Zomwe kukula kwamtunduwu wa alopecia kumakhudzana kwambiri ndi mahomoni ogonana komanso chinthu chobadwa nawo. Kuchepetsa ndi kuchepa kwa tsitsi kumayambitsidwa ndi chidwi cha masanjidwe atsitsi kupita ku majini a dihydrotestosterone. Mothandizidwa ndi timadzi timeneti, kupindika kumachitika m'magulu a tsitsi. Zotsatira zake, mitundu yotsitsa ya tsitsi imayamba, masamba ambiri amafa.
Chizindikiro chowoneka cha androgenetic alopecia ndiko kusowa kwa tsitsi pamphumi ndi korona komanso kukula kwa tsitsi m'malo ena osaganizira zamahomoni ogonana.
Pali mitundu itatu ya androgenetic alopecia:
- Horseshoe Chithunzi cha chipatala chimawonetsedwa pakuthothoka tsitsi kwakama mbali yakumaso kuchokera kumbali yamakachisi. Kupitilira apo, njirayi imakulitsa mbali yonse ya kutsogolo, pang'onopang'ono imapanga mutu wa dazi womwe umawoneka ngati khola la akavalo.
- Chisa. Tsitsi limayamba kuwonda pamphumi. Pang'onopang'ono, njirayi imagwira parietal zone, ndikupanga mutu wa dazi wofanana ndi chisa.
- Mtundu Wosakanikirana. Tsitsi nthawi yomweyo likucheperachepera gawo la fronto-parietal komanso pa korona wamutu. Zidutswa zamadazi zimawoneka ngati chilembo cha M. Ngati njirayi siyimisidwa, dazi limayenda mumtundu wa akavalo.
Alopecia yamtunduwu imapezeka kwambiri mwa amayi chifukwa cha kusintha kwa mahomoni m'thupi nthawi yapakati, kuyamwa, kapena kutha msambo. Mphepo yovuta imadziwika ndi kutayika kwa tsitsi kumaso pa nkhope yonse ya mutu.
Tcherani khutu! Amathandizanso kukulitsa khonde lotupa chifukwa cha mankhwalawa kumatha kukhala mantha ambiri, kugwiritsa ntchito mankhwala osokoneza bongo, kugwiritsa ntchito mankhwala osokoneza bongo komanso kuletsa mapiritsi.
Diffuse alopecia agawika magulu awiri:
- anagenic (amapezeka munthawi ya kukula kwa tsitsi la tsitsi),
- telogen (wopezeka mgawo la kupuma kwathunthu kwama follicle).
Kuchepetsa tsitsi kwakanthawi kumapezeka kuti ndi alopecia wokhazikika. Chizindikiro cha mtundu uwu wamadazi ndizodutsa zammbali zokhala ndi mawonekedwe ozungulira kapena ozungulira.
Momwe tsitsi limasokonekera ndi alopecia yokhazikika imadutsa magawo atatu:
- Kupita patsogolo - cholinga cha dazi chikukulirakulira, pang'onopang'ono kuphatikiza.
- Inpatient - tsitsi limatha.
- Zosintha - tsitsi labwino kukula limabwezeretseka.
Mkhalidwe wautali wa kupsinjika, kupweteka kwa mutu, kusowa kwa mahomoni m'thupi, matenda a autoimmune angayambitse kukula kwa alopecia.
Njira yosasinthika yotayika tsitsi, yotsatana ndi kutupa kwambiri, ma atrophic ndi machitidwe osokoneza wapezeka cicatricial alopecia. Zomwe zimapangitsa kukhazikika kwa khosi kwamtunduwu ndi izi: matenda a autoimmune, zotupa zapakhungu, khungu.
Ndi cicatricial alopecia, mawonekedwe a tsitsi amawonongedwa, pamalo pomwe zipsera zimatuluka. Izi zomata zotsekemera zimathetsanso kukula kwa tsitsi latsopano.
Yang'anani! Chithunzi cha chipatala cha cicatricial alopecia chimawonetsedwa mu asymmetric foci ya prolfall, pomwe zipsera ndi zotupa za atrophic zimawonekera. Pakatikati mwa maderawa pali tsitsi labwino.
Mitundu yotsatira ya cicatricial alopecia imasiyanitsidwa:
- sekondale - imayamba chifukwa cha matenda aliwonse,
- X-ray - imayamba pambuyo poyesa ma X-ray a mycotic zotupa za pakhungu,
- idiopathic - ndizosowa kwambiri, ali ndi chikhalidwe chosadziwika.
Alopecia yamtunduwu imadziwika ndi dazi lathunthu osati la mutu, komanso mbali zina za thupi (mikono, miyendo, dera lachiberekero, nsidze ndi matope zimatuluka). Alopecia yonse imakula mwachangu. Pakangotha miyezi iwiri kuchokera pomwe anangoyamba kugwa, madera akulu kwambiri, osalumikizana.
Njira yothirira tsitsi imakwiyitsa munthu kupsinjika, kusokonezeka kwa ma cell, zotupa za pakhungu, kukhudzana ndi zinthu zama radio ndi mankhwala, kugwiritsa ntchito mosagwiritsa ntchito maantibayotiki, chemotherapy, ndi kuvulala pamutu.
Kusiyanitsa alopecia:
- chonse - kuchepa kwa tsitsi mthupi lonse,
- subtotal - kukulani pang'onopang'ono, kukhudza tsitsi lotsala pamutu,
- konsekonse - njira yodutsika ya dazi imakhudza thupi lonse, mbale ya msomali ikucheperachepera.
Magawo ndi madigiri a dazi molingana ndi Norwood
Asanapange njira yothandizira mankhwala a alopecia, dokotala trichologist amawona kuchuluka kwa tsitsi. Pachifukwa ichi, sikelo ya Norwood imagwiritsidwa ntchito - tebulo lokhala ndi ziwerengero komanso kufotokoza mwatsatanetsatane kukula kwa kuthothoka kwa tsitsi. Mlingo wa Norwood umaphatikiza mitundu yonse yomwe ilipo ya alopecia.
Gulu la Norwood laudindo limaphatikizapo madigiri 7 a alopecia aamuna:
- Gawo loyambirira. Kuwonetsedwa ndi kutayika kwa tsitsi kuchokera kumaso, kwakanthawi komanso kutsogolo kwa mutu.
- Lachiwiri. Malamba ang'onoang'ono a pamphumi ndi akachisi amatsogola masentimita angapo kumbuyo kwa mutu. Zotsatira zake, gawo lakanthawi kwakanthawi komanso kwakanthawi kumatenga mawonekedwe amakona atatu. Tsitsi la parietal zone ya mutu.
- Chachitatu. Dera la akachisi ndi mphumi likucheperachepera, mawonekedwe ammbali a dazi amawonekera, akusuntha zoposa 2 cm kuchokera kumzere wakutsogolo.
- YA. Alopecia areata, womwe amadziwika ndi kutayika kwa tsitsi pakathitsi. Nthawi zambiri, 3A dazi limakula mwa amuna patatha zaka makumi anayi ndi zisanu.
- Chachinayi. Pamalo a parietal, tsitsi limanenepa kwambiri kapena pafupifupi chilichonse chimatuluka. Dera la akachisi ndi mphumi likuwululidwa. Madera a parietal ndi frontotemporal amalekanitsidwa ndi gawo la tsitsi.
- Lachisanu. Tsitsi pa kolona lidatsala pang'ono kutha. Mphumi ndi whiskey sizabereka zambiri. Njira ya dazi imaphimba mbali yofunika kwambiri ya mutu, ndikupanga mawonekedwe amtundu waokokedwa ndi nsapato.
- Wachisanu ndi chimodzi. Tsitsi lomwe limalumikiza mbali zam'maso ndi korona m'mbuyomu limatuluka. Zotsatira zake, malo a dazi lalikulu amapangidwa.
- Chachisanu ndi chiwiri. Kutayika kwathunthu kwa tsitsi lakumaso ndi kumbuyo kwa mutu. Gawo laling'ono la tsitsi limangokhala m'malo a makutu, khosi ndi khosi.
Kungodziyang'anira nokha ndikuwonetsetsa kuti ali ndi vuto la alopecia koyambirira kungapangitse vutoli mwachangu ndikupewa makonde athunthu.
Makanema ogwiritsira ntchito
Mitundu yamdazi: nesting, androgenic (androgenetic), cicatricial, focal, kusokoneza, yonse.
