Ngaba uhlangabezana namanqanaba aphezulu eehomoni zamadoda emzimbeni wakho? Masithethe ngokukhula kwe-virilization kubasetyhini!

Ngaba ngamanye amaxesha uvakalelwa kukuba umzimba wakho uyatshintsha ngeendlela ezingafanelanga umfazi? Mhlawumbi ilizwi lakho liyarhawuzelela, okanye ukhula iinwele ezingafunekiyo ebusweni nasemzimbeni wakho. Ezi zinto zikwenza uzive unzima kakhulu, akunjalo? Enyanisweni, kwezonyango, le meko siyibiza ngokuba yi-``(Virilization)``. Nangona igama lisenokuvakala lisoyikisa xa usiva, namhlanje siza kuthetha ngokuchanekileyo nangokulula malunga nokuba yintoni le nto, kutheni yenzeka, indlela yokuyifumanisa, kunye nokuba kukho unyango na. Emva koko ungayiqonda kakuhle le nto.

Yintoni `(Ukusetyenziswa kweVirilization)`? Ngamafutshane...

Ngamafutshane, i-virilization (ebizwa ngokuba yi-"vee-ra-li-se-tion") kukuphuhliswa kweempawu zobudoda kwibhinqa okanye kusana olusandul’ ukuzalwa oluvezwa kwiihomoni zobudoda xa luzalwa. Oku kunokwenzeka ukuba ii-adrenal glands zakho zivelisa iihomoni zobudoda ezininzi kakhulu, ezibizwa ngokuba yi-androgens, okanye ukuba usebenzisa ii-anabolic steroids ukwandisa amandla akho.

Ngaba kukho umahluko kwindlela i-virilization echaphazela ngayo abafazi kunye namadoda?

Ewe, umfazi unokuba nale meko (ukudumba kwesikhumba) nanini na ubudala. Ukuba ichaphazela umfazi omdala, nazi ezinye izinto ezinokwenzeka:

• Amabele amancinci.
• Ukuqunjelwa kwesibeleko.
• Ukwandiswa kwe-clitoris.
• Ukuyeka rhoqo ngenyanga okanye ngokupheleleyo .

Kumadoda, imeko ebizwa ngokuba yi-`(Virilization)` ayibonakali kangako. Ukuba iimpawu azibonakali ekuzalweni, ezi mpawu ngamanye amaxesha zivela ngexesha le-`(Puberty)` . Amaxesha amaninzi, amakhwenkwe avelisa iihomoni ezininzi zamadoda i-`(Androgen)` adlula ebusheni ngaphambi kwabanye abantwana. Kumadoda amadala, ezi homoni ze-`(Androgen)` ezingaphezulu zinokunciphisa ukusebenza kwamasende, zinciphise amandla okufumana abantwana, kwaye ne-`(Infertility)` inokwenzeka.

Zithini iimpawu ze-`(Virilization)`?

Ezi mpawu azifani kuye wonke umntu kwaye zinokuhluka kumntu nomntu. Makhe sijonge iimpawu eziphambili ezinokubonwa:

• Ukukhula kweenwele okungafunekiyo ebusweni okanye emzimbeni: Olu luphawu lokuqala olubonwa ngabantu abaninzi. Khawuthelekelele, intombazana eselula efana noNimali iqala ukukhula iinwele ezinde, ezimnyama kunesiqhelo ebusweni bayo, esilevini, emlonyeni ophezulu, esifubeni, esiswini nasemqolo. Abanye abantu banokukhula iinwele ezinde, ezifana neendevu.
• Ukwanda kwe-acne okanye ulusu olunamafutha: Ukwanda kwe-acne ngequbuliso, ukuba ulusu luhlala lunamafutha, nako kungaba luphawu loku.
• Ukuya exesheni okungacwangciswanga: Ngamanye amaxesha ukuya exesheni kusenokungabikho kangangeenyanga, okanye kuphele ngokupheleleyo.
• Impandla yesitayile samadoda: Ukulahleka kweenwele kumacala omabini ebunzi, okufana noko kwamadoda, okukhokelela ekubeni nempandlaIinwele ziqala ukuhla.
• Ukunciphisa ubungakanani bebele: Amabele aba mancinci kunangaphambili.
• Ukwandiswa kwe-clitoris: Olu lutshintsho olukhulu.
• Ukujula kwelizwi: Ilizwi litsho ngequbuliso, litshintshe libe lilizwi lendoda .
• Umnqweno wesondo okhulayo: Usenokuba nomnqweno wesondo ongaphezulu kunesiqhelo.

