Hirsutism: ndi chiyani, zizindikiro zazikulu ndi chithandizo
Zamkati
Hirsutism ndimikhalidwe yomwe imatha kuchitika mwa amayi ndipo imadziwika ndi kupezeka kwa tsitsi m'magawo amthupi omwe nthawi zambiri alibe tsitsi, monga nkhope, chifuwa, mimba ndi ntchafu yamkati, mwachitsanzo, ndipo amatha kudziwika nthawi kutha msinkhu kapena kusamba.
Izi nthawi zambiri zimakhudzana ndikusintha kwama mahomoni, ndikupanga testosterone yayikulu kapena kuchepa kwa kupanga kwa estrogen, komwe kumabweretsa kuwonjezeka kwa tsitsi m'thupi.
Popeza kupezeka kwa tsitsi lochulukirapo kumakhala kovuta kwa azimayi ena, ndikofunikira kutsatira chithandizo chomwe chikuwonetsedwa ndi azachipatala, dermatologist kapena endocrinologist, yemwe angawonetse kugwiritsa ntchito mankhwala kuti athetse kuchuluka kwa mahomoni ndi njira zokongoletsera zochotsera tsitsi.
Zizindikiro zazikulu za hirsutism
Zizindikiro zosonyeza kuti hirsutism imatha kuoneka pa nthawi yakutha msinkhu kapena kusintha kwa thupi, ndipo imatha kuzindikirika pamaso, pamimba, mozungulira mawere, ntchafu zamkati ndi kumbuyo. Zizindikiro zimasiyanasiyana ndimayendedwe amadzi, makamaka testosterone. Kutalika kwa testosterone komwe kumafalikira, kutsika kwa estrogen, ndimikhalidwe yamwamuna yomwe mayi amatha kukula.
Mwambiri, zizindikiro za hirsutism ndi izi:
- Kutuluka kwa tsitsi kumbali ya nkhope, kufwamphuka, kumbuyo, matako, pamimba pamunsi, mozungulira mawere ndi ntchafu yamkati;
- Zowoneka bwino komanso nthawi zambiri zimalumikizana ndi nsidze;
- Kuchuluka ziphuphu;
- Kutaya ndi kumeta tsitsi;
- Kukulitsa kwachilengedwe;
- Kuchuluka kwa minofu kapena kulemera;
- Kusintha kwa kamvekedwe ka mawu;
- Kusamba kosasamba;
- Kusabereka.
Pamaso pazizindikirozi, ndizosangalatsa kuti mayiyo akafunse azachipatala, a dermatologist kapena a endocrinologist kuti kuwunika konse kuthe, kuwunika kumamalizidwa ndikuyamba chithandizo.
Chidziwitso choyamba chimapangidwa ndi dotolo pofufuza kuchuluka kwa tsitsi lomwe limapezeka mdera la amayi lomwe nthawi zambiri lilibe tsitsi, dera limasankhidwa kuyambira 1 mpaka 4 malinga ndi kuchuluka kwa tsitsi. Chifukwa chake, kuchuluka pakati pa 0 ndi 8 kumawoneka ngati kwabwinobwino, pakati pa 8 ndi 15 amadziwika kuti ndi hirsutism pang'ono ndipo pamwambapa kumawonetsedwa kuti munthuyo ali ndi hirsutism yayikulu.
Kuphatikiza apo, kuti athandizire matendawa, adotolo amathanso kuwona kupezeka kwamakhalidwe achimuna, kuphatikiza pakupempha kuyeserera kwa transvaginal ultrasound ndi ma labotale, monga testosterone, prolactin, TSH ndi FSH yoyenda m'magazi. chifukwa chokhudzana ndi hirsutism.
Zoyambitsa zazikulu
Hirsutism nthawi zambiri imalumikizidwa ndi kusalinganizana pakati pama testosterone, omwe amatha kuchitika chifukwa cha kusintha kwa adrenal gland kapena m'mimba mwake. Kuphatikiza apo, ndizofala kwa azimayi omwe ali ndi vuto la ovary polycystic kukhala ndi hirsutism, popeza izi zimachitika pakusintha kwa mahomoni. Phunzirani zambiri za matenda a polycystic ovary.
Zinthu zina zomwe zingakondweretse kukula kwa hirsutism ndikusintha kwa chithokomiro, kobadwa nako adrenal hyperplasia, Cushing's syndrome ndi kugwiritsa ntchito mankhwala ena, monga minoxidil, phenothiazines ndi danazol, mwachitsanzo. Kuphatikiza apo, amayi omwe ali ndi mbiri ya banja la hirsutism, onenepa kwambiri kapena amagwiritsa ntchito zowonjezera mavitamini kuti apeze minofu, mwachitsanzo, ali pachiwopsezo chachikulu chotenga hirsutism.
Momwe mankhwalawa amachitikira
Kuchiza kwa hirsutism kumayesetsa kuwongolera mahomoni, omwe amathandiza kuchepetsa kuchuluka kwa tsitsi m'thupi. Ndikofunikanso kuti kuyezetsa kuchitike kuti mudziwe chomwe chimayambitsa hirsutism, chifukwa izi zimathetsedwa nthawi zambiri.
Chifukwa chake, kuwonjezera pakuthandizira matendawa, adotolo angavomereze kugwiritsa ntchito njira zolerera za mahomoni, zomwe zimalimbikitsa kuchepa kwa testosterone, ndikuthandizira kuwongolera mahomoni oyenda m'magazi. Nthawi zina, adokotala amalimbikitsa kugwiritsa ntchito Spironolactone, Cyproterone Acetate kapena Finasteride molumikizana ndi chifukwa cha hirsutism.
Kuphatikiza pa zithandizo, njira zokongoletsera zitha kulimbikitsidwanso kuti zithetse tsitsi lochulukirapo, komanso kugwiritsa ntchito mafuta opaka mafuta kapena njira zina zotsimikizika zomwe zimachepetsa kuchuluka kwa tsitsi magawo onse, monga electrolysis, chithandizo chopangidwa ndi kuwala kwapopu kapena kuchotsa tsitsi la laser. Ndikofunika kuti njira yochotsera tsitsi isankhidwe molingana ndi momwe dermatologist imathandizira kuti zotupa pakhungu ndi zotupa zitha kupewedwa.