Hyperhidrosis

He kūlana olakino ʻo Hyperhidrosis kahi e hou nui ai ka poʻe me ka hou ʻole ʻole. Pulu paha ka poʻe me hyperhidrosis ʻoiai ke anuanu ka mahana a hoʻomaha paha lākou.

Kōkua ka sweating i ke kino e noho ʻoluʻolu. I ka hapanui o nā hihia, kūlohelohe maoli ia. Hoʻowili hou ka poʻe i nā mahana mahana, ke hoʻoikaika lākou, a i ʻole i ka pane ʻana i nā hanana e haʻalulu ai lākou, huhū, hilahila, a makaʻu hoʻi.

Hana ʻia ka sweating nui me ka ʻole o nā mea like. ʻO ka poʻe me ka hyperhidrosis e ʻike ʻia me ka nui o ka aʻa o ka hou. Hiki i ka sweating kaohi ʻole ke alakaʻi i ka hōʻoluʻolu nui, i ke kino a me ka naʻau.

Ke hoʻopili ka nui o ka sweating i nā lima, nā wāwae, a me nā lima lima, ua kapa ʻia ia he hyperhidrosis nui. I ka hapanui o nā hihia, ʻaʻohe kumu i hiki ke loaʻa. Me he mea lā e holo i loko o nā ʻohana.

ʻO ka sweating ʻaʻole ma muli o kahi maʻi ʻē aʻe i kapa ʻia ʻo hyperhidrosis mua.

Inā kū ka sweating ma muli o ke ʻano olakino ʻē aʻe, kapa ʻia ʻo hyperhidrosis lua. ʻO ka sweating paha ma ke kino holoʻokoʻa (generalized) a i ʻole ma kahi o kahi (focal). Nā kūlana e kumu ai i ka hyperhidrosis lua:

• ʻAcromegaly
• Nā kūlana pīhoihoi
• Kanesa
• Carcinoid maʻi maʻi
• Nā lāʻau lapaʻau a me nā mea o ka hōʻino
• Nā maʻi maʻi Glucose
• ʻO ka maʻi puʻuwai, e like me ka hōʻeha puʻuwai
• ʻOhana thyroid
• Maʻi maʻi
• Menopause
• Maʻi ʻo Parkinson
• Pheochromocytoma (adrenal gland tumor)
• ʻEha ʻiwi
• Hahau
• Tuberculosis a i ʻole nā ​​maʻi ʻē aʻe

ʻO ka ʻōuli mua o hyperhidrosis ka mākū.

Hiki ke hoʻomaopopo ʻia nā hōʻailona ʻike ʻia o ka hou ʻana ma ke kipa ʻana me kahi mea mālama ola. Hiki ke hoʻohana ʻia nā hoʻokolohua e kuhikuhi i ka sweating nui, e like me:

• Hōʻoia starch-iodine - Hoʻopili ʻia kahi hopena iodine i ka wahi sweaty. Ma hope o ka maloʻo ʻana, kāpīpī ʻia ka starch ma kahi. Hoʻohuli ka hui starch-iodine i kahi uliuli i ka ʻeleʻele i kahi e nui ai ka hou.
• Hōʻike pepa - Kau ʻia ka pepa kūikawā ma kahi i hoʻopilikia ʻia e komo ai ka hou, a kaupaona ʻia. ʻO ke kaumaha o ke kaupaona, ʻo ka nui o ka hou i hōʻiliʻili.
• Nā ho'āʻo koko - Kauoha ʻia paha kēia mau mea inā manaʻo ʻia nā pilikia thyroid a i ʻole nā ​​ʻano olakino ʻē aʻe.
• Nā hoʻāʻo kiʻi hiki ke kauoha ʻia inā kuhi ʻia kahi tumo.

E nīnau ʻia paha ʻoe i nā kikoʻī e pili ana i kou hou ʻana, e like me:

• Kahi - Hiki paha ia i kou alo, nā poho lima, a i ʻole nā ​​ʻāpana lima, a i ʻole ke kino holoʻokoʻa.
• Kumu manawa - Hana ʻia i ka pō? Ua hoʻomaka koke paha?
• Kālā - Hana ʻia ka sweating ke hoʻomanaʻo ʻia ʻoe i kahi mea hoʻonāukiuki iā ʻoe (e like me kahi hanana traumatic)?
• Nā ʻōuli ʻē aʻe - ʻO ka hōʻemi kaumaha, ke kuʻi ʻana o ka puʻuwai, ke anuanu a i ʻole nā ​​lima clammy, ke kuni, ka ʻole o ka makemake.

