I-alopecia egxilile, esidlekayo noma esilinganayo iyisifo esifanayo, esibonakala ngokuba khona kwezindawo zokuphephuzela, imvamisa eziyindilinga noma ezi-ovoid, esikhumbeni. Abesilisa nabo banamadevu nentshebe. Kwesinye isikhathi izindawo ezinjengalezi zibizwa nge-alopecia areata. Izibalo zikhombisa ukuthi ukulahleka kwezinwele kuthinta abantu kungakhathalekile ubulili nobudala. Kuwo wonke umphakathi, cishe abantu abayi-1.7% balwa nale nkinga.
Izimbangela zesifo
Naphezu kokuxhaphaka kokuqhakaza kwe-alopecia, ubuchwepheshe bayo abukafundelwa ngokuthembekile. Odokotela abakwazi ukusho ngokuqinisekile ukuthi yini eholele ekuthuthukisweni kwenqubo ye-pathological ecaleni elithile lomtholampilo. Ukuntuleka kwesisekelo se-etiological-based proof kugcizelela kakhulu ukulungiswa kwe-algorithm yokwelashwa okwanele, okuthi ezikhathini eziningi kukhethwe isilingo nephutha.
Kwatholakala ukuthi izici ezilandelayo zobungozi zingaba imbangela ye-alopecia kwabesifazane nakwabesilisa:
- Isici sofuzo (kufakazelwa ukuthi ama-20-25% wamacala we-pathology ayisifo somndeni),
- ukutheleleka okuthe xaxa kwegciwane emzimbeni (noma yiziphi izifo zifakiwe: kusuka izifo ezilula zokuphefumula ezilulazayo kuya kuma-nosologies angathi sína),
- ukulimaza umzimba ngezinqubo ezingapheli zokutheleleka kwanoma yikuphi ukwenziwa kwasendaweni,
- ukucindezelwa okukhulu kwengqondo noma ukuvezwa njalo ezimweni ezicindezelayo (izimpandla zingahle ziphenduke ekushayweni okunamandla kanyekanye kohlelo lwezinzwa noma ukukhula kancane),
- ukungasebenzi kahle kohlelo lwe-endocrine (ubuningi bokungalingani kwe-hormonal kuholela ezinkingeni zezinwele, ikakhulukazi ku-alopecia yesimo sokugxila),
- ukuntuleka noma ukungabikho kwamavithamini emzimbeni,
- ukulimala kwe-autoimmune ku-folliclic zezinwele,
- ukuphazamiseka kwesistimu ye-autonomic neva, ebhekene ngqo nokunikezwa kwegazi ezithombeni zezinwele (imvamisa yemisipha evamile futhi eqinile iholela ku-ischemia yesikhumba, kuholele ekunciphiseni nasekulahlekelweni izinwele.
Udokotela ukwelashwa kwe-alopecia areata kufanele enze isilinganiso esiphezulu somzamo futhi athole imbangela yesifo.
Ngaphandle kokuhlukahluka kwendlela yokwelapha, umphumela kulokho kokuthambekela uvumela ukululama okusheshayo futhi okusebenzayo.
Izimpawu zenqubo ye-pathological zinezici ezilandelayo:
- i-alopecia areata ivela kancane kancane (amafomu amancane omndondo, oqhubeka nokukhula),
- ukwakheka kwesayithi lempandla kuvame ukuba yindilinga noma okusaqanda,
- ingaphezulu lendawo elincishwe izinwele lingaba bushelelezi futhi licwebezele noma lingaqinile ngezimpawu zokuvuvukala,
- ukulunywa endaweni ye-alopecia kuyaqabukela kukhathaza iziguli, futhi nobuhlungu abuveli ndawo,
- indawo eyodwa yokuntuleka kwezinwele ivame kakhulu, kuvame kakhulu ukuthi iziguli ziqaphele izindawo ezimbili ze-baldness (lapho kwenzeka ama-factor amaningi, umzimba wonke uvame ukuthinteka),
- kukhona ukulahleka kwamashiya kanye nezinkophe, ezingaba zinani, ezinxanye noma ezinengxenye,
- Izinkinga ngepuleti lezipikili ngesimo sokuncipha, ukupenda, ukuguqulwa, njalonjalo (ukulimala kwizipikili ngenxa yokuthi zinokufana okufanayo ezinweleni).
Akumele sikhohlwe ukuthi ezinye izindlela zokugula ngengqondo zingaholela kumuntu ukukhipha izinwele zakhe uqobo. Le nketho yokulahlekelwa izinwele ayikwazi ukubizwa ngokuthi yi-alopecia areata, futhi ayidingi ukwelashwa. Ukulahleka kwezinwele okuzimele kungabonakala ngokuba khona kwezingcezwana zobude obuhlukile.
Izimiso eziyisisekelo zokwelashwa kwe-baldness egxile kanje:
- Ukwenza i-psychotherapy ngokuzinza komkhakha ongokomzwelo.
- Ukusetshenziswa kwamafutha okugcoba ama-hormone ukunciphisa inqubo yomonakalo we-autoimmune.
- Ukusetshenziswa kwemijovo ye-corticosteroid (ukwelashwa okunjalo kwenziwa ngokucophelela futhi kuphela ezimweni ezisezingeni eliphakeme kakhulu).
- Ukwemukelwa kwezindlela zethebhulethi ze-glucocorticoids (kuphela njengoba kuyalelwe udokotela ngokucophelela ngokucophelela kwemithamo enconyiwe).
- I-Phototherapy (ifaka ukuchayeka ezindaweni ezithintekile ngokukhanya kwe-ultraviolet).
- Ukusetshenziswa kwe-Ditranol (ukwelashwa kwe-alopecia areata kwabesifazane futhi nabesilisa abanalesi sidakamizwa kufundwe kancane, kepha umuthi usenomphumela othile).
Akumelwe sikhohlwe ukuthi ngesikhathi sokwelashwa kwe-alopecia areata, ukunakwa okuningi kufanele kukhokhwe ku-etiological factor.
Ukuqedwa kwe-pathology eyisisekelo kuyindlela ephumelela kunazo zonke yokwelapha.
Ukwelapha okugcwele i-alopecia areata akuyona njalo into engenzeka. Okubaluleke kakhulu i-etiology yenqubo ye-pathological. Isibonelo, ukulahleka kwezinwele zesikhashana ngenxa yokushoda kwevithamini noma ukutheleleka fungal kungalashwa ngokushesha kube kanye. Ngezindlela zokuthola ifa le-alopecia noma ulwelwe olubangelwa yingcindezi, kunzima kakhulu ukubhekana nenkinga futhi ayitholakali ngaso sonke isikhathi ngosizo lwemithi yobungcweti.
Ngokuvamile, i-alopecia egxile kuyo ayiphazamisi amandla wesiguli ukusebenza, futhi i-prognosis engafanele ihlotshaniswa nesici sokusebenza kwengqondo. Kubantu abaningi, lesi sifo sibangela indlela yokuphila evaliwe, okuholela ekucindezelweni okukhulu ngokwengqondo nokwanda kwe-pathology.
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Izimpawu ze-pathology
I-alestecia ye-Nest ayimbozi yonke indawo ekhanda. Kukhiwa izisekelo ezimbalwa ezincane zomumo ozungezayo noma owomile, njengesidleke.
Izimpawu eziphambili ze-pathology:
- isikhumba bushelelezi esizeni sokulahleka, kwesinye isikhathi kuba ne-fluff encane,
- izindawo ezingenalutho zikhula kancane kancane, eziseduze zingahlangana,
- ukwakheka kwendawo yenkinga kuyinto eyindilinga noma obukhulu obukhulu kusuka ku-1 kuye ku-10 cm, inemingcele ecacile,
- imichilo idonswa kalula emngceleni nendawo,
- ukuvuvukala endaweni yempandla kungenzeka,
- i-alopecia areata ingahambisana nokulunywa kwesikhumba, kepha abukho ubuhlungu,
- imvamisa kunendabuko eyodwa yendawo, phambi kweziza ezimbili, i-pathology isakazekela kuwo wonke umzimba.
Ukuboniswa okuthile, kunzima ukudida nezinye izifo.
Izimbangela zokuvela kwe-pathology
Ngaphambi kokwelashwa, udinga ukuthola imbangela yalesi sifo. Izinto eziningi zingathinta ukulahleka kwezinwele. Imvamisa, ifa linquma ukuthi ingane izoluka ulayini wesilisa noma cha.
Izifo zokuphefumula ezingalapheki ezihlala zingalashwa zihlala zikhona emzimbeni, ziyizimbangela ze-alopecia. Ama-caries ahlala njalo, izifo ezithinta izifo ezihlasela ukuphefumula kanye nezifo zokuphefumula eziseduze, eziyeka ukwelashwa lapha, zingangezwa lapha, zizithathe zenzelwe abangane abasekwindla nasentwasahlobo.
Konke lokhu kugula ngaphandle kokwelashwa kuholela ekutheni amagciwane angama-pathogenic angena egazini. Ukutheleleka nge-vascular kungena kumabhuleki. Ukuzivikela komzimba kuqala ukulwa namagciwane, izinwele nazo ziyathola (amagciwane amaningi azinza kakhulu ekulweni namandla omzimba). Lokhu kuholela ekufeni kwe-bulb.
Ukucindezelwa okuhlala njalo, ukudangala okuhlala isikhathi eside kuthinta isistimu yokujikeleza kwegazi. Kukhona ukwanda kokubonakala kwegazi, i-spasm yemikhumbi emincane. Ukuqothuka kwegazi kuyaphazamiseka ezingxenyeni eziningi zomzimba, kufaka phakathi isikhumba. Izinwele azitholi izakhamzimba nomoya-mpilo, lesi esinye isizathu sokulahleka kwazo.
Ukwehluleka kohlelo lwe-endocrine kungaholela nase-alopecia areata. Ukusebenza kwe-gland yegland, i-adrenal cortex iyaphazamiseka, okuthinta ukusebenza kwe-pituitary gland. Konke lokhu kuholela ekubukekeni kwe-foci yokulahlekelwa izinwele.
