Okuncane okuyaziwa ukuthi yini ebangela ukulahlekelwa kwezinwele okuqhubekayo
I-frontal fibrosing alopecia (i-FFA) yisimo esibangela ukulahlekelwa izinwele (alopecia) phambi kwe-scalp naseduze kwamathempeli. Ukwelashwa kwalesi simo kuyahluka, nakuba kungekho muntu ongabuyisa izinwele eziye zalahleka kakade.
Isimo singase sibangele ukulahleka kwezinwele emasongweni, ngaphansi kwamanye amazwe, nakwezinye izindawo zomzimba lapho kukhona khona izinwele zezinwele. Lesi simo sivame kakhulu kubesifazane besifazane abakwa-post-menopausal kodwa kungenzeka nakwabesifazane namadoda abo bonke ubudala.
Ngaphezu kokulahlekelwa izinwele, i-FFA ingabangela ukuhlanza nokubuhlungu kwezinye izimo.
I-FFA yaqala ukuchazwa ngo-1994 kodwa namhlanje ibonakala ngokuvama okwandayo.
Ukuxilongwa kwe-Frontal Fibrosing Alopecia
Ukuxilongwa kwe-FFA kwenziwa ngesisekelo sokulahlekelwa izinwele. Udokotela wakho angase abuke nezinye izimpawu zokutshela, kufaka phakathi:
- ubomvu obuseduze nezinwele zezinwele
- izikali ezungeze izintambo
- ukuphazamiseka okucashile endaweni yokulahlekelwa izinwele
Iphethini lokulahlekelwa izinwele livame ukuchazwa ngokuthi "uphawu lwamahloni olunesizungu," okusho ukuba nezinwele eyodwa endaweni engekho. Ukuqinisekisa ukuxilongwa, i-dermatologist ingadinga ukwenza i-biopsy ukuhlola izinwele zezinwele namaseli azungezile.
Izimbangela Ze-Frontal Fibrosing Alopecia
Isizathu esiqondile se-FFA sisengaphansi kokucwaninga okuqhubekayo. Kungenzeka ukuthi kokubili izinguquko ze-hormonal futhi isimiso somzimba sokuvikela omzimba sidlala indima ekuthuthukiseni kwayo. Iqiniso lokuthi liyabonakala kakhulu emaphoyiseni ase-post-menopausal aqinile asekela inkolelo yokuthi amahomoni kanye nokulinganisela kwe-hormonal kubangele kule nkinga.
I-FFA ibhekwa njenge-subtype yesinye isifo okuthiwa i-lichen planopilaris (i-LPP), isifo esizimele esiholela ekulahlekeni kwezinwele okuqhubekayo. Ukubukeka okuncane kakhulu kwe-FFF kufana nokufana ne-LPP, okuphakamisa ukuthi ukuzimela kungase kudlale futhi ingxenye. Eqinisweni, isifundo esisodwa ngo-2012 sathola ukuthi abantu abangamaphesenti angu-30 abano-FFA banesifo esithile sokuzimela.
Inkambo ye-FFA ingaba yinto evamile futhi idangele. Ngokuvamile isifo esiqhubekayo kancane kancane, nabanye abantu ababhekene nokulahlekelwa izinwele lapho abanye beba khona isikhathi esifushane. Ngenxa yokuthi i-FFA iyinhlobo ebulalayo ye-alopecia, izinwele zezinwele ezilahlekile azikhuli.
Ukwelashwa kwe-Frontal Fibrosing Alopecia
Ayikho ukwelashwa okujwayelekile kwe-FFA. Ukusetshenziswa kwe-steroids eqinile, okusetshenziselwa i-topically noma injected kwesikhumba, uye waphumelela. Abanye, okwamanje, sebephendukele ekufakeni i-finasteride noma i- dutasteride , kokubili okusetshenziselwa ukuphatha i-prostate ekhulisiwe ngokuvimbela ngokuphumelelayo ukukhiqizwa kwe-testosterone.
Amanye ama-antibiotic afana ne- doxycycline ne- minocycline angasetshenziswa futhi. Ngenkathi i-FFA ngokwazo ingabangelwa ukutheleleka, le mithi ingasiza ekunciphiseni ukuvuvukala okuhambisanayo.
I-Hydroxychloroquine , enqunyelwe yonke into esuka ku-lupus kuya kwi-arthritis ye-rheumatoid, iphinde ibonise isithembiso. Kudingeka ukwelashwa okweziningana ukwandisa imiphumela enenzuzo.
Nakuba ukwelashwa okunjengalezi kuye kwakwazi ukuma noma ukuphuthuka okuphuthumayo kwezinwele, akukho ukwelashwa okwamanje okungawuguqula lesi simo. Ngakho-ke, ukungenelela kusengaphambili kuyabhekwa njengendlela engcono kakhulu yokwehlisa umthelela omubi we-FFA.
> Imithombo
- > I-postmenopausal, K. "I-frontal fibrosing alopecia: i-scarping alopecia ekusabalaleni kwephethini." I-Arch Dermatol. 1994; 130: 770-774.
- > Ladizinski, B .; I-Bazakas, A .; Selim, M .; et al. "I-alopecia yangaphambili ye-fibrosing: Ukubuyekezwa okubukeziwe kweziguli ezingu-19 ezibonwe eDuke University." J Am Acad Dermatol . 2013; 68: 749-755.
- > MacDonald, A .; Clark, C .; noHolmes, S. "I-frontal fibrosing alopecia: Ukubuyekezwa kwamacala angu-60." J Am Acad Dermatol. 2012; 67: 955-961.
- > Vano-Galva, S .; UMolina-Ruiz, A .; I-Serrano-Falcon, C ..; et al. "I-alopecia yangaphambili ye-fibrosing: Ukubukezwa okuningi kweziguli ezingu-355." J Am Acad Dermatol. 2014; 70: 670-678.