Nthawi zambiri, monga mtsikana, mwina simumaganizira kwambiri za tsitsi lofewa, lozungulira lomwe limamera pathupi lanu, makamaka pankhope panu, pamlomo wapamwamba, ndi pachibwano. Koma bwanji ngati tsitsili mwadzidzidzi limakhala lolimba, lakuda, ndikuyamba kukula ngati ndevu za mwamuna? Vutoli lingakupangitseni kukhala ndi nkhawa komanso manyazi. Izi sizachilendo. Lero tikulankhula za vutoli, lomwe limadziwika mu sayansi ya zamankhwala kuti Hirsutism .
Mwachidule, kodi Hirsutism ndi chiyani?
Hirsutism ndi kukula kosazolowereka kwa tsitsi lokhuthala, lakuda, komanso lolimba pa thupi la mkazi m'malo omwe amuna nthawi zambiri amamera tsitsi, monga mlomo wapamwamba, chibwano, chifuwa, m'mimba, ndi msana. Izi n'zosiyana kwambiri ndi tsitsi lofewa, losalala la kumaliseche ("pichesi fuzz") lomwe nthawi zambiri limakhala nalo pathupi lanu.
Izi ziyenera kuti zikuchititsa manyazi kwambiri. Koma kumbukirani kuti, vutoli ndi lochiritsika . Simuyenera kuvutika nokha.
Ndani amene akukhudzidwa kwambiri ndi vutoli?
Matendawa amakhudza kwambiri akazi. Muli pachiwopsezo chachikulu chotenga hirsutism ngati muli ndi chimodzi mwa izi:
- Mbiri ya banja: Ngati wina m'banja mwanu, makamaka amayi kapena mlongo wanu, ali ndi vutoli, kapena vuto monga Polycystic Ovary Syndrome (PCOS) , inunso mungakhale nalo.
- Fuko: Anthu ochokera ku South Asia, Middle East, kapena Mediterranean ali ndi mwayi waukulu wopeza vutoli.
- Kunenepa kwambiri: Kunenepa kwambiri kungakhudzenso izi.
- Matenda ena: Izi zitha kuchitikanso chifukwa cha matenda ena, monga Congenital Adrenal Hyperplasia .
Matendawa ndi osowa kwambiri mwa ana. Ngati achitika, akhoza kukhala chizindikiro cha kutha msinkhu msanga. Zikatero, muyenera kuonana ndi dokotala.
Kodi zotsatira za hirsutism pa thupi ndi ziti?
Nkhani yabwino ndi yakuti hirsutism si vuto lalikulu la thanzi. Izi zikutanthauza kuti silingakupwetekeni kapena kukuvulazani kwambiri.
Komabe, izi zitha kukhala ndi zotsatirapo zazikulu pamalingaliro anu . Kuopa kukumana ndi anthu, manyazi, komanso kukhumudwa ndi inu nokha kungakupangitseni kukhala ndi nkhawa , nkhawa, komanso kuvutika maganizo . Chifukwa chake izi si vuto lokongoletsa kokha, komanso vuto lomwe lingakhudze thanzi lanu la maganizo.
Kodi zizindikiro za hirsutism ndi ziti?
Chizindikiro chachikulu ndi kukula kwa tsitsi lakuda lolimba lomwe tidalankhula kale. Komabe, anthu ena amathanso kukumana ndi zizindikiro zina. Timatcha izi kuti virilization . Mwachidule, virilization ndi kukula kwa makhalidwe a amuna chifukwa cha kuchuluka kwa mahomoni a amuna (androgens) m'thupi lanu.
| Gulu la zizindikiro | Zinthu zoti muwone |
|---|---|
| Chizindikiro chachikulu | Tsitsi lakuda lolimba limakula ngati munthu pankhope, pachifuwa, pamimba pamwamba, pamimba pansi, kumbuyo, ndi ntchafu. |
| Kubadwa kwa mwamuna (virilization) |
|
Kodi zifukwa za hirsutism ndi ziti?
Nthawi zambiri, sipangakhale chifukwa chomveka bwino cha izi, koma pali zifukwa zingapo zofala.
- Mahomoni a Androgen: Androgen ndi mtundu wa mahomoni achimuna. Aliyense amapanga mahomoni awa, koma amuna amawapanga mochuluka. Vutoli limatha kuchitika ngati thupi la mkazi lili ndi mahomoni ambiriwa, kapena ngati tsitsi lake limakhala losamva kwambiri.
- Matenda a Polycystic Ovarian Syndrome (PCOS): Chifukwa chachikulu komanso chofala kwambiri cha izi ndi matenda otchedwa PCOS. Anthu ambiri omwe ali ndi hirsutism ali ndi PCOS. Mu PCOS, mazira amapanga mahomoni ochulukirapo a androgen. Zizindikiro zina za PCOS ndi monga kusakhazikika kwa msambo, kunenepa kwambiri, matenda a shuga, ziphuphu, komanso kuvutika kutenga pakati.
- Pambuyo pa kusamba: Tsitsi la pankhope likhozanso kuwoneka chifukwa cha kusintha kwa mahomoni pambuyo pa kusamba.
- Matenda a Cushing: Izi zimachitika chifukwa cha kuchuluka kwa mahomoni otchedwa cortisol m'thupi.
- Matenda ena aakulu:Ngati mwadzidzidzi muyamba kuoneka tsitsi lochuluka, limodzi ndi mawu onyowa komanso zizindikiro za ziphuphu, izi zitha kukhala chizindikiro cha vuto lalikulu, monga chotupa mu ovary kapena adrenal gland. Chifukwa chake, muyenera kuwona dokotala nthawi yomweyo.
