Kodi nthawi zina mumamva kuti thupi lanu likusintha m'njira zomwe sizili zoyenera kwa mkazi? Mwina mawu anu akumveka pang'ono, kapena mukumera tsitsi losafunikira pankhope ndi m'thupi lanu. Zinthuzi zimakupangitsani kumva kulemera kwambiri, sichoncho? Ndipotu, mu zamankhwala, timatcha vutoli kuti ``(Virilization)``. Ngakhale kuti dzinalo lingamveke ngati loopsa pang'ono mukalimva, lero tikambirana momveka bwino komanso mwachidule za chomwe ichi ndi chiyani, chifukwa chake chimachitika, momwe tingachizindikire, komanso ngati pali chithandizo. Kenako mutha kumvetsetsa bwino izi.
Kodi `(Virilization)` ndi chiyani? Mwachidule...
Mwachidule, virilization (yomwe imatchedwa "vee-ra-li-se-tion") ndi kukula kwa makhalidwe a amuna mwa mkazi kapena mwana wakhanda amene amakumana ndi mahomoni achimuna pobadwa. Izi zitha kuchitika ngati adrenal glands yanu imapanga mahomoni achimuna ambiri, otchedwa androgens, kapena ngati mugwiritsa ntchito ma anabolic steroids kuti muwonjezere mphamvu zanu.
Kodi pali kusiyana pakati pa momwe virilization imakhudzira akazi ndi amuna?
Inde, mkazi akhoza kukhala ndi vutoli (virilization) pa msinkhu uliwonse. Ngati limakhudza mkazi wachikulire, nazi zina zomwe zingachitike:
- Mabere ang'onoang'ono.
- Kupweteka kwa m'mimba.
- Kukula kwa clitoris.
- Kusiya kwa mwezi uliwonse kosakhazikika kapena kwathunthu .
Kwa amuna, vuto lotchedwa `(Virilization)` silikuonekera bwino. Ngati zizindikiro sizikuoneka pobadwa, zizindikirozi nthawi zina zimawonekera pa nthawi ya `(Ukalamba)` . Nthawi zambiri, anyamata omwe amapanga mahomoni ambiri achimuna `(Androgen)` amatha kutha msinkhu msanga kuposa ana ena. Mwa amuna akuluakulu, mahomoni ochulukirapo a `(Androgen)` amatha kuchepetsa kugwira ntchito kwa machende, kuchepetsa kuthekera kobereka ana, komanso `(Kusabereka)` kumatha kuchitika.
Kodi zizindikiro za `(Virilization)` ndi ziti?
Zizindikiro izi sizili zofanana kwa aliyense ndipo zimatha kusiyana malinga ndi munthu. Tiyeni tiwone zizindikiro zazikulu zomwe zingawonekere:
- Kumera kwa tsitsi kosafunikira pankhope kapena pathupi: Ichi ndi chizindikiro choyamba chomwe anthu ambiri amachiwona. Tangoganizirani, mtsikana wachichepere ngati Nimali mwadzidzidzi amayamba kukula tsitsi lokhuthala komanso lakuda kuposa masiku onse pankhope pake, pachibwano, pamlomo wapamwamba, pachifuwa, m'mimba, ndi kumbuyo. Anthu ena amatha kukula tsitsi lokhuthala ngati ndevu.
- Kuchuluka kwa ziphuphu kapena khungu lamafuta: Kuwonjezeka mwadzidzidzi kwa ziphuphu, ngati khungu nthawi zonse limakhala lamafuta, kungakhalenso chizindikiro cha izi.
- Kusamba kosakhazikika: Nthawi zina kusamba kungakhale kulibe kwa miyezi ingapo, kapena kumatha kutha kwathunthu.
- Tsitsi la amuna: Kutaya tsitsi mbali zonse ziwiri za pamphumi, mofanana ndi la amuna, zomwe zimapangitsa kuti tsitsi likhale losaoneka bwinoTsitsi likuyamba kugwa.
- Kuchepetsa kukula kwa bere: Mabere amakhala ang'onoang'ono kuposa kale.
- Kukula kwa clitoris: Ichinso ndi kusintha kwakukulu.
