Ke ʻike nei ʻoe i ka piʻi ʻana o nā pae o nā hormones kāne i loko o kou kino? E kamaʻilio kākou e pili ana i ka virilization i nā wahine!

Ke manaʻo nei ʻoe i kekahi manawa e loli ana kou kino i nā ʻano kūpono ʻole no ka wahine? Malia paha e lilo ana kou leo ​​i mea ʻōhū iki, a i ʻole e ulu ana kou lauoho makemake ʻole ma kou helehelena a me kou kino. Hoʻolilo kēia mau mea iā ʻoe i mea kaumaha loa, ʻeā? ʻOiaʻiʻo, ma ka lāʻau lapaʻau, kapa mākou i kēia ʻano he "(Virilization)". ʻOiai paha he mea weliweli iki ka inoa ke lohe ʻoe, i kēia lā e kamaʻilio pololei mākou a maʻalahi e pili ana i ke ʻano o kēia, no ke aha e hana ʻia ai, pehea e ʻike ai, a inā he lāʻau lapaʻau. A laila hiki iā ʻoe ke loaʻa kahi ʻike maopopo o kēia.

He aha ka `(Virilization)`? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka virilization (puana ʻia "vee-ra-li-se-tion") ka ulu ʻana o nā ʻano kāne i loko o kahi wahine a i ʻole kahi pēpē hānau hou i hōʻike ʻia i nā hormones kāne i ka wā hānau. Hiki ke hana kēia inā hana kāu mau kelepa adrenal i nā hormones kāne he nui, i kapa ʻia he androgens, a inā ʻoe e hoʻohana i nā steroids anabolic e hoʻonui i kou ikaika.

Aia kekahi ʻokoʻa i ke ʻano o ka virilization e pili ai i nā wahine a me nā kāne?

ʻAe, hiki i kahi wahine ke loaʻa i kēia maʻi (virilization) i kēlā me kēia makahiki. Inā pili ia i kahi wahine ʻelemakule, eia kekahi mau mea e hiki ke hana:

• Nā umauma liʻiliʻi.
• Nā ʻūmiʻi o ka ʻōpū.
• Ka hoʻonui ʻia ʻana o ka clitoris.
• Ka pau ʻana o nā wā mahina i ke ʻano kūpono ʻole a i ʻole ka pau piha ʻana .

No nā kāne, ʻaʻole maopopo loa ke ʻano i kapa ʻia ʻo `(Virilization)`. Inā ʻaʻole ʻike ʻia nā hōʻailona i ka wā hānau, ʻike ʻia kēia mau hōʻailona i kekahi manawa i ka wā `(Puberty)` . ʻO ka pinepine, ʻo nā keikikāne e hana ana i nā hormones kāne `(Androgen)` e hele i ka wā ʻōpio ma mua o nā keiki ʻē aʻe. I nā kāne makua, hiki i kēia hormones `(Androgen)` keu ke hōʻemi i ka hana o nā testicles, hōʻemi i ka hiki ke loaʻa nā keiki, a hiki i ka `(Infertility)` ke loaʻa.

He aha nā hōʻailona o ka `(Virilization)`?

ʻAʻole like kēia mau hōʻailona no kēlā me kēia kanaka a hiki ke ʻokoʻa mai kēlā kanaka a kēia kanaka. E nānā kākou i nā hōʻailona nui e ʻike ʻia:

