Ua hilahila hoʻi ʻoe i ke ʻano o ka lauoho ʻeleʻele a ʻāʻī ma kou lehelehe luna, ʻauwae, umauma, a ʻōpū paha ma kahi o ka lauoho lahilahi āu e loaʻa mau ai? Ke hoʻopilikia nei kēia ʻano iā ʻoe? Mai hopohopo. ʻO kēia ʻano, ka mea e hoʻopilikia ai i nā wahine he nui, ua kapa ʻia ʻo hirsutism. He ʻano hiki ke mālama ʻia. E kamaʻilio kākou e pili ana i nā mea āpau i kēia lā.
He aha ka Hirsutism?
I ka ʻōlelo maʻalahi, ʻo ka hirsutism ka ulu ʻana o ka lauoho mānoanoa a ʻeleʻele ma ke kino o nā wahine ma nā wahi i loaʻa pinepine ai ka lauoho o nā kāne, e like me ka lehelehe luna, ka ʻauwae, ka umauma, ka ʻōpū haʻahaʻa, a i ʻole ke kua. Hoʻololi kēia ʻano i ka lauoho lahilahi a māmā i loaʻa maʻamau ma kēia mau wahi. Hiki i kēia ke hoʻoluhi i nā poʻe he nui, akā he mea nui e hoʻomanaʻo he ʻano hiki ke mālama ʻia.
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?
Hoʻopilikia nui ka Hirsutism i nā wahine. ʻOiai hiki i nā kāne ke loaʻa i kēia ʻano, hiki ke paʻakikī ke hoʻokaʻawale mai ko lākou ulu lauoho maʻamau.
ʻOi aku ka nui o kou loaʻa ʻana i kēia maʻi,
- Inā loaʻa i kekahi o kou ʻohana nā kūlana e hoʻoulu ai i kēia kūlana, ʻoi aku hoʻi nā kūlana e like me ka Polycystic Ovary Syndrome (PCOS) a me ka Congenital Adrenal Hyperplasia.
- Inā ʻoe he momona nui (momona).
- Inā he mamo ʻoe no ke Kaiwaenahonua, Hispanic, ʻĀkia Hema (e like me mākou), a i ʻole he mamo Hikina Waena.
He mea kākaʻikahi loa ka Hirsutism i nā keiki ʻōpio. Inā loaʻa ia, he hōʻailona ia o ka wā ʻōpiopio mua .
He aha nā hopena o ka hirsutism ma ke kino?
ʻAʻole maoli ka Hirsutism e hōʻeha nui i kou olakino kino. Eia nō naʻe, hiki iā ia ke loaʻa ka hopena nui i kou noʻonoʻo . ʻO ke kaumaha o ka noʻonoʻo i hoʻokumu ʻia e ka noʻonoʻo ʻana i kēia ma ke kaiāulu a me ka noʻonoʻo ʻana iā ʻoe iho ʻaʻole ia he mea liʻiliʻi. Ma muli o kēia, no kekahi poʻe,
- Kaumaha naʻau
- Hopohopo
- Kaumaha
Hiki iā ia ke hana i nā kūlana e like me kēia. No laila, he mea nui e mālama i kēia ma ke ʻano he pilikia kino a me ka noʻonoʻo a e ʻimi i ka lāʻau lapaʻau.
He aha nā hōʻailona o ka hirsutism?
ʻO ka hōʻailona nui, e like me kā mākou i kūkākūkā ai ma mua, ʻo ia ka ulu ʻana o ka lauoho mānoanoa a ʻeleʻele.
Eia kekahi, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe. Kāhea mākou iā ia he Virilization . Hoʻokumu ʻia kēia e nā androgens o ke kino.Kiʻekiʻe loa nā pae hormone. I ka ʻōlelo maʻalahi, ʻo nā androgens kekahi ʻano "hormone kāne." Hoʻopuka ʻia kēia mau mea i nā ʻāpana liʻiliʻi i loko o ke kino wahine. Akā i ka wā e piʻi ai kēlā mau pae, hoʻomaka nā ʻano kāne e ʻike ʻia.