Esinye isizathu ukungalingani kwe-hormonal. Imvamisa lokhu kwenzeka ngesikhathi sokuqala kokuya esikhathini, ngesikhathi sokukhulelwa, ukuthatha izindlela zokuvimbela inzalo zehomoni. Abesifazane abakhulelwe abalashwa, ikhava libuyiselwa lodwa ngemuva kokuzalwa kwengane. Kuzo zonke ezinye izimo, udinga ukuvakashela udokotela.
Isayensi yezokwelapha ithambekele enguqulweni yokuthi isizathu esiyinhloko salolu hlobo lokulahleka kwezinwele kuwukusungulwa kofuzo. Umzimba unganqoba zonke ezinye izinto.
Izici zesithombe somtholampilo
Kuphela nge-alopecia areata kunokushintshwa kwepuleti lesipikili. Iba mncane, ikhubazeke. Imvamisa kungukushintshwa kwamazipho lapho ochwepheshe bezinwele (ama-trichologists) befika eziphethweni ngesimo se-pathological of the bulbs.
Imisipha nezinwele zinokwakheka okufanayo, ngakho-ke ushintsho olubi emzimbeni lubathinta ngokulinganayo. Futhi, ngokugxila kwe-alopecia, amajwabu amehlo kanye namashiya aqala ukuphuma. Isimpawu esibi isilonda sezipikili esibonakalayo esiqale phambilini kunokubonakala kwesiqu sekhanda ekhanda. Lokhu kuwuphawu lokuphazamiseka okukhulu emzimbeni wonke.
Ukuhlukaniswa
I-alestecia ye-Nest inezindlela eziningana, kuya ngokuthi iyiphi inqubo yokwelashwa enqunyelwe:
- Kwendawo - lapho kunesigaba esisodwa noma ezimbili ze-alopecia.
- I-Ophiasis yeCelsus - Leli yifomu elinjengembambo, lapho umucu oyingqayizivele wamafomu wesikhumba ahlanzekile esuka ethempelini kuya emuva kwekhanda. Ukugula kaningi ebuntwaneni.
- Okungaphansi - amasayithi ambalwa ahlangana, akha izindawo ezinkulu ze-alopecia.
- Ingqikithi - Akukho hlaza ekhanda lonke. Kwesinye isikhathi amashiya nezinkophe ziwela.
- Universal - Izinwele ziwela emzimbeni wonke. Zingakhula zibuyele emuva, bese zishesha ukuphuma. Izikhathi ezinjalo ze-paroxysmal zokuvela kwesembozo zenzeka. Inqwaba yempilo ihamba ngaphandle kwezinwele.
- I-Nest -Iqhubeka ngomonakalo wezipikili. Lolu uhlobo olunzima lwalesi sifo esinezifo ezingelapheki kahle.
Izinhlobo zezimpandla zingaphenduka komunye nomunye, isimo siba sibi kakhulu uma kungekho ukwelashwa okufanele, singalandeli izincomo zikadokotela.
Izigaba zokukhula kwe-pathology
Ekukhuleni kwayo, lesi sifo sihamba ngezigaba eziningana:
- Kuyaqhubeka. Izindawo zezinwele ezilahlekile ziyanda. Kuvela okusha okusha. Amabhuleki aphelelwa amandla. Kulula ukukhipha izinwele kuphela ngokudonsa kuzo. Kungenzeka ukulunywa okuncane esikhumbeni.
- Okokuma. Isisekelo sempandla entsha asiveli. Isikhumba ezindaweni ze-alopecia siyayeka ukuvutha, siguqeke, sithola ubushelelezi. Ngemuva kokuqinisa, ukuzikhipha kuba nzima.
- Okucindezelayo. I-foci ye-baldness ikhula kancane kancane ngezinwele ezintsha ezi-fluffy ngisho noma ingenawo umbala. Ngokuzayo, ukukhula kwawo nokuqina kwemibala kwenzeka, uma kunezimo ezinhle. Kepha ukuvela kwesifo kungaqubuka, khona-ke ukuguqulela esigabeni sokuqala kuzokwenzeka.
Ukuqina okuyimpandla nokwelashwa okusebenzayo
Ukuqina kwe-Nesting kunganqunywa ngezibonakaliso zangaphandle, ezibonakala kakhulu kulesi sifo. Kwabesifazane, bayabonakala kakhulu.
Udokotela usebenzisa ezinye izindlela zokuxilonga ezimsiza ukuthi akhombe ukuthi kungani kuphume ulusu. Lapho usebenzisa i-dermatoscope, ungabheka ngokuningiliziwe ama, isikhumba senhloko, bese uthola ukuthi sinjani. Ukuhlolwa kwe-smear kuphoqelekile ukuba khona kwezifo zokukhunta zomzimba. Yize kukholelwa ukuthi ukutheleleka okunjalo akuvamile ukudala i-alopecia, akudingekile ukukhipha le nketho.
Ukuqina kwendwangu kuwuphawu lokuphazamiseka okuthile, ngakho-ke udokotela ubeka izivivinyo zelabhoratri ngalinye ukukhomba i-pathologies. Lokhu kungaba ukuhlolwa kwe-biochemical ukunquma ukutheleleka, ushintsho lwe-endocrine, ukusilela kwamavithamini nezinye izifo.
Izimiso zokwelapha isifo
Indlela ehlanganisiwe iyadingeka ukuqeda i-alopecia areata. Ngalo, umphumela uzoba kwizimpawu, izimbangela zesifo. Imvamisa, odokotela abaqinisekisi impumelelo yokwelashwa, ngoba izinto eziningi kakhulu zithinta inqubo yokubuyiselwa kwesembozo.
Imigomo yokwelashwa kwe-baldness egxile ibandakanya:
- ukwenza amaseshini we-psychotherapy ukuze ubuyisele emuva esimeni esingokomzwelo,
- ukusetshenziswa kwamafutha asuselwa ku-hormone ukunciphisa izinqubo zomonakalo we-autoimmune,
- umthelela ezindaweni ezithintekile zokucasulwa kwendawo ukuze ukhuphule i-microcirculation,
- ukuthuthukiswa kokuphoqelelwa kohlelo lokugaya ukudla.
Inkambo ejwayelekile yokwelashwa ithatha izinyanga ezi-2. Isiza sempandla ngokuphathwa okufanele siyanyamalala ngemuva kwezinyanga eziyisithupha. Izinwele zingaki zidinga ukukhula emuva.
Ukulahlwa kokugcina kwe-alopecia okugxile kuye ngezimbangela zokuvela kwayo. Uma ukulahleka kwezinwele kwenzeke ngenxa yezilonda zesikhumba ukhunte noma ukusweleka kwamavithamini, khona-ke ukululama kwenzeka ngokuphelele. Kunzima ukubhekana ne-pathology uma ibangelwa yifa lefa noma ukucindezelwa.
I-alopecia areata ayithinti isikhathi sokuphila, ukusebenza, kanye nezinye izifo ezingamahlalakhona. Kepha kunomphumela obunzima obungokwengqondo, abanye bahola indlela yokuphila evaliwe, ebhebhethekisa ukucindezelwa, okuholela ekwandeni kwenkinga.
Ukwelashwa kwangaphandle
Uma ukugxila kwe-alopecia ekhanda kungashadile, ububanzi bayo obungabi ngaphezu kwama-3 cm kufanele buqapheleke izinyanga ezi-3. Ngalesi sikhathi, ingakhula. Uma lokhu kungenzeki, kufanele uqale ukwelashwa.
Ukuqeda isifo esinjalo kufanele kwenziwe kanye nodokotela. Uchwepheshe kuphela ozokhetha umuthi ofanele, ahlinzeke ngezinkinga, acabangele ukuphambana. Ukuzelapha kungaba nzima isimo.
Ama-glucocorticosteroids asetshenziswa ngokuphezulu ngendlela yamafutha okugcoba nokhilimu. Ezimweni ezimbi kakhulu, imijovo enala ma-ejenti ama-hormonal yenziwa endaweni ye-lesion. Isibonelo, isixazululo se-Minoxidil sithathwa esikhunjeni. Okubi ngale ndlela ubuhlakani bayo, isebenza kuphela ezindaweni ezincane. Ayilungele ubunandi obuphelele.
Enye ikhambi elisezingeni eliphezulu yi-nicotinic acid. Le yi-antispasmodic enhle, isiza ukubuyisela ukuhamba kwegazi endaweni ethintekile. I-ampoule iyavulwa, okuqukethwe kuthintwa endaweni yokulahlekelwa izinwele nsuku zonke. Ukusuka amakhambi abantu - ukusetshenziswa kasawoti wolwandle. Ukuzivocavoca ngamakristalu amakhulu kuzophinda kube nomthelela ekujuleni kwegazi endaweni ye-alopecia, okuzosiza ukubuyisela ikhava.
Ukwelashwa okujwayelekile
Ngendlela ehlanganisiwe yokwelashwa, udinga ukususa inkinga eyinhloko, uphawu lwayo olungaba yimpandla. Ama-immunomodulators, izindlela zokwenza ngcono ukugeleza kwegazi, kanye namalungiselelo e-vithamini asetshenziswa. Lapho kukhona ukutheleleka, kuqedwa ukwelashwa komuntu ngamunye.
I-Actovegin, i-Solcoseryl isetshenziselwa ukuthuthukisa ukondleka kwezinwele. Izidakamizwa ze-Nootropic zisetshenziselwa ukunciphisa imithambeka yemithambo yegazi. Imvamisa iPiracetam, iNootropil. Kubalulekile ukukhulula isimo esidabukisayo, esivame ukubonwa ezigulini ezinale ndlela. Isebenza i-Novopassit, Persen.
Ukuzivocavoca kanye nomzimba
Kukhona ezinye izindlela zokusiza nge-balalness ebalulekile. Amaseshini ejwayelekile wokuhlanza ikhanda asiza kakhulu. Kufanele kwenziwe nguchwepheshe ofanelekayo. Inqubo kumele yenziwe ehhovisi likadokotela etafuleni elikhethekile. Ukuzivocavoca kuthatha cishe imizuzu engama-30. Kukhona umphumela esizeni se-alopecia, intamo kanye namahlombe.
Ngempumelelo uphatha ukuqina okuyisisekelo nge-physiotherapy.Kuyadingeka ukukhumbula mayelana ne-contraindication yokwenza lezo zinqubo - izifo ze-oncological nezokutheleleka, ukuba khona kwe-pacemaker, ukukhulelwa.