Kutheni le nto `(Ukuchasana)` kwenzeka? Zithini izizathu?

Ngoku usenokuba uyazibuza, "Kutheni oku kusenzeka apha emhlabeni?" Isizathu esiphambili kukuveliswa kakhulu kweehomoni zamadoda, ezibizwa ngokuba zii-androgens, emzimbeni. Kukho iimeko ezahlukeneyo zempilo ezinokubangela oku:

• I-Congenital adrenal hyperplasia: Le yimeko yemfuza. Ibangelwa sisiphene ekuvelisweni kweehomoni ngamadlala e-adrenal, angamadlala amabini amancinci abekwe ngaphezulu kwezintso zethu. Oku kuphumela ekuvelisweni kweehomoni ze-androgen ezingaphezulu.
• I-Polycystic ovary syndrome (PCOS): Le yimeko ebonakala ngoku kumantombazana amaninzi nakubafazi. Le meko, eyenzeka kuma-ovari, inokubangela ukuveliswa kakhulu kweehomoni zamadoda.
• I-Cushing's syndrome: Imeko ebangelwa kukwanda kwamanqanaba e-cortisol emzimbeni ixesha elide. Oku kunokunyusa amanqanaba e-androgen.
• Iithumba ze-Adrenal gland (umz., `Adrenal adenoma`): Ukwakheka kweethumba kwi `(Adrenal glands)` endizikhankanyileyo ngaphambili. Ezi thumba, njenge `(Adrenal adenoma), zihlala zingengomhlaza (zingenobungozi), kodwa ngamanye amaxesha zinokuba ngumhlaza (ziyingozi). Ezi thumba zinokuvelisa `(Androgen).`
• Iithumba zesibeleko: Ezinye iintlobo zeethumba ezikhula kwii-ovari zinokuvelisa ii-hormone ze-androgen ezingaphezulu.

Ukongeza kwezi zizathu zonyango, le meko (i-virilization) inokubangelwa kukusetyenziswa kwee -anabolic steroids ukwandisa ukusebenza komzimba kunye nokwakha ubunzima bemisipha . Oku kubonakala ngakumbi kubantu abadlala imidlalo efana nokuphakamisa iintsimbi.

Ugqirha ufumanisa njani oku njenge-"Virilization"?

Ukuba unale mpawu, into yokuqala omawuyenze kukubona ugqirha. Ugqirha uza kukuxilonga kakuhle. Baza kukubuza ngeempawu zakho, ukuba kukho umntu kusapho lwakho okhe waba nazo ezi ngxaki, kunye namayeza owasebenzisayo.

Emva koko, ukuqinisekisa ukuba oku ngokwenene "yi-Virilization", kwaye ukuba kunjalo, yintoni ebangela oko, kwenziwa ezinye iimvavanyo:

• Uvavanyo lwegazi: Oku kujonga ikakhulu amanqanaba eehomoni ezahlukeneyo emzimbeni wakho, ingakumbi amanqanaba ehomoni i-androgen.
• Ezinye iimvavanyo zokuthatha imifanekiso:
• Iskeni ye-ultrasound: Oku kunokujonga naziphi na iithumba okanye ukukhula kwii-ovari kunye nee-adrenal glands.
• Iskeni ye-`CT (Computed Tomography)` okanye i-`MRI (Magnetic Resonance Imaging)`: Ezi zinokuhlola amalungu angaphakathi ngokucacileyo, ingakumbi iindawo ezifana neendlala ze-adrenal kunye ne-pituitary gland ebuchotsheni.

Ngaba kukho unyango lwe-"Virilization"?

