Nang pawh i thawkrim em? (Sweat/Perspiration) - Hemi chungchang hi chiang takin i zawng chhuak ang u!

Kan thawk hah vek a ni lawm ni? A châng chuan exercise kan tih lai te, ni chhuahna hmuna kan awm lai te, a nih loh leh kan hlauthawng deuh emaw, kan rilru hah deuh emaw hian kan thawmhnaw a chhuak ṭhin. Eng tak nge thawmhnaw chu? Engvangin nge kan thawk hah? Thil tha tak a ni em? Thil tha lo a ni em? Vawiin hian heng zawng zawng hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Sweat chu eng nge ni? Engvangin nge a pawimawh?

A awlsam zawngin sawi ila, thawmhnaw hi kan vunah gland te tak te atanga siam tui chi (salty liquid) a ni. Hei hi damdawi lam tawng chuan ``Perspiration'' an ti bawk. Sweating hi kan taksaah hian thil pangngai tak leh pawimawh tak a ni.

Ngaihtuah teh, exercise i la nasa hle a, a nih loh leh ni chhuahna hmunah pawnah hna i thawk a ni. Tichuan i taksa chu a lum ta a ni lawm ni? Chutih lai chuan thawmhnaw hian kan taksa a lum lutuk loh nan a pui ber a, temperature engemaw chen a awm theih nan a pui bawk. Car chhunga `(radiator)` ang bawkin thawmhnaw hian kan taksa `(temperature) a thunun thei a ni. Hei hi `(thermoregulation)` kan tih chu a ni.

Mi thenkhat chuan thawmhnaw hi a rimchhia niin an ngai. Mahse, rin harsa i ti mai thei, thawmhnaw hian rim a nei tak tak lo! Chuti a nih chuan engvangin nge thawmhnaw hi a chang chuan a rimchhia? A chhan chu kan vunah a pianphung anga nung bacteria te hian thawmhnaw nen an inzawm khawm a, an tichhia a, kan hriat rim hi a siam thin.

Chuvangin, thawmhnaw hi a chang chuan a tibuai deuh thei a, mahse kan taksa hnathawh nan a pawimawh hle. Mahse, i thawmhnaw chungchangah ngaihtuahna i neih chuan (a tam lutuk emaw, a tam lutuk lo emaw pawh nise), doctor hmu a, sawipui a tha ber.

Kan taksa tan hian thawmhnaw hian eng service dang nge a pek?

Taksa lumna a tihreh bakah hian thawmhnaw hian hlawkna dang engemaw zat min pe bawk.

• I vun tui siamna: Thawmhnaw hian humectants, amino acids a pai a, chu chuan vun hian tui a hip lut a, a vawng reng thei a ni. Hei hian kan vun a vawt loh nan a venghim a ni.
• I vun natna laka venhimna: Thawmhnaw hian natural chemicals antimicrobial peptides an tih a pai a. Hengte hi kan immune system sipai te tak te ang mai an ni. Bacteria emaw fungi emaw thenkhatin kan vunah an luh tum chuan heng peptide te hian an do let thei a ni.

Heng sweat glands te hi engte nge ni?

Sweat glands hi kan vun layer chhunga awm thil te tak te, thawmhnaw siamtu leh chhuah chhuaktu an ni. ``Exocrine gland`` chi khat an ni. Chumi awmzia chu heng glands siam chhuah te hi duct hmangin taksa chung lamah an chhuak tihna a ni. Sweat gland tin hian hmunpui pahnih an nei a, chungte chu ``secretory coil``, thawmhnaw siamtu leh ``duct``, tube ang chi, thawmhnaw chu vun chunglam thlenga phurtu a ni.

Kan taksaah hian sweat gland chi hnih a awm a, chungte chu:

1. Eccrine thawmhnaw hnim hring:Kan taksa hian `(Eccrine)` glands a nei tam ber. Chungte chu taksa pum puiah a darh vek a ni. Heng glands te hian taksa lum leh vawt control hna ber an thawk a ni. Kan hmuh fo thin thawmhnaw an siam chhuak a, chu chu tui ang mai a ni a, a vawt nghal vat thin. Tin, hlimna nasa tak, lungngaihna nasa tak, hlauhna nasa tak kan neih hian heng glands te hi an thawk chhuak thin. `(Eccrine)` glands atanga thawmhnaw lo chhuak chu vun chunglam ah a lo lut nghal a.