Mitundu ya dazi (alopecia) pamutu, ndevu, nsidze, matope. Miyezo yamadazi.
Magawo a matenda
- Gawo loyamba limadziwika ndi kupatulira tsitsi kutsogolo kwa mutu, ndiye kuti, kuchokera kumadera anthawi yochepa.
- Gawo lachiwiri - mawonekedwe a dazi akuwonekera, omwe kuyambira kumbali yakutsogolo amapita kumbuyo kwa mutu. Ali ndi mawonekedwe owoneka ngati atatu.
- Gawo lachitatu - tsitsi lakumalo ndi lakutsogolo limakhala locheperako, kuwonjezera pa izi, dazi pa korona limayamba.
- Gawo lachinayi ndikuthothoka kwa tsitsi m'mbali ya parietal, pomwe mbali zam'mbuyo ndi akachisi zimatsala pang'ono kuwonekera.
- Gawo Lachisanu - mzere wakutsogolo wa nsapatoyo umasunthidwa kwambiri pamwamba, gawo la parietali limawululidwa. Pakadali pano, khungu limakhala ngati kansalu ka akavalo.
- Gawo la chisanu ndi chimodzi - dazi lakuthwa patsogolo, kumbuyo ndi m'mbali mwa mutu. Zigawo zopanda kanthuzo zimaphatikizika m'mbali yayikulu yayikulu, tsitsi loonda kwambiri lomwe limakhalapo likhala.
- Gawo la chisanu ndi chiwiri - mutha kuwona tsitsi pang'ono pamakutu ndi mu khosi, ndipo kutayika kwathunthu kwa tsitsi lonse sikumatha.
Nthawi zambiri, magawo onse amdazi achimuna amatha msanga kwambiri. Nthawi zambiri, machitidwe onse amatenga zaka 15, komanso zimachitika pamene khola lokwanira limachitika mzaka 5.
Alopecia mwa akazi amapita patsogolo pang'onopang'ono kuposa abambo. Kutha kwathunthu kwa tsitsi sichinthu chamunthu wamkazi, koma kuwonda ndikutheka kwa mawonekedwe a tsitsi ndikotheka. Pali magawo atatu amisala otayika mu akazi:
- Gawo loyamba ndi laling'ono, losachedwa kuwonekera la tsitsi pakati pa mzere wogawikalo, kuyambira kufupi mpaka kolona. Kuchepetsa kuchuluka kwa tsitsi sikofunikira.
- Gawo lachiwiri - kutayika kogwira ntchito kumachitika parietal dera ndipo kugawa kumakulirakulira. Chifukwa cha kutayika kwa tsitsi kwakupita patsogolo, madera owonekerawo amakula ndipo khungu limawonekera.
- Gawo lachitatu - pali dazi kwathunthu la lobe wa parietal. Komabe, tsitsi latsopano limatha kukula m'malo ena, koma mawonekedwe ake amatha kuwonongeka.
Dazi lachikazi lachikazi limayamba chifukwa cha zotupa za gawo lililonse la khungu. Izi zimawonedwa pakatikati kapena pambali.
- kubadwanso kwatsopano kapena kukula kwa maselo a tsitsi (ichthyosis, pigment incenceence),
- matenda opatsirana (khate, leishmaniasis, syphilis),
- zinthu zolimbitsa thupi (ma radiation, kutentha kwambiri komanso kutsika, ma acids, kuvulala kwamakina),
- khansa yapakhungu
- matenda a zonse (scleroderma, systemic lupus erythematosus, sarcoidosis),
- lichen planus.
Nerubtsovaya
- chibadwire
- chitetezo chamthupi ndi autoimmune
- zosokoneza mu endocrine system ndi metabolism,
- magazi osakwanira kumaso ndi nkhope,
- osteochondrosis a khomo lachiberekero,
- matenda am'mimba,
- kupsinjika kwanthawi yayitali, komwe kumakhudza vasospasm ndi kusowa kwa michere ya tsitsi,
- mankhwala ena
- kukhudzana ndi thupi la mankhwala opangidwa ndi mafakitale kapena nyumba, komanso radiation.
Alopecia osakhala cicatic amagawika magawo awiri. Izi zikuphatikiza:
1. Androgenetic alopecia. Amawerengedwa kuti ndi mtundu wofala kwambiri wamatendawa. Mtundu wamitundu iyi umachitika chifukwa chakuti testosterone yamunthu imasinthidwa kukhala dihydrotestosterone. Kuwonjezeka kwa timadzi timeneti kumakhudzanso mwachindunji ma follicles a tsitsi, ndiye kuti, zakudya zawo zapakanthawi zimatha ndipo pambuyo pake zimatha. Zotsatira zake, pakusamba ndikuphika, tsitsi limatuluka mwamphamvu, limakhala lophweka komanso lopanda moyo. Tsitsi latsopano limayamba kufooka komanso kusosoka. Njira yopanda thanzi imeneyi imathamanga kwambiri, yomwe posachedwa imayambitsa mawonekedwe a dazi pamutu.
Mutha kulembapo zomwe zimayambitsa chiopsezo zomwe zimakulitsa kwambiri chifukwa chachikulu cha androgenetic alopecia. Izi zikuphatikiza:
- michere ya mahomoni mu endocrine system,
- kusowa chakudya chamagulu,
- kuchepa kwa mavitamini ndi michere mthupi,
- kupsinjika ndi kutaya mtima komwe kumabweretsa chiopsezo ku thanzi,
- kumwa mankhwala ena.
- Zachilengedwe - madera opanda tsitsi amawoneka m'malo aliwonse amutu ndipo samalumikizana.
- Ribbon woboola pakati kapena njoka - pakatikati pa dazi pamakhala mawonekedwe a tepi yomwe imayenda mbali mwa mutu kuchokera ku akachisi kupita kumbuyo kwa mutu.
- Subtotal - yodziwika ndi pang'ono pang'onopang'ono ndikupanga kakhazikitsidwe kakang'ono, kamene kumaphatikizira kwakukulu. Fomuyi imayambitsanso kutaya kwa eyelashes ndi nsidze.
- Zambiri - dazi limapezeka pa liwiro la mphezi (miyezi 2-3). Kutayika kwa tsitsi kumachitika kumbali zonse za thupi, kuphatikiza eyelashes ndi nsidze.
- Mphete - imaphatikizapo kuthyolathyola tsitsi mu lesenti yotseka pamlingo wa masentimita 1-2.
- Zotsatira - zoyipa zopanda pake zimapezeka m'mphepete mwa khungu. Ili ndi kumbuyo kwa mutu komanso dera la kachisi.
- Kuwulura - kuwonetsedwa ndi mbali yayikulu yamadazi yopanda kuperewera kwa zingwe za munthu.
- Universal - kusowa kwa tsitsi mthupi lonse, pazaka zambiri.
Mu kanemayi, Trichologist I. Kotova amalankhula za mtundu wa alopecia, mawonetsedwe ake ndi zoyambitsa:
Ngati alopecia areata ali ndi chosaopsa etiology, chimakhala m'magawo atatu:
- pang'onopang'ono - kuwonjezeka kwa tsitsi kwa miyezi 5-6. Pakhoza kukhala zizindikiro zina za kutupa - kufiyira, kuyabwa, kuwotcha,
- zokhazikika - kuchepetsa zizindikiro ndi kuyimitsa tsitsi,
- chosangalatsa - kukula kwatsopano kwa tsitsi kumawonedwa.
Kuthamanga ndi kuchuluka kwa tsitsi limatayika zimatengera zinthu zambiri:
- kusankha ndi kuchuluka kwa mankhwala,
- Kutalika ndi pafupipafupi maphunziro a chemotherapy,
- zaka odwala ndi tsitsi.
Kubwezeretsanso tsitsi labwino sikudzakhala koyambirira kwa miyezi 3-6 mutalandira chithandizo. Ndikofunika kudziwa kuti odwala ambiri mtundu ndi tsitsi lawo limatha kusintha.
Zizindikiro
- Kusanthula kwammbuyo wamahomoni (mayeso a mahomoni a chithokomiro).
- Kuyesedwa kwa magazi kuti mupeze magawo a chitetezo chamthupi, komanso zinthu zomwe zimakhala ndi chitsulo.
