Hyperhidrosis

IHyperhidrosis yimeko yonyango apho umntu abila kakhulu kwaye engachazeki. Abantu abanehyperhidrosis banokujuluka nokuba sele kubanda okanye xa bephumle.

Ukubila kunceda umzimba uhlale upholile. Kwiimeko ezininzi, kuyinto yendalo ngokugqibeleleyo. Abantu babila ngakumbi kubushushu obufudumeleyo, xa besenza imithambo, okanye ekuphenduleni iimeko ezibenza boyike, babe nomsindo, bahlazeke okanye boyike.

Ukubila okugqithisileyo kwenzeka ngaphandle kwezi zinto zibangela ezo zinto. Abantu abanehyperhidrosis babonakala benamadlala abilayo kakhulu. Ukubila okungalawulekiyo kunokukhokelela kukungonwabi okukhulu, kokubini ngokwasemzimbeni nangokweemvakalelo.

Xa ukubila okugqithisileyo kuchaphazela izandla, iinyawo kunye namakhwapha, ibizwa ngokuba yi-focal hyperhidrosis. Kwiimeko ezininzi, akukho sizathu sinokufunyanwa. Kubonakala ukubaleka kwiintsapho.

Ukubila okungabangelwa sesinye isifo kuthiwa yi-primary hyperhidrosis.

Ukuba ukubila kwenzeka ngenxa yesinye imeko yonyango, ibizwa ngokuba yi-hyperhidrosis yesibini. Ukubila kunokuba kuwo wonke umzimba (ngokubanzi) okanye kunokuba kwindawo enye (kugxilwe). Iimeko ezibangela i-hyperhidrosis yesibini zibandakanya:

• Isiseko
• Iimeko zokuxhalaba
• Umhlaza
• Isifo seCarcinoid
• Amayeza athile kunye nezinto zokuxhatshazwa
• Ukuphazamiseka kolawulo lweglucose
• Isifo sentliziyo, esifana nokuhlaselwa sisifo sentliziyo
• Ukugqithisa kwe-thyroid
• Isifo semiphunga
• Ukuyeka ukuya exesheni
• Isifo seParkinson
• I-Pheochromocytoma (i-adrenal gland tumor)
• Ukulimala kwentambo yomqolo
• Ukubetha
• Isifo sephepha okanye ezinye izifo

Uphawu lokuqala hyperhidrosis - ukuba manzi.

Iimpawu ezibonakalayo zokubila zinokuphawulwa ngexesha lotyelelo nomboneleli wezempilo. Uvavanyo lunokusetyenziselwa ukufumanisa ukubila okugqithisileyo, kubandakanya:

• Uvavanyo lweStarch-iodine - Isisombululo se-iodine sisetyenziswa kwindawo ebilayo. Emva kokuba yome, isitatshi siyafefa kuloo ndawo. Umdibaniso wesitatshi-iodine ujika umbala oluhlaza okwesibhakabhaka ube mnyama ngombala naphina apho kukho ukubila okugqithisileyo.
• Uvavanyo lwephepha- Iphepha elikhethekileyo libekwe kwindawo echaphazelekayo ukuze lifumane ukubila, lize ke lilinganiswe. Ubunzima obunzima ubunzima, ukubila ngakumbi kuye kwaqokelelwa.
• Uvavanyo lwegazi - Ezi zinoku-odolwa ukuba iingxaki ze-thyroid okanye ezinye iimeko zonyango ziyakrokrelwa.
• Ukujonga iimvavanyo inoku-odolwa ukuba kukrokreleka ithumba.

Unokucelwa iinkcukacha malunga nokubila kwakho, ezinje:

• Indawo - Ngaba kwenzeka ebusweni bakho, ezintendeni, okanye emakhwapheni, okanye kuwo wonke umzimba?
• Umzekelo wexesha - Ngaba kwenzeka ebusuku? Ngaba yaqala ngesiquphe?
• Izinto ezibangela - Ngaba ukubila kuyenzeka xa ukhunjuzwa ngento ekucaphukisayo (enje ngesiganeko esibuhlungu)?
• Ezinye iimpawu - Ukwehla kobunzima, ukubetha kwentliziyo, ukubanda okanye ukubamba izandla, umkhuhlane, ukungabinamdla wokutya.

