Alopecia: nā mea āpau āu e ʻike ai e pili ana i ka nalo ʻana o ka lauoho

Alopecia: nā mea āpau āu e ʻike ai e pili ana i ka nalo ʻana o ka lauoho

He aha ka alopecia?

kaalopecia he olelo lapaau no a pau ka lauoho ka waiho ʻana i ka ʻili he hapa a ʻaʻohe paha. ʻO ka 'ōmaʻomaʻo, a i ʻole androgenetic alopecia, ʻo ia ke ʻano maʻamau o ka alopecia. Hoʻopilikia nui ia i nā kāne. ʻO ka lilo o ka lauoho he mea kūlohelohe i hoʻoholo ikaika ʻia e kakūlohelohe. ʻO nā ʻano alopecia ʻē aʻe paha e hōʻike i kahi pilikia olakino a i ʻole ma muli o ka lawe ʻana i ka lāʻau lapaʻau, no ka laʻana.

Ma ka ʻōlelo Helene, ʻo ka alopex ʻo ia ka "fox". Hoʻomanaʻo ʻo Alopecia i ka nalowale nui o ka lauoho i loaʻa i ka alopeke i kēlā me kēia makahiki, i ka hoʻomaka ʻana o ka puna.

Ua koho kekahi poʻe e hoʻomaka i nā lāʻau lapaʻau e hoʻoulu i ka ulu hou ʻana a i ʻole ka palena o ka lauoho. Pili ka lauoho me ka moʻomeheu mana hoowalewale, ola a vitality, nui ka hoihoi i ka mālama ʻana i ka alopecia. Eia naʻe, e makaʻala ʻaʻole ʻoluʻolu ka hopena. ʻO ka hoʻololi ʻana i ka lauoho ke ala hope loa.

Nā ʻano alopecia

Eia nā ʻano nui o ka alopecia a me nā kumu. ʻOiai e pili ana ka alopecia i ka lauoho, hiki ke loaʻa ma nā wahi huluhulu o ke kino.

ʻOhule a i ʻole androgenetic alopecia

Ma kahi o ka hapakolu o nā kāne Caucasian e ʻike i ka ʻōhule ma ka makahiki 30, ka hapalua ma ka makahiki 50, a ma kahi o 80% ma ka makahiki 70 I nā kāne, ʻike ʻia ka ʻōhule e ka emi ʻana o ka lauoho lauoho. ka lihi o ka lauoho, ma ka piko o ka lae. I kekahi manawa, ulu nui ia ma ka piko o ke poʻo. Hiki ke hoʻomaka ka ʻōhule i ka hopena o ka wā ʻōpio;

He kakaikahi na wahine i loaa i ka ohule. I ka makahiki 30, pili ia i ka 2% a i ka 5% o nā wahine, a kokoke i 40% i ka makahiki 70.4. ka ʻōhule wahine ʻokoʻa ke ʻano: ʻo ka lauoho holoʻokoʻa ma luna o ke poʻo e lilo i mea liʻiliʻi. ʻOiai ua hōʻike pinepine ʻia ka ulu ʻana o ka lauoho ma hope o ka menopause, ʻaʻole ʻike ʻia kēia i nā haʻawina epidemiological i hana ʻia i kēia manawa.4;

Ke holo nei kekahi mau haʻawina no ka hoʻomaopopo ʻana i ke kumu o ka ʻōhule. Me he mea lā he mana nui ka hoʻoilina. I loko o nā kāne, hoʻopili ʻia ka ʻōhule e nā hormones male kāne (androgens), e like me ka testosterone. ʻO Testosterone ka wikiwiki o ke ola o ka lauoho. I ka wā lōʻihi, lilo kēia mau mea i mea lahilahi a pōkole. E emi ana ka lauoho a pau ka hana. Me he mea lā ʻoi aku ka hopena o kekahi mau lauoho e nā pae testosterone. ʻAʻole i aʻo nui ʻia nā kumu o ka ʻōhule i nā wahine. Hoʻopuka pū nā wahine i nā androgens, akā i nā mea liʻiliʻi loa. I kekahi mau wahine, hiki ke hoʻopili ʻia ka ʻōhule i kahi kiʻekiʻe o nā androgens ma mua o ka awelika akā ʻo ke kumu nui he heredity (ka mōʻaukala o ka ʻōhule i ka makuahine, kahi kaikuahine…).


ʻAlopecia ʻili.