- Trichograph, Phototrichograph - kuphunzira pakhungu, kuphatikiza kuchuluka kwa tsitsi komanso kapangidwe kake, m'mimba mwake mwamtsitsi ndi mababu.
- Kuyesa kuti adziwe kukula kwa tsitsi. Sakani ma curls mosamala ndipo poyesa tsitsilo mosavuta limagwa.
- Kusanthula kwatsatanetsatane kapangidwe ka tsitsi pansi pa maikulosikopu.
- Biopsy wa scalp.
Zachidziwikire, njira zonse zodziwira matenda sizigwiritsidwa ntchito mwachangu. Pambuyo pakupenda khungu ndi kumveketsa madandaulo, trichologist amatumiza njira zoyenera zothandizira kuzindikira, ndikusankha chithandizo choyenera malinga ndi zotsatira zake.
Mankhwala
- Mankhwala osokoneza bongo omwe amasintha kayendedwe ka magazi - Curantil, Solcoseryl, Actovegin.
- Biostimulants a kukula kwa tsitsi - Minoxidil, Tricomin.
- Kukonzekera kokhala ndi zinc ndi mavitamini A, E, H ndi gulu B.
- Immunomodulators - Levamisole, Inosiplex, Echinacea.
- Ma Sedatives - Persen, Novopassit.
- Mankhwala a Hormonal - Prednisone, njira zakulera za pakamwa za amayi, mafuta a glucorticoid.
Zithandizo za anthu
Pali maphikidwe ambiri otsimikiziridwa amatsitsi. Nayi ena a iwo:
- Chigoba cha Burdock. Muyenera kumwa 30 ml ya mafuta a burdock ndikuwonjezerapo 50 magalamu a ufa owuma wa mpiru. Sakanizani zonse ndikuziyika pakulipukusira mosamala. Siyani kwa mphindi 20 kenako muzimutsuka ndi madzi ofunda. Ikani izi chigoba kamodzi pa sabata.
- Chophimba cha uchi wa Garlic. Tengani 1 tbsp. l adyo wosankhidwa ndi 1 tbsp. l wokondedwa. Muziganiza ndikufikisa m'mizu ya tsitsi. Siyani kapangidwe kake kwa mphindi 20-30, ndipo pambuyo pake muzitsuka ndi madzi ozizira.
- Chophimba kumowa. Mu 250-300 ml ya mowa wchipinda chotentha onjezerani mazira awiri a nkhuku. Muziganiza bwino mpaka osalala ndikugwiritsa ntchito tsitsi, osayiwala za mizu. Siyani kwa mphindi 30 kenako muzimutsuka.
- Kusakaniza kwa ndimu. Pa chigoba ichi muyenera 1 tbsp. l uchi, 1-2 tbsp. l mandimu ndi 1 dzira yolk. Zinthu zonse ziyenera kusakanikirana mpaka yosalala ndikugwiritsira ntchito kutsuka tsitsi. Pukuthirani mutu wanu mu thaulo lotentha ndikuyenda ndi phula ili kwa ola limodzi. Kupititsa patsogolo izi, mutha kuwonjezera supuni 1 ya tincture wa tsabola. Pamapeto pa nthawi, muzitsuka ndi madzi ofunda.
- Chigoba cha anyezi. Pogaya anyezi awiri ku boma la mushy ndikuwonjezera supuni 1 ya uchi. Sakanizani zonse bwino, phatikizani osakaniza ndi tsitsi ndikusunga kwa mphindi 30 mpaka 40. Kenako muzimutsuka ndi madzi ofunda.
Kuti mupeze kufunika kwa masks pakukula kwa tsitsi, muyenera kuzichita nthawi zonse ndikusinthana wina ndi mnzake. Kuchokera pakusankha kaphikidwe kamodzi ndikugwiritsa ntchito kamodzi, zotsatira sizingakhale.
Kupewa
- M'nyengo yozizira, monga masiku achisanu, valani chipewa. Zomwezi zimagwiranso ntchito masiku otentha kwambiri, kukakhala ndi dzuwa nthawi yayitali kumafunikira zovala.
- Musatengeke ndi kugwiritsa ntchito owuma tsitsi, ma curling ma ayoni, zitsulo zotentha, zitsitsi zatsitsi.
- Osagwiritsa ntchito molakwika magawo, zilolezo, ndi njira zofananira.
- Khalani ndi chipeso ndi mabatani achilengedwe ndipo mulibe mano akuthwa.
- Nthawi ndi nthawi mumasenda tsitsi lanu ndimasamba amasamba, decoctions, infusions.
- Yang'anirani zakudya zanu.
- Pewani zochitika zovuta.
- Chithandizo matenda onse omwe alipo.
Kutsatira malangizo osavuta awa kumapangitsa tsitsi lanu kukhala labwino komanso lolimba. Ndikwabwino osangochita zodzichiritsa wekha, chifukwa izi zitha kuvulaza ndikusowa nthawi yamtengo wapatali. Ngati mukukayika, muyenera kulumikizana ndi trichologist kuti mupewe matendawa komanso kuchitapo kanthu nthawi.
Mwachidule za chidwi
Ngakhale kuti gulu la pano limadziwika kuti Norwood Baldness Scale, zenizeni, Hamilton amamuyesa ngati woyambitsa wake. Mlingo wa dazi unayambitsidwa ndi iye kumayambiriro kwa zaka za 50 zapitazi, ndipo patatha zaka 20 zokha, anasintha ndikuwonjezedwa ndi Dr. Otar Norwood. Chifukwa chake, nthawi zina m'mabuku timapeza madigiri pamiyeso ya Hamilton-Norwood.
Chifukwa chiyani amuna amayamba kusamba?
Malinga ndi asayansi, zinthu zomwe zimapangitsa tsitsi kutsika kwambiri mwa amuna ndi izi:
- Zosintha zokhudzana ndi zaka zomwe tsitsi limayenera kusiya. Mababu amafooka kwambiri, tsitsi limayamba kugwa. Ndi m'badwo, dazi limakhudza osati mbali yakutsogolo komanso yakanthawi ya mutu, komanso ma occipital ndi parietal. Tsoka ilo, kuletsa izi ndikovuta kwambiri.
- Makamaka. Tsoka ilo, oyimira ambiri a theka lamphamvu la umunthu amakhala ndi vuto latsitsi. Chodabwitsa ndichakuti, motsogozedwa ndi mahomoni, amuna, ngati akazi, amatha kutaya tsitsi. Zomwe zimayambitsa dazi pankhaniyi ndi dihydrotestosterone ya mahomoni. Zotsatira za mahomoni zimakhudzanso zovuta zake: tsitsi limakhala louma, lopanda utoto, lofooka komanso lofooka, limagwa, ndipo atsopano samakula.
Mitundu ya Norwood Baldness
Trichologists, monga lamulo, amagawa khosi yamtundu wamwamuna malinga ndi njira ya Hamilton-Norwood. Pozindikira, mumagwiritsa ntchito zojambula zapadera zomwe zimatsimikizira kuchuluka kwa zotayika.
Kwa nthawi yoyamba, gulu lotere lidapangidwa mkati mwa zaka za m'ma 19 ndi dokotala wa zamankhwala a Hamilton, ndipo mu 1970s adasinthidwa pang'ono ndi Dr. Norwood. Wasayansi wachiwiri adaonjezera magawo angapo pamadongosolo oyambira. Mpaka pano, mulingowo umaphatikizapo madigiri asanu ndi awiri audindo mwa odwala omwe ali ndi ma subtypes osiyanasiyana, ndipo ndizomwe akatswiri asayansi amagwiritsa ntchito pozindikira zovuta za wodwala.
Ganizirani madigiri onse amdazi achimuna malinga ndi Norwood.
- 1 digiri dazi. Pali mzere wabwinobwino wakutsogolo kwa kukula kwa tsitsi ndi kusintha kwake pang'ono. Kukula kocheperako pafupi ndi mzere kutsogolo kwa tsitsi, monga lamulo, sikuwonekere kwa ena ndipo amapezeka pokhapokha ngati wodwalayo ayesedwa ndi trichologist.
- 2 digiri dazi. Gawo lachiwiri malinga ndi Norwood limadziwika ndi mawonekedwe otchedwa makona atatu, omwe amasiyanitsidwa ndi mzere wakutsogolo wa kukula kwa tsitsi. Monga lamulo, mawonekedwewa ndi omasulira ndipo amakhudza malo osapitirira 2 cm kuchokera kutsogolo kwa kukula kwa tsitsi.
