Thuốc điều trị rụng tóc, hói đầu

ThuOc di^u tri ^

rung toe, hoi dku •»DS. MAI XUAN DUNG

Tim hieu v^ run g toe, hoi da u

Tdc mang lai ve dep tham my

vd y nghia vdn hda, Ngoai ra, tdc

cdn la bieu tUdng lien quan de'n cac

yeu to' di truyen, chung tdc, gidi

tinh, tuoi tdc...

Tdc difffc cau tao bdi thanh

phan chinh la keratin (mgt dang

protein) dd chet. Binh thifdng, tren

dau chung ta cd khoang 100.000

scfi toe. M5i ngay khoang 50 - 100

scfi tdc rung di vd se difOc thay the

bdng cac scri toe mdi moc len, ddy

la hien tUong rung tdc binh thifdng

(rung tdc sinh ly). Khi so' lifcfng tdc

rung vLfcft qua 100 scfi mdi ngay

mdi la rung tdc bd't binh thadng

(rung tdc benh )y).

Hdi dau la tinh trang rung tdc

bat binh thudng vdi sd lUcfng tdc

rung rat nhieu va de lo ra nhCfng

mang da dau.

Khi toe rung nhieu se gay ra

tdm trang lo ldng vd dac biet trong

trudng hop hdi dau, se anh hudng

nhilu vd mat tham my!

Nhiing dgng rgng tdc bgnh ly

- Rung tdc di truyen: thUdng

gay ra tinh trang hdi ddu d nam

gidi, di truyen tif the he nay sang

the' he khac, do tac ddng cua

androgen len nang tdc, thu hep

kich thudc nang tdc vd lam ngUng

sU phdt trien cua tdc,

- Rung tdc tdng mdng: tdc rung

tifng mang tren da dau, la benh

ly tu mien khi he mien dich cua

cd the ta'n cdng len nang tdc lam

ngUng sU phat trien cua tdc.

- Rung toe todn bo\ tdc rung

todn bp tren da ddu.

- Rung toe todn thdn: tdc, idng

rung khdp co the.

Nguyen nhdn gdy ra rung toe

- Do yeu td ngi tiet: phu nQ

trong thdi ky mang thai, cho con

bu, man kinh hay sU gia tdng

hormon androgen d nam gidi..

- Do binh ly: mdt so' benh ly

thudng gay ra rung tdc nhu benh

ly tuye'n giap, Lupus ban do,

thuong hdn,.

- Do chdn thuang vung da ddu,

seo-

- Do thud'c: cdc thud'c dieu tri

ung thu, thuo'c ngiia thai, thud'c

khang sinh gentamycin, vitamin

A lieu cao, cd the gay ra rung tdc

- Do thoi quen but toe, chai dau

qua manh, gdi dau qud nhieu.,

- Do tudi tdc: tuoi cdng cao tdc

cdng rung nhieu,..

Thuoc dieu tri rung toe, hoi dau

Nhdm thud'c dinh diidng toe

• Vitamin 85 (dexpanthenol) vd

vitamin H (biotin) la hai vitamin

can thiet cho sU phat trien ciia tdc,

giup tdc bdng, khde, ngdn ngifa

rung tdc,

Cdc thuo'c tren thudng dUcfc

trinh bay d dang thudc vien hay

thud'c tiem.

• L-cystin: la mgt acid amin tU

nhien cd nhieu trong nhung huuu,

nai, giup kich thich sU phdt trie'n

nang tdc, lam viJng chan tdc, ngan

ngifa rung tdc,

L-cystin thUdng dUpc trinh bay

d dang thudc vien.

Nhdm thudc chUa hdi ddu

• Minoxidil: kich thich sU phat

trien tdc d dinh dau, thudng ducfc sif

dung trong dieu tri hdi dau d nam

gidi do rung tdc di truyen. Minoxidil

trudc day la thudc dieu tri cao huye't

dp, do tac dung phu ciia thudc la gay

ram long nen hien nay dUdc Cfng

dung trong dieu tn hdi dau.

Minoxidil thudng du^c trinh

bay d dang thud'c vien ham lucfng

5 - lOmg hay dang thudc xit tdc

dung tai cho vdi nong do 2 - 5%.

• Finasterid: cd vai trd chuyin h6a

cdc ngi tiet td androgen testosteron

thanh dihydrotestosteron (DHT),

nen lam giam sU gia tang androgen

gdy rung tdc. Finasterid difcfc si}

dung trong dieu tri hdi dau S nam

gidi do rung tdc di truydn vd difOc

trinh bay d dang thuo'c vien ham

lupng Img (vdi ham lUdng cao han,

finasterid dimg trong diiu tri phi

dai tuyen tien liet lanh tinh).

Khdng duuc su" dung finasterid

cho tre em vd phu nil mang thai

• Nhom thudc corticosteroid

(hydrocortison, triamcinolon...): la

nhuiig cha't ufc che mien dich, ngdn

chdn he mien dich cua cP the tSn

cdng len nang tdc.

•V^ vdy, nhom thud'c nay thifdng

dupc sii dung trong diiu tri hdi dau

do rung tdc tifng mang.

Nhdm thud'c corticosteroid

thudng duuc trinh bay d dang thucfc

dung ngoai (thuo'c kem, thuoc m3..-)

hay d dang thuo'c ehich.

LUu y: Cdc thud'c chiia rung

tdc, hdi ddu thudng gdy ra nhieu

tdc dung phu, nen can cd sif clii

dinh va theo ddi chat che ciia

thay thudc,

Ben canh viec dieu tri bang

thud'c, can cd che' do dinh difdng

td't, can bdng. Trdnh cdc thdi quen

xd'u anh hifdng den tdc nhi/ c§t, b4

tdc qud chdt, xodn tdc hay duSi tw

qua mdc, ^

THUOC & sd'c KHOE so'503 (1.7.201*