ʻO ka laulā o nā ʻano maʻamau no ka hyperhidrosis:

• Nā Antiperspirants - Hiki ke kāohi ʻia ka sweating nui me nā antiperspirants ikaika, kahi e kuʻi ai nā kahe o ka hou. ʻO nā huahana i loaʻa iā 10% a 20% aluminika chloride hexahydrate ka lālani mua o ka lapaʻau no ka sweating underarm. Kākau ʻia paha kekahi poʻe i kahi huahana i loaʻa ka mahele lāʻau ʻoi loa o ka aluminium chloride, i hoʻopili ʻia i ka pō i nā wahi i hoʻopilikia ʻia. Hiki i nā Antiperspirants ke hoʻonāukiuki i ka ʻili, a hiki i nā kaona nui o ka aluminiuma kolamu ke hōʻino i nā lole. Kaha: ʻaʻole pale nā ​​deodorants i ka hou, akā kōkua nui i ka hoʻēmi ʻana i ka pilau o ke kino.
• Nā Lapaʻau - Hoʻohana i kekahi mau lāʻau e pale ai i ka hoʻonāukiuki ʻana i nā glandes sweat. Kau ʻia kēia mau mea no kekahi ʻano hyperhidrosis e like me ka nui o ka hou o ka maka. Hiki i nā lāʻau ke loaʻa nā hopena a ʻaʻole kūpono ia no nā mea āpau.
• Iontophoresis - Hoʻohana kēia kaʻina hana i ka uila e hoʻopau i ka manawa o ka hou. ʻOi aku ka maikaʻi o ka hou ʻana o ka lima a me ka wāwae. Hoʻokomo ʻia nā lima a i ʻole nā ​​wāwae i loko o ka wai, a laila hoʻokahe ʻia kahi kahakaha o ka uila. Hoʻonui lohi ʻia ka uila a hiki i ka manawa e ʻike ai ke kanaka i kahi ʻano o ke kani uila. Kū ka therapy ma kahi o 10 a 30 mau minuke a koi i nā kau he nui. ʻO nā hopena, ʻoiai he kakaikahi, e hoʻopili ana i ka ʻili ʻana o ka ʻili a me nā pūpū.
• Botulinum toxin - Hoʻohana ʻia ʻo Botulinum toxin e mālama i ka underarm koʻikoʻi, ka palmar, a me ka sweating plantar. Kāhea ʻia kēia ʻano he hyperhidrosis axill mua. Botulinum toxin injected i loko o ka underarm no ka manawa pōkole nā ​​aʻalolo e hoʻonāukiuki i ka hou. ʻO nā hopena e pili ana i ka ʻeha o ka pūnaewele injection a me nā hōʻailona like flu. ʻO ka toxin Botulinum i hoʻohana ʻia no ka hou ʻana o nā poho i hiki ke hoʻonā i ka palupalu, akā nāwaliwali ka manawa a me ka ʻeha nui.
• Endoscopic thoracic sympathectomy (ETS) - I nā hihia koʻikoʻi, hiki ke noi ʻia i kahi kaʻina ʻoki lāʻau minimally-invasive i kapa ʻia sympathectomy ke holo ʻole nā ​​lāʻau ʻē aʻe. ʻO ke kaʻina hana e ʻokiʻoki i ke aʻalolo, e hoʻopau ana i ka hōʻailona e haʻi i ke kino i ka hou nui ʻana. Hana pinepine ʻia ia i ka poʻe nona ka hou ka nui o ka hou ma mua o ka maʻamau. Hiki ke hoʻohana ʻia no ka mālama ʻana i ka hou nui o ka maka. ʻAʻole maikaʻi ʻo ETS no nā mea me ka sweating armpit nui.
• ʻOki kino underarm - ʻO kēia keʻoki e wehe i nā momona o ka hou i nā lima. Nā hana i hoʻohana ʻia me ka laser, curettage (scraping), excision (ʻoki), a i ʻole liposuction. Hana ʻia kēia mau kaʻina hana me ka hoʻohana ʻana i ka anesthesia kūloko.

Me ka mālama ʻana, hiki ke hoʻokele ʻia ka hyperhidrosis. Hiki i kāu mea hāʻawi ke kūkākūkā i nā koho lapaʻau me ʻoe.

Kāhea i kāu mea hāʻawi inā he sweating ʻoe:

• Lōʻihi kēlā, keu, a wehewehe ʻole ʻia.
• Me ka ukali a ʻeha paha ka umauma a i ʻole kaomi.
• Me ka pohō kaumaha.
• Hana ʻia kēlā i ka manawa hiamoe.
• Me ke kuni, ka pohō kaumaha, ka ʻeha o ka umauma, ka pōkole o ka hanu, a i ʻole ka wikiwiki o ka puʻuwai. ʻO kēia mau hōʻailona he hōʻailona paha ia o kahi maʻi paʻa, e like me ka nui o ka thyroid.

Hoʻoulu - nui loa; Hoʻonāukiuki - keu; Diaphoresis

Langtry JAA. Hyperhidrosis. I: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Ka mālama ʻana i ka maʻi ʻili: nā ʻōnaehana Therapyutic Comprehensive. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 109.

Miller JL. Nā maʻi o ka eccrine a me nā apocrine sweat glands. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 39.