He aha te Hirsutism? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te hirsutism tētahi āhuatanga e tupu ai te nui o te huruhuru i ngā wāhine i ngā wāhi e tupu ai te huruhuru i ngā tāne, pēnei i te mata, te uma, me te tua. Ka puta tēnei nā te nui atu o ngā homoni kāne e kiia nei ko ngā androgen i roto i tō tinana.

Tata ki te 5 ki te 10% o ngā wāhine ka pā te hirsutism ki a rātou i tētahi wā o o rātou oranga. Ahakoa ka raru pea, he mea nui kia mōhio kei reira ngā maimoatanga whai hua, ā, ehara koe i te kotahi anake e whakahaere ana i tēnei āhuatanga.

He aha te hirsutism?

Ka puta te hirsutism ina nui rawa te nui o ngā homoni kāne e whakaputa ana tō tinana, ina koa te testosterone. Ka whakapakaritia e ēnei homoni ngā follicle huruhuru kia tupu ai te huruhuru mātotoru, pouri, me te matotoru i ngā wāhi kaore ngā wāhine e tupu nui ai te huruhuru.

Ka pā te āhuatanga ki ngā tauira tupu huruhuru i ngā wāhi e kiia ana e ngā tākuta he "androgen-sensitive". Kei roto i ēnei tō ngutu o runga, tō ihu, tō uma, tō tua o runga, me tō huha o roto. Ko te huruhuru e tupu ana he pouri me te mātotoru, rite tonu ki te huruhuru mata o ngā tāne.

He rerekē tēnei i te whai huruhuru ngawari, mārama e tupu ana i ngā wāhine maha i o rātou tinana. Ko te hirsutism anake te tohu ki te tupu huruhuru o te tauira kāne e kitea ana me te raruraru.

He aha ngā tohu o te hirsutism?

Ko te tohu matua ko te nui o te tupu huruhuru i ngā wāhi e tupu ai te huruhuru i ngā tāne. Ka kite pea koe i ēnei huringa e tupu ana i te iti iho i ngā marama, i ngā tau rānei.

Ko ēnei ngā wāhi tino noa ka kitea e koe te nui o te tupu huruhuru:

• Mata (ngutu o runga, ihu, raina kauae, me ngā paparinga)
• Uma me te taha o ngā nipples
• Tua o runga me ngā pakihiwi
• Puku o raro me ngā huha o roto
• Tūāpapa

Ko te huruhuru he pouri, mātotoru, me te matotoru, ehara i te huruhuru ngawari, mārama e noa ana mō ēnei wāhi. Ka kite pea koe i ētahi atu tohu e pā ana ki ngā taumata androgen teitei, pēnei i te mate pū, te kiri hinu, i ngā huringa rānei i tō huringa marama.

Ka rongo pea etahi wahine i te hohonu o te reo, i te ngaro huruhuru o te tauira kāne rānei, ahakoa he iti rawa ēnei me te tohu i ngā koretake homoni nui atu.

He aha ngā take o te hirsutism?

Ka puta te hirsutism ina nui rawa te nui o ngā homoni kāne e whakaputa ana tō tinana, i te nui ake rānei o te ngawari ki ngā taumata homoni noa. He maha ngā āhuatanga kei raro i te whenua ka whakaoho i tēnei whakautu.

Ko te take tino noa ko te polycystic ovary syndrome (PCOS), e pā ana ki te 70% o ngā wāhine e pā ana te hirsutism ki a rātou. Ka whakapakaritia e te PCOS ngā ovaries kia whakaputa ai ngā androgen nui atu, ka arahi ki ngā tohu maha tae atu ki te tupu huruhuru e kore e hiahiatia.

