Ukuthola Ukuxhumeka Okungokwemvelo KwamaGciwane E-African American Women
Kunezixhumanisi ezimbalwa ezikhona phakathi kokuphuma kwezinkinga ezinzima nokuphuza izinwele. Uma uthola ukugeleza kokunyuka okunzima njalo ngenyanga, cishe uzoba nesifo sofuba . Loluhlobo lwe-anemia luya kancane kancane nangaphezulu, ngakho-ke ungase ungaboni izimpawu ezivamile zokukhathala nokukhula kwenhliziyo, kodwa ungase uqale ukuqaphela ukulahlekelwa izinwele.
Ngenxa yokuthi i-anemia ibeka umthamo emzimbeni wakho, imisebenzi ebalulekile kangako njengomjikelezo wezinwele zokukhula uthatha ukushaya okukhulu.
Okokuthi, ukuphuma kwegazi okweqile kubangela ukuba i-anemia engapheli, engabangela ukulahlekelwa izinwele. Ukulahlekelwa izinwele nokugaya kakhulu ukuphuma esikhathini kunezibonakaliso ezimbili ezivamile ezihlobene nezifo ze- hypothyroid . Ukuhlola umsebenzi wakho we-thyroid kuboniswa ngokuphelele uma ubhekene nalezi zimpawu ezimbili.
Kodwa ngaphandle kwalezi zixhumo ezaziwayo, abacwaningi bathola nokuthi kungenzeka kube nokuxhumana okujulile phakathi kokulahleka kwezinwele nokukhishwa okunzima kokuya esikhathini, ikakhulukazi kwabesifazane base-Afrika. Ukuhlaziywa okukodwa okushicilelwe ku-intanethi ku-JAMA Network, abalobi babonisa ubudlelwane obubalulekile phakathi kwezinhlobo ezithile zokulahlekelwa izinwele okuthiwa i-central centrifugal cicatricial alopecia (CCCA) ne-uterine fibroids, imbangela evamile kakhulu yokuphuma esikhathini esibi kakhulu. Abalobi baqaphela ukukhula kwezimo ezimbili kulezi zinsuku abesifazane abasemakhaya ase-Afrika. Ukuhlaziywa kwabo kusekela umbono wokuthi kukhona ukuxhumana kofuzo phakathi kwalezi zimo ezimbili.
Izinhlangano Ezifuywayo
Ukuxhumana phakathi kokulahleka kwezinwele kanye ne-fibroids yisifo se-fibroproliferative.
Kukhona izimo ezithile emzimbeni uma izicubu zakho ezixhumeneyo, ezihlanganisa i-collagen nazo zonke izicubu ezinamafutha ezithinta umzimba wakho, zanda futhi zidala izicubu ezinzima. Ngokubambisana, lezi zimo zaziwa njengezifo ze-fibroproliferative.
Zenzeka ngokuphindaphindiwe kubantu base-Afrika.
Kungani lokhu kuyiqiniso kuyithakazelisa kakhulu. Kucatshangwa ukuthi izakhi zofuzo zeprofibrotic ezenza izifo ze-fibroproliferative zivikeleke ngandlela-thile ukulwa nokutheleleka yizibungu ezinamandla. Ngakho ngokuhamba kwesikhathi, umzimba wenza ukulungiswa okukhethiwe ukuze kusetshenziswe inkulumo yegciwane lesiprofetho, okwenza izimo ezihambisana nezifo zivame kakhulu.
I-sickle cell anemia yisinye isibonelo senqubo yesifo eqhubekayo lapho umzimba uvumelanisa ukuvikela ukutheleleka. Futhi, isifo se-sickle cell sitholakala kubantu base-Afrika futhi kucatshangwa ukuthi kuyisivikelo ngokumelene ne-malaria.
Ngaphandle kwezibazi ezinamafutha , i-uterine fibroids ne-CCCA yizifo ezibili ze-fibroproliferative ezivame kakhulu kubantu besifazane base-Afrika ezihlobene nokukhulunywa kwegazi lomzimba.
I-Central Centrifugal i-Alopecia yeCicatricial Cicatricial
I-central centrifugal cicatricial alopecia-igama lale nkinga cishe likhuluma ulimi kodwa luchaza ngokuyinhloko iphethini yalolu hlobo lokulahlekelwa izinwele:
- Ukulahlekelwa izinwele kuqala emkhanda wekhanda (emaphakathi)
- Ukulahlekelwa izinwele kuphuma ngaphandle kule ndawo ephakathi kokuqala kwiphethini yesikhwama (centrifugal)
- Izinwele zezinwele zifakwa esikhundleni sesisindo esibucayi (cicatricial)
- Ukulahlekelwa izinwele (alopecia) kungunaphakade.
I-CCCA yiyona ndlela ejwayelekile kakhulu yokulahleka izinwele phakathi kwabesifazane base-Afrika. Izindawo ze-scalp ezithintekile zilahlekelwa izinwele zezinwele ngenxa yokwakhiwa kwezicubu ezibomvu, ngakho-ke isikhumba se-scalp sishintsha kakhulu kulezi zindawo. Ezinye izinwele ezincane ezinamahlumela zingase zihlale. Ngesinye isikhathi, isikhumba sekhanda esithintekayo singase sibe yinto enhle noma ithenda.
