Mantombazane, ingabe ikhanda lenu linempandla? Ingabe kukhona ukuqothuka kwezinwele okuningi?

Uma ukhama izinwele zakho ekuseni, ingabe izinwele zakho zigcwele ikamu? Uma uqeda ukugeza, ingabe izinwele zakho zigcwele phansi endlini yokugezela? Uma uphinda ubeka umsila wakho wehhashi, awusafani yini nengxenye yobukhulu obunjalo? USamanmali akazizwa sengathi uya esibukweni ekuseni ngenxa yale nkinga yezinwele. Uma ubhekene nalesi simo, awuwedwa. Eqinisweni, abesifazane abaningi banale nkinga. Kodwa esikhundleni sokucabanga ukuthi, "O, akusimina ngedwa," futhi uzizwe udangele, akubalulekile yini ukwazi ukuthi kungani lokhu kwenzeka nokuthi yini esingayenza ngakho?

Abantu abaningi bacabanga ukuthi ukulahleka kwezinwele kungokwabesilisa kuphela nokuthi akusikhathazi. Kodwa bheka, akulona iqiniso lelo. Kuthiwa abesifazane abangaphezu kwengxenye bazobhekana nenkinga yokulahlekelwa izinwele ngesikhathi esithile empilweni yabo, okungukuthi, ukulahleka kwezinwele okukhulu! Ngakho-ke, lokhu akuyona inkinga ekuthinta wena kuphela. Kodwa, uma wazi kahle ukuthi yini ebangela lokho nokuthi yini ongayenza ngakho, kungcono kunokwesaba nje, akunjalo?

Kuyini ngempela "ukulahlekelwa izinwele ngendlela yabesifazane"?

Kalula nje, uma inani lezinwele eziphuma ekhanda lakho ngosuku liphezulu kakhulu kunokujwayelekile, yilokho esikubiza ngokuthi " ukulahlekelwa izinwele . " Ngokusho kodokotela, ukulahlekelwa izinwele ezingaba ngu-50 kuya ku-100 ngosuku kuyinto evamile. Kungokwemvelo. Njengoba nje amaqabunga amadala ewa esihlahleni, izinwele zethu ezindala ziyawa futhi izinwele ezintsha zikhula endaweni yazo. Lolu uhlelo oluhle emzimbeni. Kodwa inkinga iqala lapho lokhu kulinganisela, okungukuthi, ibhalansi phakathi kwenani lezinwele eziphumayo kanye nenani elingenayo, kulahleka. Uma ulahlekelwa izinwele ezingaphezu kuka-125 ngosuku, noma uma izinwele zakho zibukeka sengathi azinalutho ezindaweni ezithile, noma uma izinwele zakho zizizwa zinciphile futhi zinciphile kunangaphambili, leso yisimo esidinga ukunakwa. Kwezokwelapha, kunegama elihle lalokhu, elithi "Alopecia."

Sinezinwele cishe yonke indawo emizimbeni yethu, akunjalo? Yonke indawo ngaphandle kwezintende zezandla zethu, amathe ezinyawo zethu, izindebe, namajwabu amehlo! Ezinye izinwele zincane kakhulu, zifana nekotini, futhi zimfushane. Zibizwa ngokuthi "izinwele ze-vellus." Olunye uhlobo lubizwa ngokuthi "izinwele ezingapheli." Lezi izinwele ezinde, ezijiyile, ezimnyama emakhanda ethu esithanda ukuzikhulisa.

Indlela izinwele zethu ezikhula ngayo: Isifundo esincane sesayensi!

Izinwele zethu aziwi nje esibhakabhakeni bese ziwa nje, akunjalo? Kwenzeka ngomjikelezo ohlelekile kakhulu nojwayelekile. Kunezigaba ezintathu eziyinhloko zalo mjikelezo. Ake sibone ukuthi ziyini.

Isigaba sokukhula, esibizwa ngokuthi "i-anagen," sifushane kakhulu ngezinwele ezimfushane njengezinkophe zethu kanye nezinwele ezingalweni nasemilenzeni yethu. Kodwa izinwele ezisekhanda lethu zingakhula iminyaka eyisithupha, kanti kwabanye abantu zingakhula isikhathi eside nakakhulu! Akumangalisi lokho?

Izinwele zowesifazane ngamunye zihlukile!

Yebo, nalokhu kuyinto okudingeka uyazi. Akuwona wonke umuntu owela izinwele ngendlela efanayo, ngesizathu esifanayo. Kunezinhlobo ezintathu eziyinhloko esingazibona:

