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Imagens de antes e depois de pacientes ap�s 36 semanas?? de tratamento com o baricitinibe. �
: Universidade de Yale/Divulga��o
A queda de cabelo � uma preocupa��o comum que leva muita?? gente a buscar as mais diversas solu��es. No entanto, o mercado de produtos de beleza est� cheio de tratamentos duvidosos?? que prometem resultados incr�veis para os calvos, mas que geralmente n�o cumprem o que garantem.
No caso da alopecia androgen�tica, aquele?? tipo que herdamos de nossos pais e av�s, existem, por�m, op��es eficazes, como o minoxidil, dispon�vel como lo��o para aplica��o?? direta no couro cabeludo, e a finasterida, que � tomada por via oral.
Para a alopecia areata, doen�a autoimune que provoca?? queda capilar, a Anvisa aprovou recentemente um medicamento: o baricitinibe, conhecido pelo nome comercial de Olumiant.
?? E esque�a aquela hist�ria?? de que alguns alimentos podem impedir ou prevenir a calv�cie ou que shampoos antiqueda s�o eficazes contra a perda de?? cabelo. Ao final desta reportagem, veja a explica��o sobre 10 mitos.
? E aten��o: o ideal sempre � procurar atendimento m�dico?? especializado para definir o diagn�stico.
Confira o que funciona e o que n�o funciona para queda de cabelo
????? O que funciona?? para alopecia androgen�tica, conhecida como calv�cie:
FINASTERIDA:
Como age: Ela atua inibindo uma s�rie de enzimas chamadas 5-alfa-redutase, impedindo o corpo de?? converter a testosterona em DHT, um horm�nio que leva ao crescimento da pr�stata e � calv�cie.
Est� entre os tratamentos mais?? comuns para a calv�cie masculina, mas pode ter como efeito colateral a impot�ncia sexual.
� importante ressaltar que apenas uma pequena?? porcentagem de pacientes experimenta esses efeitos, com cerca de 2% dos homens relatando redu��o da libido e impot�ncia como resultado?? do uso da finasterida.
Embora considerada rara, a disfun��o sexual associada � finasterida inclui perda de desejo sexual, disfun��o er�til e?? ejaculat�ria, e ainda h� controv�rsias sobre a persist�ncia desses sintomas ap�s a interrup��o do medicamento, uma vez que n�o existem?? estudos conclusivos sobre o assunto.
?? O medicamento n�o � recomendado para a calv�cie feminina. Nas mulheres, os resultados n�o s�o?? t�o consistentes e o rem�dio n�o � seguro durante a gesta��o.
Hoje em dia, os especialistas tamb�m sabem que al�m de?? mexer com a circula��o ao redor dos fol�culos capilares, entregando mais oxig�nio e nutrientes aos fios, o minoxidil atua tamb�m?? prolongando a fase de crescimento do ciclo do cabelo, chamada tecnicamente de an�gena. � 
: Freepik
MINOXIDIL:
Como age: Ele prolonga a?? fase de crescimento do ciclo do cabelo e mexe com a circula��o sangu�nea ao redor dos fol�culos capilares, entregando mais?? oxig�nio e nutrientes aos fios.
O medicamento N�O vai fazer crescer de volta aquele cabelo que voc� j� perdeu. Ele funciona?? mais como um bot�o de pausa.
Ele � recomendado para o tratamento tanto de homens quanto de mulheres. Ao contr�rio da?? finasterida, o minoxidil n�o est� relacionado � impot�ncia sexual.
?? Minoxidil oral: O medicamento n�o tem registro da Anvisa no Brasil?? para uso contra a calv�cie. O uso oral do minoxidil tem gerado preocupa��es em raz�o dos potenciais riscos card�acos. Por?? esse motivo, a recomenda��o � que os pacientes busquem orienta��o m�dica adequada, evitando a automedica��o.
????????? No abaixo, entenda como?? funcionam o finasterida e o minoxiodil:
Finasterida e minoxidil funcionam bem, mas n�o fazem crescer de volta o seu cabelo
????? O?? que funciona para alopecia areata, doen�a autoimune que provoca queda capilar:
BARICITINIBE (conhecido pelo nome comercial de Olumiant)
O medicamento � o?? primeiro tratamento sistem�tico para alopecia areata aprovado pela Ag�ncia Nacional de Vigil�ncia Sanit�ria (Anvisa).
Ele poder� ser administrado em pacientes adultos?? com o quadro grave da doen�a para o tratamento em todo o corpo, em vez de um local espec�fico.
