I-Hirsutism ikhula izinwele zesilisa-iphethini
I-Hirsutism iyinwele ephindaphindiwe yezinwele zendoda ezikhulayo ezindaweni ezithile zobuso nomzimba wesifazane, njengendawo yamadevu nendawo yezintshevu. I-Androgens, ama-hormone obulili obukhulu emadodeni, angaba nemfanelo yalezi zimo. Abesifazane ngokuvamile banamazinga aphansi we-androgens, kodwa amazinga aphezulu angavamile we-androgens angabangela ukukhula kwezinwele ezidlulele. Njengoba unikezwe ukuthi ukwelashwa kwe-hormonal kunganciphisa amazinga e-androgen mahhala ohlelweni lwakho, amaphilisi amaningi okulawula ukuzalwa angaba ukwelashwa okuwusizo wama-hirsutism.
Amaphesenti amabili kwabesifazane abahlala e-United States bazosebenzisa ukulawulwa kwe-hormonal ( njengePilisi ) ngesikhathi esithile sokuzala . Uma usebenzisa lolu hlobo lokulawulwa kokuzalwa, ungase ungayiqapheli nezinzuzo zayo ezingenakuqaphela . Ezinye izivimbela zokuvimbela izidakamizwa ziye zaboniswa ukunciphisa imiphumela ye-hirsutism. Kubalulekile ukuqaphela ukuthi abesifazane bangase basabele ngokuhlukile kokubeletha okuqondile, ngakho lolu lwazi luhloselwe ukubuka konke okujwayelekile. Sicela uhlale ukhumbule ukuthi ukuvimbela ukubeletha kwe-hormonal kuhloswe ukuthi kusetshenziselwe ukulawula ukubeletha (ukuvimbela ukukhulelwa okungahlosiwe ) - izinzuzo ezingenakuqaphela ezingenakuthola zingacatshangelwa uma kunquma ukuthi iyiphi indlela yokulawula ukuzalwa kwe-hormonal yokusebenzisa.
Ukulawulwa Kwokuzalwa Okusebenzayo Njengokwelashwa Kwe-Hirsutism
Okulandelayo luhlu lwezinqubo ezihlukahlukene zokulawulwa kokubeletha eziye zaboniswa ukuthi zindlela zokwelapha eziphumelelayo:
- Ama-OCs Ohlanganisayo: Wonke lawa maphilisi okulawula ukubeletha angakwazi ukuthuthukisa i-hirsutism ngoba anganciphisa amazinga e-androgen mahhala emzimbeni wakho (i-androgens iqale futhi igcine ukukhula kwezinyosi nezinwele). Imiphumela ye-Androgenic ibhekisela ekutheni i-progestin (ekukhulelwe) ingabangela imiphumela emibi engathandeki. Ama-progestin anomsebenzi ophezulu we-androgenic angandisa amathuba okusebenza okuhlobene ne-androgen njengama-hirsutism. Amaphilisi ayenziwe nge-estrogen ephakeme, ama-androgen aphansi angase abe ngcono ekunciphiseni i-hirsutism.
- Ucwaningo luye lwabonisa ukuthi amaphilisi ahlangene aqukethe isizukulwane sesibili progestin, i-levonorgestrel, kanye ne-third generation progestin, desogestrel, bobabili basebenze ekuthuthukiseni i-hirsutism.
- I-Yaz : Ngesilingo esincane esilawulwa ngokungahleliwe, iphilisi le-drospirenone ne-ethinyl estradiol (i-Yaz) liphumelela kakhulu ekuthuthukiseni i-hirsutism njengoDiane 35, uDianette, Ginet-84 no-Estelle 35 (izakhi zokubeletha zomlomo eziqukethe i-cyproterone acetate ne- ethinyl estradiol ) ne-Valette ( ukukhulelwa ngomlomo okuqukethe i-dienogest). Wonke lawa maphilisi okulawula ukubeletha avame ukusetshenziselwa ukuphatha izimo ezihlaselwe amahomoni a androgenic.
- I-Patch : Kubonakala sengathi i-patch ingakwazi ukulwa nezindaba ezithile ezihlobene ne-androgen, efana neyomhlanganisi othile we-OCs. Ngenxa yalokhu, i-patch ingaba nethonya elihle ezimweni ze-androgenic ezifana ne-hirsutism.
Ukulawulwa Kokubeletha Okungahle Kuphumelele Njengokwelashwa Kwe-Hirsutism
Amaphilisi okulawula ukuzalwa ayenamandla okuthuthukisa i-hirsutism ngoba akhulisa i-hormone ebopha i-globulin eholela ekunciphiseni amazinga e-androgen mahhala. Ngenxa yokuthi ingathathwa ngomlomo, i- NuvaRing ingase ibe nomthelela omncane kwi-hormone yobulili ebopha i-globulin, ngakho ayikhombisi ikhono elifanayo lokuthuthukisa i-hirsutism. Amaphilisi kuphela ase-Progestin awabhekwa njengendlela yokwelashwa e-hirsutism ephumelelayo.
Imithombo:
I-Batukan C, i-Muderris II. "Ukusebenza komzimba omusha wokubeletha ngomlomo oqukethe i-drospirenone ne-ethinyl estradiol ekunakekeleni isikhathi eside i-hirsutism." I-Fertil Steril 2006; 85: 436-40. Kufinyelelwe ngokubhalisa kwangasese.
I-Breitkopf DM, i-MPs yaseRosen, i-Young SL, i-Nagamani M. "Ukusebenza kwesivumelwano sesivumelwano somlomo wesibili kuya kwesithathu ekwelapheni i-hirsutism." Ukubeletha 2003; 26: 349-53. Kufinyelelwe ngokubhalisa kwangasese.
I-American College of Obstetricians kanye namaGynecologists. "Ukusebenzisa okungavumelani kwamaphilisi okuvimbela ukwelashwa kwe-hormonal." Hlanganisa Bulletin No. 110, Jan 2010 115: 206-218. Kufinyelelwe ngokubhalisa kwangasese.