Izindlela Zokwenza Umzimba:
- I-Electrophoresis - kususelwa esenzweni samanje. Esakhiweni sempandla kukhona umuthi (i-nicotinic acid), okuthi, ngenxa yalokhu, ungena ujule esikhunjeni. Imithambo iyanda, ukuhamba kwegazi kwendawo kuyathuthuka.
- Ukuhlanzeka - Ngaphansi kwethonya lamanje, isikhumba siyavutha. Ukuphendula kwe-Metabolic kuyathuthuka, ukuphuma kwegazi kuyazinza.
- I-Darsonvalization - kusetshenziswa imishini yokusebenza yeDarsonval. Ngosizo lwe-nozzle olukhethekile, ukugcotshwa kwezindawo ze-baldness kwenziwa imizuzu eyi-10. Ukugqugquzeleka kokuhlinzekwa kwegazi nokukhula kwe-bulb kwenzeka.
Kuzo zonke izinqubo ze-physiotherapy, izikhathi eziyi-10 kuye kwezingu-15 zanele ukubona imiphumela emihle.
Ukwelashwa kokuhlinzwa
Isigaba sokugcina se-baldness egxile asiphathwa ngemithi. Ukwelashwa ngokuhlinzwa kuhlala - ukufakelwa kwezinwele. Lokhu futhi, ngeke kuthathwe njengesisombululo sendawo yonke, ngoba ukwanda kwe-pathology kungaholela ekulahlekelweni izinwele ezifakelwe.
Kuyadingeka ukusungula imbangela yokuzalanisa i-alopecia, uyiqede. Ngokuqagela izakhi zofuzo, azikho izindlela zokuxazulula inkinga. Ungahlehlisa kuphela isikhathi sokulahlekelwa izinwele. Ukuze wenze lokhu, kufanele ufunde ukuthi ungabhekana kanjani nokucindezelwa, ukuze unqotshwe unqobele ezifundazweni ezicindezelayo.
Izimbangela zesifo
Izimbangela ze-alopecia areata azikasungulwa ngokuqondile. Kucatshangwa ukuthi i-pathology ingemvelo ye-autoimmune. Umzimba womuntu uqala ukubona izinhlamvu zezinwele njengento yangaphandle, futhi uzenqabe. Okokuqala, kuvela indawo encane eyindilinga ekhanda, bese iyanda.
Izici ezilandelayo zingavusa ukukhula kwesifo:
- Isizungu. Imvamisa ebalulekile ye-alopecia iyabonakala kubazali nasezihlotsheni eziseduze zeziguli.
- Izifo zokuphefumula ezingalapheki. Ama-caries wamazinyo angakaze ahlolwe, ukutheleleka komoya okuphathelene nokuphefumula kanye nomkhuhlane kubangela ukuba amagciwane namagciwane kungene egazini. La ma-microorganism ahlala ezinhlangothini zezinwele. Lapho ukungatheleleki kumuntu kulwa nokutheleleka, hhayi ukubhujiswa kwamagciwane kuphela, kodwa nokubhujiswa kwezicucwana zezinwele.
- Ukucindezeleka nokuphazamiseka kwengqondo. Ezimweni ezicindezelayo, ukuhanjiswa kwegazi ezinweleni kuya kwanda, okuholela ekulahlekelweni kwabo. Ngaphezu kwalokho, ngaphansi kwengcindezi, ukusebenza kwamasosha omzimba kuyaphazamiseka, futhi umzimba uqala ukuzabalaza ngezinhlamvu zawo zezinwele.
- Izifo ze-Endocrine. Ama-pathologies we-gland yegland, izindlala ze-adrenal kanye ne-pituitary gland nazo zithinta isimo sezinwele.
- Ukungalingani kweHormonal. I-Alopecia areata kubantu besifazane ihlala ivela ngesikhathi sokukhulelwa, ukuya esikhathini noma lapho uthatha inzalo yokuvimbela inzalo ye-hormonal. Ngesikhathi sokubeletha kwesibeletho, ukwelashwa kwe-baldness akwenziwa, imvamisa isimo sezinwele sijwayelekile emva kokubeletha. Kwezinye izimo, kufanele uvakashele udokotela.
- Ukuhlasela kwe-Helminthic. I-alopecia ye-Nest kwesinye isikhathi ivela ngokumelene nesizinda se-helminthiases. Amasosha omzimba alwa namagciwane futhi ngasikhathi sinye zithinteke izinwele.
Into eyindlalifa idlala indima enkulu ekuveleni kwalesi sifo, yingakho lesi sifo kunzima ukuselapha. Zonke ezinye izimbangela zempandla zingasuswa.
Izigaba zesifo
Ekuthuthukisweni kwayo, i-alopecia areata idlula ngezigaba eziningana:
- Ukuqhubeka. Kulesi sigaba, izinwele zezinwele zilahlekelwa amandla kubantu. Izingxenye zezimpandla zesikhumba esivuthiwe ziyavela ekhanda. Kwesinye isikhathi ukuvela kancane. Izinwele zibukeka zinciphile futhi zisuswa kalula kufakwe isibani lapho zisikiwe.
- Isigaba sokuma. Ubuvila buyayeka ukuthuthuka. Ukulimala kwesikhumba kuyanyamalala. Izinwele ziyeka ukuphuma.
- Isigaba sokubuyisa. Ezindaweni ezithintekile, kukhula izinwele ze-bushy blond. Ngaphansi kwezimo ezinhle, ziba namandla, zifakwe imibala bese ziphenduka izintambo ezijwayelekile zezinwele. Kepha ngokwanda kwalesi sifo, izimpandla zingaqala futhi.
ISymbomatology
Isibonakaliso sokuqala salesi sifo ukubukeka kwezindawo eziphethwe ngamabele. Imvamisa inesimo esiyindilinga nobukhulu obuyi-1 cm kuya ku-10 cm. Ukugxila kwe-lesion kunemingcele ecacile. Imvamisa indawo eyodwa ye-alopecia iyaphawulwa, kepha kwezinye izimo ingahle ibe miningi. Izindawo zempandla zingase zihlangane.
Isikhumba ezindaweni ezithintekile siguqulwe kancane. Kwesinye isikhathi ukubomvu okuncane kuyaphawulwa. Amaconsi nokukhonkotha akubonwa. Izinwele eziseduzane ne-alopecia zone azibambeki kahle kuma-follicle futhi zidonswa kalula.
Ukuqina kwe-fragility okwandayo kuyaphawulwa. Zinezimpande ezijwayelekile, kepha isisekelo sombala omncane kakhulu. Imvamisa izinwele ziqhekeka kubude obuyi-3 mm.
Kunohlobo olukhethekile lwesifo (ofiasis) lapho amabala angenamabala angazindilinga, kepha angama-longitudinal ngesimo somucu. Izipikili nazo zingabandakanyeka kwinqubo ye-pathological, isimo sazo siba sibi kakhulu. Izinhlobo ezinjalo ze-alopecia zibhekwa njengezilimaza kakhulu futhi zingaphenduli kahle ekwelashweni.
I-Alopecia areata kwabesifazane imvamisa yenzeka phakathi kweminyaka eyi-15 nengama-35. Kaningi lesi sifo sithinta iziguli ngezinwele ezimnyama. I-Pathology imvamisa iqhubeka kahle kakhulu kunasemadodeni. Ama-estrogens adla kakhulu emzimbeni wowesifazane, lokhu kuvimbela ukulahleka okukhulu kwezinwele. Kodwa-ke, uma isiguli sinokuphazamiseka kwe-hormonal, khona-ke izimpandla zingabonakala kakhulu. Ngenxa ye-alopecia, abesifazane bavame ukuba nengcindezi nokudangala, okuthi nakho kuthuthukise ukulahleka kwezinwele.
I-Alopecia areata emadodeni iqala kaningi ngomqhele. Engxenyeni engenhla yekhanda, kwakhiwa i-lesion. Uma kungekho sinyathelo esithathwayo, indawo yokulahlekelwa izinwele ikhula ngokuhamba kwesikhathi. Ezimweni ezisezingeni eliphakeme, isiguli sishiya izinwele ngokuphelele.
Izici zezimpandla ezinganeni
I-Alopecia areata ezinganeni kuyinto yezehlakalo ezivamile. Imikhuhlane yesikhumba ihlala ihlangana nalesi sifo: i-atopic dermatitis, i-allergic rash, vitiligo. Nge-alopecia, ingane ivame ukulahlekelwa hhayi kuphela izinwele ekhanda, kepha namashiya amashiya.
Kaningi, lesi sifo sithinta izingane ezingaphezulu kweminyaka emi-3. Isibonakaliso esibi se-prognostic ukunamathiselwa kwe-dermatitis ye-atopic, ukulimala kwezipikili kanye nokuqala kwalesi sifo zisencane. Kulezi zimo, i-pathology yelashwa ngobunzima obukhulu. Kodwa-ke, izinhlobo ezinonya zesifo azivamile ukubonwa ezinganeni. Ezimweni eziningi, izinwele zingabuyiselwa ngokuphelele.
Ukuxilonga
Lapho kuvela izimpawu zokuqala ze-alopecia, kufanele ubonane nodokotela oyi-trichologist. Ngokuvamile, ukuhlolwa kwesiguli kwangaphandle kwanele ekuxilongeni. Kwezinye izimo, kudingeka izivivinyo ezingeziwe zelebhu:
- Ama-Trichograph. Izinwele eziningana ziyakhishwa esigulini esiseduze nendawo ethintekile futhi isakhiwo sazo sihlolwa ngaphansi kwesibonakhulu.
- Ama-biopsies. Ukusuka endaweni ethintekile, izinhlayiya zesikhumba zithathwa ukuthi ziyohlolwa. Lokhu kukuvumela ukuthi uhlukanise i-alopecia egxile ekulimaleni kwes scalp ngezilonda ze-lupus ne-lichen.
- Cwaninga nge-dermatoscope. Sifunda ukwakheka kwezicucwana zezinwele kanye nesimo sesikhumba.
- I-smear kusuka ezindaweni ezithintekile ukuthola isifo sokukhunta. Lolu cwaningo lusiza ukwahlukanisa i-alopecia egxile kusuka ku-ringworm.
