telogen effluvium
Introduction
Introduction to restless hair loss Telogeneffluvium is a rapid transition to rest in a certain proportion of growth period caused by a variety of factors, resulting in diffuse alopecia. Disease due to endocrine changes, nutritional deficiencies, drugs such as antidepressants, angiotensin-enzymes, anti-mitotic drugs (dose-dependent), beta-blockers, lithium, oral contraceptives, retinoic acid Excessive drug, valproic acid and vitamin A. Physical stress conditions such as anemia, systemic disease, surgery, and mental stress. basic knowledge The proportion of the disease: the incidence rate is about 0.001% -0.002% Susceptible people: no specific population Mode of infection: non-infectious Complications: head lice
Cause
Resting period
Causes:
There are many causes of alopecia hair loss, mainly in the following aspects, such as endocrine changes such as hyperthyroidism or hypothyroidism, postpartum and premenopausal, nutritional factors including calories, protein, essential fatty acids, zinc, biotin and iron intake too little Or lack of drugs (only drugs that cause more than 1% of prolapsed hair loss) have antidepressants, angiotensin-enzymes, anti-mitotics (dose-dependent), beta-blockers, lithium Agents, oral contraceptives, vitamin A acids, valproic acid and vitamin A, physical stress such as anemia, systemic diseases, surgery and mental stress.
Pathogenesis:
The pathogenesis is still not very clear, endocrine changes, postpartum and premenopausal; too little or no nutrient intake; drugs; physical stress; systemic diseases; mental stress, etc., caused by a certain proportion of hair growth Rest period transition.
Prevention
Resting hair loss prevention
1. Use wooden comb or horn comb
Do not use a comb made of nylon. Because the nylon comb is prone to static electricity, it will cause bad irritation to the hair and scalp. The most ideal is to use a wooden comb or a horn comb to remove dandruff, increase hair shine, massage the scalp and promote blood circulation.
2. Wash your hair frequently
The interval between shampooing is preferably 2~3 days. When washing, it is necessary to massage while rubbing, so as to keep the scalp clean and promote blood circulation of the scalp. It is best to let the hair dry naturally after washing.
3. Choose the shampoo
Do not use strong degreasing or alkaline shampoos. These shampoos are too degreased and dehydrated, making them dry and scalp necrotic. Use a natural shampoo that is non-irritating to the scalp and hair, or use it according to your hair. It is best not to use a shampoo all the time.
4. Quit smoking
Smoking causes the scalp capillaries to contract, which affects the normal development and growth of the hair.
5. Moderate drinking
Liquor, especially hot white wine, can cause heat and moisture in the scalp, causing hair loss. Even beer and wine should be in moderation. After all, it also contains alcohol. Drinking should be moderate.
Complication
Resting period alopecia complications Complications
Psychology experts point out that unhealthy mental states such as excessive stress, stress, and long-term depression can also lead to diffuse hair loss. This situation causes hair loss not only in women, but also in men. Mental stress and stress cause poor blood circulation in the scalp, and it is easy to spread hair loss from the top of the head. Similarly, this hair loss can also be restored by self-regulation.
Abnormal male androgen can cause diffuse alopecia, but in general, when male male hormone secretion is strong, hair generally starts from the forehead and the top of the head, but many women present diffuse alopecia with no obvious concentration characteristics. This hair loss is relatively difficult to treat, and the secretion of hormones can be controlled by drugs.
Symptom
Symptoms of alopecia in the rest period Common symptoms When you comb your hair or when you wash your hair... Hair loss, yellow, sparse, bald
Diffuse hair loss is the only symptom. Patients find that hair loss increases when combing or shampooing. There is often a 2 to 4 month incubation period between stimulating factors and clinical hair loss. This kind of rest period hair loss, if the cause is removed, generally It can be restored within 6 months. Individuals can recover within 1 year. Generally, the hair is temporarily sparse. Even the hair can be involved, but it rarely affects more than 50% of the hair. The resting hair count is >25%.
Examine
Resting hair loss check
Histopathology: The number of hair follicles in the rest period increased, and the hair was sick.
According to the theory of traditional Chinese medicine, hair has a close relationship with liver and kidney. The kidney is the main blood of the liver, the Chinese is in the hair, the liver and kidney are weak, the hair follicles are not enough nutrition, and the situation is that the ability to synthesize melanin is weakened and white appears. Hair, then there is a situation where the hair follicles are atrophied or necrotic, causing hair loss. On the contrary, the liver and kidney are strong and the head is sturdy, the hair is thick and black. It is recommended that Chinese medicine practitioners be able to check the pulse.
Diagnosis
Diagnosis of hair loss during rest period
Diagnostic criteria
The resting hair count >25% is the diagnostic criteria.
Differential diagnosis
Identification with diffuse hair loss; refers to the amount of hair loss increased significantly in a short period of time, so that the hair becomes sparse, ignore it will cause the hair follicles to shrink or even die, the hair can no longer grow, causing baldness. Since most patients with "diffuse hair loss" are caused by nutritional imbalance, severe diffuse hair loss is also a healthy warning. Unbalanced nutrition affects the immune system and has the potential to cause various serious diseases. Hair loss has been It is no longer only about the appearance of appearance, but it can reflect the health of the body, so we must not take it lightly.