Como age:?? estudo chegou a comprovar pelo menos 80% de cobertura capilar do couro cabeludo em pacientes ap�s 36 semanas de tratamento.
Pre�o:?? J� est� dispon�vel no mercado. Segundo a fabricante Eli Lilly do Brasil, a dosagem de 4 mg tem pre�o m�ximo?? ao consumidor (PMC) de R$ 5.648,25, sem impostos. Em farm�cias on-line, por�m, o pre�o de varejo do medicamento tende a?? ser mais caro.
????????? No abaixo, o Bem Estar explica as causas e tratamentos da calv�cie feminina:
Entenda as causas e?? tratamentos da alopecia, a calv�cie feminina
10 mitos sobre calv�cie
1. Raspar a cabe�a faz o cabelo cair mais r�pido.
? Mito. O?? mito de que raspar a cabe�a afeta o crescimento dos cabelos � um dos mais comuns, mas � infundado. Isso?? porque a raspagem n�o interfere no desenvolvimento dos fol�culos pilosos, estruturas da pele respons�veis por produzir cabelo.
Cortar ou raspar o?? cabelo s� tira os fios da parte de cima, enquanto os fol�culos embaixo da pele permanecem intactos e continuam seu?? ciclo de crescimento normalmente.
Al�m disso, a calv�cie gen�tica � caracterizada pela rarefa��o e diminui��o dos fol�culos pilosos.
Um fator-chave relacionado a?? esse tipo de alopecia � a DHT (dihidrotestosterona), um horm�nio sexual mais presente nos homens (veja infogr�fico abaixo), que estimula?? o desenvolvimento das caracter�sticas masculinas.
Esse horm�nio tem o poder de encurtar o ciclo de vida dos cabelos em pessoas com?? predisposi��o gen�tica para a calv�cie, ou seja, aquelas que t�m familiares pr�ximos com a doen�a, como pais ou av�s. Isto?? �, n�o � a quantidade de DHT que interfere naspider paciencia onlinecalv�cie, mas sim essa predisposi��o.
No entanto, como ressalta Leonardo?? Abrucio Neto, dermatologista da BP � a Benefic�ncia Portuguesa de S�o Paulo, � importante lembrar que um processo inflamat�rio intenso?? pode, sim, danificar a raiz do cabelo se essa raspagem for demasiada (com for�a), �acelerando o processo de alopecia�, criando?? �reas onde o cabelo n�o cresce mais.
Por que algumas pessoas s�o calvas? � 
: Luisa Rivas/Arte g1
2. Lavar o cabelo?? diariamente pode contribuir para o processo.
? Mito. A frequ�ncia adequada de lavagem do cabelo depende do tipo de couro cabeludo,?? e n�o interfere na quantidade de fios que perdemos rotineiramente.
Se o couro cabeludo for oleoso, � necess�rio lavar o cabelo?? com mais frequ�ncia, at� mesmo diariamente.
Se esse tecido que recobre o cr�nio for seco, lavar o cabelo todos os dias?? pode n�o ser necess�rio e a lavagem a cada dois dias ser� suficiente.
�Estima-se que o normal seja perder aproximadamente 100?? fios de cabelo por dia. O sinal de alerta � a pessoa perceber que est� perdendo mais fios que o?? habitual�, diz Carolina Milanez, m�dica dermatologista do Hospital Heli�polis, em S�o Paulo.
3. Sempre usar um secador facilita a calv�cie.
? Mito.?? Na realidade, o uso frequente do secador de cabelo pode tornar os fios mais finos, mas n�o leva � calv�cie.
Por?? outro lado, usar o secador de cabelo em alta temperatura, especialmente pr�ximo ao couro cabeludo, pode tornar os fios fr�geis?? e, com o uso excessivo, danificar o cabelo e o couro cabeludo.
Portanto, � aconselh�vel usar o secador a uma dist�ncia?? segura (cerca de 15 cm), por menos tempo e em temperaturas mais baixas para evitar danos.
4. Usar bon� faz o?? cabelo cair permanentemente.
? Mito. Usar bon� n�o causa calv�cie e n�o h� nenhuma evid�ncia concreta neste sentido.
No entanto, conforme explica?? Abrucio Neto, o uso frequente de chap�us ou outros acess�rios semelhantes pode aumentar a temperatura do couro cabeludo e agravar?? a dermatite seborreica, o que, porspider paciencia onlinevez, pode tornar o tecido mais inflamado e contribuir um pouco para a?? queda de cabelo tempor�ria.
