Yu kin swet tumɔs? Lɛ wi tɔk bɔt hyperhydrosis!

Sɔntɛnde, yu kin fil lɛk se yu de swet pasmak fɔ natin? Sɔntɛm yu an, yu fut, ɛn yu an kin wet ɔltɛm? Ɔ yu kin swet so dat yu klos kin wet pan ivin di smɔl tin? Dis na prɔblɛm we bɔku pipul dɛn gɛt, bɔt na sɔntin we dɛn kin shem smɔl fɔ tɔk bɔt. Lɛ wi tɔk bɔt dis ditayli tide.

Wetin na haypa haydrosis? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, hyperhydrosis na fɔ swet pasmak. Nɔmal wan, wi kin swet fɔ mek wi bɔdi wam. Dat min se na nɔmal tin fɔ swet we wi de du ɛksɛsayz, we wi de fil se wi de fred, ɔ we di ples wam. Bɔt pɔsin we gɛt hyperhydrosis kin swet pasmak fɔ no rizin, sɔntɛm ivin we wi de na kol rum ɔ jɔs we wi de rɛst.

Wi skin gɛt wan kayn swet gland dɛn we dɛn kɔl eccrine glands . Dis na di gland dɛm we de mek pɔsin swet. We dis swet rich di say we di skin de ɛn i kin kɔmɔt, di bɔdi kin kol. insay haypa haydrosis, dεn swet gland dεm ya kin bi ova aktif. I tan lɛk tap we nɔ de lɔk fayn ɛn wata de lik.

Tu men kayn sik de we de mek pɔsin gɛt aypa haydrosis. Wetin na dɛn?

Yɛs, dɔktɔ dɛn dɔn no tu men kayn dis:

1. Praymari Fɔkal Hayparaydrosis:

• Dis na di kayn we we pipul dɛn kin gɛt mɔ. Na tru tru wan sik we de mek pɔsin in skin nɔ de mɛn.
• Bɔku tɛm, dis kin apin bikɔs ɔf wan chenj we de apin na di jɛnɛtiks . Dis min se if pɔsin na yu famili gɛt dis sik, yusɛf go gɛt dis sik.
• Dis kayn tin kin jɔs swet na sɔm patikyula say dɛn lɛk na in an, in an, in fut, ɛn in fes.
• Bɔku tɛm dis kin bigin pan yɔŋ pipul dɛn we nɔ rich 25 ia yet .

2. Sεkɔndari Jɛnɛralayz Hayparaydrosis:

• Insay dis kayn, wae yu de swet pasmak kin kam wit ɔda ɔndalayn mɛdikal kɔndishɔn (lɛk dayabitis, Pakinsin sik) ɔr wan sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛm wae yu de tek (lɛk pen kil lɛk naproxen).
• Insay dis kayn , swet nɔ kin apin nɔmɔ na wan say na di bɔdi, bɔt i kin apin ɔlsay na di bɔdi.
• Sɔmtɛm, fɔ swet ivin we yu de slip na nɛt kin bi dis kayn sayn.

Aw dis sik kin kɔmɔn? Udat dɛn kin afɛkt mɔ?

Hyperhidrosis na rili wan sik wae kin pasmak pas aw yu kin tink. Risach sho se lɛk 3% pan di big pipul dɛm na Amɛrika, bitwin 20 ɛn 60 ia, kin sɔfa wit dis sik. Bɔrku pipul dɛn de na Sri Lanka wae gɛt dis sik, bɔt sɔm nɔr kin want fɔ tɔk bɔt am.

Wetin na di sayn dɛm wae de sho se yu gɛt hyperhydrosis? Aw yu de fil?

Di men sayn na we yu de swet pasmak. Yu kin ɛkspiriɛns:

• Skin kin fil wet ɔltɛm .
• Di klos we yu wɛr kin wet bikɔs yu swet.
• I tan lɛk se swet de drɔp na yu fes ɛn fɔrɛst.