1. Ukulahlekelwa Izinwele Okubangelwa Yi-Androgenetic Alopecia / Iphethini Yabesifazane (FPHL): Lolu uhlobo oluvame kakhulu. Izinwele zivame ukuqala ukuba zincane phezulu nasemaceleni ekhanda. Abanye abantu bangase baqaphele ukuncipha kancane kancane komugqa wezinwele wangaphambili (owaziwa nangokuthi "umqhele"). Lokhu kuthonywa futhi yizakhi zofuzo.
2. I-Anagen Effluvium: Lokhu kwenzeka uma kukhona umonakalo osheshayo, omkhulu embotsheni yezinwele ngesikhathi sesigaba "se-anagen" sokukhula kwezinwele. Isibonelo, lokhu kungabangelwa imithi enamandla efana ne -chemotherapy yomdlavuza. Kulesi simo, izinwele ziyawa ngokushesha kakhulu, ngokuvamile zisuka ekhanda lonke.
3. Ukuphuma kwe-Telogen:Okwenzekayo ukuthi inani elikhulu lezinwele ekhanda lingena ngokuzumayo esigabeni "sokuphumula" esibizwa ngokuthi "telogen" bese liwa ngemva kwezinyanga ezimbalwa (ngokuvamile ngemva kwezinyanga ezingu-2-3). Esikhundleni sezinwele ezivamile eziyi-100 eziwa ngosuku, kulokhu, izinwele ezingu-300 noma ngisho nezingu-500 zingawa ngosuku. Cabanga ngokwesaba! Lokhu okulandelayo kuyizimbangela ezingaba khona:
   • Ukucindezeleka okukhulu – Into enzima ukuyithwala, njengokuhlolwa okuzayo, inkinga enkulu emsebenzini, noma ukulahlekelwa yilungu lomndeni.
   • Ngemva kokubeletha.
   • Ngemva kokuhlinzwa okukhulu.
   • Uma ulahlekelwa isisindo ngokuzumayo (njengokudla okuphazamisekile).
   • Izifo ezithile (isib. ukwanda noma ukwehla ngokuzumayo kokusebenza kwe-thyroid, umkhuhlane omkhulu).
   • Uma usebenzisa imithi ethile.

Ngempela? Ingabe abesifazane abaningi banale nkinga?

O yebo! Ngisho noma singazi, lokhu kuyinto evamile kakhulu. Nakuba abantu abaningi becabanga ukuthi ukulahleka kwezinwele kukhawulelwe kwabesilisa, izifundo zithole ukuthi abesifazane abangaphezu kuka-50% bazobhekana nokulahlekelwa okukhulu kwezinwele ngesikhathi esithile empilweni yabo. Ikakhulukazi isimo esishiwo ngenhla esibizwa ngokuthi i-FPHL (Female Pattern Hair Loss) sivame kakhulu kwabesifazane. Ngakho-ke, kuyaduduza ukwazi ukuthi awuwedwa, akunjalo?

Ungakubona kanjani ukulahleka kwezinwele? - Ake sibone izimpawu!

Ngezinye izikhathi sizithola sicabanga ukuthi, "O, izinwele zami ziyawa kakhulu, kwenzekani?" Kodwa ziyini ngempela izimpawu zalokhu? Ake sibheke.

• Izinwele eziningi kunokujwayelekile, izinwele yonke indawo: bheka umcamelo wakho ekuseni, bheka phansi endlini yokugezela uma ugeza, uma izinwele zihlangana ekamu lapho ukama izinwele zakho, leso yisibonakaliso sokuqala.
• Izinwele ziba zincane, isikhumba sekhanda siyabonakala: Izinwele ziba zibanzi ezindaweni ezithile, ikakhulukazi emgqeni wokuhlukana phakathi kwekhanda, futhi isikhumba sekhanda siyabonakala ngaso. Ubukhulu obabukhona ngaphambili abusekho.
• Umsila weponi usumncane futhi umncane: Uma umsila wakho weponi, owawukade umkhulu futhi uqinile, manje uzizwa umncane futhi umncane kangangokuthi awukwazi ngisho nokuwubamba ngesandla sakho uma uwubopha.
• Ukuphuka kwezinwele:Izinwele aziphumi kuqala, kodwa ziphuka phakathi nasemaphethelweni. Izinwele zizwakala zingenampilo uma uzithinta.

O, kungani izinwele zami zihamba kanje? - Akunasizathu esisodwa, ziningi!

Esikhundleni sokukhononda ngokuthi, "Kungani lokhu kwenzeka kimi?", bekungeke yini kube ukuhlakanipha ukuthola ukuthi yini ebangela lokhu? Empeleni, akusona isizathu esisodwa salokhu, kungaba nezizathu eziningi. Ake sibheke eziyinhloko.

