I thawk hah lutuk em? Hyperhidrosis chungchang hi han sawi ila!

A chang chuan chhan awm lovin i thawkrim lutuk ang maiin i inhria em? I kutphah, i kephah leh i kephah te chu a hnim reng mai thei em? A nih loh leh i thawmhnaw te chu thil tenawm ber atang pawhin a hnim nasa lutuk em ni? Hei hi mi tam takin harsatna an neih a ni a, mahse an sawi hreh deuh deuh a ni. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila.

Hyperhidrosis tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin hyperhidrosis chu thawk hah lutuk a ni. A tlangpuiin kan taksa lum leh vawt tihreh nan kan thawk a ni. Chumi awmzia chu exercise kan tih lai te, hlauhna kan neih lai te, ni lum lai emawa thawk hah hi thil pangngai a ni tihna a ni. Mahse, hyperhidrosis vei tu emaw chuan chhan hriat lohvin a thawmhnaw a chhuah nasa lutuk thei a, chu chu pindan lum takah emaw, kan chawlh lai emaw pawhin a thawkrim lutuk thei a ni.

Kan vun hian thawmhnaw chi khat eccrine glands an ti a . Hengte hi thawmhnaw siamtu glands te an ni. He thawmhnaw hian vun chunglam a thlen a, a vawt chuan taksa chu a lum a ni. Hyperhidrosis-ah chuan heng sweat glands te hi an thawk nasa lutuk thin. Tap khar tha lo leh tui leak ang mai a ni.

Hyperhidrosis hi chi hnih a awm a. Eng nge an nih?

Ni e, doctor-te chuan hei hi chi hnih lian tak an hmuchhuak a:

1. A rilru a buai em em a, a rilru a hah em em bawk a. 1. Primary Focal Hyperhidrosis:

• Hei hi a tam ber chi a ni. A nihna takah chuan vun natna rei tak a ni.
• A tam zâwk chuan, hei hi genetic mutation . Chumi awmzia chu i chhungkuaa mi tu emaw chuan he natna hi a neih chuan nang pawhin i vei theihna a sang zawk tihna a ni.
• Hetiang chi hi hmun bik , kutphah, kutphah, kephah leh hmaiah chauh a thawk chhuak tlangpui.
• Hei hi thalai kum 25 hnuai lam atanga tan a ni fo thin .

2. Secondary Generalized Hyperhidrosis natna awm thei te chu:

• Hetiang chiah hian, thawk hah lutuk hi damdawi lam thil dang (diabetes mellitus, Parkinson’s disease ang chi) emaw, i ei tur damdawi thenkhat (naproxen ang chi natna tidamtu damdawi ang chi) emaw avanga lo awm thei a ni.
• In this type , taksa hmun khatah chauh ni lovin, taksa pum puiah pawh thawk hahna a awm thei.
• A chang chuan zan mut lai pawha thawk hah hi hetiang chi symptom a ni thei.

Hetiang dinhmun hi engtiang chiahin nge a awm? Tu nge a tuar ber?

Hyperhidrosis hi a takah chuan i ngaihtuah aiin a tam zawk. Research atanga a lan dan chuan United States-a puitling 3% vel, kum 20 leh 60 inkar te chuan he natna hi an vei a ni. Sri Lanka ramah hian he natna hi nei tam tak an awm a, mahse thenkhat chuan sawi an hreh hle.

Hyperhidrosis natna lan chhuah dan chu engte nge ni? Engtin nge i ngaih?

A lan chhuah dan ber chu thawk hah lutuk hi a ni. I tawng mai thei:

• Vun hi a hnim tih a hriat fo thin .
• I thawmhnaw hak chu thawmhnaw avang hian a hnim thin.
• I hmai leh i hmai atang hian thawmhnaw a rawn luang chhuak ang maiin a lang.

Hetiang dinhmun hi rei tak a awm reng chuan a lan chhuah dan dang a lang thei a ni:

• Sweat hian vun a ti na a, vun a ti na bawk.
• Taksa rimchhia. Hei hi vunah bacteria leh thawmhnaw inzawmkhawm hian a thleng thin. Sweat ngei pawh hian rim a nei lo va, bacteria an pungkhawm hian rim a lo chhuak thin.
• Skin cracking emaw peeling emaw, a bik takin kephah hnuai lam.

