Naturedị mmepe nke ụdị alopecia a nwere njikọ chiri anya na homonụ mmekọahụ na ihe nketa. Ihe na-akpali akpali na ntutu isi na-akpata site na uche ziri ezi nke ntutu isi na mbuba dihydrotestosterone. N'okpuru mmetụta nke homonụ a, spasm na - apụta na ntutu isi. N'ihi ya, dystrophy nke ntutu isi na-ebilite, ọtụtụ n'ime nzuzu na-anwụ.
Ngosiputa e ji mara androgenetic alopecia bu enweghi ntutu n’egedege isi ya na okpueze ya na uto nke ntutu n’obodo ndi ozo na-elebara homonụ nke nwoke.
Enwere ụdị alopecia androgenetic atọ:
- Anyịnya Egosiputara onyonyo a gosiputara na oke ntutu nke oke ihu site na akuku ulo uka. Ọzọkwa, usoro ahụ na-agbasa n'akụkụ akụkụ ihu niile, jiri nwayọ na-akpụzi isi nchara dị ka ọdụ ụgbọ mmiri.
- Estlọ akwu. Ọkpụkpụ ntutu bidoro na-agba agba n’egedege ihu. Nke nta nke nta, usoro a na - ejide mpaghara mpaghara parietal, na - akpụ isi nkwọcha yiri ebe akwụ.
- Mixdị agwakọta. Ntutu ntutu n’otu oge ahụ dị na akụkụ ihu ma ọ bụ n’ihu isi. Akara ntutu na-acha nchara n ’apụta n’ụdị akwụkwọ ozi ahụ M. Ọ bụrụ na a kwụsịghị usoro ahụ, isi nkwọcha na-abanye n’ụdị ụdị akpamkpa ahụ.
A na-ahụkarị ụdị ụdị alopecia a na ụmụ nwanyị n'ihi mgbanwe nke homonụ na ahụ n'oge afọ ime, lactation, ma ọ bụ n'oge uto. Ejiri ntutu nchara nchara mee isi ntutu isi na-acha uhie uhie n’elu isi ahụ niile.
Attentionaa ntị! Ọzọkwa akpasu mmepe nke nsogbu alopecia nwere ike ịbụ ụjọ karịrị akarị, iji ọgwụ eme ihe, ịchịkwa ọgwụ mgbochi na ọgwụ mgbochi mbadamba.
Esemokwu alopecia ekewa abụọ:
- anagenic (na - aputa ihe n'oge uto nke ntutu isi),
- telogen (achọpụtala n'oge ezumike nke ezumike).
A na-achọpụta ntutu ntutu mpaghara dị ukwuu dị ka azụ ma ọ bụ nke alopecia. Characterdị njiri mara nke ụdị isi a bụ nkwọcha nkwọcha nke gbara okirikiri ma ọ bụ nke ihu.
Usoro ntutu isi nwere alopecia focal na-agafe ọkwa atọ:
- Ọ na - aga n'ihu - isi nke isi nkwọcha na-agbasawanye, na-eji nwayọ na-ejikọ onwe ha.
- Inpatient - ntutu na-akwụsị.
- A na - eweghachi uto ntutu dị mma.
Ọnọdụ nrụgide ogologo oge, isi ọwụwa, enweghị ezi uche na homonụ nke anụ ahụ, yana ọrịa ọrịa autoimmune nwere ike ịkpalite mmepe nke alopecia focal.
Usoro a na-agbanweghi agbanwe nke ntutu isi, yana oke mkpali, usoro atrophic na usoro nchacha choputara dika ọrịa cicatricial alopecia. Ihe ndị na-akpalite mmalite nke ụdị isi a bụ: ọrịa nke ọrịa kansa, ọnya na-efe efe nke anụ ahụ, ịkọ ọdịnihu.
Site na cicatricial alopecia, a na-ebibi ntutu isi, ebe ntụpọ ahụ pụtara. Akara anụ ahụ ndị a na - ejikọ aka na - akwụsị kpamkpam ito nke ntutu ọhụrụ.
Ntị! Egosiputa onyonyo nke cicatricial alopecia na asymmetric foci of prolapse, ebe enwere ike ịhụ ọnya na ọnya ọrịa. N'etiti mpaghara ndị a bụ ntutu dị mma ole na ole.
A na - amata ụdị ụdị cicatricial alopecia:
- ụlọ akwụkwọ sekọndrị - na-amalite n'ihi ọrịa ọ bụla,
- X-ray-amalite mgbe nyocha X-ray nke ọnya ọnya mycotic nke anụ ahụ,
- idiopathic - dịkarịsịrị obere, nwere ọdịdị edoghị anya na mmepe.
Ejiri ụdị alopecia a bụ isi nkwọcha zuru oke ọ bụghị naanị isi, kamakwa akụkụ ahụ ndị ọzọ (ogwe aka, ụkwụ, akụkụ ahụ, nku anya na nku anya). Ngwurugwu alopecia na-amalite ngwa ngwa. N'ime ọnwa abụọ site na mmalite nke fallout, nnukwu ebe buru ibu, ebe gbakọtara ọnụ jikọtara onwe ha.
Usoro nke ịkpụ ntutu na-arụ ọrụ na-akpalite ọnọdụ mgbakasị ogologo oge, ihe ndị na-akpata hormonal, ọrịa fungal nke anụ ahụ, ikpughere redioaktivu na ihe ndị na-egbu egbu, iji ọgwụ mgbochi na-achịkwaghị achịkwa, kemịkalụ, na mmerụ isi.
Mara iche alopecia:
- ngụkọta - ntutu na-abapu n'ahụ niile,
- okirikiri - jiri nwayọ nwayọ, na-emetụta naanị ntutu isi fọdụrụ,
- usoro zuru ụwa ọnụ - usoro ihe ọmụmụ nke nkwọcha na-emetụta ahụ dum, efere ntu ahụ na-ete.
Ọnọdụ isi na ogo nkwọcha dị ka Norwood si kwuo
Tupu ịkọwa usoro ọgwụgwọ ọgwụgwọ maka alopecia, dọkịta dibịa na-ekpebi ogo ntutu isi ya. Maka ebumnuche a, a na-eji ọnụ ọgụgụ Norwood - okpokoro nwere ọnụ ọgụgụ na nkọwa zuru ezu banyere ogo ntutu isi. Nkwa Norwood na-agwakọta ụdị alopecia niile dị adị.
Ntughari Norwood nke isi nkwọcha ghari digiri asaa nke alopecia nwoke:
- Oge mbido. Egosiputa site na ida ntutu site na ihu, oge na akụkụ ihu nke isi.
- Nke abuo. Obere isi na-etecha n’egedege ihu ya na temple nile na-aga n’ihu sentimita ole na ole n’ebe azụ isi ahụ. N'ihi ya, akụkụ aka nwa na akụkụ ihu na-ewere ụdị nke triangle. Ntutu ntutu nke parietal nke isi.
- Nke ato. Mpaghara ụlọ nsọ na n'egedege ihu ya na-achọ ịfụcha, ọ na-apụta nke ọma, na-eme ihe karịrị 2 cm site na ahịrị ihu.
- Maka. Alopecia areata, nke amara ntutu isi di n ’okpueze. Ọtụtụ mgbe, a na - enwe isi nkwọcha nke 3A na mgbe afọ iri anọ na ise gasịrị.
- Nke Anọ. Na mpaghara parietal, ntutu ahụ dị obere karịa ma ọ bụ ihe fọrọ nke nta ka ọ bụrụ na ihe niile ga-ada. A na-ekpughere mpaghara nke ụlọ nsọ na ọkpọiso. A na-ekewapụ akụkụ akụkụ parietal na nke izizi nke ntutu.
- Nke ise. Ntutu isi dị okpueze fọrọ nke nta ka ọ gwụ. Ihu ihu na ihu abụọ dị gara gara karịa. Usoro nke isi nkwọcha na-ekpuchi akụkụ dị mkpa nke isi, na-akpụzi ụdị nke akpukponu inyinya nke ntutu isi.
- Nke isii. Ntutu nke jikọtara oghere ihu na okpueze na mbụ na-ada. N'ihi ya, a na-etolite oghere buru ibu.
- Nke asaa. Isi ntutu zuru n'ihu na azụ isi. Otu obere akụkụ nke edozi isi na-adịgide naanị na mpaghara nke ntị, olu na olu.
Naanị ilebara onwe gị anya na ịchọpụta alopecia na nmalite ị ga - edozi nsogbu ahụ ọsọ ọsọ ma zere isi nchacha.
Vidiyo bara uru
Ofdị isi nkwọcha: nesting, androgenic (androgenetic), cicatricial, focal, diffuse, total.
Dị isi nkwọcha (alopecia) na isi, ajị agba, nku anya, nku anya. Isi nkwọcha adịghị.
