I-Hirsutism yindoda yokukhula kweenwele
I-Hirsutism yonyuka ngokunyuka kweenwele zendoda kwimihlaba ethile yobuso bomzimba kunye nomzimba, njengemilenze yemilenze kunye nesilevu. I-Androgens, i-hormone ye-sex hormone ebantwini, ingaba noxanduva kule miqathango. Ngokuqhelekileyo amabhinqa anamazinga aphantsi ase-androgens, kodwa amanqanaba aphezulu aphezulu kwaye angakhokelela ekukhuleni kweenwele ezingaphezulu. Ngenxa yokuba ukukhulelwa kwe-hormonal kunganciphisa amanqanaba e-androgen yamahhala kwindlela yakho, ukudibanisa iipilisi zokulawula ukuzalwa kungabangela unyango olusisigxina.
Ngaphezu kweyesibini kubini besetyhini abahlala eUnited States baya kusebenzisa ukulawulwa kwe-hormonal ( njengePilisi ) ngexesha elithile ngexesha lokuzala kwabo. Ukuba usebenzisa lolu hlobo lolawulo lokuzalwa, usenokungazi ukuba uncedo olungenakuphikelela . Ezinye izithintelo zokukhulelwa kwe-hormonal ziboniswe ukunciphisa imiphumo ye-hirututism. Kubalulekile ukuqaphela ukuba abasetyhini bangasabela ngendlela eyahlukileyo kwi-contraceptive ethile, ngoko ke le ngcaciso ifakwe kwiphononongo jikelele. Nceda ugcine ukhumbule ukuba ukukhulelwa kwe-hormonal kuthethwa ukuba kusetyenziswe ukulawulwa kokuzalwa (ukukhusela ukukhulelwa okungalindelekanga ) - iingeniso ezingenakuphikelela zingacingwa xa uqikelela ukuba iyiphi indlela yokulawula i-hormonal yokuzalwa yokusebenzisa.
Ulawulo lokuzalwa olusebenzayo njengonyango lweHirsutism
Oku kuluhlu lweendlela ezahlukeneyo zokulawulwa kokuzalwa komzimba eziye zaboniswa ukuba zonyango olusebenzayo lwe-hirsutism:
- Ii-OCs zokudibanisa: Zonke iipilisi zokulawula ukuzalwa ziyakwazi ukuphucula i-hirututism ngenxa yokuba zinokunciphisa amanqanaba e-androgen evulekile emzimbeni wakho (i-androgens iqalise kwaye igcine i-acne kunye nokukhula kweenwele). Iimpembelelo ze-androgenic zibhekisela kwimeko yokuba i-progestin (ekukhuselweni kwecala) ingabangela imiphumo engathandekiyo emibi. Iiprogestins ezinomsebenzi ophezulu kunye ne-androgenic zonyusa amathuba okuba negalelo le-androgen ezinjenge-hirsutism. Iipilisi kunye neendlela zokwenziwa kwe-estrogen ephezulu, i-androgen engezantsi ingaba ngcono ekunciphiseni i-hirsutism.
- Uphando luye lwabonisa ukuba iipilisi ezidibeneyo eziqulethe i-progestin yesizukulwana sesibini, i-levonorgestrel, kunye ne-progestin yesizukulwana sesithathu, i-desogestrel, zombini iphumelele ekuphuculeni i-hirututism.
- I-Yaz : Kwisilingo esincinane esilawulwa ngokungahleliwe, i-drospirenone ne-ethinyl estradiol ipilisi (Yaz) yayinempumelelo ekuphuculeni i-hirsutism njengoDiane 35, uDianette, uGinet-84 kunye no-Estelle 35 (izithintelo zomlomo ezine-acrotate ne- ethinyl estradiol ) kunye neValette ( ukukhulelwa komlomo okuqukethe i-dienogest). Zonke ezi ziipilisi zolawulo lokuzalwa zivame ukusetyenziswa ukunyanga iimeko eziye zahliswa yi-androgenic hormone.
- I-Patch : Kubonakala ukuba iqhosha lingakwazi ukulwa nemicimbi enxulumene ne-androgen, efana neyohlanganiswa ethile ye-OCs. Ngenxa yoko, isiqendu sinokuthi sibe nempembelelo emihle kwiimeko ze-androgenic ezifana ne-hirsutism.
Ulawulo lokuzalwa olungasebenziyo njengonyango lweHirsutism
Ukuhlanganiswa kokulawula iipilisi kunakho ukuphucula i-hirsutism kuba banda i-hormone ebopha i-globulin ekhokelela ekunciphiseni amanqanaba e-androgen. Ngenxa yokuba ingathathwa ngomlomo, i- NuvaRing ingaba nomphumo omncinci kwi-hormone yesondo ebopha i-globulin, ngoko ayibonisi ikhono elifanayo lokuphucula i-hirsutism. Iipilisi zeprostin kuphela eziqhelekileyo zithathwa njengonyango olusebenzayo lwe-hirsutism.
Imithombo:
Batukan C, Muderris II. "Ukusebenza komntwana omtsha wokukhulelwa komlomo ophethe i-drospirenone kunye ne-ethinyl estradiol kwixesha elide lokwelashwa kwe-hirututism." UFertil Steril 2006; 85: 436-40. Kufumaneka ngokubhalisa kwangasese.
I-Breitkopf DM, iPhalamende yaseRosen, i-Young SL, i-Nagamani M. "Ukusebenza kwesibini kwisizukulwana sesithathu kwisivumelwano somlomo ekwenzeni i-hirsutism." U kuqhawula 2003; 26: 349-53. Kufumaneka ngokubhalisa kwangasese.
I-American College of Obstetricians kunye neGynecologists. "Ukusetyenziswa okungaqhelekanga kokukhulelwa kwe-hormonal." Sebenzisa i-Bulletin No. 110, uJan 2010 115: 206-218. Kufumaneka ngokubhalisa kwangasese.