Zi geɖe la, abe nyɔnuvi ene la, ɖewohĩ mèbua fu nyui siwo le wò ŋutilã ŋu, vevietɔ le wò mo, nuyi si le etame, kple asike dzi ŋu boo o. Gake ne kasia taɖa sia va le ɣie, yibɔ, eye wòdze tsitsi gɔme abe ŋutsu ƒe ɖa ene ya ɖe? Nɔnɔme sia ate ŋu ana nàlé blanui vevie eye ŋu nakpe wò. Esia mesɔ o. Egbea míele nu ƒom tso nɔnɔme sia si woyɔna le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me be Hirsutism .
Kpuie ko la, nukae nye Hirsut-subɔsubɔ?
Hirsutism nye ɖa ɣi siwo le ɣie, siwo le ɣie ƒe tsitsi le mɔ si mesɔ o nu le nyɔnu ƒe ŋutilã ŋu le teƒe siwo ŋutsuwo tsina zi geɖe le, abe nuyi si le etame, asike, akɔta, ƒodo, kple akɔta ene. Esia to vovo kura tso akɔtafu nyui ("peach fuzz") si nɔa wò ŋutilã ŋu zi geɖe la gbɔ.
Esia anya nye ŋukpe na wò ŋutɔ. Gake ɖo ŋku edzi be esia nye dɔléle si woate ŋu ada . Mehiã be wò ɖeka nàkpe fu o.
Ameka dzie nɔnɔme sia gblẽa nu le wu?
Nyɔnuwo koŋue dzea nɔnɔme sia dzi. Afɔku si lolo vie be nàxɔ hisutism ne nusiwo gbɔna dometɔ aɖe le ŋuwò:
- Ƒome ŋutinya: Ne dɔléle sia le wò ƒomea me, vevietɔ dawò alo nɔviwònyɔnu, alo dɔléle aɖe abe Polycystic Ovary Syndrome (PCOS) ene la, àte ŋu axɔe hã.
- Ameƒomevinyenye: Anɔ eme be Anyiehe Asia, Titina Ɣedzeƒe, alo Mediterraneatɔwo ƒe dzidzimeviwo ate ŋu axɔ dɔléle sia.
- Lolo akpa: Lolo akpa hã ate ŋu akpɔ ŋusẽ ɖe esia dzi.
- Atikewɔwɔ me nɔnɔme bubuwo: Esia ate ŋu atso atikewɔwɔ me nɔnɔme aɖewo hã gbɔ, abe Congenital Adrenal Hyperplasia .
Nɔnɔme sia mebɔ kura le ɖeviwo me o. Ne edzɔ la, ate ŋu anye sɔhɛmenɔɣi ƒe dzesi. Le nɔnɔme sia tɔgbe me la, ele be nàkpɔ ɖɔkta godoo.
Nukae hirsutism gblẽna le ŋutilã ŋu?
Nya nyuiae nye be ŋutigbalẽ ƒe ʋuʋu menye lãmesẽkuxi gã aɖeke o. Esia fia be mahe ŋutilã me vevesese aɖeke vɛ na wò alo ana nàxɔ abi vevie o.
Gake esia ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò susu dzi . Vɔvɔ̃ be yeadze ŋgɔ hadomegbenɔnɔ, ŋukpe, kple dziɖeleameƒo le ɖokuiwò ŋu ate ŋu ana nàse nuteɖeamedzi , dzimaɖitsitsi, kple blanuiléle . Eyata menye atsyɔ̃ɖoɖo ƒe kuxi koe esia nye o, ke boŋ nane si kpɔa ŋusẽ ɖe wò susu ƒe nyonyo hã dzi.
Nukawoe nye hirsutism ƒe dzesiwo?
Dzesi vevitɔe nye ɖa ƒuƒu siwo le yibɔ siwo ŋu míeƒo nu tsoe va yi la ƒe tsitsi. Ke hã, ame aɖewo ate ŋu akpɔ dzesi bubuwo hã. Míeyɔa esiawo be ŋutsunyenye . Kpuie ko la, ŋutsunyenye nye ŋutsu ƒe nɔnɔmewo ƒe tsitsi le ŋutsu ƒe lãmetsiŋusẽ (androgens) ƒe agbɔsɔsɔ gbogbo si le wò ŋutilã me ta.
| Dzesiwo ƒe hatsotso | Nusiwo woakpɔ |
|---|---|
| Dzesi vevitɔ | Taɖa ƒuƒu siwo le yibɔ la tsina abe ŋutsu ene le mo, akɔta, ƒodo si le etame, ƒodo si le anyime, akɔta, kple ata. |
| Virilization (ŋutsu ƒe nɔnɔmewo ƒe dodo) . |
|
Nukawoe hea ŋutigbalẽ ƒe ʋuʋu vɛ?
