Imithi Elwa Anti-Androgenic Ingasiza
Ijwayele ukudayiswa ngaphansi kwegama lamagama okuthiwa i-Proscar ne-Propecia, i-Finasteride imithi evame ukusetshenziselwa ukwelapha ukukhula kwe-prostate futhi ukudweba kwendoda yesilisa emadodeni. Ngezinye izikhathi i-finasteride inqunywe njenge-anti-androgenic ikhamera yabesifazane abane- polycystic ovary syndrome (i-PCOS) ababonisa ukukhula koboya bezinwele ezingapheli ebusweni babo, esifubeni noma emuva (i- hirsutism ).
Yeka ukuthi i-Finasteride ithinta kanjani ama-PCOS Izimpawu
I-Finasteride isebenza ngokuvimbela i-androgens, eyiqembu lama-hormone edlala indima emathweni wesilisa nomsebenzi wokuzala. Uma i-androgens e-follicle yezinwele ivinjelwe, ukulahlekelwa kwezinwele ezihlobene ne-PCOS kanye ne-hirsutism kunciphisa.
Amaphesenti angama-70-80 wabesifazane abanama-androgens amaningi abonisa i-hirsutism. I-Androgens yandisa izinga lokukhula kwezinwele futhi liguqule elifushane, elihle, elikhanyayo, izinwele zezinwele ( izinwele ze-vellus ) ezinxeneni ezinzima, ezide futhi ezibomvu.
Uma i-androgens iyancishiswa, ukukhula kwezinwele ezintsha kuyancipha futhi ukukhula kwezinwele ezikhona ezikhona kuyancipha. Izinwele zikhula ngezikhathi ezahlukene futhi isigaba sokukhula sihluka ngokuya endaweni yomzimba, ukukhula okugcwele, lo mjikelezo wokukhula cishe izinyanga ezingu-4 ngezinwele zobuso. Yingakho kunconywa ukunikeza ukwelashwa kwama-hormonal ngaphezu kwezinyanga ezingu-6 ukuze kusebenze ngokugcwele.
Kwabaningi besifazane, izimpawu ze-androgenic yi-hirsutism, kodwa kwabanye, kungase kube no- acne noma i- alopecia .
Abesifazane abaningi banama-hirsutism kanye nama-acne kanye nabangcosana abakhononda ngezidakamizwa eziphawulekayo, i-hirsutism ne-alopecia. Labo abanezinyosi bavame ukuzama ukusebenzisa imithi yokwelapha kanye nemithi yomlomo njengama-antibiotics, kodwa ama-acne ngokuvamile abuyele ngemuva kokuyeka imithi.
Indlela i-Finasteride isebenza ngayo
I-Finasteride inqabela ukuveza uhlobo lwe-enzyme ye-2, i-5-alpha reductase.
Le enzyme ilawula ukukhiqizwa kwe-dihydrotestosterone (i-DHT) eye yaboniswa ukuthi inomthelela omazayo ezintweni zobucayi. Ukuthatha imithi kuye kwaboniswa ukunciphisa amazinga e-DHT ngo-70%.
Umthamo wesilinganiso esinconywayo uhluka kusuka komuntu kuya kumuntu kanye nemitha ye 2.5mg noma 5mg ngosuku zivamile. Sicela ulandele imiyalelo eyinikezwe udokotela wakho.
Imiphumela Ezingenakwenzeka
Sicela wazise udokotela wakho nganoma yimuphi umphumela ongase ube nawo. Ezinye imiphumela ezibikwe yilezi zidakamizwa ziyi:
- Ukwehlisa isifiso socansi
- Ubuhlungu emabeleni
- Izibonakaliso zokuphendula okunomsoco zihlanganisa imifantu noma ezinye izimpande zesikhumba kanye / noma ukuphefumula kanzima
Izithako ze-Testosterone zingasebenzisana ne-finasteride. Sicela udokotela wakho azi ukuthi uthatha noma yimiphi imithi.
Ukukhulelwa kanye ne-Finasteride
Ngenkathi i-Finasteride inomthelela ophansi wemiphumela emibi ehambisana nayo, isidakamizwa sinomphumela wesifazane kumntwana wesilisa.
Kubaluleke kakhulu ukuthi ungakhulelwa ngenkathi uthatha i-finasteride, ngenxa yengozi engase ibe khona kumntwana okhulayo. Qinisekisa ukusebenzisa ifomu eliphumelelayo lokulawulwa kokuzalwa ngenkathi uthatha i-finasteride.
Kubalulekile nabesifazane abakhulelwe ukuthi bangaphathi le mithi.
Imithombo:
U-Azziz R. Ukuhlola nokuphathwa kweHirsutism. I-Obstet. I-Gynecol. 101, 995-1007 (2003).
I-Dallob AL, uSadick NS, Unger W et al. Umphumela we-Finasteride, i-5 Creductase Inhibitor e-Scalp Skin, Testosterone ne-Dihydrotestosterone Izigulane Iziguli Eziphethe Ukulinganisa Kwesibonelo Samadoda. J. Clin. Endocrinol. I-Metab. 79, 703-706 (1994).
ULumachi F, uRondinone R. Ukusetshenziswa kwe-Acetate ye-Cyproterone, i-Finasteride ne-Spironolactone yokuphatha i-Idiopathic Hirsutism. Fertil. I-stteril. 79, 942-94 (2003).