E ʻike i nā ʻano o kēia mau ʻano ma ka papa ma lalo.
| Hōʻailona Virilization | ʻO ka loli e hana ʻia ana |
|---|---|
| Ka leo haʻalulu | He leo hohonu a palahalaha hoʻi ma mua o ka maʻamau. |
| Hoʻemi ʻia ka nui o ka umauma | Ua emi ka nui o ka umauma. |
| Ka ulu ʻana o nā ʻiʻo | Hoʻonui ʻia ka ulu ʻana o nā ʻiʻo i loko o ke kino. |
| ʻO ka Clitoromegaly | Ka hoʻonui ʻia ʻana o ka vulva, ʻo ia kekahi ʻāpana o ka genitalia wahine. |
| Hoʻonui ʻia ka makemake moekolohe | Hoʻonui ʻia nā manaʻo moekolohe a me nā makemake. |
| ʻAkika | Hoʻonui ʻia ka ʻāʻī ma ka maka a me ke kino. |
He aha nā kumu o ka hirsutism?
He mea paʻakikī pinepine ka loaʻa ʻana o kahi kumu kikoʻī no kēia, akā aia kekahi mau kumu nui e hiki ai ke hoʻoulu i kēia ʻano.
- Hoʻonui ʻia nā pae o nā androgens: Loaʻa iā mākou āpau nā androgens i loko o ko mākou kino, akā ʻoi aku ka nui o nā kāne. Inā kiʻekiʻe nā pae o kēia mau hormones o ka wahine, a inā paha e ʻoi aku ka maʻalahi o kona mau follicle lauoho i kēia mau hormones, hiki ke hana ʻia ka hirsutism.
- ʻO ka maʻi ovary Polycystic (PCOS): ʻO kēia ke kumu maʻamau o ka hirsutism. Loaʻa ka Hirsutism i 70%-80% o nā wahine me PCOS. Hoʻokumu ʻia kēia e ka hana ʻana o nā ovaries i ka nui o ka hormone androgen. ʻO nā hōʻailona ʻē aʻe o ka PCOS e komo pū ana me nā wā kūpono ʻole, ka ʻāʻī, ka piʻi ʻana o ke kaumaha, a me ka paʻakikī o ka hāpai ʻana.
- Postmenopause: ʻO nā loli hormonal i ke kino e hana ʻia me ka menopause hiki ke hoʻoulu i ka lauoho maka e ulu, e like me ka ʻumiʻumi.
- ʻO ka maʻi Cushing: Hoʻokumu ʻia kēia maʻi e ke kino e hana nui ana i ka hormone cortisol. ʻO nā hōʻailona ʻē aʻe e pili ana i ka pehu ʻana o ka maka, ka lohi o ka ho'ōla ʻana o ka ʻeha, ke koko kiʻekiʻe, a me ka maʻi diabetes.
- Nā kūlana koʻikoʻi ʻē aʻe: Inā hele pū ka ulu koke ʻana o ka lauoho me nā hōʻailona e like me ka leo hoarse, ka ʻākī, a i ʻole ka ulu ʻana o nā ʻiʻo, hiki ke lilo i hōʻailona o kahi kūlana koʻikoʻi, e like me ka adrenal gland a i ʻole ka puʻupuʻu ovarian.
- ʻO kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau, e like me nā steroid anabolic, testosterone, a me ka minoxidil, hiki ke hana i ka hirsutism.
Pehea e ʻike ʻia ai ka hirsutism?
Ke ʻike ʻoe i ke kauka, e nānā mua ʻo ia iā ʻoe a nānā i ka nui o kēia ulu lauoho maʻamau ʻole a inā he mau hōʻailona ʻē aʻe, e like me ka ʻākena.
A laila, hiki iā ʻoe ke hoʻohana i kahi mea i kapa ʻia ʻo ke ana Ferriman-Gallwey e ana i ke koʻikoʻi o ke kūlana. Pili kēia i ka helu ʻana i ka ulu ʻana o ka lauoho ma 9 mau wahi nui o kou kino (e like me kou lehelehe luna, ʻauwae, umauma, ʻōpū, a me ke kua) ma kahi unahi o 0-4. Hoʻohui ʻia nā helu e hoʻoholo ai i ke koʻikoʻi o ke kūlana.
I ke kūlana e like me kēia, he mea nui loa ka loaʻa ʻana o kahi hōʻailona pololei, no ka mea, he hōʻailona paha kēia o kahi maʻi ʻē aʻe. No laila e ʻike pono i ke kauka.
