Hair LossTalk 男性脱发治疗
What Causes Hair Loss in Men？
For the first time in human history， you don’t need to go bald。 No really。 You are among the first group of men in the history of humanity who otherwise would’ve gone bald， that never have to。 Hair loss treatments today are effective at preventing and even reversing male pattern baldness and thinning hair。
The problem is knowing which ones are actually going to work to stop your hair loss。 In order to decide on the hair loss treatments that will optimize your chances of the best results， you should understand the basics of what causes thinning hair and receding in the first place。
什么导致男性脱发？
这是人类历史上第一次不再需要秃头，不完全是。 你是人类历史上第一批不会再秃顶的男人，这得益于今天的脱发治疗可有效预防甚至逆转男性秃顶和头发稀疏。
问题是知道哪些方法能有效防止脱发，为了决定最佳的脱发治疗方案，你应该首先了解导致头发稀疏和发际线推移的基本原因。
Male pattern baldness is not a result of stress， The scientific term for it is “Androgenetic Alopecia”。 There is a lot of meaning in those words。
男性型秃顶并非压力造成的，科学术语是“雄性遗传性脱发”，这个词有多层意思
Androgens Genetics = Androgentic。 Voila： Androgenetic Alopecia！ (or AGA)
As you begin to age， genetic changes in your scalp make your follicles sensitive to the hormones already in your blood stream， and tissues。 When this happens your body begins to reject those hairs slowly， via several processes which we still don’t quite understand。
雄激素 遗传学=雄性激素遗传。即：雄性遗传脱发！ (或AGA)
当你到了一定年龄，基因的变化使你头皮上的毛囊对血液和组织中的激素产生敏感。当这种情况发生时，你的身体开始慢慢排斥这些毛发，通过一系列我们至今仍不太了解其发生原理的过程。
Effective Hair Loss Treatments
The hormone sensitivity that is “turned on” by a genetic predisposition results in hair miniaturization， and inflammation。 Therefore， effective hair loss treatments focus on：
Limiting the hormonal influence。
Stimulating hair growth despite it。
Treating the inflammation。
As a result， the three major types of hair loss treatments are：
Anti-androgens
Growth Stimulants
Anti-inflammatories
有效的脱发治疗
由遗传性体质开启的体激素敏感性导致头发细化和炎症，因此有效的脱发治疗重点是：
限制体激素的影响。
刺激头发生长。
治疗炎症。
因此，三种主要类型的脱发治疗方法是：
1。 抗雄激素
2。生长刺激物
3。抗炎药
If a treatment does not have ingredients which address one of these three major elements， then it is not an effective hair loss treatment。 Period。
Only three types of hair loss treatments are going to work： Treatments that address the hormonal problem。 Treatments that stimulate growth。 And anti-inflammatories。
如果一个治疗方案没有解决上述主要脱发原因中的其中一种，那么就不是一个有效的治疗方案。
只有三种类型的脱发疗法有效： 治疗体激素的疗法、刺激生长的疗法和消炎药。
Starting a Hair Loss Treatment Regimen
When you hear about a new treatment – the only thing that matters is the ingredients， and the data supporting them。 Hair can be thickened anywhere it’s still growing。 Therefore a hair loss treatment regimen is worth pursuing for all types of loss。
Do you need to keep taking these treatments forever？
Yes， but try not to get depressed about this。 You do things every single day which prevent decline in your health。
You brush your teeth daily to avoid tooth decay。 You shower daily， take vitamins daily， and hopefully exercise at least 3x a week to keep your body in optimal working condition。 Treating hair loss is just another thing you’ll add to the list and after awhile， you won’t even notice it。
开始一个脱发治疗方案
当你听说一种新的治疗方法时，唯一重要的是治疗原理以及支持它们的数据，头发在其生长的任何地方都会持续变浓密，因此脱发治疗方案对于所有类型的脱发都是值得尝试的。
你需要终身接受这些治疗吗？
是的，但是不要因此沮丧。你现在每天都在做一些事情都是为了保持身体的健康
每天刷牙可以避免蛀牙。你每天洗澡，每天服用维生素，希望每周至少锻炼三次，为了能让你的身体一直处于最佳工作状态。治疗脱发也只是其中之一，坚持一段时间后你甚至不会再注意它。
How Long Does it Take For Results？
Hair cycles in growth and dormancy phases every few months。 The process of miniaturization therefore takes years。 Reversing this process takes years as well。 And this is why most guys never succeed at it。
They expect results in 3 months， see some initial shedding， and throw in the towel。
But not you。 You’re smarter than they are。 And that’s why you’re going to see results。
