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October 10, 2025
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Ukuqina kwezinwele kwabesifazane kuyisimo lapho abesifazane bekhula khona izinwele ezingaphezulu ezindaweni lapho amadoda avame ukukhula khona izinwele, njengobuso, isifuba, nemuva. Lokhu kwenzeka ngenxa yezinga eliphezulu lama-hormone amadoda okuthiwa yi-androgens emzimbeni wakho.
Cishe amaphesenti angu-5 kuya kwangu-10 abesifazane ababhekana nokuqina kwezinwele kwesinye isikhathi ekuphileni kwabo. Nakuba kungase kuzwakale kukhathazayo, kubalulekile ukwazi ukuthi kukhona ukwelashwa okuphumelelayo okukhona, futhi awuwedwa ekuqondiseni lesi simo.
Ukuqina kwezinwele kwabesifazane kwenzeka lapho umzimba wakho ukhulisa ama-hormone amadoda kakhulu, ikakhulukazi i-testosterone. La ma-hormone enza izikhumba zezinwele zikhule izinwele ezinzima, ezimnyama, nezinzima ezindaweni lapho abesifazane bengavamile ukukhula khona izinwele eziningi.
Lesi simo sithinta izindlela zokukhula kwezinwele ezindaweni abaguli abazibiza ngokuthi “izindawo ezithintekayo yi-androgen.” Lezi zihlanganisa ubuso bakho, isifuba, umhlane ophezulu, namathanga angaphakathi. Izinwele ezikhula zivame ukuba mnyama futhi zinzima, kufana nezinwele zobuso lwabesilisa.
Kuhlukile ekubeni nezinwele ezincane, ezilula eziningi abesifazane abazithola ngokwemvelo emizimbeni yabo. Ukuqina kwezinwele kwabesifazane kubhekisela ngokukhethekile ekukhuleni kwezinwele zesitayela samadoda okubukeka kukhulu futhi kukhathazayo.
Isimpawu esiyinhloko ukukhula kwezinwele ezingaphezulu ezindaweni lapho amadoda avame ukukhula khona izinwele. Ungase uqaphele lezi zinguquko zenzeka kancane kancane ezinyangeni noma eminyakeni eminingi.
Nazi izindawo ezivame kakhulu lapho ungase ubona khona ukukhula kwezinwele okwandisiwe:
Izinwele zivame ukuba mnyama, zinzima, futhi zinzima kunokuba izinwele ezincane, ezilula ezivamile kulezi zindawo. Ungase futhi uqaphele ezinye izimpawu ezihlobene namazinga aphezulu e-androgen, njengobuso, isikhumba esinamanzi, noma ukuguquka kwesikhathi sakho sokuba nesikhathi.
Abanye abesifazane bangase babhekane nokujula kwezwi noma ukubola kwezinwele zesitayela samadoda, nakuba lokhu kungavamile futhi kuvame ukubonisa ukungalingani kwama-hormone okukhulu.
Ukuqina kwezinwele kwabesifazane kwenzeka lapho umzimba wakho ukhulisa ama-hormone amadoda kakhulu noma uba nomuzwa omkhulu ngezinga lama-hormone ajwayelekile. Izimo eziningana ezingaphansi kwazo zingabangela lo mpendulo.
Imbangela evamile kakhulu yi-polycystic ovary syndrome (PCOS), ethinta cishe amaphesenti angu-70 abesifazane abanezinwele eziqine kakhulu. I-PCOS yenza ama-ovari akho akhiqize i-androgens engaphezulu, eholela ezimpawu ezihlukahlukene ezihlanganisa ukukhula kwezinwele okungafuneki.
Ezinye izimo zama-hormone ezingabangela ukuqina kwezinwele kwabesifazane zihlanganisa:
Ngesinye isikhathi, imithi ethile ingabangela ukuqina kwezinwele kwabesifazane. Lokhu kuhlanganisa ezinye izidakamizwa, imithi ye-epilepsy, nezinye izidakamizwa ezithinta amazinga ama-hormone. Ezimweni ezingavamile, lesi simo sihamba emindenini ngenxa yezinto zofuzo ezenza izikhumba zezinwele zibe nomuzwa omkhulu ngama-hormone.