Ko ētahi atu āhuatanga homoni ka puta ai te hirsutism ko ēnei:

• Te ātete ki te insulin, ka taea te whakaputa androgen nui atu
• Ngā mate thyroid e pā ana ki te taurite homoni
• Ngā mate adrenal gland e whakaputa ana i ngā homoni nui atu
• Ngā pūngāwerewere ovarian, adrenal rānei (ahakoa he iti rawa ēnei)

I etahi wā, ka taea e etahi rongoā te whakaoho i te hirsutism. Kei roto i ēnei ētahi steroids, ngā rongoā mō te mate huaketo, me ngā rongoā e pā ana ki ngā taumata homoni. I ngā take iti, ka rere te āhuatanga i roto i ngā whānau nā ngā take ira e whakapakari ana i ngā follicle huruhuru kia nui ake te ngawari ki ngā homoni.

Mō ētahi wāhine, kaore ngā tākuta e taea te kimi i tētahi take kei raro i te whenua. E kiia ana tēnei ko te hirsutism idiopathic, ā, ko te tikanga ko ngā follicle huruhuru o tōu he nui ake te ngawari ki ngā taumata homoni noa.

Nōhea te haere ki te tākuta mō te hirsutism?

Me haere koe ki te tākuta mena ka kite koe i te tupu huruhuru ohorere, tere rānei i ngā wāhi o te tauira kāne. Ka taea e te aromatawai wawe te awhina i te kimi i ngā āhuatanga kei raro i te whenua me te tīmata i te maimoatanga tika.

He mea nui rawa te rapu awhina hauora mena ka pā ēnei tohu ki a koe me te hirsutism:

• Ngā wā marama koretake, kua ngaro rānei
• Te mate pū nui e kore e whakautu ki ngā maimoatanga noa
• Te nui o te taumaha, te uaua rānei ki te ngaro taumaha
• Te hohonu o te reo, te ngaro huruhuru o te tauira kāne rānei
• Te nui o te uaua, ētahi atu āhuatanga kāne rānei

Kaua e tatari mena kei te tupu te huruhuru i te raruraru nui ki a koe, i te pānga rānei ki tō kounga oranga. Ka taea e tō tākuta te awhina i te whakatau i te take me te kōrero mō ngā maimoatanga e mahi ana mō tō āhuatanga.

Ahakoa he ngawari ngā tohu, ka taea e te aromatawai te awhina i te hopu i ngā āhuatanga pēnei i te PCOS i te wawe, ka taea te whai pānga hauora roa atu i te tupu huruhuru anake.

He aha ngā take morearea mō te hirsutism?

He maha ngā take ka taea te whakapiki ake i tō tūponotanga ki te whanake i te hirsutism. Ka taea e te mārama ki ēnei te awhina i a koe ki te mohio ina nui atu pea tō morearea.

Ko ēnei ngā take morearea nui:

• Te hītori whānau o te hirsutism, PCOS rānei
• Te momona, ka taea te whakaiti i te ātete ki te insulin me ngā koretake homoni
• Ētahi iwi (ngā wāhine o te Moana-nui-a-Kiwa, te Raki o te Pō, me te Tonga o Āhia he nui ake te nui)
• Te tau, i te mea ka taea e ngā huringa homoni i te wā o te taitamariki me te menopause te whakaoho i ngā tohu

Ko te whai ātete ki te insulin, te mate huka momo 2 rānei ka whakapiki ake i tō morearea, i te mea ka taea e ēnei āhuatanga te pānga ki te whakamahi a tō tinana i ngā homoni. He maha ngā wāhine e whai ana i ēnei āhuatanga he nui ake ngā taumata androgen.

Ko te tango i ētahi rongoā mo te wā roa ka taea hoki te tūponotanga. Mena kei runga koe i ngā rongoā e pā ana ki ngā homoni, me aroturuki koe e tō tākuta mō ngā tohu o te hirsutism.

He aha ngā raruraru pea o te hirsutism?

Ahakoa ehara te hirsutism i te mea kino, ka taea te tohu ki ngā āhuatanga kei raro i te whenua e hiahia ana ki te aro. Ka taea hoki te nui o te pānga hinengaro mō ngā wāhine maha.