1. Ukulimala okuzenzele kona embotsheni yezinwele:
   • Ukubopha izinwele zakho ngokuqinile kakhulu: Abanye abantu bagqoka izinwele zabo ngokuqinile kakhulu, njengasemisileni yamahhashi, ezilukiwe, noma eziboshwe ngezinwele. Uma udonsa izinwele zakho ngokuqinile kakhulu, kungalimaza izimpande zomgodi wezinwele futhi kubangele isimo esibizwa ngokuthi "i-traction alopecia." Ngokuhamba kwesikhathi, izinwele zingase ziyeke ukukhula kulezo zindawo.
   • Ukwelashwa Kwamakhemikhali Okunamandla: Ukuphumula izinwele njalo, ukugoba, nokufaka imibala nge-bleach eqinile kungenza izinwele zibe buthaka, okubangela ukuba ziphuke futhi ziwe.
2. Ukudla nokuphuza kanye nesiphithiphithi sendlela yethu yokuphila:
   • Ukwehlisa isisindo ngokushesha : Abanye abantu badla ukudla okungavamile ukuze banciphise isisindo ngokushesha. Ngisho noma belahlekelwa isisindo ngokuzumayo, imizimba yabo ingase ingatholi izakhamzimba ezidingayo futhi bangase baqale ukulahlekelwa izinwele.
   • Ukucindezeleka : Lena inkinga ethinta abantu abaningi kulezi zinsuku. Ukucindezeleka ngokweqile kungabangela isimo esibizwa ngokuthi "telogen effluvium" okukhulunywe ngaso ekuqaleni. Uma uNimal ezwa sengathi izinwele zakhe ziyawa kakhulu njengoba kusondela ukuhlolwa, ukucindezeleka kungaba yimbangela eyinhloko yalokho.
   • Ukuntuleka kwamavithamini namaminerali: Ukulahlekelwa izinwele kungenzeka uma umzimba ungatholi i-iron eyanele, i-zinc, i-vitamin D , kanye ne -vitamin B12 . Le nkinga ivame kakhulu kubantu abane-anemia.
3. Ukwelashwa kwezokwelapha kanye nezinye izifo zangaphakathi:
   • Ukwelashwa Nge-Chemotherapy Noma Ukwelashwa Ngemisebe: Sonke siyazi ukuthi lezi zindlela zokwelapha umdlavuza zibangela ukulahleka kwezinwele (i-anagen effluvium).
   • Izinkinga ze-thyroid: Amazinga aphezulu e-thyroid (hyperthyroidism) kanye naphansi (hypothyroidism) ama-hormone e-thyroid angabangela ukulahleka kwezinwele. Lokhu kuvamile kwabesifazane.
   • Ezinye izimo zezokwelapha: I-Alopecia areata (impandla enemibala, eyindilinga) kanye nezinye izifo zesikhumba (njengokutheleleka kwesikhunta) nazo zingabangela ukulahleka kwezinwele.
4. Izinguquko ze-Hormonal:
   • Ukukhulelwa kanye nokubeletha: Abanye abantu banezinwele ezinhle kakhulu nezijiyile ngesikhathi sokukhulelwa. Kodwa ngemva kwezinyanga ezimbalwa benomntwana, izinwele zabo zingase ziqale ukuwohloka ngokuzumayo. Lokhu kwenzeka kuMalini ngemva kokubeletha, futhi wayecabanga ukuthi izinwele zakhe ngeke ziphinde zikhule. Kodwa zanyamalala ngemva kwezinsuku ezimbalwa. Lokhu kuvame ukuba okwesikhashana, ungakhathazeki.
   • Ukunqamuka kokuya esikhathini: Phakathi nalesi sikhathi, amazinga ama-hormone abesifazane nawo ashintsha kakhulu. Ama-hormone afana ne-estrogen ayancipha. Ngenxa yalokho, izinwele zingaba zincane futhi ziwe kakhulu.
5. Imiphumela yemithi ethile kanye nezithasiselo:
   • Eminye imithi yokwelapha umfutho wegazi ophakeme, imithi yokwelapha i-gout, eminye imithi yokucindezeleka, kanye nokuphuza i-vitamin A eningi nakho kungabangela ukulahleka kwezinwele kwabanye abantu.
6. Izinto ezivela kuzakhi zofuzo zethu (Ukuthambekela Kwezakhi Zofuzo):
   • Uma umama wakho, ugogo, noma u-anti wakho babenomlando wokulahlekelwa izinwele esemncane, ungase ube sengozini enkulu kancane. Lena yimbangela eyinhloko yesimo esibizwa ngokuthi i-FPHL (ukuncipha kwezinwele zephethini yabesifazane).

Kwenzekani ezinweleni ngesikhathi sokunqamuka kokuya esikhathini?

Ukunqamuka kokuya esikhathini kuyisikhathi soshintsho olukhulu empilweni yowesifazane, akunjalo? Phakathi nalesi sikhathi, amazinga ama-hormone afana ne-estrogen emzimbeni ayancipha. Lezi zinguquko zama-hormone zithinta ngqo izinwele.

• Abanye abantu baqala ukuhluma izinwele ezintsha ezindaweni lapho kwakungekho khona izinwele ngaphambili, njengasebusweni nasesilevini.
• Futhi, izinwele ekhanda lakho ziqala ukuncipha futhi zibe zincane. Lokhu kungenxa yokuthi i-follicle yezinwele incipha kancane kancane, kanti izinwele eziphuma kuyo nazo ziba zincane futhi zingabi ziningi njengakuqala.

Ubani osengozini enkulu yokulahlekelwa izinwele?

Nakuba ukuqothuka kwezinwele kungathinta abesifazane banoma yibuphi ubudala, abanye abantu basengozini enkulu.

• Uma othile emndenini wakho enayo: Uma othile emndenini wakho (ikakhulukazi umama noma odadewenu) enezinkinga zokulahlekelwa izinwele, ungase ube nengxenye yalelo "fa".
• Ngemva kweminyaka engama-40: Amathuba ale nkinga anda kancane njengoba umuntu ekhula.
• Ngemva kokukhulelwa: Izinyanga ezimbalwa ngemva kokuzalwa komntwana.
• Kulabo abathola ukwelashwa okufana ne-chemotherapy noma ukwelashwa ngemisebe.
• Kwabesifazane abadlula noma asebedlule esikhathini sokunqamuka kokuya esikhathini.