If dis sik de fɔ lɔng tɛm, ɔda sayn dɛn kin sho:

• Swet kin mek di skin it ɛn inflamɛns.
• Di bɔdi we de smɛl. Dis kin apin we di baktri dɛm we de na di skin kam togɛda wit di swet. Swet insɛf nɔ gɛt smel, bɔt na we baktri dɛn gɛda na in di smel kɔmɔt.
• Di skin we de krak ɔ we de pul, mɔ na di fut dɛn we de na di fut.

Dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn kin jɔs gɛt dɛn fɔ shɔt tɛm ɛn dɛn kin kam ɛn go. Fɔ ɔda pipul dɛn, dɛn kin de ɔltɛm ɔl di de ɛn dɛn kin ambɔg di tin dɛn we dɛn kin du ɛvride.

Di tin wae impɔtant pas ɔl na dat, dis sik kin afɛkt yu maynd wɛl bɔdi bak. Bɔku pipul dɛn kin shem ɛn nɔ kin de wit ɔda pipul dɛn bikɔs dɛn kin swet pasmak. If na dis kayn tin, e fayn fɔ go to dɔktɔ fɔ gɛt ɛp fɔ mɛn dɛn sik ya, ɛn fɔ tɔk to pɔsin we de gi advays bɔt yu maynd bɔt aw yu de fil.

Usay na di bɔdi yu kin swet pas ɔl lɛk dis?

Pan ɔl we wi gɛt swet gland dɛn (eccrine glands) ɔlsay na wi bɔdi, dɛn kin gɛt mɔ swet na sɔm say dɛn. Na dat mek wi kin swet mɔ pan dɛn say dɛn de:

• Ɔnda-am (Aksila hayparaydrosis) .
• Planta hayparaydrosis we de mek pɔsin gɛt sik
• Palm (Palmar hyperhidrosis) - Dis na di eria we kin afɛkt bɔku pipul dɛn.
• Fɔrɛst ɛn chɛk (Kraniofacial hyperhydrosis) .
• Na di say we di uman in bɔdi de
• Di bɛlɛ we de dɔŋ

Wetin mek wi kin swet so? Wetin na di rizin dɛn?

Di men rizin na di swet gland dɛn we de wok pasmak. Nɔmal wan, we wi bɔdi wam, di swet gland dɛn kin wok fɔ mek wi kol. Dis kin apin we wi de du ɛksɛsayz ɔ we wi de fred. Bɔt pan pipul dɛn we gɛt hyperhydrosis, di swet gland dɛn kin mek dɛn swet ivin we dɛn bɔdi nɔ wam. Risach stil de go bifo fɔ no wetin mek dis kin apin.

Sɔm tin dɛm (Triggers) we de mek yu swet bɔku:

Sɔm tin dɛn kin mek yu swet gland dɛn wok ɛn mek yu swet mɔ ɛn mɔ:

• Stret, wɔri, frayd, ɛn filin fɔ fred.
• Hot weta ɔ ay humidity.
• Ɛksesaiz ɔ fɔ du tin dɛn we yu de du fɔ yu bɔdi.
• Sɔm it ɛn drink dɛn: it dɛn we gɛt spays, it dɛn we gɛt ɔyl, it dɛn we gɛt bɔku shuga ɛn sɔl, it dɛn we gɛt bɔku prɔtin. Drink lɛk kɔfi ɛn rɔm we gɛt kafin.

Sɔm mɛrɛsin dɛn we kin mek pɔsin swet na:

If yu swet pasmak, dat kin bi bak wan sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛn we yu de tek. Na sɔm ɛgzampul dɛn ya:

• Albuterol (Proventil®) we dɛn kɔl .
• Bupropion (Wɛlbɔtrin®) we dɛn kɔl .
• Haydrokɔdɔn we dɛn kɔl
• Insulin `(Insulin (Humulin® R, Novolin® R))`
• Levotayroksin `(Lɛvotayroksin)`
• Lisinopril `(Lisinopril)`
• Naproxen (Aleve®) we dɛn kɔl .
• Ɔmɛprazɔl (Prilosec®) we dɛn kɔl .
• Sertralin (Zoloft®) we dɛn kɔl .