Ọnọdụ nke ọrịa
- Ihe eji mara ntutu bụ ụzọ isi isi, ya bụ, site na oge na akụkụ iru.
- Agba nke abụọ - patị mara dị ọcha pụtara, nke na-amalite site na mpaghara ihu ihu na-aga n'azụ isi. Ha nwere ụdị triangles doro anya.
- Agba nke atọ - ntutu dị na aka nwa na akụkụ ihu na-adịwanye obere, na mgbakwunye na nke a, isi nkwọcha na-amalite n'isi.
- Agba nke anọ bụ ntutu na-agba okirikiri na akụkụ nke isi, ebe akụkụ ihu na ụlọ nsọ na-apụtakarị kpamkpam.
- Agba nke ise - a na-agbatị ahịrị ihu dị n’isi dị elu, a ga-ekpughe akụkụ nke parietal. N'oge a, skalpal a na --eme ka udi akpukpo aru.
- Agba nke isii - isi nkwọcha n’iru, n’azụ na n’akụkụ isi ahụ. Akụkụ ndị gbara agba na-agbakọ n'otu nnukwu ntụpọ, ntutu dị warara dị n'ụdị nke akpukpo akpụkpọ.
- Agba nke asaa - ị nwere ike inyocha obere ntutu dị na ntị karịa na ntị na na olu nke olu, na agaghị enwe ike iwepụ ntutu niile.
Ọtụtụ mgbe, ọkwa niile nke isi nkwọcha nwoke na-eme ngwa ngwa. N'ọtụtụ oge, usoro ahụ dum na-ewe afọ 15, mana ọ na-emekwa mgbe isi nkwọcha zuru oke na afọ ise.
Alopecia na ụmụ nwanyị na-enwe nwayọ nwayọ karịa na ụmụ nwoke. Ihu ntutu zuru oke abughi ihe nwanyi ji mara nwoke, kama ikwuputa na irighiri ihe eji edozi isi ya ga - ekwe omume. Enwere ụzọ atọ nke ntutu isi dị na ụmụ nwanyị:
- Agba nke mbụ bụ ịcha ntutu na-adịchaghị mma, n'etiti eriri nkewa ahụ malite na mpaghara ihu ruo na okpueze. N’ile anya na-ebelata etu ntutu si dị oke nkpa.
- Agba nke abụọ - ọnwụ na-arụ ọrụ na mpaghara parietal na nkewa ahụ ga-agbasawanye. N'ihi ntutu isi na-aga n’ihu, mpaghara ndị ahụ ghere oghe na-agbasa ma n’akpụkpọ ahụ apụta.
- Agba nke ato - enwere nkpu zuru ezu nke parietal lobe. Agbanyeghị, ntutu ọhụrụ nwere ike itolite na mpaghara ndị ọzọ, mana nhazi ya nwere ike mebi emebi.
A na-eme isi nkwọcha nke nwanyị site na ọnya akụkụ ọ bụla nke ntutu isi. A na-ahụkarị nke a n'etiti ma ọ bụ n'akụkụ akụkụ.
- Arụmọrụ nke ịmụpụtara onwe ya ma ọ bụ mmepe ọrịa nke isi ntutu (ichthyosis, incontinence pigmenti),
- ọrịa na-efe efe (ekpenta, leishmaniasis, syphilis),
- ihe anụ ahụ (radieshon, oke ọkụ na ala pere mpe, acid, mmerụ ahụ),
- akpụkpọ anụ ahụ
- ọrịa system (scleroderma, system lupus erythematosus, sarcoidosis),
- lichen planus.
Nerubtsovaya
- ma ihe a ketara eketa
- nsogbu enweghi nsogbu na autoimmune
- ọgba aghara na usoro endocrine na metabolism,
- Ezigbo obara ezughi oke n'isi ya na iru ya,
- osteochondrosis nke spain,
- ọrịa nke usoro ngha,
- oke nrụgide dị ogologo, nke gụnyere vasospasm na nsogbu nke isi ntutu,
- ọgwụ ụfọdụ
- ekpughere ahụ nke ọrụ mmepụta ma ọ bụ kemịkalụ ụlọ, yana radieshon.
A na - ekewa alopecia nke na - abụghị cicatricial ka ego. Ndị a gụnyere:
1. Androgenetic alopecia. A na-ahụta ya dịka ụdị ọrịa a na-ahụkarị. Typedị isi a bụ n'ihi eziokwu na nwoke testosterone nwoke na-agbanwezi dihydrotestosterone. Mmụba nke homonụ a nwere mmetụta kpọmkwem na ntutu isi, ya bụ, na nri ha na-eri n'oge kwesịrị akwụsị ma mesịa nwụọ. N'ihi nke a, mgbe ị na-asa ma na-agwakọta, ntutu ahụ na-ada nke ọma, na-aghọ nke na-enweghị ndụ. Ntutu ohuru na-esighi ike. Usoro a na - adịghị ọcha dị oke ọsọ, nke ga - eduga n'ọdịdị nchapu isi n'isi.
You nwere ike ịdepụta ihe ndị dị ize ndụ na-eme ka ihe kachasị akpata ihe androgenetic alopecia. Nke a gụnyere:
- hormonal malfunctions na endocrine sistem,
- enweghi ezigbo nri,
- ụkọ vitamin na mineral dị n’ahụ,
- nchekasị na nrụgide mmetụta uche na-eweta ihe egwu,
- ị certainụ ọgwụ ụfọdụ.
- Mpaghara - mpaghara na-enweghị ntutu na-apụta n'akụkụ ọ bụla nke isi ma ha anaghị ejikọ onwe ha.
- Ribbon ekara ma ọ bụ agwọ dị larịị - etiti dị nkwọcha na-ewere ụdị nke teepu na-aga n'akụkụ akụkụ isi site n'ụlọ nsọ ruo n'azụ isi.
- Mpempe akwụkwọ - nke eji nchara nwayọ nwayọ mepụta obere foci, nke na-emecha jikọrọ ọnụ buru ibu. Fọm a na - ebutekwa nku anya na nku anya.
- Mkpokọta - isi nkwọcha na-apụta na ọkụ ọkụ (ọnwa 2-3). Ntutu ntutu na-apụta na akụkụ ahụ niile, gụnyere nku anya na nku anya.
- Ringworm - gụnyere ịkpụ ntutu isi na ọnya ọgbụgba na ọkwa 1-2 cm.
- Obere akụkụ - adịghị mma na-adị mma n'akụkụ akụkụ nke isi ala isi. Nke a bụ azụ nke isi na mpaghara ụlọ nsọ.
- Itughari - gosiputara site n ’isi nile di nkpa site n’ichekwa uzo ndi mmadu.
- Universal - ntutu na-ada n’ahụ niile, n’ime ọtụtụ afọ.
Na vidiyo a, Trichologist I. Kotova na-ekwu maka ụdị akwụkwụ alopecia, ihe ngosi ya na ihe kpatara ya:
Ọ bụrụ na alopecia areata nwere ọrịa etiology, ọ na-aga n'ihu n'ọkwa atọ:
- na - aga n’ihu - ịba ụba nke ntutu maka ọnwa 5-6. Enwere ike ụfọdụ mgbaàmà nke mbufụt - redness, itching, burn, tingling,
- ọnụnọ - na-ebelata ihe mgbaàmà na ịkwụsị ntutu,
- regress - a na-ahụ itolite ntutu ọhụrụ.
Ogologo ntutu isi ya na ogo ntutu ya na-adabere n'ọtụtụ ihe:
- nhọrọ na usoro onunu ogwu,
- ogologo oge na ugboro ole nke ọgwụ chemotherapy,
- afọ ime na usoro ntutu.
Mweghachi nke ntutu ntutu mbụ agaghị adị tupu ọnwa 3-6 mgbe ọgwụgwọ gasịrị. Ọ dị mkpa iburu n'uche na n'ọtụtụ ndị ọrịa, ogo na ụdị ntutu nwere ike gbanwee mgbe emesịrị.
Diagnostics
- Ihe omumu banyere uzo nke homonụ (nyocha maka homonụ thyroid).
- Nyocha ọbara iji chọpụta usoro nke sistem, yana ihe ndị nwere iron.
- Trichogram, phototrichogram - nyocha nke anụ ahụ, gụnyere ọnụ ọgụgụ nke ntutu na nhazi ha, dayameta nke ntutu isi na oria.
- Nnyocha nyocha maka ndọtị ntutu. Jiri nwayọ dọpụta curls ahụ n'enweghị ezigbo nyocha nke ntutu isi ngwa ngwa daa.
- Ihe omumu ihe omuma nke uzo ntutu di n’eji otu ihe.
- Ọkpụkpụ nke anụ ahụ.
