Thursday, August 2, 2012

Alopecia Treatment Men


Male Alopecia Introduction With all its colors, hair styles and variations have an important role in image and imagination of people, both young and mature, male or female. Hair loss in men is an important factor in the lives of more than 5 million men in Spain.Thanks a man likely to experience some hair loss throughout their lives ranging from 3 to 7. Statistics show that nearly 40% of men will lose some hair about 35 years, but this number increases to 65% in men 60 or older. Many men find this alarming problem. For some men the loss can be permanent. However, many causes of hair loss are treatable. Certainly, the appearance depends largely on the appearance of hair, and no wonder we spend much money on hairstyles and hair care products designed to give hair a healthy, shiny and young. For many men the hair is a sign of youth and vitality. Structure of hair peloLa outer portion, called the stem, is the hair that we see and hairstyles.

It's a really dead tissue and produced by hair follicles, small sac-like structures situated deep in the scalp. Each hair is contained within a follicle. The average head has 100,000 hairs. At the base of the follicle is the root, oval shaped, and is the site responsible for hair growth. In the lower portion of it is the papilla, which contains blood vessels that provide blood flow to each hair. As the hair grows the cells move toward the surface of the skin and make a protein called keratin, being replaced by new cells. Keratin is the same protein found in nails. The stem is composed of 3 layers: the cuticle, the cortex and medulla. The cuticle or outer layer consists of small cells known as scales. The case serves cuticle to the cortex, the thickest portion of the stem, composed of cells arranged in sheets of snuff. The bark contains the pigment that gives hair its color. The bone is composed of box-shaped cells and is located in the center.

The spaces between the cells of the bone influence the refraction of light and tone the hair. Glands and hair músculosEl is lubricated by fatty secretions that come from the sebaceous glands on the sides of most of the follicles. Surrounding these glands and the rest of the follicle, there are groups of muscles (arrector pili) that allow the hair to stand on or put us on end when we got scared or cold. Head growth cycles have an average of 100,000 hairs. Hair grows and is renewed regularly. It is normal to fall between 50 and 100 hairs every day. If you have no problems probably will not notice this small loss. Hair grows about 1 cm per month, even if that growth slows as we age. Each hair remains on the heads of two to six years, and during most of this time is continually growing. When the hair grows older enters a resting stage in which remains on the head, but does not grow. At the end of this phase the hair falls out. Usually the follicle replaces it within six months. But many factors can disrupt this cycle.

The result may be that the hair fall soon or is not replaced. Normally 90% of hair is in a continuous phase of growth (anagen) lasting between 2 and 6 years. 10% of hair is in a resting phase that lasts about 2-3 meses.Al end of the normal resting phase the hair is falling out (telogen phase). As the hair falls out is replaced by a new hair from the same hair follicle beneath the skin. Throughout the life of the person does not form new hair follicles. Blondes tend to have more hair (140,000 hairs) than brunettes (105,000) or redheads (90,000). As we age the hair growth rate decreases, resulting in a progressive hair thinning. Since the hair is composed of protein (keratin) and the same material found in fingernails, it is essential that all people ingest or eat an abundant amount of protein to maintain hair production. Protein is found in meat, poultry, fish, eggs, milk, cheese, cereals, nuts and soy. Leading Causes Androgenetic Alopecia. It is the most common cause of hair loss in men.

It is determined by 3 factors: aging, hormones and heredity. Most people experience some hair loss as they age. The result may be a partial or total baldness. Men are much more likely than women to baldness and hair loss as they age. Male pattern baldness hair loss occurs in a characteristic pattern that affects the inputs and the "roof of the head." It is typically genetic. The hair loss starts around 18 years and is already apparent between 25 and 30. This hair loss, the hairs are replaced with finer hairs and short. They can even become transparent. Inherited from both father and mother. In these cases there is an abundance of dihydrotestosterone (DHT), a male hormone, into the hair follicle. The conversion of testosterone to DHT is regulated by an enzyme, 5-alpha reductase in the scalp. Over time, the action of DHT enables the follicle to degrade and shortens their growing stage (anagen). Although the follicle is technically alive grow smaller and smaller. Some hair just die, but most are smaller, more hairy.

