Kodi mumachita thukuta kwambiri? Tiyeni tikambirane za hyperhidrosis!

Kodi nthawi zina mumamva ngati mukuchita thukuta kwambiri popanda chifukwa? Mwina manja anu, mapazi anu, ndi m'khwapa nthawi zonse zimakhala zonyowa? Kapena mumachita thukuta kwambiri moti zovala zanu zimanyowa ngakhale ndi chinthu chaching'ono? Ili ndi vuto lomwe anthu ambiri ali nalo, koma ndi chinthu chomwe amakayikira pang'ono kulankhula za icho. Tiyeni tikambirane za izi mwatsatanetsatane lero.

Kodi hyperhidrosis ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, hyperhidrosis ndi thukuta lopitirira muyeso. Kawirikawiri, timatuluka thukuta kuti tiwongolere kutentha kwa thupi lathu. Izi zikutanthauza kuti ndi zachilendo kutuluka thukuta tikamachita masewera olimbitsa thupi, tikamaopa, kapena tsiku lotentha. Komabe, munthu amene ali ndi hyperhidrosis amatha kutuluka thukuta kwambiri popanda chifukwa chomveka, mwina ngakhale tikakhala m'chipinda chozizira kapena pamene tikupumula.

Khungu lathu lili ndi mtundu wa ma glands a thukuta otchedwa eccrine glands . Awa ndi ma glands omwe amatulutsa thukuta. Thukuta ili likafika pamwamba pa khungu ndikusanduka nthunzi, thupi limazizira. Pa hyperhidrosis, ma glands a thukuta awa amakhala otanganidwa kwambiri. Ali ngati pompo yomwe sitseka bwino ndipo imataya madzi.

Pali mitundu iwiri ikuluikulu ya hyperhidrosis. Kodi ndi chiyani?

Inde, madokotala apeza mitundu iwiri ikuluikulu ya izi:

1. Kuchuluka kwa Hidrosi ya Focal:

• Mtundu uwu ndi wofala kwambiri. Ndi matenda a pakhungu osatha.
• Kawirikawiri, izi zimachitika chifukwa cha kusintha kwa majini . Izi zikutanthauza kuti ngati wina m'banja mwanu ali ndi vutoli, inunso muli ndi mwayi waukulu woti mudwale nalo.
• Mtundu uwu nthawi zambiri umakhala ndi thukuta m'malo enaake , monga m'khwapa, m'manja, m'mapazi, ndi pankhope.
• Izi nthawi zambiri zimayamba mwa achinyamata osakwana zaka 25 .

2. Hyperhidrosis Yachiwiri Yodziwika Kwambiri:

• Mu mtundu uwu, thukuta lochuluka lingayambitsidwe ndi matenda ena (monga matenda a shuga, matenda a Parkinson) kapena zotsatira zina za mankhwala ena omwe mukumwa (monga mankhwala ochepetsa ululu monga naproxen).
• Mu mtundu uwu , thukuta limatha kuchitika osati m'dera limodzi lokha la thupi, komanso m'thupi lonse.
• Nthawi zina, kutuluka thukuta ngakhale usiku kungakhale chizindikiro cha mtundu uwu.

Kodi vutoli ndi lofala bwanji? Ndani amene amakhudzidwa kwambiri?

Matenda a hyperhidrosis kwenikweni ndi matenda ofala kwambiri kuposa momwe mungaganizire. Kafukufuku akusonyeza kuti pafupifupi 3% ya akuluakulu ku United States, azaka zapakati pa 20 ndi 60, amadwala matendawa. Pali anthu ambiri ku Sri Lanka omwe ali ndi vutoli, koma ena safuna kulankhula za vutoli.

Kodi zizindikiro za hyperhidrosis ndi ziti? Mukumva bwanji?

Chizindikiro chachikulu ndi thukuta kwambiri. Mutha kukhala ndi:

• Khungu nthawi zonse limakhala lonyowa .
• Zovala zomwe mwavala zimanyowa ndi thukuta.
• Zikuoneka ngati thukuta likutuluka pankhope panu ndi pamphumi panu.

Ngati vutoli lipitirira kwa nthawi yayitali, zizindikiro zina zingawonekere:

• Thukuta limayambitsa kuyabwa ndi kutupa kwa khungu.
• Fungo la thupi. Izi zimachitika pamene mabakiteriya pakhungu akuphatikizana ndi thukuta. Thukuta lokha silikhala ndi fungo, koma ndi pamene mabakiteriya asonkhana komwe fungo limachokera.
• Khungu losweka kapena lotupa, makamaka pansi pa mapazi.

Zizindikiro zimenezi zimatha kusiyana malinga ndi munthu. Anthu ena amakhala nazo kwa kanthawi kochepa ndipo zimabwera ndi kutuluka. Kwa ena, zimakhalapo tsiku lonse ndipo zimasokoneza zochita za tsiku ndi tsiku.

Chofunika kwambiri, vutoli lingakhudzenso thanzi lanu la maganizo. Anthu ambiri amachita manyazi ndipo amapewa kucheza ndi anthu chifukwa cha thukuta kwambiri. Ngati muli ndi vuto limeneli, ndikofunikira kuonana ndi dokotala kuti akuthandizeni kuthana ndi zizindikirozi, komanso kulankhula ndi mlangizi wa zaumoyo wamaganizo za momwe mukumvera.