- 3 digiri. Gawo ili la dazi limadziwika ndi kupendekera kwapang'onopang'ono kwa zingwe pamakachisi. Ndiwothekanso ndi tsitsi lawo pang'ono Madenga a dazi amatha kupitirira masentimita awiri.
- 3 parietal digiri. Kutayika kwa zingwe kumachitika mu parietal zone. Gawoli limadziwika ndi kupendekera pang'ono kwa nsonga yakutsogolo. Kuchulukana kwa mzere wakutsogolo pamakachisi ndikokulirapo kuposa momwe kudaliri m'mbuyomu.
- 4 digiri. Zomera mu anterior temporal zone zimatchuka kwambiri kuposa madigiri 3. Tsitsi losowa kapena kusowa kwa tsitsi kumawonedwa pa korona wamutu. Nthawi zambiri, pagawo lachinayi la dazi, magawo awiri osowa tsitsi amalekanitsidwa ndi zingwe zowoneka bwino zomwe zimayenda pamwamba pamutu. Mzere, monga lamulo, umalumikizidwa kumbali zam'mutu.
- 5 digiri. Pankhaniyi, gawo la parietal la dazi limasiyanitsidwa ndi dera la panja, koma pochepera. Pa chisoti chachifumu pamakhala kusowa kwa tsitsi kapena maloko osowa kwambiri. Ndipo pamwamba pa tsitsi limayamba kuonda komanso kusowa. Madera akunyumba ndi ma parietal amawonjezeka. Kumbali zonse, tsitsilo limapunthanso ndipo limapanga mawonekedwe akaloza kavalo kumbuyo kwa mutu.
- 6 digiri. Tsitsi lanu laling'ono limakhalabe kudzera pamwamba, pakati pa mbali za mutu. Madera a parietal ndi anterotemporal amapanga chithunzi chimodzi ndipo sanapatikane, malo omwe tsitsi limacheperachepera.
- 7 madigiri. Mlingo wowopsa kwambiri, malinga ndi gulu la Hamilton-Norwood. Gawo lino, malo owoneka ngati kavalo amtundu wa alopecia amatenga mawonekedwe ake omaliza, zigawo zolemekezeka ndi za parietal ndizowonjezeranso. Tsitsi limagwera kumbuyo kwa mutu, pamwamba pamakutu. Tsitsi limatsalira kumbuyo kwa mutu, limagwera pansi kumbuyo kwa mutu.
Kuphatikiza pa gulu la Hamilton-Norwood, mitundu itatu yamadazi ikhoza kusiyanitsidwa:
- Lembani "Horseshoe". Dazi limayamba ndi lobe lakutsogolo ndipo limatsika pafupi ndi akachisi. Kenako imadutsa gawo lonse la frontotoparietal, ndikupanga malo otaika tsitsi ofanana ndi khola la akavalo.
- Lembani "Nest". Masamba a dazi amapezeka m'malo osiyanasiyana amutu, mwatsoka, pa korona wamutu amawoneka malo ofanana ndi chisa. Mtundu wamtunduwu wa tsitsi posachedwa umayamba kukhala ngati kavalo.
- Mtundu Wosakanikirana. Tsitsi limagwa nthawi yomweyo pamakachisi ndi parietal zone.
Kodi kuchitira amadazi amuna?
M'malo mwake, ndizotheka komanso koyenera kuchitira dazi. Chachikulu ndikutembenukira kwa katswiri wazachidziwitso ndikudzipeza njira yabwino yothanirana ndi vuto lopanda mankhwala.
Zosankha zonse zamankhwala zingaperekedwe m'magulu atatu:
- Mankhwala. Trichologist amapanga mayeso kwa mwamunayo ndipo, kutengera zotsatira zawo, amasankha mankhwala oyenera. Monga lamulo, adotolo amafotokozera maphunziro omwe amaphatikizapo mankhwala ozikidwa pa minoxidil - chopititsa patsogolo kukula kwa tsitsi. Chithandizo chogwira mtima kwambiri ndi msuzi wa ALERANA ®. Malinga ndi kafukufuku wazachipatala: kuwonjezeka kwa tsitsi kumatha pambuyo pa masabata 6 pakugwiritsa ntchito kutsitsi mu 87% ya milandu.
- Kupatsirana tsitsi kumawonedwa ngati njira imodzi yothandiza kwambiri pamlingo uliwonse wamadazi. Tsitsi limasinthidwa kuchokera ku "donor zone" kupita kumalo a alopecia. Kuika kungachitike ndi njira zopangira opaleshoni komanso zopanda opareshoni.
- Kuyika kwa tsitsi kwa HFE ndi njira yamakono yopatsira tsitsi. Imawerengedwa kuti ndi njira yopitilira patsogolo kwambiri pothira zingwe.
Kwa iwo omwe akufuna kulimbitsa tsitsi lawo, pangani zingwezo kuti zikhale zokulirapo komanso zamphamvu, timalimbikitsanso kuyesa shampu ya Alerana kwa amuna, othandizira kukula.
Koti mugule
Izi zothandiza kupatsa thanzi komanso kulimbitsa tsitsi kumakhala ndi timapulogalamu tomwe timagwira ntchito zotsekemera za sebaceous, kuteteza kuoneka konyansa komanso kuchiritsa khungu.
Zomwe zimachitika mu shampu ndiz:
- mafuta a mtengo wa tiyi, omwe amathandiza kuti tsitsi lisawonongeke,
- Tingafinye Tingafinye ndi rosemary mafuta, matenda a zotupa za sebaceous,
- chifuwa ndi ginseng timadzi timene timapangitsa khungu kuzungulira magazi.
- Tingafinye tating'onoting'ono tomwe timayimitsa tsitsi ndikulimbikitsa kukula kwa zingwe zatsopano,
- Niacinamide, yomwe imapangitsa magazi kukhathamiritsa, kusintha zakudya, imakhutitsa masamba ake ndi mpweya ndikupukutira khungu.
Chifukwa chake, tsopano mukudziwa zochulukirapo pamawonekedwe a Norwood makonde ndipo mutha kudziwa kuti vuto lanu ndi lalikulu bwanji. Osamalepheretsa kupita kwa adotolo, gwiritsani ntchito thanzi lanu mosamala, ndipo ma curls akuthwa mwamphamvu adzakusangalatsani kwa nthawi yayitali.
Zofalitsa Zaposachedwa
Zochita zolimbitsa thupi: kuwunikiranso ma moisturizer a tsitsi
Kupaka tsitsi lowuma komanso lowonongeka, muyenera kuyesa. Mwamwayi, ndi zinthu zamakono zodzoladzola palibe chosatheka. Ngati
Utoto Wamatsitsi - Fomu Yowonetsera Moisturizing
Tsitsi likasowa kuti lizipukutika, palibe kukayikira. Kuuma, kuwonongeka, kugona bwino komanso kuwonongekera ndi chizindikiro chilichonse chosowa
Whey - ndi chiyani
Yogwira hydrate ikugwira! Seramu yowuma tsitsi ndi chinthu chokongoletsera komanso chothandiza. Tiyeni tikambirane momwe imagwirira ntchito, kuchokera pamenepo
Zodzikongoletsera zowirikiza: mafuta opaka tsitsi louma
Mafuta opangidwa ndi mafuta opangira mafuta amapangira tsitsi louma. Pakupita mphindi zochepa mutatha kugwiritsa ntchito, tsitsi limasunthika ndikusintha. At
Kusunthika kwa tsitsi lophimba - ndikofunikira
Tsitsi louma limafuna chisamaliro chapadera. Masks onyentchera omwe amachepetsa khungu ndikudzaza tsitsili amathandizira kubwezeretsa kapangidwe kake ndikuyambitsanso zingwezo.