N’ezie, usoro ọgwụgwọ niile anaghị etinyere ya ozugbo. Mgbe o nyochachara skalpal na dokwuo anya mkpesa ahụ, ọkà mmụta ọgwụ na-eziga usoro nyocha dị mkpa, wee họrọ ọgwụgwọ kwesịrị ekwesị dabere na nsonaazụ ahụ.
Ọgwụ ọgwụ
- Ọgwụ na-eme ka ọbara na-akawanye mma - Curantil, Solcoseryl, Actovegin.
- Ihe ndu ohuru nke uto ntutu - Minoxidil, Tricomin.
- Nkwadebe nke nwere zinc na vitamin A, E, H na otutu B.
- Immunomodulators - Levamisole, Inosiplex, Echinacea.
- Sedatives - Persen, Novopassit.
- Ọgwụ Hormonal - Prednisone, mgbochi ụbụrụ maka ụmụ nwanyị, mmanụ glucorticoid.
Klọ ọgwụ ndị na-ewu ewu
Enwere otutu Ezi ntụziaka dị iche iche maka ntutu ntutu. Ndia bu ufodu n’ime ha:
- Ihe mkpuchi Burdock. Ikwesiri iri 30 ml nke burdock oil ma tinye ya gram 50 nke nkpuru osisi mustard. Gwakọta ihe niile ma tinye ya na ntutu isi na-ekpochapụ ngwakọta n'ụba. Hapụ ya ruo minit 20 wee sachaa na mmiri ọkụ. Gbasoo nkpuchi a otu izu.
- Nkpuchi mmanụ alicụ na. Were 1 tbsp. l garlic na 1 tbsp. l mmanụ a .ụ. Gbanye ma tee n'ime mgbọrọgwụ nke ntutu. Hapụ ihe mejupụtara ahụ maka nkeji 20-30, ma mgbe oge jiri mmiri dị jụụ kpochaa.
- Nkpuchi ihu Beer. Na 250-300 ml nke biya okpomọkụ nke ime ụlọ tinye 2 yolks ọkụkọ. Kpoo nke ọma ruo mgbe ire ụtọ ma tinye ntutu isi, echefula banyere mgbọrọgwụ. Hapụ nkeji iri atọ wee ghee.
- Ngwakọta mmanụ a Honeyụ lemon. Maka nkpuchi a, ịchọrọ 1 tbsp. l mmanụ a ,ụ, 1-2 tbsp. l ihe ọ lemonụ lemonụ lemon na nkochi ime akwa 1. A ga-agwakọta ihe niile mejupụtara ruo mgbe ire ụtọ ma tinye ya na ntutu dị ọcha. Kechie isi gị na akwa nhicha ahụ na-ekpo ọkụ ma soro a na-eje ije otu awa. Iji mee ka mmetụta ahụ dịkwuo ụtọ, ịnwere ike ịgbakwunye 1 ngaji nke tincture ose. Na njedebe nke oge, jiri mmiri ọkụ hichaa ya.
- Nkpuchi yabasị. Mike 2 eyịm na mushy ala ma tinye 1 tablespoon mmanụ a .ụ. Gwakọta ihe niile nke ọma, tinye ngwakọta ahụ na ntutu ma debe ya ruo minit 30-40. Mgbe ahụ, jiri mmiri ọkụ hichaa ya.
Iji nweta nsonaazụ masks maka uto ntutu, ịkwesịrị ịme ha mgbe niile ma na-edobe ibe ha. Site na nhọrọ nke otu uzommeputa na otu ngwa, nsonaazụ ya agaghị adị.
Mgbochi
- N’oge oyi, ya bụ n’ụbọchị oyi, yiri okpu. Otu ihe a na-emetụta ụbọchị ndị na-ekpo oke ọkụ, mgbe ogologo oge anwansị anyanwụ chọrọ headgear.
- Etinyekwala aka n’iji ndị na-eme ajị ntutu, ígwè na-akụ, klọọkụ dị ọkụ, ndị na-akpụ ntutu.
- Ejila ihe mmuputa, stains, na usoro ndi ozo.
- Nwee ngwoozụ na bristles sitere n'okike na enweghị ezé dị nkọ.
- Site n'oge ruo n'oge na-eji ihe ndị na-eme ka masị ntutu gị chọọ mma.
- Nyochaa nri gị.
- Zere ọnọdụ ndị na-akpata nrụgide.
- Na-emeso ọrịa niile dịnụ.
Followinggbaso ntuziaka ndị a dị mfe ga-eme ka ntutu gị dị mma ma sie ike. Ọ ka mma ịghara itinye aka na ọgwụ, ebe nke a nwere ike imerụ ma tụfuo oge dị oké ọnụ ahịa. Ọ bụrụ n’inwe obi abụọ, ịkpọtụrụ onye na - ahụ maka trichologist iji gbochie ọrịa ahụ ma mee ihe n'oge.
Na nkenke banyere ihe na-atọ ụtọ
N'agbanyeghị eziokwu ahụ bụ na a maara nkewa dị ka Norwood Baldness Scale, n'eziokwu, a na-ahụ Hamilton n'ụzọ ziri ezi dịka onye guzobere ya. O mejuputara onodu isi ya na mmalite 50s nke narị afọ gara aga, na mgbe afọ 20 gasịrị, ha nwetara mgbanwe na mgbakwunye site n'aka Dr. Otar Norwood. Yabụ, mgbe ụfọdụ na akwụkwọ anyị anyị na-ahụ ọkwa nke isi nkwọ na Hamilton-Norwood.
Gịnị mere ụmụ nwoke ji malite ịcha isi?
Dị ka ndị ọkà mmụta sayensị si kwuo, ihe ndị kachasị akpata nsogbu ntutu na ụmụ nwoke bụ:
- Mgbanwe nke afọ-ndụ nke ihe oriri kwesịrị ekwesị nke ntutu isi na-akwụsị. Bulbs na-agwụ ike nke ukwuu, ntutu na-amalite ịda. Site na afọ, isi nkwọcha na-emetụta ọ bụghị naanị akụkụ ihu na oge nke isi, kamakwa occipital na parietal. O di nwute, ịkwụsị usoro dị otú a siri ezigbo ike.
- Ọkpụkpọ mkpụrụ ndụ ihe nketa. Ọ bụ ihe nwute, ọtụtụ ndị nnọchite anya ọkara siri ike nke ihe a na-eme nwere ntutu isi site na mkpụrụ ndụ ihe nketa. N'ụzọ dị ịtụnanya, na mmetụta nke homonụ, ụmụ nwoke, dịka ụmụ nwanyị, nwere ike ida ntutu. Ihe kpatara isi n ’ọria a bụ homonụ dihydrotestosterone. Nsonaazụ nke homonụ na-emetụtakwa ọnọdụ nke strands: ntutu na-anyụ anyụ, enweghị agba, dị gịrịgịrị ma bụrụ nke na-esighi ike, daa, ndị ọhụrụ anaghị eto.
Norwood Baldness Ogo
Ndi oru ihe omimi, dika iwu si di, kpoputa udiri nwoke nke isi dika usoro Hamilton-Norwood. Mgbe ị na-achọpụta ọrịa, a na-eji eserese pụrụ iche nke na-ekpebi ogo nke strands.
Maka oge mbụ, ụdị ọgwụ ọkachamara Hamilton mepụtara nhazi dị n'etiti etiti narị afọ nke 20, na 1970s Dr. Norwood gbanwere ntakịrị. Ọkà mmụta sayensị nke abụọ gbakwụnyere ọtụtụ akụkụ nke isi nkwọcha mbụ. Ruo taa, ọkwa ahụ na-adị nkwọcha asaa na isi ndị ọrịa nwere ụdị dị iche iche, ọ bụ ya ka ndị ọkà mmụta ọgwụ na-ahụ maka nsogbu onye ọrịa.
Tụlee ogo niile nke isi nkwọcha dị ka Norwood si kwuo.
- 1 ogo isi nkwọcha. E nwere ahịrị dị n’ihu nkịtị nke itolite ntutu na obere mgbanwe n’azụ. Obere ntutu dịkarịrị ala na ntutu isi dị n'ihu, dịka iwu, ndị ọzọ anaghị ahụ ya ma achọpụtakwa ya naanị mgbe onye ọkaịzụ na-ahụ maka nyocha ahụ.
- Ogo 2 isi nkwọcha. A na-eji akụkụ nke abụọ mara dịka Norwood siri bụrụ nke a na-akpọ ụdị triangle, bụ nke ọdịiche dị n’iru ntutu. Dịka iwu, ụdị a bụ ihe mepere emepe ma kpuchie mpaghara na-erughị 2 cm site na nha ihu ntutu.