Udokotela ukuxilonga kanjani lokhu ngqo?

Uma ukhathazekile ngokuthi izinwele zakho zilahlekelwa kakhulu, into engcono kakhulu ongayenza ukubona udokotela, okungcono kakhulu udokotela wesikhumba. Uzokuhlola kahle, athathe umlando onemininingwane, bese ezama ukuthola ukuthi yini ebangela lokhu. Bazobuza nanganoma yimiphi imithi noma amavithamini owaphuzayo.

Yikuphi ukuhlolwa okwenziwe kulokhu?

Ngezinye izikhathi, kungadingeka wenze izivivinyo ezimbalwa ukuze uthole imbangela eqondile. Ungakhathazeki, lezi akuzona izinkinga ezinkulu.

1. Ukuhlolwa Kokudonsa: Udokotela uzodonsa ingxenye encane yezinwele zakho. Udokotela uzobe esebheka inani lezinwele eziphumayo bese ekunikeza umbono wohlobo lokulahlekelwa izinwele.
2. Ukuhlolwa Kwesikhumba Sekhanda: Isikhumba sekhanda kanye nezimpande zezinwele kuhlolwa kusetshenziswa i-microscope noma ilensi ekhethekile (i-dermatoscope). Lokhu kukuvumela ukuthi uhlole ngokunembile isimo sezinwele zekhanda, ukuthi ngabe kukhona yini ukutheleleka ekhanda, nokuthi ngabe kukhona yini uqweqwe (uqweqwe).
3. Ukuhlolwa Kwegazi:Lolu vivinyo olubaluleke kakhulu oluvame ukwenziwa. Luhlola:
   • Amazinga e-iron (i-Serum ferritin) - Hlola ukuthi awunayo yini i-anemia. Lokhu kungaba yimbangela enkulu yokulahlekelwa izinwele.
   • Amazinga abalulekile ezakhamzimba njengevithamini D, ivithamini B12, kanye ne-zinc.
   • Amazinga e-hormone ye-thyroid (TSH, T3, T4).
   • Ngezinye izikhathi amazinga ama-hormone afana nama-androgens (uma kukhona okusolakala ukuthi kukhona isifo se-FPHL).
4. I-Biopsy Yesikhumba Sekhanda: Lokhu akwenziwa kuwo wonke umuntu. Kuphela uma ezinye izivivinyo zingatholi imbangela, noma uma kusolwa isimo esithile njenge-alopecia areata, kuthathwa ucezu lwesikhumba (ngokuvamile oluyindilinga encane engaba ngu-4 mm) ekhanda bese luhlolwa ngaphansi kwe-microscope. Umuthi omncane wokwenza kube nezinzwa ufakwa endaweni ngaphambi kokuba lokhu kwenziwe, ngakho-ke akubuhlungu kakhulu.

Eminye imibuzo udokotela angase akubuze yona

Udokotela angase akubuze imibuzo efana nale. Ukunikeza ulwazi olunembile noluyiqiniso kungasiza kakhulu ekutholeni imbangela.

• "Yimiphi imikhiqizo yezinwele oyisebenzisela izinwele zakho? (Chaza izinto ezifana ne-shampoo, i-conditioner, i-oyili, i-hair spray, i-gel)"
• "Uzigqoka kanjani izinwele zakho? Yiziphi izitayela zezinwele ovame ukuzigqoka? (Ingabe uzigqoka ziqine kakhulu, ingabe usebenzisa isitayela sokushisa?)"
• "Abanye abantu banomkhuba wokukhipha izinwele zabo lapho bebodwa, njengaseminweni yabo. Ingabe unawo lowo mkhuba (obizwa nangokuthi i-trichotillomania)?"
• "Ingabe ukhona emndenini – umama, ubaba, izingane zakubo, ugogo, umkhulu – olahlekelwe izinwele?"
• "Ingabe uke wabhekana nokucindezeleka okukhulu, ukudabuka, noma ukucindezeleka okukhulu empilweni yakho ezinyangeni eziyisithupha ezedlule? (isib. izivivinyo, izinkinga zomsebenzi, izinkinga zomndeni, ukulahlekelwa othile)"
• "Yimiphi imithi, amavithamini, kanye nezithasiselo ozithatha nsuku zonke njengamanje? (Ngitshele noma ngabe kuncane nje)"
• "Wake waba nezinwele ezinje ngaphambili? Uma kunjalo, wayithola yini imbangela yazo? Wawenzani ngalezo zinsuku?"
• "Iyini indlela yakho yokudla? Udla kangaki ngosuku? Udla ukudla okunomsoco okwanele (imifino, imifino, izithelo, inyama, inhlanzi, amaqanda)?"
• "Usunesikhathi esingakanani ubona ukuthi izinwele zakho ziqala ukuqothuka kanje? Ingabe zaqala ngokuzumayo, noma kancane kancane?"
• "Ingabe izinwele ziphuma kakhulu kunokujwayelekile? (Imalini etholakala emcamelweni, phansi endlini yokugezela, ekamu? Ingabe ziyaphuma uma uzithinta?)"
• "Ngaphandle kwesikhumba sekhanda, ingabe ulahlekelwa izinwele emashiya akho, ezingalweni, nakwezinye izingxenye zomzimba wakho?"
• "Ingabe uzizwa sengathi ukuncipha kwezinwele zakho kuyanda uma wenza izinto ezithile (isib. ukudla okuthile, imikhiqizo ethile yezinwele, amafutha athile)? Noma kubonakala sengathi kuncipha?"
• "Ingabe izinwele zakho ziyaqhubeka nokukhula, noma kukhona indlela ezima ngayo ngemva kwesikhashana?"
• "Uyalubona ushintsho ekubunjweni kwezinwele zakho? (Ingabe zincane kunangaphambili, ingabe ziyaphuka kalula, ingabe zomile, noma ingabe zinezinhlangothi ezihlukene?)"