Kwesinye isikhathi i-alopecia iyisibonakaliso sokushoda kwe-Vitamin, kanye ne-endocrine kanye nezifo ezithathelanayo. Ukuze kutholakale ama-pathologies anjalo, izifundo ze-serological, kuhlolwa igazi nge-biochemistry nama-hormone.
Ukwelashwa ngezidakamizwa
Uma kunendawo encane yamakhanda ekhanda (hhayi ngaphezu kuka-3 cm), khona-ke ukubheka okunamandla kuyizinyanga ezintathu. Uma ngalesi sikhathi indawo ingambozwa ngezinwele ze-canon, khona-ke inkambo yokwelashwa kwe-alopecia areata iyadingeka.
Indawo yokugcotshwa kwasekhaya ne-corticosteroid ebekiwe endaweni: Zisetshenziswa ezindaweni ezinezimpandla. Kusetshenziswe futhi i-corticosteroid izidakamizwa iDiprospan ngendlela yesisombululo. Ihanjiswa kancane kancane ezindaweni ezithintekile. Lokhu kwelashwa kusiza ekulahlekelweni izinwele okungadluli kuma-50%.
Ekwelapheni i-alopecia areata kwabesifazane, isidakamizwa "Cimetidine" sinikeza imiphumela emihle. Inomphumela we-antiandrogenic futhi iguqulela emuva ingemuva le-hormonal emzimbeni wesiguli. Ikhishwa ngesimo samathebulethi, amakhompiyutha kanye nesisombululo semijovo. Abesilisa akufanele bawuphuze lo muthi, ngoba ungathinta kabi ukukhiqizwa kwama-androgens.
Ekwelapheni i-alopecia areata emadodeni, kusetshenziswa umuthi i-Finasteride. Kuvimbela ukunqwabelana kwehomoni dihydrotestosterone endaweni ye-bulb futhi kuvimbele ukulahleka kwezinwele. Leli thuluzi alinconywa ezinganeni nakwabesifazane abakhulelwe. Umuthi ungadala ukonakala kwezakhi zofuzo ezinganeni.
Ekwelapheni kweziguli zesilisa nezowesifazane, kusetshenziswa amafutha e-Ditranol. Inomphumela wasendaweni ocasulayo. Esithombeni somuthi, kuba mnyama isikhumba. Amaseli omzimba asebenza ukulwa nokuvuvukala futhi aphazanyiswe ezithombeni zezinwele. I-Antralin yezidakamizwa, i-tincture yepelepele obomvu, i-lemongrass, i-burdock kawoyela inezindawo ezicasulayo. Izimali ezinjalo zingasetshenziswa esigabeni sokumisa lesi sifo lapho ukulahleka kwezinwele sekuyekile.
Umphumela omuhle unikezwa ngomuthi "Minoxidil". Lesi yisixazululo esidonswa esikhunjeni ezindaweni ezivulekile. Kuvusa ukukhula kwezinwele.
Ngaphezu kwezidakamizwa zasendaweni, nikeza imishanguzo yokulawulwa ngomlomo:
- amavithamini ayinkimbinkimbi "Perfect", "Pantovigar", "Nutricap".
- izidudla: Persen, Novopassit.
- ukujikeleza kwegazi okuthuthukisa izidakamizwa: I-Nootropil, Actovegin.
Ezimweni ezinzima, ama-immunosuppressants asetshenziswa: ICyclosporin A, Timopentin, Groprinosin. Bayakwazi ukuthinta imvelo yesifo se-autoimmune. Ungaziphuza lezi zidakamizwa ezinamandla kuphela kunikezwa incwadi kadokotela. Le mishanguzo inemiphumela emibi eminingi.
Ukwelashwa komzimba
I-Physiotherapy igcwalisa ukwelashwa kwe-baldness. Ukwenza ngcono isimo sezinwele, izinqubo ezilandelayo zibekiwe:
- I-Electrophoresis ene-nicotinic acid. Umuthi ufakwa esikhunjeni usebenzisa i-galvanic yamanje. Lokhu kusiza ukuthuthukisa i-microcirculation yegazi nokudla emzimbeni we-dermis. Umuthi ungena kuma-bulbs futhi uvuselele ukukhula kwezinwele.
- Ama-Microcurrents. Izindawo ezithintekile zithintwa amagagasi kagesi. Njengomphumela walokhu kwelashwa, umsoco wezikhwanyana zezinwele uyathuthuka.
- Ukwelashwa kwe-Laser. Imisebe ingena isibani futhi ivuse ukukhula kwezinwele.
- I-Darsonvalization. Ngokusebenzisa i-apparatus ekhethekile, imisinga emincane yokufakelwa inikezwa ezindaweni ezithintekile. Ngenxa yalokhu, ukunikezwa kwegazi kuma-follicles nokukhula kwezinwele kuthuthuka.
Ukufeza umphumela, kuyadingeka izinqubo eziyi-10 kuya kwezingu-15 zokuzivocavoca umzimba.
Ukubuyekezwa Kwezokwelapha
Ungathola izibuyekezo eziningi ezinhle ngokuphathwa kwe-alopecia areata ngu-darsonvalization. Iziguli ziyeke ukulahleka kwezinwele ngemuva kwezinqubo ezingama-7- 7. Ngemuva kwesikhashana, kwavela intambo yezinwele ezintsha ezindaweni zezinduna. Le ndlela isize abesifazane abaningi abane-alopecia yangemva kokubeletha ehlotshaniswa nokungalingani kwamahomoni.
Kukhona nemibiko yokusebenza kahle kwe-Minoxidil. Kuyasiza ngisho nangezinhlobo ezinzima ze-alopecia areata. Kokubukeza, kubikwa ukuthi ngemuva kwenkambo yokwelashwa, iziguli zaqala ukwanda kancane kancane izindawo zempandla, ekhanda nasemzimbeni. Leli thuluzi lalisebenza ngempumelelo noma kulahlekelwe izinwele ezingaphezu kuka-60%.
Kwezinye izimo, ama-ejenti acasulayo endawo asize ukumisa ukulahleka kwezinwele. Uma izibuyekezo ezinhle ngokusetshenziswa kwamafutha e-burdock ne-tincture yepelepele elishisayo. Kodwa-ke, amakhambi anjalo asiza ngenkathi kuzinzisa inqubo yokulahlekelwa izinwele. Ngokugxila okusebenzayo ngezinwele ezikhululekile, ama-ejenti okucasulayo endaweni angakhulisa ulwelwe.
Ukuvimbela
Uma umuntu enomkhuba wokulahlekelwa izinwele, khona-ke kuyadingeka ukuthatha izinyathelo zokuziqinisa. Ukuze wenze lokhu, udinga ukugeza njalo izinwele zakho ngama-shampoos akhethekile anezithako zevithamini, futhi usebenzise ama-herbal rinses for rinsing and masks medical. Akufanele ugqoke izinwele eziqinile futhi udonse izinwele zakho ziqine. Kuyadingeka ukuguqukela ekubambeni okuncane ngangokunokwenzeka.
Kubalulekile futhi ukudla okulungile futhi ugweme ukucindezela noma nini lapho kungenzeka. Kwisibonakaliso sokuqala sokukhuphuka kokulahlekelwa izinwele, udinga ukuvakashela i-trichologist. Lokhu kuzosiza ukuvikela ukukhula kwe-alopecia.
Izimbangela kanye pathogenesis
Izimbangela ze-alopecia areata bezingakasungulwa. I-Alopecia areata iyi-heterogeneous clinical syndrome, ekuthuthukiseni lapho ukucindezelwa okungokomzwelo, izifo ezingapheli nezingamahlalakhona, ukulimala komzimba, nezici zofuzo kudlala indima. I-genetic heterogeneity yalesi sifo ichaza i-polymorphism yayo yemitholampilo, eyaziwa kakhulu odokotela.
I-Alopecia areata ithathwa njengesifo esenzelwe i-autoimmune njengesitho esithize, njengoba kufakazelwa kusengaphambili ifa, imvamisa ekhulayo yokutholwa kwama-antibodies e-organ ethile kanye nokulawulwa okungalungile kwe-T-cell of the immune reaction.
Izimpawu ze-alopecia areata
Izimpawu zalesi sifo ziqala ngokuvela okungazelelwe kokugxila kokuzungeza kwangaphandle ngaphandle kwemizwa eqondile, ezinye iziguli zibika i-paresthesia. Imingcele yokugxila icacile, isikhumba esingaphakathi kuyo asishintshiwe noma sibuthakathaka ngokweqile, kwesinye isikhathi sinokuqina okuvumelanayo futhi kulula kunokuba okunempilo ukusonga, imilomo yezikhwanyana zezinwele iyagcinwa. Esigabeni esithuthukayo, izinwele ezibukeka ziphilile emaphethelweni e-lesion zifakwa kalula (indawo yezinwele ezikhululiwe), isibonakaliso se-pathognomonic ukubukeka kwezinwele ngendlela yamamaki okubabaza. Lezi zinwele ezimise oklabhu ngobude obungamamitha amathathu, isiphelo sazo esihlukanisiwe futhi siqweqwe.
Inkambo eqhubekayo yalesi sifo ayilindelekile. Kwesinye isikhathi ukukhula kwezinwele ekugxilisweni kubuyiselwa ngokuphelele. Ama-foci amasha angavela, amanye awo angahlangana ngenxa yokulahleka kwezinwele ezihlukanisayo. Ukwehla izinwele ezinzima kungenzeka ngaphandle kokwakheka kwe-foci ye-baldness. Ukuba khona kwesikhathi eside kwe-foci kungaholela ezinguquko eziwohlokayo nokufa kwama-follicles.
Ukugxila kokuqala kuvame ukwenzeka esikhumbeni. Mhlawumbe ukulahleka kwezinwele endaweni yokukhula kwesilevu, ukulahleka kwezinwele emzimbeni, ezindaweni ze-axillary nezama-pubic. Ezimweni eziningi, amashiya kanye nezinkophe ziqothuka. Ku-10-66% yeziguli, kutholakala ama-dystrophies ahlukahlukene amapuleti ezipikili.