Treatments take time。 Improved results are seen with each new 3-5 month cycle， and peak hair growth is typically not seen until the 2 year mark。
需要多长时间才能看到治疗结果？
头发生长和掉落的周期需要几个月。因此头发萎缩过程需要数年时间。同样的逆转这一过程也要数年时间，这就是为什么大多数人没能成功。
他们希望在3个月内看到结果，所以在面临治疗初期部分头发脱落的时候，选择了放弃。
但这不是你，你比他们聪明得多，这就是为什么你能看到胜利的曙光。
治疗需要时间，通常每3-5个月的周期都能看到改善的结果，但头发恢复巅峰状态通常要到2年之后才会出现。
What Are My Chances of Success？
*下图简称诺伍德图，数值越高代表脱发程度越严重（编者按）
As a general rule， guys who are Norwood 4A or lower will see the best results， and if they use the proper treatments， should expect to maintain their hair or regrow between 20% and 70% of their lost hair back。
The lower the Norwood the more basic your treatment regimen can be， such as using only Propecia or Rogaine as your foundation， with a couple extra clinically-backed treatments for an extra kick， or to hit hair loss from other angles。
一般来说，诺伍德（参照）4A或更低的人会看到最好的结果，如果他们使用正确的治疗方法，可以期待他们再生原先发量的20%到70%。
诺伍德浓度越低，你的治疗方案就越基础，比如只使用保法止 或 落建作为基础方案，再辅以一些额外的临床支持疗法来获得额外的刺激，或者从其他角度来解决脱发问题。
Guys who approach Norwood 5 or higher will only see results on combination regimens like Propecia and Rogaine together， and likely must add other clinically-backed treatments to enhance the effects。
Norwood 5 is also typically when you get into the realm of needing a Hair Transplant for optimal results。 Lower Norwoods will sometimes benefit from smaller Hair Transplant procedures as well， but at Norwood 5， you’ve often lost too much to get it all back with treatments。 Nevertheless， these guys will still be advised by any legit hair transplant surgeon to begin a Propecia and Rogaine regimen。 They can sometimes still see dramatic gains which will significantly thicken their hair transplant results。 Besides， you may continue losing hair even after the procedure， and so treatments are needed。
接近诺伍德5级或更高级别的男性只会在保法止和落健这样的联合治疗方案里才能看到治疗效果，而且很有可能需要添加其他临床支持的治疗方案来增强效果。
诺伍德5也是经典的达到的这一脱发程度后进行植发手术能获得最佳治疗效果的分水岭。诺伍德5以下级别的脱发通常也能受益于小型的头发移植手术，但在诺伍德5（以上）级别通常因为脱发程度太大而无法通过治疗恢复。
然而，这些人仍然会被合法的植发医生建议开始结合保法止和落健配合治疗，其中一部分人能有不错的收获，这将明显增加他们植发的效果。但是之后仍然可能会继续脱发，甚至在手术后也要进行必要的治疗手段。
*诺伍德5（编者按）
Preventing Hair Loss Versus Regrowing It
Remember that there are 3 main types of hair loss treatments： Antiandrogens， Growth Stimulants， and Anti-inflammatories。 In general Antiandrogens such asPropecia，S5 Cream， and other products which address the hormonal angle are intended to stop hair loss from progressing。 They are first and foremost considered maintenance treatments。
It is the growth stimulants likeRogaine，Tricomin， and others which tend to increase the number of hairs on the scalp。 But don’t fall into the trap of assuming that growth stimulants are better than Antiandrogens。
The most important thing you can do is stop the hair loss from getting worse， and that is where Antiandrogens come in。 Many guys see noticeable regrowth from Antiandrogens alone， and those who give it a solid year can always add a growth
防止脱发与头发再生
记住有三种主要类型的脱发治疗方法：抗雄激素、生长刺激剂和消炎药。一般来说，抗雄激素如保法止，S5霜，和其他产品在解决激素的角度，旨在阻止脱发的恶化，它们首先被认为是维护治疗。
生长剂如落建、Tricomin和其他一些会增加头发数量的物质。但不要误以为促进生长剂的效果能比抗雄激素好。
*大实话（编者按）
你能做的最重要的事情就是阻止脱发情况的恶化，这就是抗雄激素的作用。许多人仅仅用抗雄激素就可以看到头发的恢复再生，而那些长期坚持使用的人往往能获得更好的治疗效果。
Inflammation and Treating Hair Loss
Anti-inflammatories have been mentioned a few times so far。 Let’s break this down as clearly as possible： Nizoral shampoo (or another 1%Ketoconazole-based shampoo) is mandatory for the success of any hair loss treatment regimen。 Nizoral calms the inflammation associated with the hormone changes， and without it， even the most clinically-proven treatments will not work well。
炎症和治疗脱发
抗炎药到目前为止已经提到几次了。让我们尽可能地把这个问题说明清楚：仁山利舒洗发露(或者1%酮康唑洗发露)对于任何脱发治疗方案的成功都是必不可少的。仁山利舒可以缓解与雄性激素脱发相关的炎症，如果没有它，即使是最经临床证明有效的治疗方案也很难有很好的效果。