- Kuzama kwa mawu: Mawuwo mwadzidzidzi amakhala osamveka bwino, akusintha kukhala mawu a mwamuna .
- Kuwonjezeka kwa chilakolako chogonana: Muthanso kukhala ndi chilakolako chogonana kwambiri kuposa masiku onse.
N’chifukwa chiyani `(Virilization)` imachitika? Kodi zimayambitsa chiyani?
Tsopano mwina mukudabwa kuti, "N'chifukwa chiyani izi zikuchitika?" Chifukwa chachikulu ndi kuchuluka kwa mahomoni achimuna, otchedwa androgens, m'thupi. Pali matenda angapo omwe angayambitse izi:
- Matenda a adrenal hyperplasia obadwa nawo: Ichi ndi vuto la majini. Limayamba chifukwa cha vuto la kupanga mahomoni ndi ma adrenal glands, omwe ndi ma glands awiri ang'onoang'ono omwe ali pamwamba pa impso zathu. Izi zimapangitsa kuti pakhale mahomoni ochulukirapo a androgen.
- Matenda a Polycystic ovary syndrome (PCOS): Uwu ndi matenda omwe akupezeka mwa atsikana ndi akazi ambiri. Matendawa, omwe amapezeka m'mazira, angayambitsenso kupanga mahomoni a amuna mopitirira muyeso.
- Matenda a Cushing: Matenda omwe amayamba chifukwa cha kuchuluka kwa mahomoni otchedwa cortisol m'thupi kwa nthawi yayitali. Izi zingawonjezerenso kuchuluka kwa androgen.
- Zotupa za Adrenal gland (monga, `Adrenal adenoma`): Kupangika kwa zotupa mu `(Adrenal glands)` zomwe ndatchula kale. Zotupa izi, monga `(Adrenal adenoma), nthawi zambiri sizikhala ndi khansa (zoipa), koma nthawi zina zimakhala ndi khansa (zoopsa). Zotupa izi zimatha kupanga `(Androgen).`
- Zilonda za m'chiberekero: Mitundu ina ya zotupa zomwe zimapangidwa m'chiberekero ingathenso kupanga mahomoni ochulukirapo a androgen.
Kuwonjezera pa zifukwa zachipatala izi, vutoli (virilization) lingayambitsidwenso ndi kugwiritsa ntchito ma anabolic steroids kuti awonjezere mphamvu zakuthupi ndikumanga minofu . Izi zimawonekera makamaka pakati pa anthu omwe amachita masewera monga kukweza zolemera.
Kodi dokotala amazindikira bwanji izi ngati "Virilization"?
Ngati muli ndi zizindikiro izi, chinthu choyamba chomwe muyenera kuchita ndikuonana ndi dokotala. Dokotalayo adzakuyang'anirani bwino. Adzakufunsani za zizindikiro zanu, ngati pali aliyense m'banja mwanu amene wakhalapo ndi matendawa, komanso mankhwala omwe mukumwa.
Kenako, kuti atsimikizire ngati izi ndi ``Virilization'', ndipo ngati ndi choncho, chomwe chikuyambitsa, mayeso ena amachitika:
- Kuyezetsa magazi: Izi zimayesa kuchuluka kwa mahomoni osiyanasiyana m'thupi lanu, makamaka kuchuluka kwa androgen.
- Mayeso ena ojambula zithunzi:
- Kujambula kwa Ultrasound: Izi zitha kuwona ngati pali zotupa kapena zotupa zilizonse m'mazira ndi m'matenda a adrenal.
- Kujambula kwa `CT (Computed Tomography)` kapena `MRI (Magnetic Resonance Imaging)`: Izi zimatha kufufuza ziwalo zamkati momveka bwino, makamaka madera monga adrenal glands ndi pituitary gland muubongo.
Kodi pali mankhwala a `(Virilization)`?