• Ka ulu ʻana o ka lauoho i makemake ʻole ʻia ma ka maka a i ʻole ke kino: ʻO kēia ka hōʻailona mua a ka poʻe he nui e ʻike ai. E noʻonoʻo, hoʻomaka koke kahi kaikamahine ʻōpio e like me Nimali e ulu i ka lauoho mānoanoa a ʻeleʻele hoʻi ma mua o ka maʻamau ma kona maka, ʻauwae, lehelehe luna, umauma, ʻōpū, a me ke kua. Hiki i kekahi poʻe ke ulu i ka lauoho mānoanoa e like me ka ʻumiʻumi.
• ʻO ka hoʻonui ʻia o ka ʻili ʻaila a i ʻole ka ʻili ʻaila: ʻO ka piʻi koke ʻana o ka ʻili, inā he ʻaila mau ka ʻili, hiki ke lilo i hōʻailona o kēia.
• Nā wā menstruation kūpono ʻole: I kekahi manawa ʻaʻohe menstruation no nā mahina, a i ʻole e pau loa paha.
• ʻO ka ʻōhule kāne: ʻO ka nalowale o ka lauoho ma nā ʻaoʻao ʻelua o ka lae, e like me ko nā kāne, e alakaʻi ana i ka ʻōhuleKe hoʻomaka nei ka lauoho e hāʻule.
• Hoʻemi ʻia ka nui o ka umauma: Liʻiliʻi nā umauma ma mua o ka wā ma mua.
• Ka hoʻonui ʻia ʻana o ka clitoris: He loli koʻikoʻi nō hoʻi kēia.
• Ka hoʻohōhonu ʻana o ka leo: Lilo koke ka leo i leo haʻalulu, e loli ana i ka leo kāne .
• Hoʻonui i ka makemake moekolohe: Hiki iā ʻoe ke ʻike i ka makemake moekolohe ma mua o ka maʻamau.

No ke aha e hana ʻia ai kēia `(Virilization)`? He aha nā kumu?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "No ke aha lā kēia e hana nei?" ʻO ke kumu nui, ʻo ia ka hana nui ʻana o nā hormones kāne, i kapa ʻia ʻo androgens, i loko o ke kino. Aia kekahi mau kūlana olakino e hiki ke kōkua i kēia:

• ʻO ka hyperplasia adrenal hānau: He kūlana hoʻoilina kēia. Hoʻokumu ʻia e kahi kīnā i ka hana ʻana o nā hormones e nā kelepa adrenal, ʻo ia hoʻi ʻelua mau kelepa liʻiliʻi i loaʻa ma luna o ko kākou mau puʻupaʻa. ʻO ka hopena o kēia i ka hana ʻana o nā hormones androgen keu.
• ʻO ka maʻi polycystic ovary (PCOS): He ʻano kēia i ʻike ʻia i kēia manawa i nā kaikamahine a me nā wahine he nui. ʻO kēia ʻano, ka mea i loaʻa i loko o nā ovaries, hiki ke hoʻoulu i ka hana nui ʻana o nā hormones kāne.
• ʻO ka maʻi Cushing: He kūlana i hoʻokumu ʻia e ka nui o ka hormone cortisol i loko o ke kino no kahi manawa lōʻihi. Hiki i kēia ke hoʻonui i nā pae androgen.
• ʻO nā puʻupuʻu kelepa adrenal (e.g., `Adrenal adenoma`): ʻO ke kūkulu ʻia ʻana o nā puʻupuʻu i loko o nā `(Adrenal glands)` aʻu i ʻōlelo ai ma mua. ʻO kēia mau puʻupuʻu, e like me `(Adrenal adenoma), he mau mea maʻi ʻole pinepine (benign), akā i kekahi manawa hiki iā lākou ke lilo i maʻi ʻino (malignant). Hiki i kēia mau puʻupuʻu ke hana i `(Androgen).`
• ʻO nā maʻi ʻōpū ovarian: ʻO kekahi ʻano o nā maʻi ʻōpū e hana ʻia i loko o nā ovaries hiki ke hana i nā hormones androgen keu.

Ma waho aʻe o kēia mau kumu lapaʻau, hiki ke hana ʻia kēia kūlana (virilization) e ka hoʻohana ʻana i nā steroids anabolic e hoʻonui i ka hana kino a kūkulu i ka nui o nā ʻiʻo . ʻIke nui ʻia kēia i waena o ka poʻe e pāʻani ana i nā haʻuki e like me ka hāpai kaumaha.

