Hyperhidrosis

Hyperhidrosis imamiriro ekurapa umo munhu anodikitira zvakanyanya uye asingatarisiri. Vanhu vane hyperhidrosis vanogona kudikitira kunyangwe kana tembiricha inotonhorera kana pavanenge vachizorora.

Kudikitira kunobatsira muviri kugara wakadzikama. Muzviitiko zvakawanda, zvakasikwa zvakakwana. Vanhu vanodikitira zvakanyanya mumhepo inotonhora, kana vachirovedza muviri, kana mukupindura kumamiriro ezvinhu anoita kuti vatye, vatsamwe, vanyadziswe, kana kutya.

Kuwedzera kudikitira kunoitika pasina izvo zvinokonzeresa. Vanhu vane hyperhidrosis vanoita sevanonyanya kuita ziya gland. Kudikitira kusingadzoreki kunogona kutungamira mukusanzwisisika kwakakura, kwese kwemuviri uye kwepamoyo.

Kana dikita rakawandisa rikabata maoko, tsoka uye makwapu, inonzi focal hyperhidrosis. Muzviitiko zvakawanda, hapana chikonzero chinogona kuwanikwa. Inoita kunge inomhanya mumhuri.

Kudikitira kusiri kukonzerwa nechimwe chirwere kunodaidzwa kunzi hyperhidrosis.

Kana ziya rikaitika semhedzisiro yeimwe mamiriro ekurapa, inonzi yechipiri hyperhidrosis. Kudikitira kunogona kunge kuri kwese pamusoro pemuviri (zvakajairwa) kana kungave kune imwe nzvimbo (focal). Mamiriro ezvinhu anokonzera yechipiri hyperhidrosis anosanganisira:

• Acromegaly
• Mamiriro ekuzvidya mwoyo
• Gomarara
• Carcinoid chirwere
• Mimwe mishonga uye zvinhu zvekushungurudzwa
• Glucose kudzora kusagadzikana
• Chirwere chemwoyo, chakadai sekurwadziwa kwemoyo
• Utachiona hwakanyanya
• Chirwere chemapapu
• Kuguma kuenda kumwedzi
• Parkinson chirwere
• Pheochromocytoma (adrenal gland bundu)
• Spinal cord kukuvara
• Kurohwa
• Tuberculosis kana zvimwe zvirwere

Chiratidzo chekutanga chehyperhidrosis kunyorova.

Zviratidzo zvinoonekwa zvekudikitira zvinogona kucherechedzwa panguva yekushanya nemupi wezvehutano. Miedzo inogona zvakare kushandiswa kuongorora ziya rakanyanya, kusanganisira:

• Starch-iodine bvunzo - Mhinduro yeayodini inoiswa kunzvimbo inodikitira. Mushure mokunge yaoma, starch inosaswa panzvimbo. Iyo starch-iodine mubatanidzwa inoshandura bhuruu rakasviba kuita ruvara rutema chero paine ziya rakawandisa.
• Pepa bvunzo - Pepa rakakosha rinoiswa panzvimbo yakakanganiswa kuti riwane ziya, uye zvobva zvayerwa. Iyo inorema kupfuura zviyero, kunyanya ziya rawedzera.
• Ropa bvunzo - Izvi zvinogona kurairwa kana matambudziko ehutachiona kana mamwe mamiriro ekurapa achifungidzirwa.
• Kufungidzira bvunzo inogona kurairwa kana bundu rikafungidzirwa.

Iwe unogona zvakare kubvunzwa ruzivo nezve yako kudikitira, senge:

• Nzvimbo - Zvinoitika kumeso kwako, zvanza, kana muhapwa, kana muviri wese?
• Nguva yenguva - Zvinoitika husiku here? Zvakatanga kamwe kamwe here?
• Zvinokonzera - Kudikitira kunoitika here kana uchayeuchidzwa nezvechimwe chinhu chinokugumburisa (senge chiitiko chinotyisa)?
• Zvimwe zviratidzo - Kurera huremu, kurova kwehana, kutonhora kana kuomesa maoko, kupisa, kushaya kudya.