Ko ngā pānga hinengaro e whai ake nei:

• Te iti o te whakaaro nui ki a koe me ngā raruraru whakaahua tinana
• Te manukanuka pāpori, te wehe atu rānei i ngā mahi
• Te pouri, te huringa ngākau rānei
• Ngā raruraru whanaungatanga

Mai i te tirohanga hauora, ka taea e te hirsutism te tohu ki ngā āhuatanga ka arahi ki ētahi atu raruraru hauora. Ko te PCOS, hei tauira, ka taea te whakapiki ake i tō tūponotanga ki te mate huka, te mate ngakau, me ngā raruraru whakaotinga mena kaore i te maimoatia.

I ngā take iti, ka taea e te hirsutism te tohu ki ngā āhuatanga nui ake pēnei i ngā pūngāwerewere e whakaputa ana i ngā homoni nui atu. Me whai awhina hauora tonu ēnei me te maimoatanga.

Ko te rongo pai ko te maimoatanga tika, ka taea te whakahaere pai i te tupu huruhuru me ngā āhuatanga kei raro i te whenua.

Me pēhea te whakatau i te hirsutism?

Ka tīmata tō tākuta mā te uiui mō ō tohu, tō hītori hauora, me ngā rongoā katoa e tangohia ana e koe. Ka hiahia hoki rātou ki te mohio mō tō hītori whānau o ngā āhuatanga rite.

Ko te whakamātautau tinana kei roto te tirotiro i ngā wāhi kei te pānga te tupu huruhuru ki a koe. Ka whakamahi pea tō tākuta i tētahi pūnaha tohu hei ine i te nui o te tupu huruhuru i ngā wāhi tinana rerekē.

He mea nui ngā whakamātautau toto hei tirotiro i ō taumata homoni, tae atu ki:

• Ngā taumata testosterone me ētahi atu androgen
• Ngā taumata insulin me te huka
• Ngā whakamātautau mahi thyroid
• Ngā taumata prolactin

I runga i ō tohu me ngā hua whakamātautau, ka tūtohu pea tō tākuta i ētahi atu whakamātautau. Ka taea te whakauru i ēnei ki ngā ultrasound pelvic hei tirotiro i ō ovaries, i ngā CT scans rānei hei tirotiro i ō adrenal glands.

Ka awhina te tukanga whakatau i te kimi mena kei reira tētahi āhuatanga kei raro i te whenua e whakaoho ana i tō hirsutism me te aratohu i te huarahi maimoatanga tino tika mō tō āhuatanga.

He aha te maimoatanga mō te hirsutism?

Ko te maimoatanga mō te hirsutism kei te aro ki te whakaiti i te tupu huruhuru me te whakatika i ngā koretake homoni kei raro i te whenua. Ko te huarahi e whakawhirinaki ana ki te take me te nui o tō āhuatanga.

Ko ngā maimoatanga homoni te raina tuatahi o te rongoā, tae atu ki:

• Ngā pire whakahaere whānau e whai estrogen me te progesterone
• Ngā rongoā anti-androgen pēnei i te spironolactone
• Metformin mō ngā wāhine e whai ātete ana ki te insulin
• Ngā kirikiri o runga e whakaiti ana i te tupu huruhuru

Ka mahi ēnei rongoā mā te whakaiti i te whakaputanga androgen, i te aukati rānei i ō rātou pānga ki ngā follicle huruhuru. Ko te tikanga ka toru ki te ono marama te roa kia kite i ngā whakapainga, no reira he mea nui te manawanui.

Mō te tango huruhuru tonu, he maha ngā whiringa ataahua:

• Te tango huruhuru laser mō te whakaiti roa
• Te electrolysis mō te tango huruhuru mau tonu
• Te whakaheke, te whakawai, te aho rānei mō ngā otinga wā poto
• Ngā kirikiri whakakore e hoahoa ana mō ngā wāhi ngawari

Ka mahi tahi tō tākuta me koe ki te hanga i tētahi mahere maimoatanga e whakautu ana ki te take kei raro i te whenua me ō raruraru ataahua. He maha ngā wāhine e kite ana ko te whakakotahi i te maimoatanga hauora me ngā tikanga tango huruhuru te tino hua.

