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The solution is Propecia for baldness?
By: Vickie C. Fleming, Mon Feb 1st, 2010
We are experiencing the explosion of "miracle treatments. Viagra solves the impotence, orlistat that promises to help shed about magically with the fat and the last boom, and others which suggest buy propecia for baldness resolve. Problem is so widespread that all media were echoed a few weeks ago that "miracle" of the technique presented in many of them as the "final solution" of baldness and in many others such as better founded hope of all bald in the world. But what is reality?
The reality is that finasteride, the active ingredient in Propecia, acts only in the case of a particular type of hair loss, androgenetic alopecia or common baldness in men. Moreover, according to own research laboratory, nothing more stimulating hair growth in 66% of patients while ensuring that halted the fall in 83% of them.
Furthermore, the treatment is expensive and its activity, as previous external approaches to the famous minoxidil (Regaine) - only maintained while taking the drug, ie, a medication to be taken throughout life.
That other say that it has no side effects.
However, in order to inform readers firsthand that baldness affects more or less half of the males and one quarter of women at one time or another in life.
"Baldness is one of the most worrying problems in our society so they can not surprise the expectations generated by the Propecia. But there are many types of baldness. "We talked about it first?
"Actually there are two basic types of hair loss: the alopecia" scar "and" no scar ". The scarring are those where there has been a total destruction of the hair follicle, consisting of hair roots and sebaceous glands that keep it in good condition. These are not susceptible to medical treatment.
In non-scarring, however, involvement of the hair follicle is temporary and therefore are amenable to treatment. Within this group, the two main types by their incidence, are androgenetic alopecia or common baldness, which affects 50% of men and 25% of older women and so-called "alopecia areata", also known as "bare" because hair loss affects only one area.
Alopecia areata may present with a single bald, with several or even affect the entire scalp, in which case we are facing a total alopecia areata. You can also occur throughout the body being then universally known as alopecia areata.
Alopecia areata is due to two main factors: first, a genetic predisposition, and secondly an immune disorder of the autoimmune type in which the body does not recognize as their own hair follicles and develops antibodies against them trying to remove them.
But to put in motion the process of antibody production requires a trigger, which triggers the immune cascade, and that is stress.
"It's been years since there is talk that one of the triggers of baldness is stress effectively, but also shuffled as a possible cause infectious focus in the teeth or throat. Therefore this type of alopecia was treated with antibiotics, especially in children. Is that possible today ruled origin?
"Indeed, years ago it was thought that a dental infection foci in the tonsils or could be related to the occurrence of alopecia areata but currently sees no scientific basis to continue to think so. The theory of stress was also raised at the time as the initial cause of this type of alopecia but today it is thought that no more than a triggering or aggravating the problem.
Definitely, the cause is genetic and immunological stress being a mere facilitator of the onset of hair loss.
- What about other types of baldness?
-The star of the causes of hair loss is androgenetic alopecia which affects more than half of men at some time in their lives.
It usually starts at the frontotemporal areas, the dreaded "entries", and then continued in the crown to subsequently affect the top of the skull, while preserving the "horseshoe," a strip of hair at the bottom of the neck and above the ears.
There are many other possible types of hair loss: the diffuse alopecia, the drug-induced, endocrine, metabolic or even infectious in origin, which can lead to hair loss, even in whole-body and usually respect the hair root, which can grow back when it has overcome the situation that occurred.
Then you have to consider the so-called scarring alopecia, which is a large group in which there is no chance of restocking pilosa because there is a destruction of the follicle, such as after radiotherapy, with major burns or deep infections of the scalp affecting to the hair root, such as ringworm or major bacterial infections. But such problems are rare today because good hygiene and good nutrition prevent its occurrence.
In clinical practice, then, the two major causes of hair loss is androgenetic alopecia and alopecia areata.
The latter corresponds to a one or two percent of all dermatologic consultations in the major centers. The alopecia that appears in the course of cancer chemotherapy treatments usually resolve themselves in cancer centers, and these specialists reassuring the patient regarding the transience of the problem and there is always a spontaneous repopulation when treatment stops.
Also preventive measures have been tried by placing cold caps causing a kind of freezing of the scalp to prevent impacts from the bulge and mass treatment with vitamins, especially of groups A and B.
