Ukulahleka kweenwele

Inxalenye okanye ilahleko epheleleyo yeenwele ibizwa ngokuba yi-alopecia.

Ukulahleka kweenwele kuhlala kukhula kancinci. Inokuba ngamagqabi okanye iphelele (isasazeke). Ngokwesiqhelo, uphulukana neenwele ezili-100 entlokweni yakho yonke imihla. I-scalp ineenwele ezimalunga ne-100,000.

ILIFA LEMVELI

Bobabini abesilisa nabasetyhini bathambekele ekuphulukaneni nobunzima beenwele kunye nenani njengoko bekhula. Olu hlobo lwempandla aluhlali lubangelwa sisifo. Inxulumene nokuguga, ilifa kunye notshintsho kwihomoni testosterone. Ilifa, okanye iphatheni ye-bald, ichaphazela uninzi lwamadoda kunabafazi. Impandla yamadoda inokwenzeka nangaliphi na ixesha emva kokufikisa. Phantse iipesenti ezingama-80 zamadoda zibonisa iimpawu zempandla yamadoda eneminyaka engama-70.

UXinezeleko lwasemzimbeni okanye iimvakalelo

Uxinzelelo lomzimba okanye lweemvakalelo lunokubangela ukuba isiqingatha ukuya kwisithathu kwikota yesithathu soboya bentloko sikhanye. Olu hlobo lokulahleka kweenwele lubizwa ngokuba yi-telogen effluvium. Izinwele zithande ukuphuma zize zizise izandla ngelixa usenza ishampu, ukama, okanye uhambisa izandla zakho ngeenwele zakho. Awunakukuqaphela oku iiveki ukuya kwiinyanga emva kwesiqendu soxinzelelo. Ukuchithwa kweenwele kuncipha ngaphezulu kweenyanga ezi-6 ukuya kwezi-8. I-Telogen effluvium idla ngokuba yexeshana. Kodwa inokuba lixesha elide (elingapheliyo).

Izizathu zolu hlobo lokulahleka kweenwele zezi:

• Umkhuhlane ophezulu okanye usulelo olukhulu
• Ukubeleka
• Utyando olukhulu, ukugula okukhulu, ukopha ngokukhawuleza
• Uxinzelelo olukhulu lweemvakalelo
• Ukutya okungqubana, ngakumbi ezo zingenayo protein eyaneleyo
• Iziyobisi, kubandakanya i-retinoids, iipilisi zokulawula ukuzalwa, i-beta-blockers, i-calcium channel blockers, ii-anti-depressants ezithile, ii-NSAID (kubandakanya ibuprofen)

Abanye abantu basetyhini abaneminyaka engama-30 ukuya kwengama-60 banokubona ukucheba kweenwele ezichaphazela isikhumba sonke. Ukulahleka kweenwele kunokuba nzima ekuqaleni, kwaye ngokuthe ngcembe ucothe okanye uyeke. Akukho sizathu saziwayo solu hlobo lwe-telogen effluvium.

EZINYE IZizathu

Ezinye izizathu zokulahleka kweenwele, ngakumbi ukuba zikwipateni engaqhelekanga, zibandakanya:

• I-Alopecia areata (ii-patches ezinobunzima kwi-scalp, iindevu, kwaye, mhlawumbi, amashiya; i-eyelashes ingawa)
• Ukunqongophala kwegazi
• Iimeko zokuzimela ngokuzenzekelayo ezifana ne-lupus
• Ukutsha
• Ezinye izifo ezosulelayo ezifana negcushuwa
• Ukuhlamba ishampu ngokugqithileyo kunye nokomisa umoya
• Utshintsho lweHormone
• Izifo zedlala
• Imikhwa yemithambo-luvo efana nokutsala iinwele rhoqo okanye ukurabha entlonzeni
• Unyango ngemitha
• I-Tinea capitis (umqala wesikhumba)
• Ithumba le-ovary okanye i-adrenal glands
• Izitayile zeenwele ezibeka uxinzelelo olukhulu kwiifollic zeenwele
• Usulelo lwebacteria lwentloko

Ukulahleka kweenwele ekuyekeni ukuya exesheni okanye ekubelekeni kuhlala kudlula emva kweenyanga ezi-6 kuye kwiminyaka emi-2.

Ukulahleka kweenwele ngenxa yokugula (njengomkhuhlane), unyango ngemitha, ukusetyenziswa kwamayeza, okanye ezinye izizathu, akukho nyango lufunekayo. Iinwele zihlala zikhula kwakhona xa isigulo siphela okanye unyango lugqityiwe. Unokufuna ukunxiba i-wig, umnqwazi, okanye enye into yokugquma de iinwele zikhule.

