zitha kukhala ngati ndalama zasiliva kukula kwake ndipo nthawi zambiri zimawoneka pamutu. Khungu lanu limatha kumva kuyabwa kapena kupweteka nthawi yomweyo tsitsi lisanatuluke.
- Tsitsi lodzaza manja. Mutha kukhala ndi tsitsi mwadzidzidzi, makamaka mutapwetekedwa mtima kapena thupi. Tsitsili limatha kutuluka mwachangu mukamatsuka kapena kulipesa, zomwe zimapangitsa kuti pakhale kuwonda kwathunthu.
- Kutaya kwathunthu. Nthawi zina zamankhwala, makamaka ndi mankhwala monga chemotherapy, mutha kuwona kutayika kwa tsitsi mwadzidzidzi komanso thupi lanu lonse nthawi imodzi.
Chotsatira tiwona mitundu yayikulu yakutha kwa tsitsi ndi zomwe zimayambitsa.
Mitundu 4 ya alopecia
Alopecia amangotanthauza "kumeta tsitsi." Sichopatsirana kapena kutengera mitsempha. Pali mitundu yosiyanasiyana ya zinthu zomwe zimayambitsa chilichonse kuchokera ku majini mpaka kuzosamalira tsitsi kapena chilichonse chomwe chimayambitsa chitetezo chamthupi kuti chiwononge ma follicles amtsitsi.
- Androgenetic alopecia ndi dazi la mtundu wa akazi kapena kutayika kwa tsitsi komwe kumayambitsidwa ndi chibadwa, kapena mbiri ya banja. Ndicho chomwe chimayambitsa tsitsi lotayika mwa amayi ndipo nthawi zambiri limayamba azaka zapakati pa 12 mpaka 40. Ngakhale amuna amakonda kuwona kudumphadumpha ngati tsitsi lopepuka komanso madontho apadera, kutayika kwa amayi kumawoneka ngati kupatulira kwathunthu.
- Alopecia areata Ndikutaya tsitsi komwe kumachitika mwadzidzidzi pamutu kapena thupi. Amayamba ndi zigamba chimodzi kapena zingapo zozungulira zomwe mwina sizingagwirizane.
- Cicatricial alopecia ndi gulu lazomwe zimayambitsa tsitsi lomwe silingasinthike chifukwa cha zipsera. Tsitsi limagwa ndipo chovalacho chimalowetsedwa m'malo ndi zilonda zofiira.
- Zopweteka alopecia amachititsa tsitsi kutuluka chifukwa cha makongoletsedwe atsitsi. Tsinde limatha kuthyoka ukamagwiritsa ntchito zisa zotentha, zowumitsa zowuma, zowongolera, kapena mankhwala ena kuti adye kapena kuwongola tsitsi.
Matenda ambiri amatha kupangitsa tsitsi
Matenda ena amatsogolera kutayika kwa tsitsi, ngakhale chifukwa cha kusokonezeka kwa mahomoni, monga ndimatenda a chithokomiro; zipsera pakhungu, monga zipere; kapena matenda amthupi mokha, monga matenda a leliac, pomwe thupi limadzivulaza.
Zomwe zingayambitse tsitsi limaphatikizapo:
- hypothyroidism
- hyperthyroidism
- Matenda a Hodgkin
- hypopituitarism
- Matenda a Hashimoto
- zokhudza zonse lupus erythematosus
- Matenda a Addison
- matenda a celiac
- Ndere zamatsenga
- mbozi
- scleroderma
- trichorrhexis invaginata
Dziwani zambiri pazomwe zimayambitsa tsitsi.
Zizindikiro zina zomwe zimathandiza pakuzindikira
Muthanso kukhala ndi zizindikilo zingapo ngati tsitsi lanu limayamba chifukwa cha vuto.
- Hypothyroidism imatha kuyambitsa chilichonse kuchokera kutopa mpaka kunenepa, kufooka kwa minofu mpaka kutupa kwamagulu.
- Zipere zimatha kupangitsa khungu kapena mutu wofiirira pamutu.