As the anagen phase is still very short, more hair fall and hair gradually thins until it becomes so thin that it can not withstand the daily hairstyle. Baldness long hair becomes thick and thin pigmented hair, lighter and fluffy. However, the sebaceous gland attached to the follicle continues to have the same size and continues to produce the same amount of sebum. When a medical treatment (finasteride, spironolactone) is achieved by reducing male hormones, the sebaceous glands become thinner and produces less fat. In these cases, the amount of hormone in the fat is also less, so not much damage will occur. There seems to be also an immunological factor in baldness. Basically, the immune system begins to take target hair follicles in the areas of alopecia. The rise in male hormones (DHT) during puberty begins this process. Secondary Causes A variety of factors can cause hair loss, often transient, in males. MedicamentosAlgunos drugs used in cancer chemotherapy cause hair cells to stop dividing and the hair become thin and break easily as they emerge from the scalp.

This phenomenon occurs 1-3 weeks after the start of cancer treatment. The patient may lose 90% of the hair. In most patients the hair grows back when treatment ends anticancer. These patients are advised to purchase a wig before starting treatment. Also, many popular medications can cause hair loss, cholesterol lowering drugs: clofibrate (Atromis-S) and gemfibrozil (Lopid). Drugs for Parkinson's disease: levodopa (Dopar, Larodopa). Anti-ulcer drug cimetidine (Tagamet), ranetidina (Zantac) and famotidine (Pepcid). Anticoagulants Coumarin and Heparin. Agents gout: Allopurinol (Loporin, Zyloprim, Zyloric). Antiarthritics: penicillamine, auranofin (Ridaura), indomethacin (Indocid), naproxen (Naprosyn), sulindac (Clinoril) and methotrexate (Folex). Derivatives of Vitamin-A: isotretinoin (Accutane, Roaccutane) and etretinate (Tegison, Tigason). Anticonvulsants / antiepileptics, trimethadione (Tridione). Antidepressants: tricyclics, amphetamines. Beta blockers for high blood pressure: atenolol (Tenormin), metoprolol (Lopressor), nadolol (Corgard), propranolol (Inderal) and timolol (Blocadren). Antithyroid: carbimazole, iodine, thiocianato, thiouracilo.Otros: Blood thinners, male hormones (steroids anabolic steroids).

Iron deficiency anemia occurs ferropénicaLa hair loss in both men and women. This lack of iron is detected with analysis and is easily corrected with medical treatment. DietaUna diet low in protein can also cause hair loss, as well as poor iron intake. Vegetarians, dieters low in protein and patients with anorexia nervosa may have a poor protein nutrition. When this occurs, the agency helps to preserve the proteins of the subject, shifting growing hairs into the resting phase, which these people find a mass of hair falling about 3 months later. After pulling the hair, the hair comes off easily with root. This process is reversible with medical treatment, which requires an adequate intake of protein. EnfermedadesSe Stress and hair loss can start between 1-3 months after a stressful situation, such as major surgery. High fevers, severe infections or chronic diseases may also result in hair loss. TiroideaUna Disease or underactive thyroid overactive can cause hair loss. These diseases are diagnosed by clinical symptoms and laboratory tests.

Require specific treatment. Alopecia areata, a common disease that causes hair loss in patches, in the scalp and other parts of the body. It affects men and women of all ages, although most young people. Here the affected follicles hair produces less remarkably, they become very small and produce a barely visible hair. These follicles are in a dormant state and can resume at any time after receiving an activity appropriate signal. Some people develop only a few bare boards that are replanted within one year. Sometimes you lose all the hair of the head (alopecia totalis). In other people, you lose all body hair (alopecia universalis). Alopecia areata is thought to be an autoimmune disease in which the body mistakenly produces antibodies against the hair follicle (autoalergia). Neural factors may precipitate the disease or prevent its overcoming. The treatment consists of applying minoxidil, cyclosporine, steroid creams or anthralin or injected cortisone into the bare. In selected cases the lesions dibenciprona applied to produce an allergic eczema that stimulates the follicle asleep.

TiñasEs a fungal infection of the scalp. It can cause small patches of scaling and some hair loss. Inappropriate care cabelloAlgunos men use chemical treatments on your scalp, such as dyes, tints, bleaches, permanent waves and straightened. These chemical treatments can damage hair if done incorrectly. The hair becomes weak and breaks when these substances are often applied or if left too long, if two procedures are done the same day or if you apply bleach to previously bleached hair. If hair becomes too porous and dull by excessive exposure to chemical treatments, it is advisable to discontinue these treatments until the hair recovers. The shampoo, brushing and combing are necessary for proper care of hair, but if done improperly or too much can damage the hair, causing it to rupture or fraying their stem ends. You can use a conditioner after shampooing to reduce the force required to comb the hair and also make it more manageable. Where there are split ends and hair styling difficult, it is advisable to use silicone serums. Excess water should be dried and rubbed briskly with a towel.