Me pēhea te whakahaere i te hirsutism i te kāinga?

Ahakoa he mea nui te maimoatanga hauora, he maha ngā mea ka taea e koe te mahi i te kāinga hei awhina i te whakahaere i te hirsutism me te tautoko i tō mahere maimoatanga katoa.

Ko te pupuri i te taumaha hauora ka taea te awhina nui mena kei a koe te ātete ki te insulin, PCOS rānei. Ahakoa te ngaro taumaha 5-10% ka taea te whakapai ake i ngā taumata homoni me te whakaiti i te tupu huruhuru i te wā.

Ka awhina te whakakori tinana i tō tinana ki te whakamahi pai ake i te insulin ka taea te whakaiti i ngā taumata androgen. Whakaarohia te iti rawa o te 30 meneti o te mahi ngāwari i te nuinga o ngā rā o te wiki.

Mō te whakahaere huruhuru o ia rā, whakaarohia ēnei whiringa haumaru:

• Whakamahia he raka kounga pai me te kiri kiri mō te kiri ngawari
• Whakamātautau i ngā hua whakamārama kia iti ake te kitea o te huruhuru
• Whakamahia te concealer, te whakapaipai rānei hei hipoki i ngā wāhi i waenga i ngā kaupapa tango huruhuru
• Whakaarohia te aho, te whakawai rānei ngaio mō te huruhuru mata

Ko te kai i te kai tōtika me te nui o te muka me te whakaiti i ngā kai tukatuka ka taea te awhina i te whakahaere i ngā taumata insulin. Ka kite etahi wahine ko te whakaiti i te waiu me ngā huka whakahāpai ka awhina ki ō rātou tohu.

Kia mahara ko te whakahaere kāinga te mahi pai ina whakakotahitia ki te maimoatanga hauora, ehara i te whakakapi mōna.

Me pēhea te whakarite mō tō hui tākuta?

Ko te haere ki tō hui whakarite ka awhina i tō tākuta ki te hoatu i te tiaki pai rawa atu ki a koe. Tīmata mā te pupuri i ngā tohu me te wā i tīmata ai rātou.

Tuhia ngā wāhi motuhake kei te kitea e koe te nui o te tupu huruhuru me te roa o tō wheako i ēnei huringa. Kia tuhia mena kua tupu te tupu huruhuru i te iti iho, i te ohorere rānei.

Kawe mai i te rārangi katoa o ō rongoā o nāianei, tae atu ki ngā taapiri me ngā huaora kore-rekoata. Ka taea e ētahi o ēnei te pānga ki ngā taumata homoni, i te mahi tahi rānei ki ngā maimoatanga.

Whakaritehia ngā mōhiohio mō tō huringa marama, tae atu ki:

• Te wā i tīmata ai ō wā marama me ō rātou tikanga o nāianei
• Ngā huringa i roto i tō huringa i te wā tata nei
• Mena kua whai raruraru whakaotinga koe
• Ngā tohu atu pēnei i te mate pū, ngā huringa taumaha, ngā huringa ngākau rānei

Ui ki ngā mema whānau mō tetahi hītori o te hirsutism, PCOS, ētahi atu āhuatanga homoni rānei i roto i tō whānau. Ka taea te whai utu tēnei mōhiohio mō tō whakatau.

Whakaarohia ngā pātai e hiahia ana koe ki te ui me te tuhi i a rātou. Ka taea te whakauru i ēnei ki ngā pātai mō ngā whiringa maimoatanga, ngā pānga taha, te roa rānei ka roa kia kite i ngā whakapainga.

He aha te mea nui mō te hirsutism?