Hiki ke hana ʻia ka alopecia ma muli o ka pōʻino mau o ke poʻo no ka maʻi a i ʻole ka maʻi o ka ʻili (lupus, psoriasis, lichen planus, etc.). Hiki ke hoʻopau i nā follicles lauoho. ʻO ka Ringworm, kahi maʻi fungal o ke poʻo, ʻo ia ke kumu maʻamau o ka alopecia i nā keiki. Eia naʻe, aia i loko o lākou ka ulu hou i ka nui o nā hihia;

Kauwela.

ʻO ka Ringworm, kahi maʻi fungal o ke poʻo, ʻo ia ke kumu maʻamau o ka alopecia i nā keiki. Eia naʻe, aia i loko o lākou ka ulu hou i ka nui o nā hihia;

Pelade. 

ʻO Alopecia areata, a i ʻole alopecia lehulehu, he maʻi autoimmune. ʻIke ʻia ia e ka nalowale piha ʻana o ka lauoho a i ʻole ka lauoho kino ma nā wahi liʻiliʻi o ka ʻili. I kekahi manawa aia ka ulu hou, akā hiki ke hoʻi hou i nā mahina a i ʻole mau makahiki ma hope. He kakaikahi loa ka alopecia areata (nalo o ka lauoho kino a pau). No ka ʻike hou aku, e ʻike i kā mākou palapala Pelade;

Effluvium télogène.

ʻO ka poho koke a me ka manawa pōkole o ka lauoho, ma muli o ka haʻalulu kino a i ʻole ka naʻau, ka hāpai ʻana, ka ʻoki ʻana, ka pohō kaumaha nui, ke kuni kiʻekiʻe, a me nā mea ʻē aʻe. I ka pau ʻana o ke koʻikoʻi, e hoʻi ka lauoho lauoho i ka hana hana. He mau mahina paha ia;

ʻAlopecia hānau. 

Kakaʻikahi loa, hiki ke hoʻohālikelike ʻia i ka nele o nā aʻa o ka lauoho a i ʻole kahi ʻano ʻino o ka lauoho lauoho. Ua manaʻo ʻia ʻo ka hoʻololi ʻana i ka gene P2RY5 ke kuleana no kekahi o kēia mau ʻano hoʻoilina i kapa ʻia ʻo hypotrichosis simplex, e hoʻomaka ana i ka wā kamaliʻi ma nā kāne ʻelua. E komo ana kēia gene i ka hoʻokumu ʻana i kahi mea hoʻokipa e pāʻani ana i ka ulu ʻana o ka lauoho;

Nā lāʻau lapaʻau, chemotherapy, etc.

Hiki i nā kūlana like ʻole ke hoʻoulu i ka lauoho. No ka laʻana, nā hemahema o ka meaʻai, ʻaʻohe kaulike o ka ʻōnaehana hormonal, ka chemotherapy a i ʻole nā ​​​​lāʻau radiotherapy e mālama i ka maʻi kanesa, nā lāʻau (e laʻa, warfarin, kahi mea ʻemi koko, a i ʻole lithium, i hoʻohana ʻia i ka mālama ʻana i ka maʻi bipolar).

Āhea e kūkākūkā ai?

  • Inā hoʻomaka kou lauoho e hāʻule i loko o nā lima a i ʻole nā ​​ʻāpana no ke kumu ʻike ʻole;
  • Inā makemake ʻoe e ʻike i kahi lapaʻau i mea e hūnā ai i ka ʻōhule.

Ka manaʻo o kā mākou kauka

Ma ke ʻano he ʻano kūpono, hoʻokipa aku ʻo Passeportsanté.net iā ʻoe e ʻike i ka manaʻo o kahi ʻoihana olakino. Hāʻawi ʻo Dr Dominic Larose iā ʻoe i kona manaʻo no kaalopecia :

 

ʻO ka hapa nui o nā hihia o ka lauoho diffuse aʻu i ʻike ai i kaʻu hana he mau hihia telogen effluvium wale nō. No laila, e hoʻomanawanui a hōʻoluʻolu iā ʻoe iho ma ka haʻi ʻana iā ʻoe iho i ka ʻoiaʻiʻo, ke ulu hou nei ka lauoho hāʻule mai ka follicle lauoho pili.

Eia kekahi, he kakaikahi ka poʻe i makemake, i ka wā o ka ʻōhule, e hana i ka lāʻau lapaʻau i kēlā me kēia lā no ka lōʻihi ʻole. ʻO ka hapa nui (e like me aʻu!) E ʻae ʻaʻole hiki ke pale ʻia ka ʻōhule. E like me ka presbyopia, ka hina a me ke koena ...

No ka poʻe mālama pono, ʻo ka ʻokiʻoki he koho kūpono.

Dr Dominic Larose, MD

 

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