2. Apocrine sweat glands: Heng glands te hian thawmhnaw thick, sticky sweat an siam chhuak thin. A bik takin kan stress lai hian an thawkrim hle. Heng glands te hian taksa tihlumna kawngah hian an thawhhlawk vak lo. Apocrine glands hi armpits leh groin area-ah a awm tam ber. Heng glands te hian hair follicles ah thawmhnaw an chhuah tir thin. Chuta tang chuan thawmhnaw chu sam zungpui chungah a kal a, vun chunglam a thleng a ni.

Sweat hian eng nge a pai?

Kan eccrine glands atanga thawmhnaw lo chhuak hi 99% tui a ni. A dang 1% chu chi (sodium chloride) leh thil dang a ni. Chuvang chuan ni eng takah chuan thawmhnaw hi tui ang maiin a awm a, a vawt nghal vat thin. Heng sodium leh chloride (table salt-a thil awm pahnih) te avang hian sweat hi salty kan ti a. Hengte hi kan taksa tana electrolyte pawimawh tak tak an ni. Mahse heng bakah hian thawmhnaw hian thil dang tlemte a pai bawk:

• Potassium a ni
• Vitamin chi hrang hrang `(Vitamins)`
• Trace minerals te chu calcium, magnesium, copper, zinc, leh iron te hi a ni
• Protein leh amino acid te a awm
• Thil tha lo tak tak, heavy metal leh Bisphenol A (BPA) te (mahse hengte hi a tlem hle) .

Kan apocrine glands atanga thawmhnaw lo chhuak hi eccrine thawmhnaw aiin a thim zawk a, a stick zawk bawk. Tui a pai tam ber bawk. Mahse eccrine sweat ang lo takin lipids a pai tam zawk. Tin, protein, sugar leh ammonia te a pai bawk.

Thawmhnaw hi a tui em em reng em?

Ni e, thawmhnaw ah hian chi (sodium leh chloride) a awm fo thin. Mahse chi (salt) zat hi a hun hunah a inang lo thei. A tawi zawngin, i thawmhnaw hrui te hian hun rei lote chhunga thawmhnaw tam zawk an siam chuan thawmhnaw chi (saltiness) a tipung thin. Exercise nasa tak i tih emaw, boruak lum takah emaw i awm tih han mitthla teh. Tichuan i taksa chu a lum nghal vat a, chuvangin i thawmhnaw tam zawk i mamawh a ni.

Hei hi hrethiam tur chuan sweat glands hnathawh dang i hriat a ngai a ni. Chu chu chi (salt reabsorption) a ni. A awlsam zawngin sawi ila, heng gland te hian taksain chi a hloh tam lutuk chu a titawp a, chu chi thenkhat chu thawmhnaw hmangin taksaah an la lut leh thin. Chef pakhatin chaw a pek hmaa chi level a check ang mai a ni.

Glands chhunga "primary sweat" lo chhuak hmasa ber hian vun chunglama thawmhnaw lo chhuak ang chiah hi a pai a, mahse sodium leh chloride level erawh a sang zawk thung. He primary sweat hi sweat gland duct-a a kal chhoh zel chuan sodium leh chloride thenkhat chu duct wall-a cell-te chuan an la lut leh thin. Chu chu vun chunglam a thlen chuan thawmhnaw chu a chi tlem deuh deuh thin.

Mahse, ni lum takah i tlan a, i thawkrim hle tih han mitthla teh. I thawmhnaw rate a sang hle. Sweat glands te hi an buai hle a. Salt siamrem nan hun an nei lo. Zirtawp zan restaurant-a chef ang mai a ni a, hna chu an thawh vat a ngai a ni. An tih thin sodium leh chloride chu an absorb thei lo. Chuvangin i vun chunglama thawmhnaw lo lut chu a tlangpui aia tui zawkin a thlum thei a ni.

Salty sweat leh diagnosis (Biomarker atan salty sweat) .

`Biomarker` hi Doctor ten natna an hriat theih nan an hman thin chhinchhiahna a ni. Sweat-a chi (salt concentration) hi `(biomarker)` a ni a, natna pakhat `(Cystic Fibrosis - CF)` tih hriatchhuahna atan a pui a ni.