Heng symptoms te hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan hun rei lote chhung chauh an nei a, an lo kal leh chhuak thin. Mi dangte tan chuan nilengin an awm reng a, nitin hnathawhnaah an tibuai bawk.

A pawimawh ber chu he natna hian i rilru hriselna a nghawng thei bawk. Mi tam tak chuan thawmhnaw hah lutuk vangin an mualpho a, inpawlna pawh an pumpelh thin. Hei hi i dinhmun a nih chuan heng symptoms te enkawl dan tur hian doctor pan a pawimawh a, chubakah mental health counselor nen i rilru put hmang sawipui a pawimawh bawk.

Khawiah nge taksaah hetiang hian i thawmhnaw i chhuah tam ber ang?

Kan taksa pum puiah hian sweat glands (eccrine glands) nei mah ila, hmun thenkhatah chuan a tam zawk. Chuvang chuan chutiang hmunah chuan kan thawkrim tam thei a ni:

• Hnute hnuai lam (Axillary hyperhidrosis) .
• Plantar hyperhidrosis a awm thin
• Palms (Palmar hyperhidrosis) - Hei hi mi tam zawkin a tuar na hmun a ni.
• Hmai leh hmui (Craniofacial hyperhidrosis) .
• Genital area ah chuan
• Pum hnuai lam

Engvangin nge kan thawmhnaw hah lutuk? A chhan engte nge ni?

A chhan ber chu overactive sweat glands a ni. A tlangpuiin kan taksa a lum chuan sweat glands te hian min ti lum turin hna an thawk thin. Hei hi exercise kan neih emaw, kan hlauthawng emaw hian a thleng thin. Mahse hyperhidrosis vei te tan chuan taksa lum loh lai pawhin thawmhnaw (sweat glands) hian thawmhnaw a siam chhuak thin. Hetiang thil a thlen chhan hriat tumin zirchianna a la kal zel a ni.

Thil (Triggers) thenkhat, thawk hahna tipungtu:

Thil thenkhat chuan i thawmhnaw (sweat glands) a tichak thei a, thawk hahna a tipung thei bawk:

• Stress, lungkhamna, hlauhna leh hlauhna te.
• Khua lum emaw, boruak lum lutuk emaw.
• Exercise emaw taksa tihchakna emaw.
• Chaw leh in tur thenkhat: ei tur rimtui tak tak, ei tur thau tak tak, ei tur sugar leh chi tamna, ei tur protein tamna. Coffee leh zu ang chi in tur caffeine awmna.

Damdawi thenkhat, thawk hahna thlen thei te chu:

I thawkrim lutuk hi damdawi thenkhat i ei avanga side effect a ni thei bawk. Entirna thenkhat chu hetiang hi a ni:

• Albuterol (Proventil®) a ni.
• Bupropion (Wellbutrin®) tih a ni.
• Hydrocodone a ni
• Insulin `(Insulin (Humulin® R, Novolin® R))` tih a ni
• Levothyroxine `(Levothyroxine)` tih a ni
• Lisinopril `(Lisinopril)` tih a ni
• Naproxen (Aleve®) hman a ni.
• Omeprazole (Prilosec®) hmanga tihdam theih a ni.
• Sertraline (Zoloft®) hmanga siam a ni.

Hetiang damdawi i ei a, i thawmhnaw a hah lutuk a nih chuan i doctor nen inbia ang che. Damdawi engmah ei hi damdawi lam thurawn tel lo chuan chawlhsan suh.

Damdawi lam thil thenkhat, thawk hahna thlen thei te chu:

Secondary (Generalized) hyperhidrosis hi damdawi lam dinhmun hnuaia awm vang a ni thei. Entirnan:

• Acromegaly a ni
• Hri kai (e.g. Tuberculosis) .
• Hlauhthawnna
• Ngawt
• Zunthlum
• Lung natna emaw, thinlung tha lo emaw
• Hyperthyroidism natna (Hyperthyroidism) a awm
• Menopause a awm
• Thau lutuk
• Parkinson natna a ni

Hetiang dinhmun hi thlahtute atanga lo chhuak a ni em?

Ni e, i hlauhawm hle a, a bîk takin i chhûngkuaa mi pakhatin primary focal hyperhidrosis a neih chuan. Research atanga a lan dan chuan hereditary genetic mutation vang a ni thei .

Hetianga thawk hah lutuk hian harsatna dang a thlen thei em?