Inde, pali chithandizo chenicheni. Komabe, njira yochizira imadalira chifukwa cha `(Virilization)`. Dokotala wanu adzasankha chithandizo chomwe chili choyenera kwa inu. Nazi zina mwa njira zazikulu zochizira:
- Glucocorticoids: Iyi ndi mtundu wa steroid. Ngati virilization imayamba chifukwa cha matenda a majini monga congenital adrenal hyperplasia, madokotala adzalemba mankhwala awa kuti azitha kuwongolera kupanga mahomoni a amuna ndi adrenal glands.
- Kuchotsa Adrenalectomy: Ngati vutoli layamba chifukwa cha chotupa mu adrenal gland, opaleshoni nthawi zambiri imaphatikizapo kuchotsa adrenal gland . Nthawi zambiri, zotupa izi si khansa. Komabe, nthawi zambiri sizingakhale khansa, choncho ndikofunikira kudziwa chomwe chikuyambitsa vutoli.
- Kuchotsa mazira: Ngati zizindikirozi zayamba chifukwa cha zotupa za mazira, opaleshoni ndiyo njira yodziwika bwino yothandizira. Kutengera ndi msinkhu wanu komanso ngati mukufuna kukhala ndi ana mtsogolo, dokotala wanu angakulangizeni njira yotchedwa unilateral salpingo-oophorectomy (kuchotsa mazira amodzi ndi chubu chake cha mazira). Izi zingakutetezeninso kuti muzitha kubereka ana kudzera mu mazira ena.
Chofunika: Mosasamala kanthu za njira yochizira, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola ndikubwerera kuchipatala nthawi yake.
Kodi zizindikiro za "virilization" izi zingathe kuthetsedwa?
Nthawi zambiri, ngati chifukwa cha matendawa chadziwika ndikuchiritsidwa moyenera, zizindikiro za virilization zimatha kutha. Mwachitsanzo, kukula kwa tsitsi kumatha kuchepa, mafuta a khungu amatha kuchepa, ndipo nthawi ya msambo ikhoza kubwerera mwakale. Dokotala wanu adzapanga dongosolo la chithandizo lomwe ndi loyenera kwa inu.
Koma pali chinthu chimodzi chomwe ndikufuna kunena makamaka. Ngati akazi omwe amagwiritsa ntchito ma anabolic steroids akumana ndi zizindikiro za ``virilization'' zomwe ndatchula kale, nthawi zina kusintha kwakukulu kwa mawu kumatha kukhala kosatha. Izi zikutanthauza kuti, ngakhale atasiya kugwiritsa ntchito mankhwalawa, mawu sangamvekenso monga kale. Komabe, anthu ena atha kuyambiranso kumveka bwino kwa mawu awo mwa kulandira chithandizo ndi maphunziro ku malo ophunzitsira mawu apadera (`Voice center`).
Kodi virilization ingapewedwe?
Ngati muli ndi vuto la majini monga `(Congenital adrenal hyperplasia)`, silingathe kupewedwa kotheratu. Chifukwa ndi chinthu chomwe chimabwera ndi ife. Komabe, ndi chithandizo choyenera chamankhwala ndi upangiri, mutha kuwongolera vutoli bwino ndikukhala moyo wabwinobwino.
Kumbali inayi, ngati mupewa kugwiritsa ntchito zinthu monga `Anabolic steroids`, mutha kupewa chiopsezo cha `(Virilization)` chomwe chingachitike kudzera mwa iwo. Ngati mukumwa `(Steroids)` pazifukwa zilizonse zachipatala, onetsetsani kuti mwamwa mankhwalawa mu mlingo komanso kwa nthawi yomwe dokotala wanu wakupatsani. Tsatirani malangizo a dokotala wanu molondola kuti muchepetse chiopsezo cha zizindikiro zosafunikira.
Kodi ndiyenera kupita kwa dokotala liti?
Kumbukirani izi: Palibe amene amadziwa bwino thupi lanu kuposa inu, eti? Chifukwa chake, ngati muwona china chake chachilendo m'thupi lanu, kusintha kwatsopano komwe sikunakhalepo kale, kapena china chake chomwe chikukuvutitsani, uzani dokotala mwachangu.
