Hirsutism ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Hirsutism ni uburwayi butuma abagore bagira ubwoya bwinshi ahantu abagabo bakunda kugira ubwoya, nko mu maso, ku gatuza, no ku mugongo. Ibi biterwa n'imisemburo y'abagabo yitwa androgens iri mw'umubiri wawe mu kigero kinini.

Abagore bagera kuri 5 ku ijana kugeza kuri 10% bahura na hirsutism mu buzima bwabo. Nubwo bishobora gutera ikibazo, ni ingenzi kumenya ko hari ubuvuzi bufatika buhari, kandi nturi wenyine mu guhangana n'ubu burwayi.

Hirsutism ni iki?

Hirsutism ibaho iyo umubiri wawe utera imisemburo y'abagabo, cyane cyane testosterone, mu kigero kinini. Iyi misemburo ituma imisatsi ikura ikaba miremire, imiraba, kandi ikomeye ahantu abagore badakunze kugira ubwoya bwinshi.

Ubu burwayi bugira ingaruka ku buryo ubwoya bukura mu bice abaganga bita “androgen-sensitive”. Ibi birimo ururimi rwo hejuru, ishinya, igituza, umugongo wo hejuru, n'imbere y'amaguru.

Ubwoya bukura busanzwe ari umukara kandi bukomeye, nk'ubwoya bwo mu maso bw'abagabo. Ni ukwigondera kugira ubwoya buke, buto, kandi burambuye abagore benshi baba bafite ku mubiri wabo. Hirsutism ivuga ku buryo ubwoya bukura nk'ubw'abagabo, bukaba bugaragara cyane kandi bugatera ikibazo.

Ibimenyetso bya hirsutism ni ibihe?

Ikimenyetso nyamukuru ni ukugira ubwoya bwinshi ahantu abagabo bakunda kugira ubwoya. Ushobora kubona izi mpinduka ziba buhoro buhoro mu mezi cyangwa imyaka.

Dore ahantu hakunze kugaragara ubwoya bwinshi:

• Mu maso (ururimi rwo hejuru, ishinya, ijosi, n'amasura)
• Ku gatuza no hafi y'ibere
• Ku mugongo wo hejuru n'amaboko
• Mu nda yo hasi n'imbere y'amaguru
• Ku kibuno

Ubwoya busanzwe ari umukara, bukomeye, kandi burebure aho kuba ubwoya buke, buto, kandi burambuye busanzwe muri iyo myanya. Ushobora kandi kubona ibindi bimenyetso bifitanye isano n'imisemburo y'abagabo iri mu kigero kinini, nko guhumeka, uruhu rworoshye, cyangwa impinduka mu mihango.

Bamwe mu bagore bashobora kumva ijwi ryabo rihindutse cyangwa bagira ubwambure bw'abagabo, nubwo ibi bidafata abantu benshi kandi bisanzwe bigaragaza imisemburo idahwitse.

Intandaro za hirsutism ni izihe?

Hirsutism ibaho iyo umubiri wawe utera imisemburo y'abagabo mu kigero kinini cyangwa ukaba ufite ubushobozi bwo kwakira imisemburo isanzwe. Ibi biterwa n'ibindi bibazo byinshi.

Intandaro ikunze kugaragara ni polycystic ovary syndrome (PCOS), igira ingaruka ku bagore bagera kuri 70% bafite hirsutism. PCOS ituma amagi atanga androgens mu kigero kinini, bigatuma habaho ibimenyetso bitandukanye birimo ubwoya budasabwa.

Ibindi bibazo by'imisemburo bishobora gutera hirsutism birimo:

• Insulin resistance, ishobora kongera umusaruro w'androgens
• Ibibazo by'umwijima bigira ingaruka ku mibanire y'imisemburo
• Ibibazo by'umusemburo w'adrenal utera imisemburo mu kigero kinini
• Umuhumekero w'amagi cyangwa adrenal (nubwo ibi bidafata abantu benshi)

Rimwe na rimwe, imiti imwe ishobora gutera hirsutism. Ibi birimo imiti imwe ya steroids, imiti yo kuvura indwara z'ubwonko, n'imiti igira ingaruka ku misemburo. Mu bihe bidafata abantu benshi, ubu burwayi bukomoka mu muryango kubera impamvu z'umutungo zituma imisatsi ikura cyane kubera imisemburo.

Ku bagore bamwe, abaganga ntibashobora kumenya intandaro nyamukuru. Ibi bita idiopathic hirsutism, kandi bisobanura ko imisatsi yawe ishobora kwakira imisemburo isanzwe.

