Mankhwala Osakanizidwa ndi Androgenic Angathandize
Kawirikawiri amagulitsidwa pansi pa maina a brand Proscar ndi Propecia, Finasteride ndi mankhwala omwe amagwiritsidwa ntchito pochizira kukula kwa prostate ndi kupenya kwa amuna amuna. Nthawi zina ndalama zowonjezera ndalama zimatchedwa kuti anti-androgenic gulu la amayi omwe ali ndi polycystic ovary syndrome (PCOS) omwe akuwonetsa tsitsi losafunika la tsitsi la abambo pamaso pawo, pachifuwa, kapena kumbuyo ( hirsutism ).
Momwe Kutsirizira Kwambiri Kumakhudzira Zizindikiro za PCOS
Finasteride amagwira ntchito mwa kulepheretsa androgens, omwe ndi gulu la mahomoni omwe amathandiza kwambiri mu zikhalidwe za amuna ndi kubereka. Pamene atsekedwa pamutu wa tsitsi amatsekedwa, kutayika tsitsi kwa PCOS ndi hirsutism kumachepetsa.
70-80% ya amayi omwe ali ndi mayendedwe owonjezera amasonyeza hirsutism. Androgens amachulukitsa kukula kwa tsitsi ndi kusinthika, zabwino, zobiriwira, tsitsi la ana (tsitsi la vellus ) mpaka tsitsi lakuda, lalitali, ndi lakuda.
Pamene mavitomu amachepa, kukula kwatsopano kwa tsitsi kumachepetsedwa ndipo kukula kwa tsitsi lomwe lakhalapo kumachepetsedwa. Tsitsi limakula panthawi zosiyanasiyana ndipo kukula kwake kumasiyanasiyana malinga ndi dera la thupi, kuti pakhale kukula kwathunthu, kukula kwake kumakhala pafupifupi miyezi inayi ya tsitsi la nkhope. Ichi ndi chifukwa chake kulimbikitsidwa kupatsa mankhwala ophatikizapo mahomoni kuposa miyezi isanu ndi umodzi kuti agwiritse ntchito bwino.
Kwa amayi ambiri, zizindikiro za androgenic ndi hirsutism, koma kwa ena, zikhoza kukhala ziphuphu kapena alopecia .
Amayi ambiri ali ndi hirsutism ndi acne ndipo amadandaula pang'ono za ziphuphu zazikulu, hirsutism, ndi alopecia. Anthu omwe ali ndi acne nthawi zambiri amayesa kugwiritsa ntchito mankhwala opatsirana ndi mankhwala omwe amamwa ngati mankhwala osokoneza bongo, koma acne amayamba kubwerera pambuyo atasiya mankhwala.
Momwe Finasteride imagwira Ntchito
Finasteride imalepheretsa mawu a mtundu wa 2 enzyme, 5-alpha reductase.
Enzyme imeneyi imayambitsa kupanga dihydrotestosterone (DHT) yomwe yasonyezedwa kuti ili ndi zotsatira zowononga tsitsi la tsitsi. Kutenga mankhwala kwawonetsedwa kuti kuchepetsa chiwerengero cha DHT ndi 70%.
Kuchuluka kwake kwa mlingo wa mlingo kumasiyanasiyana kuyambira munthu kwa munthu ndi mlingo wa 2.5mg kapena 5mg pa tsiku ndi wamba. Chonde tsatirani malangizo omwe dokotala wanu amapereka.
Zotsatira Zowonongeka Zotheka
Chonde dziwitsani dokotala wanu mavuto alionse amene mungakhale nawo. Zina zomwe zimawonetsa zotsatirapo za mankhwala ndi:
- Kuchepetsa chikhumbo chakugonana
- Ululu m'mabere
- Zizindikiro za zomwe zimachitika ndizo ming†™ oma kapena zinthu zina za khungu ndi / kapena kupuma kovuta
Testosterone zowonjezereka zingagwirizane ndi finasteride. Chonde lolani dokotala wanu adziwe ngati mukumwa mankhwala ena onse.
Mimba ndi Finasteride
Ngakhale Finasteride ili ndi zotsatira zochepa zomwe zimakhudzana ndi izo, mankhwalawa ali ndi mphamvu yogonana ndi mwana wamwamuna.
Ndikofunika kwambiri kuti musatenge mimba mukamaliza fodya, chifukwa cha chiopsezo chachikulu kwa mwana wakhanda. Onetsetsani kuti mugwiritse ntchito mawonekedwe oyenerera a kubereka pamene mutenga ndalama.
Ndikofunika kuti amayi apakati asagwiritse ntchito mankhwalawa.
Zotsatira:
Azziz R. Kuunika ndi Kulamulira kwa Hirsutism. Chizoloŵezi. Gynecol. 101, 995-1007 (2003).
Dallob AL, Sadick NS, Unger W et al. Zotsatira za Finasteride, 5 Creductase Inhibitor ya Scalp Skin, Testosterone ndi Dihydrotestosterone Maganizo A Odwala Amene Ndili ndi Matenda a Mwamuna. J. Clin. Endocrinol. Metab. 79, 703-706 (1994).
Lumachi F, Rondinone R. Kugwiritsira Ntchito Pulotonione ya Acetate, Finasteride ndi Spironolactone Kuti Zichitire Hirsutism ya Idiopathic. Fertil. Steril. 79, 942-94 (2003).