Pehea e ʻike ai ke kauka i kēia he "Virilization"?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka. E nānā pono ke kauka iā ʻoe. E nīnau lākou e pili ana i kāu mau hōʻailona, ​​inā paha ua loaʻa i kekahi o kou ʻohana kēia mau maʻi, a me nā lāʻau lapaʻau āu e lawe nei.

A laila, e hōʻoia inā he "Virilization" maoli kēia, a inā pēlā, he aha ke kumu, ua hana ʻia kekahi mau hoʻokolohua:

• Hoʻāʻo koko: Nānā nui kēia i nā pae o nā hormones like ʻole i loko o kou kino, ʻoiai ke kiʻekiʻe o ka hormone androgen.
• Nā hoʻokolohua kiʻi ʻē aʻe:
• ʻO ke nānā ʻana o ka ultrasound: Hiki i kēia ke nānā i kekahi mau ʻōpū a i ʻole nā ​​​​​​mea ulu i loko o nā ovaries a me nā kelepa adrenal.
• ʻO kahi scan `CT (Computed Tomography)` a i ʻole `MRI (Magnetic Resonance Imaging)`: Hiki i kēia ke nānā pono i nā ʻōpū o loko, ʻoi aku hoʻi nā wahi e like me nā kelepa adrenal a me ka kelepa pituitary i loko o ka lolo.

Aia kekahi lāʻau lapaʻau no ka `(Virilization)`?

ʻAe, aia nō ka lāʻau lapaʻau. Eia nō naʻe, pili ke ʻano lapaʻau i ke kumu o `(Virilization)`. Na kāu kauka e koho i ka lāʻau lapaʻau kūpono loa iā ʻoe. Eia kekahi o nā ʻano lapaʻau nui:

• Glucocorticoids: He ʻano steroid nō hoʻi kēia. Inā hana ʻia ka virilization e kahi kūlana genetic e like me ka congenital adrenal hyperplasia, e kuhikuhi nā kauka i kēia mau lāʻau lapaʻau e kāohi i ka hana ʻana o nā hormones kāne e nā kelepa adrenal.
• Adrenalectomy: Inā hana ʻia kēia ʻano e kahi puʻupuʻu i loko o ke kelepa adrenal, ʻo ke ʻoki maʻamau e pili ana i ka wehe ʻana i ke kelepa adrenal . ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau puʻupuʻu he maʻi kanesa. Eia nō naʻe, ʻaʻole hiki ke lilo i maʻi kanesa, no laila he mea nui e ʻike pono i ke kumu o ke ʻano.
• ʻO ka ʻoki ʻana: Inā loaʻa kēia mau hōʻailona i nā ʻōpū ovarian, ʻo ke ʻoki ʻana ke ʻano maʻamau. Ma muli o kou mau makahiki a inā ʻoe e hoʻolālā e loaʻa nā keiki i ka wā e hiki mai ana, hiki i kāu kauka ke ʻōlelo i kahi kaʻina hana i kapa ʻia he unilateral salpingo-oophorectomy (ka wehe ʻana i hoʻokahi ovary a me kāna fallopian tube). Hiki paha i kēia ke mālama i kou hiki ke loaʻa nā keiki ma o kekahi ovary.

Mea nui: Me ka nānā ʻole i ke ʻano o ka lāʻau lapaʻau, he mea nui loa ia e hahai pololei i nā ʻōlelo a kāu kauka a hoʻi hou no nā nānā ʻana i ka manawa kūpono.

Hiki ke hoʻohuli ʻia kēia mau hōʻailona "virilization"?