Kwabesifazane abathile, odokotela abakwazi ukubona imbangela ethile ephakathi. Lokhu kubizwa ngokuthi i-idiopathic hirsutism, futhi ngokuvamile kusho ukuthi izikhumba zakho zezinwele zimane ziba nomuzwa omkhulu ngezinga lama-hormone ajwayelekile.
Kufanele ubona udokotela uma uqaphela ukukhula kwezinwele okusheshayo noma okusheshayo ezindaweni zesitayela samadoda. Ukubheka kwasekuqaleni kungasiza ekutholeni noma yiziphi izimo ezingaphansi futhi uqale ukwelashwa okufanele.
Kubalulekile ngokukhethekile ukufuna ukunakekelwa kwezokwelapha uma ubhekene nalezi zimpawu kanye nokuqina kwezinwele kwabesifazane:
Ungalindi uma ukukhula kwezinwele kukubangela ukucindezeleka okukhulu ngokomzwelo noma kuthinta ikhwalithi yokuphila kwakho. Udokotela wakho angakusiza ekutholeni imbangela futhi axoxe ngezinketho zokwelapha ezisebenza esimweni sakho.
Ngisho noma izimpawu zakho zibonakala zingenamandla, ukuhlolwa kungasiza ekutholeni izimo ezinjenge-PCOS ngokushesha, ezingaba nemiphumela yempilo yesikhathi eside ngaphezu kokukhula kwezinwele nje.
Izinto eziningana zingandisa amathuba akho okuthola ukuqina kwezinwele kwabesifazane. Ukuqonda lokhu kungakusiza ekuqondeni ukuthi nini lapho ungase ube sengozini enkulu.
Izinto eziyinhloko ezingase zikwenze ube sengozini zihlanganisa:
Ukuba nokuphikisana kwe-insulin noma isifo sikashukela sohlobo 2 futhi kukwandisa ingozi yakho, njengoba lezi zimo zingathinta indlela umzimba wakho uqapha ngayo ama-hormone. Abesifazane abanezi zimo bavame ukuba namazinga aphezulu e-androgen.
Ukuthatha imithi ethile isikhathi eside kungaba yinto eyingozi. Uma uthatha imithi ethinta ama-hormone, udokotela wakho kufanele akuqaphe izimpawu zokuqina kwezinwele kwabesifazane.
Nakuba ukuqina kwezinwele kwabesifazane ngokwakho kungabi yingozi, kungaba uphawu lwezimo ezingaphansi ezidinga ukunakekelwa. Umphumela wokucindezeleka ngokomzwelo futhi ungaba mkhulu kwabesifazane abaningi.
Imiphumela yezokwelapha ivame ukubandakanya:
Ngokuqondene nempilo, ukuqina kwezinwele kwabesifazane kungase kubonise izimo ezingase ziholele kwezinye izinkinga zempilo. I-PCOS, isibonelo, ingandisa ingozi yakho yesifo sikashukela, isifo senhliziyo, nezinkinga zokuzala uma ingalashwa.
Ezimweni ezingavamile, ukuqina kwezinwele kwabesifazane kungaba uphawu lwezimo ezinzima njenge-tumors ezikhiqiza ama-hormone angaphezulu. Lokhu kudinga ukunakekelwa kwezokwelapha nokwelashwa ngokushesha.
Izindaba ezinhle ukuthi ngokwelashwa okufanele, kokubili ukukhula kwezinwele nanoma yiziphi izimo ezingaphansi kuvame ukuphathwa kahle.
Udokotela wakho uzoqala ngokubuza ngezimpawu zakho, umlando wezokwelapha, nanoma iyiphi imithi oyithathayo. Bazofuna futhi ukwazi ngomlando womndeni wakho wezimo ezifanayo.
Ukuhlolwa komzimba kuhlanganisa ukuhlola izindawo lapho ubhekene khona nokukhula kwezinwele. Udokotela wakho angase asebenzise uhlelo lokubala ukulinganisa ubukhulu bokukhula kwezinwele ezindaweni ezihlukene zomzimba.
Izivivinyo zegazi zivame ukudingeka ukuhlola amazinga ama-hormone akho, kuhlanganise:
Kuye ngezimpawu zakho nemiphumela yokuhlola, udokotela wakho angase akukhuthaze ukuthi wenze ezinye izivivinyo. Lokhu kungase kuhlanganise i-pelvic ultrasounds ukuhlola ama-ovari akho noma i-CT scans ukuhlola ama-adrenal glands akho.