Uluhlu olubanzi lonyango oluqhelekileyo lwehyperhidrosis lubandakanya:

• Abachasi - Ukubila okugqithisileyo kunokulawulwa ngee-antiperspirants ezomeleleyo, ezifaka imijelo yokubila. Iimveliso eziqulathe i-10% ukuya kwi-20% yealuminium chloride hexahydrate ngumgca wokuqala wonyango lokujuluka okungaphantsi. Abanye abantu banokumiselwa ngemveliso equlathe idosi ephezulu ye-aluminium chloride, ethe yafakwa ebusuku kwiindawo ezichaphazelekayo. I-Antiperspirants inokubangela ukucaphuka kolusu, kwaye iidosi ezinkulu ze-aluminium chloride zingonakalisa iimpahla. Qaphela: Izidambisi azikuthinteli ukubila, kodwa ziluncedo ekunciphiseni ivumba lomzimba.
• Amayeza -- Ukusetyenziswa kwamanye amayeza kunokuthintela ukukhuthazwa kwamadlala okubila. Ezi zimiselwe iintlobo ezithile zehyperhidrosis ezinje ngokubila okugqithisileyo kobuso. Amayeza anokuba neziphumo ebezingalindelekanga kwaye awalunganga kuye wonke umntu.
• Iontophoresis - Le nkqubo isebenzisa umbane ukucima okwethutyana ukubila. Kusebenza ngokubila kwezandla kunye neenyawo. Izandla okanye iinyawo zibekwa emanzini, emva koko kudluliswe umbane omnene kuwo. Umbane uyonyuswa ngokuthe ngcembe ade umntu azive ekhaphukhaphu. Unyango luhlala malunga nemizuzu eli-10 ukuya kwengama-30 kwaye lufuna iiseshoni ezininzi. Iziphumo ebezingalindelekanga, nangona zinqabile, zibandakanya ukuqhekeka kolusu kunye namadyungudyungu.
• Ityhefu yebotulinum - Ityhefu yeBotulinum isetyenziselwa ukunyanga izikhwebu ezinzima, ukubola kwesundu, kunye nokubila kwezityalo. Le meko ibizwa ngokuba yi-axillary axillary hyperhidrosis. Ityhefu yeBotulinum itofwe phantsi kwekhwapha ibhloka okwethutyana luvo olukhuthaza ukubila. Iziphumo zibandakanya iintlungu zendawo yenaliti kunye neempawu ezinje ngomkhuhlane. Ityhefu yeBotulinum esetyenziselwa ukubila kweentende kunokubangela buthathaka, kodwa buthathaka okwethutyana kunye nentlungu ebukhali.
• I-Endoscopic thoracic sympathectomy (ETS) - Kwiimeko ezinzima, inkqubo encinci yotyando ebizwa ngokuba yi-sympathectomy inokucetyiswa xa olunye unyango lungasebenzi. Inkqubo isika imithambo-luvo, icime umqondiso oxelela umzimba ukuba ubile ngokugqithileyo. Ihlala isenziwa kubantu abanezandla zabo ezibilayo ukubila kakhulu kunesiqhelo. Ingasetyenziselwa ukunyanga ukubila okugqithisileyo kobuso. I-ETS ayisebenzi kakuhle kwabo banokubila kwekhwapha okugqithisileyo.
• Utyando phantsi kwekhwapha - Olu luqhaqho kususwe amadlala okubila emakhwapheni. Iindlela ezisetyenzisiweyo zibandakanya i-laser, i-curettage (ukukrwela), ukusika (ukusika), okanye i-liposuction. Ezi nkqubo zenziwa kusetyenziswa i-anesthesia yendawo.

Ngonyango, i-hyperhidrosis inokulawulwa. Umboneleli wakho unokuxoxa ngeendlela zokhetho kunye nawe.

Tsalela umnikezeli wakho ukubila.

• Ixesha elide, eligqithisileyo, kwaye alichazeki.
• Kunye okanye kulandele iintlungu esifubeni okanye uxinzelelo.
• Ukwehla kobunzima.
• Oko kwenzeka ikakhulu ngexesha lokulala.
• Ngomkhuhlane, ukwehla kobunzima, iintlungu esifubeni, ukuphefumla kancinci, okanye ukubetha kwentliziyo okukhawulezayo. Ezi mpawu zinokuba luphawu lwesifo esisisiseko, njenge-thyroid engasebenzi.

Ukubila - ukugqithisa; Ukubila - ukugqithisa; IDiaphoresis

Ubunzima be-JAA. Hyperhidrosis. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, ii-eds. Unyango lwezifo zolusu: Amacandelo oBuchule oNyango. Umhla we-5. IPhiladelphia, PA: Elsevier; 2018: isahluko 109.

UMiller JL. Izifo ze-eccrine kunye ne-apocrine amadlala okubila. Ku: I-Bolognia JL, uSchaffer JV, uCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 39.