Ni e, hyperhidrosis hian harsatna engemaw zat a thlen thei a:

• Vun natna a awm.
• Vun inthlak danglamna: vun dum, vun rawng danglam, vun chhe emaw, vun hring emaw.
• Vun tui lutuk leh vun ti nem (Maceration).

Heng taksa lama nghawng a neih bakah hian a hmaa kan sawi tawh ang khan i rilru hriselnaah pawh nghawng lian tak a nei thei bawk . I nitin nunphung thlak danglam a, thil engemaw (i kut phar, kut inbeng ang chi) tih loh tur i thlem mai thei a, a chhan chu midangte’n i thawmhnaw an hmu ang tih i ngaihtuah vang a ni. Hemi avang hian i thil hlimawm tak takte pawh i pumpelh mai thei. Chuvangin, he natna hian i rilru leh khawtlang nun a nghawng a nih chuan damdawi lam thurawn la ngei ang che.

Engtin nge doctor-te chuan hei hi hyperhidrosis a nih thu dik taka an hriat theih? (Diagnosis) tih a ni.

Doctor chuan hyperhidrosis i neih leh neih loh a enfiah hnuah, i natna lan chhuah dan a ngaihthlak hnuah leh i medical history a lak hnuah a hre thei ang. Hei hi an hriat chian nan hian tehfung tlemte an hmang a ni. Thla ruk tal i thawkrim lutuk a , a hnuaia zawhna pahnih tal chu "yes" tiin i chhang thei a nih chuan:, hyperhidrosis a ni thei:

• I kutphah hnuaiah, i kutphah hnuaiah, i kephah hnuaiah emaw, i hmai hnuaiah emaw i thawkrim em?
• I taksa sir lehlamah a inang tlangin i thawk chhuak em?
• Zanah i thawmhnaw i thawk lo em ni, a nih loh leh i thawmhnaw a tlem zawk?
• Kar khat tal chu i thawkrim tawh em?
• I chhungkuaah hian hetiang dinhmun hi an nei em?
• I thawmhnaw hian i nitin hnathawh a tibuai em?
• Kum 25 hnuai lam i ni em?

Hei hi finfiah nan eng test nge tih thin?

Doctor chuan a chhan hriat theihna turin a hnuaia test pakhat emaw a aia tam emaw a ti thei ang:

• Starch-iodine test: Iodine solution chu a thawmhnaw hahna hmunah hnawih a, a chungah starch theh a ni. Thawmhnaw tam lutuk awmna hmunte chu dark blue color-ah a chang thin.
• Paper test: A thawmhnaw chu a hnim hnawih theih nan paper bik dah a ni. Chumi hnuah chuan paper chu an rit a, thawmhnaw engzat nge awm tih an en a.
• Thisen emaw imaging test emaw: Hengte hian i thisen sample lak emaw, i vun hnuaia thil awmte thlalak emaw hmangin i natna lan chhuah chhan zawng turin a pui thei a ni.

Chuti a nih chuan, he hyperhidrosis natna hi enkawl nan eng nge tih theih ang?

I taksa peng hrang hrang, i natna nasat dan leh i tana tha tur enkawlna chi hrang hrang a zirin enkawlna kawng hrang hrang a inang lo. Dermatologist chuan i tana enkawlna tha ber zawng turin a pui thei che a ni. Mi zawng zawng tan enkawlna pakhat chauh a awm lo.

In lama thil awlsam tak tak i tih theih

• Antiperspirant leh deodorant hman dan: Antiperspirant hian thawmhnaw glands te a block a, thawk hahna a ti tlem bawk. I doctor chuan over-the-counter (OTC) emaw, prescription-strength type emaw a rawt thei ang. Chumi atan chuan aluminium awmna product te hi a tha ber.
• I taksa inbual emaw, sil fo emaw: Nitin inbual fo hian symptoms na lo tak takte chu a reh thei.
• Thâwk chhuak thei, thawmhnaw tichhe thei thawmhnaw ha rawh: Hei atan hian cotton ang chi puan hi a ṭha hle. Polyester ang chi synthetic fabrics hian lumna a trap thei a, i thawmhnaw a ti tam zawk a, chuvangin pumpelh rawh.