Inkambiso yokuxilonga ikusiza ekutholeni ukuthi kukhona yini isimo esingaphansi esibangela ukuqina kwezinwele kwabesifazane futhi iholele endleleni yokwelapha efanele esimweni sakho.
Ukwelashwa kokuqina kwezinwele kwabesifazane kugxile ekunciphiseni ukukhula kwezinwele nokubhekana nanoma yikuphi ukungalingani kwama-hormone okungaphansi. Indlela ihlanganisa imbangela nobukhulu besimo sakho.
Ukwelashwa kwama-hormone kuvame ukuba yindlela yokuqala yokwelapha futhi kuhlanganisa:
Le mithi isebenza ngokunciphisa ukukhiqizwa kwe-androgen noma ukuvimbela imiphumela yayo ezikhumbeni zezinwele. Ngokuvamile kuthatha izinyanga ezingu-3 kuya kwezi-6 ukubona ukuthuthuka okubonakalayo, ngakho-ke isineke kubalulekile.
Ukususa izinwele ngokushesha, unezinketho eziningana zezinto zokubukeka:
Udokotela wakho uzohlangana nawe ukudala uhlelo lokwelapha oluqondana kokubili imbangela ephakathi nezinkinga zakho zokubukeka. Abesifazane abaningi bathola ukuthi ukuhlanganisa ukwelashwa kwezokwelapha nezindlela zokususa izinwele kunikeza imiphumela emihle kakhulu.
Nakuba ukwelashwa kwezokwelapha kubalulekile, kunezinto eziningana ongenza ekhaya ukuze usize ukuphatha ukuqina kwezinwele kwabesifazane nokusekela uhlelo lwakho lokwelapha oluphelele.
Ukugcina isisindo esinempilo kungasiza kakhulu uma une-insulin resistance noma i-PCOS. Ngisho nokunciphisa isisindo esingu-5-10% kungathuthukisa amazinga ama-hormone futhi kunciphisa ukukhula kwezinwele ngokuhamba kwesikhathi.
Ukuzivocavoca njalo kusiza umzimba wakho ukusebenzisa i-insulin ngokuphumelelayo futhi kunganciphisa amazinga e-androgen. Hlose okungenani imizuzu engama-30 yomsebenzi ophakathi nsuku eziningi zeviki.
Ukulawula izinwele nsuku zonke, cabanga ngalezi zinketho eziphephile:
Ukudla ukudla okulinganiselayo okunefayibha eningi nokulinganisela ukudla okucutshunguliwe kungasiza ekulawuleni amazinga e-insulin. Abanye abesifazane bathola ukuthi ukunciphisa ubisi noshukela oluhlanziwe kusiza ngezimpawu zabo.
Khumbula ukuthi ukuphathwa ekhaya kusebenza kangcono uma kuhlanganiswe nokwelashwa kwezokwelapha, hhayi njengendlela yokusika ukwelashwa kwezokwelapha.
Ukuba ulungile e-appointment yakho kuzosiza udokotela wakho ukuba akunikeze ukunakekelwa okuhle kakhulu okungenzeka. Qala ngokulandelela izimpawu zakho nokuthi zaqala nini.
Bhala phansi izindawo ezithile lapho uqaphela khona ukukhula kwezinwele okwandisiwe nokuthi uke wabhekana kanjani nalezi zinguquko. Qaphela uma ukukhula kwezinwele kuye kwaba kancane kancane noma ngokushesha.
Letha uhlu oluphelele lwemithi yakho yamanje, kuhlanganise nezinye izithasiselo ne-vitamins. Ezinye zalezi zingathinta amazinga ama-hormone noma zihlangane nokwelashwa.
Lungiselela ulwazi ngesikhathi sakho sokuba nesikhathi, kuhlanganise:
Buza amalungu omndeni nganoma yimuphi umlando wokuqina kwezinwele kwabesifazane, i-PCOS, noma ezinye izimo zama-hormone emndenini wakho. Lolu lwazi lungaba lubalulekile ekuxilongeni kwakho.
