Dr. Wu tells you about hair loss treatment

Common types of hair loss:

1. Androgenetic alopecia: also known as seborrheic alopecia, the incidence rate of Chinese males is about 20%, and females are about 5%. There is evidence that it is related to the level of dihydrotestosterone and the sensitivity of scalp dihydrotestosterone receptor. , mental factors, genetic background, local fungal infections of the scalp and microcirculation of the scalp, etc., the incidence may be the result of multiple factors interacting at the same time, the specific mechanism of each person"s disease is not the same, so its treatment needs to be adopted Multi-target, multi-channel and multiple methods of comprehensive prevention and treatment, the purpose of the treatment group is to prevent the development of the disease, so that the hair that has been miniaturized as much as possible to restore normal growth rate.

2, alopecia areata: also known as ghost shaving, alopecia areata is divided into common alopecia areata, diffuse alopecia areata, alopecia areata, alopecia areata and total baldness, which may be related to their own and hair follicle immune abnormalities, genetic quality and mental stress, etc. The mechanism is still unclear. The vast majority of mild alopecia areata can heal itself by relaxing mood and reducing stress. If alopecia areata develops rapidly, or the area exceeds 50%, or cures for a long time, and even spreads to other parts, it should be promptly treated. The longer the onset of alopecia areata, the larger the area, the more difficult it is to treat.

Need a laboratory test for treatment:

Since hair disease treatment is a long-term process, long-term medication may have safety risks. It is recommended to check blood routine and liver and kidney function regularly. The first three months can be checked every month, and then reviewed every month, depending on the The condition may require review of items such as immunity, trace elements, endocrine and sex hormone levels. Male androgenetic alopecia can check testosterone or free testosterone, estradiol and blood routine, liver and kidney function; female androgenetic alopecia can check six gynecological hormones (to stop oral medication on the day of menstruation, in the second period of menstruation Blood was collected for 4 days, 2-3 hours in the morning, 3 minutes before the blood draw, and the mood was stable), serum ferritin and trace elements. Alopecia areata: T cell subsets, T3/T4/Tsh, trace elements, etc., children with alopecia areata and cytomegalovirus and EB virus. Patients who use oral hormones are advised to check bone mineral density for 3-6 months. In order to ensure efficacy and drug safety, it is recommended to review every 3 months. If there are no problems for 2 consecutive times, the review time can be extended appropriately.

About the effect:

Hair loss is a refractory disease, and it is also a slow treatment process. It advocates early, long-term, standardized, combined and individualized treatment. If the treatment is successful, it usually stops for 3 months, and 6 months may see obvious effects, because each Individuals have different sensitivities to drugs, and the onset time and adverse reactions of drugs are not the same, and the specific onset time varies from person to person. The hair that has fallen off is a hair follicle that has been degraded. It will not grow long and thick, and only newborn hair may grow long and thick. Scarring alopecia, spastic alopecia areata, congenital hirsutism, severe androgenetic alopecia and some severe alopecia areata are less effective.

Frenzy phenomenon:

In the early stage of treatment, due to the partial quiescent period or the damaged hair follicles stop growing, this part of the hair gradually falls off after the medication, and re-enters the growth period, so the hair loss increases, don"t worry, generally 6-12 weeks will gradually relieve, so there is madness The phenomenon suggests that more hair may grow out, don"t worry, just wait. In fact, the hair has been kept in dynamic balance during shedding and growth. If the speed of growth falls off, the total amount of hair will increase, and on the contrary, it will decrease. The purpose of treatment is to promote growth and reduce shedding.

Recurrence problem:

Because hair loss is a refractory disease, different types of hair loss, different prognosis, androgenetic alopecia patients will relapse, the degree of hair loss will return to the starting point after stopping treatment for a period of time, requiring long-term maintenance treatment, at least one for oral or topical use. . Mild alopecia areata can heal itself. The severe alopecia areata with more than 50% of hair loss area may have recurrence after stopping the drug. It needs to be gradually reduced or reduced after the cure, and mild recurrence occurs during the reduction of the drug. It is a normal phenomenon. The adjustment can generally be controlled.

The skin is the larger organ of the human body and the first defense barrier of the human body. The health of the skin is related to the health of the human body. The skin disease causes physical damage to human beings. The mental stress is often more stressful than hypertension, diabetes and heart disease. Pain, solving skin diseases can not only bring healthy skin to patients, but also bring a happy mood. Hair is the external manifestation of the human spirit. Although its physiological function is gradually decreasing, its social function is more and more important. The reduction of the number of hair, the change of diameter, the change of color and the change of elasticity all reflect the changes of human function. The change of qi and blood yin and yang, the so-called "one leaf knows the autumn, pulls the whole body and moves the whole body", pays attention to the top priority, pays attention to the health of the scalp, and pays attention to the wonderful life!