Damdawi lam thurawn anga ei theih tur

I doctor emaw, dermatologist emaw chuan heng ang damdawi hi a rawn rawt thei ang:

• Anticholinergic agents (e.g., glycopyrrolate, oxybutynin) te hi a tha hle.
• Antidepressant (chi thenkhat chuan thawk hahna tihziaawmna atan pawh a pui bawk) .
• Beta-blockers (a bik takin stress vanga thawk hah tan) .
• Damdawi hmanga tihfai (e.g., glycopyrronium tosylate, Qbrexza®) .
• Aluminum chloride gel `(Aluminum chloride gel)` hmanga siam a ni

Heng damdawi te hi i ei hmain i doctor nen an side effect chungchang sawi hmasa phawt ang che.

Therapies bik hrang hrang

In lama damdawi leh damdawi ei hian hahdamna nasa tak a pe lo a nih chuan i doctor chuan enkawlna bik a rawt thei a, chungte chu:

• Iontophoresis: I kut emaw ke emaw chu tui bawm thuk lo takah dah a ni. Thil hmanraw bik chuan tui kaltlangin electric current hniam tak a thawn a, chu chuan hun kal zelah thawmhnaw (sweat glands) a tikhawlo thin. Session tin hian minute 10-20 vel a awh thin. He enkawlna hi vawi tam tak tih a ngai mai thei. He device hi in lamah pawh i hmang thei mai thei bawk.
• Botulinum toxin (Botox®) injection: Hei hi overactive nerve-ah inject theih a ni a, thla engemaw zat chhung chu thawmhnaw siam chhuah a titawp thei a ni. Mahse, heng injection te hi i lak nawn fo a ngai dawn a ni.
• Microwave therapy: I doctor chuan i vun hnim hring chungah hian hmanraw bik (miraDry® ang chi) a dah a. Heat a chhuah tir a, sweat glands te chu a tichhia vek a ni. Hei hi doctor office-ah darkar khat vel a daih a ni.

Surgery - a tawp ber atan

Enkawlna dang zawng zawng a hlawhchham chuan doctor chuan operation tih a ngaihtuah thei ang:

• Endoscopic thoracic sympathectomy (ETS): Hei hi incision tenau tak hmanga tih a ni. Surgeon hian taksa chhunga nerve pakhat a titawp a, sweat glands-a signal pek chu a titawp a, thawmhnaw a siam chhuak thin.
• Sweat gland lakchhuah: Surgeon chuan laser, curettage, excision emaw liposuction hmangin sweat glands te chu a paih chhuak thin.

Surgery hian enkawlna dang dawng lote tan hun rei tak chhung hahdamna a pe thei a ni. Mahse, thutlukna i siam hmain i surgeon nen surgery a side effects chungchang sawiho hmasak a pawimawh.

Heng enkawlnate hian side effect a nei em?

Enkawl dan zawng zawng hian side effect engemaw zat a nei thei. Entir nan:

• Vun a hring, a hring, a hring (blistered skin) a awm.
• Vun rawng a danglam.
• Natna emaw, nuam lo emaw.
• Thawmhnaw rawng danglam emaw, a chhiat emaw.
• Scarring a awm.

I doctor chuan a enkawlna avanga a side effects chu eng nge ni tih chiang takin a hrilh thei che a ni. Hemi hi enkawl tan hmain uluk takin sawiho thin ang che.

Enkawlna ka tan hnuah eng chen nge ka dam leh thuai ang?

Enkawlna i tan tirh hian danglamna i hre nghal mai thei. A nih loh leh, i natna lan chhuah dân a ṭhat theih nân kar engemaw zât emaw, thla engemaw zât emaw a la ngai thei bawk. Enkawlna pakhat zel atana hun hman dan hi a inang lo. Hemi chungchang hi i doctor chuan a hrilh ang che.

Hetiang hyperhidrosis natna hi ven theih dan a awm em?

Hyperhidrosis vei zawng zawng hi ven theih a ni lo. Entirnan, primary focal hyperhidrosis hi genetic a nih avangin ven a harsa hle. Mahse, secondary (generalized) type i neih chuan a hnuaia damdawi lam dinhmun control emaw, damdawi ei avanga side effects te enkawl emaw hmangin a tihtlem theih a ni.

Hyperhidrosis nena kan nun hian eng nge beisei tur?