Cabanga ngemibuzo ofuna ukuyibuza futhi uyibhale phansi. Lokhu kungase kuhlanganise imibuzo mayelana nezinketho zokwelapha, imiphumela emibi, noma isikhathi esingase sidingeke ukubona ukuthuthuka.
Ukuqina kwezinwele kwabesifazane kuyisimo esilawuleka esithinta abesifazane abaningi, futhi awudingi ukubhekana nakho wedwa. Nakuba kungase kuzwakale kukhulu, ukwelashwa okuphumelelayo kukhona ukusiza ekuthuthukiseni ukukhula kwezinwele nokubhekana nezimbangela ezingaphansi.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukufuna ukubheka kwezokwelapha kwasekuqaleni kungenza umehluko omkhulu empumelelweni yakho yokwelashwa. Izimo eziningi ezingaphansi ezibangela ukuqina kwezinwele kwabesifazane ziphendula kahle ekwelashweni uma zitholakala kwasekuqaleni.
Ngokuhlanganiswa okulungile kokwelashwa kwezokwelapha nezindlela zokuphatha izinwele, abesifazane abaningi babona ukuthuthuka okukhulu ezimpawu zabo. Kungase kudingeke isikhathi esithile ukuthola indlela esebenza kahle kuwe, kodwa ukukhuthazela kuvame ukukhokhela.
Khumbula ukuthi ukuqina kwezinwele kwabesifazane akuhlukumi, futhi akukho luhlazo ekutholeni usizo. Umhlinzeki wakho wezempilo ulapho ukusekela ekutholeni izixazululo ezikusiza uzizwe ukhulu futhi ukhululekile.
Ukuqina kwezinwele kwabesifazane ngokuvamile akupheli ngaphandle kokwelashwa, ikakhulukazi uma kubangelwa isimo sama-hormone esingaphansi. Noma kunjalo, ngokwelashwa kwezokwelapha okufanele, abesifazane abaningi babona ukuthuthuka okukhulu ezindleleni zokukhula kwezinwele. Ikhona ukubhekana nomsuka kunokulinda ukuthi kuthuthuke ngokwemvelo.
Ukuqina kwezinwele kwabesifazane ngokwakho akubangeli izinkinga zokuzala, kodwa izimo ezingaphansi ezibangela lokho kungenzeka. I-PCOS, ebangela cishe amaphesenti angu-70 ezimo zokuqina kwezinwele kwabesifazane, ingathinta ukukhishwa kwama-ovari nokuzala. Izindaba ezinhle ukuthi ukwelapha isimo esingaphansi kuvame ukuthuthukisa kokubili ukukhula kwezinwele nemiphumela yokuzala.
Yebo, kuphephile ngokuphelele ukususa izinwele ezingafuneki ngokuhlambalaza, ukuwaxa, noma ezinye izindlela ngenkathi uthola ukwelashwa kwezokwelapha. Ngokuphambene nokuthandwa kakhulu, ukuhlanza akwenzi izinwele zikhule zibe nzima noma zimnyama. Khetha indlela yokususa izinwele ozizwa ukhululekile ngayo.
Ukwelashwa kwezokwelapha okuningi kokuqina kwezinwele kwabesifazane kuthatha izinyanga ezingu-3 kuya kwezi-6 ukubonisa imiphumela ebonakalayo, futhi izinzuzo eziphelele zingase zithathe unyaka. Lokhu kungenxa yokuthi izikhathi zokukhula kwezinwele zihamba kancane, futhi kuthatha isikhathi sokuba ukwelashwa kwama-hormone kuthinte ukukhula okusha kwezinwele. Isineke kubalulekile, njengoba ukuthuthuka kuhamba kancane kodwa ngokuvamile kubalulekile.
Ukucindezeleka okuqhubekayo kungase kwenze kube kubi ukuqina kwezinwele kwabesifazane ngokuthinta amazinga akho ama-hormone, ikakhulukazi i-cortisol, engase ithonye ukukhiqizwa kwe-androgen. Ukuphatha ukucindezeleka ngezindlela zokupumula, ukuzivocavoca, nokulala okwanele kungase kusize ekusekeleni uhlelo lwakho lokwelapha oluphelele, nakuba ukuphatha ukucindezeleka ngokwalo ngeke kululame ukuqina kwezinwele kwabesifazane.
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