Matenda a Hyperhidrosis

Hyperhidrosis ndimankhwala momwe munthu amatuluka thukuta mopitilira muyeso mosayembekezereka. Anthu omwe ali ndi hyperhidrosis amatha kutuluka thukuta ngakhale kutentha kukuzizira kapena kupumula.

Thukuta limathandiza kuti thupi lizizizira. Nthawi zambiri, zimakhala zachilengedwe mwangwiro. Anthu amatuluka thukuta kwambiri kutentha, akamachita masewera olimbitsa thupi, kapena poyankha zomwe zimawapangitsa kukhala amanjenje, okwiya, amanyazi, kapena amantha.

Thukuta lochulukirapo limachitika popanda zoyambitsa izi. Anthu omwe ali ndi hyperhidrosis amawoneka kuti ali ndimatenda otupa thukuta. Thukuta losalamulirika limatha kubweretsa zovuta zina, zakuthupi ndi zamaganizidwe.

Thukuta likakhudza kwambiri manja, mapazi, ndi khwapa, limatchedwa focal hyperhidrosis. Nthawi zambiri, palibe chifukwa chomwe chingapezeke. Zikuwoneka kuti zikuyenda m'mabanja.

Thukuta lomwe silimayambitsidwa ndi matenda ena limatchedwa primary hyperhidrosis.

Ngati thukuta limachitika chifukwa cha matenda ena, limatchedwa sekondale hyperhidrosis. Thukuta likhoza kukhala pathupi lonse (zowombetsa mkota) kapena likhoza kukhala dera limodzi (lolunjika). Zomwe zimayambitsa hyperhidrosis yachiwiri ndizo:

• Zosintha
• Mavuto
• Khansa
• Matenda a Carcinoid
• Mankhwala ena ndi zinthu zina zozunzidwa
• Matenda owongolera shuga
• Matenda a mtima, monga matenda a mtima
• Chithokomiro chopitilira muyeso
• Matenda am'mapapo
• Kusamba
• Matenda a Parkinson
• Pheochromocytoma (chotupa cha adrenal gland)
• Msana wovulala
• Sitiroko
• TB kapena matenda ena

Chizindikiro chachikulu cha hyperhidrosis ndikunyowa.

Zizindikiro zowoneka za thukuta zitha kuzindikirika mukamacheza ndi wothandizira zaumoyo. Mayeso atha kugwiritsidwanso ntchito kuzindikira kuti thukuta limakhala lalikulu, kuphatikiza:

• Kuyesa kowuma-ayodini - Njira yothetsera ayodini imagwiritsidwa ntchito pamalo otuluka thukuta. Ikatha kuuma, wowuma amawaza m'deralo. Mgwirizano wa wowuma-ayodini umasandutsa buluu wakuda kukhala wakuda kulikonse komwe kuli thukuta lochulukirapo.
• Kuyesa pepala - Papepala lapadera limayikidwa pamalo okhudzidwa kuti atenge thukuta, kenako nkulemera. Thukuta likulemera kwambiri, ndiye kuti thukuta lakula kwambiri.
• Mayeso amwazi - Izi zikhoza kulamulidwa ngati matenda a chithokomiro kapena matenda ena akukayikira.
• Kuyesa mayeso akhoza kulamulidwa ngati akuwoneka kuti ali ndi chotupa.

Muthanso kufunsidwa za thukuta lanu, monga:

• Malo - Kodi zimachitika pankhope panu, pachikhatho, kapena m'khwapa, kapena m'thupi lonse?
• Nthawi - Kodi zimachitika usiku? Kodi zinayamba mwadzidzidzi?
• Zoyambitsa - Kodi thukuta limachitika ukakumbutsidwa za zomwe zimakhumudwitsa iwe (monga choopsa)?
• Zizindikiro zina - Kuchepetsa thupi, kugunda kwa mtima, kuzizira kapena kuwomba m'manja, kutentha thupi, kusowa njala.