Ewe, ngokuqinisekileyo lukho unyango. Nangona kunjalo, indlela yonyango ixhomekeke kwisizathu `(Ukuchama)`. Ugqirha wakho uya kukhetha unyango olukufaneleyo. Nazi ezinye zeendlela eziphambili zonyango:

• Iiglucocorticoids: Olu luhlobo lwe-steroid. Ukuba i-virilization ibangelwa yimeko yemfuza efana ne-congenital adrenal hyperplasia, oogqirha baya kunika la mayeza ukulawula ukuveliswa kweehomoni zamadoda yi-adrenal glands.
• Utyando lwe-Adrenalectomy: Ukuba le meko ibangelwa sisimila kwi-adrenal gland, utyando ludla ngokubandakanya ukususwa kwe-adrenal gland . Uninzi lwexesha, ezi zimila azinawo umhlaza. Nangona kunjalo, azinakuba ngumhlaza rhoqo, ngoko ke kubalulekile ukufumanisa ukuba yintoni kanye kanye ebangela le meko.
• Utyando lwe-Oophorectomy: Ukuba ezi mpawu zibangelwa ziithumba zesibeleko, utyando lolona nyango luqhelekileyo. Ngokuxhomekeke kwiminyaka yakho nokuba uceba ukuba nabantwana kwixesha elizayo, ugqirha wakho unokucebisa inkqubo ebizwa ngokuba yi-unilateral salpingo-oophorectomy (ukususwa kwe-ovary enye kunye ne-fallopian tube yayo). Oku kunokugcina amandla akho okufumana abantwana nge-ovary enye.

Kubalulekile: Nokuba yeyiphi na indlela yonyango, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye ubuye ngexesha ukuze uhlolwe.

Ngaba ezi mpawu "zokukhula kwe-virilization" zinokuguqulwa?

Kwiimeko ezininzi, ukuba unobangela uchongiwe kwaye unyangwa ngokufanelekileyo, iimpawu zokuchacha zinokubuyiselwa kwimeko yazo. Umzekelo, ukukhula kweenwele kunokuncipha, ukutyeba kwesikhumba kunokuncipha, kwaye ixesha lokuya exesheni linokubuyela esiqhelweni. Ugqirha wakho uza kwenza isicwangciso sonyango esifanelekileyo kuwe.

Kodwa kukho into enye endifuna ukuyikhankanya ngokukodwa. Ukuba abafazi abasebenzisa ii-anabolic steroids bafumana iimpawu ze-"virilization" endizikhankanyileyo ngaphambili, ngamanye amaxesha utshintsho olukhulu kwilizwi lunokuba yinto engapheliyo. Oko kukuthi, nokuba sele beyekile ukusebenzisa amayeza, ilizwi lisenokungavakali njengangaphambili. Nangona kunjalo, abanye abantu baye bakwazi ukuphinda basebenzise ilizwi labo ngokufumana unyango noqeqesho kwiziko loqeqesho lwelizwi elikhethekileyo ('iziko lelizwi').

Ngaba ukuchasana kwe-virilization kungathintelwa?

Ukuba unesifo semfuza esifana `(Congenital adrenal hyperplasia)`, asinakuthintelwa ngokupheleleyo. Kuba yinto eza nathi. Nangona kunjalo, ngonyango olufanelekileyo kunye neengcebiso, ungayilawula ngempumelelo le meko kwaye uphile ubomi obuqhelekileyo.

Kwelinye icala, ukuba uyakuphepha ukusebenzisa izinto ezifana ne-'Anabolic steroids', ungaphepha umngcipheko we-'(Virilization)' onokwenzeka ngazo. Ukuba uthatha i-'(Steroids)' nangasiphi na isizathu sezonyango, qiniseka ukuba uzithatha kuphela kwidosi kunye nexesha elimiselweyo njengoko ugqirha wakho emyalele. Landela imiyalelo kagqirha wakho ngokuchanekileyo ukunciphisa umngcipheko weempawu ezingafunekiyo.

Ndifanele ndimbone nini ugqirha?

Khumbula oku: Akukho mntu wazi umzimba wakho ngcono kunawe, akunjalo? Ngoko ke, ukuba ubona nantoni na engaqhelekanga emzimbeni wakho, utshintsho olutsha olungazange lubekho ngaphambili, okanye into ekubangela ukuba ungakhululeki, xelela ugqirha ngokukhawuleza.