Ni ryari ukwiye kujya kwa muganga kubera hirsutism?

Ukwiye kujya kwa muganga niba ubona ubwoya bukura vuba cyangwa mu buryo budasanzwe ahantu abagabo bakunda kugira ubwoya. Kumenya hakiri kare bishobora gufasha kumenya ibibazo byose kandi ugatangira ubuvuzi bukwiye.

Ni ingenzi cyane gushaka ubufasha bw'abaganga niba ufite ibi bimenyetso hamwe na hirsutism:

• Imihango idahwitse cyangwa idahari
• Guhumeka bikabije bidakira n'ubuvuzi busanzwe
• Kwiyongera k'uburemere cyangwa kugorana kugabanya uburemere
• Ijwi rihindutse cyangwa ubwambure bw'abagabo
• Imisuli myinshi cyangwa ibindi bimenyetso by'abagabo

Ntugatege amatwi niba ubwoya bukura buguteye ikibazo cyane cyangwa bugira ingaruka ku mibereho yawe. Muganga wawe ashobora kugufasha kumenya intandaro no kuganira ku buvuzi bukwiye ukoresha.

Nubwo ibimenyetso byawe bigaragara nk'ibito, gusuzuma bishobora gufasha kumenya ibibazo nka PCOS hakiri kare, bishobora kugira ingaruka ku buzima bw'igihe kirekire uretse ubwoya bukura.

Ibyago bya hirsutism ni ibihe?

Ibintu byinshi bishobora kongera ibyago byo kurwara hirsutism. Kubyumva bishobora kugufasha kumenya igihe ushobora kuba ufite ibyago byinshi.

Ibyago bikomeye birimo:

• Amateka y'umuryango wa hirsutism cyangwa PCOS
• Guhindagurika kw'uburemere, bishobora kongera insulin resistance n'imisemburo idahwitse
• Ukoresha bamwe (abagore bo muri Mediterane, Abagereki, n'Abayaziya y'Epfo bafite umubare munini)
• Imyaka, kuko impinduka z'imisemburo mu gihe cy'ubwangavu no mu gihe cy'imyaka y'ubukure bishobora gutera ibimenyetso

Kugira insulin resistance cyangwa diyabete yo mu bwoko bwa 2 byongera ibyago byawe, kuko ibi bibazo bishobora kugira ingaruka ku buryo umubiri wawe ukoresha imisemburo. Abagore bafite ibi bibazo bakunze kugira androgens mu kigero kinini.

Guhita ufata imiti igihe kirekire bishobora kandi kuba ikibazo. Niba ukoresha imiti igira ingaruka ku misemburo, muganga wawe agomba kukumenya niba ufite ibimenyetso bya hirsutism.

Ingaruka zishoboka za hirsutism ni izihe?

Nubwo hirsutism ubwayo atari ikintu kibabaza, ishobora kuba ikimenyetso cy'ibibazo bikeneye kwitabwaho. Ingaruka zo mu mutwe zishobora kandi kuba zikomeye ku bagore benshi.

Ingaruka zo mu mutwe zirimo:

• Kugabanyuka kw'icyizere cy'umuntu ubwe n'ibibazo by'isura y'umubiri
• Ubwoba bw'abantu cyangwa kwirinda ibikorwa
• Ihangayika cyangwa impinduka mu mico
• Ibibazo mu rukundo

Mu bijyanye n'ubuzima, hirsutism ishobora kugaragaza ibibazo bishobora gutera ibindi bibazo by'ubuzima. PCOS, kurugero, ishobora kongera ibyago bya diyabete, indwara z'umutima, n'ibibazo byo kubyara niba idakize.

Mu bihe bidafata abantu benshi, hirsutism ishobora kuba ikimenyetso cy'ibibazo bikomeye nko guhumeka gutera imisemburo mu kigero kinini. Ibi bisaba ubufasha bw'abaganga vuba kandi ubuvuzi.

Inkuru nziza ni uko, ukoresheje ubuvuzi bukwiye, ubwoya bukura n'ibibazo byose bishobora gufatwa neza.

Hirsutism imenyekanwa gute?

Muganga wawe azatangira akubaza ibibazo ku bimenyetso byawe, amateka yawe y'ubuzima, n'imiti ukoresha. Azashaka kandi kumenya amateka y'umuryango wawe ku bibazo nk'ibi.

