ʻO ka lauoho nui a makemake ʻole ʻia i nā wahine

ʻO ka hapanui o nā manawa, he lauoho lauoho maikaʻi ko nā wahine ma luna o ko lākou lehelehe a ma ko lākou auwae, umauma, ʻōpū, a hoʻi paha. ʻO ka ulu ʻana o ka lauoho ʻeleʻele i kēia mau wahi (ʻoi aku ka maʻamau o ka ulu lauoho lauoho kāne) i kapa ʻia ʻo hirsutism.

Hana maʻamau nā wahine i nā pae haʻahaʻa o nā kāne kāne (androgens). Inā hana nui kou kino i kēia hormona, loaʻa paha iā ʻoe ka ulu lauoho makemake ʻole ʻia.

I ka hapanui o nā hihia, ʻaʻole ʻike ʻia ke kumu kūpono. Holo pinepine ke ʻano i loko o nā ʻohana.

ʻO kahi kumu maʻamau o ka hirsutism ka polycystic ovarian syndrome (PCOS). ʻO nā wahine me PCOS a me nā ʻano hormone ʻē aʻe e ulu ana ka lauoho i makemake ʻole ʻia.

• Huehue
• Nā pilikia me nā wā menstrual
• Hoʻopilikia i ka lilo ʻana o ka paona
• Diabetes

Inā hoʻomaka koke kēia mau ʻōuli, loaʻa paha i kahi tumo e hoʻokuʻu i nā homone kāne.

ʻO nā kumu ʻē aʻe, ulu ʻole o ka lauoho e makemake ʻia e komo pū:

• ʻO ka Tumor a i ʻole ka maʻi ʻaʻai o ka momona adrenal.
• Tumor a i ʻole kanesa o ka ovary.
• Cushing maʻi maʻi.
• ʻO hyperplasia adrenal congenital.
• Hyperthecosis - kahi ʻano a nā ovaries e hoʻohua ai i nā kāne kāne he nui.

Hoʻohana ʻia kekahi mau lāʻau i ke kumu o ka ulu ʻana o ka lauoho i makemake ʻole ʻia, e like me:

• Testosteroma
• Danazol
• ʻO nā steroid Anabolic
• DHEA
• ʻO Glucocorticoids
• Cyclosporine
• Minoxidil
• ʻO Phenytoin

Hiki i nā mea kūkulu kino wahine ke lawe i nā homone kāne (anabolic steroid), a ʻo ia ka hopena i ka ulu nui ʻana o ka lauoho.

I nā hihia maʻamau, loaʻa i nā wahine me ka hirsutism nā pae maʻamau o nā kāne kāne, a ʻaʻole hiki ke ʻike ʻia ke kumu kikoʻī o ka ulu lauoho makemake ʻole ʻia.

ʻO ka hōʻailona nui o kēia ʻano ke kū ʻana o ka lauohoʻeleʻele ākea i nā wahi i maʻalahi i nā kāne kāne. Aia kēia mau wahi i:

• Chin a me ka lehelehe luna
• ʻO ka umauma a me ka ʻōpū luna
• Kua a me nā puʻupuʻu
• ʻŪhā loko

E nānā ana kāu mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona.

Hiki i nā hoʻokolohua ke hana ʻia ke hoʻopili i kekahi o kēia mau mea:

• Hōʻike testosterone
• Hōʻike DHEA-sulfate
• Pelvic ultrasound (inā virilization, a i ʻole ke hoʻomohala ʻana i nā ʻano kāne, aia ia)
• CT scan a MRI paha (inā aia ka virilization)
• 17-hydroxyprogesterone hoʻokolohua koko
• Hōʻike hoʻonāukiuki ACTH

ʻO Hirsutism kahi pilikia lōʻihi lōʻihi. Nui a hewahewa nā ala e hemo a mālama ai i ka lauoho i makemake ʻole ʻia. ʻOi aku ka hopena o kekahi mau hopena lapaʻau ma mua o kekahi.

• Nā Lapaʻau-- ʻO nā lāʻau e like me nā lāʻau hoʻomake hānau a me nā lāʻau anti-androgen he koho no kekahi mau wahine.
• Uila uila -- Hoʻohana ʻia ka uila i mea e hōʻino mau ai i nā lauoho lauoho o kēlā me kēia kanaka no laila ʻaʻole lākou e ulu i hope. He pipiʻi kēia hana, a pono ʻia nā ʻano hana he nui. ʻO ka pehu, ka ʻili ʻana, a me ka ʻulaʻula o ka ʻili i kū.
• ʻO ka ikehu laser i kuhikuhi ʻia i ke kala ʻeleʻele (melanin) i nā lauoho - ʻoi aku ka maikaʻi o kēia hana no kahi wahi nui o nā lauoho ʻeleʻele loa. ʻAʻole ia e hana ma ka lauoho lauoho a ʻulaʻula paha.

ʻO nā koho kuikawa pū kekahi:

• ʻO ka ʻumiʻumi -- ʻOiai ʻaʻole kēia e ulu i ka lauoho hou aʻe, e mānoanoa paha ka lauoho.
• Nā kemika, ʻohi ʻana, a me ka wili ʻana -- Palekana kēia a me ke kumu kūʻai ʻole. Eia nō naʻe, hoʻonāukiuki paha nā huahana kemika i ka ʻili.

No nā wahine i kaupaona nui, hiki i ka pohō kaumaha ke kōkua i ka hōʻemi ʻana i ka ulu ʻana o ka lauoho.

Ulu nā lauoho lauoho ma kahi o 6 mau mahina ma mua o ka hāʻule ʻana. No laila, he mau mahina ka lōʻihi o ka lawe ʻana i ka lāʻau i mua o kou ʻike ʻana i ka emi ʻana o ka ulu ʻana o ka lauoho.

Nui nā wahine i loaʻa nā hopena maikaʻi me nā kaʻina manawa pōkole e wehe i ka lauoho a hoʻomāmā paha ia.

ʻO ka hapa nui o ka manawa, ʻaʻole hana ka hirsutism i nā pilikia olakino. Akā he nui nā wahine e ʻike he mea hōʻeha a hilahila paha.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Piʻi ka lauoho me ka wikiwiki.
• Loaʻa iā ʻoe nā hiʻohiʻona kāne e like me ka huehue, hoʻonui i ka leo, hoʻonui i ka nui o nā mākala, lahilahi kāne i kou lauoho, hoʻonui i ka nui o ka clitoris, a hoʻemi i ka nui o ka umauma.
• Hopohopo ʻoe i ka lāʻau āu e ʻai nei e hoʻonui ana paha i ka ulu ʻana o ka lauoho i makemake ʻole ʻia.

Hypertrichosis; Hirsutism; ʻO ka lauoho - keu (wahine); ʻO ka lauoho lauoho nui i nā wahine; ʻO ka lauoho - wahine - nui a makemake ʻole paha

Bulun SE Physiology a me nā pathology o ka wahine hānau axis. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 17.

ʻO Habif TP. Nā maʻi lauoho. I: Habif TP, hoʻoponopono. ʻO Dermatology Haumana: Kahi Alakaʻi Kānana i ka Diagnosis a me ka Therapy. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 24.

ʻO Rosenfield RL, Barnes RB, Ehrmann DA. ʻO Hyperandrogenism, hirsutism, a me polycystic ovary syndrome. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 133.