Eia kekahi, hiki iā ʻoe ke hana i nā hoʻokolohua e like me kēia e ʻike ai i ke kumu kūpono:
- Nā hoʻāʻo koko: E nānā i nā pae hormone.
- ʻO ke kiʻi ʻana o ka ultrasound: E nānā i nā ovaries a me ka uterus.
- Nā kukuna X: E nānā i nā ovaries a me nā kelepa adrenal e kāpae i nā pilikia ʻē aʻe.
He aha nā lāʻau lapaʻau no ka hirsutism?
ʻAe, aia nā lāʻau lapaʻau kūpono no ka hirsutism. Aia ma mua o hoʻokahi koho lapaʻau, a na kāu kauka e hoʻoholo i ka mea kūpono loa iā ʻoe.
| ʻAno lapaʻau | Wehewehena a me nā memo |
|---|---|
| Nā loli o ke ʻano o ka nohona | |
| Ka emi ʻana o ke kaumaha | ʻO kēia ka hana mua pinepine. ʻO ka lilo ʻana o 5% o kou kaumaha kino hiki ke hōʻemi i nā pae androgen a kāohi i ka ulu ʻana o ka lauoho. |
| Nā lāʻau lapaʻau (ma ke ʻōlelo aʻo lapaʻau wale nō) | |
| Nā lāʻau hoʻomalu hānau | ʻO ka lāʻau lapaʻau i hoʻohana pinepine ʻia. Hoʻemi kēia i nā pae androgen a hoʻoponopono i nā pōʻaiapuni menstrual. |
| Nā lāʻau hoʻopau androgen | Eia kekahi laʻana: Spironolactone. Hoʻemi kēia i ka hana ʻana o nā androgens i loko o ke kino. |
| ʻAila ʻili Eflornithine | ʻAʻole wehe kēia kirīmi i ka lauoho, akā hoʻolohi ia i ka ulu ʻana o ka lauoho. Hiki ke hala i 6-8 mau pule e ʻike i nā hopena. |
| Nā ʻano wehe lauoho | |
| ʻElektrika | Ke luku nei i nā follicle lauoho pākahi me ka hoʻohana ʻana i kahi nila liʻiliʻi a me kahi pulse uila mālie. |
| Wehe ʻana i ka lauoho laser | Hoʻohana ke kukuna laser i ka wela e luku i ka follicle lauoho a pale i ka ulu hou ʻana o ka lauoho. Pono kekahi mau lāʻau lapaʻau. |
| Nā mea hiki iā ʻoe ke hana ma ka home | |
| Ka ʻumiʻumi ʻana | He ala maʻalahi a palekana hoʻi, akā pono e hana pinepine ʻia. |
| Ke hoʻokeʻokeʻo ʻana | Hoʻemi ia i ke kala o ka lauoho i kahi pae i ʻike iki ʻia. Hiki i kekahi poʻe ke loaʻa i nā maʻi ʻili. |
| Waxing/Tweezing | Loaʻa nā hopena no kekahi mau pule no ka mea ua huki mua ʻia ka lauoho a wehe ʻia. Akā hiki ke ʻeha. |
Āhea wau e ʻike ai i ke kauka?
ʻOi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā e ʻike ai ʻoe i kēia ʻano ulu lauoho ʻē. Hiki i ka Hirsutism ke lilo i hōʻailona o kahi maʻi ma lalo, e like me PCOS. A inā e hoʻoluhi a hopohopo paha ʻoe, mai kānalua e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He maʻi maʻamau a hiki ke mālama ʻia ka Hirsutism i nā wahine. Mai hilahila a makaʻu paha i ia mea.
- Hoʻopili pinepine ʻia kēia me nā hemahema hormonal, ʻoi aku ka nui o nā hormones androgen, a me nā kūlana e like me PCOS.
- ʻAʻole wale kēia he pilikia kino, akā hiki iā ia ke hoʻopilikia i ke olakino noʻonoʻo. No laila, he mea nui e mālama pono i kēlā.
- E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi ulu ʻana o ka lauoho ʻē. Hiki paha ke kōkua i ka ʻike ʻana i kahi maʻi kumu.
- Aia kekahi mau ʻano lapaʻau like ʻole i loaʻa, mai ka hōʻemi kaumaha a i nā lāʻau lapaʻau a me ka wehe ʻana i ka lauoho. E kūkākūkā i ka mea kūpono loa iā ʻoe me kāu kauka.
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