Le go geɖe me la, ɖewohĩ susu aɖeke meli si me kɔ o, gake nu ʋɛ aɖewo li siwo gbɔ wòtsona zi geɖe.
- Androgen lãmetsiwo: Androgen nye ŋutsu ƒe lãmetsi ƒomevi aɖe. Amesiame wɔa lãmetsi siawo, gake ŋutsuwo ya wɔa wo le agbɔsɔsɔ si lolo wu me. Nɔnɔme sia ate ŋu ado mo ɖa ne lãmetsi siawo sɔ gbɔ akpa le nyɔnu ƒe ŋutilã me, alo ne eƒe taɖawo va sea veve ɖe wo nu akpa.
- Polycystic Ovarian Syndrome (PCOS): Nusi koŋ gbɔ esia tsona eye wòbɔ wue nye nɔnɔme aɖe si woyɔna be PCOS. PCOS le ame geɖe siwo ŋu hirsutism le. Le PCOS me la, azigoloawo wɔa androgen lãmetsi siwo sɔ gbɔ wu. PCOS ƒe dzesi bubuwoe nye dzinukpɔkpɔ si mesɔ o, lolo, suklidɔ, aklãdɔ, kple fufɔfɔ sesẽ.
- Le dzinukpɔkpɔ megbe: Mo ƒe fu ate ŋu adze hã le lãmetsiŋusẽ ƒe tɔtrɔ le dzinukpɔkpɔ megbe ta.
- Cushing ƒe dɔléle: Esia tsoa lãmetsi si nye cortisol si sɔ gbɔ ɖe ŋutilãa me gbɔ.
- Nɔnɔme sesẽ bubuwo:Ne kasia ɖa geɖe le ŋuwò, tsɔ kpe ɖe gbe si le ɖiɖim kple ŋutsunyenye ƒe dzesiwo abe aklãdɔ ene ŋu la, ate ŋu anye nɔnɔme sesẽ aɖe ƒe dzesi, abe dɔdzẽ si le azigolo alo adrenal gland me ene. Eyata ele be nàyi ɖɔkta gbɔ enumake.
- Atike aɖewo: Atike aɖewo abe anabolic steroids, testosterone, kple minoxidil ene hã ate ŋu ana hirsutism nanye eƒe nugbegblẽ le ame ŋu.
Aleke ɖɔkta ate ŋu aɖo kpe esia dzi?
Ne èyi ɖɔkta gbɔ la, ado wò kpɔ gbã.
- Lãmedodokpɔ: Wò ɖɔkta alé ŋku ɖe alesi taɖawo le tsitsim le wò ŋutilã ŋu kple alesi gbegbe wòtsinae, kple nenye be dzesi bubu aɖewo abe aklãdɔ ene le ŋuwò hã. Woate ŋu azã Ferriman-Gallwey dzidzenu , si tsɔa ɖa ƒe tsitsi ɖe ɖoɖo nu le wò ŋutilã ƒe akpa enyi hã atsɔ anya alesi gbegbe dɔlélea nu sẽe.
- Dodokpɔwo: Woate ŋu adɔ dodokpɔ siwo gbɔna be woatsɔ adi nusi gbɔ wòtso:
- Ʋudodokpɔ: Kpɔ wò lãmetsiŋusẽ ƒe agbɔsɔsɔ (vevietɔ androgens) ɖa.
- Ultrasound scan: Kpɔe ɖa be PCOS le azigolowo me hã.
- X-ray dodokpɔwo: Ɣeaɖewoɣi la, léa ŋku ɖe azigolo alo adrenal glands ŋu.
Nukawoe nye atike siwo wozãna na esia?