If yu de tek mɛrɛsin lɛk dis ɛn yu de swet pasmak, tɔk to yu dɔktɔ. Nɔ stɔp fɔ tek ɛni mɛrɛsin we yu nɔ gɛt dɔktɔ advays.

Sɔm sik dɛn we kin mek pɔsin swet na:

Sεkɔndari (Jεnεral) haypa haydrosis kin kכz bay wan כndalayn mεdikal kכndyushכn. Ɛgzampul dɛn:

• Akromegali we gɛt sik
• Infεkshכn dεm (e.g. Tuberculosis) .
• Wɔri
• Kansa
• Shuga
• At sik ɔ at we nɔ de wok fayn
• Di sik we dɛn kɔl haypa tayroyd
• Menopause we pɔsin kin gɛt
• Fat
• Dis sik we dɛn kɔl Parkinson

Yu tink se dis sik na frɔm in mama ɛn papa?

Yɛs, yu de pan denja, mɔ if sɔmbɔdi na yu famili gɛt praymar fokal haypa haydrosis . Risach dɔn sho se i kin bi bikɔs ɔf wan chenj we pɔsin kin gɛt frɔm in jɛnɛtiks .

Dis we aw yu de swet pasmak kin mek yu gɛt ɔda prɔblɛm dɛn?

Yɛs, haypa haydrosis kin mek sɔm prɔblɛm dɛn:

• Infεkshכn na di skin.
• di skin kin chenj: di skin kin bεlε, di kכla kin chenj, di skin kin krak כ wrinkling.
• di wata we de fכm pasmak εn di skin de sכft (Maceration).

Apat frɔm dɛn tin ya we kin apin to yu bɔdi, lɛk aw wi bin dɔn tɔk, i kin rili afɛkt yu maynd wɛlbɔdi bak . Yu kin tɛmpt fɔ chenj di tin dɛn we yu de du ɛvride ɛn avɔyd sɔm tin dɛn (lɛk fɔ es yu an ɔp, fɔ shek yu an) bikɔs yu tink se ɔda pipul dɛn go notis se yu de swet. Yu kin ivin avɔyd tin dɛn we yu lɛk bikɔs ɔf dis. So, if dis sik de afɛkt yu maynd ɛn soshal layf, mek shɔ se yu go to dɔktɔ.

Aw dɔktɔ dɛn kin no kɔrɛkt wan se dis na hyperhydrosis? (Diagnosis) .

Dɔktɔ go no if yu gɛt hyperhydrosis afta i dɔn chɛk yu, lisin to yu sayn dɛm, ɛn tek yu mɛdikal histri. Sɔm tin dɛn de we dɛn kin yuz fɔ no dis. If yu dɔn de swet pasmak fɔ at le siks mɔnt ɛn yu kin ansa "yes" to at le tu pan dɛn kwɛstyɔn ya:, i kin bi se na haypa haydrosis:

• Yu kin swet ɔnda yu an, yu an, yu fut, ɔ yu fes?
• Yu de swet ikwal na ɔl tu di say dɛn na yu bɔdi?
• Yu nɔ de swet na nɛt, ɔ yu nɔ de swet smɔl?
• Yu dɔn de swet fɔ at le wan wik?
• Ɛnibɔdi na yu famili gɛt dis sik?
• Yu tink se we yu de swet, dat kin ambɔg di tin dɛn we yu de du ɛvride?
• Yu nɔ rich 25 ia yet?

Us tɛst dɛn kin du fɔ kɔnfirm dis?

Di dɔktɔ kin du wan ɔ mɔ pan dɛn tɛst ya fɔ ɛp fɔ no di tin we mek i apin:

• Stach-ayodin tɛst: Dɛn kin put ayodin sɔlvushɔn na di say we di swet de ɛn dɛn kin sprinkl stach pan am. Di say dɛn we pɔsin kin swet pasmak kin tɔn to dak blu kɔlɔ.
• Pepa tɛst: Dɛn kin put spɛshal pepa na di say we di swet de fɔ mek di swet tek di swet. Dɔn dɛn kin wej di pepa fɔ si ɔmɔs swet de.
• Blɔd ɔ imej tɛst: Dɛn tin ya kin ɛp fɔ no wetin mek yu gɛt di sik bay we yu tek yu blɔd ɔ tek pikchɔ fɔ wetin de ɔnda yu skin.