Ukulukwa kweenwele, iziqwenga zeenwele, okanye utshintsho lwendlela yokwenza iinwele inokuguqula ukubola kweenwele. Le yeyona ndlela ingabizi kakhulu kwaye ikhuselekileyo yokulahleka kweenwele. Iziqwenga zeenwele akufuneki zithungelwe (zithungelwe) entlonzeni ngenxa yomngcipheko wezikratshi nosulelo.

Fowunela umboneleli wakho wezempilo ukuba unazo ezi zinto zilandelayo:

• Ukulahleka kweenwele kwipateni engaqhelekanga
• Ukulahleka kweenwele ngokukhawuleza okanye esemncinci (umzekelo, kubutsha bakho okanye kumashumi amabini)
• Intlungu okanye ukurhawuzelela ukulahleka kweenwele
• Ulusu esikhumbeni sakho phantsi kwendawo ebandakanyekileyo lubomvu, lunamaxolo, okanye aluqhelekanga
• Amabala, iinwele zobuso, okanye umjikelo ongaqhelekanga wokuya exesheni
• Ungumfazi kwaye unephatheni eyindoda
• Amabala Bald kwiindevu zakho okanye amashiya
• Ukutyeba okanye ukutyeba kwezihlunu, ukunganyamezelani kubanda, okanye ukudinwa
• Iindawo zokosuleleka entlonzeni yakho

Imbali yonyango ngononophelo kunye novavanyo lweenwele kunye nentloko enesihlwitha zihlala zanele ukufumanisa unobangela wokulahleka kweenwele zakho.

Umboneleli wakho uya kubuza imibuzo eneenkcukacha malunga:

• Iimpawu zokulahleka kweenwele zakho. Ukuba kukho ipateni yokulahleka kweenwele zakho okanye ukuba ulahlekelwa ziinwele ezivela kwamanye amalungu omzimba wakho, ukuba amanye amalungu osapho alahlekile.
• Uzikhathalela njani iinwele zakho. Kukangaphi uhlamba ishampu kwaye uvuthuze okanye ukuba usebenzisa iimveliso zeenwele.
• Intlalontle yakho nokuba uphantsi koxinzelelo olukhulu lomzimba okanye lweemvakalelo
• Ukutya kwakho, ukuba wenze utshintsho kutshanje
• Izifo zamva nje ezinje ngomkhuhlane omkhulu okanye naluphi na utyando

Uvavanyo olunokwenziwa (kodwa kunqabile ukuba lubekho) lubandakanya:

• Uvavanyo lwegazi ukukhusela izifo
• Uvavanyo lweMicroscopic lweenwele ezincothulweyo
• Ulusu lwe-biopsy yentloko

Ukuba uneentshulube kwi-scalp, unokumiselwa ngeshampu yokubulala kunye namayeza omlomo. Ukufaka isicelo iikhrimu kunye nezinto zokuthambisa zinokungangeni kwiifollic zeenwele ukubulala ukungunda.

Umboneleli wakho unokukucebisa ukuba usebenzise isisombululo, njengeMinoxidil esetyenziswe entlonzeni ukukhuthaza ukukhula kweenwele. Amanye amayeza, anje ngehomoni, anokumiselwa ukunciphisa ukulahleka kweenwele kunye nokukhuthaza ukukhula kweenwele. Iziyobisi ezinje nge-finasteride kunye ne-dutasteride zinokuthathwa ngamadoda ukunciphisa ukulahleka kweenwele kunye nokukhula kweenwele ezintsha.

Ukuba unesiphene esithile se-vitamin, umboneleli wakho uya kuncoma ukuba uthathe isongezelelo.

Ukufakelwa kweenwele kunokucetyiswa.

Ukulahleka kweenwele; Alopecia; Inkqayi; Ukuqhaqhazela i-alopecia; I-alopecia engabonakaliyo

• Ifollicle yeenwele
• I-Ringworm, i-tinea capitis - ukuvala
• IAlopecia areata ineepustules
• I-Alopecia totis-umbono wangasemva wentloko
• I-Alopecia totis-umbono wangaphambili wentloko
• Alopecia, phantsi konyango
• I-Trichotillomania - intloko ephezulu
• I-folliculitis - i-decalvans kwi-scalp

UPhillips TG, uSlomiany WP, uAllison R. Ukulahleka kweenwele: oonobangela abaqhelekileyo kunye nonyango. NdinguGqirha weNdawo. Ngo-2017; 96 (6): 371-378. IINKCUKACHA: 28925637 www.ncbi.nlm.nih.gov/pubmed/28925637.

I-Sperling LC, iSinclair RD, i-El Shabrawi-Caelen L. IAlopecias. Ku: I-Bolognia JL, uSchaffer JV, uCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 69.

Tosti A. Izifo zeenwele kunye neenzipho. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 442.