I ka hapanui o nā hihia, inā ʻike ʻia ke kumu a mālama pono ʻia, hiki ke hoʻohuli ʻia nā hōʻailona o ka virilization. No ka laʻana, hiki ke emi ka ulu ʻana o ka lauoho, hiki ke emi ka ʻaila o ka ʻili, a hiki ke hoʻi hou nā wā menstrual i ka maʻamau. E hoʻomohala kāu kauka i kahi hoʻolālā lapaʻau kūpono iā ʻoe.

Akā, hoʻokahi mea aʻu e makemake ai e haʻi aku. Inā ʻike nā wāhine e hoʻohana ana i nā steroids anabolic i nā hōʻailona o ka "virilization" aʻu i ʻōlelo ai ma mua, i kekahi manawa hiki ke mau loa ka loli nui o ka leo. ʻO ia hoʻi, ʻoiai ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau, ʻaʻole paha e like ke kani o ka leo me ma mua. Eia nō naʻe, ua hiki i kekahi poʻe ke hoʻihoʻi i ko lākou leo ​​​​i kekahi ʻano ma o ka loaʻa ʻana o ka lāʻau lapaʻau a me ke aʻo ʻana ma kahi kikowaena hoʻomaʻamaʻa leo kūikawā (`Voice center`).

Hiki ke pale ʻia ka Virilization?

Inā loaʻa iā ʻoe kahi maʻi genetic e like me `(Congenital adrenal hyperplasia)`, ʻaʻole hiki ke pale loa ʻia. No ka mea, he mea ia e hele pū me mākou. Eia nō naʻe, me ka mālama lapaʻau kūpono a me nā ʻōlelo aʻoaʻo, hiki iā ʻoe ke hoʻomalu pono i kēia maʻi a ola i kahi ola maʻamau.

Ma ka ʻaoʻao ʻē aʻe, inā ʻoe e pale i ka hoʻohana ʻana i nā mea e like me nā 'steroids Anabolic', hiki iā ʻoe ke pale i ka pilikia o ka '(Virilization)' hiki ke hana ma o lākou. Inā ʻoe e lawe ana i nā '(Steroids)' no kekahi kumu lapaʻau, e hōʻoia e lawe wale iā lākou i ka nui a no ka manawa i kuhikuhi ʻia e like me ke kuhikuhi ʻana a kāu kauka. E hahai pono i nā kuhikuhi a kāu kauka e hōʻemi i ka pilikia o nā hōʻailona makemake ʻole ʻia.

Āhea wau e ʻike ai i ke kauka?

E hoʻomanaʻo i kēia: ʻAʻohe mea i ʻike maikaʻi i kou kino ma mua o ʻoe, ʻeā? No laila, inā ʻike ʻoe i kekahi mea ʻē e pili ana i kou kino, kahi loli hou i loaʻa ʻole ma mua, a i ʻole kekahi mea e hoʻoluhi nei iā ʻoe, e haʻi koke aku i ke kauka.

ʻOi aku hoʻi, inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona o ka "virilization" a mākou i kūkākūkā ai ma kēia ʻatikala, e like me ka ulu koke ʻana o ka lauoho, ka loli o ka leo, nā wā maʻamau ʻole, a i ʻole kekahi mau hōʻailona ʻē aʻe, pono ʻoe e kamaʻilio me ke kauka e pili ana i ia mea. A laila hiki iā ia ke hoʻoholo i ke kumu a aʻo iā ʻoe inā pono ʻoe i ka lāʻau lapaʻau, a inā pēlā, he aha ka mea e hana ai.

He aha ka ʻokoʻa ma waena o `(Hirsutism)` a me `(Virilization)`?

Ua lohe paha ʻoe i ka huaʻōlelo "Hirsutism" (hir-su-ti-sam). ʻO ke "Hirsutism" e pili ana i ka ulu nui ʻana o ka lauoho ma ke kino o ka wahine, ʻoi aku hoʻi ma nā wahi i loaʻa pinepine ai ka lauoho i nā kāne (e like me ka maka, ka umauma, ka ʻōpū, ke kua, a me nā ʻūhā o loko).