Isuzuma ry'umubiri ririmo kugenzura ahantu ugira ubwoya bukura. Muganga wawe ashobora gukoresha uburyo bwo kubara kugira ngo apime ubwoya bukura mu bice bitandukanye by'umubiri.

Ibizamini by'amaraso bisanzwe bikenewe kugira ngo harebwe imisemburo yawe, irimo:

• Testosterone n'andi androgens
• Insulin na glucose
• Ibizamini by'umwijima
• Prolactin

Bishingiye ku bimenyetso byawe n'ibisubizo by'ibizamini, muganga wawe ashobora kugusaba ibindi bizamini. Ibi bishobora kuba ultrasound yo kugenzura amagi yawe cyangwa CT scan yo kugenzura umusemburo wawe.

Uburyo bwo kuvura bugufasha kumenya niba hari ikibazo cy'ubuzima gitera hirsutism yawe kandi bugufasha kubona ubuvuzi bukwiye.

Ubuvuzi bwa hirsutism ni buhe?

Ubuvuzi bwa hirsutism bugamije kugabanya ubwoya bukura no kuvura ibibazo by'imisemburo. Uburyo bwo kuvura biterwa n'intandaro n'uburemere bw'uburwayi.

Ubuvuzi bw'imisemburo busanzwe ari bwo bwa mbere kandi burimo:

• Ibiyobyabwenge byo kubyara bifite estrogen na progesterone
• Imiti yo kurwanya androgens nka spironolactone
• Metformin ku bagore bafite insulin resistance
• Amavuta yo kwisiga agabanya ubwoya bukura

Iyi miti ikora igabanya umusaruro w'androgens cyangwa ikabuza ingaruka zayo ku misatsi. Bisanzwe bitwara amezi 3 kugeza kuri 6 kugira ngo ubone impinduka, bityo kwihangana ni ingenzi.

Kugira ngo ukureho ubwoya vuba, ufite uburyo butandukanye bwo kwisiga:

• Laser hair removal kugira ngo ugabanye ubwoya igihe kirekire
• Electrolysis kugira ngo ukureho ubwoya burundu
• Kugorora, guca, cyangwa gucukura ubwoya mu gihe gito
• Amavuta yo kwisiga yo gukuraho ubwoya

Muganga wawe azakorana nawe kugira ngo mugire gahunda y'ubuvuzi ifasha intandaro n'ibibazo byawe byo kwisiga. Abagore benshi basanga guhuza ubuvuzi n'uburyo bwo gukuraho ubwoya ari byo byiza.

Uko wakwitwara mu rugo

Nubwo ubuvuzi ari ingenzi, hari ibintu byinshi ushobora gukora mu rugo kugira ngo ufashe guhangana na hirsutism no gufasha gahunda yawe y'ubuvuzi.

Kugira uburemere bwiza bishobora gufasha cyane niba ufite insulin resistance cyangwa PCOS. Kugabanya uburemere kuri 5-10% bishobora kunoza imisemburo no kugabanya ubwoya bukura.

Imikino ngororamubiri ifasha umubiri wawe gukoresha insulin neza kandi ishobora kugabanya androgens. Gerageza gukora imikino igera kuri min 30 buri munsi.

Ku bijyanye no kwita ku misatsi yawe buri munsi, gerageza ibi:

• Koresha icyuma cyiza cyo kugorora n'amavuta yo kwisiga ku ruhu rworoshye
• Gerageza amavuta yo kubyimba kugira ngo ubwoya butaragaragara
• Koresha amavuta yo kwisiga kugira ngo upfuke ahantu ubwoya butakurwaho
• Gerageza gucukura ubwoya mu maso

Kurya indyo yuzuye ifite ibinyamisogwe byinshi no kugabanya ibiryo biteguwe bishobora gufasha gucunga insulin. Bamwe mu bagore basanga kugabanya amata n'isukari bifasha ibimenyetso byabo.

Wibuke ko guhangana mu rugo bikorwa neza iyo bihujwe n'ubuvuzi, atari ukubisimbura.

Uko wakwitegura kujya kwa muganga

Kwitabira neza igihe ugiye kwa muganga bizafasha muganga wawe kugufasha neza. Tangira ukomeze kumenya ibimenyetso byawe n'igihe byatangiye.

Andika ahantu ubona ubwoya bukura n'igihe wabimenye. Bandika niba ubwoya bukura buhoro buhoro cyangwa vuba.