- 3 ogo. Ihe ejiri mara nkwọcha a bụ ọgịrịga ya na ọtụtụ ihe arụ n’ụlọ arụsị. Ọ ga - ekwe omume ma ntutu ha dị na otu, na isi nkwọcha zuru ezu na mpaghara a. Ihe nkwọcha pụrụ iche nwere ike ịgbatị ihe karịrị 2 centimita.
- 3 parietal ogo. Ọnwụ nke strands na-eme na mpaghara parietal. Ihe e ji mara ogbo a bụ obere ntutu dị n'ihu ihu. Ogologo nke nha n’ihu n’ụlọ nsọ dịkarịsịrị ukwuu karịa na ọkwa gara aga.
- 4 ogo. Oge nkwọcha dị na mpaghara nwere ihu ọma karịa ogo 3. A na-ahụkarị ntutu siri ike ma ọ bụ enweghị ntutu n'isi okpueze nke isi. Ọtụtụ mgbe, n'ọkwa nke anọ nke isi nkwọcha, a na-ekewa akụkụ abụọ nke ntutu isi site na warara nke eriri siri ike na-adị obere oge na-aga n'akụkụ isi ahụ. Na warara, dịka iwu, na-ejikọ n'akụkụ akụkụ nke isi.
- 5 ogo. N'okwu a, akụkụ parietal nke nkwọcha na-apụ iche site na mpaghara nwa oge, mana rue na obere. Na okpueze nke isi a na-enwe ntutu ma ọ bụ mkpọchi na-adịghị ahụkebe. Ma n’elu ntutu isi na-adịwanye gịrịgịrị ma dịkwa mma. Mpaghara azụ na nke parietal na-abawanye nha. N'akụkụ, ntutu nwekwara agbaze ma na-akpụzi ụdị akpukpo ukwu n'azụ isi.
- 6 ogo. Isi ntutu ndị dị gịrịgịrị na-adịgide site na onu ire, n'agbata akụkụ nke isi. Mpaghara akụkụ parietal na usoro ọmụmụ oge ochie na-emejupụta otu onu ogugu, ha anaghị ekewa, mpaghara ntutu ntutu na-abawanye.
- 7 ogo. Ogo kacha njọ nke isi nkwọcha, dịka nhazi ọkwa Hamilton-Norwood. N'oge a, mpaghara alopecia na-acha uhie uhie na-adị n'ụdị nke ikpeazụ ya, akụkụ ụbụrụ na nke parietal na-akawanye nkọ. Ntutu isi na-ada n’azụ isi ya n’elu ntị. Ntutu na-adị n’elu akụkụ nke isi, na-ada n’azụ isi ahụ.
Na mgbakwunye na nhazi Hamilton-Norwood, enwere ike ịhọrọ ụdị isi atọ dị mma:
- Pịnye "Horseshoe". Nkwọcha na-amalite site na oghere ihu ma na-agbadata nso n'ụlọ nsọ ahụ. Mgbe ahụ ọ gafere na mpaghara ihu ihu niile, na-akpụ ebe ntutu na-acha dị ka akpachapụ akpachapụ anya.
- Pịnye "Nest". Saịtị dị iche iche nke isi nkwọcha na-eme n'akụkụ dị iche iche nke isi, n'ọgba aghara, n'opu isi ahụ na-egosi saịtị yiri nke akwu. Formdị ntutu nke a ga - eme n'oge na - adịghị anya.
- Mixdị agwakọta. Ntutu isi na -adakwa n'otu oge n'ụlọ nsọ na mpaghara parietal.
Olee otu esi emeso nwoke isi nkwọcha?
N'ezie, ọ ga-ekwe omume ma ọ dị mkpa ịgwọ isi nkwọcha. Isi ihe bụ ichigharịkwuru onye ọkà mmụta ọgwụ nwere ahụmahụ ma chọọ ụzọ kacha mma ị ga - esi wepụ nsogbu na - enweghị isi.
Enwere ike igosiputa usoro ọgwụgwọ niile na isi atọ:
- Ọgwụ ọgwụ. Dọkịta ahụ mere iwu maka nwoke ahụ, na-adabere na nsonaazụ ha, na-ekpebi ọgwụ kwesịrị ekwesị. Dịka iwu, dọkịta na-edepụta usoro nke gụnyere ọgwụ ọgwụ gbakwunyere na minoxidil - ihe na-akpali uto nke ntutu. Otu ọgwụ dị oke irè bụ ọgwụ spraying ALERANA®. Dabere na ọmụmụ ụlọ ọgwụ: ụba ntutu na-akwụsị mgbe izu isii gasịrị nke itinye plọg na 87% nke ikpe.
- A na-ahụta ntụgharị ntutu dị ka otu n'ime usoro kachasị dị irè maka ogo ntutu isi ọ bụla. A na - agbanwe ntutu site na mpaghara "onyinye onyinye" na saịtị nke alopecia. Enwere ike ịmegharị ntụgharị site na ụzọ ịwa ahụ na nke anaghị arụ ọrụ.
- Mgbanwe ntutu HFE bụ usoro ntụgharị ntutu ntutu microneedle nke oge a. A na-ahụta ya ka ọ bụrụ usoro kachasị nwee mmegharị ọwụwa.
Maka ndị chọrọ ime ka ntutu ha dị ike, mee ka eriri ndị ahụ sie ike ma sie ike, anyị na-akwado ịnwale Alerana shampoo maka ụmụ nwoke, onye na-eme ka uto.
Ebe izu
Ngwaahịa a maka ntutu na-edozi ahụ ma na-ewusi ya ike nwere extracts nke na-ahazi ọrụ nke gland sebaceous, na-egbochi ọdịdị nke dandruff ma na-agwọ ọnya.
Ihe ncha ntutu nke ncha ntutu bu:
- mmanụ tii, nke na-egbochi ntutu isi,
- sage wepụ na mmanụ Rosemary, na-emeziwanye ọrụ nke gland sebaceous,
- chestnut na ginseng na-ewepụta ụda na -eme ka skal ahụ ma na-eme ka ọbara na-ekesa,
- wepu burdock, nke na - egbochi usoro idapu ntutu ma na - akwalite uto nke ure ohuru,
- Niacinamide, nke na-akpali microcirculation ọbara, na-eme ka nri dị mma, na-emeju follicles na oxygen ma na-eme ka ntutu isi ahụ dị elu.
Yabụ, ugbu a ịmara ọtụtụ ihe gbasara Norwood isi nkwọcha ma nwee ike ikpebi ókè nsogbu gị dịruru njọ. Adịla oge na-aga ileta dọkịta, lekọta ahụike gị nke ọma, na curls siri ike ga-atọ gị ụtọ ruo ogologo oge.
Mbipụta ndị na-adịbeghị anya
Nkpirisi okpomoku: nyocha nke moisturizer maka ntutu
Iji kpoo ntutu na-emebi emebi na nke mebiri emebi, ị ga-anwale. Ọ dabara nke ọma, jiri ngwaahịa etemeete ọgbara ọhụrụ ọ nweghị ihe agaghị ekwe omume. Ọ bụrụ
Sprays Hair - Express Moisturizing Format
Mgbe ọ dị mkpa ka ntutu mee ka mmiri dị nro, ọ nweghị mgbagha. Akọrọ, mebiri emebi, tọgbọrọ n'ụzọ dị njọ ma bụrụ ihe niile bụ mgbaàmà nke enweghị ụkọ
Whey - kedu ihe ọ bụ
Ifịk ifịk hydration ke edinam! Mkpụrụ osisi ntutu kpọrọ nkụ bụ ngwaahịa mara mma nke nwere ọgwụgwọ ịgwọ ọrịa. Ka anyị kwuo maka otu esi arụ ọrụ, site na nke
Moisturizing squared: balms maka akọrọ ntutu
Ezubere balm na-agagharị agagharị maka ntutu akọrọ. N'ime nkeji ole na ole ịkachara akwụkwọ, a na-akpụgharị ntutu ma na-agbanwe agbanwe. Na
Nkpuchi ntutu na-emegharị ahụ - dị mkpa
Hairkpụ ntutu kpọrọ nkụ chọrọ nlekọta pụrụ iche. Masks na-agbanye mmiri na-edozi ahụ ma mejupụta ntutu ga-enyere aka weghachite ihe owuwu ma megharia ụdọ ndị ahụ.
