Izinwele eziGqithisileyo okanye ezingafunekiyo kubafazi

Umxholo

• Kutheni le nto abafazi bekhula kakhulu okanye ngokungafunekiyo iinwele?
• Isifo sePolycystic ovarian
• Ukuphazamiseka kwamadlala adrenal
• Amayeza
• Ukuchonga i-hirsutism
• Unyango lweenwele ezigqithisileyo okanye ezingafunekiyo
• Ulawulo lweHormone
• Ikrimu
• Ukususwa kweenwele
• Imbonakalo yeenwele ezigqithisileyo okanye ezingafunekiyo
• Q:
• A:

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ukuqonda iinwele ezigqithileyo

Izinwele ezigqithisileyo okanye ezingafunekiyo ezikhula emzimbeni womfazi kunye nobuso sisiphumo semeko ebizwa ngokuba yi-hirsutism. Bonke abantu basetyhini baneenwele zobuso nezomzimba, kodwa iinwele zihlala zilungile kwaye zikhanya ngombala.

Umahluko ophambili phakathi kweenwele eziqhelekileyo emzimbeni womfazi kunye nobuso (odla ngokubizwa ngokuba yi "peach fuzz") kunye neenwele ezibangelwa yi-hirsutism kukuthungwa. Iinwele ezigqithisileyo okanye ezingafunekiyo ezikhula ebusweni, kwiingalo, ngasemva, okanye esifubeni zowasetyhini zihlala zirhabaxa kwaye zimnyama. Umzekelo wokukhula we-hirsutism kwabasetyhini unxulunyaniswa ne-virilization. Abafazi abanale meko baneempawu eziqhelekileyo ezinxulunyaniswa neehomoni zesilisa.

I-Hirsutism ayifani ne-hypertrichosis, ebhekisa kwiinwele ezigqithileyo kwiindawo ezingaxhomekekanga kwii-androgens (iihomoni zesilisa). I-Hirsutism yizinwele ezigqithileyo kwiindawo apho zibonwa khona ngokwamadoda, njengobuso kunye nesisu esisezantsi. I-Hypertrichosis, kwelinye icala, inokunyusa iinwele naphina emzimbeni.

Ngokwe-hirsutism ichaphazela phakathi kwe-5 ne-10 yeepesenti yabasetyhini. Ihlala ibaleka kwiintsapho, ke kunokwenzeka ukuba ube nokukhula okungafunekiyo kweenwele ukuba umama wakho, udadewenu, okanye esinye isihlobo sowasetyhini naso sinaso. Abasetyhini beMeditera, uMzantsi Asia kunye nelifa lemveli laseMpuma Mpuma kunokwenzeka ukuba baphuhlise imeko.

Ubukho beenwele zomzimba ezigqithileyo kungakhokelela kwiimvakalelo zokuzazi, kodwa akuyongozi. Nangona kunjalo, ukungalingani kwehomoni okunokukhokelela kuyo kunokubeka esichengeni impilo yomfazi.

Kutheni le nto abafazi bekhula kakhulu okanye ngokungafunekiyo iinwele?

Abafazi bakhulisa umzimba ogqithisileyo okanye iinwele zobuso ngenxa yamanqanaba aphezulu kune-esiqhelekileyo e-androgens, kubandakanya ne testosterone. Onke amabhinqa avelisa ii-androgens, kodwa amanqanaba ahlala ephantsi. Iimeko ezithile zonyango zinokubangela ukuba umfazi avelise ii-androgens ezininzi. Oku kunokubangela ukukhula kweenwele zepateni kunye nezinye iimpawu zobudoda, ezinje ngelizwi elinzulu.

Isifo sePolycystic ovarian

I-Polycystic ovarian syndrome (i-PCOS) sesinye sezizathu eziqhelekileyo ze-hirsutism. Inika ingxelo kathathu kwamacala amane e-hirsutism, ngokwe-American Family Physician. Ii-cyst zeBenign ezakha ii-ovari zinokuchaphazela ukuveliswa kwehomoni, okukhokelela kwimijikelezo yokuya esikhathini engaqhelekanga kunye nokwehla kokuzala. IOfisi yezeMpilo yabaseTyhini ithi abasetyhini abane-PCOS bahlala beba namabala amdaka ukuya koxinzelelo kwaye bathande ukuba batyebe. Iimpawu ezongezelelweyo zingabandakanya:

• ukudinwa
• utshintsho lweemvakalelo
• ukungachumi
• iintlungu zangasese
• intloko ebuhlungu
• iingxaki zokulala

Ukuphazamiseka kwamadlala adrenal

Ezinye iindlela zokungalingani kwehomoni ezibangela ukukhula kweenwele ezigqithileyo zibandakanya ukungahambi kakuhle kwendlala:

