Ingabe ubhekene namazinga aphezulu ama-hormone wesilisa emzimbeni wakho? Ake sixoxe ngokukhula kwe-virilization kwabesifazane!

Ingabe ngezinye izikhathi uzizwa sengathi umzimba wakho uyashintsha ngezindlela ezingafanele owesifazane? Mhlawumbe izwi lakho liyasha kancane, noma ukhula izinwele ezingadingeki ebusweni nasemzimbeni wakho. Lezi zinto zikwenza uzizwe usinda kakhulu, akunjalo? Eqinisweni, kwezokwelapha, lesi simo sibizwa ngokuthi ``(Ukushiswa kwezinwele)``. Nakuba igama lingase lizwakale lithusa kancane uma ulizwa, namuhla sizoxoxa ngqo nangokulula ngokuthi kuyini lokhu, kungani kwenzeka, ukuthi kutholakala kanjani, nokuthi kukhona yini ukwelashwa. Khona-ke ungathola ukuqonda okucacile ngalokhu.

Kuyini `(Ukusebenzisa i-Virilization)`? Kalula nje...

Kalula nje, i-virilization (ebizwa ngokuthi "vee-ra-li-se-tion") ukuthuthuka kwezici zesilisa kowesifazane noma enganeni esanda kuzalwa evezwa ama-hormone esilisa lapho izalwa. Lokhu kungenzeka uma izindlala zakho ze-adrenal zikhiqiza ama-hormone esilisa amaningi kakhulu, abizwa ngokuthi ama-androgens, noma uma usebenzisa ama-anabolic steroids ukwandisa amandla akho.

Ingabe kukhona umehluko endleleni i-virilization ethinta ngayo abesifazane nabesilisa?

Yebo, owesifazane angaba nalesi simo (ukuchayeka emzimbeni) kunoma yimuphi ubudala. Uma kuthinta owesifazane omdala, nansi ezinye izinto ezingenzeka:

• Amabele amancane.
• Ukufinyela kwesibeletho.
• Ukwanda kwe-clitoris.
• Ukuphela kokuya esikhathini kwanyanga zonke okungajwayelekile noma okuphelele .

Kwabesilisa, isimo esibizwa ngokuthi `(Virilization)` asibonakali kangako. Uma izimpawu zingabonakali ekuzalweni, lezi zimpawu ngezinye izikhathi zivela ngesikhathi `(Ukuthomba)` . Ngokuvamile, abafana abakhiqiza ama-hormone wesilisa amaningi `(Androgen)` badlula esikhathini sokuthomba ngaphambi kwabanye abantwana. Kwabesilisa abadala, la ma-hormone `(Androgen)` amaningi anganciphisa ukusebenza kwama-testicles, anciphise ikhono lokuthola abantwana, futhi ngisho `(Ukungazali)` kungenzeka.

Ziyini izimpawu ze-`(Virilization)`?

Lezi zimpawu azifani kuwo wonke umuntu futhi zingahluka kumuntu nomuntu. Ake sibheke izimpawu eziyinhloko ezingabonakala:

• Ukukhula kwezinwele okungafunwa ebusweni noma emzimbeni: Lesi yisibonakaliso sokuqala abantu abaningi abasiqaphelayo. Cabanga nje, intombazane encane efana noNimali iqala ukukhula izinwele ezijiyile nezimnyama kunokujwayelekile ebusweni bayo, esilevini, endebeni ephezulu, esifubeni, esiswini nasemhlane. Abanye abantu bangase bakhule izinwele ezijiyile, ezifana nentshebe.
• Ukwanda kwezinduna noma isikhumba esinamafutha: Ukwanda kwezinduna ngokuzumayo, uma isikhumba sihlala sinamafutha, nakho kungaba uphawu lwalokhu.
• Ukuya esikhathini okungajwayelekile: Ngezinye izikhathi ukuya esikhathini kungase kungabi khona izinyanga eziningi, noma kungase kuphele ngokuphelele.
• Impandla yephethini yabesilisa: Ukulahlekelwa izinwele ezinhlangothini zombili zebunzi, okufana nokwabesilisa, okuholela ekubeni nempandlaIzinwele seziqala ukuqothuka.
• Ukunciphisa usayizi webele: Amabele aba mancane kunangaphambili.
• Ukwandiswa kwe-clitoris: Lokhu futhi kuyishintsho elibalulekile.
• Ukujula kwezwi: Izwi liba yisihosho ngokuzumayo, lishintshe libe yizwi lowesilisa .
• Ukwanda kwesifiso socansi: Ungase ube nesifiso socansi esiningi kunokuvamile.