Umuigbo ndewo! Ncha ntutu ntutu ntutu
Mkpọchi a na-akpọ nkụ abụghị ihe kpatara obi mgbawa, kama ọ bụ ihe kpatara ya! Integratednweta usoro ejiri nwayọọ nwayọọ na-amalite site na nhọrọ nke ezigbo ncha ntutu. Anyị ga-agwa gị ihe "aghụghọ" nke moisturizing
Ihe na - akpata ma di iche na nwoke na nwanyi
Isi Ihe na - eso akpata ọrịa a bụ:
- akpachaghi anya homonụ n’arụ (n’oge afọ ime, na-a breastụ ara, ya na ọrịa nke usoro endocrine, wdg),
- iron erughi ahu,
- mmebi nke isi awọ ya na oria aru di iche iche,
- sistemụ arụmọrụ yana sistem nke sistem,
- mmetụta ọgwụ (ọgwụ mgbochi afọ, ọgwụ mgbochi ọgwụ, wdg),
- hypothermia isi mgbe niile,
- ekpughere radieshon, wdg.
N'iji atule nke ntutu na ụmụ nwanyị, anyị nwere ike ịchọpụta ọdịiche ha dị ukwuu. Nkewa di iche-iche nke nwanyi di nro karie ma g’eme ka ato ato. Ọzọkwa, ikpe mgbe nwanyị gosiri ikpeazụ nke ntutu isi ya adịghị obere.
Ọnọdụ Norwood
Imirikiti ndị dọkịta na-eji nhazi ọkwa Norwood, nke emepụtara na 1970, iji chọpụta ókè nke isi nkwọcha nwoke. Na mkpokọta, nhazi ọkwa a gụnyere usoro 7 nke ngosipụta nke alopecia. Ka anyị tụlee ha n'ụzọ zuru ezu:
- M ogbo - bu nmalite oria a ma bukwa ya na isi ngere na-aputa ihe n’iru isi uto uto ntutu (n’azo triangles). Ọ bụ ihe e ji mara ụbọchị nke onye nnọchi anya nwoke kachasị okenye (afọ 18-25).
Dịka iwu, n'oge a, ọ dịkarịghị onye ọ bụla payara ntị na usoro nhụcha isi amalitela, na ya, enweghị usoro a na-eme.
Ekwesịrị iburu n'uche na n'ọnọdụ a, usoro ndị edepụtara n'elu agaghịzi enwe mmetụta. Ọ dị mkpa iji ntụgharị ntutu. VII ogbo - isi nkwọcha. Naanị ntutu dị warara ma fọdụ, na-esite na ntị ruo na ntị n'akụkụ akụkụ isi ahụ.
Usoro a bụ ihe kachasị njọ, ọ na-abụkarị n'ọnọdụ a ọ nweghị enyemaka ga - enyere aka, ọbụlagodi ntụgharị ntutu, ebe ọ nweghị ihe fọdụụrụ usoro a. Nanị ụzọ m ga-esi wepụta ọnọdụ a bụ iji wig.
N’oge na-adịghị anya mmadụ hụrụ ihe ịrịba ama mbụ nke isi nkwọcha, otú ahụ ka ọ na-enwekwu ego ọ ga-eji alụso ọrịa a ọgụ.
Njikwa Mbelata ntutu
Yabụ, na usoro nke 1, 2, 3, 4, na 5, dị ka ụzọ isi luso isi ncha dị adabara:
- ntecha (ncha ntutu, lotions, balms),
- nhazi pụrụ ichena-akwalite uto ntutu (dịka ọmụmaatụ, Dimexide, Nicotinic acid, D-Panthenol, wdg),
- inje n'ime ntutu isi,
- ka ọgwụ ọdịnala (tinctures, masks, wdg).
Ọzọkwa ọ dị mkpa ka nwoke rie nri kwesịrị ekwesị, nke nwere ike saturate ahu na ihe niile dị mkpa Chọpụta ọcha. Ọzọkwa, ọ bụghị ihe ọ superụ superụ na-a courseụ ihe ọ strengthenụ vitaminsụ vitamin nke ga-eme ka ahụ sie ike ma nwaa igbochi nchekasị.
Usoro nloghachi
N'ọnọdụ ụfọdụ, alopecia nwere ike ịmaliteghachi. Ihe omimi a bu njiri mara nke isi nkwọcha - ọdịdị nke saịtị nchara nchara nwere ọdịdị dị okirikiri.
Alozọ ụdị alopecia a na-adịkarị mma karịa, ya bụ, mgbe ọnwa isii bidochara, ntutu isi nkwọcha ji nke nta nke nta kpuchie ntutu.
Yabụ Enwere ike igosipụta usoro ngụgụ oge ndị a:
- Ntutu ntutu na-enweghị ụcha na-apụta n'ọnọdụ ntutu ịkpụghachi azụ, n'ụdị egbe.
- Ka oge na-aga, ọfụma na-ebuwanye ibu, na-enweta agba gbara ọchịchịrị wee gbanwee ghọọ ntutu zuru oke.
Ọtụtụ mgbe, itolite ntutu n'oge agba aghara aghara aghara, ya bụ, na mbido ị ga - ahụ ka uto ntutu nọ na - eto eto na mbido isi ọwụwa, ebe a na - echekwa fluff na mpaghara ndị ọzọ. Ka osi di, mgbe oge gachara, mpaghara niile nke alopecia agbachaala ebe enwere ọgwụgwọ.
N'ihi ya, ọrịa a enweghị ike ịmalite ma ọ dị mkpa ịme ihe n'oge iji kpochapụ ihe mgbaàmà mbụ nke alopecia. Ekwesiri ighota na otutu oge, a na - ebufe ihe mmugbu nke ntutu n’eto onodu di n’eto ya, ya mere n’okwu a, ọgwụgwọ a enweghị isi.
Isi nkwọcha
Ọ bụrụ na anyị na-atụle ụdị isi nkwọcha niile na ụmụ nwoke, ihe na-esote bụ ihe a na-ewere dị ka alopecia, nke nwere ike ibute mmetụta dị egwu nke ihe ndị dị na mpụga. Otu ihe dị iche n'ụdị nsogbu ntutu a bụ sọsọ ntutu niile dị n'isi. Ruo taa, a na-atụle ụdị ọgwụgwọ alopecia abụọ na usoro ọgwụgwọ - ụdị telogen na ụdị anagen.
Mpempe akwụkwọ Telogen
Ọ bụrụ na ihe ojoo na-emetụta isi ala na isi ntutu, ntutu isi na-aga ọkwa izu ike, nke a na-akpọ usoro telogen na nkà mmụta ọgwụ. Na mkpokọta, dị ka ndị na-egosi na-adịkarị, ihe dị ka 15% nke skal kwesịrị ịdị na telogen ogbo, mana site na nyocha nke ọdịiche telogen alopecia, ndị dọkịta na-achọpụta ntutu dị ka 80% nke ntutu dị na ezumike ogologo oge.
Ihe na - akpata telogen na agbasa alopecia bụ
- ibu ụjọ, nsogbu, echiche iche echiche gabiga n'ụdị na-adịghị ala ala,
- nri protein dị ala
- ụkọ vitamin
- nnukwu, na-adịghị ala ala, somatic, systemic na ọrịa na-efe efe,
- ọgwụ nje, ọgwụ antidepressants, ọgwụ mgbochi, ọgwụ antitumor, wdg,
- nsogbu nke homonụ na ọrịa thyroid.
Andị Anagen
Ọ bụrụ na anyị na-atụle ụdị anagen mgbasa mgbasa alopecia, ndị dọkịta na-ekwu maka mmetụta ọjọọ na-emebi ihe na ntutu, n'ihi nke ha enweghị oge ịbanye na ngalaba izu ike, na-adaba na usoro uto nke anagen. N'okwu a, enwere ogologo oge n'etiti mmetụta ihe ike nke ihe na mmalite nke ntutu isi.
Ihe kpatara ụdị anagen bụ ndị a:
- ọnọdụ ọjọọ nke gburugburu ebe obibi
- egbu egbu ahu
- radieshon, kemistri,
- radieshon mmetụta
- ị withụ ọgwụ ọgwụ na-egbu egbu.
Ọgwụgwọ Ibelata Ntutu Isi
N'agbanyeghị mgbasa ozi dị iche iche na usoro dị iche iche, ndị ọkà mmụta ihe omimi na-ekwusi ike na ụdị isi ọ bụla na ọbụna ogo mbụ ya adịghị emeso ya. Nke bụ eziokwu bụ na agbanyeghị ihe ọjọọ na-eme na ntutu, akpịrị na ntutu isi ya na-arụ ọrụ dịka ọ dị na mbụ. Enweghịkwa isi ihe ọ ga-adị mkpa iji emetụta ọgwụ na usoro.
Ebumnuche bụ isi nke ịgwọ ọrịa alopecia bụ ịchọpụta ihe kpatara nsogbu ntutu ma wepụ ihe na-akpata. Mgbe nke a gachara, nwoke nwere ike mee ka idozi ntutu dị ngwa site na iji usoro ọgwụgwọ ndị mmadụ. Ọzọkwa, dọkịta ahụ nwere ike ịkọwa ọgwụ lotions, ngwọta, shampoos na balm iji mee ka uto ntutu, mee ka mgbọrọgwụ na nhazi nke ntutu dị ike. Nkpali uto kachasị mma bụ tricomin na foligen n'ụdị ịgba, shampoo na conditioner.