Cystic Fibrosis vei te hian an thawmhnaw ah chi (salt) a tam hle. Hei hi an pian tirh atanga an CFTR gene-a mutations nei an nih vang a ni a, chu chu an sweat glands te hian chi tling an la leh thei lo tihna a ni. Sweat test (sweat-a chloride awm zat tehna test) hi CF finfiahna ber a ni.

Engtin nge he thawmhnaw hi a lo awm?

Kan taksa ``sympathetic nervous system`` hian thawk hah dan hi a thunun a ni. Sweating hi kawng lian pahnih a awm a, chungte chu taksa lumna sang (thermal sweating) vang leh rilru hahna leh rilru hahna (emotional sweating) vang a ni.

Taksa lum vanga thawk hah (Thermal sweating) .

Hei hi kan thluaka "sweat control center" (hypothalamus peng bik) in kan taksa a lum lutuk tih a hriat atanga tan a ni. Hei hi kan taksa chhunga lum leh vawt emaw, kan vun chunglam lum emaw pawh a ni thei. Internal temperature hi a trigger ber a ni a, mahse he center hi vun temperature a san nghal chuan a activate thei bawk. Kan chhungril lumna hi exercise kan tih lai te, room lum takah kan mut lai te, ni chhuahna hmuna huana hnathawh lai te hian a sang thei hle.

Thluak hi a thawk tan chuan chemical messenger ``neurotransmitters'' an tih te chu a chhuah tir thin.Hengte hi sweat glands te chu "sweat siam" turin an hrilh thin. ``Neurotransmitter'' bik ``Acetylcholine'' an tih hian ``eccrine'' glands cell te chu a binding a, thawmhnaw siam chhuahna a tichak a ni. Hei hi ``cholinergic stimulation'' an ti a.

A tlangpuiin taksa pum puia eccrine glands te hi he thilah hian an inrawlh thin. Chumi awmzia chu hmun khat emaw hmun hnih emaw chauh ni lovin taksa pum pui a thawk chhuak tihna a ni. Taksa a vawt leh chuan thluak atanga thawk chhuah thuchah chu a tawp a, thawk hahna chu a pangngaiin a awm leh ta a ni.

Emotional taka thawk hah

Kan `(sympathetic nervous system)` hian hei hi a thunun bawk. Mahse tun tum chu stimulus chu taksa lumna ni lovin kan emotion a ni. Taksa pumpui chu thawk chhuak thei mah se, a tlangpuiin taksa hmun khat emaw hmun hnih emaw chauh chu rilru natna avangin a thawk a ni. A tam zawkah chuan he thawmhnaw hi ke ruh, kutphah, kephah leh hmaiah te a awm thin.

Kan thawmhnaw siam chhuah tam zawk hi acetylcholine hian thawk mah se, neurotransmitter dang, epinephrine leh norepinephrine (adrenaline tia hriat bawk) te pawh an tel ve bawk. Chungte chuan kan apocrine glands te chu a tichak a ni. Hetiang kalphung hi adrenergic stimulation an ti a. Apocrine sweat hi emotion chhanna atanga lo chhuak a ni ber. Taksa a lum lai chuan a vawt nan a thawk vak lo.

Thawmhnaw hahna nena inzawm damdawi lam thilte chu engte nge ni?

Nangmah emaw, i hnaih ber emaw pawh nise, thawmhnaw kaihhnawih natna engemaw zat a awm a:

• Primary hyperhidrosis: Hyperhidrosis tih hi damdawi lama thawk hah lutuk tihna a ni. Primary hyperhidrosis hi vun natna rei tak a ni a, hmun bik, hmai, kutphah, kutphah leh ke kephah te chu a thawkrim lutuk a ni. Genetic variation avanga lo awm a ni. Kum 25 an tlin hmain a intan tlangpui.
• Diaphoresis: Hei hi damdawi lam dinhmun emaw damdawi emaw avanga thawk hah lutuk a ni. Hei hi ``secondary hyperhidrosis'' an ti bawk.He natna hian taksa pum a nghawng tlangpui a, hmun bik chauh a nghawng lo. Sweating bakah hian symptom dang a awm thei bawk. Heng symptoms te hi a chhan bulpui a zirin a inang lo.
• Anhidrosis: Hei hi taksa hmun khat emaw a aia tam emaw, a pangngaia thawmhnaw siam chhuah theih lohna a ni. A châng chuan, taksa hmun dang aṭangin i thawkrim tam thei a, chu chuan i inthiarfihlim thei a ni. Mahse, ``anhidrosis`` natna khirh takah chuan i taksa lumna control turin thawmhnaw i siam chhuak thei lo. Hei hian ``heat exhaustion`` leh ``heat stroke`` ang chi dinhmun khirh tak takah a siam thei che a ni.
• Bromhidrosis (body odor): Taksa rim hi vunah bacteria-in thawmhnaw a tihchhiat avanga lo awm a ni. Hei hi thil pangngai a ni a, hun eng emaw chen atan pawh a ni thei. Workout harsa tak hnuah emaw, inkhawmpui lian tak neih hmain emaw a thleng thei. Mahse, inbual fo leh thawmhnaw thlak fo chung pawha taksa rim a awm reng a nih chuan, a nih loh leh a rim a danglam tih i hriat chuan, chu chu zunthlum, thin natna, emaw, kal natna emaw ang chi natna hnuaia awm chhinchhiahna a ni thei.
• Heat rash/prickly heat: Vun pores leh ducts-a thawmhnaw a tlakbuak hian itchy rash a awm thin. Nausen sweat glands la lo thang kim lo te, khaw lum hmuna awm te, khumah mut mai mai te ah a tam zawk.
• Hot flashes leh zan lama thawk hah: Hengte hi perimenopause leh menopause natna lan chhuah dan tlangpui a ni. Hot flash chu rang taka, nuam lo taka khaw lum leh thawk hahna a ni. I hriat loh khawpa nalh a ni thei a, a nasat em avangin i thil tih chu i chawlhsan thei bawk. Zan lama thawmhnaw chu zingkar i harh a, thawmhnaw in a hnim hring tih i hmuh hi a ni. Hot flashes leh zan lama thawk hah hi menopause tih loh chu natna dang tam tak chhinchhiahna a ni thei bawk. Damdawi ei avanga side effect an ni thei bawk. Heng symptoms te hi i neih chuan a chhan i hriat chian loh chuan doctor nen inbia ang che.

Thawmhnaw hak hi heart attack chhinchhiahna a ni thei ang em?

Ni e, a ni thei. Vawikhatmah, thawk hah lutuk hi heart attack chhinchhiahna tlanglawn tak a ni. A tlangpuiin a lan chhuah dan dang, rilru na (or tightness, constriction), rilru hahna, luak chhuak, leh thawk hahna te a awm tlangpui. Mahse, thawmhnaw leh luak chhuak ringawt pawh hi heart attack chhinchhiahna a ni thei a, a bik takin hmeichhiaah chuan.

A châng chuan, heart attack symptom na tak takte hma hian symptoms na lo tak tak a awm thei a, chu chu a lo lan hma darkar engemaw zat emaw ni engemaw zat emaw a ni. Tin, i rilru a na a, i chau danglam hle a, i kut, i hmui, i kawr, a nih loh leh i hnungzang natna te pawh i nei thei bawk.

Heart attack nei nia i hriat chuan 1990 (ambulance) call nghal la, damdawi in hnai ber pan rawh. Damdawi lam pan hma chuan i nunna chhanhim theihna chance a sang zawk a, i thinlung chhiatna a tlem phah bawk.

Thawmhnaw hak hi taksa tan a tha em?

Sweating hi taksa tan a tha a, kan taksa lum leh vawt tihreh nan a pui a ni. Mahse, "toxins chhuah chhuah" beiseina avanga thawk chhuah tir tum emaw, i hriselna zawng zawng tihchangtlun beiseia thawkrim lutuk emaw hian a chang chuan a thatna aiin a tichhe zawk thei.

A chhan chu kan taksa atanga tui tam tak a bo nghal chuan (he thu-ah hian thawmhnaw angin), dehydration leh a kaihhnawih harsatna electrolyte imbalance ang chi te a awm thei a ni. I thawmhnaw tam tak i chhuah hnua i rilru a hah chuan electrolytes awmna tui hmangin i taksa chu rehydrate ngei ngei tur a ni.

Mahse, thawmhnaw hian i taksa atanga toxin tam tak a paih chhuak ang tih beisei suh. I thawmhnaw 99% chu tui a ni. A dang 1% chu thil hrisel tak tak electrolytes leh toxin tlemte tak tak, heavy metals leh BPA te atanga siam a ni.