Kuyini i-alopecia
Ngokuyinhloko, lokhu kugula kubangelwa izilonda ze-pathological, ezaziwa yisintu isikhathi eside. Kepha imbangela ngqo zalesi sifo azikasungulwa. Le nguqulo elandelayo ibhekwa njengeyinto engenzeka kakhulu: umzimba womuntu wamukela izinhlamvu zezinwele ezikhona njengento eyinqaba kuwo futhi uzama ukuzikhipha.
Isici esihlukile sokudlekwa kwezinye izinhlobo zezimpandla ukuthi ukulahleka kwezinwele kuyindilinga, okungukuthi, ukulahleka kwezinwele kuqala ngesimo sombuthano omncane onwebeka kancane kancane.
Bobabili ubulili nabo bathinteka ngokulinganayo. Futhi, into embi kakhulu ngalolu hlobo lwempandla ukuthi ithinta kakhulu kuphela abancane (abangaphansi kweminyaka engama-25 ubudala) nezingane. Kufanele uvume ukuthi abantu asebekhulile bangokwemukela kalula ukuthi bayacwecwa kunobusha.
Izinhlobo ezilandelayo ze-alopecia areata ziyahlukaniswa:
- phazamisa. Izinwele ziwela phezu kwekhanda,
- sendawo Kulokhu, ukulahleka kwezinwele kwenzeka endaweni eyodwa. Kulokhu, ukugxila kwe-lesion kuchaze imingcele ngokucacile,
- i-alopecia ephelele. Ukulahlekelwa izinwele kwenzeka kulo lonke isikhumba, kuqede. Le ndlela yalesi sifo ayibonakali ezinganeni,
- okuncane. Amaphesenti angaphezu kwamashumi amane wezinwele ekhanda ayawa,
- ukwenziwa ngokusemthethweni. Kulokhu, ukulahleka kwenzeka emaphethelweni wesikhumba,
- ifomu universal. Kulokhu, izinwele ziwela wonke umzimba.Leli fomu livame ukukhula ezinganeni.
Ukuvela kwezilonda kuyazenzekela, akunakwenzeka ukubikezela ukuthi le-lesion elandelayo izophuma iphume kuphi. Zingahlala zisesimweni sazo sokuqala, zikhule, futhi zibuye zinyamalale ngokungazenzisi.
Njengoba isiqalile ukuvela yodwa, i-lesion imvamisa ukukhula ngokushesha futhi kalula ifomu lendawo yonke noma ephelele. Kulokhu, ukuguquka phakathi kwamafomu kucishe kungenzeki.
Izimbangela zesifo
Njengoba kushiwo ngenhla, imbangela ngqo yalesi sifo azikasungulwa. Kepha ngokufanayo, bonke odokotela bayabona ukuthi umsuka walesi sifo kumele ufunwe ebuntwaneni beguli. Futhi, imbangela ingaba ukungasebenzi kahle emasosheni omzimba, njengoba kuxoxwe ngenhla. Okusho ukuthi, amasosha omzimba, ngasizathu simbe, aqaphela i-hairline emzimbeni, ikakhulukazi ekhanda, njengesihambi emzimbeni womuntu futhi uqala ukusikhipha.
Lesi sifo singabangelwa nayizici zezemvelo, ikakhulukazi, imvelo emnyama. Ukulahleka kwezinwele kuqala ngemuva kokucindezeleka okukhulu ngokomzwelo.
Ngenxa yokungaqiniseki kwezizathu, ukwelashwa kuhlukile emadodeni nakwabesifazane.
Ukwelashwa kwe-alopecia areata
Ngenxa yokuthi izimbangela ngqo zalesi sifo azikhonjwanga, indlela yokwelashwa yonke ayikho. Kusimo ngasinye esikhethiwe ngamunye. Kepha ngokufanayo, kukhona okufana ngakho.
Isibonelo, ukusetshenziswa kwe-glucocorticosteroids kusabalele. Zingaba yimvelaphi yokufakelwa noma yendalo. Esimweni sokugcina, ukwakheka kwento kwenziwa ku-adrenal cortex yezilwane - izinja, onogwaja noma amahhashi.
Kodwa, ngaphambi kokuqala ukwelashwa ngama-hormone, kuyisiko ukusebenzisa ama-ejenti okucasulayo. Njengoba kusetshenziswa i-anterralin, i-ammonium, i-carbolic acid, i-crotonic oil, ne-pepper eshisayo.
Kwatholakala ukuthi ngemuva kokwelashwa okunjalo, i-hairline iyakwazi ukululama. Noma sekudlule iminyaka eminingana ngemuva kwezimpandla. Kepha kukhona okukodwa "kepha": le ndlela isebenza kuphela esimweni esisodwa, uma ingekho ngaphezulu kwe-50% yezinwele esephumile. Ngaphandle kwalokho, ukwelashwa ngale ndlela kungenzeka kungaqali.
Enye indlela yokwelashwa enezinzwa, izidakamizwa ezandisa ukuzwela kwamaselula. Ngaphandle kwalokho, le ndlela ibizwa ngokuthi i-topical immunosuppressive therapy. Le ndlela ibonwa njengempumelelo kakhulu ekwelapheni ubuvunda bempumulo. Ngaphezu kwezinzwa, le ndlela isebenzisa izidakamizwa ze-immunotropic ezinomthelela olimazayo kumaseli wegazi amhlophe namaseli omzimba - ama-lymphocyte namaseli amhlophe egazi.
I-Photochemotherapy isetshenziswa kaningi ekwelashweni - kulapho kufakwa khona i-Phototherapy esikhunjeni. Indlela isebenza kakhulu lapho isetshenziswa ndawonye nezidakamizwa eziqabulayo. Okuwukuphela kwento ebuhlungu yalokhu kwelashwa ukuthi kungalimaza isiguli. Ngakho-ke, ngesikhathi senqubo yokwelashwa, ukungavikeleki kwesisulu kuyacindezelwa, futhi noma yikuphi ukutheleleka kungamthinta. Ngisho nelula.
Ukwelashwa kwangaphandle ngamafutha e-turpentine kanye nezinto ezivuselelayo ze-keratinocyte kukhona usizo oluthile - lawa ngamaseli ongqimba lwangaphandle lwe-epidermis. Bafaka isandla ekukhuleni ngokushesha kwe-hairline.
I-Physiotherapy nayo ayilibaleki - ukugcotshwa kwe-scalp, ukwelashwa kukaphalafini, ukwelashwa kwamanje (ama-currents d, i-Arsonval). Izindlela zakudala ziyi-acupuncture ne-electropuncture.
Odokotela bavame ukusebenzisa umphumela we-placebo. - kulapho isiguli sivele sikholelwe ukuthi lolu khambi luzomsiza, futhi alwamukele, kepha ngasikhathi sinye, leli khambi alinazo lezi zimpawu.
Kulabo abangafuni ukuthatha izidakamizwa ezahlukahlukene, kukhona indlela eyodwa - lokhu kulindile. Abanye odokotela babiza le ndlela ngokuthi ukwelashwa okuvilapha. Kuqukethe ukuthi udinga nje ukulinda isikhathi esithile. Cishe isigamu sonyaka. Njengoba umkhuba ukhombisa, ezimweni eziningi, izimpandla ezivele nje zaqala ukukhula futhi. Futhi, kunethemba lokuthi ngeke kuphinde kube khona.
Imvamisa, indlela yokulinda inconyelwa ngodokotela uqobo kulezo ziguli lapho izinduna zazo zisesigabeni sokuqala.
Ukwelashwa ngezidakamizwa: ukukhetha kwezidakamizwa
Ngokuya ngezimbangela okusolwayo, izidakamizwa zokwelapha i-alopecia kufanele zikhethwe. Ngakho-ke, ngokuntuleka kwamavithamini emzimbeni kanye ne-anemia, amalungiselelo e-iron anconyiwe:
Ngokubambisana nabo, amavithamini B-6 noma ama-2 izakhiwo avame ukunqunywa.
Uma izimpandla zibangelwa ukutheleleka fungal, zikhonjisiwe ukuqokwa:
Ukufakwa kwamnyama kubanikazi bamehlo grey: amathunzi wamanje namasu
Funda kabanzi ngezindlela zokulungiselela ama-shampoos wemvelo lapha
Nge-endocrine pathologies, lapho kungezona izinkabi kuphela ekhanda, kepha futhi namashiya angaphansi kokulahleka, nikeza:
- i-levothyroxine sodium ne-hormone T4: L-thyroxine nezimpawu zayo,
- I-Eothyrox,
- I-Tireokomb ne-Yodokomb, i-Iodtiroks neTyototom ohlakeni lokwelashwa okuyinkimbinkimbi yama-hormonal.
Izindlela zokuvimbela
Uma kwenzeka kunokwethuka okukhulu kwemizwa, kunconywa ukubonana nochwepheshe abanjengochwepheshe wezengqondo noma nodokotela wengqondo. Ungacabangi lutho olubi. Kumane nje ukuthi uma izinkophe namashiya eqala ukuphuma nezinwele, ngakho-ke kuyaqabukela lapho akekho umuntu azole. Lokhu kuyiqiniso ikakhulukazi kwabesifazane.
Uma imbangela yokulahlekelwa izinwele ezinzima isiphenduke izinzwa zamakhala, khona-ke kulokhu kungenzeka konke kube kubi kakhulu. Ngakho-ke, usizo lochwepheshe luzodingeka.
Ngokulahlekelwa izinwele, umuntu unomuzwa wokungakhululeki futhi ngenxa yalokho kuyadingeka ukunciphisa ukubonakaliswa kwawo. Isibonelo, sebenzisa i-sunscreen ngesikhathi esishisayo. Ezinjengamafutha okugcoba, okhilimu, izibuko ezimnyama. Kudingeka i-wig noma isihlwayi esithile ekhanda.
Ngemininingwane engaphezulu kokuvela nokwelashwa kwe-alopecia, bheka ividiyo
Ukwelashwa kwe-alopecia areata
Ukwelashwa kwe-alopecia areata kwenziwa ngokwazisa nge-glucocortecosteroids ku-pathological foci, okushiwo lolu sizo kungumphumela we-immunosuppressive wezidakamizwa. Uma indawo ye-lesion ingaphezulu kwama-50% wesikhumba lapho kukhula khona izinwele, khona-ke ukwelashwa nge-corticosteroids akunamphumela owufunayo.