Focal (akwu) alopecia
Focal alopecia abụghị ụdị nwoke nke alopecia nwoke, nke na - eme na naanị 5% nke ọrịa anụahụ. Enwere ike kpebie ya site na akara nke etu alopecia si amalite etolite. Nke izizi, a na-ahụ ntutu dị nwayọ nwayọ na otu ma ọ bụ akụkụ dị iche iche nke isi, mgbe ị ga - ahụ gburugburu, ọbụlagodi ebe isi nkwọcha na azụ isi.
Ihe kpatara oria a
Ndị ọkachamara na-enyocha ọmụmụ etiology nke focal alopecia ka, ndị dọkịta chọpụtara ihe ndị a nwere ike ime:
- ketara eketa
- hypo-, hyper- ma ọ bụ vitamin erughi,
- ụba mmepụta nke dihydrotestosterone,
- ọrịa na-adịghị ala ala na ọrịa nje
- ọrịa ndị na -akpo nri
- ntụpọ mgbe amụrụ amụ mmadụ,
- kemịkalụ na kemịkalụ na kemịkalụ na egbu mmiri ogologo oge.
- metabolism na-emetụta ya
- bufee oke nke psychoemotional background, nrụgide, ịda mba,
- mmiri ọgwụ
- ị drugsụ ọgwụ ike, dịka ọmụmaatụ, antipsychotics, mgbochi mkpali na ọgwụ antitumor, ọgwụ mgbochi, antidepressants, wdg,
- àgwà ọjọọ na nri na-adịghị mma, ibi ndụ enweghị isi,
- Usoro nyocha autoimmune n'ime ahụ.
Ọnọdụ alopecia areata
Ọrịa na ngosipụta nke ụlọ ọgwụ ga - enyere aka ịchọpụta ọkwa nke mmepe nke alopecia areata, yana ọkachamara n'ọrịa trichologist maara nke ọma etu esi ekpebie mpaghara ọrịa ahụ. Usoro alopecia nwere ike ịdị ka ndị a:
- nọ n'ọrụ - onye ọrịa ahụ nwere ike ịnwe ọzịza na hyperemia, itching na enwe mmetụta na-ere ọkụ na mpaghara ntutu isi, na ntutu isi n’onwe ya na-adịpụ iche site na akpụkpọ ahụ site na ịkpọtụrụ ha,
- nhazi otu - N'ihe banyere ntutu ntutu, a hụrụ ntụpọ na-enweghị ntutu, a na-ahụ ụzọ ntutu nkịtị na follicles n'ókèala,
- oge mgbaghara - n ’ebe a na-ete ajị ihu a na-ahụ anya, a na-ahụ ọdịdị nke ntutu egbe, mana enweghị ụcha ezughị ezu.
Na mgbakwunye na mgbanwe n'ọnọdụ ntutu isi, ndị dọkịta na-achọpụtakarị mgbanwe dị na ntu ahụ, ya bụ ala siri ike, akwa miri emi, agba agba nke agba ọcha, nsị nke mbọ na imebi. Ọ bụrụ na dọkịta achọpụta ngụkọta mgbasa nke alopecia areata, na 95% nke ikpe ga-enwe nsogbu na mbọ.
Ọgwụgwọ isi nkwọcha
N'agbanyeghị ụdị ọkwa nkwọcha a na-ahụ n'ahụ onye ọrịa, usoro ọgwụgwọ ga-abụ nke zuru oke ma zọpụ. Nke mbu, a na-ekpebi ihe ndị na-akpata alopecia, n'ihe metụtara ọgwụ idozi ya. O nwere ike di otua:
- ihe ndị na-eme ka homonụ na-eme ka a na-akpọ prednisone ma ọ bụ glucocorticoids,
- ọgwụgwọ iji weghachi nguzozi nke homonụ mmekọahụ,
- ọgwụgwọ mpaghara iji weghachite ntutu isi site na ịtụgharị follicles, na-akpali uto,
- ihe eji eme ihe ndi mmadu iji kpalite uto nke ntutu (masks with mustard and pepe red, masks oil and herbal conditioner),
- mmezi nke onwu,
- usoro ọgwụgwọ anụ ahụ iji mee ka arụmọrụ ọgwụ dịkwuo elu, dịka ọmụmaatụ, darsonvalization, mkpali dị ugbu a, mesotherapy, ịhịa aka n'ahụ, wdg,
- mmezi nke ihe oriri na ndu gi.
E kwesịrị ichebara nwoke na-ahọrọ ihe ịchọ mma mma. Dọkịta na-ahụ maka nkà mmụta ọgwụ nwere ike inye shampoos, balms, lotions na ngwọta maka ọgwụgwọ ntutu isi nwere ihe ndị na-eme ka ọbara na-agba ngwa ngwa. Site na nsonaazụ a, a na-eme ka ihe oriri nke ntutu dị na ya pụta, a na-etetakwa follicles ihi ụra.
Cicatricial alopecia
Cicatricial alopecia na-agbaso nnukwu ntutu isi n'ihi ịmepụta cicatricial atrophic foci na scalp. Nke ahụ bụ, na usoro dị mfe, ọ ga-abụ alopecia na-akpata iwe, ihe ndị dị na mpụga na nke ime. Ọrịa ọnya nwere ike ibute ọnya na ọnya, ma ọ nwere ike ibute ọrịa na-efe efe ma ọ bụ ọrịa na-efe efe na-emetụta isi ntutu, na-ahapụ ha mgbe ha kpachara anya.
Ihe na-akpata cicatricial alopecia nwere ike ịdị ka ndị a:
- enwetara ma ọ bụ mmekpa ahụ nke isi ntutu isi,
- ajọ ọrịa dị, dịka ọmụmaatụ, syphilis, leishmaniasis, ekpenta, wdg,
- kansa neoplasms,
- anụ ahụ ndị na-akpali agụụ mmekọahụ dịka ọmụmaatụ, ikpughe ọnọdụ okpomọkụ, radieshon, asịm, mmerụ arụ ọrụ,
- systemic ọrịa, ya sarcoidosis, systemic lupus erythematosus, scleroderma, wdg,
- lichen planus.
Ọ bụrụ na nwoke nwere izizi izizi nke cicatricial alopecia, akụkụ ụfụfụ nke nwere obere ntutu nwere ike ịhụ ncha ntutu isi. Ọ bụrụ na-ahụ anya ma na-abawanye ụba ga-ahụ anya, ọ nwere ike ịbụ alopecia 2. Onye ọrịa ahụ ga-enwe ahụ erughị ala, iwe ọkụ na itching n'akụkụ ndị a, na-emegide nzụlite nke mmeghachi omume mkpali, nku, nkụ na akpịrị nke anụ ahụ nwere ike ime. Mgbe ahụ, ihe ịrịba ama na mgbaàmà niile na-apụ n'anya, na-ahapụ ịhapụ ntutu isi.
Ndị dọkịta na-ekwusi ike na alo cicatricial alo bụ nsogbu ntutu kachasị njọ nke na-adịkarịghị ọgwụgwọ ọgwụgwọ. Naanị iji mkpebi ziri ezi nke ihe na-akpata alopecia na mmalite mmalite nke mmepe ya ka enwere ike ịkwụsị usoro pathological. Ma ọ bụghị ya, ọ ga - ekwe omume iweghachi uto ntutu ahụ gara aga naanị site na ịwa ahụ - ịgbanye ntutu site na saịtị onyinye. Mana ọbụlagodi ebe a, amụma ndị ahụ ga-amịpụta nke ọma, ma anụ ahụ dị na ahụ ọfụfụ ga-agbanye mkpọrọgwụ amabeghị.
Naanị ịmara ihe ịrịba ama mbụ nke alopecia, nwoke ga-enwe ike ịgakwuru dọkịta n’oge ọ bụla iji gbochie usoro ịrịa ọrịa. Naanị ịmara ihe na - akpata ntutu isi, trichologist ahụ ga - enwe ike ịhọrọ usoro ọgwụgwọ dị irè, weghachite ntutu ntutu onye ọrịa. Taa, ụdị alopecia ndị a na-ahụkarị na ụdị na-esikarị ike ịgwọ ọrịa anụ na alo.
Gịnị kpatara alopecia ji eme?
Okwu banyere isi nkwọcha n’etiti ụmụ nwoke kacha baa uru taa, bụrụkwa nsogbu nke 1. N'ikwu okwu banyere isi nkwọcha nke nwoke, a ga-echebara ọtụtụ ihe dị mkpa na nsonaazụ nwere mmetụta na-emetụta kpọmkwem na usoro a. Ihe ndị a bụ:
- ihe nketa ihe nketa
- ụfọdụ homonụ
- site na afọ.
