Ina heru koe i ō makawe i te ata, ka kitea e koe he nui ngā makawe i runga i tō heru? Ina mutu tō kaukau, ka kite koe i ngā makawe kei runga i te papa o te wharepaku? He mea noa te mataku me te manukanuka ina kite koe i tētahi mea pēnei. Inaa, mō ētahi tāngata, he taumahatanga nui te ngaro o te makawe. Mō ētahi atu, ahakoa ka ngaro ō rātou makawe tae noa ki te pakira, kāore i te nui. Nō reira, i tēnei rā, me kōrero tātou mō te ngaro o te makawe, he mea nui ki te katoa, i roto i tētahi huarahi māmā.
Tuatahi, kia kite tātou, he aha tēnei rākau makawe?
Ki te kī māmā noa, ehara te makawe i te huruhuru anake i runga i tō tātou kiri. He huruhuru kei ngā wāhi katoa o ō tātou tinana, engari ko ngā wāhi pēnei i ō tātou nikau, ngā kapu o ō tātou waewae, me ngā kamo. Engari he angiangi rawa ētahi o aua huruhuru, kāore e kitea.
He pūmua e kiia nei ko te keratin te mea hanga o te kakau makawe. Ka puta ēnei i roto i ngā follicle iti o te kiri. I te putanga mai o ngā pūtau makawe hou i roto i ēnei follicle, ka panaia ngā pūtau tawhito ki te mata o te kiri. Ko te kakau makawe e kite ana koe he kohinga pūtau keratin mate. I te toharite, kei waenganui i te 100,000 me te 150,000 ngā makawe o te pakeke i runga i tōna mahunga. He mea noa te ngaro o te 50 ki te 100 makawe i te rā. Nō reira, ki te mea he torutoru ō makawe i runga i tō heru, kaua e manukanuka.
I tētahi wā, tata ki te 90% o ngā makawe o tō mahunga kei roto i te wā e tupu ana. Engari he huringa ora motuhake tō ia makawe.
Te huringa ora o te pūkahukahu
E toru ngā wāhanga matua o tēnei huringa.
- Wāhanga Anagen: Koinei te wā e tupu kaha ana te kakau makawe. Ko te tikanga ka roa tēnei wāhanga mō te 2 ki te 8 tau.
- Wāhanga Katagen: He wāhanga whakawhiti tēnei. E rua ki te toru wiki te roa.
- Wāhanga Telogen: Koinei te wā okiokinga o te kakau makawe. E 2 ki te 3 marama te roa o tēnei wāhanga. I te mutunga o tēnei wā, ka marere te kakau makawe, ā, ka tīmata te tupu o tētahi kakau makawe hou ki tōna wāhi. Koinei te tīmatanga anō o te huringa.
I a koe e pakeke haere ana, ka āta puhoi haere te tere o te tupu o ēnei makawe.
Ngā momo ngaronga o te makawe
Ko te ngaronga o te makawe e mōhiotia whānuitia ana i roto i te rongoā ko te Alopecia . He rerekē anō hoki ngā momo o tēnei. Me titiro tātou ki ngā momo matua.