Damdawi awm lo mah se, a natna lan chhuah dan enkawlna atana puitu tur enkawlna tam tak a awm. Nunna atana hlauhawm tak a ni lo va, mahse i nunah nghawng lian tak a nei thei a ni. Chumi chungchâng sawi chu i zak emaw, i zak emaw pawh a ni thei. I thil tih nuam tih a\angin i inhnukdawk thei bawk. Chuvangin, he natna hian i rilru hriselna a nghawng a nih chuan doctor emaw, rilru lam hriselna chungchanga counselor emaw nen inbia .

Chuti a nih chuan hei hi damdawi famkim a awm lo em ni?

Primary focal hyperhidrosis hi damdawi a awm lo. Mahse, enkawlna hian natna lan chhuahna a tihziaawm bakah nunphung a titha thei a ni. Secondary generalized hyperhidrosis hi a chhan chu a bulpui damdawi emaw damdawi emaw enkawl a nih chuan a bo vek thei a ni. Mahse, secondary case zawng zawng hi tihdam theih a ni lo.

Engtikah nge Doctor ka hmuh ang?

Thawmhnaw tam lutuk hian heng symptoms zinga pakhat tal a thlen chuan doctor pan ngei ang:

• I nun a nghawng tha lo a nih chuan .
• Thiltih emaw, i hmangaih mi emaw atanga inthiarfihlim a ngai a nih chuan.
• Hun kal zelah dinhmun a chhe zual zel a nih chuan.
• Zan lama mut laiin i thawmhnaw i chhuah chuan .

Emergency: A châng chuan thawk hah lutuk hi natna khirh tak, nunna atana hlauhawm tak pawh a ni thei. I rilru natna, luak chhuak, luak chhuak ang chi symptoms i neih chuan thawk hah rualin doctor pan nghal rawh.

Hemi chungchangah hian doctor hnenah eng nge ka zawh ang?

Hyperhidrosis i neih chuan doctor hnenah hetiang zawhna hi i zawt thei ang:

• Eng thilin nge hetiang hian min ti hah?
• Eng enkawlna kawng nge ka neih?
• Eng enkawlna nge i rawt hmasa ang?
• Heng symptoms te tihtlem nan emaw, ka hriselna zawng zawng tihchangtlun nan emaw thil dang ka tih theih a awm em?
• Ka symptoms te hi eng chen nge a reh dawn?
• Engtin nge ka rilru hriselna vawng reng turin ka in puih theih ang?

Engvangin nge thawmhnaw hian a chang chuan a rim a nam thin? Kan vunah hian sweat gland chi hnih a awm a!

Kan eccrine glands atanga thawmhnaw chhuak hian rim a nei tak tak lo.Mahse chu thawmhnaw chu vunah bacteria nen a inzawm chuan rimtui a siam thin. Sweat hi tui a tam ber. Kan vun hian a pianphungah bacteria tlemte a nei a. Heng bacteria te hi thawmhnaw hnim hring nen an inzawm chuan thawmhnaw chhunga thil te te te chu an tichhia a ni. Chu chu a kalphung a ni a, rimtui na tak a siam thin.

Sweat gland chi dang apocrine glands tih pawh kan nei bawk . Chungte chu sam zung awmna hmun, armpit leh genital area-ah te a awm a. Heng gland atanga tui lo chhuak hi eccrine gland atanga tui lo chhuak aiin a thim deuh hlek a ni. He tui thick zawk hi vunah bacteria nen a inzawm chuan taksa rim a nam thin.

A tawp berah chuan i hriat reng tur pawimawh ber berte (Take-Home Message) .

Hyperhidrosis hi hun rei lote chhung emaw, hun rei tak chhung emaw a ni thei a, enkawl pawh a harsa thei hle. I natna lan chhuah dan (e.g., kut hnim hring nena kut inthlak) avanga midangte’n engtin nge an tih ang tih hlauh avangin midangte nena inpawh tawnna pawh i pumpelh thei bawk.

Hei hi damdawi awm lo mah se, tanpuina a awm! I doctor chuan i natna lan chhuah dan tihtlem nan antiperspirant emaw damdawi emaw a pe thei ang. Hei hi nangmah chauhva i paltlang tur thil a ni lo. Chumi chungchang sawi leh tanpuina dil theihna i nei a ni. Chuvangin, damdawi lam thurawn zawng chu zak leh hlau suh. Vawiin hian i nun nuam zawka siam turin hma la rawh!

` Thawmhnaw, thawmhnaw tam lutuk, hyperhidrosis, thawk hah, thawmhnaw hrui, vun natna, enkawlna