So, wetin dɛn kin du fɔ trit dis sik we dɛn kɔl hyperhydrosis?

Di tritmɛnt we dɛn kin pik kin difrɛn fɔ di pat pan yu bɔdi we di sik afɛkt, aw di sik kin tranga, ɛn di kayn tritmɛnt we fayn fɔ yu. Wan dɔktɔ we de mɛn yu skin kin ɛp yu fɔ fɛn di bɛst tritmɛnt fɔ yu. No wan saiz tritmɛnt nɔ de fɔ ɔlman.

Simpul tin dɛn we yu kin du na os

• Yuz antiperspirant ɛn diodorant: Antiperspirant de wok bay we dɛn de blok di swet gland dɛn ɛn ridyus di swet. Yu dɔktɔ kin tɛl yu fɔ yuz wan kayn we we yu kin bay we yu de bay tin na yu kɔwnta (OTC) ɔ we gɛt trɛnk we yu kin gi yu. Prodakt dɛn we gɛt aluminiɔm na dɛn bɛtɛ fɔ dis.
• Was ɔ was yu bɔdi ɔltɛm: Yu kin pul di smɔl smɔl sik dɛn we yu gɛt if yu was bɔku tɛm ɛvride.
• Wear klos we de blo ɛn we de mek yu swet: Fabrik lɛk kɔtɔn fayn fɔ dis. Sintetik klos lɛk polyɛsta kin trap ɔt ɛn mek yu swet mɔ, so avɔyd dɛn.

Mɛrɛsin dɛn we pɔsin kin tek pan dɔktɔ advays

Yu dɔktɔ ɔ dɔktɔ we de mɛn yu skin kin tɛl yu fɔ tek mɛrɛsin lɛk dɛn wan ya:

• Antikolinerjik ejen dεm (e.g., glycopyrrolate, oxybutynin) .
• Antidipreshɔn (sɔm kayn dɛn kin ɛp bak fɔ mek yu nɔ swet) .
• Beta-blɔka (especially fɔ kes dɛm we yu de swet bikɔs ɔf strɛs) .
• Wayp dɛn we gɛt mɛrɛsin (e.g., glycopyrronium tosylate, Qbrexza®) .
• Aluminium klorayd jel `(Aluminum klorayd jel)`

Bifo yu tek dɛn mɛrɛsin ya, tɔk to yu dɔktɔ bɔt di bad tin dɛn we dɛn kin du.

Speshal Tɛrapi dɛn

If di mɛrɛsin ɛn mɛrɛsin dɛn we yu de yuz na os nɔ de gi yu bɔku rilif, yu dɔktɔ kin tɛl yu sɔm patikyula tritmɛnt dɛn lɛk:

• Iontophoresis: Dɛn kin put yu an ɔ yu fut insay wan bol we gɛt wata we nɔ shayn. Wan spɛshal tin kin sɛn ilɛktrik kɔrɛnt we nɔ gɛt bɛtɛ pawa tru di wata, we as tɛm de go i kin blok di swet gland dɛn. Ɛni sɛshɔn kin tek lɛk 10-20 minit so. Yu kin nid fɔ du dis tritmɛnt bɔku tɛm. Yu kin ebul fɔ yuz dis divays bak na os.
• Botulinum toxin (Botox®) injεkshכn: Dis kin injεkt insay wan nεv we de wok pasmak εn stכp di swet prodakshכn fכ fכ mכnt. Bɔt yu go nid fɔ gɛt dɛn injɛkshɔn ya bɔku tɛm.
• Maykrowev tɛrapi: Yu dɔktɔ kin put spɛshal tin (lɛk miraDry®) pan yu skin we de swet. I de pul ɔt, ɛn i de pwɛl di swet gland dɛn fɔ ɔltɛm. Dis na tritmɛnt we kin tek lɛk wan awa so na di dɔktɔ in ɔfis.

