Kei te ngaro atu ō makawe i te nuinga o te wā i ngā wāhi pēnei i tō heru, i te papa o te wharepaku, me te tauera urunga? He raruraru noa te ngaro o te makawe mō te tini o te tangata. Ki ētahi, he mea nui te ngaro o te makawe ahakoa he iti noa. Ki ētahi atu, kāore pea e nui te ngaro tae noa ki te tīmatanga o te ngaro o ō rātou makawe. Nō reira, he aha te take o tēnei, he aha te mea ka taea te mahi mōna, ā, me kōrero taipitopito tātou mō tēnei i tēnei rā.
Kia titiro tuatahi tātou, he aha tēnei makawe?
Ki te kī māmā noa, ko te makawe te huruhuru o tō tātou kiri. He huruhuru kei ngā wāhi katoa o ō tātou tinana, engari ko ētahi wāhi pēnei i ō tātou nikau, i 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 makawe. Ka hangaia ēnei i roto i ngā pūtake makawe o tō tātou kiri. I te mea ka whakaputahia e ēnei pūtake makawe ngā pūtau makawe hou, ka panaia ngā pūtau tawhito i waho o te kiri. Ko te makawe e kitea ana e koe he kohinga pūtau keratin mate. He 100,000 ki te 150,000 ngā makawe o te pakeke toharite i runga i tōna mahunga. He mea noa te ngaro o te 100 makawe i te rā, nō reira kāore he take e manukanuka ai mēnā ka kitea e koe ētahi i roto i tō paraihe makawe.
I tētahi wā, tata ki te 90% o ngā makawe o tō mahunga kei roto i te wā e tupu ana. He huringa ora anō tō ia makawe. E toru ngā wāhanga matua o tēnei huringa.
| Wāhanga | Hei whakarāpopototanga... | Wā |
|---|---|---|
| Anagen | Te wā e tupu kaha ana, e roa ai hoki te makawe. | 2 ki te 8 tau te pakeke |
| Catagen | Ko te wā whakawhiti tēnei ina mutu te tipu, ā, ka whakareri te pūtake o te makawe ki te marere. | 2 ki te 3 wiki |
| Telogen | Kua tae te wā kia okioki te makawe. Kia tae ki te mutunga o tēnei wā, ka marere te makawe. | 2 ki te 3 marama |
I te mutunga o tēnei wā okiokinga (Telogen), ka taka te pūtake makawe, ka whakakapia ki tētahi pūtake makawe hou, ka tīmata anō te huringa tipu. Ka pōturi haere tēnei tere tipu i a tātou e pakeke haere ana.
He rerekē ngā momo ngaronga makawe?
Ae, e kiia ana e mātou i roto i te rongoā he alopecia o te ngaronga makawe. He rerekē anō hoki ngā momo o tēnei.
- Te Āropia Āropia Androgenic: Koinei te momo tino noa. He mate ira.
- Te Pakira o te Tāne: Ka tīmata pea i te wā taitamariki, i te wā e rua tekau tau pea te pakeke. Ko te tohu matua ko te hekenga o te raina makawe i ngā taha e rua o te rae me te pakira i te tihi o te mahunga.
- Pakira Tauira Wahine: Ka kitea tēnei i muri i te 40 tau te pakeke. Engari ko te pakira i ngā wāhi pēnei i ngā tāne, ka ngaro te makawe puta noa i te mahunga. He tino angiangi te makawe o te tumuaki.
- Alopecia Areata: Koinei te wā ka whakaekea hētia ai e tō tātou ake pūnaha ārai mate ngā pūtake makawe. Ka puta te pakira ohorere, te pakira koretake. Ko te nuinga ka pā ki ngā tamariki me ngā taiohi. Engari ko te rongo pai ko te 90% o te tangata ka tupu anō ō rātou makawe i roto i ētahi tau.
- Te Ngaungau o te Terogen: He āhuatanga rangitahi tēnei. Whakaarohia, i muri i tētahi ahotea nui, whānautanga, mate nui rānei, ka tīmata ohorere te ngaro o te nui o ō makawe. Ko te mea e tupu ana i konei ko te maha o ngā makawe ka uru ohorere ki te wā okiokinga (wāhanga Telogen) ka hinga. Kia ngaro te take, ka hoki anō ki te āhua noa.
- Te Alopecia Kutikuti: Mā te kutikuti i te makawe mā te kume rawa i te makawe (ngā whiri kutikuti, ngā hiku hoiho), me te whakamahi i ngā heru wera ka kino ngā pūtake makawe, ka mate ai te makawe tuturu.
- Te Alopecia e Whiua ana: Ka taea e ētahi mate kiri (cellulitis, folliculitis) me ngā āhuatanga pēnei i te lupus te whakaputa i te kiri māhunga, ka ngaro ai te makawe tuturu i aua wāhi.
Āe, he aha te take e marere ai ōku makawe pēnei? 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.
Ko te mea nui, ki te whakaaro koe kei te ngaro tō makawe, kimihia te tino take.Tirohia tō tākuta, ā, rapua he tohutohu.
- Ngā homoni: Ka puta te ngaronga o te makawe i ngā kore taurite o ngā homoni, pērā i ngā androgens, e pā ana ki ngā tāne me ngā wāhine.
- Ngā ira: He nui te awe o ngā ira tuku iho mai i ngā mātua e rua ki te āhua o te pakira.
- Te ahotea, te mate, me te whānautanga: E ai ki tā tātou i kōrero ai i mua ake nei, ka taea e ēnei te whakararu i te makawe mō te wā poto (Telogen Effluvium).