Kungani lokhu `(Ukuhlushwa kwe-Virilization)` kwenzeka? Ziyini izimbangela?

Manje ungase uzibuze, "Kungani lokhu kwenzeka emhlabeni?" Isizathu esiyinhloko ukukhiqizwa ngokweqile kwama-hormone wesilisa, abizwa ngokuthi ama-androgens, emzimbeni. Kunezimo eziningana zempilo ezingaba nomthelela kulokhu:

• I-Congenital adrenal hyperplasia: Lesi yisimo sofuzo. Sibangelwa ukukhubazeka ekukhiqizweni kwama-hormone yizindlala ze-adrenal, okuyizindlala ezimbili ezincane ezitholakala ngaphezu kwezinso zethu. Lokhu kuphumela ekukhiqizweni kwama-hormone e-androgen amaningi.
• I-Polycystic ovary syndrome (PCOS): Lesi yisimo esibonakala manje kwamantombazane nabesifazane abaningi. Lesi simo, esenzeka kuma-ovari, singabangela nokukhiqizwa ngokweqile kwama-hormone wesilisa.
• I-Cushing's syndrome: Isimo esibangelwa amazinga aphezulu e-cortisol emzimbeni isikhathi eside. Lokhu kungandisa namazinga e-androgen.
• Izimila ze-adrenal gland (isb., `Adrenal adenoma`): Ukwakheka kwezimila ku-`(Adrenal glands)` engikhulume ngakho ekuqaleni. Lezi zimila, njenge-`(Adrenal adenoma), zivame ukungabi nomdlavuza (ezingemnandi), kodwa ngezinye izikhathi zingaba nomdlavuza (eziyingozi). Lezi zimila zingakhiqiza `(Androgen).`
• Izimila zesibeletho: Ezinye izinhlobo zezimila ezakheka kuma-ovari nazo zingakhiqiza ama-hormone e-androgen amaningi.

Ngaphezu kwalezi zizathu zezokwelapha, lesi simo (ukushiswa kwemisipha) singabangelwa nokusetshenziswa kwama -anabolic steroid ukwandisa ukusebenza komzimba nokwakha imisipha . Lokhu kubonakala ikakhulukazi kubantu abadlala imidlalo efana nokuphakamisa izinsimbi.

Udokotela ukuhlonza kanjani lokhu ngokuthi "i-Virilization"?

Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela. Udokotela uzokuxilonga kahle. Bazokubuza ngezimpawu zakho, ukuthi ukhona yini emndenini wakho oke waba nalezi zimo, nokuthi imiphi imithi oyiphuzayo.

Bese kuthi, ukuqinisekisa ukuthi lokhu ngempela "kuyi-Virilization" noma cha, futhi uma kunjalo, yini ebangela lokhu, kwenziwa ezinye izivivinyo:

• Ukuhlolwa kwegazi: Lokhu kuhlola amazinga ama-hormone ahlukahlukene emzimbeni wakho, ikakhulukazi izinga le-androgen ye-hormone.
• Okunye ukuhlolwa kwezithombe:
• Ukuskena nge-ultrasound: Lokhu kungahlola noma yimaphi ama-cyst noma ukukhula kuma-ovari kanye nezindlala ze-adrenal.
• Isikeni se-`CT (Computed Tomography)` noma i-`MRI (Magnetic Resonance Imaging)`: Lokhu kungahlola izitho zangaphakathi ngokucacile, ikakhulukazi izindawo ezifana nezindlala ze-adrenal kanye ne-pituitary gland ebuchosheni.

Ingabe kukhona ukwelashwa kwe-`(Virilization)`?