Ɔpreshɔn - as las tin fɔ du

If ɔl di ɔda tritmɛnt dɛn nɔ wok, di dɔktɔ kin tink bɔt fɔ du ɔpreshɔn:

• Endoscopic thoracic sympathectomy (ETS): Dis na ɔpreshɔn we dɛn kin du tru wan rili smɔl say we dɛn kɔt am. Di dɔktɔ we de du di ɔpreshɔn kin kɔt wan nerv na di bɔdi, ɛn i kin stɔp di signal to di swet gland dɛn fɔ mek i swet.
• Fɔ pul di swet gland: Di dɔktɔ we de du ɔpreshɔn kin pul di swet gland dɛn bay we i de yuz lɛsa, kuret, fɔ pul am, ɔ fɔ pul di swet.

Ɔpreshɔn kin gi rilif fɔ lɔng tɛm to di wan dɛn we nɔ bin dɔn du ɔda tritmɛnt. Bɔt i impɔtant fɔ tɔk to yu dɔktɔ we de du di ɔpreshɔn bɔt di bad tin dɛn we go apin to yu bifo yu disayd fɔ du sɔntin.

Ɛni bad tin de we dɛn tritmɛnt ya kin du?

Ɛvri tritmɛnt we dɛn kin du kin gɛt sɔm sayd ɛfɛkt dɛn. Fɔ ɛgzampul:

• Skin de it, krak, ɔ blista.
• Di kɔlɔ we di skin kin chenj.
• Pen ɔ nɔ fil fayn.
• Di kɔlɔ we de chenj ɔ we di klos dɔn pwɛl.
• Skaring we de mek pɔsin gɛt skata.

Yu dɔktɔ kin tɛl yu ustɛm di sayd ɛfɛkt dɛn we di tritmɛnt kin gɛt. Tek tɛm tɔk bɔt dis bifo yu bigin fɔ trit yu.

Aw kwik a go fil fayn afta a dɔn bigin fɔ trit mi?

Yu kin fil difrɛns wantɛm wantɛm we yu bigin fɔ trit yu. Ɔ i kin tek sɔm wik ɔ mɔnt fɔ mek yu sik dɛn bɛtɛ. Di tɛm we dɛn kin tek fɔ ɛni tritmɛnt difrɛn. Yu dɔktɔ go tɛl yu bɔt dis.

Wae de fɔ mek yu nɔr gɛt dis kayn sik wae de mɛk pɔrsin fil fayn?

Nɔto ɔl di kes dɛm fɔ hyperhydrosis kin bi fɔ protɛkt. fכ egzampl, praymar fכkal haypahaydrosis na jεnεtik εn dat mek i at fכ prεvεnt. Bɔt if yu gɛt di sɛkɔndari (jɛnɛral) tayp, yu kin ridyus am bay we yu kɔntrol di ɔndalayn mɛdikal kɔndishɔn ɔr de manej di sayd ɛfɛkt dɛm fɔ di mɛrɛsin dɛm.

Wetin fɔ ɛkspɛkt we yu de liv wit haypa haydrosis?

Pan ɔl we no mɛrɛsin nɔ de fɔ mɛn am, bɔku tritmɛnt dɛn de fɔ ɛp fɔ kɔntrol di sik dɛn. Nɔto tin wae de mek yu layf de pan denja, bɔt e kin gɛt bɔrku impak pan yu layf. Yu kin shem ɔ shem fɔ tɔk bɔt am. I kin mek bak yu lɛf fɔ du tin dɛn we yu lɛk. So, if dis sik de afɛkt yu maynd, tɔk to dɔktɔ ɔr mental wɛlbɔdi advaysa .

So no kɔmplit mɛrɛsin nɔ de fɔ dis?