- Celiacdisease imatha kuyambitsa chilichonse kuchokera kuzilonda zam'kamwa mpaka kumutu, zotupa pakhungu mpaka kuchepa magazi.
- Matenda a Hodgkin angayambitse zizindikiro monga kutentha thupi, thukuta usiku, ndi kutupa kwa ma lymph node.
Dokotala wanu azikumbukira zizindikiro zina zomwe mukukumana nazo kupatula kutaya tsitsi kuti muthandizire kudziwa chomwe chimayambitsa. Izi zitha kuphatikizira chilichonse kuyambira kukayezetsa thupi mpaka kuyezetsa magazi mpaka pamutu pa biopsies.
Zina mwazinthu, monga matenda a celiac, atha kukhala obadwa nawo. Ngati muli ndi mbiri yakunyumba yamatenda omwe amatsogolera kuwonongeka kwa tsitsi, onetsetsani kuti mwamuuza dokotala wanu.
Kusamba kwa kusamba ndi mahomoni
Amayi amatha kutaya tsitsi pakutha kwa nthawi chifukwa chakuchepetsa kwa mahomoni a estrogen ndi progesterone. Kusintha kumeneku kumayambitsanso zizindikilo monga kusamba kosasamba, khungu louma, thukuta usiku, kunenepa, komanso kuuma kwa nyini. Izi zimawonjezera kupsinjika thupi komwe kumathandizanso kutaya tsitsi.
Amayi ena amatha kuzindikira kuchepa ndi kutayika atamwa mapiritsi oletsa kubereka. Chifukwa chiyani? Apanso, kusintha kwa mahomoni amtundu uliwonse, makamaka kugwa kwa ma estrogen, kumatha kusokoneza kwakanthawi katsitsi.
Mavuto osiyanasiyana amatha kupweteketsa tsitsi
Ngati mwakhala mukumva kupsinjika kapena kuthupi, zitha kubweretsa tsitsi. Zinthu monga kumwalira m'banja, opaleshoni yayikulu, kapena matenda akulu atha kupangitsa thupi kutseka njira zina monga kupanga tsitsi.
Pali pafupifupi kuchedwa kwa miyezi itatu pakati pa zochitika zopanikizika komanso nthawi yomwe mungaone kutayika kwa tsitsi, chifukwa chake simungathe kuloza choyambitsa nthawi yomweyo.
Komabe, ngati mukukhala ndi tsitsi locheperako, ganizirani zochitika kapena zochitika zosiyanasiyana m'moyo wanu zomwe mwina zakupsetsani nkhawa. Kutaya tsitsi chifukwa cha kupsinjika nthawi zambiri kumakhala kwakanthawi. Tsitsi limatha kuyamba kumeranso mwambowo ukadutsa ndipo follicleyo imayambanso kutulutsa.
Kusintha kwadzidzidzi koma kwakanthawi
Chifukwa chachiwiri chomwe chimayambitsa tsitsi limatchedwa telogen effluvium (TE). Ndizosakhalitsa ndipo zimachitika pakakhala kusintha kwa ma follicles omwe amakula tsitsi ndikukhala kupumula.
Mwachitsanzo, azimayi amatha kutaya tsitsi miyezi ingapo atabereka kapena chochitika china chovuta. Nthawi zina mutha kuzindikira kutayika kwa TE poyang'ana chingwecho. Tsitsi la Telogen lili ndi babu ya keratin pamzu.
Nthawi zambiri TE imayambitsidwa ndi chilichonse chomwe chingasokoneze thupi ndikusokoneza nthawi yatsitsi. Pakhoza kukhala kuchedwa kwakukulu - mpaka miyezi itatu - musanazindikire zomwe zasintha.