Chumi awmzia chu i thawmhnaw tam tak pawh nise, i taksa atanga toxin chhuak zat chu a tlem hle tihna a ni. Tunah hian scientific evidence a la awm lo a, thawmhnaw tam lutuk (exercise hmang emaw, sauna hmang emaw) hian taksa a tifai emaw, hriselna a tichak emaw tih finfiahna a la awm lo.

Kan taksa "tifai" hna ber chu kan thin leh kal (kidney) te hian an thawk a ni. Heng taksa peng hrang hrangte hian thisen atanga toxins leh bawlhhlawh te chu an paih chhuak a, chu chu zunah a chhuak leh thin. Thuthang awm mahse, taksa atanga thil tha lo paih chhuahna kawngah thawmhnaw hian chanvo a nei tlem hle.

``Hot yoga'' emaw ``sauna'' emaw ang chi exercise chak tak tak tih tan i duh chuan i doctor nen inbia hmasa phawt ang che. I hriselna dinhmun a zirin hengte hi i tan a him em tih a hrilh thei che a ni. Tin, an hlawkna leh hlauhawmna te pawh a sawifiah thei bawk.

Engvangin nge ka thawk hah loh?

I thawmhnaw hak loah i ngai mai thei. Mahse, kan hriat loh pawhin kan taksa hian kan taksa lumna tihreh nan thawmhnaw tlemte a siam chhuak fo thin.

I thawmhnaw hah tur huna i thawmhnaw hah loh ang maia i inhriat chuan (exercise i tih lai emaw, pawn lama khaw lum lai emaw ang chi) chuan damdawi lam natna anhidrosis an tih chu i nei thei a ni. Hei hian i taksa hian a thawk tha thei tur khawpin thawmhnaw a siam chhuak lo tihna a ni. I thil hmuh chu i doctor nen inbia a, a chhan hriat chian a tha.

I thawmhnaw chawlhsan ang maia i inhriat nghal chuan tui tlakchhamna nasa tak emaw, non-exertional heatstroke emaw a ni thei. Non-exertional heatstroke hi kum (kum 65 chunglam te hi an hlauhawm zawk) emaw, hriselna dinhmun hnuaia awm vang emaw a ni thei. Ni engemaw zat chhungin zawi zawiin a lo thang lian thei bawk.

I thawmhnaw a chhuah loh a, a hnuaia symptom pakhat emaw a aia tam emaw i neih chuan 911 call emaw damdawi inah kal nghal rawh:

• Khawsik 103 Fahrenheit (39.4 Celsius) aia sang a ni.
• Vun a sen a, a lum a, a vawt a nih chuan.
• I taksa ruhte a hrual ang maia i hriat chuan ``muscle twitching'' an ti.
• Luhai.
• Pulse chak tak a ni.
• Luak chhuak emaw, muhil emaw.
• Seizures a awm thin.
• Rilru tibuai.

A tawp berah chuan take-home message:

Thufing pakhat a awm a, "Thil tenau te chu thawkrim suh," mahse chu chu i kawr chu thawmhnaw in a hnim a, `(meeting)` lian takah kal tura i inbuatsaih lai hian sawi a awlsam lo. Mahse, i rilru hah laiin thawk hah hi harsatna ang maiin a lang thei a, hun dangah chuan – entirnan, ni lum takah pawn lama hnathawh lai ang chiah hian – thawmhnaw hi dam khawchhuahna atan a pawimawh hle. Engtiang pawhin thawmhnaw pumpelh tumin bei mah ila, thawmhnaw hi kan hriselna atana a pawimawh zia theihnghilh a awl hle.

Thawmhnaw hian kan taksa lumna chu a level dik takah a awm tir thei a, mahse a chang chuan thil a kal sual thei bawk. I thawmhnaw a tam emaw, a tlem emaw pawh a ni thei. Chutiang chu i chungah a lo thleng a nih chuan doctor chuan enkawlna tha ber zawng turin a pui thei che a ni. I thawmhnaw chungchangah emaw, i nun a nghawng dan emaw chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan engtik lai pawhin doctor biak hreh suh.

`Thaw chhuak, thawk hah, taksa lumna, thawmhnaw hrui, hyperhidrosis, anhidrosis, vun hriselna