Izinwele ezigqithisileyo okanye ezingafunekiyo kubafazi

Uninzi lwexesha, abasetyhini baneenwele ezintle ngaphezulu kwemilebe yabo nasesilevini, esifubeni, esiswini, okanye emqolo. Ukukhula kweenwele ezimnyama ezimnyama kwezi ndawo (ngakumbi ngakumbi ukukhula kweenwele zepateni) kubizwa ngokuba yi-hirsutism.

Abasetyhini ngesiqhelo bavelisa amanqanaba asezantsi amahomoni angamadoda (androgens). Ukuba umzimba wakho wenza okuninzi kule hormone, unokuba nokukhula okungafunekiyo kweenwele.

Kwiimeko ezininzi, oyena nobangela awaziwa. Imeko ihlala isebenza kwiintsapho.

Isizathu esiqhelekileyo se-hirsutism yi-polycystic ovarian syndrome (i-PCOS). Abasetyhini abane-PCOS kunye nezinye iimeko zehomoni ezibangela ukukhula kweenwele okungafunekiyo banokuba nazo:

• Amabala
• Iingxaki ngamaxesha okuya exesheni
• Ingxaki yokunciphisa umzimba
• Seswekile

Ukuba ezi mpawu ziqala ngequbuliso, unokuba nethumba elikhupha iihomoni zesilisa.

Okunye, izizathu ezinqabileyo zokukhula kweenwele okungafunekiyo kunokubandakanya:

• Ithumba okanye umhlaza welungu le-adrenal.
• Ithumba okanye umhlaza we-ovary.
• Isifo seCushing.
• I-hyperplasia yokuzalwa ye-adrenal.
• Hyperthecosis -imeko apho ii-ovari zivelisa kakhulu iihomoni zesilisa.

Ukusetyenziswa kwamayeza athile inokuba sisizathu sokukhula kweenwele okungafunekiyo, kubandakanya:

• Testosterone
• IDanazol
• I-Anabolic steroids
• I-DHEA
• Iiglucocorticoids
• ICclosporine
• UMinoxidil
• IPhenytoin

Abakhi bomzimba wabasetyhini banokuthatha iihomoni zesilisa (ii-anabolic steroids), ezinokuthi zikhokelele ekukhuleni kweenwele okugqithileyo.

Kwiimeko ezinqabileyo, abasetyhini abane-hirsutism banamanqanaba aqhelekileyo eehomoni zesilisa, kwaye esona sizathu sokukhula kweenwele okungafunekiyo asinakuchongwa.

Uphawu oluphambili lwale meko bubukho beenwele ezimnyama ezimnyama kwiindawo ezibuthathaka kwiihomoni zesilisa. Ezi ndawo zibandakanya:

• I-Chin kunye nomlomo ophezulu
• Isifuba nesisu esingaphezulu
• Umva kunye neempundu
• Ithanga langaphakathi

Umboneleli wakho wezempilo uya kukuvavanya kwaye akubuze malunga neempawu zakho.

Uvavanyo olunokwenziwa lunokubandakanya nayiphi na kwezi zilandelayo:

• Uvavanyo lwe testosterone
• Uvavanyo lwe-DHEA-sulfate
• I-pelvic ultrasound (ukuba ngaba i-virilization, okanye ukukhula kweempawu zesilisa, ikho)
• I-CT scan okanye i-MRI (ukuba ngaba i-virilization ikhona)
• Uvavanyo lwegazi lwe-17-hydroxyprogesterone
• Uvavanyo lokukhuthaza i-ACTH

I-Hirsutism ngokubanzi yingxaki yexesha elide. Zininzi iindlela zokususa okanye ukunyanga iinwele ezingafunekiyo. Ezinye iziphumo zonyango zihlala ixesha elide kunezinye.

• Amayeza-- Iziyobisi ezinje ngeepilisi zolawulo lokuzalwa kunye namayeza e-anti-androgen lukhetho kubafazi abathile.
• Uvavanyo lombane -- Amandla ombane asetyenziselwa ukonakalisa unomphela iifollic zeenwele ukuze zingaphindi zikhule. Le ndlela iyabiza, kwaye kufuneka unyango oluninzi. Ukudumba, ukuqaqamba, kunye nokubomvu kolusu kunokwenzeka.
• Amandla e-Laser ajolise kumbala omnyama (i-melanin) ezinweleni- Le ndlela ilungele indawo enkulu yeenwele ezimnyama kakhulu. Ayisebenzi kwinwele ezimhlophe okanye ebomvu.

Izinketho zethutyana zibandakanya:

• Ukutsheva -- Nangona oku kungabangeli ukuba iinwele ezininzi zikhule, kungenza iinwele zibonakale zishwabene.
• Iikhemikhali, ukuthothula kunye nokuthambisa -- Olu khetho lukhuselekile kwaye alubizi. Nangona kunjalo, iimveliso zamachiza zinokucaphukisa ulusu.

Kubafazi abagqithisileyo, ukunciphisa umzimba kunokuba nakho ukunceda ukunciphisa ukukhula kweenwele.

Izinwele zeenwele zikhula malunga neenyanga ezi-6 ngaphambi kokuwa. Ke ngoko, kuthatha iinyanga ezininzi zokuthatha amayeza ngaphambi kokuba uqaphele ukwehla kokukhula kweenwele.

Abasetyhini abaninzi bafumana iziphumo ezilungileyo ngamanyathelo okwexeshana okususa iinwele okanye ukuzenza lula.

Uninzi lwexesha, i-hirsutism ayibangeli iingxaki zempilo. Kodwa uninzi lwabasetyhini lukufumanisa kuyakhathaza okanye kuhlazisa.

Fowunela umnikezeli wakho ukuba unazo ezi zinto zilandelayo:

• Izinwele zikhula ngokukhawuleza.
• Ukwanazo neempawu zobudoda ezifana ne-acne, ukuqaqambisa ilizwi, ukonyusa ubunzima bezihlunu, ipateni yamadoda yokuncipha kweenwele zakho, ukonyusa ubungakanani be-clitoris, kunye nokunciphisa ubungakanani bebele.
• Unenkxalabo yokuba amayeza owathathayo anokwandisa ukukhula kweenwele ezingafunekiyo.

Hypertrichosis; Hirsutism; Iinwele - ezigqithileyo (abasetyhini); Izinwele ezigqithileyo kwabasetyhini; Izinwele-abasetyhini-abagqithisileyo okanye abangafunekiyo

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IHabif TP. Izifo zeenwele. Ku: Habif TP, ed. I-Clinical Dermatology: Isikhokelo sombala wokufumanisa isifo kunye nonyango. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2016: isahluko 24.

IRosenfield RL, iBarnes RB, i-Ehrmann DA. Hyperandrogenism, hirsutism, kunye ne-polycystic ovary syndrome. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 133.