Bheka, izimpendulo zale mibuzo zingasiza udokotela ukuthi athole umbono omuhle ngembangela yesimo sakho, njengomseshi!

Ngakho-ke wenzani ngalokhu? - Ake sifunde ngezindlela zokwelapha ngaphandle kokwesaba!

Into engcono kakhulu ongayenza ukuthola imbangela eqondile yokulahlekelwa izinwele zakho bese ukwelapha ngokufanele. Akukho ukwelashwa okulingana nakho konke. Kuncike embangeni yokulahlekelwa izinwele zakho, ubudala bakho, impilo yakho, nezinye izici.

1. Izinguquko zendlela yokuphila nezinto ezincane ongazenza ekhaya:
   • Ukulawula ukucindezeleka: Unganciphisa ukucindezeleka ngokwenza izinto ezifana ne -yoga , ukuzindla, ukuzibandakanya nomsebenzi wokuzilibazisa owuthandayo, kanye nokulala ngokwanele. Uma kudingeka, ukukhuluma nochwepheshe wezempilo yengqondo nakho kungaba usizo kakhulu.
   • Ukugwema izinto ezilimaza izinwele zakho: Gwema ukuqinisa izinwele zakho kakhulu, futhi ugweme ukwelashwa ngamakhemikhali okunzima (ukuphumula, ukuvumela, ukufiphaza ngokweqile) ngangokunokwenzeka. Uma usebenzisa isitayela sokushisa (imishini yokomisa izinwele, iziqondisi, izinsimbi zokugoqa), sebenzisa isifutho sokuvikela ukushisa bese usigcina endaweni ephansi kakhulu yokushisa.
   • Ukudla okunomsoco nokulinganiselayo: Kubaluleke kakhulu ukudla ukudla okucebile nge-iron, i-zinc, amaprotheni, namavithamini (ikakhulukazi i-Biotin ne-Vitamin D). Faka imifino, imifino, izithelo, amantongomane (njengama-alimondi nama-walnut), amaqanda, nenhlanzi ekudleni kwakho.
   • Ukunakekelwa kwezinwele ezithambile: Yiba mnene futhi ube mnene lapho ugeza futhi ukama izinwele zakho. Sebenzisa ama-shampoo nama-conditioner angena-sulfate, amnene. Ungadonsi noma ukhame izinwele ezimanzi kakhulu, njengoba izinwele zinozwela kakhulu ngaleso sikhathi.
2. Amavithamini kanye Nezithasiselo:
   • Kuphela uma ukuhlolwa kwegazi kuqinisekisa ukuthi unesifo sokuntuleka kwamavithamini (isib. I-Iron, i-Vitamin D, i-Biotin), udokotela wakho uzokunikeza ivithamini noma isithasiselo esifanele. Kungcono ukungagcini nje ngokuya ekhemisi uyothenga amavithamini ngesikhathi esifanele, ngoba ukuthatha amavithamini amaningi kungaba yingozi ezinweleni zakho (isib. i-Vitamin A).
3. Ukwelashwa Kwezokwelapha:
   • I-Minoxidil (eyaziwa nangokuthi i-Rogaine®): Lona umuthi ovame ukusetshenziswa kakhulu ovunyelwe yi-FDA wokulahlekelwa izinwele ngendlela yabesifazane (i-FPHL) kwabesifazane. Utholakala ngaphandle kwemithi kadokotela (i-OTC) njengesixazululo esingu-2% noma esingu-5% noma i-foam. Kufanele usetshenziswe ezindaweni ezinciphile zesikhumba sekhanda kanye noma kabili ngosuku.
     • Izinto okufanele uzazi: Uma usuqalile ukusebenzisa iMinoxidil, kungathatha izinyanga ezi-3-6 ukubona imiphumela. Udinga ukuqhubeka nokuyisebenzisa. Uma uyeka, izinwele ezintsha esezikhulile zingase zikhule futhi. Ngakho khuluma nodokotela wakho ngaphambi kokuthi uqale.
     • Ingabe ikhona imiphumela emibi?: Abanye abantu bangase babe nokulunywa, ukuqhekeka (njengokuqhekeka), ukubomvu, kanye nokoma kwesikhumba sekhanda. Uma lokhu kwenzeka, tshela udokotela wakho. Akuvamile ukuthi izinwele zikhule kwezinye izindawo ngaphandle kwesikhumba sekhanda, njengobuso nebunzi. Ngakho-ke qaphela lapho ushefa, geza izandla zakho kahle, futhi ugeze izindawo ezithinta isikhumba sekhanda.
     • I-Minoxidil ayifanele abesifazane abakhulelwe, labo abazama ukukhulelwa, noma omama abancelisayo.