Zabwino zonse ziume! Kukongoletsa Tsitsi Shampoos
Maloko owuma si chifukwa chachisoni, koma chifukwa chochitapo kanthu! Njira yophatikizika imayamba ndikusankhidwa kwa shampu yabwino. Tikuuzirani "chinyengo" chothira mafuta
Zomwe zimayambitsa ndikusiyana munthawi ya amuna ndi akazi
Chachikulu Zomwe zimapangitsa kuti matendawa apezekane ndi izi:
- kusalinganika kwa mahomoni m'thupi (nthawi yapakati, yoyamwitsa, ndimatenda a endocrine system, etc.),
- kuchepa kwachitsulo mthupi,
- kuwonongeka kwa scalp ndi matenda osiyanasiyana fungal,
- kupsinjika kwatsatanetsatane ndikuwonongeka kwamanjenje,
- Zotsatira zamankhwala (njira zakulera, mankhwala opangira mahomoni, etc.),
- pafupipafupi mutu hypothermia,
- kukhudzana ndi radiation, etc.
Poyerekeza magawo azimayi azimayi ndi abambo, titha kuwona kusiyana kwawo. Kugawidwa kwa magawo a akazi mawonekedwe amtundu wachikazi ndikosavuta ndipo kumaphatikizapo magawo atatu okha. Komanso, nthawi zambiri pamene mkazi awonetsa dazi lotsiriza amakhala osowa kwambiri.
Magawo a Norwood
Madokotala ambiri amagwiritsa ntchito gulu la Norwood, lomwe linapangidwa mu 1970, kuti adziwe kukula kwanthawi yamadazi achimuna. Pazonse, gawoli limaphatikizapo magawo 7 akuwonetsa alopecia. Tiyeni tiwalingalire mwatsatanetsatane:
- Ndayamba - Ndiye chiyambi cha matendawa ndipo amadziwika ndi zigamba zazing'ono zomwe zikuwonekera kutsogolo kwa kukula kwa tsitsi (mwa mawonekedwe a atatu). Ndizodziwika bwino patsiku la oyimilira achichepere kwambiri (wazaka 18-25).
Monga lamulo, pa nthawi iyi, nthawi zambiri palibe amene samvera momwe dazi limayambira, ndipo mwakutero, palibe njira zomwe zimatengedwa.
Dziwani kuti mu izi, njira zomwe zatchulidwa pamwambapa sizingakhale ndi tanthauzo. Ndikofunikira kuchita ndikusintha tsitsi. Gawo la VII - wadazi mutu wonse. Pali tsitsi laling'ono chabe lomwe limatsalira, kutalika kuchokera khutu mpaka khutu pamodzi ndi gawo la mutu.
Gawo ili ndilofunika kwambiri, ndipo nthawi zambiri pamalopo palibe njira yomwe ingathandizire, ngakhale kumuyika tsitsi, popeza palibe zinthu zomwe zatsalira pakuchita izi. Njira yokhayo yotithandizira ndi kuvala tsitsi.
Mwamuna akangoona zizindikiro zoyambira zamadazi, ndalama zambiri zomwe angagwiritse ntchito polimbana ndi matendawa.
Kusintha Kwa Tsitsi
Chifukwa chake, pamagawo 1, 2, 3, 4, ndi 5, momwe njira zopewera khonde ndizoyenera:
- zodzikongoletsera (ma shampoos, mafuta odzola, mafuta,)
- kukonzekera kwapaderaomwe amalimbikitsa kukula kwa tsitsi (mwachitsanzo, Dimexide, Nicotinic acid, D-Panthenol, etc.),
- jakisoni pakhungu,
- komanso mankhwala achikhalidwe (tinctures, masks, etc.).
Komanso ndikofunika kuti bambo azidya zakudya zoyenera, yomwe imatha kukhutitsa thupi ndi zinthu zonse zofunika kuzifufuza. Komanso, sikwabwino kumwa mavitamini omwe amalimbitsa thupi ndikuyesera kupewa kupsinjika.
Njira yopumira
Nthawi zina, alopecia angabwezeretse. Vutoli ndi lodziwika bwino la dazi loyera - maonekedwe a masamba amtundu womwe ali ndi mawonekedwe ozungulira.
Njira ya alopecia yamtunduwu imakhala yovomerezeka, ndiye kuti, pambuyo pa miyezi 6, madazi a dazi pang'onopang'ono amakula ndi tsitsi.
Chifukwa chake gawo la kupembedzera limadziwika ndi magawo otsatirawa:
- Tsitsi lopyapyala lopanda maonekedwe limawonekera m'malo mwa tsitsi lopendekera, ngati mfuti.
- Popita nthawi, mankhusu amadzaza, amakhala ndi mtundu wakuda ndikusintha kukhala tsitsi lathunthu.
Nthawi zambiri, kukula kwa tsitsi pamalo osinthika sikumasiyana, ndiye kuti, pachiwonetsero mungathe kuwona kukula kwa tsitsi lokangalika pamatamba akale a dazi, pomwe fluff amasungidwa m'malo ena. Komabe, patapita nthawi, madera onse omwe amakhudzidwa ndi alopecia amakula ndipo kuchiritsidwa kwathunthu kumachitika.
Chifukwa chake, matendawa sangayambike ndipo ndikofunikira kuchitapo kanthu panthawi yake kuti athetsere zizindikiro zoyambirira za alopecia. Tiyenera kumvetsetsa kuti nthawi zambiri, vuto lomwe limapangitsa kuti tsitsi lizichepetsedwa limafalikira pamitundu, motero, pankhaniyi, chithandizo chimakhala chopanda tanthauzo.
Kusintha kwamitundu
Ngati tiona mitundu yonse yamitundu yamitundu mwa abambo, yotsatira yomwe imakhala yodziwika bwino imayesedwa ngati alopecia, yomwe imayambitsidwa ndi chidwi champhamvu cha zinthu zakunja. Chowoneka mosiyanitsa cha vuto lamtunduwu tsitsi ndikusowa kwa tsitsi konse kumutu. Mpaka pano, mitundu iwiri ya diffuse alopecia imawerengedwa muzochita zamankhwala - mawonekedwe a telogen ndi mawonekedwe a anagen.
Felogen fomu
Ngati zinthu zoyipa zimakhudza khungu ndi mizu ya tsitsi, masamba a tsitsi amapita kumalo opumira, omwe amatchedwa gawo la telogen mu mankhwala. Mwambiri, malinga ndi zodziwika bwino, pafupifupi 15% ya scalp iyenera kukhala pagawo la telogen, koma atazindikira kuti ali ndi vuto lopatsirana telogen alopecia, madotolo amapeza pafupifupi 80% ya tsitsi pakupumula kwanthawi yayitali.
Zomwe zimayambitsa telogen diffuse alopecia ndi izi:
- mitsempha yamanjenje, kupsinjika, kuchuluka kwa malingaliro mu mawonekedwe osakhazikika,
- Zakudya zomanga thupi zochepa
- kuchepa kwa vitamini
- pachimake, matenda osachiritsika, amwadzidzidzi, amatenda komanso opatsirana,
- kugwiritsa ntchito mankhwala kwa nthawi yayitali, ma antidepressants, antipsychotic, antitumor mankhwala, etc.,
- kusokonezeka kwa mahomoni ndi matenda a chithokomiro.
Fomu ya Anagen
Ngati tilingalira mtundu wa anagen wa kupukusa alopecia, madokotala amalankhula za kuwonongeka kwakanthawi kowopsa kwa tsitsi, chifukwa chomwe alibe nthawi yolowera gawo lopuma, kugwera pa gawo la kukula kwa anagen. Pankhaniyi, pali nthawi yayitali pakati pa kukhudzidwa kwazinthu ndi kuyambika kwa tsitsi.
Zomwe zimayambitsa fomu ya anagen ndizotsatirazi:
- zovuta zachilengedwe
- kuledzera thupi
- radiation, chemotherapy,
- mphamvu poizoniyu
- Chithandizo cha mankhwala oopsa a chemotherapeutic mankhwala.
Chithandizo Chotayika Chatsitsi
Ngakhale kutsatsa njira ndi njira zosiyanasiyana, akatswiri ochita masewera olimbitsa thupi akuumirira kuti kuphatikiza madazi ndipo ngakhale madigiri ake oyambawo samalandiridwanso. Chowonadi ndichakuti, ngakhale panali zovuta zina ndi tsitsi, chikuku ndi mawonekedwe amatsitsi enieni amagwira ntchito ngati kale. Ndipo palibe mfundo zomwe zingakhale zofunikira kukopa mankhwala ndi machitidwe.