Kuze kube manje, ukwelashwa kwendawo ngezidakamizwa eziqukethe i-corticosteroids kutholakele kungasebenzi ngisho nokuhlanganiswa nezithwali ezinomthelela ekungeneni okujulile kwezidakamizwa ze-hormonal.
Ukwelashwa kwe-topical immunosuppressive kwe-alopecia areata kungenziwa kusetshenziswa i-dinitrochlorobenzene, squaric acid dibutyl ether ne-diphenylcyclopropenone.
Ukusetjenziswa ngendlela efaneleko kwama-steroid kungaguqula i-alopecia areata ekhula msinyana.
Kungenzeka ukucindezela ama-clones e-lymphocyte asebenzayo ngemithi ye-immunotropic.
Kwezinye izimo, i-Photochemotherapy iyasebenza, kanye nezindlela ezithile ezinhle zokuthola izilonda.
Lapho ukhetha izindlela zokwelapha i-alopecia areata, umthethosisekelo weziguli nezifo zangemuva ziyabalwa.
Ukusetshenziswa kwezivuseleli ze-biogenic kungasheshisa izinqubo zokulungisa izicubu. Ukulungisa ukubalwa kwegazi elithile, amalungiselelo aqukethe amathe we-leech anganconywa. Kwezinye izindlela ze-alopecia areata, amalungiselelo we-zinc angabonakala.
Izindlela zangaphandle zokwelapha okubandakanya zifaka uhla olunhlobonhlobo lwama-ejenti okucasulayo (i-turpentine ointment, i-efcamon), izinkuthazo zenqubo yokwanda kokudlanga kwezidakamizwa, izidakamizwa ezithuthukisa umsoco wezicubu, futhi futhi zibe nomthelela ekwenzeni ngcono izicubu zomzimba. Ngaphandle, imishanguzo equkethe i-silicon nayo ingasetshenziswa, engathuthukisa ukwakheka kwezinwele, noma izidakamizwa umphumela wazo wokwelapha ngenxa yokuvezwa kwe-placenta ezindaweni ezithintekile zesikhumba.
Nalu uhlu lwezindlela ezaziwa kakhulu zokwelapha:
Ekusebenziseni, ekwelapheni i-alopecia areata, izidakamizwa ezivela ku-naphthalan alcohol, ama-tinctures we-hot hot, izimpukane, i-chilibuh asetshenziswa kabanzi. Ukusebenza kwazo kwezinye izimo kungachazwa ngumphumela omncane ovuselelayo, kepha ezimweni eziningi umphumela we-placebo wenzeka.
Iziguli zinganconywa i-massage noma i-cryomassage yesikhumba, izinhlelo zokwenza uphalafini (ozokerite), inkambo yezinsuku eziyishumi yokwelashwa ngama-d'Arsonval currents, i-diathermy yezindawo ezinozwela ku-vertebrae yesibeletho, ukwelashwa kwe-ozone kwesikhumba.
Izindlela zemiphumela yemithi yezokwelapha, i-electrophoresis isetshenziswa kaningi nesixazululo se-reserpine, aminophylline, njll.
Kwezinye izimo, umphumela ongokomzimba nowemvelo osuselwa kumphumela we-Reflexotherapy uyasebenza. Ukuthandwa okukhulu kakhulu ekwelapheni i-alopecia areata kusuka kuzo zonke izindlela namuhla kutholile i-classical acupuncture, i-electropuncture, kanye nokuchayeka ezinhlotsheni ezithile zemisebe kagesi, ukusetshenziswa kwe-laser, imisebe ye-ultraviolet, imibhobho.
Umbhali walesi sihloko: IsiJalimane uLeonovovna isiJalimane, isichazamazwi sobuchwepheshe, ikakhulukazi isayithi ayzdorov.ru
I-Alopecia kwabesifazane ukulahleka kwezinwele ngenxa yokulahleka kwezinwele. Lesi sifo siholela ekunciphiseni okuyingxenye kwesembozo, noma ngokunyamalala ngokuphelele kwezinye izingxenye zekhanda nomzimba. Kunezinhlobo eziningi zezimpandla kwabesifazane - lokhu kugxile (isidleke), ukuhlukanisa.
Amadoda amaningi emhlabeni jikelele abhekene nenkinga efana nokulahlekelwa izinwele. Ngaphandle kokuthi abameleli bengxenye eqinile yabantu bathambekele kakhulu ku-alopecia, le nkinga akuyona eyejwayelekile yobulili. Abesifazane bathambekele nasezindongeni, kodwa ngokubukwa.
Izindlela zokupheka zendabuko ezifakazelwe zokwelapha izinwele zifaka phakathi izithako ezisetshenziselwa izimonyo zezokwelapha eziqeqeshiwe - ama-amino acid, amavithamini, amaminerali, amanoni acid nezinye izinto ezothuthukisa ukukhula kwezinwele, kusebenze izinhlamvu zezinwele.
Ngaphambi kokuba kukhethwe iqhinga elithile lokwelashwa, udokotela uzokwenza ukuxilongwa kwezinwele okuphelele. Isibani se-ultraviolet noma i-infrared singasetshenziselwa lokhu. Uma uthola ezinye izinkinga zempilo, kuzodingeka ukuthi ubandakanye nezinye izindlela ezikhethekile enqubo yokwelashwa.
Ngokwengeziwe kwegama elithi alopecia, ungahlangabezana nesigaba esithi alopecia areata, noma i-alopecia areata. Konke lokhu kuzosho i-pathology efanayo. Ngokuqondene nezizathu zokuthi kungani izinwele ziqala ukuphuma, azikachazwa ngokunembile. Ngaphezu kwalokho, akwaziwa ukuthi lesi sifo sizoqhubeka kanjani ngokuzayo.
Ukulahlekelwa izinwele ngenxa yezinguquko ezihlobene nobudala emzimbeni womuntu zibizwa ngokuthi yi-androgenic alopecia. Le nqubo incike ekukhiqizweni kwama-hormone - androgens. Le ndlela yokuphanza ivame kakhulu kwabesilisa. Kulokhu kuhlangana, ama-trichologists athola izikhalazo eziningi njengale.
Iziguli zivame ukuba nentshisekelo embuzweni wokuthi ngabe ukusebenza kwe-transplant kuzoba yize. Ngemuva kwakho konke, izinwele ezidluliselwa ngokuhlinzwa zingaphuma ngendlela efanayo neyakho, kanti ukuhlinzwa uqobo kuthatha isikhathi esiningi futhi akubizi.
Yini i-alopecia areata?
Ngokuyinhloko, lokhu kugula kubangelwa izilonda ze-pathological, ezaziwa yisintu isikhathi eside. Kepha imbangela ngqo zalesi sifo azikasungulwa.
Le nguqulo elandelayo ibhekwa njengeyinto engenzeka kakhulu: umzimba womuntu wamukela izinhlamvu zezinwele ezikhona njengento eyinqaba kuwo futhi uzama ukuzikhipha.
I-Alopecia areata
Isici esihlukile sokudlekwa kwezinye izinhlobo zezimpandla ukuthi ukulahleka kwezinwele kuyindilinga, okungukuthi, ukulahleka kwezinwele kuqala ngesimo sombuthano omncane onwebeka kancane kancane.
Bobabili ubulili nabo bathinteka ngokulinganayo. Futhi, into embi kakhulu ngalolu hlobo lwempandla ukuthi ithinta kakhulu kuphela abancane (abangaphansi kweminyaka engama-25 ubudala) nezingane. Kufanele uvume ukuthi abantu asebekhulile bangokwemukela kalula ukuthi bayacwecwa kunobusha.
Izinhlobo ezilandelayo ze-alopecia areata ziyahlukaniswa:
- phazamisa. Izinwele ziwela phezu kwekhanda,
- sendawo Kulokhu, ukulahleka kwezinwele kwenzeka endaweni eyodwa. Kulokhu, ukugxila kwe-lesion kuchaze imingcele ngokucacile,
- i-alopecia ephelele. Ukulahlekelwa izinwele kwenzeka kulo lonke isikhumba, kuqede. Le ndlela yalesi sifo ayibonakali ezinganeni,
- okuncane. Amaphesenti angaphezu kwamashumi amane wezinwele ekhanda ayawa,
- ukwenziwa ngokusemthethweni. Kulokhu, ukulahleka kwenzeka emaphethelweni wesikhumba,
- ifomu universal. Kulokhu, izinwele ziwela wonke umzimba. Leli fomu livame ukukhula ezinganeni.
Imbangela enkulu ye-pathology, odokotela babiza ukungasebenzi kahle emasosheni omzimba. Umzimba ubheka izihlakala zezinwele njengento eyinqaba, uzisuse.
I-lesion ithinta izindawo, hhayi lonke i-hairline, ngoba izinhlamvu zingaba nesakhiwo esihlukile, ukuze izinwele ezithile kuphela ziba into yokuhlaselwa ngumzimba.
Lokhu kucatshangelwa kususelwa ekuvivinyweni komtholampilo. Odokotela basaphikisana nokuthi lokhu kuyimbangela yalokhu kuhlaselwa komzimba okunjalo.
Kunezici eziningana ezicasulayo.
Izimbangela eziyinhloko zokulahleka kwezinwele okugxile
Izimbangela ze-alopecia areata:
Njengoba kushiwo ngenhla, imbangela ngqo yalesi sifo azikasungulwa. Kepha ngokufanayo, bonke odokotela bayabona ukuthi umsuka walesi sifo kumele ufunwe ebuntwaneni beguli.
Futhi, imbangela ingaba ukungasebenzi kahle emasosheni omzimba, njengoba kuxoxwe ngenhla. Okusho ukuthi, amasosha omzimba, ngasizathu simbe, aqaphela i-hairline emzimbeni, ikakhulukazi ekhanda, njengesihambi emzimbeni womuntu futhi uqala ukusikhipha.
Lesi sifo singabangelwa nayizici zezemvelo, ikakhulukazi, imvelo emnyama. Ukulahleka kwezinwele kuqala ngemuva kokucindezeleka okukhulu ngokomzwelo.
