Hirsutism: waa maxay, astaamaha ugu waaweyn iyo daaweynta

Qanacsan

• Calaamadaha ugu waaweyn ee hirsutism
• Sababaha ugu waaweyn
• Sida daaweynta loo sameeyo

Hirsutism waa xaalad ku dhici karta haweenka waxaana lagu gartaa timo ku taal gobollada jirka oo aan caadiyan lahayn timo, sida wajiga, laabta, caloosha iyo bowdada gudaha, tusaale ahaan, waana lagu garan karaa qaan-gaarnimada ama xilliga caadada.

Xaaladani waxay badanaa la xiriirtaa isbeddelada hoormoonka, iyada oo wax soo saarka testosterone sare ama hoos u dhaca wax soo saarka estrogen, taas oo keeneysa kororka tirada timaha jirka.

Maaddaama jiritaanka timo xad-dhaaf ah ay ku raaxeysan karaan haweenka qaarkood, waxaa muhiim ah in la raaco daaweynta ay tilmaameen dhakhtarka dumarka, maqaarka ama dhakhtarka maqaarka, oo laga yaabo inay muujiyaan isticmaalka daawooyinka si loo xakameeyo heerarka hoormoonka iyo hababka bilicsanaanta looga saarayo timaha badan.

Calaamadaha ugu waaweyn ee hirsutism

Calaamadaha iyo astaamaha lagu garto hirsutism-ka ayaa soo muuqan kara inta lagu guda jiro qaan-gaarnimada ama caadada dhalmo-dayska, waxaana laga dareemi karaa wajiga, caloosha, hareeraha naasaha, bowdyaha gudaha iyo dhabarka. Astaamuhu waxay u muuqdaan inay ku kala duwanaan karaan heerarka hoormoonka wareegaya, gaar ahaan heerarka testosterone. Heerka sare ee wareegga testosterone wareegga, ayaa hooseeya heerka estrogen, astaamaha ragga ee badan ee haweenku horumarin karto.

Guud ahaan, astaamaha iyo astaamaha hirsutismku waa:

• Soo bixitaanka timaha ee dhinaca wajiga, fluff, dhabarka, badhida, caloosha hoose, hareeraha naasaha iyo bawdada gudaha;
• Cirib adag oo inta badan ku soo biira sunnayaasha;
• Finanka oo kordhay;
• Dufan iyo timo lumis;
• Ballaarinta Clitoral;
• Murqaha ama culeyska oo kordhay;
• Wax ka beddelka codka codka;
• Caadada aan caadiga ahayn;
• Madhalaysnimo.

Joogitaanka astaamahan iyo astaamahan, waxaa xiiso u leh haweeneyda inay la tashato dhakhtarka dumarka, dhakhtarka maqaarka ama dhakhtarka jirka si markaa qiimeyn guud loo sameeyo, ogaanshaha cudurka la soo gabagabeeyo daaweyntiisana la bilaabo.

Ciladda ugu horreysa waxaa sameeya dhakhtarka isagoo qiimeynaya xaddiga timaha ku jira gobollada haweenku leeyihiin oo aan timo lahayn, gobolka waxaa lagu kala saaraa 1 illaa 4 iyadoo loo eegayo xaddiga timaha. Marka, natiijada udhaxeysa 0 iyo 8 waxaa loo arkaa mid caadi ah, inta udhaxeysa 8 iyo 15 waxaa loo kala saaraa inay tahay hirsutism dhexdhexaad ah wixii ka sareeyana waxaa la tilmaamayaa inuu qofku qabo hirsutism daran.

Intaa waxaa dheer, si loo buuxiyo baaritaanka, dhakhtarku wuxuu kaloo fiirin karaa jiritaanka astaamaha labka, marka lagu daro inuu codsado waxqabadka baaritaanka ultrasound transvaginal iyo shaybaarada, sida testosterone, prolactin, TSH iyo FSH oo dhiigga wareegaya. sabab la xiriirta hirsutism.

Sababaha ugu waaweyn

Hirsutism waxaa badanaa lala xiriiriyaa isu dheelitir la'aanta u dhexeysa heerarka testosterone wareegga, taas oo dhici karta sababo la xiriira isbeddelada qanjidhada adrenal ama ugxansidaha. Intaas waxaa sii dheer, waa wax caadi u ah dumarka qaba polycystic ovary syndrome inay yeeshaan hirsutism, maadaama xaaladdan lagu tilmaamo isbeddelo hoormoon. Wax badan ka baro cilladda ugxan-sidaha ee 'polycystic ovary syndrome'.

Xaaladaha kale ee u rogi kara horumarka hirsutism waa isbeddelada qanjirka 'thyroid', congenital adrenal hyperplasia, Cushing's syndrome iyo isticmaalka daawooyinka qaar, sida minoxidil, phenothiazines iyo danazol, tusaale ahaan. Intaas waxaa sii dheer, haweenka leh taariikh qoys oo ah hirsutism, waa cayilan yihiin ama waxay isticmaalaan dheellitirka dhiska si ay u helaan murqaha, tusaale ahaan, waxay halis weyn ugu jiraan inay yeeshaan hirsutism.

Sida daaweynta loo sameeyo

Daaweynta hirsutism waxay ujeedadeedu tahay in la xakameeyo heerarka hoormoonka, taas oo gacan ka geysaneysa yareynta qadarka timaha jirka. Waxa kale oo muhiim ah in tijaabooyin la qaado si loo aqoonsado sababta hirsutism-ka, maxaa yeelay xaaladdan inta badan waa la xaliyaa markii sababta la daweeyo.

Sidaa darteed, marka lagu daro daaweynta cudurka salka ku haya, dhakhtarku wuxuu kugula talin karaa isticmaalka ka-hortagga uur-qaadidda hormoonnada, kaasoo dhiirrigeliya wax-soo-saarka testosterone ee hoos u dhaca, isagoo gacan ka geysanaya hagaajinta heerarka hormoonnada wareega dhiigga. Xaaladaha qaarkood, dhakhtarku wuxuu kugula talin karaa inaad isticmaasho Spironolactone, Cyproterone Acetate ama Finasteride iyadoo lala kaashanayo sababta hirsutism.

Daawooyinka ka sokow, hababka bilicsanaanta ayaa sidoo kale laguugula talin karaa in laga takhaluso timaha xad-dhaafka ah, iyo isticmaalka kareemada niyadjabka ama habab badan oo qeexan oo yareeya xaddiga timaha inta lagu jiro kal-fadhiyada, sida elektrolysis-ka, daaweynta nalka la garaacayo ama saarista timaha laysarka. Waa muhiim in habka timaha looga baxo lagu doorto iyadoo loo eegayo jihada takhtarka maqaarka si markaa nabarada maqaarka iyo hurgunka looga hortago.