Cholinga chachikulu chothandizira kupatsirana alopecia ndikuzindikira zomwe zimayambitsa mavuto a tsitsi ndikuchotsa zomwe zimayambitsa. Pambuyo pa izi, bambo amatha kupititsa patsogolo ntchito yake pakukonzanso tsitsi pogwiritsa ntchito wowerengeka azitsamba. Komanso, adokotala amatha kukupatsirani mankhwala ophikira, zotupa, ma shampoos ndi mafuta kuti mulimbikitse tsitsi kukula, kulimbitsa mizu ndi kapangidwe ka tsitsi. Zomwe zimapukusa bwino kwambiri ndizo tricomin ndi foligen mu mawonekedwe a utsi, shampu ndi mawonekedwe.
Focal (chisa) alopecia
Fopal alopecia ndi mtundu wocheperako wa alopecia wamwamuna, womwe umapezeka mwa 5% yokha yamatenda a pakhungu. Itha kutsimikizika ndi zizindikiro za momwe alopecia amayamba kupanga. Choyamba, kuwonda tsitsi pang'onopang'ono kumawonedwa mbali imodzi kapena zingapo mmutu, mutatha kuwona mozungulira, ngakhale malo a dazi kumbuyo kwa mutu.
Zomwe zimayambitsa matendawa
The etiology ya focal alopecia ikadali kuphunziridwa ndi akatswiri, madotolo awona zinthu izi:
- cholowa
- Hypo-, Hyper- kapena vitamini akusowa,
- kuchuluka kwa dihydrotestosterone,
- matenda opatsirana ndimatenda a virus,
- matenda am'mimba
- zolakwika zobadwa nazo,
- kulumikizana kwanthawi yayitali ndi mankhwala ndi poizoni, ma radiation ndi radiation,
- kagayidwe kachakudya
- kuchuluka kwa maziko a psychoemotional, kupsinjika, kukhumudwa,
- chemotherapy
- kumwa mankhwala amphamvu, mwachitsanzo, ma antipsychotic, anti-yotupa ndi antitumor mankhwala, maantibayotiki, antidepressants, etc.
- zizolowezi zoyipa komanso zakudya zoperewera, kugona pansi,
- njira za autoimmune m'thupi.
Magawo a alopecia areata
Zizindikiro ndi mawonetseredwe azachipatala azithandiza kudziwa magawo a chitukuko cha alopecia areata, komanso trichologist yemwe amadziwa motsimikiza momwe angadziwitsire gawo lake la matendawa. Magawo a alopecia akhoza kukhala motere:
- yogwira gawo - wodwalayo amatha kutupa ndi vuto la kusisita, kuyabwa komanso kumva kutentha m'malo a tsitsi, ndipo tsitsilo limalekanitsidwa khungu ndi kulumikizana nawo.
- gawo - mdera lothothoka tsitsi, malo owoneka opanda tsitsi amawonekera, mizu yotsala tsitsi ndi mawonekedwe ake amawonekera pamalire,
- gawo lachikhululukiro - pamalo owoneka ngati dazi, mawonekedwe a tsitsi lowoneka bwino, koma owoneka bwino.
Kuphatikiza pa kusintha kwa tsitsi, madokotala nthawi zambiri amazindikira kusintha kwa msomali, monga mawonekedwe oyipa, malo okumbika, matumba oyera, kupindika misomali ndi kutsekemera. Ngati dotolo awona kufalikira konsekonse kwa alopecia areata, mu 95% ya milandu pakhala mavuto ndi misomali.
Chithandizo cha khola loyambira
Mosasamala magawo omwe khola la alopecia loyang'ana likuyang'ana mwa wodwala, njira zochizira zidzakhala zokwanira komanso zowerengeka. Choyamba, zomwe zimayambitsa alopecia zimatsimikiziridwa, mogwirizana ndi momwe mankhwala amakonzera. Zitha kukhala motere:
- kugwiritsa ntchito mahomoni othandizira a prednisone kapena glucocorticoids,
- Chithandizo kuti abwezeretse vuto la mahomoni ogonana,
- chithandizo chakumaloko kuti mubwezeretse tsitsi lanu mwa kusintha magawo, kumalimbikitsa kukula,
- kugwiritsa ntchito mankhwala wowerengeka azitsamba pofuna kulimbikitsa tsitsi kukula (masks ndi mpiru ndi tsabola wofiira, masks a mafuta ndi mankhwala opangira mankhwala azitsamba),
- kukonza milandu chitetezo chokwanira,
- njira zolimbitsa thupi kuti muwonjezere kuchuluka kwa mankhwalawa, mwachitsanzo, darsonvalization, kukondoweza pakalipano, mesotherapy, kutikita minofu, ndi zina zambiri,
- kukonza zakudya ndi moyo.
Makamaka chidwi chake chikuyenera kuperekedwa kwa munthu yemwe akusankha zodzola. Katswiri wama trichologist amatha kupereka mankhwala a shampoos, mafuta, zotupa ndi njira zothetsera tsitsi la topical lomwe lili ndi zinthu zomwe zimathandizira kuti magazi azithamanga. Chifukwa cha izi, thanzi la mizu ya tsitsi limakhazikitsidwa, ndipo masamba ogona nawonso amawukitsidwa.
Cicatricial alopecia
Cicatricial alopecia imayendera limodzi ndi kuchepa kwa tsitsi chifukwa cha kupangika kwa cicatricial atrophic foci pakhungu. Ndiye kuti, m'mawu osavuta, imakhala yowopsa alopecia, yopweteketsedwa ndi zinthu zakunja ndi zamkati. Kuchepetsa khungu kumatha chifukwa cha mabala ndi mabala, ndipo kungakhale chifukwa cha zotupa kapena matenda opatsirana omwe amakhudza timabowo tatsitsi, kuwasiya atagwirizana.
Amayambitsa cicatricial alopecia akhoza kukhala motere:
- kutengera kapena kubadwa kwa maliseche a tsitsi,
- matenda oopsa, mwachitsanzo, syphilis, leishmaniasis, khate, etc.,
- khansa neoplasms,
- othandizira olimbitsa thupi, mwachitsanzo, kutentha ndi kutentha, ma radiation, ma asidi, kuvulala pamakina,
- matenda a zonse, khalani sarcoidosis, systemic lupus erythematosus, scleroderma, ndi ena otero,
- lichen planus.
Ngati bambo ali ndi digiri yoyamba ya cicatricial alopecia, madera owoneka pang'ono a m'mphepete kakang'ono amatha kuwonekera pang'ono pakhungu. Ngati chidwi chowoneka ndikukula chikuwoneka, chitha kukhala ma alopecia 2 madigiri. Wodwalayo amamva kusasangalala, kuwotcha komanso kuyabwa m'malo awa, motsutsana ndi zomwe zimachitika pakhungu, mafinya, kuuma komanso kutsekeka kwa khungu. Ndiye zizindikiro ndi zizindikiro zonse zimazimiririka, ndikusiya chingwe chamasamba.
Madotolo amagogomezera kuti cicatricial alopecia ndiye vuto lalikulu kwambiri la Tsitsi lomwe limalephera kuthandizira pochizira. Pokhapokha pakutsimikiza molondola zomwe zimayambitsa alopecia koyambirira kwa chitukuko chake momwe matenda a pathological angaimitsidwe. Kupanda kutero, zitha kubwezeretsanso kukula kwa tsitsi lakale lokha - kupatsirana tsitsi kuchokera kumalo opereka. Koma ngakhale pano, zonenerazo zidzakhala zodabwitsa kwambiri, ngakhale minofu pakhungu lowonongeka idzazike sizikudziwika.
Kungodziwa zizindikiro zoyambirira za alopecia, bambo azitha kufunsa dokotala munthawi yake kuti ateteze matenda a pathological. Kungodziwa zomwe zimayambitsa kutsuka tsitsi, trichologist amatha kusankha njira yabwino yothandizira, kubwezeretsa thanzi la tsitsi la wodwalayo. Masiku ano, mitundu yodziwika bwino ya androgenic komanso yophatikizika ya alopecia imakhala yovuta kwambiri kuchitira khungu ndi cholimba alopecia.
Chifukwa chiyani alopecia amachitika?
Nkhani yakuzaza pakati pa abambo ndiyofunika kwambiri masiku ano ndipo ndi vuto nambala 1. Polankhula za dazi la male male, zinthu zingapo zofunika kuziwunika ziyenera kukumbukiridwa zomwe zimayendetsa mwachindunji ndi njirayi. Izi zimachitika chifukwa cha:
- cholowa
- mahomoni ena
- pofika zaka.