Ngenxa yokungaqiniseki kwezizathu, ukwelashwa kuhlukile emadodeni nakwabesifazane.
Akunakwenzeka ukuba uzisungule ngokunembile, lolu hlobo lwe-alopecia lungaqala ngamathuba kumuntu, kodwa kunezici ezimbalwa ezingacindezela lesi sifo ukuthi sivele:
- Isizungu. Izingane ngezakhi zofuzo zithola kubazali bazo hhayi nje kuphela izibonakaliso ezinhle, kodwa futhi nezifo ezahlukahlukene. Uma izimpandla zazibonakala eceleni komugqa wesilisa, kungenzeka futhi ezinganeni zabo.
- Izinqubo ze-Autoimmune. Amaseli omzimba ngokwawo avimba ukukhula kwezinwele noma akuqede. Kepha indlela abasebenza ngayo kula mangqamuzana ayiniki ukuthuthuka okuningi, ngakho-ke lesi sizathu asikatholakali.
- Izifo ezithathelwanayo. Ukugula okungathí sina okwedlule kungadala ukulahleka kwezinwele, hhayi ekhanda kuphela. Ukuchezuka okunjalo kungabhekwa ngezifo ezahlukahlukene zesikhunta zesikhumba.
- Ukuxineka Kwezinye iziguli, izimpandla zaqala emva kokuhlaselwa isimilo.
- Ukulimala nokusikeka. Kwesinye isikhathi, umuntu eshaya ikhanda lakhe angazilimaza ama-curls akhe futhi alimaze kakhulu ama-follicle awo, angalahlekelwa izinwele.
Imbangela ethembekile yalesi sifo ayikafundwa. Ama-pathologies alandelayo abandakanyeka ekuthuthukiseni lesi sifo:
Ukuntuleka kolwazi lwalesi sifo namuhla akuvumeli ukubiza ngokuqinile izimbangela zesifo nge-alopecia ebalulekile. Okwamanje, kungenzeka kuphela ukukhomba izici ezithile zobungozi ezingathi, ngezinga elanele lokutholakala, okungaholela ekuqaleni kwenqubo ye-pathological
Isici ngokwengqondo
Ochwepheshe abaningi bathambekele ekukholweni ukuthi izimo ezicindezelayo azithinti ngqo ukuthuthukiswa kwe-alopecia areata, kepha baneqhaza ekwethulweni kwezindlela ezinqunywe ngofuzo, ngakho-ke ungazifaki ohlwini lwezimbangela ezingaba khona, zibabheka njengengaqondile.
Kepha, njengoba indlela yokwakhiwa kwalesi sifo ingafundelwa ngokwanele, futhi akunakwenzeka ukuqeda ngokuphelele ithonya lezinto zokucindezela.
Ukuphazamiseka okuhlukahlukene kohlelo lwezinzwa oluyingozi
Ngokwemibono yesimanje, izimbangela ze-alopecia ezigxile kufihlwe kwinhlanganisela yesakhi sofuzo enezici ezishukumisayo ezibangela ukuphazamiseka kwe-autoimmune esikhunjeni nasezinhlangeni zezinwele.
Izimbangela eziyinhloko zalesi sifo:
- Izakhi zofuzo
Kulesi sigaba, izinhlobo ezingama-8 zodalwayo ezithinta ukuthuthukiswa kwe-alopecia ebalulekile. Ngokunokwenzeka, lesi sifo sinohlobo lwefa le-polygenic. - Amasu we-Autoimmune.
Ngokuqina okugxile, izinhlamvu zezinwele zihlaselwa amasosha omzimba ngokwakhiwa komthelela wokuzivikela we-autoimmune. - Izifo ezithathelwanayo.
Kukhona ukuxhumana okukhona phakathi kokutheleleka nempande. Ikakhulu, lokhu kusebenza ku-cytomegalovirus, amagciwane wesimungumungwane, i-rubella, kanye nokutheleleka kwesikhumba kwendawo. - Izici zomzimba.
Kukhona ubufakazi bokuthi ubudlelwane buba phakathi kwamaprotheni okushaqeka ngokushisa (HSP) nokubukeka kokulimala komzimba kwizicubu ezihlangene. Okunye ukulimala ngokomzimba (i-ultraviolet, i-radiation, njll.) Nakho kuthinta kabi isimo sezikhwanyana zezinwele. - Ukuntuleka kokujikeleza kwegazi kwendawo.
Umbono wokuphazamiseka kwe-microcirculatory kuzicubu zezikhumba, njengembangela eyinhloko ye-alopecia areata, okwamanje awunakufakazelwa.
Izici ezivame kakhulu zokuqalisa isifo yilezi:
- ukucindezelwa okungokomzwelo
- ukugoma
- i-systemic tiba elwa namagciwane,
- ukulimala komzimba
- Izifo ezinobuzaza (ezithile kanye nezifo).
Izici eziholela ekuthuthukisweni kwe-alopecia ebalulekile zingakacaci. Kucatshangwa ukuthi ngamaphesenti angama-20 kunezimbangela zofuzo.
Yize imbangela yalesi sifo ingaziwa, kucatshangelwa ukuthi izici zofuzo, ukucindezelwa, ukuphazamiseka kwengqondo, ukusebenza kahle kwezindlala ze-endocrine kanye ne-immunological factor kunomthelela omkhulu.
Kukhona neminye imiqondo eminingi maqondana nezimbangela zesifo.
Enye yezinto eziholela ekulahlekelweni izinwele ngokweqile ama-hormone abhekele ukuthuthukiswa kwezimpawu zowesilisa. Zithinta kabi izingcezu zezinwele futhi ziholele ekuphepheni komsebenzi wazo.
Ama-follicle wezinwele ezilimele awakwazi ukukhiqiza izinwele noma azivelise ngokungqubuzana nesakhiwo. Ubunqunu bungabuye buhlotshaniswe nezinguquko zesikhashana zehormoni (ngokwesibonelo, ukukhulelwa noma ukunqamuka kokuya esikhathini kubantu besifazane) noma izinguquko ezisheshayo ekwelashweni kwehomoni.
Ukwehla kwezinwele ngokweqile kungabangelwa yizinto ezisebenza ngomshini (isb. Ukukhipha izinwele), okulimazayo (isb. Ubuthi besisindo obunzima), noma umphumela wezifo ezihlangana nazo.
Izidakamizwa eziningi, ezifana nemithi ye-cytotoxic, i-immunosuppression, i-antithyroid, ne-anticoagulants nazo zingashiya "uphawu" ngesimo sokuqina.
Ekugcineni, ukulahleka kwezinwele kungabangelwa inqubo eqhubekayo yokuvuvukala.
Abanye ososayensi babona imbangela yokulahleka kwezinwele okugxile ekuphuleni umjikelezo wezinwele, okungukuthi ukuguquka okushesha kakhulu kusuka esigabeni se-anagen kuya esigabeni se-catagen.
Kuze kube manje, lo mbono awukaqinisekiswa futhi izici ezibhekene ekuqaleni kwayo yonke inqubo yempandla bezingakaqunywa. Into eyodwa ehlala isebenza iqiniso ukuthi ukulahleka kwezinwele kunemvelo yokuvuvukala, yize zingekho izinguquko ezibonakalayo kwinqubo yokuvuvukala esikhunjeni, ngendlela yokubomvu noma umkhuhlane.
I-alopecia ye-Focal ezimweni eziningi iba ngaphansi kwethonya lomshini we-autoimmune. Ukuvikelwa komzimba kungabona ngokungesikho izingcezu zezinwele, kuzidide nezicubu zakwamanye amazwe.
Ezigulini ezine-alopecia ebaluleke kakhulu ekwakhekeni kwama-follicles, ama-immunoglobulins ajwayele ukubonwa, ama-pathologies ama-immunoglobulins ku-plasma kanye nokuntuleka kokugomela kutholakala.
Lesi sifo sithinta abesifazane abanezinwele ezimnyama ngaphezulu.
IZIMBALI zalesi sifo
Ukuphamba kwe-Nesting kunezigaba ezimbalwa eziphambili:
- Isiteji esisebenzayo (kwesinye isikhathi esibizwa ngokuthi siyaqhubeka) - baveza ubomvu besikhumba, ukuvuvukala kanye nomuzwa ovuthayo. Emaphethelweni ungazizwa umuzwa odabukisayo. I-trichologist, endaweni yokwamukela, ingahle ibone ukuthi izinwele ezinezinwele ziyafana nezimpawu zokukhishwa. Kuzocacisa nendawo lapho izinwele zinezimpande ezibuthakathaka, i.e. ngomzamo omncane kakhulu bazowa ngaphandle noma, bangakhishwa. Imvamisa, imingcele ayidluli ku-12 mm. Uma wenza ukuhlola okwengeziwe, i.e. Uma uhlola izinwele ngaphansi kokukhuphuka okungama-100, ungabona ukuncipha kanye ne-dystrophy yamaphethelo, empeleni, abukeka njengentambo eminyene.
- Esiteji sokuma, isikhumba somzimba siyaphela, kepha ayikho indawo enezinwele ezibuthakathaka.
- Isigaba sokubuyiselwa emuva - endaweni lapho kugxilwe khona impandla, imigqumo yezinwele ezingenamibala engenamibala iqala ukuvela, kwezinye izindawo ungabona ukukhula kwezinwele ezijwayelekile, kepha ngombala.
Izinguquko epulethini lezipikili azihlukaniswa esigabeni esehlukile, ngoba zingena ngendlela ethambile ye-alopecia. Lesi sifo sibonakaliswa ukuvela kwepuleti, ezimeni eziningi, sicindezelwa, ngenkathi sifana nesixakaxaka.
Kwesinye isikhathi, ipuleti ithola ukuklwebheka okude, izici, kepha onqenqemeni olungaphezulu kwalo alusekho. Abantu abayi-12 kwabangu-100 abahlushwa i-alopecia emnene banokulimala lokhu. Lapho uthola ezinye izinhlobo ze-alopecia, cishe abantu abangama-95% bazoba noshintsho olunjalo ngamazipho abo.
Kubonakala ngokuba khona kwe-dystrophy yezimpande zezinwele kanye nezehlakalo ezingezekile ezingemnandi: ukulunywa noma ukushiswa endaweni yempandla, ubomvu nokuvuvukala kwesikhumba endaweni okugxilwe kuyo kulesi sifo.