Yebo, kukhona ukwelashwa okuqinisekile. Kodwa-ke, indlela yokwelapha incike embangela `(Ukuhlushwa kwe-Virilization)`. Udokotela wakho uzokhetha ukwelashwa okukufanele kakhulu. Nazi ezinye zezindlela zokwelapha eziyinhloko:

• Ama-Glucocorticoids: Lolu futhi uhlobo lwe-steroid. Uma i-virilization ibangelwa yisimo sofuzo njenge-congenital adrenal hyperplasia, odokotela bazonikeza le mithi ukulawula ukukhiqizwa kwama-hormone wesilisa yizindlala ze-adrenal.
• Ukuhlinzwa kwe-Adrenal: Uma lesi simo sibangelwa isimila esise-adrenal gland, ukuhlinzwa kuvame ukuhilela ukususa i-adrenal gland . Esikhathini esiningi, lezi zimila azinawo umdlavuza. Kodwa-ke, azivamile ukuba nomdlavuza, ngakho-ke kubalulekile ukuthola ukuthi yini ngempela ebangela lesi simo.
• Ukususwa kwe-Oophorectomy: Uma lezi zimpawu zibangelwa izimila zesibeletho, ukuhlinzwa kuyindlela ejwayelekile yokwelapha. Kuye ngeminyaka yakho nokuthi uhlela ukuba nezingane yini esikhathini esizayo, udokotela wakho angase ancome inqubo ebizwa ngokuthi i-unilateral salpingo-oophorectomy (ukususwa kwe-ovary eyodwa kanye ne-fallopian tube yayo). Lokhu kungalondoloza nekhono lakho lokuthola abantwana nge-ovary enye.

Okubalulekile: Kungakhathaliseki ukuthi ukwelashwa kwenziwa kanjani, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo bese ubuyela ukuzohlolwa ngesikhathi.

Ingabe lezi zimpawu "zokushintshashintsha kwesimo somzimba" zingaguqulwa?

Ezimweni eziningi, uma imbangela itholakala futhi yelashwa ngendlela efanele, izimpawu zokukhula kwezinwele zingabuyiselwa emuva. Isibonelo, ukukhula kwezinwele kungancipha, ukuwoyela kwesikhumba kungancipha, kanye nokuya esikhathini kungabuyela esimweni esijwayelekile. Udokotela wakho uzokwakha uhlelo lokwelashwa olufanele wena.

Kodwa kukhona into eyodwa engifuna ukuyisho ngokukhethekile. Uma abesifazane abasebenzisa ama-anabolic steroid bezwa izimpawu ze-"virilization" engizikhulumile ekuqaleni, ngezinye izikhathi ushintsho olukhulu ezwini lungaba unomphela. Okusho ukuthi, ngisho nangemva kokuyeka umuthi, izwi lingase lingazwakali njengakuqala. Kodwa-ke, abanye abantu bakwazile ukubuyisa iphimbo labo lezwi ngezinga elithile ngokuthola ukwelashwa nokuqeqeshwa esikhungweni sokuqeqesha izwi esikhethekile ('isikhungo sezwi').

Ingabe i-Virilization ingavinjelwa?

Uma unesifo sofuzo esifana `(Congenital adrenal hyperplasia)`, asinakuvinjelwa ngokuphelele. Ngoba kuyinto eza nathi. Kodwa-ke, ngokwelashwa okufanele kanye neseluleko, ungasilawula ngempumelelo lesi simo futhi uphile impilo evamile.

Ngakolunye uhlangothi, uma ugwema ukusebenzisa izinto ezifana ne-'Anabolic steroids', ungagwema ingozi ye-'(Virilization)' engenzeka ngazo. Uma uthatha i-'(Steroids)' nganoma yisiphi isizathu sezokwelapha, qiniseka ukuthi uwathatha kuphela ngomthamo nangesikhathi esinqunyiwe njengoba kunqunywe udokotela wakho. Landela imiyalelo kadokotela wakho ngqo ukuze unciphise ingozi yezimpawu ezingafuneki.

Kufanele ngimbone nini udokotela?

Khumbula lokhu: Akekho owazi umzimba wakho kangcono kunawe, akunjalo? Ngakho-ke, uma ubona noma yini engavamile ngomzimba wakho, ushintsho olusha olwalungekho ngaphambili, noma into ekubangela ukungakhululeki, tshela udokotela ngokushesha.

