At the age of 20, Ying Nian was "bald" early!Save hair, it should be early or late

From August 26th to 28th, the 6th National Foreign Academic Conference was grandly held in Changsha. The conference brought together many domestic and foreign experts and scholars in the hair field to discuss hair health.

Astronomical baldness (hereinafter referred to as "male bald") is one of the most common types of hair loss. The "Chinese androgen Bald Diagnosis Guidelines (2014 Edition)" pointed out that the prevalence of male male male bald in my country is 21.3%, and the prevalence of women is 6.0%.

This means that one of every five men suffers from "male baldness". "Male bald" patients are increasingly larger.

What's more noteworthy is that "male baldness" is getting younger.

"The patients who came to the clinic were all 20 years old, more than 20 years old, and there were more than 30 years old. There were less than 30 years old, and there were basically no more than 40 years old." Professor Zhang Xingqi said.

Professor Zhang Xingqi is the director of the dermatology department of the First Affiliated Hospital of Sun Yat -sen University and one of the makers of the "Guidelines for Chinese androgen Bald Diagnosis (2014 Edition)".

Why is "male bald" younger? Is it really younger? How can I judge whether I have "male baldness"? How to treat it after being diagnosed? And listen to Professor Zhang Xingqi to solve them one by one.

Why does "male bald" pay attention to young people?

Professor Zhang Xingqi explained that there are two main reasons for young people to "male bald" early:

The first is inheritance.

Domestic epidemiological surveys show that among the male "male bald" patients, 53.3%~ 63.9%of the history of family genetic history are significantly higher than that of the mother. This is why there are more male "male bald" patients clinically.

The second is stress and unhealthy lifestyle.

"Modern young people are under pressure, pressure from the workplace, pressure on parents for marriage, etc., coupled with staying up late, unhealthy eating habits, and less exercise, which causes some people to develop early."

Men's "male baldness", unlike women

How to judge "male bald"?

Professor Zhang Xingqi introduced that the clinical manifestations of men's "male baldness" are obviously different from women.

Men: First, the M -shaped hair loss, that is, the hairline of the forehead is constantly moving backwards, and the hair on the top of the head is slowly becoming thinner and less. "The combination of the two into one, it has become the" Mediterranean "that is often said."

▲ Male "male baldness" performance. Photo source: "Guide to China Astorma Bald Diagnosis and Treatment (2014 Edition)"

Women: The hairline does not move backwards, but the hair on the top of the head gradually becomes thinner and thinner, and the hairline gradually widen.

▲ Women's "male baldness" performance. Photo source: "Guide to China Astorma Bald Diagnosis and Treatment (2014 Edition)"

However, some special hair loss situations may not be male bald, such as acute rest.

Professor Zhang Xingqi has been diagnosed with a patient. He had a full fever for a full week due to the infection of dengue fever. The hair follicles suddenly entered the retreat and rest period. After three months of fever, the acute rest period was caused.

In two months, the patient lost tens of thousands of hair, and his hair was obvious. Fortunately, after three months when the patient's hair loss occurred, his hair grew again.

The clinical diagnosis of "male baldness" must also be checked by professional dermatology.

"Skin mirrors have enlargement and a certain transmission function. You can see that the hair drying becomes thinner and the number becomes less. When the proportion of dry dry drying in all hair drying is greater than 20%, it can be diagnosed."

When I suspect that I am "male bald", I can go to the hospital to find a dermatologist for a dermatologist.

"Male baldness" must be ruled early, but many people don’t know

Internationally, the hair loss is divided into seven levels. The higher the level, the more serious the hair loss.

Professor Zhang Xingqi introduced that the treatment plan is different for different hair loss levels.

Issue 1, 2: Mild hair loss, main use of drugs, such as Minoidur coating agent. Men generally use a 5%concentration, and women use a 2%concentration. Of course, men's phase 2 patients can also take non -male amine or hair transplants.

After the third period: In addition to the external medicine, it also needs oral medicine, such as non -Nacheamine. If the treatment of drugs is invalid, you can choose hair transplantation, which is a remedy. By the 6th and 7th period, if the drug or surgery is invalid, you can only choose to use hair and wigs.

How's the effect?

"The best effect in the first year." According to Professor Zhang Xingqi's clinical experience, more than 90%of people are effective, and their hair will gradually become dense. Professor Zhang Xingqi explained that the "male baldness" was mainly a substance called bi -hydrogen testosterone.