I-CCCA iqala njengendlela yokuvuvukala ukuthi ngokuhamba kwesikhathi kuholela ekubhujisweni kwezinwele zezinwele. Lolu hlobo lokulahleka kwezinwele luzogcina lungenakuguqulwa, njengoba izinwele zezinwele zithathwa indawo yesikhumba esisodwa. Kodwa ngoba i-CCCA iqala njengendlela yokuvuvukala, ukuxilongwa kokuqala kanye nokwelashwa kungasiza ukunciphisa inqubo yokulahlekelwa izinwele.
Ukwelashwa kokuqala komgwaqo ngokuvamile kunomhlobo othile we-steroid yama-topical osebenza ngokuphazamisa impendulo yomzimba wakho.
Nakuba imikhuba evamile yezinwele zezinwele phakathi kwabesifazane base-Afrika akuyona imbangela yeCCCA, ochwepheshe abaningi bancoma ukugwema imikhuba eminingi yezinwele zezinwele njengoba bebeka ukucindezeleka okungeziwe emithanjeni yezinwele kanye ne-follicles. Le mikhuba yezinwele zezinwele ihlanganisa nalabo abafaka impande ezinseni zezinwele (ukubopha kanye nezinsika) kanye nalabo abangakhuphula ukuvuvukala kwezintambo (ukushisa nokukhishwa kwamakhemikhali).
Uma uhlangabezana nanoma yiluphi uhlobo lokulahlekelwa izinwele ezibalulekile, kubalulekile ukuxoxa ngalokhu nomhlinzeki wakho wezempilo. Akungena nje ukungenelela okusemqoka okudingekayo ekuthuthukiseni i-CCCA, kodwa ezinye izinhlobo zokulahlekelwa izinwele zingabonakalisa isimo esibaluleke kakhulu sezempilo esingatholakala futhi siphathwe ngendlela efanele.
I-Fterroid ye-Uterine njengesifo se-Fibroproliferative
I-fibroids ye-uterine yizicubu ezivamile kakhulu zesisu. Kucatshangwa ukuthi zihlakulele njengomphumela wokuguqulwa kwesisindo esisodwa se-uterine esisisindo se-muscle cell. Izimpawu ezivame kakhulu ukuphuma kwegazi lomzimba nokucindezela komzimba.
Ubufakazi bubonisa ukuthi abesifazane abangamaphesenti angama-80 bazokwakha ama-fibroids ngesikhathi sabo sokuphila. Kwabaningi, lezi zingu-fibroids ziyobe zingenakwenzeka, kepha amaphesenti angaba ngu-25 abesifazane bazoba nezimpawu ezibalulekile.
Amakhosikazi ase-Afrika ahlaselwa kakhulu yi-uterine fibroids. Uma kuqhathaniswa namanye amaqembu obuhlanga cishe amathuba oku:
- Thuthukisa i-fibroids esemncane
- Yiba nezimpawu ezinzima kakhulu
- Yiba nenani eliphakeme lamathumba e-fibroid
Ucwaningo lubhekisela ekuhlanganisweni kwezakhi zofuzo nezinye izinkinga ze-fibroproliferative ezenzeka kaningi kulabo besifazane base-Afrika.
Kunezinketho eziningi zokwelapha ze-uterine fibroids, okuvela ekulawuleni ukuphuma kwegazi okukhulu ngezokwelapha ngomlomo ku- hysterectomy .
Izwi elivela
Kungenzeka ukuthi izinguquko noma izimpawu ezenzeka emzimbeni wakho ngesikhathi esifanayo zixhunyaniswe kunomphumela wezinqubo ezimbili zezifo ezahlukene. Kubalulekile ukubhala phansi zonke izimpawu onayo ngaphambi kokuba ubone udokotela wakho mayelana nokukhathazeka kwezempilo.
Ngokuvamile, la maqembu ezinkomba azokusiza udokotela wakho ukuba ahlolwe. Ngezinye izikhathi kungenzeka kube khona ubufakazi bokusekela uxhumano olusungulwe phakathi kwezimpawu ezimbili, kodwa lokho akusho ukuthi akukho uxhumano.
> Imithombo:
> Dina Y, Okoye GA, Aguh C. (2017). I-Association of Uterine Leiomyomas E-Central Centrifugal I-Alopecia Yesibili. I-JAMA Dermatol. doi: 10.1001 / jamadermatol.2017.5163
> Hellwege, JN, Torstenson, ES, Russell, SB, Edwards, TL, & Velez Edwards, DR (2017). Ubufakazi bokukhethwa njengesizathu sokungafani kobuhlanga ezifweni ze-fibroproliferative. PLoS ONE , 12 (8), e0182791. http://doi.org/10.1371/journal.pone.0182791
> Blattner, C., Polley, DC, Ferritto, F., & Elston, DM (2013). I-central centrifugal cicatricial alopecia. I-Indian Dermatology Online Journal , 4 (1), 50-51. http://doi.org/10.4103/2229-5178.105484
> Laughlin, SK, & Stewart, EA (2011). I-uterine Leiomyomas: Ukuzibona Ngendlela Yokuthola Isimo Esibucayi. I-Obstetrics and Gynecology , 117 (2 Pt 1), 396-403. http://doi.org/10.1097/AOG.0b013e31820780e3