Ikakhulukazi, uma uhlangabezana nesinye noma ngaphezulu sezimpawu "zokukhula kwezinwele" esixoxe ngazo kulesi sihloko, njengokukhula kwezinwele ngokuzumayo, ukushintsha kwezwi, ukuya esikhathini okungajwayelekile, noma ezinye izimpawu ezingavamile, kufanele ukhulume nodokotela ngakho. Angabe esenquma imbangela futhi akutshele ukuthi udinga ukwelashwa noma cha, futhi uma kunjalo, ukuthi wenzeni.

Uyini umehluko phakathi kwe-`(Hirsutism)` kanye ne-`(Virilization)`?

Kungenzeka ukuthi uke wezwa igama elithi ``Hirsutism'' (hir-su-ti-sam). ``Hirsutism'' ibhekisela ekukhuleni ngokweqile kwezinwele emzimbeni wowesifazane, ikakhulukazi ezindaweni lapho amadoda evame ukuba nezinwele khona (njengobuso, isifuba, isisu, umhlane, namathanga angaphakathi).

Uyini umehluko-ke?

Abantu abane-`(Hirsutism)` bavame ukuba nezimpawu ezimbalwa kunalabo abane-`(Virilization)`, futhi azibi zimbi kangako. Ku-`(Hirsutism)`, into eyinhloko ebonakala ukukhula kwezinwele.

Kodwa-ke, ku-"Virilization", ngaphezu kokukhula kwezinwele, ezinye izici zabesilisa ezisobala njengokujula kwezwi, ukwanda kwe-clitoris, ukuncipha kwamabele, kanye nokukhula kwemisipha kungabonakala.

Njenge-Virilization, i-Hirsutism ingabangelwa ukukhiqizwa ngokweqile kwama-hormone e-androgen avela kuma-adrenal glands noma kuma-ovari akho. Kodwa-ke, i-Hirsutism ingaba uphawu lwezinye izimo, njenge-Polycystic ovary syndrome (PCOS) kanye ne-Cushing syndrome. Kalula nje, i-Virilization yisimo esibi kakhulu futhi esinezici eziningi zabesilisa kune-Hirsutism.

Kuyini `(Owesilisa ongaphilile kahle)`?

Lokhu kufana nolunye uhlangothi lwe-`(Virilization)`. Sikubiza ngokuthi `(Owesilisa ongenamandla)`,Ngokwezakhi zofuzo, umzimba wendoda ukhiqiza amazinga angaphansi kwavamile ama-hormone wesilisa (ama-androgen) noma umzimba awusabeli kahle kula ma-hormone, okuholela ezingeni elithile lezimpawu zabesifazane. Isibonelo, ukuthomba okulibazisekile, ukukhula kwemisipha okunciphile, uboya bomzimba obunciphile, kanye nokukhula kwamabele kungase kwenzeke.

Ekugcineni, kukhona okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, ngicabanga ukuthi usuyaqonda kahle `(Ukushintshashintsha)` manje. Into ebaluleke kakhulu ukuthi uma uzizwa ungakhululekile ngomzimba wakho, uma uzizwa sengathi awuhambisani nobufazi bakho, kungaba nomthelela omkhulu empilweni yakho yengqondo. Sicela ungakhathazeki futhi ucabange, "Kungani lokhu kwenzeka kimi?", "Ingabe ngingedwa onje?"

Futhi, kungase kube khona isimo sempilo esiyisisekelo ngemuva kwalezi zimpawu esidinga ukwelashwa. Uma singahlolwanga futhi singaphathwa kahle, singaholela ezinkingeni ezengeziwe.

Ngakho-ke, uma usola ngisho nokuncane ukuthi unezimpawu ze-`(Ukuchayeka)`, sicela ungesabi noma ube namahloni okubona udokotela, ukhulume ngakho, uthole ukuxilongwa uma kudingeka, bese uthola ukwelashwa okufanele. Yilokho okungcono kakhulu ongakwenzela kona. Awuwedwa, kunodokotela abangakusiza ngalezi zinto.

Ukuchama ngokweqile, izici zabesilisa nabesifazane, ukungalingani kwama-hormone, ama-androgens, ukukhula kwezinwele, induna, i-PCOS, izindlala ze-adrenal, ama-steroids