Ukuhlukaniswa okuvunyelwe okwenziwa emhlabeni jikelele (i-ICD-10) kukhomba ukuhlonza okunjalo njengengxenye ye-alopecia areata.
Izigaba zesifo
Izigaba ezintathu zesifo:
- Konke kuqala ngezimpawu ezisebenzayo: ukuvuvukala kanye nokubomvu kwesikhumba endaweni ephambili yokugxila. Ngasemngceleni wayo, umuzwa odidayo nomuzwa ovuthayo omncane. Ngokushesha kakhulu, indawo ye-alopecia ebubanzi ifinyelela ku-1 cm. Lapho uhlola indawo ethintekile, "i-hemp" esele ezinwele eziphukile ibonakala kahle. Imichilo efanayo esalondolozwe ekuqubukeni iyanyakaziswa futhi isuswe kalula.
- Isigaba esilandelayo se-alopecia simile, i.e. ukugxila kuyekile ukukhula. Isikhumba sathatha umbala ophuzi, futhi akukho mingcele yokugula phakathi kwe "izidleke".
- Esigabeni sokubuyiselwa emuva, inqubo ye-alopecia ibuyele emuva; ekugxiliseni, ukubukeka kwezinwele ezintsha kungabonakala. Ezinye zazo zifana ne-fluff engenamabala, ezinye zinombala omnyama.
Uhlobo lwesidleke se-alopecia aluqondakali ngokuphelele ososayensi. Akukacaci ukuthi kungani ukugxilwa kwakheka kakhulu ekuqaleni, bese kuyeka ukukhula futhi kusesimweni sokuma izinyanga eziningana (noma ngisho neminyaka). Lapho-ke indawo yokuzwa ngokwayo iminyene ngezinwele ezintsha.
Ukuziphatha kwalesi sifo akubikezeli ngokuphelele, i-alopecia areata ingabonakala ngezindlela ezihlukile.Ezintweni, zonke izibonakaliso zokukhetha izinduna ziyabonakala ngokushesha. Ngenkathi i-alopecia areata kwabesifazane ingahle itholakale ngokushesha. Abanye bangaphila iminyaka eminingana, benganaki ikakhulukazi imizwa engathandeki ehambisana nesigaba esithuthukayo se-alopecia. Konke kuzoncika ohlotsheni lwesifo esiveza ngalo.
Ama-alopecia areata lapho ehlolwa yi-trichologist.
Izinhlobo ze-alopecia areata
- Lapho inqubo yokulahleka kwemicu ekhanda ishiwo, bakhuluma ngendlela yokuphambuka kwe-alopecia. Ithinta yonke indawo yezinwele.
- I-alopecia yendawo yendawo ibonakaliswa yi-foci eyindilinga ehlukile enemingcele ecacile.
- I-Alopecia ezungeze onqenqemeni lokukhula kwezinwele ifomu le-ophthalmic. Kwesinye isikhathi kungathinteka kuphela amathempeli nebunzi noma emuva kwekhanda. I-Alopecia kuleli cala inesimo setheyipu.
- Ngefomu elingaphansi, u-40% we-hairline uyahlupheka. Lapha, ama-foci amancane ohlobo lwendawo aqala ukuhlangana nomunye, akha izindawo ezinkulu zomonakalo.
- I-alestecia ephelele ye-Nesting ithinta isikhumba sonke, okwenza umuntu abe yimpandla. Izinwele ziwa kakhulu kwezinye izingxenye zomzimba.
- Kukhona nefomu lendawo yonke lapho i-foci ye-alopecia ibonakaliswa hhayi kuphela esikrinini - lesi sifo sithinta amashiya, ama-eyelashes nezinwele zomzimba. Emadodeni, ungabona okugxunyekwe kwezihlahla eziyimpandla ku-chin. Ngale ndlela ye-alopecia, isigaba sokulawula kabusha singangena futhi kusebenze, sibhubhise i-fluff evele.
Lolu hlobo lwempandla luhlukaniswa yizindlela ezahlukahlukene ezihlukile komunye nomunye ngezinga lomonakalo nendawo okuyona. I-alopecia ye-Universal ekuqhubekeni okuphindaphindekayo ingaziveza kunoma yiluphi olunye uhlobo oluchazwe ngenhla futhi ibe mnene ngokwemvelo, okuzokwenza ukwelashwa kwayo kube nzima. Uhlobo ngalunye lwe-alopecia egxile lungenzeka kalula futhi kancane, futhi ngokushesha lungaqala ngolaka. Endabeni yokugcina, lesi sifo sithinta ipuleti lezipikili.
Umuntu oyedwa angaveza izinhlobo eziningana ze-alopecia areata ngasikhathi sinye, noma enye yazo idlulisele ngokushelela kwelinye. Lokhu kuziphatha kwalesi sifo kwenza kube nzima ukwelapha.
Izimbangela zesifo
- Ukutheleleka okungapheli komgudu wokuphefumula okhule emzimbeni, izifo eziphefumula kakhulu, ukuqaqanjiswa kwamazinyo, nokulimala kwezitho zangaphakathi, uma kushiywe kungalashwa ngesikhathi, kubangela amagciwane ukungena egazini. Ngaye, ukutheleleka kusakazeka ngohlelo futhi kufinyelela kuzinhlamvu zezinwele. Amabhuleki athintekile abonwa amasosha omzimba njengemizimba yangaphandle futhi ahlaselwa yi-autoimmune.
- Lapho kwenzeka ukwehluleka ohlelweni lwe-endocrine, ukungasebenzi kahle kwe-yegilo gland kanye ne-adrenal cortex. Lokhu kuthinta umsebenzi we-pituitary kanye ne-hypothalamus. Konke lokhu kuholela ekuthuthukiseni i-alopecia ebalulekile.
- Uhlelo lwe-autonomic lwezinzwa lungadala ukwephulwa kwe-microcirculation yegazi, okubangela ukuqothuka kwama-arterioles kanye nama-precapillaries. Ukunyuka kwegazi kuyenyuka, okunciphisa ukuhamba kwayo. Amagciwane athola ukondleka okuncane aqala ukuhlupheka.
- Ukucindezela kuholela emiphongolweni yemithambo yegazi. Ziyimbangela yokungasebenzi kahle kwamasosha omzimba, athi ngokuzumayo abe “yimpumputhe.”
Noma iyiphi i-alopecia areata inezimbangela okungelula ngaso sonke isikhathi ukubhekana nazo, ngaphezu kwalokho, lesi sifo siphakathi kwe-pathological. I-Autoimmune syndrome kucatshangelwa ukuthi ingasola. Zonke izinto ezichaziwe zingahle zingathinti ukuthuthukiswa kwe-alopecia areata uma umuntu engazange achazelwe yona ngofuzo.
Ezigulini eziningi, ukuthuthukiswa kwe-alopecia kuhlotshaniswa ngqo nokuwohloka kwendabuko kwamafa.
Ukuluka kwe-Nesting akufanele kunganakwa, nganoma uluphi uhlobo futhi kuvela ngezinga elingakanani. Lapho uqala ukwelashwa ngokushesha, kuzoba lula ukubhekana nalesi sifo. Ngokugxila okukodwa okuncane, ukwelashwa okuqinisa okujwayelekile kuzokwanela. Kubandakanya ukuthatha kwamavithamini ngamanye (A, amaqembu B, C, E, PP) nokulungiswa kwensimbi. Udokotela ubeka yonke inkimbinkimbi yamaminerali namavithamini ahlanganiswe nama-amino acid. Izinhlobo ezingathi sína ze-alopecia zidinga ukwelashwa kwamakhadi, okubandakanya imiphumela yezokwelapha neye-hardware.
Izinqubo zomzimba
- Qala inkambo ngethonya lendawo ku-alopecia ebalulekile ama-corticosteroid mahormone. Kungaba ngamafutha okugcoba noma ama-lotion asetshenziswa ezindaweni ezithintekile. Uma isimo sesiguli sivumela, kufanelekile ukusebenzisa ukuphathwa kwe-subcutaneous yezidakamizwa ze-corticosteroid ngosizo lomjovo. Imithi efana ne- "Diprostan" noma "Triamcinolone Acetonide" inika umphumela osheshayo.
- Kwezinye izimo, zisebenza ngokuphezulu I-Anthralin. Umuthi uvusa ukuthuthukiswa kwesikhumba sokuthintana, ngaleyo ndlela "uphambukise ukunaka" ama-antibodies ngokwawo. Ngenxa yalomphumela we-ejenti, umsebenzi wohlelo lwe-autoimmune uvinjiwe.
- Ezimweni lapho ukunqotshwa kwe-alopecia kufinyelela ngaphezu kwama-30%, ama-immunomodulators ohlobo "I-Diamincyclopropenone". Ukuyisebenzisa ngaphandle kokuqashwa udokotela kuyingozi, ngakho-ke, umuthi unqunyelwe kuphela esimeni sasesibhedlela.
- Qinisekisa umphumela wezidakamizwa zendawo ku-alopecia iyasiza Phototherapy.
- Imiphumela emihle itholakala nge i-cryotherapy, ukwelashwa kwe-laser, ukusetshenziswa kwensiza kusebenza Darsonval njll.
Ukulungiselela udokotela
- Lapho kukhona i-foci ethelelekayo, ukwelashwa kwezidakamizwa kunqunyelwe ukuwaqeda (esimweni ngasinye, ezabo).
- Izidakamizwa zeVasodilator zizosiza ukuthuthukisa i-microcirculation: iCavinton, iTroxevasin, iTrental, njll.
- Ukudla okunezithako zezindawo zezinwele kuzonikezwa yi-Actovegin, Solcoseryl.
- Ama-Vasospasms asuswa yizidakamizwa ze-nootropic: I-Nootropil, Piracetam.
Ukwelashwa kwanoma yiluphi uhlobo lwe-alopecia egxile kufanele kwenziwe ngudokotela futhi ube nomlingiswa ngamunye. Kulokhu, umuntu akufanele ancishiswe kumuthi owodwa noma inqubo - ukwelashwa kufanele kube okuphelele, okuhloswe ngakho ukucindezela i-autoimmune syndrome.