Kei te piki haere ngā taumata o ngā homoni tāne i roto i tō tinana? Me kōrero tātou mō te whakawhanaungatanga o ngā wāhine!

Kei te whakaaro koe i ētahi wā kei te huri haere tō tinana i ngā huarahi kāore e tika mō te wahine? Tērā pea kei te paku pāorooro tō reo, kei te tupu rānei ngā huruhuru kāore e hiahiatia i tō mata me tō tinana. Mā ēnei mea ka tino taumaha koe, kāore? Inaa, i roto i te rongoā, ka kiia tēnei mate ko te "(Virilization)". Ahakoa he ahua whakamataku te ingoa ina rongo koe, i tēnei rā ka kōrerohia e tātou he aha tēnei, he aha i puta ai, me pēhea te kite, me te mea he maimoatanga kei reira. Kātahi ka taea e koe te mārama ki tēnei.

He aha te (Virilization)? He māmā noa iho...

Ki te whakarapopoto, ko te whakawhanaungatanga (e whakahuatia ana ko "vee-ra-li-se-tion") ko te whanaketanga o ngā āhuatanga tāne i roto i te wahine , i te pēpi hou rānei kua pāngia e ngā homoni tāne i te whānautanga. Ka tupu pea tēnei mena he nui rawa ngā homoni tāne e whakaputaina ana e ō repe adrenal, e kiia nei ko ngā androgens, mena rānei kei te whakamahi koe i ngā steroids anabolic hei whakanui ake i tō kaha.

He rerekētanga kei waenganui i te pānga o te virilization ki ngā wāhine me ngā tāne?

Ae, ka taea e te wahine te pāngia e tēnei āhuatanga (te whakawhanaungatanga) i ngā tau katoa. Mena ka pā ki te wahine kaumātua, anei ētahi mea ka pā:

• Ngā ū iti ake.
• Ngā whakahekenga o te kōpū.
• Te whakanui ake i te kiore.
• Te mutunga kore o te paheketanga o ia marama, te mutunga katoa rānei .

Mō ngā tāne, kāore i te tino kitea te āhuatanga e kiia nei ko te (Virilization). Mēnā kāore ngā tohu e kitea i te whānautanga, ka puta mai ēnei tohu i te wā (Puberty) . He maha ngā wā, ko ngā tama e whakaputa ana i ngā homoni tāne (Androgen) ka tere ake te pakeketanga i ētahi atu tamariki. Mō ngā tāne pakeke, ka taea e ēnei homoni (Androgen) te whakaiti i te mahi a ngā poro, te whakaiti i te kaha ki te whānau tamariki, ā, ka puta pea te (Infertility) .

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He aha ngā tohu o te (Virilization)?

Kāore ēnei tohu e ōrite mō te katoa, ā, ka rerekē pea i ia tangata, i ia tangata. Me titiro tātou ki ngā tohu matua ka kitea:

• Te tupu o ngā huruhuru kāore e hiahiatia ana i te mata, i te tinana rānei: Koinei te tohu tuatahi ka kitea e te tini o te tangata. Whakaarohia, ka tīmata ohorere te tupu o tētahi kōtiro pērā i a Nimali ki te tupu i ngā huruhuru matotoru, mangu ake i tōna mata, kauae, ngutu o runga, uma, puku, me te tuara. Tērā pea ka tupu ngā huruhuru matotoru, rite ki te pahau i ētahi tāngata.
• Te pikinga o te hakihaki, te kiri hinuhinu rānei: Ko te pikinga ohorere o te hakihaki, ki te mea he hinuhinu tonu te kiri, he tohu anō pea tēnei.
• Te paheketanga koretake: I ētahi wā, ka ngaro pea te paheketanga mō ngā marama, ka mutu katoa rānei.
• Pakira tāne: Ka ngaro te makawe i ngā taha e rua o te rae, he rite ki te ngaronga o te makawe o ngā tāne, ā, ka pakira te makawe.Kei te tīmata te marere o te makawe.
• Te whakaiti i te rahi o ngā ū: Ka iti haere ngā ū i tō mua.
• Te whakanui ake i te kiore: He huringa nui anō hoki tēnei.
• Te hōhonutanga o te reo: Ka pāorooro whakarere te reo, ka huri hei reo tāne .
• Te pikinga ake o te hiahia moepuku: Tērā pea ka nui ake te hiahia moepuku i tōu ake tikanga.