Mhando dzakasiyana dzekurapa kwehyphidrosis dzinosanganisira:

• Antiperspirants - Kuwedzera kudikitira kunogona kudzorwa neakasimba antiperspirants, ayo anovhara ziya ziya. Zvigadzirwa zvine 10% kusvika 20% aluminium chloride hexahydrate ndiwo mutsara wekutanga wekurapa kwekudikitira pasi pemukono. Vamwe vanhu vanogona kupihwa chigadzirwa chine yakakwira dosi yealuminium chloride, inoiswa husiku munzvimbo dzakabatwa. Antiperspirants inogona kukonzera kutsamwa kweganda, uye madosi makuru ealuminium chloride anogona kukuvadza zvipfeko. Ongorora: Zvinodhaka hazvidziviriri kudikitira, asi zvinobatsira mukuderedza hwema hwemuviri.
• Mishonga -- Kushandiswa kwemimwe mishonga kunogona kudzivirira kumutsidzirwa kwejuzi gland. Izvi zvinopihwa kune mamwe marudzi eiyo hyperhidrosis sekudikitira zvakanyanya kwechiso. Mishonga inogona kuve nemhedzisiro uye haina kukodzera munhu wese.
• Iontophoresis - Maitiro aya anoshandisa magetsi kudzima gland dikidiki. Inonyanya kushanda kudikitira kwemaoko nemakumbo. Maoko kana tsoka dzinoiswa mumvura, uyezve nyoro yemagetsi inopfuudzwa napo. Magetsi anowedzerwa zvishoma nezvishoma kudzamara munhu anzwa kupfava kwekunzwa. Iyo yekurapa inotora ingangoita maminetsi gumi kusvika makumi matatu uye inoda akati wandei zvikamu. Mhedzisiro, kunyangwe isingawanzo, inosanganisira kutsemuka kweganda uye mablister.
• Chepfu yeBotulinum - Botulinum chepfu inoshandiswa kurapa zvakakomba underarm, chanza, uye kudyara kudikitira. Mamiriro aya anonzi primary axillary hyperhidrosis. Botulinum chepfu yakajowa mukati mepfudzi inovhara tsinga dzinomutsa kudikitira. Zvimwe zvinokanganisa zvinosanganisira jekiseni -saiti kurwadziwa uye nefuru-kunge zviratidzo. Botulinum chepfu inoshandiswa pakudikitira kwemichindwe inogona kukonzera kupfava, asi kushomeka kwechinguva uye kurwadziwa kwakanyanya.
• Endoscopic thoracic sympathectomy (ETS) - Muzviitiko zvakakomba, chirongwa chekuvhiya chidiki-chinodaidzwa chinonzi sympathectomy chinogona kukurudzirwa kana kumwe kurapwa kusingashande. Maitiro acho anodimbura tsinga, kudzima siginecha inotaurira muviri kudikitira zvakanyanya. Inowanzoitirwa kune vanhu vane mawoko anodikitira zvakanyanya kupfuura zvakajairwa. Inogona zvakare kushandiswa kurapa zvakanyanya kudikitira kwechiso. ETS haishande pamwe chete kune avo vane kunyanya kudikitira muhapwa.
• Kuvhiya kwepasi - Uku kuvhiyiwa kubvisa maronda e sweat muhapwa. Nzira dzinoshandiswa dzinosanganisira laser, curettage (kukwenya), kucheka (kucheka), kana liposuction. Maitiro aya anoitwa uchishandisa anesthesia yemuno.

Nekurapa, hyperhidrosis inogona kutarisirwa. Mupiki wako anogona kukurukura newe nezvekurapwa.

Fonera mupiki wako kana uchidikitira:

• Izvo zvinorebesa, zvakawandisa, uye zvisina kutsanangurwa.
• Nayo kana kuteverwa nekurwadziwa pachifuva kana kumanikidza
• Nehuremu.
• Izvo zvinoitika zvakanyanya panguva yekurara.
• Nefivha, kurasikirwa uremu, kurwadziwa pachipfuva, kufema kwekufema, kana kukurumidza, kurova kwemwoyo. Zviratidzo izvi zvinogona kunge zviri chiratidzo chechirwere chiri pasi, senge yakanyanyisa utachiona.

Kudikitira - kunyanyisa; Kufungidzira - kwakanyanyisa; Diaphoresis

Langtry JAA. Hyperhidrosis. Mune: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Kurapa kweGanda Rezvirwere: Dzakakwana Therapeutic Strategies. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 109.

Miller JL. Zvirwere eccrine uye apocrine ziya ziya mumasero. Mune: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 39.