Choyambirira - chibadwa cha majini ndizofala kwambiri pamankhwala ndipo zimakhudza ambiri ogonana olimba. Pankhani ya genetics, matendawa ndi ovuta kuchiza ndipo amatha kukhudza munthu adakali aang'ono, pafupi zaka 20. Dazi limakhala kuti limabadwa mwachilengedwe, limadutsa kuchokera mbadwo wina kupita ku wina.
Mphamvu ya mahomoni imachitika chifukwa cha kuchuluka kwa dihydrotestosterone m'thupi la amuna, yomwe imawonongeka komanso yowonongeka pamabowo a tsitsi, kusokoneza kukula kwatsitsi. Nthawi zina, kusachita bwino kwa maliseche a tsitsi kupita ku dihydrotestosterone kumayang'aniridwa, chifukwa chomwe tsitsi limayimitsidwa, amakhala ofooka, oonda komanso opanda khungu pakapita nthawi.
Kuchiza kumakhala ndi zotsatirapo zabwino ngati wodwalayo akonzekera kuyimbira foni kwa dokotala koyambirira kwamatenda, pomwe njira ya kutaya imakhudza gawo la kutsogolo chabe. Mankhwalawa amayenera kuteteza mtundu wa dihydrotestosterone mogwirizana ndi njira zina zochiritsira.
Ndipo pamapeto pake, chinthu chotsiriza ndi m'badwo. Tsoka ilo, chifukwa cha msinkhu pafupifupi amuna 95% amayamba kuchita dazi chifukwa chodziwikirana nthawi zingapo, komanso kulephera kwa zithunzi zina za tsitsi kuchita ntchito zawo, makamaka, kudyetsa tsitsi komanso kulimbikitsa kukula kwawo. Chifukwa chake, pazaka zambiri, tsitsi kutsogolo, kwakanthawi, parietal ndi occipital limayamba kuonda kapena pamapeto limayamba kugwa, ndikukulitsa dera la dazi.
Gulu la Hamilton-Norwood Alopecia
Malinga ndi gulu lomwe liripo, pali madigiri 7 a khofi wamtundu wa amuna:
- Digiri yoyamba (siteji yoyamba) imadziwika ndi kukula pang'ono (kutayika kwa tsitsi) kutsogolo kwa tsitsi, makamaka pamphumi ndi pakachisi,
- Gawo lachiwiri (gawo 2) limadziwika chifukwa kutsika kwa tsitsi kumaso kwa mzere wawo wakutsogolo kumachititsanso mawonekedwe osunthika kumadera oyandikira ndi osakhalitsa. Dera lopumulirako limatha kukhala ndi mawonekedwe ofanana komanso osasanjika. Kuzindikira (dazi) kumakwirira malo osapitirira 2 cm kuchokera kutsogolo kwa kukula kwa tsitsi. Tsitsi limatha kapena limakhala losafunikira ku dera la parietal, koma limasiyanasiyana makulidwe kumadera oyambira ndi osakhalitsa,
- Digiri yachitatu (siteji 3) imakhala chifukwa cha kutsika kwambiri kwa tsitsi m'dera lomwe mukuganiziridwa kuti pali dazi. Mawonekedwe akutsogolo amkati ndi osakhalitsa amawonedwa, kaŵirikaŵiri owoneka ochepa ndi tsitsi. Pakadali pano, zigamba za dazi zimatambalala kuchokera m'malire a tsitsi kupitirira 2 cm,
- Digiri yachitatu (gawo 3A - vertex) imadziwika ndi kuchepa kwa tsitsi makamaka pa korona. Alopecia yaying'ono yakutsogolo imatha kuwonedwa, koma siyidutsa gawo la dazi lomwe limakambidwa koyambirira. Nthawi zambiri tsitsi la vertebral limalumikizidwa ndi ukalamba, koma ndizotheka kuti kumayambiriro kwa ndalamazi kutha kuwonedwa,
- Digiri yachinayi (gawo 4) imabwera chifukwa cha alopecia yakutsogolo kwambiri ndi kutsogolo kuposa magawo apitawa. M'dera la korona, tsitsili limatsitsidwa pang'ono kapena kutayika kwathunthu. Ndipo ngakhale madera a kutsogolo ndi akorona ali akulu, komabe, iwo amasiyanitsidwa wina ndi mzake ndi tsitsi, kulumikiza kwathunthu malire a tsitsi mbali zonse ziwiri za mutu,
- Gawo lachisanu (gawo 5) limatsimikiziridwa ndikuti dera la vertex losokera tsitsi limasiyanitsidwa ndi dera la frontotemporal. Tsitsi pakati pawo, lomwe limapangira mzere wopendekera, limakhala losowa. Njira ya dazi imakhudza dera lalikulu, chifukwa cha momwe tsitsi limapangidwa ndi tsitsi
- Gawo la chisanu ndi chimodzi (gawo 6) limadziwika kuti mzere wa tsitsi womwe udagawanikirabe mbali zakutsogolo ndi korona tsopano watayika. Chifukwa chake, madera a preotemporal ndi vertex amaphatikizana, ndikupanga malo amodzi akulu ndi akulu a dazi,
- Digiri ya Chisanu ndi chiwiri (gawo 7) ndiye mtundu woopsa kwambiri wamadazi amuna. Pamalopo pali dazi lonse, kuyambira pamphumi mpaka kumapeto ndi kumbuyo kwa mutu. Tsitsi limangokhala pang'onopang'ono pamutu (m'khutu) ndikulowera kumbuyo, likugwera pansi kumbuyo kwa mutu.
Kwa akazi, njira yamadazi imakhala ndi chithunzi chosiyana pang'ono. Mosiyana ndi amuna, dazi limayambira pafupi ndi zaka 30 ndipo limatenga zaka 50. Kuchepetsa tsitsi kumayambitsanso ndipo kumatenga nthawi yayitali. Dazi lokwanira silimachitika, koma tsitsi m'deralo likuwonekeranso kuwonda. Monga amuna, malo omwe ali ndi gawo lachiwonetsero ndi mbali zakutsogolo, zakanthawi komanso mizimu.
Zoyambitsa zazikulu za alopecia mwa amayi mu nkhaniyi ndi awa:
- kusintha kwa mahomoni, ndiye kuti, pamene azimayi amagwiritsa ntchito mwachindunji,
- nthawi yobereka ikayamba kufooka kwa chitetezo chathupi,
- kusamba kapena nthawi ya postmenopausal.
Izi zimayambitsa dazi zimawonedwa makamaka mwa akazi azaka zapakati pa 30 mpaka 50.
Kuchulukitsa tsitsi
Nthawi zambiri zimavomerezedwa kuti androgenetic alopecia kusowa kwa tsitsi mwa amuna ndi akazi kumasiyanasiyana mwa mawonetseredwe azachipatala, pokhudzana ndi izi, kuti mupewe mulingo wamitundu yamadongosolo aimuna, gulu limagwiritsidwa ntchito Norwood, komanso gulu Ludwig kudziwa kukula kwa tsitsi kwa akazi.
HFE yosasuntha kwathunthu yopanda opaleshoni ndiyoyenera aliyense, chifukwa imakupatsani:
1. Chitani zazing'ono komanso zazing'ono kwambiri kupatsirana tsitsi (digiri ya 1, yaing'ono foci, zipsera), komanso wamkulu kwambiri (digiri 4, 5, 6, 7 malinga ndi Norwood- - maola ochepa,
2. Tetezani mutu wanu ndi zipsera ku zipsera ndi zipsera, komanso edema ya postoperative komanso kuchuluka kwa khungu komanso miyezi ya mutu,
3. Dulani ndikusintha mu njira ziwiri komanso zitatu, popeza palibe mawonekedwe, palibe mabala, omwe ndi yabwino kwambiri ngati mung:
- Osalimbana ndi maola ambiri akusokonezedwa m'moyo wa thupi,
- kulephera kulipira ndalama zachuma mtengo wowonjezerera tsitsi nthawi yomweyo.