   • Ama-anti-androgens (isibonelo, i-Spironolactone): Le mithi inciphisa ukusebenza kwama-hormone wesilisa abizwa ngokuthi ama-androgens emizimbeni yethu. Odokotela ngezinye izikhathi bayayinikeza le mithi ye-FPHL, ikakhulukazi uma ukulahleka kwezinwele kuhlotshaniswa nezimo ezifana ne-PCOS (i-Polycystic Ovary Syndrome). Le mithi kufanele ithathwe kuphela ngaphansi kwesiqondiso sikadokotela.
   • I-Finasteride: Empeleni lo muthi ukwelapha impandla yabesilisa. Kodwa-ke, kwezinye izimo ezikhethekile, njengabesifazane asebekhulile, lapho ezinye izindlela zokwelapha zehlulekile, odokotela bangase bawunikeze ngokuqapha okukhulu. Akukhuthazwa kwabesifazane abaseminyakeni yokuzala, njengoba ungabangela ukukhubazeka okukhulu kokuzalwa uma kukhulelwa umntwana wesilisa.
   • Ama-Corticosteroids:Uma ukulahleka kwezinwele kubangelwa yizimo zokuzivikela komzimba (lapho amasosha omzimba ehlasela khona amangqamuzana awo) njenge-alopecia areata, odokotela bangase bakunike imijovo ye-steroid esikhumbeni sekhanda noma ukhilimu wangaphandle.
   • Ukwelapha isimo sezokwelapha esiyimfihlo: Uma kutholakala ukuthi ukulahleka kwezinwele zakho kungenxa yenkinga ye-thyroid noma i-anemia, ukwelapha leso simo ngendlela efanele kungasiza ekulawuleni ukulahleka kwezinwele zakho.
4. Ezinye Izindlela Zokwelapha Ezithuthukisiwe:
   • Ukwelashwa Nge-Laser Esezingeni Eliphansi (LLLT): Lokhu kuhilela ukuqondisa imisebe ye-laser esezingeni eliphansi ekhanda, ukuvuselela ama-follicle ezinwele, njengokuvusa umuntu ebuthongweni. Kunemishini engasetshenziswa ekhaya, njenge-HairMax Lasercomb® kanye ne-Theradome LH80 PRO®. Eminye imitholampilo yesikhumba nayo inikeza lokhu kwelashwa. Lokhu kuvunyelwe yi-FDA yi-FPHL.
   • Ukuhlikihla izinwele nge-Microneedling: Lokhu kuhilela ukudala izimbobo ezincane ekhanda nge-roller noma ipeni elinezinaliti eziningi ezincane. Lokhu kuthiwa kuvuselela izimpande zezinwele, kuthuthukise ukujikeleza kwegazi, futhi kusize ekukhuleni kwezinwele. Ngezinye izikhathi kuhlanganiswa noketshezi lwe-Minoxidil, ukuze umuthi umunceke kangcono.
   • Ukwelashwa Nge-Plasma Ecebile Ngama-Platelet (PRP): Lokhu kuyindlela entsha yokwelapha. Kulokhu, kuthathwa inani elincane legazi lakho bese i-plasma, ecebile ngama-platelet nezinto zokukhula, ihlukaniswa kusetshenziswa umshini okhethekile. I-PRP eyigugu ibe isifakwa ezindaweni ezinciphile zesikhumba sekhanda ngenaliti encane kakhulu. Lokhu kukholakala ukuthi kukhuthaza ukukhula kwezinwele. Ngokuvamile, kudingeka izikhathi eziningana zokwelashwa, cishe kanye ngenyanga.
   • Ukuhlinzwa Kokufakelwa Izinwele: Lokhu kungaba yisisombululo esihle kulabo abanokulahlekelwa izinwele unomphela, njenge-FPHL, abangazange basabele kwezinye izindlela zokwelapha. Kulokhu, ama-follicular follicles (ama-follicular units) athathwa endaweni ebanzi yesikhumba sekhanda, njengasemuva kwekhanda, futhi atshalwa ngobunono ezindaweni lapho kungekho khona izinwele, okungukuthi amabala ampunga. Lena inqubo ebizayo futhi ethatha isikhathi, kodwa imiphumela ivame ukuba yaphakade.

Kubaluleke kakhulu: Udokotela kufanele anqume ukuthi yikuphi ukwelashwa okufanele wena. Kungcono ukungalaleli nje lokho abanye abakushoyo bese wenza lokho ozizwayo. Ikakhulukazi uma ukhulelwe, uzama ukukhulelwa, noma udlula esikhathini sokunqamuka kokuya esikhathini, ezinye izindlela zokwelapha zingase zingakulungeli. Ngakho-ke ngaphambi kokuqala noma yini, khuluma nodokotela wakho ngokucophelela bese ukhetha okulungele isimo sakho.

