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)` .
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.
` Te whakawhānautanga, ngā āhuatanga tāne me te wahine, te kore taurite o ngā homoni, ngā androgens, te tupu o te makawe, te hakihaki, te PCOS, ngā repe adrenal, ngā steroids











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