Zomwe zingayambitse tsitsi la TE:
- malungo akulu
- matenda akulu
- matenda aakulu
- kupsinjika mtima
- zakudya zosawonongeka, kusowa kwa mapuloteni, mavuto akudya, ndi zina zambiri
Kutenga mankhwala ena, monga retinoids, beta blockers, calcium channel blockers, antidepressants, ndi nonsteroidal anti-inflammatory drugs (NSAIDS) amathanso kuyambitsa TE. Nkhani yabwino ndiyakuti kutayika kwa tsitsi ili nthawi zambiri kumasinthidwa, ndipo pamapeto pake maubweya a TE ayambiranso kukula pamutu.
Kusowa kwa mavitamini a B kumatha kubweretsa tsitsi
Kusakhala ndi mavitamini ndi michere ingathenso kupangitsa tsitsi kutsika kapena kutayika tsitsi mwa amayi. Madokotala ena a dermatologists amakhulupirira kuti kusadya nyama yofiira yokwanira kapena kutsatira zakudya zamasamba kungakhudze tsitsi.
Nyama yofiira ndi zakudya zina zanyama zimakhala ndi chitsulo, mchere womwe umathandizira kukula kwa tsitsi ndi thupi. Amayi amatha kusowa kwachitsulo chifukwa chakutaya magazi msambo, chifukwa chake kusalandira chitsulo chokwanira pazakudya kumatha kubweretsa kuchepa.
Mavuto akudya, monga anorexia nervosa, amathanso kubweretsa kuchepa kwa mavitamini komanso kupatulira tsitsi. Makamaka, zoperewera zomwe zimakhudza tsitsi zimaphatikizapo za zinc, amino acid L-lysine, B-6, ndi B-12.
Mankhwala othandizira tsitsi
Tsitsi lomwe limayambitsidwa ndi kupsinjika kapena kusintha kwa mahomoni, monga kukhala ndi pakati kapena kusamba, sikungafune chithandizo chilichonse. M'malo mwake, zotayika zimatha kuyima zokha thupi litasintha.
Kuperewera kwa michere sikufunikiranso chithandizo chamankhwala kupitirira zowonjezerapo, pokhapokha kuperewera kumayambitsidwa ndi matenda enaake. Ndipo zovuta zilizonse zamankhwala zomwe zimayambitsa tsitsi zimayenera kuthandizidwa molunjika kuti athane ndi vutoli, osati zongokhala chabe.
Izi zati, pali mankhwala angapo omwe angathenso kutayika tsitsi chifukwa cha dazi la azimayi ndi ma alopecia ena. Mungafunike kugwiritsa ntchito chithandizo chimodzi kapena kuphatikiza kwa miyezi kapena zaka kuti muwone zotsatira zonse.
Minoxidil
Minoxidil ndi mankhwala owonjezera pa-counter (OTC) omwe amabwera mumadzimadzi ndi thovu kuti azigwiritsa ntchito apakhungu. Amatanthauza kuti azipukutidwa pamutu tsiku lililonse ndipo nthawi zambiri amafunika kugwiritsidwa ntchito kwakanthawi kwa miyezi ndi zaka kuti ateteze kutayika kwa tsitsi ndikulimbikitsa kukula kwa tsitsi.
Mankhwala a Estrogen
Ngakhale sanagwiritsidwe ntchito kwambiri ngati zaka zam'mbuyomu, mankhwala othandizira ma hormone atha kukhala chithandizo cha androgenic alopecia. Amayang'ana kwambiri popereka mahomoni a estrogen kuti athandizire kuchepa kwamayi. Minoxidil ndi yothandiza kwambiri, chifukwa chake yatenga chithandizo ngati chithandizo.
Amayi azaka zobereka ayenera kulumikizana ndi adotolo ngati atamwa mankhwalawa komanso akufuna kumwa njira yolerera. Angafunikire kusankha mapiritsi okhala ndi progestin yocheperako, monga Ortho Tri-Cyclen.
Spironolactone
Popanda kutchedwa Aldactone, mankhwalawa spironolactone amagwira ntchito yothana ndi tsitsi polankhula ndi mahomoni. Makamaka, amamangirira olandila a androgen ndikuchepetsa kuchepa kwa thupi kwa testosterone. Osati onse ofufuza amavomereza kuti imagwira ntchito bwino ndipo Food and Drug Administration (FDA) sinatchule ngati chithandizo cha alopecia ya androgenic.