Uma ukulahleka kwezinwele kubangelwa yizimbangela zesikhashana, njengokucindezeleka noma izinguquko zamahomoni ngesikhathi sokukhulelwa, khona-ke isikhathi esiningi akukho ukwelashwa okukhethekile okudingekayo. Uma imbangela isiphelile, ukulahleka kwezinwele kuzophela ngokwako ngemva kwesikhashana, futhi izinwele zakho zizokhula zibe zinhle njengakuqala.

Uma ngidinga ukwelashwa ngalokhu, kufanele ngiye kubani?

Izinkinga zokulahlekelwa izinwele kwabesifazane zivame ukwelashwa udokotela wesikhumba, onolwazi olungcono kakhulu ngalokhu.

O, ingabe lezi zinwele azikwazi ukumiswa ekukhuleni?

Uma sikhuluma iqiniso, kunzima ukuvimbela zonke izinhlobo zokulahlekelwa izinwele. Isibonelo, kunzima ukuqeda ngokuphelele isimo esifana ne-FPHL esikhona emindenini. Kodwa-ke, kunezinto ezithile esingazenza ukulawula noma ukulibazisa ukulahlekelwa izinwele ngangokunokwenzeka.

• Gwema Ukwelashwa Kwamakhemikhali Okunamandla Ezinweleni: Gwema ukulimaza izinwele zakho ngokufaka amakhemikhali aqinile njalo ezinweleni zakho (okuphumula, okuvumela ukuba zikhanye, okususa umbala ngokweqile), futhi uzigweme ngangokunokwenzeka. Nikeza kuqala imikhiqizo yemvelo.
• Ukudla okunempilo nokunomsoco: Njengoba kushiwo ngaphambili, qiniseka ukuthi udla ukudla okunikeza umzimba wakho izakhamzimba ozidingayo (amavithamini, amaminerali, kanye namaprotheni). USunethra udla imifino, izithelo, namantongomane nsuku zonke, yingakho izinwele zakhe zisenempilo futhi zinhle.
• Ukunakekelwa Kwezinwele Okuthambile: Sebenzisa i-shampoo ne-conditioner engena-sulfate ethambile ezinweleni zakho.
• Ukulawula Ukucindezeleka: Landela izindlela zokunciphisa ukucindezeleka. Gcina ingqondo yakho ikhululekile.

Ikusasa liyoba njani? Ingabe lokhu kuzoba kuhle ngempela?

Lokhu kuncike ngokuphelele ekutheni ulahlekelwe izinwele onjani, ukuthi zinzima kangakanani, nokuthi uqala ngokushesha nangokufanele kangakanani ukwelashwa.

• Ezinye izimo zokulahlekelwa izinwele (isib. i-telogen effluvium) zingezesikhashana. Uma imbangela isisusiwe, izinwele zizokhula ziphinde zikhule zingakapheli izinyanga ezimbalwa.
• Izimo ezifana ne-FPHL zivame ukuba yizimo eziqhubekayo nezihlala njalo. Kodwa uma ukwelashwa kuqalwa kusenesikhathi, kunganciphisa izinga lokulahlekelwa izinwele futhi kuphinde kukhule ezinye izinwele. Kungase kungabuyeli ngokuphelele esimweni esijwayelekile.
• Uma i-follicle yezinwele yonakele unomphela (isib., ezinye izinhlobo ze-alopecia enesibazi, lapho izinwele ziwela khona ngendlela efana nesibazi ekhanda), izinwele ngeke ziphinde zikhule kulezo zindawo.
• Uma isimo sezempilo esicashile (isib. i-thyroid) selashwa kahle, singaholela ekukhuleni kwezinwele okungcono.

Ngakho-ke, kungcono ukungesabi, kodwa ukubona udokotela bese ubuza ukuthi ikusasa liphetheni ngesimo sakho.

Amathiphu ambalwa okukusiza ukubhekana nokulahlekelwa izinwele

Ukulahlekelwa izinwele zakho akulula, futhi kungaba nomthelela omkhulu empilweni yakho yengqondo. Kungaholela ekuzethembeni okuphansi kanye nokukhathazeka komphakathi. Kodwa-ke, kunezinto ezincane ongazenza ukuze zikusize ubhekane nazo.