Ihe mbu - ketara eketa bụ ihe a na - ahụkarị n’ọgwụ ọgwụ, ọ na - emetụta ọtụtụ n’ime mmekọahụ siri ike. N'ihe banyere mkpụrụ ndụ ihe nketa, ọrịa ahụ siri ike ọgwụgwọ ma nwee ike imetụta mmadụ na nwata, ọ na-eru afọ 20. Adịcha ọcha bụ ihe nketa n'ọdịdị, na-aga site n'ọgbọ ruo n'ọgbọ ọzọ.
Ihe na-akpata homonụ bụ n’ihi oke nke hormone dihydrotestosterone n’ime ahụ nwoke, nke nwere mmetụta na-emebi emebi ma na-emebi ihe na ntutu isi, na-egbochi uto ntutu nkịtị. N'ọnọdụ ụfọdụ, a na-ahụ mmeghachi omume ezughị ezu nke ntutu isi nke dihydrotestosterone, n'ihi nke a kwụsịrị ntutu ahụ, ha na-esighi ike, dị gịrịgịrị na enweghị agba n'oge.
Ọgwụgwọ na-enye nsonaazụ dị mma ma ọ bụrụ na onye ọrịa ahụ hazie dọkịta na oge ọ ga - ebido na mbido mmepe nke ọrịa ahụ, mgbe usoro mfu ahụ metụtara naanị akụkụ ihu. Ọgwụgwọ a chọrọ ka ịbawanye n’ọkwa nke dihydrotestosterone yana ojiji ya na usoro ọgwụgwọ ndị ọzọ.
Na mmechi, ihe ikpe azu bu afọ. O bu ihe nwute, n’afọ, ihe ruru 95% ụmụ nwoke na - eme isi nkwọcha n’ihi ihe ndị n’otu oge kpughere ọtụtụ ihe, yana enweghị ụfọdụ ntutu isi iji rụọ ọrụ ha, ọkachasị, na - edozi isi ma na - akpali uto ha. Ya mere, kemgbe ọtụtụ afọ, ntutu dị n'ihu, obere oge, parietal na akụkụ dị iche iche na-amalite ịmịcha ma ọ bụ emesịa daa, na-abawanye mpaghara isi nkwọcha.
Hamilton-Norwood Alopecia
Dabere na nhazi ọkwa nke dị adị, e nwere ọkwa asaa nke isi nkwọcha:
- A na-akọwa ogo nke mbụ (ogbo nke mbụ) site na ntakịrị ihe omimi (ntutu na-egbu egbu) n'akụkụ eriri ntutu isi, ọkachasị n'egedege ihu na ụlọ nsọ,
- Ejiri ogo nke abụọ (ogbo nke abụọ) site na eziokwu ahụ na ntutu isi dị n'ihu ahịrị ha ọzọ na-ewere ụdị akụkụ atọ n'akụkụ ihu na nke ọzọ. Mpaghara ebe ezumike nwere ike ịnwe ọdịdị abụọ na nke na-enweghị atụ. Epmalite nke ọma (isi nkwọcha) na-ekpuchi ebe na-erughị 2 cm site na nha ihu ntutu isi. Ntutu ga-ada kpamkpam ma ọ bụ bụrụ ihe adịkarịsịrị na mpaghara parietal, mana ọ dị iche na ọkpụrụkpụ na mpaghara azụ na nke nwa oge,
- Ngosi nke ato (ogbo nke ato) bu n ’uzo ntutu isi kachasi buru ibu n’akụkụ a na-eche ihu nkwọcha. A na-ahụ ihu ihu ndị dị omimi ogologo na nke na-adịchaghị mma, na-abụkarị nke na-ekpuchi ntutu. N'oge a, oghere ndị a na-ete isi na-esiwanye na 2 cm,
- A na-eji ọkwa nke atọ (ogbo 3A - vertex) na ntutu isi na-abụkarị okpu mmeri. Enwere ike ịhụ obere alopecia ihu dị n'ihu, mana ọ fọrọ nke nta ka ọ ghara karịa mpaghara nkwọcha a tụlere na ọkwa mbụ. A na-ejikarị ntutu isi vertebral na afọ, mana ọ ga - ekwe omume na nwata, enwere ike ịhụ mmalite mmalite nke usoro ahụ,
- Ogo nke anọ (ọkwa 4) bụ n'ihi nnukwu ihu ihu na ihu nke ihu ala karịa na ngalaba nke aga. N'akụkụ okpueze ahụ, ntutu na-enwe obere mmebi ma ọ bụ na-ezu ezu. Ma agbanyeghị na oghere ihu na okpueze buru ibu, agbanyeghị, jiri ntutu kewapụ onwe ha iche site na ntutu, na-ejikọ ọnụ niile nke ntutu n'akụkụ abụọ nke isi.
- A na-ekpebi akara nke ise (ọkwa 5) site n'eziokwu ahụ bụ na mpaghara vertex nke ntutu ntutu na-ekewapụ na mpaghara ihu ihu. Ntutu nke dị n’etiti ha, na-abụ ụzọ warara, na-adị ụkọ. Usoro nke isi nkwọcha na-ekpuchi nnukwu mpaghara, n'ihi nke a na-etolite ma na-ahụ ụdị ntutu nke akpukpo-ukwu inyinya.
- A mara ọkwa nke isii (ọkwa 6) na ntutu dị warara nke kewapụrụ oghere ihu na okpueze furu efu ugbu a. Yabụ na mpaghara ebe ana - ahụ ụzọ na vetikalụ jikọrọ ọnụ, na - akpụ otu ebe zuru ma nke buru ibu,
- Nzuzo nke asaa (ogbo nke asaa) bụ ụdị isi akwara nke nwoke. Enwere nkwọcha zuru ezu na mpaghara ahụ, na-amalite site n'egedege ihu ma jiri isi isi mechie. Ntutu na –eme n'akụkụ akụkụ akụkụ nke isi (mpaghara ntị) ma gbasaa azụ, na-adada n'okpuru azụ isi.
N’ihe banyere ụmụ nwanyị, usoro isi nkwọcha nwere foto dịtụ iche. N’adịghị ka ụmụ nwoke, isi nkwọcha na-amalite mgbe ọ dị afọ iri atọ, ọ na-eru afọ iri ise. Ọnwụ ntutu na-agbasasị ma na-anọ ogologo oge. Ntutu isi zuru ezu anaghị eme, mana ntutu dị na mpaghara ahụ a na-echebara echiche dị nro. Dị ka ọ dị n’ime ụmụ nwoke, mpaghara prola gbara agba bụ akụkụ ihu, nke na - abịa ugbua na nke akụkụ dị iche iche.
Isi ihe kpatara alopecia na ụmụ nwanyị n'ọnọdụ a bụ:
- mgbanwe nke homonụ, ya bụ, mgbe ụmụ nwanyị jiri ọgwụ mgbochi ime,
- oge ịmụ nwa, mgbe ọrịa nke sistem na-esighi ike.
- menopause ma ọ bụ oge agha.
A na-achọpụta ihe ndị a na-akpata isi nkwọcha na ụmụ nwanyị kpọmkwem afọ 30 ruo 50.
Etu ntutu isi
Ọ bụ ihe a na-anabata mgbe ahụ androgenetic alopecia ntutu isi na nwoke na nwanyị dị iche na ngosipụta nke ụlọ ọgwụ, n'ihe metụtara ya, iji chọpụta ogo nke isi nchacha nwoke, a na-eji nhazi ọkwa Norwood, na nhazi ọkwa Ludwig iji chọpụta ogo ntutu dara n’ime ụmụ nwanyị.
Transplantkpụcha ntutu ntutu na-enweghị ịwa ahụ zuru oke dabara adaba maka mmadụ niile, ebe ọ na-enye gị ohere:
1. Na -eme ma obere ma na ultra ntụgharị ntutu (ogo 1, obere foci, scars), na ndị kasị ibu (mmụta 4, 5, 6, 7 dị ka Norwood si kwuo) - n'ime awa ole na ole,
2. Chebe isi gị na isi gị site na ọnya na akpịrị, yana edema amụba na ọnya isi na ọnwa isi ọwụwa,
3. Kewaa ntụgharị ahụ n'ime usoro 2 na nke 3, ebe ọ bụ na enweghị ntụpọ, enweghị ntụpọ, nke kachasị adaba ma ọ bụrụ na:
- Ejila otutu nnyonye anya na ndu aru,
- enweghị ike ịkwụ ụgwọ ego nke ọnụ ahịa nnukwu ntutu gbanwere ozugbo.
