Sweating (hyperhidrosis)

April 30, 2012

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Hyperhidrosis   - A condition in which a person is too heavy sweating. When hyperhidrosis due to swelling and softening of the skin often develops Fungus , and pyogenic Flora. Often, when a person has hyperhidrosis is a strong unwarranted sweating in the underarm area, hands or feet. Sometimes a strong perspiration occurs simultaneously in the three zones.

Features hyperhidrosis

In this state, a person sweats streams flowing through the body, therefore there is a constant humidity of the feet, hands or other body parts. The most unpleasant thing for the patient is the presence of an unpleasant smell when sweating (called osmidroz ). This - a consequence of merger fungal   and bacterial   flora.

Underarm hyperhidrosis, as well as other forms of the disease, primarily deliver noticeable discomfort to the patient. So, suffering from hyperhidrosis is often a person has to take a shower, always use the napkins, do not wear light-colored clothing. Due to constant sweating in human skin irritation, Dermatitis . In addition, this disease affects the psychological condition of the patient: it is constantly in a state of discomfort, feeling
lack of confidence, and sometimes depression . Hyperhidrosis also affects the opportunity for career growth, significantly reduces the overall quality of life.

Types of hyperhidrosis

Hyperhidrosis usually divided into primary   hyperhidrosis (the so-called bezprichinno . idiopathic ) And secondary   hyperhidrosis. In secondary hyperhidrosis basis for the emergence of the state becomes the primary disease that often accompanies increased separation of sweat. This can be diabetes . tuberculosis . hyperthyroidism   and other diseases.

To distinguish hyperhidrosis general   and localized . Manifestation general hyperhidrosis   It occurs when a person affected by high temperatures, there are stress, both physical and emotional. Also, this phenomenon occurs when the number of comorbidities.

Localized hyperhidrosis   most often manifested as a rash of major folds and hand-foot hyperhidrosis. In this case, the reason for this phenomenon may be vasoneurosis And the consequence of non-compliance with personal hygiene, wearing poor-quality shoes, clothes, etc.

When normal people a day allocated from 500 to 1500 ml of sweat. At the same time the patient can be released hyperhidrosis 1500 ml of sweat per hour. There are two types of sweat glands: apocrine   and eccrine . Placements apocrine glands - the crotch, underarms, peripapillary site. These glands secrete through sweat pheromone Creating human body odor, unlike the other odors. The eccrine glands are located all over the body.

Patients suffering from hyperhidrosis, increase the number of sweat glands, and their volume. From the viewpoint of the chemical composition of sweat it consists essentially of 99% water and about 1% of its salts comprise sodium, calcium, potassium and other chemical components.

According to the observations of the hyperhidrosis patients, about half of patients with this disease as they suffered their parents.

Symptoms of hyperhidrosis

Symptoms of the disease in humans often occur in childhood. When a person enters adolescence, symptoms of hyperhidrosis had sharply increased. Factors that predispose to intensive disease progression is a strong state stress , A change in the hormonal balance. People who develop primary axillary hyperhidrosis suffer from constant sweating in the armpits, which occurs for no apparent reason. Very often, due to the addition of fungal and bacterial flora of an unpleasant odor when sweating.

When hyperhidrosis underarm sweat increased separation occurs very rapidly. As a consequence, due to the presence of sweat from the properties of a weak acid, constantly moist clothes are very perishable and often manifests itself on the skin dermatitis   and irritation .

Strong brings inconvenience to patients and hyperhidrosis of the palms. These people are constantly moist palms, therefore items can slip. In addition, such patients is difficult to work with objects that are sensitive to water.

In addition, the disease can be fatal illness for musicians, people involved in sports.

Another unpleasant form of hyperhidrosis - excessive sweating feet. In this case, often connected to the process of microbial and fungal flora, causing unpleasant odor.

In addition, due to the moisture of the skin stop patients often dermatitis . maceration . If you do not take measures aimed at the treatment of this condition, then after a while, a fungal infection can affect the nails and skin. As a consequence, there is intoxication, develop diseases of internal organs. In this case it is very important to establish the diagnosis, because hyperhidrosis feet as hyperhidrosis underarms, very often the consequence of a specific underlying disease.