Makamaka, ngati mukukumana ndi chimodzi kapena zingapo mwa zizindikiro za "virilization" zomwe takambirana m'nkhaniyi, monga kukula kwa tsitsi mwadzidzidzi, kusintha kwa mawu, kusakhazikika kwa msambo, kapena zizindikiro zina zachilendo, muyenera kulankhula ndi dokotala za izi. Kenako akhoza kudziwa chomwe chikuyambitsa ndikukulangizani ngati mukufunikira chithandizo kapena ayi, ndipo ngati ndi choncho, choti muchite.
Kodi kusiyana pakati pa `(Hirsutism)` ndi `(Virilization)` ndi kotani?
Mwina munamvapo mawu akuti ``Hirsutism'' (hir-su-ti-sam). ``Hirsutism'' imatanthauza kukula kwambiri kwa tsitsi m'thupi la mkazi, makamaka m'malo omwe amuna nthawi zambiri amakhala ndi tsitsi (monga nkhope, chifuwa, mimba, msana, ndi ntchafu zamkati).
Kodi kusiyana kwake n’kutani?
Anthu omwe ali ndi `(Hirsutism)` nthawi zambiri amakhala ndi zizindikiro zochepa kuposa omwe ali ndi `(Virilization)`, ndipo siwowopsa kwambiri. Mu `(Hirsutism)`, chinthu chachikulu chomwe chimawoneka ndi kukula kwa tsitsi.
Komabe, mu "Virilization", kuwonjezera pa kukula kwa tsitsi, zizindikiro zina za amuna monga kuzama kwa mawu, kukulirakulira kwa clitoris, kuchepa kwa mabere, ndi kukula kwa minofu zitha kuoneka.
Monga Virilization, Hirsutism imatha kuchitika chifukwa cha kupanga mahomoni a androgen ambiri kuchokera ku adrenal glands kapena mazira. Komabe, Hirsutism ingakhalenso chizindikiro cha matenda ena, monga Polycystic ovary syndrome (PCOS) ndi Cushing syndrome. Mwachidule, Virilization ndi vuto lomwe ndi loopsa kwambiri ndipo limakhala ndi makhalidwe osiyanasiyana a amuna kuposa Hirsutism.
Kodi `(Mwamuna wosadwala kwambiri)` ndi chiyani?
Izi zili ngati mbali ina ya `(Virilization)`. Timazitcha `(Mwamuna wosavutika ndi virilism)`,Mwa majini, thupi la mwamuna limapanga mahomoni achimuna (androgens) ochepa kuposa omwe ali abwinobwino kapena thupi siliyankha bwino mahomoni amenewa, zomwe zimapangitsa kuti akazi azioneka ngati akazi. Mwachitsanzo, kuchedwa kutha msinkhu, kuchepa kwa minofu, kuchepa kwa tsitsi m'thupi, komanso kukula kwa mawere kungachitike.
Pomaliza, chinthu choyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)
Kotero, ndikuganiza kuti tsopano mwamvetsa bwino za `(Virilization)`. Chofunika kwambiri ndichakuti ngati simukumva bwino ndi thupi lanu, ngati mukuona kuti silikugwirizana ndi ukazi wanu, zitha kukhudzanso thanzi lanu la maganizo. Chonde musadandaule ndikuganiza kuti, "N'chifukwa chiyani izi zikundichitikira?", "Kodi ndine ndekha amene ndili chonchi?"
Komanso, pakhoza kukhala vuto linalake la thanzi lomwe liyenera kuchiritsidwa. Ngati silinapezeke bwino ndi kuchiritsidwa, lingayambitse mavuto ena.
Choncho, ngati mukukayikira ngakhale pang'ono kuti muli ndi zizindikiro za `(Virilization)`, chonde musachite mantha kapena kuchita manyazi kupita kwa dokotala, kukambirana za vutoli, kupeza matenda ngati pakufunika kutero, ndikupeza chithandizo choyenera. Ndicho chinthu chabwino kwambiri chomwe mungachite nokha. Simuli nokha, pali madokotala omwe angakuthandizeni ndi izi.
Kuchuluka kwa virilization, makhalidwe a amuna ndi akazi, kusalingana kwa mahomoni, androgens, kukula kwa tsitsi, ziphuphu, PCOS, adrenal glands, ma steroid











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