A châng chuan, chhan awm lovin, lumna leh exercise nei lo pawhin i thawmhnaw hak chhuak nghal mai ṭhin? I thawmhnaw-a thawmhnaw hnim hring a awm avangin mipui hmaah i mualpho ngai em? Tichuan he thuziak hi i tan a pawimawh hle ang. Vawiin hian he natna hrik tam lutuk, damdawi lama Hyperhidrosis tia hriat hi kan sawi dawn a ni.
Hyperhidrosis hi eng nge ni tak tak?
A awlsam zawngin Hyperhidrosis tih hi kan taksain a lumna a tihregulate theih loh avanga thawk hah lutuk hi a ni. I ṭhut lai chauh pawhin, khaw vawt takah emaw, thawk hah chhan tur a awm loh lai pawhin i thawmhnaw a chhuak thei.
A tlangpuiin kan taksa lumna a san chuan kan taksa a thawk a, chu chu tihhniam nan leh a lum theih nan a ni. He thawmhnaw hi kan vunah eccrine glands atanga chhuak a ni. He thawmhnaw hian vun chunglam a thlen a, a vawt chuan taksa chu a lum a ni.
Mahse, hyperhidrosis vei tan chuan heng sweat glands te hi overactive an ni. Chumi awmzia chu heng gland te hian hna an thawk a, taksa a lum loh lai pawhin thawmhnaw an siam chhuak tihna a ni.
Hyperhidrosis chi hrang hrangte chu engte nge ni?
He dinhmun hi hmunpui pahnih ah then theih a ni.
| Lampang | Hrilhfiahna |
|---|---|
| A rilru a buai em em a, a rilru a hah em em bawk a | Hei hi a tam ber chi a ni. Vun natna rei tak a ni. Genetic mutation avanga lo awm a ni fo. Chumi awmzia chu i chhungkuaa mi tu emaw chuan a neih chuan i dawng duh zawk tihna a ni. Kum 25 an tlin hmain a intan tlangpui. |
| Secondary generalized hyperhidrosis a awm a, a chhuahna tur hmun chu a inang lo hle | Hetiang thawmhnaw hi a hnuaia damdawi lam thil vang emaw, damdawi pakhat avanga side effect vang emaw pawh a ni thei. Entirnan, zunthlum, Parkinson natna, leh natna tidamtu thenkhat (Naproxen ang chi) te hi a ni. Hetiang chi ah hian i mut lai pawhin zanah i thawmhnaw a chhuak thei. |
Hei hi eng symptoms nge ni?
A lan chhuah dan ber chu thawk hah lutuk hi a ni. Chuvângin, a hnuaia mite hi i tawng thei a ni:
- Vun hi a hnim fo thin.
- Thawmhnaw hnim hring chhuak.
- A hmai leh a hmui atang chuan thawmhnaw a rawn luang chhuak a.
Hun a kal zel a, he dinhmun hian harsatna a thlen belh thei a ni.
- Vun na leh kang: Thawmhnaw hian vun allergy a thlen thei.
- Taksa rim: Thawmhnaw hian rim a nei tak tak lo. Mahse kan vunah hian thawmhnaw leh bacteria a inzawm chuan rim a lo chhuak thin.
- Kephah hnuai lama vun a chhe emaw, a hring emaw a hring chhuak.
Heng symptoms nasat dan hi mi hrang hrangah a inang lo. Mi thenkhat chu hetah leh khawiah emaw an thawk tlem a, thenkhat erawh chuan an nitin hna pawh an thawk thei lo khawp mai.
Hetiang dinhmun hian i rilru hriselnaah nghawng lian tak a nei thei bawk . I thawmhnaw hak avang hian mualpho leh nuam lo takin i inhria thei a, chu chuan mipui tamna hmun pumpelh theihna leh khawtlang inpawhna a tihtlem phah thei a ni. Inkhâwm pawimawh takah mi kut vawn a, kutphah thawmhnaw hring neih chu a nuam lozia hi ngaihtuah teh. Heng thilte hian i rilru hriselna a nghawng a nih chuan Doctor hmu a, sawipui a pawimawh.