4. Kusintha mamangidwe anu a tsitsi lanu la mtsogolo mpaka tsitsi lililonse,
5. Kuti tikwaniritse pafupifupi milingo yachilengedwe - mpaka 75-80 Tsitsi pa 1 cm 2,
6. Sungani tsitsi lanu lililonse, popeza zida zing'onozing'ono ndizochepa kwambiri ndipo zimatha kutulutsa zokongoletsa pafupi ndi tsitsi lawo popanda kuwononga,
7. Sungani nthawi yanu, chifukwa mukatsata njirayi:
- osamangidwanso ku chipatala (kusintha mavalidwe, chithandizo chamankhwala chamutu ndi kuyang'anira kwa mankhwala sikofunikira, ndi zina zotero),
- Sungani mawonekedwe anu achirengedwe, chifukwa pambuyo pa kufalikira simunakhale ndi edema ya pambuyo pa zoopsa, mikwingwirima, mutu ndi khungu loti muchiritse pamutu panu,
- khalani ndi phokoso wamba pamoyo ndipo musataye luso lanu logwira ntchito.
8. Malo operekawo sanawonongeke (sanadulidwe) ndipo ngati kuli kotheka (ngati tsitsi lanu lobadwa likupitirirabe), njirayi ikhoza kuchitidwa mobwerezabwereza,
9. Sungani mkhalidwe wanu wamaganizidwe ndi malingaliro okwanira (panjira, pambuyo pa opaleshoni, chilonda sichingochiritsa kwa miyezi 3-6, komanso chimakhalabe pamutu panu moyo, ndipo pambuyo pa njirayi Hfe mabala ocheperako amachiza m'masiku atatu, osasiya kuwonongeka).
Mlingo wothothoka tsitsi mwa amuna
Masiku ano, gulu la Norwood limaphatikizapo madigiri 7 a alopecia amphongo a androgenetic okhala ndi ma subtypes angapo. Degree 0 (mkuyu. 0) sichikuphatikizidwa m'gululi, koma tidzaigwiritsa ntchito ngati muyezo - kwa chithunzi chonse cha momwe mwamuna ayenera kuyang'ana, yemwe tsitsi lake silogwirizana ndi androgenetic alopecia.
Mkuyu. 0
Sankhani mtundu wanu (digiri) yakutha tsitsi kuti mudziwane ndi mawonekedwe amatsitsi ndi kuwabwezeretsa kwawo ndi njira yopanda opaleshoni ya HFE.
Androgenetic Genetic Alopecia (AHA):
Gulu lotchuka kwambiri komanso lovomerezeka kwambiri la kutaya tsitsi kwa androgenic ndi mtundu wa akazi ndi njira ya Ludwig, yomwe inavomerezedwa mu 1977.
Kutayika kwa tsitsi kwamtunduwu kuli mwina pakusintha kwamahomoni, ndiye kuti: mukamagwiritsa ntchito molakwika njira zakulera, mukabereka mwana, mutha kusamba ndi / kapena pambuyo pake.
Kutayika kwa tsitsi la androgenetic kwa azimayi amadziwika ndi kukhalapo kwa tsitsi loonda pakati m'chigawo chapakati cha parietal, chomwe chimakhala ndi zotsika. Chizindikiro chodziwika ndi kusapezeka kwa dazi pamakachisi ndipo mufunika pamphumi. Kuchepetsa tsitsi kumachitika mosiyanasiyana ndipo kumaonekera kwambiri kuposa amuna, nthawi zambiri azaka zapakati pa 30 ndi 50.
Cicatricial ndi kupindika alopecia:
Choyambitsa chachiwiri chomwe chimapangitsa kuti azimayi azisintha kwambiri mwa azimayi ndi kumayambira kwamanyazi.Zomwe zimayambitsa kwambiri zimaphatikizapo traction alopecia (tsitsi lokokedwa mwamphamvu, tsitsi la ku Africa, kuvala "zowonjezera" kapena zowonjezera tsitsi, ndi zina) ndi zipsera pambuyo pakuchita opaleshoni yamanjenje ndi pulasitiki (kuzungulira kwa nkhope ndi zina zotero).
Mutha kuwerenga zambiri za cicatricial alopecia mu gawo la Alopecia.
Njira yosasinthira tsitsi yopangira tsitsi HFE imakupatsani mwayi wotseka kwathunthu malo omwe atsalira tsitsi, komanso kupatsirana tsitsi m'malo a zipsera zomwe zilipo. Tiyenera kumvetsetsa kuti kupulumuka kwa tsitsi mu minofu yaying'ono kumachepetsedwa pang'ono poyerekeza ndi scalp yolimba ndipo sikupitilira 65-70%.
Malinga ndi gulu la Ludwig, madigiri atatu amatsitsi amasiyana.
Gawo 1. Akazi amdazi ambiri amakhala omaliza maphunziro a Ludwig. Nthawi zambiri gawo ili la tsitsi limatha. Pali nthawi zina pomwe tsitsi limayamba pazaka 17-18. M'magawo oyamba, tsitsi loonda limatha kukhudza mbali yakumaso kwa mutu kwambiri, osafikira kumutu, kapena, dera lachigoba lokha, osakhudza mbali yapakati ya mutu. Ndi mtundu uwu wa alopecia, nthawi zambiri zimawonetsedwa ngati ndikusintha kwa 700-1100 FU. Ndi digiri yoyamba kutchulidwa, mipata imawonedwa kudera lonse la parietal. Pakati pa tsitsi labwino kwambiri, tsitsi lochepera komanso lopota limapezeka. Pa digiri yoyamba yothothoka tsitsi, mayanjano okwana 1.2-1,5,000 amafunikira kuti awonjezeke.
Gawo lachiwiri. Ngati kuchuluka kwa mipata pamutu kumawonjezeka, ndiye kuti gawo lachiwiri la alopecia achikazi limachitika. Kuchepetsa tsitsi kumawonekera makamaka ngati mkazi akavala tsitsi likugawana pakati kapena mawonekedwe osalala, monga ponytail. Digiri yachiwiri ya alopecia imadziwika osati kokha ndi kuchuluka kwa mipata yomwe ili pakati parietal dera, komanso ndi chiwerengero chambiri cha tsitsi lakuonda. Gawo lachiwiri ndilodziwika kwambiri kwa akazi azaka 35 ndi akulu. Pofuna kuthana ndi mavuto a alopecia a gradation yachiwiri, 1.7-2,5 chikwi cha FU amafunikira.
Gawo lachitatu. Gawo lachitatu la kuchepa kwa tsitsi ndi chosinthika chosowa kwambiri cha alopecia achikazi, pomwe 3.0 zikwi FU kapena kupitilira apo akuwonetsedwa kuti akuwonjezera. Kuchekera kumalowa mkati mwa parietal zone, ndipo tsitsi latsalalo limachepetsedwa kotero kuti silowoneka komanso lofanana ndi tsitsi losalala. Mu gawo lachitatu la kupatulira, tsitsi loyambirira limasintha: pakatikati, palibe.
Kukonzekera kwa chisanachitike chodzaza tsitsi, zida zama microsuction, mankhwala oletsa ululu, njira yopangira zinthu zina, kuyika kwa tsitsi lomwe lalandiridwalo ndipo kachitidwe kawo sikusiyana mwa amuna ndi akazi. Komabe, ziyenera kudziwidwa kuti azimayi nthawi zina amatha pambuyo pake kukula kwa tsitsi (miyezi 3-4) pambuyo pakuwonjezera. Izi zimachitika chifukwa cha thupi.
Mafunso Osiyanasiyana
tsitsi mwa amuna
Ndimachita masewera olimbitsa thupi ndipo tsopano ndili ndi maphunziro ampikisano. Zidzachitika pafupifupi miyezi iwiri, ndiye sindingafune kuti ndiziwunikanso kwa nthawi yayitali. Nditafunikira nthawi yayitali bwanji atandichita opaleshoni, ndipo ndidzafunika kupuma pa masewera?
Masana, ndiuzeni, ndikatha kusinthira tsitsi, mutha kupitiliza kugwiritsa ntchito minoxidil, kumeta tsitsi kuti musunge tsitsi lanu.
Ndemanga za Odwala
Hfe
Jura, Ogasiti 8, 2018 Tsiku labwino! Kuganiza zokuyenderani.
Ilya. Krasnodar, Julayi 13, 2018 Ndikufuna nditayankhulanso chiyamiko changa kwa onse ogwira ntchito pachipatalachi! Tithokoze apadera kwa dokotala Oksana Nikolaevna! Adandichotsa katatu.
Wotsogolera Zachipatala
HFE, Otsogolera Trichologist
