Sili pe le manaʻomia lauulu i fafine

O le tele o taimi, o fafine e laulu lelei i luga atu o latou laugutu ma luga o latou auvae, fatafata, manava, poʻo tua. O le tuputupu aʻe o lauulu pogisa mageso i nei eria (sili atu ona masani ai o le tuputupu aʻe o tama-faiga laulu) e taʻua o le hirsutism.

Tamaʻitaʻi masani ai maua maualalo tulaga o aliʻi homone (androgens). Afai o lou tino e tele tele o lenei homone, oe ono i ai le le manaʻomia ulu tuputupu ae.

I le tele o tulaga, o le mafuaʻaga tonu e leʻo iloaina. O le tulaga e masani ona tamoʻe i totonu o aiga.

O le mafuaʻaga masani o le hirsutism o le polycystic ovarian syndrome (PCOS). Tamaʻitaʻi e iai PCOS ma isi tulaga o le homone e mafua ai le tutupu aʻe o laulu e le manaʻomia ono i ai foi:

• Fuafua
• Faʻafitauli ma masina faʻafomaʻi
• Faʻafitauli ua leiloa le mamafa
• Maʻi suka

Afai o nei faʻailoga e amata faʻafuaseʻi, oe ono i ai se patu e faʻasaʻolotoina tane tane.

Isi, seasea mafuaʻaga o le le manaʻomia ulu tuputupu ae ono aofia ai:

• Tumo poʻo le kanesa o le adrenal gland.
• Tumo poʻo le kanesa o le ovary.
• Cushing syndrome.
• Fuafua adrenal hyperplasia.
• Hyperthecosis - o se tulaga e maua ai e le ovaries le tele o homone tane.

Faʻaaogaina o nisi vailaʻau mafai foi ona avea ma mafuaʻaga o le le manaʻomia ulu tuputupu ae, aofia ai:

• Testosteron
• Danazol
• Anabolic vailaʻau
• DHEA
• Glucocorticoids
• Cyclosporine
• Minoxidil
• Phenytoin

Tamaitai fausia tino mafai ave tane tane (anabolic steroid), lea e ono mafua ai i le soona tuputupu ae lauulu.

I tulaga seasea, fafine ma hirsutism maua masani tulaga o tane tane, ma le mafuaʻaga faʻapitoa o le le manaʻomia ulu tuputupu ae le mafai ona iloaina.

O le faʻailoga iloga o lenei tulaga o le i ai o lauulu pogisa mageso i vaega e maaleale i tane tane. Nei eria aofia ai:

• Auvae ma laugutu pito i luga
• Fatafata ma manava pito i luga
• Tua ma tua
• Suilapalapa i totonu

O le a suʻesuʻe oe e lau tausi soifua maloloina ma fesili e uiga i ou faʻailoga.

O suʻega e ono faia e ono aofia ai mea nei:

• Suʻega ole testosterone
• DHEA-sulfate faʻataʻitaʻiga
• Pelvic ultrasound (pe a fai o le virilization, poʻo le atinaʻeina o uiga tane, o loʻo iai)
• CT scan poʻo le MRI (peʻa iai le faʻamalosi tino)
• 17-hydroxyprogesterone faʻataʻitaʻiga toto
• Suʻega faʻaosofia a le ACTH

O le Hirsutism e masani lava o se faʻafitauli umi. E tele auala e aveʻese pe togafitia ai lauulu le manaʻomia. O ni togafitiga e umi atu le umi nai lo isi.

• O vailaʻau-- O vailaʻau faʻapena e pei o fualaʻau taofiofia ma fanau mai vailaʻau e puipuia ai androgene ose filifiliga lea mo nisi fafine.
• Eletise -- O le eletise o loʻo faʻaaogaina nei e tumau ai le faʻaleagaina o lauulu lauulu laʻititi latou te le toe ola ai. O lenei metotia e taugata, ma e tele togafitiga e manaʻomia. Fula, maʻila, ma mumu o le paʻu ono tupu.
• Leisa malosiaga faʻatonuina i le pogisa lanu (melanin) i lauulu - O lenei metotia e sili mo se vaega tele o matua pogisa lauulu. E le galue luga lauulu enaena pe mumu.

Filifiliga le tumau e aofia ai:

• Ua tafi -- E ui lava e le mafua ai ona tupu tele lauulu, e ono faʻamatagofie atili ai lauulu.
• O vailaʻau, veleina, ma le solo -- O filifiliga nei e sefe ma taugofie. Ae ui i lea, o vailaʻau vailaʻau ono afaina ai le paʻu.

Mo fafine ua ova tele, o le paʻu pa'ū atonu e mafai ona fesoasoani faʻaititia le tutupu lauulu.

Lauulu kulupu tupu pe a ma le 6 masina ae leʻi paʻu i fafo. O le mea lea, e tele masina o inu vailaʻau ae e te leʻi maitauina le faʻaititia o lauulu tuputupu aʻe.

Tele fafine e maua faʻaiuga lelei ma laʻasaga le tumau e aveʻese ai lauulu pe faʻamama ia.

Ole tele ole taimi, ole faʻamalosi tino e le mafua ai ni faʻafitauli tau le soifua maloloina. Ae tele fafine e faʻapea e faʻasoesa pe faʻamaasiasi foi.

Valaʻau lau tautua peʻa iai sau mea nei:

• E tupu vave le lauulu.
• E iai foʻi au tama foliga e pei o fuafua, faʻalolotoina o le leo, faʻateleina maso maso, male tamaʻi manifinifi o lou lauulu, faʻateleina lapoʻa o le clitoris, ma faʻaititia le tele susu.
• O loʻo e popole ona o vailaʻau o loʻo e inuina e ono faʻateleina ai le tupu o lauulu e le manaʻomia.

Hypertrichosis; Hirsutism; Lauulu - ova (fafine); Ova lauulu i fafine; Lauulu - fafine - soona fai pe le manaʻomia

Bulun SE Physiology ma faʻamaoniga o le fafine fanautama au. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Tusitusiga o Endocrinology. 14th lomiga. Filatelefia, PA: Elsevier; 2020: chap 17.

Habif TP. Faamaʻi lauulu. I le: Habif TP, ed. Togafitiga Dermatology: O Se Valivali Taiala i Suʻesuʻega ma togafitiga. 6th ed. Filatelefia, PA: Elsevier; 2016: mata 24.

Rosenfield RL, Barnes RB, Ehrmann DA. Hyperandrogenism, hirsutism, ma polycystic ovary syndrome. I totonu: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Matutua ma Tamaiti. 7th ed. Filatelefaia, PA: Elsevier Saunders; 2016: mata 133.