Hair balding on the swirling area on the top of the head may be androgenetic alopecia, patchy baldness or scarring alopecia, etc. After clarifying the cause of the disease, you may choose to improve it through local treatment, systematic treatment or physical therapy.
1. Androgenetic alopecia: mainly androgen affects hair follicles, causing hair to fall out gradually. Local treatment can choose topical minoxidil, 17α-estradiol or anti-androgen antibody drugs such as flutamide for treatment; systemic treatment can choose to take finasteride or anti-androgen drugs such as flutamide and other drugs. In addition, hair transplantation can also improve the symptoms.
2. Patchy baldness: it can be related to heredity, autoimmunity, psycho-neurological factors or environmental factors, etc. It can be treated by local topical glucocorticosteroids such as Fludrocortisone ointment, multi-point intradermal injection of Trenbolone, or topical application of Minoxidil, etc. Systemic treatment can choose oral Prednisolone.
Systemic treatment includes oral prednisone, methotrexate or cyclosporine; in addition, physical therapy such as photochemotherapy and helium-neon laser irradiation also have therapeutic effects.
3. Scarring alopecia: in the scalp physical injury, chemical injury, scalp tumors, infections or skin diseases and other reasons can cause scar formation, at this time the hair follicles permanently disappeared, and hair no longer grows, it is recommended to treat the primary disease as soon as possible, and hair transplantation can be carried out if necessary.
When there is hair loss on the top of the head, it is recommended to consult a doctor in time, after a clear diagnosis, follow the doctor’s instructions to carry out standardized treatment, in order to alleviate the condition as much as possible and improve the symptoms.