- Ētahi rongoā: Ka taea e te chemotherapy mō te mate pukupuku, ngā rongoā whakaiti toto, ētahi rongoā mō te toto toto tiketike, me ngā pire ārai whānau te whakararu i te makawe mō te wā poto.
- Ētahi atu āhuatanga hauora: Ka ngaro pea te makawe i te mate tairoi, te mate huka, te lupus, te anemia ngoikore rino, me ētahi mate kai.
- Ngā ngoikoretanga o te kai: Ko te kai iti i te pūmua, ngā huaora A, B, C, D, E, me ngā matūkai pēnei i te rino me te konutea ētahi atu take o te ngaronga o te makawe.
- Momo Makawe: Ka taea e ngā maimoatanga matū maha (te tae, te whakakōkī makawe) me te wera nui te ngoikore me te whati o te makawe.
Me pēhea te tautuhi tika a te tākuta i tēnei?
Ina kite koe i tētahi tākuta he raruraru makawe tōna, ka whai ia i ētahi mahi hei kimi i te pūtake.
1. Hītori hauora me te whakamātautau: Ka pātaihia koe mō tō hauora, mēnā kei roto i tō whānau tēnei raruraru, me ngā rongoā e tangohia ana e koe. Ka tirotirohia tō angaanga.
2. Ngā Whakamātautau Toto: Tērā pea ka tonoa koe kia whakamātauria he toto hei tirotiro i ngā taumata rino, te huaora D, me ngā homoni tairoi.
3. Trichoscopy: He whakamātautau tēnei e whakamahi ana i tētahi taputapu motuhake rite ki te kāmera hei whakanui i te kiri tumuaki me ngā pūtake makawe.
4. Kohikohi kiri: I ētahi wā, ka tangohia he wahi kiri iti rawa mai i te tumuaki ka tirotirohia, inā koa hei tirotiro mēnā he kiri makuku kua pakaru.
He aha ngā maimoatanga mō te ngaro o te makawe?
Ko te maimoatanga e whakawhirinaki ana ki te pūtake o te ngaronga o te makawe. Ka tupu anō ētahi pūtake ina rongoatia, engari ko ētahi āhuatanga (pēnei i te Scarring Alopecia) he pumau. Mā te maimoatanga ka mutu te ngaronga o te makawe.
He maha ngā maimoatanga matua mō te mate tino noa, arā, te pakira Androgenic Alopecia.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā rongoā | |
| Minoxidil | He wai, he pahuka rānei e pania tika ana ki te tumuaki. Ka whakaoho tēnei i ngā pūtake makawe, ā, ka āwhina i a rātou ki te tupu. |
| Finasteride | He pire tēnei kua whakaaetia mā ngā tāne. Ka whakahaere i te homoni e mate ai te makawe. |
| Ētahi atu maimoatanga (Ngā Tukanga) | |
| Te Tārua/Te Whakatō Makawe | Te tango i ngā pūtake huruhuru mai i tētahi wāhi he pai te huruhuru, pērā i te tuarā o te māhunga, ka whakatō anō ki ngā wāhi kāore he huruhuru. |
| Whakaora PRP (Whakaora Plasma Waiwai-Platelet) | Ka werohia te parāuma, e tangohia ana mai i ō ake toto, ki roto i te tumuaki hei whakaoho i te tupu o te makawe. |
| Te Whakaora Marama | Te whakaohooho i ngā pūtake makawe me te hihi mārama motuhake (te taiaho taumata-iti). |
Kia maumahara, ka roa te wā e pau ana ki ēnei maimoatanga. Tērā pea kāore e kitea ngā hua mō ngā marama e 3-6. Kia tūpato hoki ki ngā momo whakapaipai e kī ana ka "tupu te makawe i roto i ngā rā e 7". Me tīmata te maimoatanga i raro i te tohutohu a te tākuta whai tohu.
He aha tā tātou e taea ai te ārai i te ngaro o te makawe?
Kāore e taea te ārai i ngā mate makawe katoa, inā koa mēnā he take ira. Heoi anō, kei reira ētahi mea ka taea e tātou te mahi.
- Kai i te kai taurite:Kai i ngā kai whai kiko i roto i ngā matūkai pēnei i te pūmua, te rino, te konutea, me te biotin (huaora B7).
- Kia mārie ki ō makawe: Kaua e kukume rawa i ō makawe. Whakamahia he hopi me he hinu whakamakuku mārie.
- Āraia te wera nui: Whakawhāitihia te whakamahinga o ngā rino miro, ngā mīhini whakatika makawe, me ngā whakamaroke makawe (engari kaua e whakamahia i te pāmahana iti).
- Whakahaerehia te ahotea: Whakaitihia tō ahotea mā te whakamahi i ngā mahi pēnei i te yoga, te whakaaroaro, me te whakakori tinana.
Karere Tangohia ki te Kāinga
- He tino noa te ngaro o te makawe. Ehara i te mea ko koe anake.
- He mea noa te ngaro o te 50-100 makawe i te rā. Mēnā he nui ake i tēnā te ngaronga o ō makawe, he pakira rānei ō makawe i ētahi wāhi, kia tūpato.
- Ko te mea nui ko te toro atu ki tētahi tākuta whai tohu i te wā e taea ai mēnā he raruraru tōu. Mā te tere o te tautuhi i te pūtake, ka nui ake te tūponotanga o te maimoatanga.
- He tino whai hua ngā maimoatanga hauora ināianei mō te ngaro o te makawe, nō reira kaua e mutu te tumanako.
- Mena kei te pāngia tō hauora hinengaro e tēnei, kōrero atu ki tō tākuta mō tēnei mea. Ka taea hoki e koe te tiki āwhina mō tēnā.
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