Mas isso n�o tem rela��o alguma com a forma de queda de cabelos geneticamente determinada e permanente.
??? Agora, existem muitos outros tipos de queda que s�o tempor�rios e podem ser desencadeados por v�rias raz�es, incluindo essas doen�as?? dermatol�gicas, estresse e defici�ncias nutricionais, como no caso da alopecia areata, uma doen�a autoimune.
5. Homens calvos t�m mais testosterona
? Mito.?? Homens calvos N�O t�m n�veis mais elevados de testosterona.
A calv�cie est�, de fato, relacionada � testosterona, mas aqui n�o �?? a quantidade produzida que importa e, sim, a sensibilidade do nosso corpo a ela.
A DHT, uma subst�ncia derivada da testosterona,?? desempenha um papel fundamental na perda de cabelo. Isso ocorre devido � a��o de uma enzima conhecida como 5-alfa redutase,?? que converte a testosterona em DHT e resulta na diminui��o dos fol�culos capilares.
E alguns homens t�m uma predisposi��o que os?? torna mais sens�veis � DHT do que outros.
Resumindo: embora a testosterona tenha um papel na calv�cie, a diferen�a entre calvos?? e n�o calvos n�o est� na quantidade de testosterona produzida, mas, sim, na forma como a testosterona � recebida nos?? fol�culos capilares.
6. Mulheres nunca podem ser calvas
? Mito. A calv�cie N�O � uma exclusividade dos homens, e algumas mulheres tamb�m?? podem experiment�-la.
No caso da alopecia androgen�tica, embora seja menos frequente em mulheres do que em homens, a convers�o de testosterona?? em DHT ocorre em ambos os sexos, levando � perda de cabelo.
Al�m disso, existem outras formas de queda que afetam?? as mulheres, como a alopecia areata.
�As mulheres produzem uma menor quantidade de testosterona. Ent�o, n�o ocorre a convers�o da testosterona?? em di-hidrotestosterona, que � o horm�nio que causa afinamento dos fios de cabelo. Portanto, a rarefa��o capilar na mulher �?? bem menor do que no homem, que apresenta maior produ��o do horm�nio�, diz Abrucio Neto.
7. A calv�cie � transmitida geneticamente?? pela fam�lia da m�e
? Mito. Na verdade, a alopecia androgen�tica � autoss�mica e polig�nica, o que significa que a condi��o?? pode ser transmitida tanto pela m�e quanto pelo pai.
Ou seja, a calv�cie � influenciada por diversos genes, que podem ser?? herdados de ambos os lados da fam�lia. Portanto, para avaliar suas chances de perda de cabelo, � importante considerar todos?? os parentes das fam�lias materna e paterna.
��s vezes, a heran�a vem at� mesmo dos av�s, bisav�s�, diz Milanez.
8. �Se ficou?? grisalho, n�o ficar� calvo�
? Mito. N�o h� rela��o cient�fica entre cabelos grisalhos e calv�cie. Ambos t�m influ�ncia gen�tica, mas cabelos?? grisalhos podem surgir mais cedo em situa��es de estresse, doen�as do couro cabeludo (como alopecia areata), vitiligo e condi��es inflamat�rias?? (como tireoidite). Maus h�bitos, como alimenta��o inadequada e tabagismo, tamb�m podem desempenhar um papel.
9. Alguns alimentos podem impedir ou prevenir?? a calv�cie
? Mito. A alopecia androgen�tica � uma condi��o gen�tica, e n�o existem alimentos que possam preveni-la. Embora uma dieta?? saud�vel possa contribuir para a sa�de dos cabelos, ela n�o tem o poder de evitar a perda de cabelo de?? origem gen�tica.
10. Shampoo antiqueda evita a calv�cie
? Mito. Aqui � importante entender que o shampoo tem uma fun��o principal de?? limpar o couro cabeludo e os fios, e seu contato com a pele � bastante breve. Portanto, n�o h� tempo?? suficiente para que ele penetre na pele e atue nas causas da queda de cabelo, que ocorrem no interior da?? pele. Consequentemente, shampoos antiqueda n�o s�o eficazes para combater a perda de cabelo.
Por isso, a dermatologista Carolina Milanez resume: �n�o?? h� como prevenir a alopecia androgen�tica nem a alopecia areata. O melhor � procurar ajuda o quanto antes para ser?? acompanhado".
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