Nɔr mɛrɛsin nɔr de fɔ praymari fokal hayparaydrosis. Bɔt, tritmɛnt kin ridyus di sayn dɛm ɛn ɛp fɔ mek yu liv bɛtɛ layf. Sεkɔndari jεnaralisεd haypa haydrosis kin go kכmplit sכmtεm if dεn mεnεj di כndalayn mεdikal kכndishכn כ mεdikeshכn we mek i kכz. Bɔt nɔto ɔl di sɛkɔndari kes dɛn kin mɛn.

Ustɛm a fɔ go to dɔktɔ?

If yu swet pasmak de mek yu gɛt ɛni wan pan dɛn sayn ya, yu go mɔs go to dɔktɔ:

• If i afɛkt yu layf bad bad wan .
• If yu fɔ de fa frɔm di tin dɛn we yu de du ɔ pipul dɛn we yu lɛk.
• If di tin de wɔs as tɛm de go.
• If yu swet we yu de slip na nɛt .

Imejɛnsi: Sɔntɛnde, if yu swet pasmak, dat kin bi sayn fɔ se yu gɛt siriɔs sik, ivin dat kin mek yu layf de pan denja. If yu gɛt sɔm sayn dɛn lɛk pen na yu chɛst, yu nɔs, ɔ yu ed de tɔn wit yu swet, go to dɔktɔ wantɛm wantɛm.

Wetin a fɔ aks di dɔktɔ bɔt dis?

If yu gɛt hyperhydrosis, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin mek a de swet lɛk dis?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Us tritmɛnt yu go tɛl yu fɔs?
• Ɔda tin dɛn de we a kin du fɔ ridyus dɛn sik ya ɔ fɔ mek a gɛt wɛlbɔdi ɔlsay?
• Aw lɔng i go tek fɔ mek mi sik dɛn nɔ de igen?
• Aw a go ɛp misɛf fɔ kɔntinyu fɔ gɛt wɛlbɔdi?

Wetin mek sɔntɛnde swet kin smɛl? Tu kayn swet gland dɛn de na wi skin!

di swet we de kכmכt na wi εkrin gland dεm nכ rili gεt smel.Bɔt na we da swet de jɔyn wit baktri dɛn we de na di skin, na in i kin mek pɔsin smɛl. Swet na wata mɔ. Na wi skin kin gɛt smɔl bɔdi baktri. We dɛn baktri ya kam togɛda wit di swet drɔp dɛn, dɛn kin brok di smɔl smɔl tin dɛn we de insay di swet. Dat na di prɔses we de mek pɔsin gɛt strɔng smel.

Wi gɛt ɔda kayn swet gland bak we dɛn kɔl apokrin gland . dis dεm de na say dεm we di ia fכlikul dεm de, lεk di armpit dεm εn di jεnital εria dεm. di wata we de kכmכt na dεn gland dεm ya tik sכmtεm pas di wata we de kכmכt na di εkrin gland dεm. We dis wata we tik pasmak kam togɛda wit baktri dɛm na di skin, di bɔdi kin smɛl.

Fɔ dɔn, di impɔtant tin dɛn we yu fɔ mɛmba (Take-Home Message) .

Hayparaydrosis kin bi wan sik wae de kam fɔ shɔt tɛm ɔr fɔ lɔng tɛm, ɛn i kin tranga fɔ kɔntrol am. Yu kin avɔyd bak fɔ gɛt sɔshal intarakshɔn bikɔs yu de fred aw ɔda pipul dɛn go riak to yu sik (e.g., fɔ shek yu an wit an we de swet).

Pan ɔl we no mɛrɛsin nɔ de fɔ dis, ɛp de! Yu dɔktɔ kin gi yu wan mɛrɛsin we de mek yu nɔ swet ɔ mɛrɛsin fɔ ɛp fɔ ridyus yu sik dɛn. Dis nɔto sɔntin we yu wan fɔ go tru. Yu gɛt rayt fɔ tɔk bɔt am ɛn aks fɔ ɛp. So, nɔ shem ɔ fred fɔ go to dɔktɔ. Tek step fɔ mek yu layf kɔmfyut tide!

` Swet, swet pasmak, hyperhydrosis, swet, swet gland, skin sik, tritmɛnt