Tsitsi limakhalabe pilo ndi zisa, kumamatirira zovala ndikuyesera kukakamira mumtsuko wokasamba - tsoka, chithunzichi ndizodziwika bwino kwa anthu ambiri omwe amapezeka ndi matenda osokoneza bongo. Mwina amakumana ndi vutoli nthawi zambiri kuposa ena. Kodi ndizotheka kusintha mwanjira ina kukhala bwino ndikusunga tsitsi? Timachita ndi katswiri wa trichologist.
Elena Aleksandrovna Gruzinova, dermatovenerologist, trichologist wa Dipatimenti yopereka chithandizo chapadera cha zamankhwala, Moscow Sayansi ndi othandiza Center for Dermatovenerology and cosmetology adatiuza za zomwe zimapangitsa kuti alopecia ayambe kuthana ndi matenda osokoneza bongo, njira zachikhalidwe zothandizira kulimbitsa tsitsi zomwe zingagwiritsidwe ntchito ndi anthu omwe ali ndi vutoli, komanso akufotokozera zabodza zokhudzana ndi tsitsi lalifupi.
Ngati timalankhula za odwala omwe ali ndi matenda ashuga, ndiye kuti azimayi omwe amapezeka ndi matenda opatsirana a shuga mu 90% ya milandu amapezeka ndi trichologist yemwe ali ndi zizindikiro za alopecia (njira yotchedwa pathological yomwe tsitsi limayamba kuwonda kenako ndikusowa m'malo ena amutu / thupi) Mitundu iwiri. "
Monga lamulo, odwala awa ali ndi zaka zopitilira 40, nthawi zambiri amakhala ndi mbiri yokhudza matenda oopsa. Pafupipafupi, azimayi achichepere ndi asungwana achikulire amafuna thandizo (pafupifupi 10% ya odwala ndi atsikana omwe ali ndi matenda amtundu 1).
Kuchepetsa tsitsi ndi chizindikiro chachiwiri cha matendawa ndipo kumaonedwa m'mitundu iwiri yonseyi. Tiyeni tiwone chifukwa chake alopecia akukhala mnzake wapamtima wa matenda ashuga.
- Kusakwanira kwa magazi ku follicles ya tsitsi chifukwa cha kudwala: matenda a shuga, kuchuluka kwa kagayidwe kachakudya m'thupi kumachepa, pomwe ziwalo ndi minofu sizilandira zakudya zomwe zimafunikira. Ndi matendawa, mitsempha yamagazi imawonongeka - yoyamba yaying'ono, kenako yayikulu. Chifukwa cha kuthamanga kwa magazi, mitsempha ya tsitsi imalandira zakudya zochepa ndi mpweya, zomwe zimafunikira kwambiri. Chifukwa cha kuchepa, tsitsi limafooka ndipo limatuluka.
- Kumwa mankhwala ochepetsa shuga wamagazi (makamaka ndi matenda ashuga a 2). Pankhaniyi, kuwonjezereka kwa tsitsi kumatha kupweteketsa matenda a shuga, komanso chithandizo chamankhwala. Kuchiza matenda a shuga kumaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo, omwe zotsatira zake ndi alopecia.
Pali mitundu yambiri ya alopecia. Mothandizirana, amatha kugawidwa m'magulu akulu akulu:
Diffuse alopecia (pachimake kapena chovuta): choyambitsa chitukuko chake chimatha kukhala kupanikizika kwa nthawi yayitali, matenda osachiritsika, matenda a endocrine, kusakhazikika kwa michere mthupi, kudya kosalekeza kwa mankhwala ena (ma statins, retinoids, antidepressants, anticoagulants, beta-blockers, antithyroid mankhwala, anticonvulsants, ndi ena ambiri).
Androgenetic alopecia (AHA): pamenepa, ma follicles a tsitsi chifukwa cha kusintha kwa chibadwa chamunthu chifukwa cha androgens - mahomoni amphongo omwe amuna ndi akazi onse amakhala nawo, mothandizidwa ndi iwo amachepa kukula.
Alopecia areata: Vutoli lili m'thupi lanu lodzitchinjiriza, lomwe limayamba kuzindikira tsitsi ngati mtundu wowopsa kwa thupi ndikuyesayesa kuti lichotse.
Cicatricial alopecia: chifukwa cha kuwonongeka kwa follicle ya tsitsi palokha (chachikulu cicatricial alopecia) - mwachitsanzo, chifukwa cha matenda obwera ndi bakiteriya, kapena chifukwa cha zinthu zakunja (sekondale alopecia) - chifukwa cha kuwonongeka pakhungu ndi kupindika chifukwa chovulala.