Ẽ, atike aɖe li na esia. Atikewɔwɔmɔnu vovovowo li. Wò ɖɔktae atso nya me le atike nyuitɔ kekeake si nàzã na wò nɔnɔmea ŋu.
| Atikewɔwɔ ƒe mɔnu | Numeɖeɖe aɖe tso eŋu |
|---|---|
| Agbenɔnɔ ƒe Tɔtrɔwo | |
| Lolo dzi ɖeɖe kpɔtɔ | Ne èlolo vie la, wò kpekpeme ƒe 5% gɔ̃ hã dzi ɖeɖe kpɔtɔ ate ŋu aɖe androgen hormone ƒe agbɔsɔsɔ dzi akpɔtɔ eye wòakpɔ ɖa ƒe tsitsi dzi. |
| Atike siwo ɖɔkta ŋlɔ na ame | |
| Vidzidzinutsitikewo (Fɔxenu siwo woano) . | Esiawoe nye atikewɔmɔnu siwo wozãna wu. Woɖea androgen ƒe agbɔsɔsɔ dzi kpɔtɔna eye woɖɔa dzinukpɔkpɔ ɖo. |
| Atike siwo tea androgen ɖe to | Atikewo abe Spironolactone ene ɖea ŋutilã ƒe androgens wɔwɔ dzi kpɔtɔna. |
| Eflornithine-tike (Vaniqa®) ƒe atike . | Esia meɖea taɖa ɖa o, gake eɖea taɖa ƒe tsitsi dzi kpɔtɔna. Ele be nàzãe abe alesi wò ɖɔkta gblɔe ene. |
| Taɖa Ƒe Taɖa Ƒe Mɔnuwo | |
| Elektrikŋusẽ ƒe ʋuʋu | Aŋe si le sue ŋutɔ kple elektrikŋusẽ ƒe ʋuʋu sue aɖe gblẽa ɖa ƒe ƒuƒoƒoawo ɖekaɖeka, si wɔnɛ be emetsonuwo nɔa anyi ɖaa. |
| Laser ƒe taɖa ɖeɖeɖa | Laser-kekeli gblẽa nu le ɖa ƒe ƒuƒuwo ŋu eye wòdzudzɔa ɖa ƒe tsitsi. Esia hã nye mɔnu si naa nusiwo dona tso eme ɣeyiɣi didi. |
| Aƒeme Atikewɔwɔwo | |
| Lũlũ | Mɔnu bɔbɔetɔ kekeake si le dedie wu. Gake ele be woawɔe edziedzi. |
| Waxing kple Plucking | Esi wònye be woɖea taɖaa ɖa gbã ta la, emetsonuwo nɔa anyi kwasiɖa ʋɛ aɖewo, gake ate ŋu ave ame vie. |
| Bleaching | Eɖea ɖa ƒe yibɔ dzi kpɔtɔna eye wònana womegadzena nyuie o. Ame aɖewo ate ŋu anye nusiwo ŋu ŋutigbalẽa melɔ̃a nu le o. |
Ɣekaɣie wòle be makpɔ ɖɔkta?
Anyo wu be nàyi ɖɔkta gbɔ ne ènya de dzesi taɖa ƒe tsitsi si mesɔ o sia ƒomevi ko.
Esi wònye be hirsutism ate ŋu anye dɔléle bubu abe PCOS ene ƒe dzesi ɣeaɖewoɣi ta la, ele vevie be nàdi nusi tututu gbɔ wòtso ahadae. Azɔ hã, ne èle nuteɖeamedzi alo dzimaɖitsitsi ɖe eŋu la, ƒo nu tso eŋu na wò ɖɔkta. Ate ŋu ana aɖaŋuɖoɖo kple kpekpeɖeŋu si nèhiã la wò.
Gbedasi si Wotsɔ Yi Aƒeme
- Hirsutism nye dɔléle si bɔ ɖe nyɔnuwo me eye woate ŋu adae. Mehiã be ŋu nakpe wò alo wò ɖeka nàkpe fu o.
- Nusi koŋ gbɔ esia tsoe nye ŋutsu ƒe lãmetsiŋusẽ (androgens) ƒe dzidziɖedzi le ŋutilã me. Zi geɖe la, nɔnɔme aɖe si woyɔna be PCOS do ƒome kple esia.
- Togbɔ be esia magblẽ nu le ŋutilã ŋu o hã la, ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò susu ƒe lãmesẽ dzi, eyata kpɔ nyuie le ema hã ŋu.
- Ne ède dzesi taɖa ƒe tsitsi si mesɔ o la, le esi teƒe be nàdze agbagba adi egbɔkpɔnuwo le ɖokuiwò si la, yi ɖɔkta gbɔ enumake be nàdi nusi gbɔ wòtso eye nàdi atike nyuitɔ.
- Ne èlolo akpa vie la, lolo dzi ɖeɖe kpɔtɔ le mɔ si naa lãmesẽ nu ate ŋu akpe ɖe ŋuwò ŋutɔ le atikewɔwɔ me.
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