| Momo makawe | He whakamārama māmā |
|---|---|
| Te Alopecia Involutional | He mea tēnei e tupu noa ana i a tātou e kaumātua ana. Ka nui ake te wā e haere ai ngā pūtake makawe ki te wā okiokinga, ā, ka poto ake, ka angiangi ake ngā makawe e toe ana. |
| Te Alopecia Androgenic | He mate ira tēnei e tukuna iho ana i roto i ngā whakatipuranga. Mēnā ka pā ki ngā tāne, ka kiia ko te 'male pattern baldness'. Ka tīmata te marere o ngā makawe mai i ngā taha o te rae me te tihi o te māhunga. Mēnā ka pā ki ngā wāhine, ka kiia ko te 'female pattern baldness', arā, ka angiangi haere ngā makawe o te tihi o te māhunga. |
| Alopecia Areata | Ka tīmata ohorere pea tēnei. Ka taka ngā makawe i roto i ngā wāhi iti pērā i te 'scallop'. He maha ngā wā ka pā ki ngā tamariki me ngā taiohi. Engari i roto i te 90% o ngā take, ka tupu anō ngā makawe i roto i ētahi tau. |
| Te Putanga o te Telogen | Ina pāngia te tinana, te hinengaro rānei e te ahotea nui (hei tauira, he mate nui, he whānautanga, he whakamātautau), ka huri whakarere ngā pūtake makawe ki te wā okioki. Ka hinga te nuinga o ngā makawe mō te wā poto. |
| Te Alopecia o te Kuku | Ka taea e ngā momo makawe e kukume ana i te makawe kia kikī (hei tauira, ngā whiri kikī, ngā hiku hoiho kikī) te kino i ngā pūtake makawe, ā, ka ngaro te makawe tuturu. |
| Te Alopecia o te Matā | Ka taea e ētahi mate kiri me ngā āhuatanga (hei tauira, Folliculitis, Lupus) te whakangaro i ngā pūtake makawe mō ake tonu atu, ka waiho he koha. Kāore e tupu anō te makawe i ēnei wāhi. |
He aha te take e marere ai tēnei makawe? He aha ngā take?
Kāore anō ngā tākuta kia tino mōhio he aha i poto ake ai te huringa tipu o ētahi pūtake makawe i ētahi atu, engari he maha ngā āhuatanga matua e whai wāhi ana ki te ngaronga o te makawe.
- Ngā homoni:Ka ngaro pea te makawe i ngā kore taurite o ngā homoni, pērā i ngā homoni tāne (androgens).
- Ngā ira: Ka taea te whakatau i te auau o te pakira e ngā ira i tukuna iho mai i te whaea me te matua.
- Te ahotea hinengaro me te ahotea tinana: Ka ngaro pea te makawe i muri i ētahi marama i te mate nui, te whānautanga, te pokanga, te ahotea hinengaro rānei.
- Ētahi rongoā: Ka taea e te chemotherapy, ngā rongoā whakaiti toto, me ētahi rongoā toto toto tiketike te whakararu i te makawe mō te wā poto.
- Ētahi atu āhuatanga hauora: Ka taea e ngā āhuatanga pēnei i te mate tairoi, te mate huka, te lupus, te korenga o te rino, me te anemia te take o te ngaro o te makawe.
- Ngā ngoikoretanga o ngā kai: Ko te kai iti i te pūmua, huaora A, B, C, D, E, me te korenga o ngā matūkai pēnei i te konutea me te rino tētahi atu take.
- Ngā mea kino hei mahi mā ō makawe: Mā te horoi pinepine i ō makawe ki te shampoo, te whakama, te tae, me te whakakōkī ka ngoikore pea ō makawe, ka pakaru ai. Heoi, kāore ēnei e tino pākira ai.
Me pēhea te mōhio ki te ngaro o te makawe? (Ngā tohu)
Ka āta haere te ngaronga o te makawe i ētahi wā, ka ohorere pea i ētahi wā. Ka rerekē ngā tohu i runga i te pūtake.
- Te angiangi haere i te karauna o te makawe: Koinei te āhuatanga matua o te pakira tuku iho.
- Te ngaro ohorere o te makawe: Ka puta pea tēnei i muri i te ahotea, i te mate rānei. Tērā pea ka kite koe i te nui o te makawe i runga i tō heru, i tō urunga, i roto rānei i te wharepaku.
- Ngā wāhi porowhita, he papatahi: He tohu tēnei nō te 'Alopecia Areata'. Ka puta anō hoki ki ngā wāhi pēnei i te pahau me ngā tukemata.
- Me ētahi atu āhuatanga pea:
- Te mumura o te kiri tumuaki, te mākūkū, me te mamae (he tohu pea tēnei nō te mate pāwera).
- He whara unahi, he rite ki te mirumiru (he tohu pea tēnei o te mate harore).