When hair is wet its structure is more fragile and therefore must be avoided vigorous combing or brushing. Forget the old recommendation of brushing or combing too much, because it damages the hair. Use combs with widely spaced teeth and fine bristle brushes, preferably natural (boar bristle brushes). The hairstyles that require tension on the hair should be alternated with looser hairstyles to avoid the "pull" constant which causes loss of hair, especially on the sides of the scalp. Treatments. Local use. 1. Minoxidil. It is a vasodilator that has been used orally in the treatment of hypertension and is now widely used in the treatment of various alopecias. In general, apply 1 ml of the lotion twice a day (12 hours) with the hair dry, as moisture increases the penetration of the product several times. It works best in young men (20 years), especially in those with mild hair loss (thinning) on ​​the vertex (vertex) or a small bald 3-4 cm, but it also has action on the entries. The response to minoxidil is very individual. Treatments should be 2 to 5 years.

The hair will recover from the downy hairs that exist in our scalp. You can expect a positive response in the frontal area. Minoxidil causes hair to become thicker and healthier. The answer is best for people with hair loss of less than 2 years. Most see a fuzz in the first months. Some can be seen more hair loss after the first applications. This is because the hair should fall to grow old and new. Positive results can be seen as early as 4-8 months, although the maximum effects of minoxidil are reached within 12-14 months. If applied in conjunction with tretinoin, first apply the Minoxidil solution, wait to dry (usually 15-30 minutes) and then applying tretinoin. Tretinoin should be applied only at night. You can use minoxidil with Finasteride, and joint use is more effective than separado.2. Pyrimidine N oxides. It is a generic class of minoxidil-like hair tonic (2.4-Diaminopyrimidine aminexil-3-oxide). The results in more than 250 women and men include an increase of 8% of hairs in growth after 6 weeks of treatment, compared to a decrease in the percentage of placebo-growing hair.

3. Tretinoin has been used for years in the treatment of acne. It is also a hair tonic at appropriate doses, particularly in combination with minoxidil. If implemented together, first apply minoxidil solution, wait to dry (usually 15-30 minutes) and then applying tretinoin. Tretinoin should be applied only at night. Expect a slight irritation on the skin of the scalp, especially at the beginning of treatment. 4. Natural Treatments. There are many treatments with vitamins, sulfur amino acids (cystine, methionine, cysteine, carboxylic acid tiazolidín), minerals (zinc) and plant extracts (chestnut, marigold). They are useful to supplement the diet and promote healthier hair. Sulfur amino acids favor the formation of keratin, the protein that gives structure to the hair. The plant extracts act by stimulating circulation and revitalizing hair follicles. Zinc gluconate is astringent and reducing sebum production by inhibiting the production of DHT when applied topically. The amniotic fluid and hydrate and stimulate tricosacáridos follicle. 5. Other. Have recently been using lotions containing superoxide dismutase (copper-binding peptides) to strengthen and activate the growth of hair. This is based on the fact that there are chemical messengers in the body that send signals to the follicles to initiate anagen and telogen phases.

In this sense, the radical turn the hair into the telogen (resting phase), while nitric oxide causes the hair into the anagen (growth phase). Obviously, treatment should stimulate nitric oxide levels and reduce levels of superoxide radical using superoxide dismutase and antioxidants. Also, years ago was used Polysorbate 80, which induced hair growth in some people only treatments. Mouth. Vitamins. Androgenetic alopecia is not due to lack of vitamins. However, it has been determined that supplemental sulfur amino acids (arginine, cysteine) and vitamins (biotin, folic acid) promote hair nutrition, reduce fat and promote the synthesis of the protein that gives structure to hair keratin. Antiandrogens. Reduce male hormone (DHT), resulting in baldness. To understand the mechanism of action of these drugs, should be known that DHT is one of the male hormones called androgens competing for a place in the follicle receptors. If we kept busy with receptors other hormones, including progesterone, DHT had no chance to enter the host and begin to reverse the follicle. The problem is that if the DHT is blocked elsewhere in the body, signs of feminization occur in males.

In contrast, in women this block is less problematic.