• Umbala wezinwele: Uma udayi izinwele zakho, ikakhulukazi uma ufaka izinto ezigqamile, kwengeza ivolumu ezinweleni zakho futhi kuzenze zibukeke zigcwele kunalokho eziyikho ngempela.
• Ukuhlikihla ekhanda: Ngesikhathi ugeza izinwele zakho, noma uma nje uphumule, hlikihla isikhumba sakho sekhanda kancane ngeminwe yakho. Lokhu kuzothuthukisa ukujikeleza kwegazi ekhanda futhi kuvuselele ama-follicle ezinwele. Kungcono nakakhulu uma usihlikihla ngamafutha kakhukhunathi amancane.
• Ukushintsha isitayela sakho sezinwele: Kunezitayela zezinwele ezingenza izinwele zakho zibukeke zincane. Isibonelo, ukusika izinwele zakho zibe zimfushane, ukwengeza izendlalelo, nokuzikama eceleni kungangeza ukugcwala ezinweleni zakho. Ngemva kokuba uNimali enqume izinwele zakhe zibe zimfushane futhi engeze izendlalelo, wathola impendulo enhle kakhulu, futhi ukuzethemba kwakhe kwanda. Funa iseluleko kumuntu olungisa izinwele omuhle.
• Ama-Shampoo Okukhulisa Izinwele Nemikhiqizo: Sebenzisa imikhiqizo efana ne-shampoo, i-conditioner, kanye ne-mousse enezela ivolumu nokugcwala ezinweleni zakho. Khetha imikhiqizo ethambile engena-sulfate.
• Ama-Concealers Ekhanda: Ukuze unciphise ukubonakala kwesikhumba sekhanda, ungasebenzisa ama-concealers ekhanda asuselwe ku-powder, spray, noma i-fiber ahambisana nombala wezinwele zakho. Nakuba lezi kuyizixazululo zesikhashana, ziwusizo kakhulu uma udinga ukuphuma uma kunesimo esiphuthumayo.
• Amawigi, Izinwele, noma Izandiso: Uma izinwele zakho zincane kakhulu noma unezinwele ezinde, ungase uthande ukucabanga ngokusebenzisa amawigi, izinwele, noma izandiso. Kulezi zinsuku, ungathola amawigi abukeka emvelo kakhulu futhi asezingeni elihle.
• Amaqembu Okusekela:Ukukhuluma nabanye ababhekene nenkinga efanayo nawe nokwabelana ngolwazi kungaba umthombo omkhulu wamandla. Ungathola ngisho namaqembu anjengalawa ku-inthanethi.

Kufanele ngimbone nini udokotela?

Uma ubona noma yikuphi kwalokhu, bheka udokotela wesikhumba ngokushesha okukhulu:

• Uma kungazelelwe, ngaphandle kwesizathu esibonakalayo, izinwele eziningi ziqala ukuqothuka.
• Uma izinwele zincipha zibe namabala (ukulahlekelwa izinwele okunamabala), noma uma izinwele zibonakala zimpunga ezindilinga.
• Uma kunezinye izimpawu ze-dandruff, njengokulunywa, ubuhlungu, ukubomvu, ukuxebuka, kanye nokuqhekeka kwesikhumba sekhanda, kanye nezinwele.
• Uma ukhathazekile kakhulu futhi wesaba ngalokhu, ungakhathazeki futhi ukhale wedwa.

Khumbula, uma uqala ngokushesha ukwelapha ukulahleka kwezinwele, kulapho amathuba akho okubona imiphumela eba ngcono khona! Uma sekwephuzile, kungase kube nokuncane okufanele kwenziwe.

Yimiphi imibuzo ebaluleke kakhulu okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubhala phansi imibuzo ethile ephepheni. Ngaleyo ndlela, ngeke ukhohlwe lutho. Isibonelo, ungabuza imibuzo efana nale:

• "Dokotela, yini engaba yimbangela eyinhloko yokuthi izinwele zami ziphume kanje?"
• "Ungaqagela ukuthi zingaki izinwele engivame ukuzilahla ngosuku? Ingabe lokhu kuyinto evamile?"
• "Luhlobo luni lokulahlekelwa izinwele enginalo? (FPHL, Telogen Effluvium, njll.)"
• "Ingabe lesi yisimo esihlala njalo? Noma izinwele zami zizophinde zikhule? Kuze kube nini?"
• "Yiziphi izindlela zokwelapha ezingilungele? Hlobo luni lwemiphumela engingalulindela kubo?"
• "Ingabe kukhona imiphumela emibi evela kulezi zindlela zokwelapha?"
• "Kuzothatha isikhathi esingakanani ukubona imiphumela? Kuzothatha isikhathi esingakanani ukuthatha ukwelashwa?"
• "Yiziphi izinto ezikhethekile engingayenza ekhaya ukuvikela izinwele zami nokulawula lesi simo?"
• "Ingabe kukhona izinto okufanele ngizinake kakhulu lapho ngidla futhi ngiphuza? Ingabe kukhona ukudla okufanele ngikugweme?"
• "Ingabe izinto engizisebenzisayo njenge-shampoo, i-conditioner, namafutha ezinwele ziyakuthinta lokhu? Ingabe kufanele ngizishintshe?"

Ngakho-ke, bangani, ngithemba ukuthi nithole umbono ocacile kanye namandla amancane ngale ndaba ebucayi yokulahlekelwa izinwele kwabesifazane. Khumbula, ukulahlekelwa izinwele kuyinkinga yawo wonke umuntu. Kodwa-ke, kungaba nezizathu eziningi zalokhu, futhi ukwelashwa okungenziwa nakho kuthuthukile namuhla. Into engcono kakhulu ongayenza ukukhuluma nomuntu owaziyo ngalokhu, ikakhulukazi udokotela wesikhumba, kunokuba uhlupheke wedwa. Phatha izinwele zakho ngothando, futhi uzinakekele!