He aha i puta ai tēnei (Virilization)? He aha ngā take?

Tērā pea kei te whakaaro koe, "He aha rawa tēnei e tupu nei?" Ko te take matua ko te nui rawa o ngā homoni tāne, e kiia nei ko ngā androgens, i roto i te tinana. He maha ngā āhuatanga hauora ka whai wāhi ki tēnei:

• Te hyperplasia adrenal whānau: He mate ira tēnei. Ka puta mai i te hapa o te hanga homoni e ngā repe adrenal, arā, he repe iti e rua kei runga ake i ō tātou whatukuhu. Ka hua ake tēnei i te nui rawa o ngā homoni androgen.
• Te mate ovarian polycystic (PCOS): He mate tēnei e kitea ana i roto i te tini o ngā kōtiro me ngā wāhine. Ka taea hoki e tēnei mate, e puta ana i roto i ngā ovaries, te whakaputa nui rawa o ngā homoni tāne.
• Te mate a Cushing: He mate e puta mai ana i te nui rawa o te homoni cortisol i roto i te tinana mō te wā roa. Ka taea hoki e tēnei te whakanui ake i ngā taumata androgen.
• Ngā pukupuku o te repe adrenal (hei tauira, 'Adrenal adenoma'): Ko te hanganga o ngā pukupuku i roto i ngā (ngā repe adrenal) i kōrerotia e au i mua ake nei. Ko ēnei pukupuku, pērā i te (Adrenal adenoma), he maha ngā wā kāore e pāngia e te mate pukupuku (pai), engari i ētahi wā ka pāngia e te mate pukupuku (kino). Ka taea e ēnei pukupuku te whakaputa (Androgen).
• Ngā pukupuku ovarian: Ko ētahi momo pukupuku e puta ana i roto i ngā ovaries ka taea hoki te whakaputa i ngā homoni androgen nui rawa atu.

Haunga ēnei take hauora, ka taea hoki te whakaputa i tēnei āhuatanga (whakapūtanga kiri) e te whakamahinga o ngā steroids anabolic hei whakanui ake i te mahi tinana me te hanga papatipu uaua . Ka kitea nuitia tēnei i waenga i te hunga e takaro ana i ngā hākinakina pēnei i te hiki taumaha.

Me pēhea te tautuhi a te tākuta i tēnei hei "Virilization"?

Ki te pāngia koe e ēnei tohu, ko te mea tuatahi me mahi e koe ko te toro atu ki te tākuta. Ka tirotirohia koe e te tākuta. Ka pātai atu rātou mō ō tohu, mēnā kua pāngia tētahi o tō whānau e ēnei mate, me ngā rongoā e tangohia ana e koe.

Kātahi, hei whakaū mēnā he "Virilization" tēnei, ā, mēnā koinā, he aha te take, ka whakahaerehia ētahi whakamātautau:

• Whakamātautau toto: Ko te whakamātautau matua he tirotiro i ngā taumata o ngā homoni rerekē i roto i tō tinana, inā koa te taumata o te homoni androgen.
• Ētahi atu whakamātautau whakaahua:
• Matawai Ultrasound: Ka taea e tēnei te tirotiro i ngā pukupuku, i ngā tipu rānei i roto i ngā ovaries me ngā repe adrenal.
• He matawai CT (Computed Tomography) he matawai MRI (Magnetic Resonance Imaging) rānei: Ka taea e ēnei te tirotiro mārama ake i ngā whekau o roto, inā koa ngā wāhi pēnei i ngā repe adrenal me te repe pituitary i roto i te roro.

He rongoā kei te wātea mō te (Virilization)?