Kwa anthu odwala matenda ashuga, kuphatikiza alopecia kumakhala kofala. Koma nthawi zambiri sizitanthauza nthawi zonse. Chifukwa chake, m'malo momangodzipangira nokha, zomwe zingavulaze, muyenera kufunafuna thandizo kuchokera kwa akatswiri!
Mwachitsanzo, ndi alopecia areata, mankhwala wowerengeka opangidwa kuti alimbikitse kukula kwa tsitsi amangokulitsa vutoli, ndipo mesotherapy yotchuka yotereyi imaperekanso zotsatira zosiyana ndizomwe zimayembekezeredwa.
- Sankhani shampu malinga ndi mtundu wa tsitsi lanu. Werengani mosamala cholembera: mawonekedwe opangidwira kuthana ndi kuchepa kwa tsitsi ndikuchepera ayenera kuphatikiza zosakaniza zachilengedwe.
- Ndikulimbikitsidwa kugwiritsa ntchito mankhwala okhala ndi ntchito yobwezeretsa, yomwe imateteza ndi kulimbitsa mizu, imapangitsa tsitsi kuti liwunike ndikuthandizira kuphatikiza. Osachepera 50-70%, iyeneranso kukhala ndi zosakaniza zachilengedwe.
- Ndikulangizidwanso kugwiritsa ntchito maski omwe amabwezeretsa mawonekedwe a tsitsi lowonongeka ndi lodetsedwa, thandizirani kukonzekera khungu pazotsatira za othandizira kuchepa kwa tsitsi komwe othandizira amatha kutsata. Maskiyo ayenera kukhala ndi mitundu yambiri ya zipatso acid (malic, tartaric, citric) ndi glycolic acid, omwe amasungunula maselo a khungu lakufa. Mwa njira, phwetekere imachepetsa kukalamba kwa tsabola tsitsi, glutamic acid imalepheretsa poizoni wa ammonia, yemwe amayamba pakhungu la scalp atasanza.
Mafuta a Burdock, okondedwa ndi ambiri, komanso tincture wa tsabola kapena chophimba cha anyezi, omwe amapangidwanso kuti athetse kuwonongeka kwa tsitsi, pamaso pa matenda a shuga angagwiritsidwe ntchito, koma pokhapokha magawo oyamba a alopecia. Mosasamala kapena kufalikira kwa matendawa (tikulankhula za kutayika kwa tsitsi lopitilira 100 patsiku), muyenera kufunafuna thandizo kwa katswiri. Pankhaniyi, kuchiritsira kunyumba sikungathandize.
Mwa njira, odwala ambiri amawonetsetsa kuti akamadula tsitsi lalifupi komanso lalifupi, amakula msanga komanso amakula, koma sizili choncho: tsitsilo limakula kuchokera muzu, ndipo malekezero amadulidwa. Komabe, mwa anthu omwe ali ndi matenda ashuga, malekezero a tsitsi nthawi zambiri amakhala ochepa thupi, omangika, osweka ndi ogawanika, kotero, miyezi itatu iliyonse amalangizidwa kuti azimetanso tsitsi lawo.
Kuphatikiza pakupeza anamnesis, mukafunsidwa za matenda onse, muyenera kupita ku trichoscopy (chipangizo chotchedwa trichoscope chimatumizidwa kumalo amovuto, ndipo chithunzi chokulirapo cha khungu ndi tsitsi chimawonetsedwa pakompyuta yolola, yomwe imalola adokotala kuti azindikire).
Kuti trichologist amvetsetse chithunzi chonse chachipatala, zidzakhala zofunikira kuchita mayeso otsatirawa: kuyezetsa magazi a biochemical, kuyezetsa magazi konsekonse, mahomoni a chithokomiro T3, T4, TSH, komanso prolactin, FSH, LH, progesterone, cortisol, DHEA, seramu iron, transerrin, ferritin, zinc ndi magnesium.
Mankhwala osokoneza bongo omwe amalembedwa ndi trichologist omwe amafunikira kuti atenge pakamwa nthawi zambiri amakhala magwero owonjezera a zinc, mkuwa, chitsulo, mavitamini E ndi B, komanso ma amino acid. Ntchito ya mankhwalawa ndikuchotsa kuchepa kwa zinthu izi. Zilibe vuto lililonse ndi shuga.
Chifukwa chake, musachite mantha, mukangopeza chithandizo chamankhwala, ndizotheka kuti mankhwalawa azitha.