• umhlaza adrenal
• amathumba adrenal
• isifo hyperplasia adrenal
• Isifo sikaCushing

Amadlala adrenal, abekwe ngaphezulu nje kwezintso zakho, anoxanduva lokuvelisa iihomoni. Abantu abane-hyperplasia ye-adrenal ye-congenital bazalwa ngaphandle kwe-enzyme eyimfuneko kwimveliso yehomoni. Abo banesifo sikaCushing banamanqanaba aphezulu kunalawo aqhelekileyo e-cortisol. Ngamanye amaxesha iCortisol ibizwa ngokuba yi "hormone yoxinzelelo." Zonke ezi meko zinokuchaphazela indlela umzimba wakho ovelisa ngayo i-androgens.

Iimpawu zengxaki ye-adrenal gland ibandakanya:

• igazi elonyukayo
• ubuthathaka bamathambo kunye nezihlunu
• ubunzima obungaphezulu komzimba ophezulu
• intloko ebuhlungu
• iswekile yegazi ephezulu okanye ephantsi

Amayeza

Ukukhula komzimba okugqithisileyo okanye ukukhula kweenwele ebusweni kunokubangelwa kukuthatha nawaphi na amayeza alandelayo:

• I-Minoxidil, esetyenziselwa ukukhuthaza ukukhula kweenwele
• ii-anabolic steroids, ezizinto ezahlukeneyo zokwenziwa kwe testosterone
• testosterone, enokuthathwa kwimeko yokusilela kwe testosterone
• i-cyclosporine, esisisiyobisi sokuxhathisa esihlala sisetyenziswa ngaphambi kokufakwa kwamalungu emzimbeni

Ngamanye amaxesha, abasetyhini banokufumana i-idiopathic hirsutism, oko kuthetha ukuba akukho sizathu sibonakalayo sokuba kutheni i-hirsutism iphuhlisiwe. Ihlala inganyangeki kwaye kunokuba nzima ukunyanga.

Ukuchonga i-hirsutism

Ugqirha wakho uya kuthatha imbali eneenkcukacha zonyango xa ufumanisa i-hirsutism. Xoxa ngonyango lwakho kunye nogqirha wakho ukubanceda baqonde unobangela wale meko. Ugqirha wakho unokuyalela uvavanyo lwegazi ukulinganisa amanqanaba akho ehomoni. Ngamanye amaxesha, ugqirha wakho unokuyalela nomsebenzi wegazi ukuqinisekisa ukuba awunasifo seswekile.

Ii-Ultrasounds okanye ii-MRI zokujonga ii-ovari zakho kunye ne-adrenal gland kunokuba yimfuneko ukujonga ubukho bamathumba okanye ii-cysts.

Unyango lweenwele ezigqithisileyo okanye ezingafunekiyo

Ulawulo lweHormone

Ukuba utyebe kakhulu, ugqirha wakho uya kuphakamisa ukuba unciphise umzimba ukunciphisa ukukhula kweenwele zakho. Ukutyeba kakhulu kunokutshintsha indlela umzimba wakho ovelisa ngayo kunye neenkqubo zehomoni. Ukugcina ubunzima obusempilweni kunokulungisa inqanaba lakho le-androgens ngaphandle kokusebenzisa amayeza.

Unokufuna unyango ukuba ukukhula kweenwele okugqithisileyo luphawu lwe-PCOS okanye ukuphazamiseka kwe-adrenal. Unyango lweziyobisi ngohlobo lweepilisi zolawulo lokuzalwa kunye namayeza e-antiandrogen anokunceda ukulinganisa amanqanaba akho ehomoni.

Amayeza e-antiandrogen: I-Steroidal androgens kunye ne-nonsteroidal (okanye i-antiandrogens) okanye i-antiandrogens inokuthintela ii-androgen receptors kunye nokunciphisa ukuveliswa kwe-androgen kwiidrenal gland, ovaries, and pituitary gland

Ukudibanisa iipilisi zolawulo lokuzalwa: Ezi pilisi, ezine-estrogen kunye neprogesterone, zinokunceda ukunciphisa ii-cysts kwi-PCOS. I-estrogen inokukunceda ukunciphisa iinwele ezigqithileyo. La machiza ahlala esisisombululo sexesha elide se-hirsutism. Uya kuthi uqaphele ukuphucuka emva kweenyanga ezintathu ukuya kwezintandathu zonyango lweziyobisi.

Ikrimu

Ugqirha wakho unokuyalela i-eflornithine yekrimu ukunciphisa ukukhula kweenwele zobuso. Ukukhula kweenwele zobuso bakho kufuneka kucothe emva kwenyanga ukuya kwiinyanga ezimbini. Iziphumo ebezingalindelekanga ze-eflornithine zibandakanya irhashalala kunye nokucaphuka.