Diagnosis gipergidoza

In the diagnosis of hyperhidrosis is important to gather medical history and conduct a complete and thorough examination of the patient, who has a complaint to heavy sweating. First of all, it excludes secondary hyperhidrosis, which indicates the presence of the disease which was the cause of this condition.

Through examination of the patient, the doctor will determine what the state of his clothing and whether traces of sweat on it. To judge the degree of underarm hyperhidrosis can sweat largest spots on clothes, which appear in the armpits. Thus, if the spot diameter is up to 5 mm, such a state may occur with a certain physical effort and usually is normal.

If the spot diameter of sweat on the clothes is approximately 10 mm, the patient is present mild hyperhidrosis. The spot diameter of about 20 cm indicating moderate disease, and if the size of the wet spots even more, then we can talk about severe hyperhidrosis.

If we talk about hyperhidrosis of the palms, his mild manifested without a drop of sweat: a man just constantly wet palms. If there is a moderate degree of hyperhidrosis of the palms, the perspiration stands noticeable drops to the fingertips. In severe disease may sweat dripping streaks.

For a more accurate diagnosis of the disease using specially developed methods for determining the degree of sweating, namely gravimetric method, a sample Minor, chromatographic method.

Hyperhidrosis treatment

Tactics of treatment of hyperhidrosis doctor determines after how the diagnosis of "primary hyperhidrosis." If there is a secondary hyperhidrosis, then, first of all, measures aimed at the treatment of the underlying disease.

In primary hyperhidrosis used administering to a patient BoNTA . Small doses of the drug is administered intradermally. This drug acts directly on the sweat glands by blocking innervation. When applying this medicament its action lasts three to six months. However, some people do not sensitive to the drug, while in others the duration of its validity is determined individually. In most cases, the drug has no effect on male patients.

One of the important methods of combination therapy for hyperhidrosis is considered a special diet . From the daily diet should be excluded those products that contain stimulants. Consequently, such foods can promote sweating. We are talking about the sharp, salty dishes, spices, coffee. However, such changes in the diet have a positive impact mainly on people who suffer from mild hyperhidrosis.

During treatment primenyaeyutsya as methods of psychotherapy aimed at improving overall psychological state of the patient. However, the physiological state of a person such therapies are ineffective. Sometimes it is advisable to use drugs and sedatives tranquilizers Which can to some extent reduce the Department of sweat. However, widespread use of these funds is not acceptable because of their negative impact on overall health.

Sometimes, for the treatment of hyperhidrosis is used radiation therapy : Problem areas are irradiated with small doses. A similar technique can be for some time to improve the condition. However, it is important to bear in mind the negative impact of radiation therapy as a whole.

Hyperhidrosis treatment is also carried out through Electrophoresis . Special devices emit low-voltage currents, which act on the problem areas of the skin. This procedure is performed regularly for several weeks. Its efficiency is celebrated immediately after the meeting. However, due to the application of this procedure, patients often an allergy, skin irritation, itching, dermatitis.

Do not assume that an effective method of eliminating this problem is antiperspirants . Despite the constant appearance on the market of new types of funds, they do not solve the problem of the treatment of hyperhidrosis. Moreover, their continued use often provokes allergic phenomena and skin irritation.

Today also used surgical treatments for hyperhidrosis. Today, in this case, the two groups of surgical operations. The first group includes surgical intervention conducted on the problem area. They mainly produce for hyperhidrosis underarm. Back in the sixties of the last century was open the possibility of operations carved skin in the armpits, which are removed along with the glands that secrete sweat. Later hyperhidrosis patients began to conduct operations through open adenotomy under which a carved into the subcutaneous tissue with glands. Eschespustya while there are certain new and less traumatic techniques to remove the sweat glands. To do this today using ultrasonic technology, endoscopic surveillance.

The second group of operations are interventions made on nerve ganglia . Similar operations were carried out previously by the removal of cute ganglia through the back of the neck. Today, this technique replaces the use videoendoscopic technologies, laser and others.

Prevention of hyperhidrosis

People who are prone to sweating, it is recommended not to wear shoes with rubber, synthetic socks and stockings. It is important every day to pay special attention to hygiene legs and other body parts on which there is an increased separation of sweat. After bathing was completed, followed by some time to dry the foot and body outdoors, and only wear socks and clothing. Always try to dress for the weather, avoid stressful situations. In addition, as an effective prevention for people prone to rash, it is recommended to engage in any sport, to strengthen the overall body.