Ae, he rongoā tērā. Heoi, ko te tikanga rongoā kei runga i te pūtake o te (Virilization). Mā tō tākuta e whiriwhiri te rongoā e tino tika ana māu. Anei ētahi o ngā tikanga rongoā matua:

• Glucocorticoids: He momo steroid anō hoki tēnei. Mena ka puta te virilization i tētahi āhuatanga ira pēnei i te congenital adrenal hyperplasia, ka tohua e ngā tākuta ēnei rongoā hei whakahaere i te hanga o ngā homoni tāne e ngā repe adrenal.
• Te tango i te adrenal gland: Mena he pukupuku kei roto i te repe adrenal te take o tēnei mate, ko te tikanga o te pokanga ko te tango i te repe adrenal . I te nuinga o te wā, ehara ēnei pukupuku i te mate pukupuku. Heoi, he onge te kore e mate pukupuku, nō reira he mea nui kia kitea te take o te mate.
• Te tango i te ovaries: Mena ko ēnei tohumate he pukupuku ovarian, ko te pokanga te maimoatanga paerewa. I runga i tō tau me te whakaaro kei te hiahia koe ki te whānau tamariki ā muri ake nei, ka tūtohu pea tō tākuta i tētahi tikanga e kiia nei ko te salpingo-oophorectomy unilateral (te tango i tētahi ovaries me tōna ngongo fallopian). Mā tēnei pea ka tiakina tō āheinga ki te whānau tamariki mā tētahi atu ovaries.

He mea nui: Ahakoa te tikanga maimoatanga, he mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta, kia hoki mai anō hoki mō ngā tirotiro hauora i te wā tika.

Ka taea te whakakore i ēnei tohu "whakapūtanga wahine"?

I te nuinga o te wā, ki te kitea te take, ā, ka rongoatia tika, ka taea te whakakore i ngā tohu o te whakawhanaungatanga. Hei tauira, ka heke pea te tipu o te makawe, ka heke pea te hinu o te kiri, ā, ka hoki anō te paheketanga ki te āhua noa. Ma tō tākuta e whakawhanake he mahere maimoatanga e tika ana māu.

Engari kotahi te mea e hiahia ana ahau ki te kōrero motuhake. Mena ka pāngia ngā wāhine e whakamahi ana i ngā steroids anabolic e ngā tohu o te "whakapūtanga o te reo" i kōrerotia e au i mua ake nei, i ētahi wā ka pumau tonu te huringa nui o te reo. Arā, ahakoa kua mutu te rongoā, kāore pea te reo e rite ki mua. Heoi, kua taea e ētahi tāngata te whakahoki mai i te teitei o te reo mā te whiwhi maimoatanga me te whakangungu i tētahi pokapū whakangungu reo motuhake (Voice center).

Ka taea te ārai i te whakawhānautanga?

Mena he mate ira tōu pēnei i te (Congenital adrenal hyperplasia), kāore e taea te ārai katoa. Nā te mea he mea e haere tahi mai ana me tātou. Heoi, mā te maimoatanga hauora me ngā tohutohu tika, ka taea e koe te whakahaere angitu i tēnei mate me te noho i te oranga noa.

I tētahi atu ringa, ki te karo koe i te whakamahi i ngā mea pēnei i te 'Steroids Anabolic', ka taea e koe te karo i te tūponotanga o te '(Virilization)' ka puta mai i roto i aua mea. Mena kei te tango koe i te '(Steroids)' mō tētahi take hauora, kia tino tangohia e koe i roto i te horopeta me te wā kua whakaritea e tō tākuta. Whāia ngā tohutohu a tō tākuta kia tika ai te whakaiti i te tūponotanga o ngā tohu kāore e hiahiatia.

Āhea ahau me toro atu ki te tākuta?

Kia maumahara ki tēnei: ​​Kāore he tangata e mōhio ana ki tō tinana i a koe anō, tika? Nō reira, ki te kite koe i tētahi mea rerekē mō tō tinana, i tētahi huringa hou kāore i reira i mua, i tētahi mea rānei e whakararuraru ana i a koe, me kōrero tonu atu ki te tākuta.

