Wednesday 9 July 2014

KUOTA NDEVU AU NYWELE KWA MWANAMKE, KWENYE SEHEMU AMBAZO SIO ZA KAWAIDA KWA JINSIA YA KIKE, HUJULIKANA ZAIDI KWA MAJINA MAWILI







[1] HIRSUTISM AND 

[2] HYPERTRICHOSIS 


HIRSUTISM is defined as the excessive growth of thick dark hair in locations where hair growth in women usually is minimal or absent or is the growth of terminal hair in female which is distributed in pattern normally seen in male. Such male-pattern growth of terminal body hair usually occurs in androgen-stimulated locations, such as the face, chest, and areolae. [Dark ring around a nipple] 



HYPERTRICHOSIS;

Is an excessive growth of terminal hair that does not follow an androgen pattern,kwenye paji la uso,mikono n.k. Although the terms hirsutism and hypertrichosis often are used interchangeably, hypertrichosis actually refers to excess hair (terminal or vellus) in areas that are not predominantly androgen dependent. 


Whether a patient is hirsute often is difficult to judge because hair growth varies among individual women and across ethnic groups. What is considered hirsutism in one culture may be considered typical in another. For example, women from the Mediterranean and the Indian subcontinent have more facial and body hair than do women from East Asia, sub-Saharan Africa, and northern Europe. Dark-haired, darkly pigmented individuals of either sex tend to be more hirsute than blond or fair-skinned persons.



A woman with hirsutism has excess terminal hair in a masculine pattern, but note that hirsutism may be difficult to evaluate in women who have blond hair In most cases, hirsutism is a benign condition and is primarily of cosmetic concern. However, when hirsutism is accompanied by masculinizing signs or symptoms, particularly when these arise well after puberty, hirsutism may be a manifestation of a more serious underlying disorder such as an ovarian or adrenal neoplasm. Fortunately, these disorders are rare. 



Causes:



[i] Hormones; 

Androgen levels disorders of ovary is one of the causes of Polycystic ovary syndrome (PCOS) . [cyst;- a closed bladder like sack formed in animal tissues ,containing fluid or semi fluid matter] PCOS is a disorder which causes of hirsutism; (PCOS) is one of the most common female endocrine disorders affecting approximately 5%-10% of women of reproductive age (12-45 years old) and is thought to be one of the leading causes of female infertility. 


[ii] Familial hirsutism 

Familial hirsutism is not associated with androgen excess. Familial hirsutism is both typical and natural in certain populations, such as in some women of Mediterranean or Middle Eastern ancestry.


[iii]Drug-induced hirsutism; 

Which results from the treatment of gynecological disorders such as endometriosis danazol which was popular in 1970s, Anabolic steroids; Which are commonly used for muscle-building. Currently used oral contraceptives are likely to cause Hirsutism if used in high or inappropriate dosage.


Siku hizi wanawake wengi wanaota ndevu ukilinganisha na miaka ya nyuma! Hii inasababishwa na nini?



OBVIOUS kwetu ni suala la 



[1]HORMONE MARADHI KWA KINA MAMA ,KAMA UTAONA MANAMKE ANAOTA NDEVU GHAFLA ,ZIKIAMBATANA NA CHUNUSI NA HUKU KUKIWA NA MABADILIKO YA SAUTI KUTOKA YA KIKE KWENDA YA KIUME [Age 12-45 ] , BASI MSHAURI AKAPIME HORMONIES ,PIA APIGE NA ULTRA SOUND HIZO NI DALILI ZA PCOS .



[2] VIDONGE VYA MAJIRA AMBAVYO VINAUZWA KAMA NJUGU ,UTAKUTA MSICHANA MDOGO ANAIGIA FAMASI NA KUSEMA,NAOMBA MAJIRA MBILI NA ANAPATIWA BILA TAABU WALA MAELEZO. 



[3] INDIRECT HORMONE USAGE ,KUTOKA KWENYE VYAKULA.

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