Azimayi ali ndi mavuto ambiri omwe akugwirizana ndi maonekedwe. Imodzi mwa mavutowa ndiwowonjezera tsitsi la amayi. Tsitsi lalitali silingayambe kuvulaza, ngakhale litaphimba manja, mapazi, mmbuyo, mimba kapena nkhope. Komabe, khalidwe la mkazi lingakhale lopsinjika chifukwa cha kuwonjezeka kwa tsitsi. Mu sayansi ya zachipatala, pali ziganizo ziwiri zomwe zimalongosola kuwonjezeka kwa tsitsi kumalo osagonana - hypertrichosis ndi hirsutism.
Liwu lakuti hirsutism limatanthawuza kuwonjezeka kwa ubweya wa m'mimba mwa mkazi wa mtundu wamwamuna. Pansi pa tsitsi lotsekemera kumamveka ngati motalika, mdima, wovuta, pansi pa tsitsi la tsitsi - utoto waung'ono, wamfupi, wofewa. Mtundu wa tsitsi umakhala ndi kukula kwa tsitsi kumtunda ndi kumbuyo, kumtunda kwa sternum, pa khungu. Kumbali ina, kukula kwa tsitsi lakuthwa kumapeto kwa kumbuyo ndi mimba, pafupi ndi mbozi, pamilingo ndi manja zimaonedwa ngati zachilendo. Kuwopsa kwa matendawa kumakhala ndi kuwonjezeka kwa tsitsi kumalo komwe iwo amaonedwa kuti ndi osowa, koma kukula kwawo kumalimbikitsidwa chifukwa cha msinkhu, chikhalidwe ndi mtundu.
Zomwe zimayambitsa hypertrichosis ndi hirsutism mwa amayi ndi zosiyana, nthawi zina zimagwirizana. Mu mankhwala, pali mitundu yambiri ya hirsutism mwa amayi, malingana ndi zomwe zimayambitsa zochitika zake. Hirsutism (tsitsi lowonjezeka) lingayambidwe ndi mahomoni ochuluka a amuna, mankhwala a hirsutism, majini kapena mazira a hirsutism, adiopathic hirsutism.
Mahomoni ochuluka a amuna ogonana ndi abambo ndi zotsatira za zifukwa zingapo, zomwe matenda a adrenal ndi owopsa kwambiri. Komabe, chifukwa chofala cha hirsutism ndi matenda a Stein-Leventhal kapena matenda a ovary sclerocystosis. Zilonda za adrenal glands, makamaka zipsinjo zoopsa m'magazi awo, zimaphatikizidwa ndi kutuluka kwazomwe amachititsa kuti mahomoni azigonana. Zotsirizirazo zimasandulika kukhala testosterone m'magazi a thupi. Komanso, khansa ya m'mapapo imapangitsa kuti chivundikiro cha tsitsi chiwonjezereke m'madera a "amuna", monga momwe matendawa amachitira ndi mavitamini omwe amachititsa ntchito ya adrenal glands. Matenda a Stein-Leventhal amaphatikizidwa ndi kuwonjezereka kwa mazira ambiri, omwe pazifukwa zina amayamba kupanga maselo omwe angagwiritse ntchito mahomoni azimuna mwa amuna. Kusintha koteroko m'thupi kumabweretsa maonekedwe a hypertrichosis ndi hirsutism, kuphwanya kwa msambo, ndipo nthawi zina kusabereka.
Mankhwala osokoneza bongo ndi hirsutism mwa amayi akhoza kuyembekezera pasadakhale chifukwa cha zotsatira za mankhwala. Zikudziwika kuti kafukufuku wochuluka kwambiri wa tsitsi ukukula ndi corticosteroid kukonzekera. Izi zikuphatikizapo hydrocortisone, cortisone, prednisolone ndi zina zotero. Mankhwalawa amauzidwa ndi dokotala, mosasamala kanthu za zotsatirapo, pokhapokha pofufuza zoopsa zonse pochiza wodwala.
Banja la hirsutism limatsimikiziridwa ndi chibadwa ndipo ndi chikhalidwe cha umunthu, kupatula ngati zizindikiro zina za kusokonezeka kwa endocrine zimapezeka.
Chotsani zifukwa za idiopathic hirsutism sichipezeka. Zimakhulupirira kuti zikhoza kugwirizanitsidwa ndi ntchito yowonjezereka ya machitidwe ena a ma enzyme a thupi, komanso kumvetsetsa kwapamwamba kwa minofu ya tsitsi kuti achite ndi androgens. Pakalipano, makampani opanga mankhwala sanayambe kupanga mankhwala omwe angathe kuthetsa chifukwa cha idiopathic hirsutism. Njira yokhayo yotulukira pankhaniyi ndi kuchotsa tsitsi. Msikawu umapereka njira zosiyanasiyana komanso njira zochotsera tsitsi lopanda tsitsi, lomwe miyendo ya mkazi iyenera kukhala yodula.
Zomwe zimayambitsa hypertrichosis ndizosiyana kwambiri. Mavuto omwe amachititsa kuti munthu asamangokhalira kumwa matendawa ndi njira zobadwa zokhudzana ndi matendawa, pamene akukamba za kukhalapo kwa chiwalo cha chibadwa cha matenda a hypertrichosis. Kuwoneka kwa hypertrichosis kungakhale kwachisokonezo komanso chifukwa cha mankhwala. Mankhwala omwe amachititsa chitukuko cha hypertrichosis ndi ofanana ndi omwe amachititsa hirsutism.