Ina koa, ki te pāngia koe e tētahi, e ētahi rānei o ngā tohu o te "whakapūtanga wahine" i kōrerohia e mātou i roto i tēnei tuhinga, pērā i te tupu ohorere o te makawe, te rerekētanga o te reo, te paheketanga koretake, me ētahi atu tohu rerekē rānei, me kōrero koe ki te tākuta mō tēnei mea. Kātahi ka taea e ia te whakatau i te take me te tohutohu i a koe mēnā me rongoā koe, ā, mēnā koinā, me aha koe.

He aha te rerekētanga i waenganui i te (Hirsutism) me te (Virilization)?

Kua rongo pea koe i te kupu "Hirsutism" (hir-su-ti-sam). Ko te "Hirsutism" e pā ana ki te tupu nui o te huruhuru i te tinana o te wahine, inā koa i ngā wāhi he huruhuru ngā tāne (pērā i te mata, te uma, te puku, te tuara, me ngā huha o roto).

He aha te rerekētanga?

He iti ake ngā tohu o te hunga e pāngia ana e te (Hirsutism) i te hunga e pāngia ana e te (Virilization), ā, kāore i te tino kino. I roto i te (Hirsutism), ko te mea nui e kitea ana ko te tupu o te makawe.

Heoi, i roto i te "Whakapūtanga Wahine", i tua atu i te tupu o te makawe, ka kitea anō hoki ētahi atu āhuatanga tāne pērā i te hohonutanga o te reo, te whakanui i te kiore, te whakaiti i ngā ū, me te tupu o ngā uaua.

Pērā i te Virilization, ka puta pea te Hirsutism i te nui rawa o te whakaputanga o ngā homoni androgen mai i ō repe adrenal, i ō ovaries rānei. Heoi, ka taea hoki e te Hirsutism te tohu i ētahi atu mate, pērā i te Polycystic ovary syndrome (PCOS) me te Cushing syndrome. Ki te kī ngāwari, ko te Virilization he mate kino ake, ā, he whānui ake ngā āhuatanga tāne i te Hirsutism.

He aha te (Tāne ngoikore te kaha o te wahine)?

He rite tēnei ki tētahi atu taha o te (Te Whakapūtanga Viril). Ka kiia e mātou ko (Te Tāne Kāore i te Pūtāviri),I runga i te ira, ka iti iho i te tikanga ngā taumata o ngā homoni tāne (androgens) e whakaputaina ana e te tinana o te tāne, kāore rānei te tinana e aro tika ki ēnei homoni, ka hua ake ētahi āhuatanga wahine. Hei tauira, ka roa pea te pakeketanga, ka iti haere te tipu o te uaua, ka iti haere te huruhuru o te tinana, me te whanaketanga o ngā ū.

Hei whakamutunga, he mea hei maumahara (Karere hei tango ki te kāinga)

Nō reira, ki taku whakaaro kua mārama pai koe ki te (Virilization) ināianei. Ko te mea nui, ki te kore koe e pai ki tō tinana, ki te kore koe e pai ki tō āhua wahinetanga, ka pā nui pea ki tō hauora hinengaro. Kaua e manukanuka, kaua hoki e whakaaro, "He aha ahau i pēnei ai?", "Ko au anake tēnei?"

Waihoki, tera pea he mate hauora kei muri i ēnei tohu e tika ana kia rongoatia. Ki te kore e tika te tautuhi me te rongoā, ka ara ake pea ētahi atu raruraru.

Nō reira, ki te mea he iti noa iho tō whakapae kei a koe ngā tohu o te (Virilization), kaua e wehi, kaua hoki e whakama ki te toro atu ki te tākuta, kōrero mōna, tiki tātaritanga mēnā e tika ana, ā, tiki i te maimoatanga tika. Koinei te mea pai rawa atu ka taea e koe te mahi māu ake. Kāore koe i te mokemoke, kei reira ngā tākuta hei āwhina i a koe ki ēnei mea.