"Well, then let's talk solutions. First, what should we do to prevent us from falling hair?
"The best preventive treatment to prevent hair loss is a proper hair hygiene. A frequent head washing, daily using a mild shampoo, which can be combined with a treatment shampoo depending on the pathology of each case. If you have too much sebum Anti-Seborrheic have to use some discrete power does not lead to increased seborrhea by irritation. In the case of any such scaling is known as dandruff shampoo is recommended that you use frequently used in combination with an anti-dandruff shampoo.
"In that case, the hair should be washed as frequently as the rest of the body. However, there persists the idea that washing the scalp daily can promote hair fall. Is it not true?
"Not at all. The hair should be washed daily if used, of course, a suitable shampoo. A neutral or mild shampoo often used in combination, if necessary, with a treatment shampoo.
In the case of common baldness or androgenetic being achieved very encouraging results with active treatment based on general drug finasteride (Propecia main principle) orally at doses of 1 mg. daily, combined with local treatment of minoxidil (Regaine main principle) at concentrations of 5%, which are considerably higher than those previously used, which did not exceed 2%.
At some point he sought to encourage the penetration of Minoxidil and other system associated with retinoic acid, but the side effects of the latter did not outweigh the potential benefits, in addition, that partnership is more resolute than the isolated active principle.
"So, the treatment of male pattern baldness involves constantly taking drugs and also occur on a daily rub without being sure that will solve the problem. Furthermore I understand that abandoning treatment Propecia hair can fall again. "Exactly. In cases where, for the lateness of baldness or the patient's own decision to be bored by the medical, not interested to continue with the drugs can make hair autotransplantation. Transplanting can be accomplished through multiple instruments: needles, laser or traditional scalpel.
It is a system that has undeniable advantages. We are getting transplants undetectable thanks to current techniques can cover large areas quickly. In one session, for example, we introduce three thousand hair in a couple of hours, allowing stocking cosmetics in minimal time. The transplant is done by removing the hair from the neck area, which is not genetically predisposed to be lost, and bring it to the affected area where the bald then grows normally.
When performing the operation under local anesthesia, and this is another of its advantages-the patient will return immediately to their daily life activities. The results are frankly good as current techniques with the "doll hair" of "macetita" of "little brush" or whatever you call, is history.
"We're talking about the man ...
"Yes. In women, in which treatment with Propecia does not work, therapy through capillary hygiene, as well as in man, rubs minoxidil and hair autotransplantation.
There is a special type of female hair loss, the "deficiency" caused by lack of iron, which is usually associated with significant blood loss in the rules and / or lack of that mineral in the diet, as happens so often in the psychogenic anorexia, prolonged regimes slimming diets below 1,500 calories or bulimia, and that significantly improve with sequential treatments with iron.
In alopecia areata treatment is variable depending on the intensity. When the area affected is small is best left to the reforestation is carried out spontaneously. Are often blamed for the repopulation of the multiple systems used by patients but more than anything is to happen to coincide with spontaneous reforestation treatment at that time is being implemented.
In the case of alopecia areata have advanced to make a detailed study of the patient to apply what is called immunomodulatory therapies, very similar to those used in other immune system problems, such as organ transplants. From cortisone to more advanced topics like immunosuppressant cyclosporine, and so on. Could also be useful treatment to massive doses of vitamins.
In scarring alopecia or burns deep infections there is no alternative to transplantation or other surgery. For example, in the case of small plaques surgically cut a piece of skin and then sew by removing part of the area taking advantage of hairless scalp elasticity. When the lesion is more extensive and there is little elasticity can use other surgical techniques such as placement of expanders on both sides of his bald head with some hooks or brackets for at least a month. With this we get a greater elasticity in the area and a reduction of skin area, "dead" through the very folds of skin that allows the cutting area, to approximate the part where there is hair and then transplanting.
Other times we must seek prior revascularization of the area, ie get them to form new blood vessels that subsequently go to nurturing the roots of his hair transplant. This is accomplished either by drugs that are taken by general or injected locally or, ultimately, making a small incision and scraping at the periosteum (the tissue layer that lies above the bone).
Vickie C. Fleming
2804 Riverwood Drive
Sacramento, CA 95814
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