- Mankhwala ena: Mankhwala ena, monga anabolic steroids, testosterone, ndi minoxidil, angayambitsenso hirsutism ngati zotsatira zoyipa.
Kodi dokotala angatsimikizire bwanji izi?
Mukapita kwa dokotala, adzakuyesani kaye.
- Kuwunika thupi: Dokotala wanu adzayang'ana momwe tsitsi lanu limakulira komanso kuchuluka kwa tsitsi lomwe lili m'thupi lanu, komanso ngati muli ndi zizindikiro zina, monga ziphuphu. Angagwiritsenso ntchito sikelo ya Ferriman-Gallwey , yomwe imayika kukula kwa tsitsi m'malo asanu ndi anayi a thupi lanu kuti adziwe kuopsa kwa vutoli.
- Mayeso: Mayeso otsatirawa akhoza kuyitanidwa kuti apeze chifukwa:
- Kuyezetsa magazi: Yang'anani kuchuluka kwa mahomoni anu (makamaka androgens).
- Kujambula kwa Ultrasound: Yang'anani ngati muli ndi PCOS m'mazira obereketsa.
- Mayeso a X-ray: Nthawi zina fufuzani mazira kapena adrenal glands.
Kodi mankhwala ochizira izi ndi otani?
Inde, pali chithandizo cha izi. Pali njira zingapo zochiritsira. Dokotala wanu adzasankha chithandizo chabwino kwambiri cha vuto lanu.
| Njira yochizira | Kufotokozera za izi |
|---|---|
| Kusintha kwa Moyo | |
| Kuchepetsa thupi | Ngati muli ndi kunenepa pang'ono, kuchepetsa ngakhale 5% ya kulemera kwa thupi lanu kungathandize kuchepetsa kuchuluka kwa mahomoni a androgen ndikulamulira kukula kwa tsitsi. |
| Mankhwala operekedwa ndi dokotala | |
| Mapiritsi oletsa kubereka (Mapiritsi oletsa kubereka) | Mankhwalawa ndi omwe amagwiritsidwa ntchito kwambiri. Amachepetsa kuchuluka kwa androgen m'thupi komanso amawongolera nthawi ya msambo. |
| Mankhwala oletsa Androgen | Mankhwala monga Spironolactone amachepetsa kupanga kwa androgens m'thupi. |
| Kirimu wa Eflornithine (Vaniqa®) | Izi sizichotsa tsitsi, koma zimachepetsa kukula kwa tsitsi. Ziyenera kugwiritsidwa ntchito monga momwe dokotala wanu wanenera. |
| Njira Zochotsera Tsitsi | |
| Kukonza kwa Electrolysis | Singano yopyapyala kwambiri ndi kugunda kwamagetsi pang'ono kumawononga ma follicle a tsitsi limodzi ndi limodzi, zomwe zimapangitsa kuti tsitsi likhale lolimba. |
| Kuchotsa tsitsi pogwiritsa ntchito laser | Kuwala kwa laser kumawononga ma follicle a tsitsi ndikuletsa kukula kwa tsitsi. Iyi ndi njira yomwe imapereka zotsatira zabwino kwa nthawi yayitali. |
| Mankhwala Othandizira Pakhomo | |
| Kumeta | Njira yosavuta komanso yotetezeka. Koma muyenera kuchita izi nthawi zonse. |
| Kudula ndi Kudula Sera | Popeza tsitsi limachotsedwa kaye, zotsatira zake zimakhala kwa milungu ingapo. Koma zimatha kupweteka pang'ono. |
| Kuyeretsa | Zimachepetsa mdima wa tsitsi ndipo zimapangitsa kuti lisaonekere bwino. Anthu ena akhoza kukhala ndi vuto la khungu. |
Kodi ndiyenera kupita kwa dokotala liti?
Ndi bwino kupita kwa dokotala mwamsanga mukangoona mtundu uwu wa tsitsi lomwe likukula molakwika.
Popeza nthawi zina vuto la hirsutism lingakhale chizindikiro cha vuto lina, monga PCOS, ndikofunikira kupeza chomwe chimayambitsa ndikuchiza. Komanso, ngati mukumva kupsinjika maganizo kapena kuda nkhawa, lankhulani ndi dokotala wanu za vutoli. Iye adzatha kukupatsani upangiri ndi chithandizo chomwe mukufuna.
Uthenga Wopita Nawo Kunyumba
- Matenda a Hirsutism ndi matenda ofala komanso ochiritsika mwa akazi. Simuyenera kuchita manyazi nawo kapena kuvutika nokha.
- Chifukwa chachikulu cha izi ndi kuwonjezeka kwa mahomoni achimuna (androgens) m'thupi. Matenda otchedwa PCOS nthawi zambiri amagwirizanitsidwa ndi izi.
- Ngakhale izi sizingakhale zovulaza thupi, zitha kukhudza kwambiri thanzi lanu la maganizo, choncho samalani nazonso.
- Ngati mukuona kuti tsitsi lanu likukula molakwika, m'malo moyesa kupeza njira zothetsera vuto lanu, pitani kwa dokotala nthawi yomweyo kuti mudziwe chomwe chikuyambitsa vutoli ndikupeza chithandizo choyenera.
- Ngati muli ndi kunenepa pang'ono, kuchepetsa thupi m'njira yabwino kungakuthandizeni kwambiri pa chithandizo.
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