Khawiah nge i thawmhnaw i chhuah tam ber?
Kan taksa pum puiah hian thawmhnaw (sweat glands) nei mah ila, hmun thenkhatah chuan a tam zawkna hmun a awm. Hyperhidrosis-ah chuan hengte hi kan thawmhnaw tamna hmun a ni.
- A rilru a buai em em a, a rilru a hah em em bawk a.
- A kephah (plantar hyperhidrosis) a awm thin.
- Palms (palmar hyperhidrosis) - Hei hi a tam ber a ni.
- Hmai leh hmui (craniofacial hyperhidrosis) .
- Genital hmun hrang hrang
- A hnungzang hnuai lam
Engvangin nge hetiang hi a lo awm? Hei hi engte nge a chhan leh a tichaktu?
Kan sawi tawh ang khan a chhan ber chu overactive sweat glands a ni. Mahse, a châng chuan, thil ṭhenkhat chuan he thawmhnaw hi a tipung thei a ni. Chu thilte chu eng nge ni tih i lo en ang u.
| A chhan/Trigger | Entirnan |
|---|---|
| Rilru lam hriatna | Stress, lungkhamna, hlauhna, lungkhamna. |
| Environment leh hmalakna hrang hrang | Khua lum emaw, khaw vawt emaw, exercise lak. |
| Ei leh in tur | Chaw rimtui tak tak, hriak nei, eitur thlum lutuk emaw, chi chi emaw, caffeine awmna in tur coffee ang chi, leh zu te. |
| Damdawi thenkhat | Antidepressant thenkhat, insulin, natna tidamtu thenkhat, leh thisen sang damdawi te. (Damdawi eng emaw i ei a nih chuan a chhan a ni em tih doctor hnenah zawt rawh.) |
| Damdawi lam thil dang | Zunthlum, Hyperthyroidism, Lung natna, Cancer, Menopause, Thau lutuk. |
Engtin nge doctor chuan hei hi natna a nih thu a hriat theih ang?
Doctor chuan he natna hi a enfiah ang che a, i natna lan chhuah dan leh i damdawi lam chanchin a zawt ang. Diagnosis siam nan hetiang zawhna hi an zawt tlangpui mai thei:
- Thla 6 tal i thawkrim lutuk tawh em?
- I thawmhnaw hi i kutphah, i kutphah, i kephah, i hmaiah i thawkrim ber em?
- I taksa sir lehlamah a inang tlangin i thawkrim em?
- Zanah thawmhnaw a tlem zawk em?
- Kar khatah vawi khat tal thawk hah lutuk i tawk em?
- I chhungkuaah hian hetiang dinhmun hi an nei em?
- He thawmhnaw hian i nitin hnathawhna a tibuai em?
- Kum 25 hnuai lam i ni em?
Heng zawhna engemaw zat i chhanna chu "yes" a nih chuan Hyperhidrosis a ni thei.
Hei hi eng test nge ni?
A châng chuan, doctor chuan a chhan dik tak hriat nân test engemaw zât a nei thei a:
- Starch-iodine test: He test-ah hian iodine solution hnawih a, a chungah starch theh a ni. Thawmhnaw tam lutuk awmna hmunte chu dum hring hring a ni.
- Paper test: A thawmhnaw chu a hnim hnawih theih nan paper bik dah a ni. Chumi hnuah paper chu an rit a, engzat nge thawmhnaw a chhuah tih an en a.
- Thisen emaw, test dang emaw: Damdawi lam dinhmun hnuaia rinhlelhna a awm chuan thisen test ang chi thil tih tur a ni.
Hei hi eng enkawlna nge ni?
A tha ber chu he natna hi enkawl dan tur tam tak a awm a ni. Dermatologist chuan i tana tha tur enkawlna tur thlang turin a pui thei che a ni.