He aha ka ʻokoʻa?

ʻO ka poʻe me ka `(Hirsutism)` he emi iki nā hōʻailona ma mua o ka poʻe me ka `(Virilization)`, a ʻaʻole lākou i koʻikoʻi loa. I ka `(Hirsutism)`, ʻo ka mea nui i ʻike ʻia ʻo ia ka ulu ʻana o ka lauoho.

Eia nō naʻe, i ka "Virilization", me ka ulu ʻana o ka lauoho, hiki ke ʻike ʻia nā ʻano kāne ʻē aʻe e like me ka hohonu o ka leo, ka hoʻonui ʻia ʻana o ka clitoris, ka emi ʻana o nā umauma, a me ka ulu ʻana o nā ʻiʻo.

E like me Virilization, hiki ke hana ʻia ʻo Hirsutism e ka hana nui ʻana o nā hormones androgen mai kāu mau kelepa adrenal a i ʻole ovaries. Eia nō naʻe, hiki i ka Hirsutism ke lilo i hōʻailona o nā kūlana ʻē aʻe, e like me ka Polycystic ovary syndrome (PCOS) a me Cushing syndrome. I ka ʻōlelo maʻalahi, ʻo Virilization kahi kūlana i ʻoi aku ka koʻikoʻi a he ākea ka laulā o nā ʻano kāne ma mua o Hirsutism.

He aha ke ʻano o `(Kāne i nele i ka virilization)`?

Ua like kēia me kekahi ʻaoʻao o `(Virilization)`. Kāhea mākou ia he `(Undervirilized male)`,Ma ke ʻano hoʻoilina, hana ke kino o ke kāne i nā pae haʻahaʻa o nā hormones kāne (androgens) ma mua o ka maʻamau a i ʻole ʻaʻole pane pono ke kino i kēia mau hormones, e hopena ana i kekahi ʻano o nā ʻano wahine. No ka laʻana, hiki ke lohi ka wā ʻōpiopio, ka emi ʻana o ka ulu ʻana o nā ʻiʻo, ka emi ʻana o ka lauoho o ke kino, a me ka ulu ʻana o ka umauma.

ʻO ka mea hope loa, kahi mea e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, ke manaʻo nei au ua maopopo maikaʻi iā ʻoe ke ʻano o ka `(Virilization)` i kēia manawa. ʻO ka mea nui loa, inā ʻoe e ʻoluʻolu ʻole me kou kino, inā manaʻo ʻoe ʻaʻole ia e kūlike me kou wahine, hiki iā ia ke loaʻa ka hopena nui i kou olakino noʻonoʻo. E ʻoluʻolu, mai hopohopo a noʻonoʻo, "No ke aha kēia e hana nei iaʻu?", "ʻO wau wale nō anei kekahi e like me kēia?"

Eia kekahi, aia paha kekahi maʻi olakino ma hope o kēia mau hōʻailona e pono ai ke mālama ʻia. Inā ʻaʻole i ʻike pono ʻia a mālama ʻia, hiki iā ia ke alakaʻi i nā pilikia hou aʻe.

No laila, inā he kānalua iki kou he mau hōʻailona kou o ka `(Virilization)`, mai makaʻu a hilahila paha e ʻike i ke kauka, e kamaʻilio e pili ana i ia mea, e kiʻi i kahi hōʻailona inā pono, a e kiʻi i ka lāʻau kūpono. ʻO ia ka mea maikaʻi loa hiki iā ʻoe ke hana nou iho. ʻAʻole ʻoe hoʻokahi, aia nā kauka e hiki ke kōkua me kēia mau mea.

ʻO ka Virilization, nā ʻano kāne a me ka wahine, ka hormonal imbalance, androgens, ka ulu ʻana o ka lauoho, ka acne, PCOS, nā kelepa adrenal, nā steroids