Mankhwala osiyanasiyana odziwika a hyperhidrosis ndi awa:

• Otsutsa - Kutuluka thukuta kwambiri kumatha kulamulidwa ndi antiperspirants amphamvu, omwe amathira thukuta thukuta. Zida zopangidwa ndi 10% mpaka 20% aluminium chloride hexahydrate ndiye njira yoyamba yothandizira thukuta lamkati. Anthu ena amatha kupatsidwa mankhwala okhala ndi mulingo wambiri wa aluminium chloride, womwe umagwiritsidwa ntchito usiku m'malo omwe akhudzidwa. Antiperspirants amatha kuyambitsa khungu, ndipo kuchuluka kwakukulu kwa aluminium chloride kumatha kuwononga zovala. Chidziwitso: Zodzola sizimaletsa kutuluka thukuta, koma zimathandiza kuchepetsa kununkhira kwa thupi.
• Mankhwala -- Kugwiritsa ntchito mankhwala ena kumatha kupewa kuyambitsa thukuta. Izi zimaperekedwa kwa mitundu ina ya hyperhidrosis monga thukuta kwambiri pankhope. Mankhwala amatha kukhala ndi zovuta zina ndipo siabwino kwa aliyense.
• Iontophoresis - Njirayi imagwiritsa ntchito magetsi kuzimitsa thukuta la thukuta kwakanthawi. Ndiwothandiza kwambiri kutuluka thukuta m'manja ndi m'mapazi. Manja kapena mapazi amalowetsedwa m'madzi, ndiyeno mphamvu yamagetsi imadutsamo. Magetsi amakula pang'onopang'ono mpaka munthuyo akumva kulira kopepuka. Mankhwalawa amakhala pafupifupi mphindi 10 mpaka 30 ndipo amafunikira magawo angapo. Zotsatira zoyipa, ngakhale ndizosowa, zimaphatikizapo kusweka kwa khungu ndi zotupa.
• Poizoni wa botulinum - Poizoni wa botulinum amagwiritsidwa ntchito pochiza thukuta lamkati, lamanja, ndi thukuta. Matendawa amatchedwa axillary hyperhidrosis. Poizoni wa botulinum wolowetsedwa m'manja mwam'mimba umatseka minyewa yomwe imayambitsa thukuta. Zotsatira zoyipa zimaphatikizira kupweteka kwa malo obayira jakisoni ndi zizindikilo zonga chimfine. Poizoni wa botulinum wogwiritsidwa ntchito thukuta la kanjedza ungayambitse kufooka, koma kufooka kwakanthawi komanso kupweteka kwambiri.
• Endoscopic thoracic sympathectomy (ETS) - Zikakhala zovuta kwambiri, njira zochepa zopangira opaleshoni zotchedwa sympathectomy zitha kulimbikitsidwa ngati mankhwala ena sakugwira ntchito. Njirayi imadula mitsempha, kutseka chizindikiro chomwe chimauza thupi kutuluka thukuta kwambiri. Nthawi zambiri zimachitikira anthu omwe manja awo amatuluka thukuta kwambiri kuposa zachilendo. Itha kugwiritsidwanso ntchito kuthana ndi thukuta kwambiri pankhope. ETS siyigwiranso ntchito kwa iwo omwe amatuluka thukuta mopitirira muyeso.
• Kuchita opaleshoni yamanja - Uku ndikuchita opareshoni yochotsa tiziwalo ta thukuta m'khwapa. Njira zomwe zimagwiritsidwa ntchito ndi monga laser, curettage (scraping), excision (kudula), kapena liposuction. Njirazi zimachitika pogwiritsa ntchito mankhwala oletsa ululu am'deralo.

Ndi chithandizo, hyperhidrosis imatha kuyendetsedwa. Wothandizira anu akhoza kukambirana nanu za chithandizo.

Itanani omwe akukuthandizani ngati mwatuluka thukuta:

• Izi ndizotalika, zochulukirapo, komanso zosadziwika.
• Ndi kapena kumatsatiridwa ndi kupweteka pachifuwa kapena kukakamizidwa.
• Ndi kuchepa thupi.
• Izi zimachitika makamaka tulo.
• Ndikutentha thupi, kuchepa thupi, kupweteka pachifuwa, kupuma movutikira, kapena kugunda kwamtima kofulumira. Zizindikirozi zitha kukhala chizindikiro cha matenda obwera chifukwa cha chithokomiro chopitilira muyeso.

Kutuluka thukuta - mopitirira muyeso; Thukuta - mopambanitsa; Diaphoresis

Zoyenda JAA. Matenda a Hyperhidrosis. Mu: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, olemba. Kuchiza kwa Matenda a Khungu: Njira Zambiri Zakuchiritsira. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 109.

Miller JL. Matenda a eccrine ndi apocrine thukuta. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 39.