4. modelmepụta ụdị edozi isi gị ruo n'isi ọ bụla,
5. Iji mezuo oke nha kwesiri ịdị - ruo 75-80 ntutu kwa 1 cm 2,
6. Chekwaa ntutu isi obodo gị ọ bụla, ebe ngwaọrụ pere mpe dịkwa gịrị ma nwee ike ịmịnye ntutu na nso obodo ha na-emerụghị ya ahụ,
7. Chekwaa oge gị, n'ihi na mgbe ị mechara usoro a:
- ejikọtaghị ya n'ụlọ ọgwụ (na-agbanwe akwa, ọgwụgwọ nke isi na nlekọta ahụike, na ndị ọzọ),
- mee ka ọdịdị gị dị mma, ebe ọ bụ na mgbe ntụgharị ahụ gasịrị, ọnweghị ọnya ọnya isi, ọnya isi, isi ọwụwa na ọnya na-agwọ ogologo oge na isi gị,
- Na-eduzi usoro ndụ gị na mbụ, hapụkwa ikike ịrụ ọrụ gị.
8. Mpaghara inye onyinye anaghị emebi emebi (anaghị egbutu ya) na, ọ bụrụ na ọ dị mkpa (ọ bụrụ na ntutu isi obodo gị na-aga n'ihu), enwere ike ịme usoro ahụ ugboro ugboro,
9. Chekwaa ọnọdụ uche-uche gị na uche zuru oke (site n'ụzọ, mgbe arụchara ahụ ahụ, ọnya ahụ abụghị naanị na ọ na-agwọ maka ọnwa 3-6, kamakwa ọ ka dị n'isi gị maka ndụ, yana usoro ahụ Hfe micro-ọnya na-agwọ ọrịa n'ime ụbọchị 3-5, na-ahapụ enweghị mmebi a na-ahụ anya).
Ogo ogo ntutu na ụmụ nwoke
Taa, nhazi ọkwa Norwood gụnyere ogo 7 nke nwoke androgenetic alopecia na ọtụtụ ụdị. A dịghị etinye ogo 0 (Fig 0) na nhazi ọkwa ahụ, mana anyị ga - eji ya dị ka ọkọlọtọ - maka foto zuru oke nke otu nwoke kwesịrị isi ele anya, nke ntutu isi ya adịghị n'okpuru androgenetic alopecia.
Fig. 0
Họrọ ụdị (ogo) nke ntutu isi gị iji mata ihe dị na ntutu isi na mweghachi ha site na usoro HFE na-adịghị arụ ọrụ.
Androgenetic Jenetic Alopecia (AHA):
Usoro kachasị ewu ewu na nke a na-anabatakarị nke ntutu androgenic n'ụdị ụmụ nwanyị bụ usoro Ludwig, nke ebuputara na 1977.
Hairdị ntutu isi a nwere ike n'oge mgbanwe nke homonụ, ya bụ: mgbe ị na - eji ọgwụ mgbochi ndị ọzọ emeghị nke ọma, mgbe amuchara nwa, na mgbe ịhụ nsọ na / ma ọ bụ.
Hairdị ntutu androgenetic dị ka ntutu isi mara na ọnụnọ ntutu dị na mpaghara Central, nke nwere nkọwa dị mma. Ihe njiri mara bụ enweghị isi nkwọcha na ụlọ nsọ na ịchọrọ ihu. Ọkpụkpụ ntutu na-adị n'ụzọ dị iche iche ma bụrụ nke a na-ahụ ka emechara karịa n'ime ụmụ nwoke, ọtụtụ oge n'agbata afọ 30 na 50.
Cicatricial na traction alopecia:
Ihe nke abuo kacha ebute n’inwe ntutu n’iru ndi nwanyi bu cicatricial and tractional baldness.Ihe kachasị akpata ya gụnyere alopecia traction (ntutu na-adọ akpịrị, braids nke Afrịka, iyi “ndọtị” ma ọ bụ ihe ndọtị, wdg) na ọnya mgbe akwara ozi na ịwa ahụ (ọwa ihu, na ihe ndị ọzọ).
Inwere ike iguta ihe banyere cicatricial alopecia na ngalaba Alopecia.
Usoro ịkpụgharị ntutu n’emeghị ahụ HFE na-enye gị ohere imechi ebe ntutu ntutu zuru oke, yana ịmịnye ntutu na mpaghara nke akpịrị dị. Ekwesiri ighota na nzoputa nke ntutu di n’akpukpo aru dika odi n’iru ya ma oburu kariri 65-70%.
Dabere na nhazi ọkwa Ludwig, a na-ahụta ogo ntutu atọ na ntutu.
Ọkwa 1. Imirikiti ụmụ nwanyị na-enweghị isi na-agụsị akwụkwọ mbụ nke Ludwig. Emekarị ka ntutu dị n'ụdị a bụ ihe ejiri mara ụmụ nwanyị dị afọ 20-35. E nwere oge mgbe ntutu bidoro mgbe ọ dị afọ 17-18. N'ime usoro mbido, ntutu dị warara nwere ike imetụta ma akụkụ ihu ihu ya nke isi karia, ịbịarute okpueze nke isi, ma ọ bụ, na nke ọzọ, naanị mpaghara parietal, na-enweghị imetụ akụkụ etiti ahụ isi. Site na ụdị alopecia a, a na-egosikarị ya maka ntụgharị maka 700-1100 FU. Site na ọkwa izizi akpọrọ, ga-enwe oghere dị iche iche na mpaghara mpaghara etiti nke etiti. N'ime ntutu dị mma, a na-ahụta ntutu na esighi ike. Na ogo izizi nke ntutu ntutu, a chọrọ 1,2,5.5 follicular follicular for transplantation.
Ọkwa 2. Ọ bụrụ na ọnụ ọgụgụ dị iche iche dị na isi na-abawanye, mgbe ahụ ọkwa nke abụọ nke nwanyi alopecia. A na-ahụkarị ntutu isi ma ọ bụrụ na nwanyị na - eyi ntutu isi n'etiti ma ọ bụ ntutu dị mma, dị ka obere mkpị. A na-amata ogo nke abụọ nke alopecia bụghị naanị site na mmụba na ọnụ ọgụgụ nke oghere dị na mpaghara etiti parietal, kamakwa site na ọnụọgụ nke ntutu dị gịrịgịrị. Agba nke abụọ bụ njiri mara ụmụ nwanyị dị afọ 35 na karịa. Iji kpochapụ nsonaazụ nke alopecia nke grad nke abụọ, achọrọ 1.7-2.5 puku FU.
Ọkwa 3. Ogo nke ato nke ntutu isi bu ihe di oke nfe nke nwanyi alopecia, mgbe enwere 3,0 puku FU ma obu karia ka egosiputara ma oghari. Ihe dị mkpa dị na mpaghara ahụ dum parietal, ma ntutu nke fọdụrụ na-ete ahụ nke na ọ bụ ihe a na-adịghị ahụ anya ma dịkwa ka ntutu mara mma. Na ọkwa nke atọ nke ịchafụ, usoro ntutu mbụ na-agbanwe: n'etiti etiti, ọ nọghị n'ezie.
Preparationkwadebe ọgwụgwọ maka ịkpụgharị ntutu, ngwa microsurgical, ọgwụ na - egbu egbu, ụzọ iji mepụta mmadụ, ịmị ntutu nke enwetara na ihe osise ahụ adịghị iche na ụmụ nwoke na ụmụ nwanyị. Agbanyeghị, ekwesiri iburu n'uche na mgbe ụfọdụ ụmụ nwanyị na - eme ntolite ntutu ọzọ (ọnwa 3-4) mgbe ịmesịrị ya. Nke a bụ n'ihi njirimara akparamagwa nke ahụ nwanyị.
Dropout Ajụjụ
ntutu n’ime ụmụ nwoke
M na-arụ ọrụ na ịba ụba ma ugbu a tupu asọmpi asọmpi. Ọ ga-aga n'ihu ihe dị ka ọnwa 2, yabụ agaghị m achọ itinye oge a maka oge a. Ogologo oge ole ka m ga-achọ ịwa ahụ, na n'ozuzu m ga-achọ izu ike n'egwuregwu?
N'ehihie ọma, gwa m, mgbe ịghasịrị ntutu, ị nwere ike ịga n'ihu iji minoxidil, mee ịhịa aka isi iji chebe ntutu gị.
Nyocha nyocha Ndidi
Hfe
Jura, Ọgọst 8, 2018 daybọchị ọma! Na-eche echiche ileta gị.
Ilya. Krasnodar, July 13, 2018 Achọrọ m igosipụta ekele m nye ndị ọrụ ụlọ ọgwụ niile! Ekele pụrụ iche nye dọkịta Oksana Nikolaevna! O mere m transplant ugboro atọ.
Onye isi ahia ahia nke Clinic
HFE, Onye ndu Ọkpụkpọ