The transformation of bi -hydrogen testosterone is transformed from the male testosterone, which will be combined with therogen receptor on the hair follicle cells, making the hair follicles smaller, the hair grows, and the hair growth cycle is shortened. Finally New hair.

And to generate bi-hydrogen testosterone, there is also a "behind-the-scenes pusher"-5α-reducing enzyme.

Therefore, the role of non -macyamine is to inhibit the activity of restoration enzymes, so that it cannot convert testosterone into bipotinary testosterone, and the hair follicles will not be affected naturally.

However, in the clinic, what makes Professor Zhang Xingqi most regrets that many people do not know that "male baldness" can be cured, and he must be treated early.

The so -called early governance refers to the light moderate hair loss before the third phase.

As the saying goes: "Ten bald nine wealthy." Many people like to connect bald heads with rich and rich, and do not know that this is the disease.

"When he knew it, he didn't know that he had gone. When he found us, it was late to the 5th, 6th, and 7th." Professor Zhang said.

The earlier the "male bald", the better the effect

Clinically, patients often ask Professor Zhang like this: "Why did I take medicine for three years now, my hair is still sparse, it turns out that it is better, and now it is rare?"

"Because this disease is progressing slowly." Professor Zhang often told the patient.

Regarding "male baldness", one thing needs to be recognized -this is a continuous progressive disease. Treatment can only delay the progress of the disease.

In other words, although the hair is long after the drug is treated, it will continue to fall off.

"Not after treatment, the situation does not progress, it is cured. It will gradually worsen like diabetes and hypertension."

And drug treatment can generally only retreat "male baldness" for one phase, for example, from the 7th phase to the 6th period, or from the 6th phase to the 5th phase, such push.

So the earlier the treatment, the more obvious the effect.

Have "male bald", review regularly, don't stay up late

Professor Zhang reminded that "male bald" needs to be reviewed regularly during the treatment of medication.

If you take medicine for 3 months or half a year, you need to do a liver function test, and follow the doctor's advice.

In addition, in daily life, it is necessary to make a difference.

Diet, don't eat too greasy, avoid drinking.

In the work and rest, stay up late. "If you have a male bald, there is no capital to stay up late."

exercise more.

Professor Zhang Xingqi answered questions:

1. About "male bald"

① Are you worried that oral medication is great, can you use only external medicine?

Professor Zhang: Actually, it is safer to oral medicine for osteotomy, oral medicine. Minoider is effective, but using Minoidor alone, it is necessary to accept the effect that the effect is not so good. Clinically, topical and oral combination therapy is recommended.

② When can the medicine be stopped?

Professor Zhang: It is generally three years. The effect in the first three years is better. After three years, the patient sets it by itself. It is necessary to continue to eat the effect. You do not need to stop at any time.

And everyone's demands are different. Patients in the age of 20 or thirty may mind, but when they are 30 or forty, their forty or 50 years old may no longer mind and can stop the medicine. But if there is still a need after 60, it can continue to be treated.

③ What should I do if I plan to prepare for pregnancy?

Professor Zhang: It can be stopped for three months to half a year in advance, and it is completely fine. However, it is not recommended to stop the drug for more than a year. Passing too long may make the hair growing out of the hair again. At the same time, it is not recommended to take non -natamine.

2. About hair loss

① When you wash your hair every day, you have a lot of hair. Will it be "male"?

Professor Zhang: There are often people who come to ask me, but I don't think this is morbid.

The growth cycle of hair follicles is divided into growth period, retreat and rest period. Every 3 to 6 years of growth, it will enter the retreat and rest period. Then start the next cycle, cycle back.

Sometimes the hair loss is severe, which may be the effects of seasonal conversion, poor mood, and weight loss. It happens that the hair follicles have entered the rest period synchronously, and hair loss is more. But every time you take it off, the bottom is new, and it seems that although the hair is much dropped, the density does not decrease.

People who are too anxious can count their hair. Wash the head once every two days, and it is normal to lose more than 100 hair per day.

You can also see hair loss. The increase in hair loss of ordinary people is generally not more than one month, and it is not normal if it lasts until half a year. If the continuation time is long, the hairline will become wider, you can do a dermatologist to see if you are bald.

② Is ginger anti -shampoo, is it useful?

Professor Zhang: The anti -proof is a pseudo -concept. The hair enters the rest period, and it will be taken out in 3 months, and even the drug cannot be taken off. And the hair follicles are under the scalp, it is not useful to wash my head.

In fact, it is not to prevent it, but to grow hair and grow hair quickly.

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