Zana urutonde rwuzuye rw'imiti ukoresha, harimo n'imiti yo kwisiga n'imiti y'imbere.

Tegura amakuru yerekeye imihango yawe, irimo:

• Igihe imihango yawe yatangiye n'uko isanzwe iba
• Impinduka mu mihango yawe iheruka
• Niba warigeze ugira ibibazo byo kubyara
• Ibindi bimenyetso nko guhumeka, impinduka z'uburemere, cyangwa impinduka mu mico

Baza abagize umuryango wawe ku mateka ya hirsutism, PCOS, cyangwa ibindi bibazo by'imisemburo mu muryango wawe. Aya makuru ashobora kugufasha kuvurwa.

Tekereza ku bibazo ushaka kubaza kandi ubyandike. Ibi bishobora kuba ibibazo ku buvuzi, ingaruka, cyangwa igihe bishobora gutwara kugira ngo ubone impinduka.

Icyingenzi kuri hirsutism

Hirsutism ni uburwayi bushobora kuvurwa bugira ingaruka ku bagore benshi, kandi ntugomba kubihangana wenyine. Nubwo bishobora kuba bibi, ubuvuzi bufatika buhari kugira ngo bugufashe kugabanya ubwoya bukura no kuvura intandaro.

Icy'ingenzi ni ukugisha inama muganga hakiri kare kugira ngo ubone ubuvuzi bwiza. Ibibazo byinshi bitera hirsutism bikira neza iyo bimenyekanye hakiri kare.

Ukoresheje ubuvuzi bukwiye n'uburyo bwo gukuraho ubwoya, abagore benshi babona impinduka zikomeye mu bimenyetso byabo. Bishobora gutwara igihe kugira ngo ubone uburyo bukubereye, ariko kwihangana bisanzwe bigira akamaro.

Wibuke ko hirsutism itakugereranya, kandi nta cyo bitwaye gushaka ubufasha. Umuvuzi wawe ariho kugufasha kubona ibisubizo bigufasha kumva utekanye kandi wishimye.

Ibibazo byakunda kubaza kuri hirsutism

Q1: Hirsutism izakira yonyine?

Hirsutism ntishobora gukira idakize, cyane cyane niba iterwa n'ikibazo cy'imisemburo. Ariko, ukoresheje ubuvuzi bukwiye, abagore benshi babona impinduka zikomeye mu buryo ubwoya bukura. Icy'ingenzi ni uguhangana n'intandaro aho gutegereza ko ikizira.

Q2: Hirsutism ishobora kugira ingaruka ku bushobozi bwo gutwita?

Hirsutism ubwayo ntigira ingaruka ku kubyara, ariko ibibazo byabyo bishobora kugira ingaruka. PCOS, itera hirsutism ku bagore bagera kuri 70%, ishobora kugira ingaruka ku kubyara. Inkuru nziza ni uko kuvura ikibazo bisanzwe bituma ubwoya bukura bugabanuka kandi bikongera ubushobozi bwo kubyara.

Q3: Ni byiza kugorora cyangwa guca ubwoya buterwa na hirsutism?

Yego, ni byiza gukuraho ubwoya budasabwa ukoresheje uburyo bwo kugorora, guca, cyangwa ibindi mu gihe uvurwa. Bitandukanye n'ibyo abantu benshi batekereza, kugorora ntibitera ubwoya gukura cyane cyangwa kuba umukara. Hitamo uburyo bwo gukuraho ubwoya bumwumva.

Q4: Ubuvuzi bwa hirsutism bumamaramo igihe kingana gute?

Ubuvuzi bwinshi bwa hirsutism bumamaramo amezi 3 kugeza kuri 6 kugira ngo ubone impinduka, kandi ibyiza byuzuye bishobora gutwara umwaka. Ibi biterwa n'uko ubwoya bukura buhoro buhoro, kandi bituma ubuvuzi bw'imisemburo bugira ingaruka ku bwoya bushya. Kwihangana ni ingenzi, kuko impinduka ziba buhoro buhoro ariko zikaba zikomeye.

Q5: Umuvuduko ushobora kongera hirsutism?

Umuvuduko ukabije ushobora kongera hirsutism ukoresheje imisemburo yawe, cyane cyane cortisol, ishobora kugira ingaruka ku androgens. Guhangana n'umuvuduko ukoresheje imikino ngororamubiri, imikino, no kuryama bihagije bishobora gufasha gahunda yawe y'ubuvuzi, nubwo guhangana n'umuvuduko gusa bitavura hirsutism.