1. Finasteride. Initially was used in the treatment of prostate hypertrophy. Prevents testosterone to become male hormone responsible for prostate enlargement (which is the same responsible for hair loss). It is taken orally. What are the side effects of Finasteride? Finasteride side effects are not important. In early studies, a percentage less than 2% of patients taking finasteride experienced sexual problems, although in later studies found an equal percentage in patients taking placebo. Either way, the problems are transient and disappear when treatment is stopped. It can be seen also a reduction of hair on chest, back and shoulders. Very rarely can cause tenderness and enlargement of the breasts. If the case should be discontinued. What I can expect from Finasteride? Finasteride works by reducing the male hormone that initiates and maintains hair loss. In most men Finasteride stops or significantly slows the balding process. Most men notice a 10% hair growth after one year. Like Finasteride does not stimulate hair growth, but keeps him away from the influence of male hormones, it takes some time to rebound, so that only the hair that grows more recently have lost.

The greatest impact of this medication is the arrest, no recovery of baldness. The results are individual. Some men experience a significant amount of hair growth, others little. In almost all prevents hair fall further. The more recent the hair loss the easier it is to grow. 2. Zinc. Affects hormone levels when taken orally and inhibits the production of DHT when applied topically. 3. Spirolactone. It is commonly used as a diuretic, but it is one of the most potent androgens and reduces DHT, the hormone that causes hair loss. Can also be applied topically, which is not absorbed and no internal effects. It is used at doses of 50 to 100 mg day.4. Other antiandrogens. Ketoconazole is an antifungal agent which has antiandrogen properties. Treatments. Surgical procedures are 2 surgical procedures. 1. Hair Transplantation. Small pieces of hair-bearing skin are transferred from the back of the scalp to a bald area. It takes several sessions and the results are very satisfactory. 2. Reduction. The bald portion is removed surgically, disappearing or decreasing the bald area. The results are better in older men whose skin is loose and pliable.

Treatments. Surgical procedures include imaginative hairstyles, wigs and hair transplants. To reduce the visual effect of hair has become thinner, you can use methods of camouflage. Take short hair, the hair will look less patched and will be easier to maintain. With longer hair strands are produced bunches are separated, showing large areas of the scalp. A skilled hairstylist fine hair can camouflage certain areas. If the hair is thin on the forehead, the front line extends to the temples. To minimize this, ask your hairdresser to cut the front shorter and leave the hair at the temples longer. If your hair is thinner on top, keep the hair short neck and long hair on the neck is heavier, throw down, walk away and expose the crown over the bald area. If you still have a reasonably thick hair on the top of the head, leave it long and cover the bald patches. If the hair is very fine going to have trouble meeting the bare patches. If you have dark hair rinse the color a little to reduce the contrast between the remaining hair and scalp, thus making the skin less noticeable.

A cosmetic trick that may work is to apply some eye shadow that employ women (like the color of your hair) in the scalp over the areas of thinner hair. It is harmless and can do to fine hair less noticeable. Finally, do not use products that promote the adhesion of strands of hair, allowing it to see gaps in the scalp.

Maintain appropriate shampoos clean hair helps maintain hair health and beauty. The frequency of washing and a suitable shampoo for each person are important and will be recommended by your dermatologist. In the case of oily hair is accompanied by thinning hair, frequent washing is recommended, as they reduce the sebum on the scalp surface. It is important to clean hair, fat, since fat contains high levels of dihydrotestosterone and testosterone (male hormones) that may be reabsorbed into the skin and affect the hair follicle. In cases of dandruff and grease, if you wash often it is best to alternate a shampoo treatment with a frequent use shampoo. With both there to do 2 shampoos and second soapy foam shampoo leave 2-3 minutes, without rubbing. The comb teeth should be wide and separated. Avoid wire brushes. If there are broken tips (tricoptilosis) can be repaired with a repair-based fluid silicone polymers, which acts as a patch on the tips broken. Sesderma Treatment For treatment and prevention of hair loss recommend visiting our website.

Conclusions The hereditary hair loss are not curable, but controllable, and the earlier it is treated better. Although there is no ideal treatment for androgenetic alopecia, yes there are drugs that stop hair loss and prolong the life of the follicles. We must consider current and future treatments for hair follicles require alive. In baldness the follicles are miniaturized and after 5-10 years, die. The more follicles stay alive best answer will get any treatment. Many other hair problems are temporary and can be treated with dietary measures and other. In these cases, good dietary habits and taking supplements of vitamins, minerals and antioxidants make the hair stops growing and is normalized within a few months. For more information on hair loss consult your dermatologist for skin diseases also include diseases of hair and nails. Do not be swayed by advertisements of products "tonics" or specialists in hairdressing. Prepared with the scientific assistance of Dr. Gabriel Serrano

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