Hirsutism

Kufotokozera kwathunthu kwa matendawa

Uku ndikukula kwa tsitsi lolimba la tsinde mwa amayi omwe amadalira androgen: pachifuwa, pamimba, nkhope, msana, ntchafu, mphuno, makutu. Kukula kwa tsitsi kumakhala kwachimuna.^[3]… Kuyambira 2 mpaka 10% ya amayi amadwala matendawa. Matendawa ayenera kusiyanitsidwa ndi hypertrichosis, yomwe imadziwika ndi kukula kwa tsitsi mwa amayi omwe ali m'madera odziimira a androgen.

Hirsutism nthawi zambiri imatsagana ndi kuchepa kwa magazi m'thupi, kusabereka komanso kusakhazikika kwa msambo. Hirsutism sikuti ndi vuto la zodzikongoletsera, ndi vuto lalikulu, chifukwa chake, odwala omwe ali ndi matendawa ayenera kuyang'aniridwa ndi endocrinologist ndi gynecologist.

Anthu okhala ku Caucasus ndi Mediterranean amakhala pachiwopsezo cha hirsutism, nthawi zambiri azimayi aku Europe ndi Asia amavutika nawo.

Mitundu ya hirsutism

Pali mitundu ya matenda:

• banja kapena malamulo malamulo kumachitika pamene mlingo wa amuna kugonana mahomoni m`mwazi wachibadwa kwa akazi;
• mawonekedwe a neuroendocrine amapezeka motsutsana ndi maziko a kuchuluka kwa androgens m'thupi la wodwalayo;
• mawonekedwe a iatrogenic amayamba chifukwa cha kudya kwanthawi yayitali komanso kosalamulirika kwa mankhwala a mahomoni monga kulera kwapakamwa kapena glucocorticoids;
• mawonekedwe a idiopathic, zomwe zimayambitsa zomwe sizinakhazikitsidwebe.

Zifukwa za hirsutism

Ndi chitukuko cha hirsutism, tsitsi lofewa, lopanda mtundu wa vellus limasanduka lolimba komanso lakuda chifukwa cha zinthu zina. Kawirikawiri, hirsutism imatha chifukwa cha kuchuluka kwa mahomoni achimuna, zotsatira za mankhwala, kapena chibadwa.

Kuchulukitsa kwa androgens m'thupi la mkazi kumatha kuyambitsidwa ndi izi:

1. 1 kuwonongeka kwa pituitary kapena kuwonongeka kwakukulu kwa chithokomiro;
2. 2 kusalinganika kwa ntchito ya ovary. Pankhaniyi, hirsutism imatsagana ndi kusakhazikika kwa msambo kapena kusabereka;
3. 3 zotupa za adrenal.

Ndi chibadwa cha hirsutism, matendawa adadziwika m'banja kwa mibadwo ingapo ndipo izi sizikuwoneka ngati matenda, koma ngati chikhalidwe.

Kugwiritsa ntchito nthawi yayitali mapiritsi a mahomoni, streptomycin, carbamazepine, interferon ndi mankhwala ena kungayambitse hirsutism.

Kuphatikiza apo, zomwe zimayambitsa matendawa zimatha kukhala zokhudzana ndi zaka komanso zokhudzana ndi thupi, zomwe zimatsagana ndi kusintha kwa mahomoni m'thupi: kutha msinkhu, kusintha kwa thupi kapena mimba.

Zizindikiro za hirsutism

Waukulu mawonetseredwe a matenda ndi mwamuna thupi tsitsi kukula kwa akazi. Tsitsi lakuda kwambiri limamera m'matako, pachifuwa, mkati mwa ntchafu, kumaso, zomwe zimayambitsa mavuto akulu amisala mwa amayi. Kukula kwa tsitsi lochulukirapo kumadalira kuchuluka kwa mahomoni ogonana amuna m'magazi.

Kuphatikiza apo, hirsutism nthawi zambiri imatsagana ndi kuchuluka kwamafuta pakhungu ndi tsitsi, ziphuphu zakumaso ndi mapewa, amenorrhea, nthawi zina, kuchuluka kwa androgens kungayambitse dazi. Atsikana pa nthawi ya kutha msinkhu, pali kuchedwa kwa chitukuko cha mammary glands.

Panthawi ya kusintha kwa thupi, ntchito za thumba losunga mazira zimazimiririka mwa amayi, ndipo kusintha kwakukulu kwa mahomoni kumachitika m'thupi. Anthu ena amayamba kukhala ndi tsitsi lachimuna, lomwe limatsatiridwa ndi kuwonjezeka kwa thukuta, kutentha, kusokonezeka kwa tulo ndi amenorrhea.

Matendawa “Idiopathic hirsutism"Endocrinologists adayika pomwe, pakuwunika kwachipatala, sanapeze chomwe chimayambitsa kukula kwa tsitsi. Monga lamulo, hirsutism idiopathic imadziwonetsera pambuyo pa zaka 25-30, pamene odwala samadandaula za mavuto okhudzana ndi msambo, khalidwe la mitundu ina ya hirsutism.

Hirsutism yokhudzana ndi matenda a polycystic ovary imakhudzana ndi kunenepa kwambiri, dandruff, khungu lamafuta lomwe limakonda kukhala ndi ziphuphu, komanso kupweteka m'munsi pamimba. Zizindikirozi zimagwirizanitsidwa ndi matenda a mahomoni m'thupi la mkazi.