In lama i tih theih thilte
- Antiperspirant leh Deodorant hman dan: Antiperspirant hian thawk hahdamna hnah (sweat glands) hmui chu hun eng emaw chen a khar a. Regular te hian hna a thawk lo a nih chuan i doctor chuan a chak zawk, aluminium awmna chi a pe thei ang.
- Inbual fo: Ni khatah vawi hnih inbual hian hahdamna a pe thei.
- Thâwk chhuak thei, thawmhnaw tichhe thei thawmhnaw ha rawh: Cotton ang chi puan aṭanga siam thawmhnaw ha rawh. Synthetic fabrics polyester ang chi hian taksa lumna a tipung thei a, thawk hahna a tipung thei bawk.
Damdawi chi hrang hrang
- Anticholinergic agents (damdawi bik, thawk hahna control thei) .
- Antidepressant thenkhat
- Beta-blockers te pawh a awm
- Damdawi hmanga wipe te
- Aluminium chloride gel hmanga siam a ni
A pawimawh ber chu, Damdawi engmah Doctor prescription tel lova hman loh tur a ni. Damdawi zawng zawng hian side effect a nei thei a, chuvangin enkawlna i tan hmain i doctor nen inbia ang che.
Enkawlna bikte
In lama damdawi leh damdawi hmanga thunun harsa a nih chuan hetiang enkawlna hi i hmang thei a ni.
- Iontophoresis: Hei hian i kut emaw ke emaw tui bawm thuk lo takah dah a ni. Tui chhungah hian electric current hniam tak a kal a, chu chuan sweat glands te hnathawh a ti tlem a ni.
- Botulinum toxin (Botox®) injection: He injection hi thawmhnaw awmna hmunah inject hian thla engemaw zat chhung chu thawmhnaw a titawp thei a ni. Mahse, result hi hun eng emaw chen atan a ni a, sawi nawn leh a ngai a ni.
- Microwave therapy (miraDry®): High-tech device hian heat energy hmangin sweat glands te chu a tichhia vek a ni.
Inzai
Natna lan chhuahna na tak tak nei, enkawlna dang dawng lo tan chuan operation tih ngaihtuah theih a ni.
- Endoscopic thoracic sympathectomy (ETS): Sweat glands-a signal phurtu nerve pakhat chu cut leh paih chhuah.
- Sweat gland removal: Laser, curettage, liposuction ang chi hmanga sweat glands lakchhuah.
Engtikah nge Doctor ka hmuh ang?
I thawmhnaw i dah tam em avangin...
- I nitin nun a nghawng tha lo a nih chuan.
- I duhzawng thil tih leh mi i tawn duh loh chuan.
- Hun kal zelah dinhmun a chhe zual zel a nih chuan.
- Zanah mut lai pawhin thawk hahHmingte.
...Doctor i pan ngei ngei tur a ni.
Tin, i rilru natna, luak chhuak, leh luak chhuak ang chi symptoms i neih bakah thawk hah lutuk i neih chuan emergency a ni thei bawk. Chutiang a nih chuan damdawi in pakhat Emergency Department (ETU) ah kal nghal mai tur a ni.
Take-Home Thuchah a ni
- Hyperhidrosis chu taksa thawk hah lutuk hi a ni. Hei hi thil pangngai a ni lo va, damdawi lam thil a ni.
- Hei hi genetic influence, damdawi lam thil dang emaw, damdawi emaw avanga lo awm a ni thei.
- Hetiang dinhmun avang hian zak emaw, khawtlang nunah inhlat emaw a ngai lo. A thunun theihna tur hian enkawlna tha tak tak a tam hle.
- Enkawlna chi hrang hrang a awm a, antiperspirant, damdawi, Botox injection, leh surgery te a awm.
- I thawmhnaw hian i nitin nun a tibuai a nih chuan doctor hnenah thurawn dil ngei ang che.
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