Ngokukodwa, ukuba ufumana uphawu olunye okanye ngaphezulu lwe-"virilization" esixoxe ngayo kweli nqaku, njengokukhula kweenwele ngequbuliso, utshintsho lwelizwi, ukuya exesheni okungaqhelekanga, okanye naziphi na ezinye iimpawu ezingaqhelekanga, ngokuqinisekileyo kuya kufuneka uthethe nogqirha ngaloo nto. Emva koko unokufumanisa unobangela aze akucebise ukuba ufuna unyango okanye hayi, kwaye ukuba kunjalo, yintoni omawuyenze.

Yintoni umahluko phakathi kwe-`(Hirsutism)` kunye ne-`(Virilization)`?

Usenokuba ukhe weva igama elithi ``Hirsutism'' (hir-su-ti-sam). ``Hirsutism'' ibhekisa ekukhuleni kakhulu kweenwele emzimbeni womfazi, ingakumbi kwiindawo apho amadoda adla ngokuba neenwele (ezifana nobuso, isifuba, isisu, umqolo, namathanga angaphakathi).

Umahluko ngowuphi ke ngoko?

Abantu abane-`(Hirsutism)` badla ngokuba neempawu ezimbalwa kunezo zine-`(Virilization)`, kwaye azikho nzulu kangako. Kwi-`(Hirsutism)`, into ephambili ebonwayo kukukhula kweenwele.

Nangona kunjalo, kwi-"Virilization", ukongeza ekukhuleni kweenwele, ezinye iimpawu ezicacileyo zobudoda ezifana nokujula kwelizwi, ukwanda kwe-clitoris, ukuncipha kwamabele, kunye nokukhula kwemisipha kunokubonwa.

Njenge-Virilization, i-Hirsutism inokubangelwa kukuveliswa kakhulu kwee-hormone ze-androgen ezivela kwi-adrenal glands okanye kuma-ovari. Nangona kunjalo, i-Hirsutism inokuba luphawu lwezinye iimeko, ezifana ne-Polycystic ovary syndrome (PCOS) kunye ne-Cushing syndrome. Ngamafutshane, i-Virilization yimeko enzima kakhulu kwaye inoluhlu olubanzi lweempawu zamadoda kune-Hirsutism.

Yintoni `(Indoda engafumani ntsholongwane)`?

Oku kufana nelinye icala le-`(Virilization)`. Siyibiza ngokuba yi-`(Undervirilized male)`,Ngokwemfuza, umzimba wendoda uvelisa amanqanaba angaphantsi kwesiqhelo eehomoni zamadoda (androgens) okanye umzimba awuphenduli kakuhle kwezi homoni, nto leyo ebangela ukuba kubekho iimpawu ezithile zobufazi. Umzekelo, ukufikisa okulibazisekileyo, ukukhula okunciphileyo kwezihlunu, uboya obunciphileyo emzimbeni, kunye nokukhula kwamabele kunokwenzeka.

Okokugqibela, into ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, ndicinga ukuba uyiqonda kakuhle `(i-Virilization)` ngoku. Eyona nto ibalulekileyo kukuba ukuba uziva ungakhululekanga ngomzimba wakho, ukuba uvakalelwa kukuba awuhambelani nobufazi bakho, kunokuba nefuthe elikhulu kwimpilo yakho yengqondo. Nceda ungakhathazeki ucinge, "Kutheni oku kusenzeka kum?", "Ngaba ndim ndedwa onje?"

Kwakhona, kunokubakho imeko yempilo efihlakeleyo emva kwezi mpawu ekufuneka inyangwe. Ukuba ayichongwanga kwaye ayinyangwa ngokufanelekileyo, inokukhokelela kwiingxaki ezingakumbi.

Ngoko ke, ukuba unesikrokro sokuba uneempawu ze-`(Virilization)`, nceda ungoyiki okanye ube neentloni ukubona ugqirha, uthethe ngayo, ufumane uxilongo ukuba kuyimfuneko, kwaye ufumane unyango olufanelekileyo. Leyo yeyona nto ilungileyo onokuyenza. Awuwedwa, kukho oogqirha abanokukunceda ngezi zinto.

Ukuchama , iimpawu zamadoda nabasetyhini, ukungalingani kwamahomoni, ii-androgens, ukukhula kweenwele, i-acne, i-PCOS, ii-adrenal glands, ii-steroids