Ko te hirsutism tētahi āhuatanga e taea te whakahaere e pā ana ki ngā wāhine maha, ā, kaua e whakahaere anake koe. Ahakoa ka raru pea, kei reira ngā maimoatanga whai hua hei awhina i te whakaiti i te tupu huruhuru me te whakautu i ngā take kei raro i te whenua.

Ko te mea nui rawa hei mahara ko te rapu aromatawai hauora i te wawe ka taea te whakarereke nui i tō angitu maimoatanga. He maha ngā āhuatanga kei raro i te whenua e whakaoho ana i te hirsutism e whakautu pai ana ki te maimoatanga ina hopukina i te wawe.

Me te whakakotahitanga tika o te maimoatanga hauora me ngā tikanga whakahaere huruhuru, ka kite te nuinga o ngā wāhine i te whakapainga nui i ō rātou tohu. Ka roa pea kia kitea te huarahi e mahi ana pai rawa atu mōu, engari ko te manawanui te utu.

Kia mahara ehara te hirsutism i te whakatau i a koe, ā, kāore he whakama i te rapu awhina. Kei reira tō kaiwhakarato hauora hei tautoko i a koe ki te kimi i ngā otinga e awhina ana i a koe kia whakapono me te mārama ki tō kiri ake.

Ngā pātai e ui pinepinetia ana mō te hirsutism

P1: Ka ngaro noa iho te hirsutism?

Ko te hirsutism kaore e oti te whakakore i te kore maimoatanga, ina koa mena i whakaohotia e tētahi āhuatanga homoni kei raro i te whenua. Heoi, me te maimoatanga hauora tika, ka kite te nuinga o ngā wāhine i te whakapainga nui i ngā tauira tupu huruhuru. Ko te matua ko te whakautu i te take take, kaua ki te tatari kia pai ake.

P2: Ka pā te hirsutism ki tō kaha ki te hapu?

Ko te hirsutism anake kaore e arahi tika ki ngā raruraru whakaotinga, engari ko ngā āhuatanga kei raro i te whenua e whakaoho ana pea. Ko te PCOS, e whakaoho ana i te 70% o ngā take hirsutism, ka taea te pānga ki te ovulation me te whakaotinga. Ko te rongo pai ko te maimoatanga i te āhuatanga kei raro i te whenua e whakapai ake ana i te tupu huruhuru me ngā hua whakaotinga.

P3: He haumaru te whakaheke, te whakawai rānei i te huruhuru e whakaohotia ana e te hirsutism?

Ae, he haumaru te tango i te huruhuru e kore e hiahiatia mā te whakaheke, te whakawai, ētahi atu tikanga rānei i te wā e whiwhi ana koe i te maimoatanga hauora. He rerekē ki te whakapono rongonui, te whakaheke kaore e whakapakari ake i te huruhuru, i te pouri rānei. Kōwhiria te tikanga tango huruhuru e tino pai ana ki a koe.

P4: E hia te roa o ngā maimoatanga hirsutism kia mahi?

Ko te nuinga o ngā maimoatanga hauora mō te hirsutism e toru ki te ono marama te roa kia kite i ngā hua e kitea ana, ā, ka roa pea ki te kotahi tau kia kite i ngā hua katoa. Ko te take ko ngā huringa tupu huruhuru he iti te tere, ā, ka roa te wā mō ngā maimoatanga homoni kia pā ki te tupu huruhuru hou. He mea nui te manawanui, i te mea he iti te whakapainga, engari he nui.

P5: Ka taea e te ahotea te whakaiti i te hirsutism?

Ka taea e te ahotea roa te whakaiti i te hirsutism mā te pānga ki ō taumata homoni, ina koa te cortisol, ka taea te pānga ki te whakaputanga androgen. Ko te whakahaere i te ahotea mā ngā tikanga whakamahinga, te whakakori tinana, me te moe tika ka taea te awhina i tō mahere maimoatanga katoa, ahakoa ko te whakahaere ahotea anake kaore e whakaora i te hirsutism.