Tretinoin
Matenda a tretinoin, omwe amadziwikanso ndi dzina loti Retin-A, nthawi zina amagwiritsidwa ntchito ngati mankhwala ophatikizana ndi minoxidil a androgenic alopecia.
Ndikofunika kugwiritsa ntchito mankhwala amtunduwu motsogozedwa ndi dokotala. Anthu ena omwe amawagwiritsa ntchito kunyumba amawauza kuti mafuta, ma seramu, ndi mafuta odzola amatha kupangitsa tsitsi kuwipira.
Corticosteroids
Amayi omwe ali ndi vuto la tsitsi chifukwa cha alopecia areata atha kulingalira za mankhwala ndi corticosteroids obayidwa m'malo angapo amderalo. Kukula kwa tsitsi kumatha kuonekera patangotha milungu inayi, ndipo mankhwala amatha kubwerezedwa milungu inayi kapena isanu ndi umodzi iliyonse. Zotsatira zoyipa ndi jakisoni zimaphatikizira khungu kapena kupindika pamutu.
Ma topical corticosteroids amapezekanso, koma sizothandiza kwenikweni. Ndipo oral corticosteroids imatha kubweretsa zovuta zina.
Anthralin
Amayi omwe ali ndi alopecia areata, anthralin amakhala otetezeka komanso ogwira ntchito. Itha kugwiritsidwa ntchito kunyumba, kamodzi patsiku, kuyambira ndi mphindi zisanu ndikugwira ntchito mpaka nthawi yayitali ola limodzi.
Pambuyo pake, khungu liyenera kutsukidwa ndi madzi ozizira komanso kutsukidwa ndi sopo. Kukula kwatsitsi kwatsopano kumera pakatha miyezi iwiri kapena itatu.
Momwe tsitsi la amayi limasiyanirana ndi la amuna
Mankhwala othandizira kutaya tsitsi ndi othandiza makamaka kwa azimayi kuposa amuna, ndipo ena, monga a finasteride, samalangizidwa azimayi.
Kumaliza ndalama
Finasteride (yotchedwa Proscar) ndi mankhwala omwe amagwiritsidwa ntchito pa alopecia mwa amuna. Finasteride siyikulimbikitsidwa kuti igwiritsidwe ntchito mwa akazi makamaka za msinkhu wobereka chifukwa zimatha kuyambitsa mavuto ndi kukula kwa mwana.
Amawonedwanso ngati chisankho chosayenera kwa azimayi omwe atha msinkhu.
Opaleshoni
Pochita opaleshoni yopangira tsitsi, zidutswa za khungu lokhala ndi tsitsi lomwe limamangiriridwa nthawi zambiri zimachotsedwa kudera limodzi la khungu ndikupita kumadera a dazi.
Kuika tsitsi si mankhwala wamba kwa dazi la azimayi chifukwa cha momwe tsitsi limadziwonetsera nthawi zambiri limakhala la akazi: kutayika kwa tsitsi ndikuchepetsa kwambiri m'malo mothimbirira.
Palinso zoopsa, kuphatikizapo matenda kapena mantha omwe angayambitse tsitsi kuchoka m'malo omwe adaikidwa. Ndipo maopareshoni sangathandize madera akulu.
Kutenga
Ngati mungazindikire kapena mukukayikira kuti mukutaya tsitsi kuposa momwe muyenera, kuzindikira chomwe chikuyambitsa ndikuyamba kulandira chithandizo posachedwa ndibwino.
Ngakhale mankhwala owonjezera pa makontena monga minoxidil atha kuthandiza kuthana ndi mitundu ina ya tsitsi, chifukwa zovuta zina zathanzi zimatha kuyambitsa tsitsi ndikofunika kukaonana ndi dokotala.
Lankhulani ndi dokotala wabanja kapena dermatologist pazizindikiro zanu kuti athe kuzindikira zomwe zimayambitsa tsitsi lanu ndikubwera ndi njira yothandizira.