Ukususwa kweenwele

Iindlela zokususa iinwele ziyindlela engekho emthethweni yokulawula iinwele ezigqithileyo okanye ezingafunekiyo. Ezi ziindlela ezifanayo zokususa iinwele ezisetyenziswa ngabasetyhini abaninzi ukugcina imilenze yabo, umgca webikini, kunye neengalo ezingenazo iinwele.

Ukuthambisa, ukucheba, kunye neefilitha: Ukuba une-hirsutism, kungafuneka usebenze ngakumbi malunga nokuthambisa, ukucheba kunye nokusebenzisa iipilisi (amagwebu amachiza). Zonke ezi zinto zinokufikeleleka kwaye zisebenza ngoko nangoko, kodwa zifuna unyango oluqhubekayo. Ivenkile yeepilisi zokuhambisa izinto.

Ukususwa kweenwele zeLaser: Ukususwa kweenwele zeLaser kubandakanya ukusebenzisa imitha yokukhanya egxile ekonakaliseni iifollic zeenwele zakho. Iifollic ezonakeleyo azikwazi ukuvelisa iinwele, kwaye neenwele ezikhoyo ziyawa. Ngonyango olwaneleyo, ukususwa kweenwele ze-laser kunokubonelela ngeziphumo ezisisigxina okanye ezikufutshane.

Uvavanyo lombane: I-Electrolysis kukususwa kweenwele kusetyenziswa umbane. Iyanyanga nganye inwele nganye, ke iiseshoni zinokuthatha ixesha elide.

Zombini ukususwa kweenwele kunye neelectrolysis kunokuba yindleko kwaye kufuna iiseshoni ezininzi ukufezekisa iziphumo ezinqwenelekayo. Ezinye izigulana zifumanisa ukuba ezi zonyango azonwabisi okanye zibuhlungu kancinci.

Imbonakalo yeenwele ezigqithisileyo okanye ezingafunekiyo

Ukugqithisa okanye ukungafunwa komzimba kunye neenwele zobuso ngumceli mngeni wexesha elide. Uninzi lwabasetyhini abanokungalingani kwe-hormonal oluchongiweyo luphendula kakuhle kunyango, kodwa iinwele zingakhula zibuyele ukuba amanqanaba akho ehomoni angangqinelani kwakhona. Ukuba le meko ikwenza uzazelise, ukucebisa kunye nenkxaso evela kubahlobo nakusapho inokukunceda ukuba umelane nayo.

Kuxhomekeka kwisizathu esingunobangela kunye nokhetho lwakho lonyango, ukunyanga i-hirsutism kunokuba kukuzibophelela ubomi bonke. Ukususwa kweenwele zeLaser okanye i-electrolysis inokubonelela ngeziphumo ezisisigxina kunokucheba, ukuthambisa, okanye iipilisi zokuhambisa. Imiqathango ebangela i-hirsutism, enjenge-PCOS okanye i-adrenal gland disorders, inokufuna unyango lobomi bonke.

Q:

Yintoni amanqaku kaFerriman-Gallwey?

Isigulana esingaziwayo

A:

Isalathiso sikaFerriman-Gallwey yindlela yokufumana amanqaku kwinqanaba lokukhula kweenwele zomzimba kubafazi. Inemifanekiso yokuhanjiswa kweenwele kumlomo ophezulu, isilevu, isifuba, umqolo, isisu, ingalo, ingalo, ithanga kunye nomlenze ongezantsi. Indawo nganye inikwe amanqaku ukusuka kwi-0 kuye kwi-4, kunye ne-4 kukukhula kweenwele ezinzima. Emva kokuba indawo nganye inikwe amanqaku, amanani adityaniswa kunye amanqaku apheleleyo. Uninzi lweengcali ziyavuma ukuba i-8 iyonke ibonisa i-hirsutism.

Amanqaku kaFerriman-Gallwey sisixhobo esilula, esinexabiso eliphantsi nesinokuthenjwa sokuqonda isifo se-hirsutism. Nangona kunjalo, kukho iindlela zokucacisa ngakumbi nezixabisayo ukumisela ubungakanani bokukhula kweenwele okungaphaya okunokuthi kuchane ngakumbi. Oku kubandakanya amanyathelo emifanekiso, ukuvavanywa kweefoto ngekhompyuter, kunye nemilinganiselo ye-microscopic kunye nokubala kweeshafti zeenwele.

I-Deborah Weatherspoon, i-PhD, i-RN, i-CRNA, i-COIA iimpendulo zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.