Me pēhea te tātaritanga a te tākuta i tēnei? (Tauātanga)
Ki te whakaaro koe kei te ngaro rawa ō makawe, ko te mea pai ko te toro atu ki te tākuta tonu . Ko te tere o te tautuhi i te pūtake, ko te tere hoki o te tīmatanga o te maimoatanga.
Ka taea e te tākuta te mahi i ēnei e whai ake nei:
- Ka pātaihia koe mō tō hītori hauora me ngā taipitopito o tō whānau.
- Ka tirotirohia tō tumuaki me te āta.
- Ka tonoa he whakamātautau toto (hei tauira, ngā taumata rino, te huaora D, ngā homoni tairoi).
- I ētahi wā ka tirohia te tumuaki ki tētahi kāmera motuhake (trichoscopy) hei whakanui ake.
- Mena e tika ana, ka tangohia pea he wahi iti o te kiri o te tumuaki hei tirotiro (koiora).
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te pūtake o te ngaronga o te makawe. I te nuinga o te wā, ka mutu te ngaronga o te makawe, kātahi ka tīmata te tupu anō ina oti te rongoā i te mate taketake. Heoi, ko ētahi momo (pērā i te alopecia areata) he pumau. Ahakoa ka taea e te maimoatanga te aukati i te ngaronga o te makawe, he uaua ki te whakatipu anō i te makawe kua ngaro kē.
He maha ngā tikanga maimoatanga matua:
- Ngā rongoā:
- Ngā rongoā pēnei i te 'Minoxidil (Rogaine)' mō te kiri kiri pakaka.
- Ngā pire pēnei i te 'Finasteride (Propecia)' mā ngā tāne (me tango noa ēnei i runga i te tohutohu a te tākuta).
- Ngā rongoā kei roto ngā steroids (Corticosteroids) mō ngā āhuatanga pēnei i te 'Alopecia Areata'.
- Ngā Tikanga Maimoatanga Motuhake (Ngā Tukanga):
- Te Tārua Makawe: Te tango i ngā makawe mai i tētahi atu wāhanga o te tinana ka whakatō ki ngā wāhi takoto kau.
- Te whakaora mārama: Te whakaohooho i ngā pūtake makawe mā te whakamahi i te mārama taiaho iti.
- Whakaora plasma whai-pereti (PRP): Te werohanga o te plasma i tangohia mai i ō ake toto ki te tumuaki hei whakaoho i te tupu o te makawe.
- Te kiri pakira o te tumuaki: Te whakamahi i tētahi moko tuturu ki ngā wāhi pakira hei hoatu i te āhua o te makawe.
Ko te mea nui ko te roa o te wā e pau ana ki ēnei maimoatanga. E 3-6 marama pea ka kitea ngā hua. Kaua hoki e whai i ngā mea katoa e hokona ana hei "rongoā whakatipu makawe tino kaha". Me rapu tonu i te tohutohu a te tākuta whai tohu.
Karere Tangohia ki te Kāinga
- He mea noa te ngaro o te 50-100 makawe i te rā. Mena he nui ake i tērā te ngaronga o ō makawe, he wāhi iti rānei e hinga ana, he tohu kē atu rānei kei a koe, me toro atu ki te tākuta.
- He maha ngā take e ngaro ai te makawe. Tērā pea he ira tuku iho, he homoni, he ahotea, he kore kai, he mate hauora rānei.
- Ko te tere o te tautuhi i te pūtake, ko te angitu ake o te maimoatanga. Nō reira, rapua he tohutohu hauora ina kite koe i tētahi raruraru.
- He mea tino nui mō te hauora o te makawe te kai i tētahi kai taurite, te karo i ngā momo huruhuru kino, me te whakahaere i te ahotea.
- Mena he taumahatanga nui ki tō hinengaro te ngaro o te makawe, kōrero atu ki tō tākuta mō tēnei mea. He wāhanga anō hoki o te maimoatanga te whakaora hinengaro. Kaua e mutu te tumanako!
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