Magulu odziwika kwambiri a hirsutism ndi awa:

• ziphuphu zakumaso, zofala kwa atsikana akamakula. Chifukwa cha ziphuphu zakumaso pa nkhope ndi thupi ndi kusintha kwa mahomoni. Chomwe chimayambitsa ziphuphu zakumaso mu hirsutism ndikusokonekera kwa thumba losunga mazira, nthawi zambiri polycystic;
• kunenepa kwambiri ndi kukula kwa tsitsi lachimuna kumawonedwa pamene kusokonezeka kwa hypothalamus, ndi kudya kwa mahomoni ndi zotupa za adrenal;
• dysmenorrhea limodzi ndi hirsutism ndi pathologies wa thumba losunga mazira ndi adrenal tiziwalo timene timatulutsa, odwala amadandaula kuchuluka kutopa, mutu.

Zovuta za hirsutism

Hirsutism kwenikweni ndi chilema chodzikongoletsera chomwe sichimafuna chithandizo chamankhwala nthawi zonse. Siziika chiopsezo ku moyo wa mkazi; ndikokwanira kuchotsa tsitsi nthawi ndi nthawi. Komabe, ngati muwona zizindikiro za hirsutism mwa inu nokha, ndi bwino kukaonana ndi endocrinologist, chifukwa kukula kwa tsitsi kungakhale chizindikiro cha matenda aakulu:

1. 1 shuga. Nthawi zambiri chifukwa cha hirsutism ndi matenda a m'thupi, chifukwa chake odwala ena amadwala matenda a shuga, omwe amakhudza makoma a mitsempha ya magazi, chitetezo cha mthupi komanso amawononga thupi lonse;
2. 2 matenda amisala. Kusokonezeka kwa ma hormoni kungayambitse kupsinjika maganizo, ndipo nthawi zina ngakhale kufika paukali. Kuwonjezeka kwa mahomoni mwa odwala ena kungayambitse kusinthasintha kwa maganizo;
3. 3 adrenal neoplasms imatha kuyambitsa kupanga mahomoni ogonana amuna, pomwe kuthamanga kwamphamvu komanso kuchepa kwakukulu kwa chitetezo chamthupi kumawonedwa;
4. 4 mwadzidzidzi uterine magazi amayamba ndi kusintha mkati zigawo za chiberekero, amene tifulumizane m`thupi kulephera;
5. 5 ovarian neoplasms. Ngakhale zotupa zoipa zimakhudza kugwira ntchito kwa ziwalo za m'chiuno. Zotupa zowopsa zimawopseza moyo wa wodwalayo.

Ngati hirsutism imayamba chifukwa cha kuchuluka kwa mahomoni ogonana aamuna mwa mkazi, ndiye kuti popanda chithandizo chapanthawi yake, amayamba kukhala ndi mawonekedwe aamuna: mawu amakhala ovuta, kutulutsa kwa nyini kumayima, libido imawonjezeka, dazi limayamba kudera losakhalitsa, ndi minofu. misa ikuwonjezeka.

Kupewa hirsutism

Njira yabwino yopewera hirsutism ndi kudya zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi, komanso kupewa zizolowezi zoyipa. Zinthu zonsezi zimapangitsa kuti minyewa ya endocrine ikhale yathanzi.

Chithandizo cha hirsutism m'mankhwala odziwika bwino

Mtundu wofatsa wa hirsutism, wosatsatizana ndi kusakhazikika kwa msambo, sufuna chithandizo chapadera. Koma kawirikawiri matendawa ndi chotsatira cha kuchuluka kwa ndende ya androgens m'magazi, kotero gynecologist amapereka mankhwala, zomwe cholinga chake ndi kuchepetsa mlingo wa testosterone. Kumwa mankhwalawa kumalepheretsa kuoneka kwa tsitsi latsopano, koma sikulepheretsa kukula kwa zomwe zilipo.

Njira ya chithandizo ndi mahomoni imatha mpaka miyezi 6. Komabe, antiandrogens samawonetsedwa pa hirsutism mwa amayi apakati.

Thandizo lovuta limaperekanso kusintha kwa chithokomiro ndi chiwindi. Chiwindi chimayambitsa kuchotsa poizoni ndi zinthu zovulaza; ngati sichigwira ntchito bwino, mahomoni owonjezera samachoka m'thupi. Chifukwa chake, ndi hirsutism, kuyeretsa bwino kwa chiwindi ndi hepatoprotectors kumawonetsedwa.

Kusagwira ntchito kwa chithokomiro kumakhudza kwambiri ntchito ya thumba losunga mazira, kuwonjezera apo, kumapanga ayodini wochepa, omwe ali ndi bactericidal pamagazi. Chifukwa chake, kukaonana ndi endocrinologist ndikofunikira.

Mu cosmetology, hirsutism imamenyedwa m'njira zosiyanasiyana. Tsitsi lopaka utoto limadulidwa, kumetedwa, kuchotsedwa ndi zonona za depilatory, sera kapena shugaring. Ngati kukula kwa tsitsi sikuli kofunikira, ndiye kuti tsitsi limatha kusinthika pogwiritsa ntchito hydrogen peroxide. Masiku ano, njira yothandiza kwambiri yochotseratu kukula kwa tsitsi kumaonedwa kuti ndi photoepilation, yomwe imawononga follicle ya tsitsi.

Chenjerani!

Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!