Kodi thupi lanu lingathe thukuta kwambiri chonchi kuti?

Ngakhale kuti tili ndi ma eccrine glands m'thupi lathu lonse, pali ambiri m'madera ena. Ndicho chifukwa chake timatha kutuluka thukuta kwambiri m'madera amenewo:

• Kutupa kwa m'khwapa (Axillary hyperhidrosis)
• Kuchuluka kwa madzi m'thupi (plantar hyperhidrosis)
• Ma Palm (Palmar hyperhidrosis) - Ili ndi dera lomwe limakhudza anthu ambiri.
• Pamphumi ndi masaya (Craniofacial hyperhidrosis)
• M'dera la maliseche
• Mimba ya m'munsi

N’chifukwa chiyani timatuluka thukuta kwambiri? Kodi zifukwa zake ndi ziti?

Chifukwa chachikulu ndi ma glands otulutsa thukuta omwe amagwira ntchito mopitirira muyeso. Nthawi zambiri, matupi athu akatentha, ma glands otulutsa thukuta amagwira ntchito yotiziziritsa. Izi zimachitika tikamachita masewera olimbitsa thupi kapena tikakhala ndi mantha. Koma mwa anthu omwe ali ndi hyperhidrosis, ma glands otulutsa thukuta amatulutsa thukuta ngakhale thupi litakhala losatentha. Kafukufuku akupitilirabe kuti adziwe chifukwa chake izi zimachitika.

Zinthu zina (zomwe zimayambitsa) zomwe zimawonjezera thukuta:

Zinthu zina zingayambitse thukuta kwambiri komanso kupangitsa kuti thukuta liwonjezeke:

• Kupsinjika maganizo, nkhawa, mantha, ndi mantha.
• Nyengo yotentha kapena chinyezi chambiri.
• Kuchita masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi.
• Zakudya ndi zakumwa zina: zakudya zokometsera, zakudya zamafuta, zakudya zokhala ndi shuga ndi mchere wambiri, zakudya zokhala ndi mapuloteni ambiri. Zakumwa monga khofi ndi mowa zomwe zili ndi caffeine.

Mankhwala ena omwe angayambitse thukuta ndi awa:

Kutuluka thukuta kwambiri kungakhalenso zotsatirapo zina za mankhwala omwe mumamwa. Nazi zitsanzo zina:

• Albuterol (Proventil®)
• Bupropion (Wellbutrin®)
• Hydrocodone
• Insulin "(Insulin (Humulin® R, Novolin® R))`
• Levothyroxine (Levothyroxine)`
• Lisinopril (Lisinopril)`
• Naproxen (Aleve®)
• Omeprazole (Prilosec®)
• Sertraline (Zoloft®)

Ngati mukumwa mankhwala ngati awa ndipo mukutuluka thukuta kwambiri, lankhulani ndi dokotala wanu. Musasiye kumwa mankhwala aliwonse popanda upangiri wa dokotala.

Matenda ena omwe angayambitse thukuta ndi awa:

Kuchuluka kwa kutentha thupi kwachiwiri (kwachibadwa) kungayambitsidwe ndi vuto linalake lachipatala. Zitsanzo:

• Acromegaly
• Matenda (monga chifuwa chachikulu)
• Nkhawa
• Khansa
• Matenda a shuga
• Matenda a mtima kapena kulephera kwa mtima
• Hyperthyroidism
• Kusamba
• Kunenepa kwambiri
• Matenda a Parkinson

Kodi vutoli ndi lobadwa nalo?

Inde, muli pachiwopsezo, makamaka ngati wina m'banja mwanu ali ndi vuto lalikulu la hyperhidrosis . Kafukufuku akusonyeza kuti izi zitha kuchitika chifukwa cha kusintha kwa majini komwe kumachitika chifukwa cha cholowa .

Kodi thukuta lochulukali lingayambitse mavuto ena?

Inde, hyperhidrosis ingayambitse mavuto ena:

• Matenda a pakhungu.
• Kusintha kwa khungu: khungu lotumbululuka, kusintha mtundu, kusweka kwa khungu kapena makwinya.
• Kunyowa kwambiri komanso kufewa kwa khungu (Maceration).

Kuwonjezera pa zotsatirapo zakuthupi izi, monga tafotokozera kale, zingakhudzenso kwambiri thanzi lanu la maganizo . Mungayesedwe kusintha zochita zanu za tsiku ndi tsiku ndikupewa zochita zina (monga kukweza dzanja lanu, kugwirana chanza) chifukwa mukuganiza kuti ena adzakuonani mukutuluka thukuta. Mungapewenso zinthu zomwe mumakonda chifukwa cha izi. Chifukwa chake, ngati vutoli likukhudza moyo wanu wamaganizo ndi chikhalidwe, onetsetsani kuti mwapeza upangiri wa dokotala.

Kodi madokotala amazindikira bwanji izi molondola ngati hyperhidrosis? (Kuzindikira)

Dokotala adzadziwa ngati muli ndi vuto la hyperhidrosis atatha kukuyang'anirani, kumvetsera zizindikiro zanu, komanso kutenga mbiri yanu yachipatala. Pali njira zingapo zomwe amagwiritsa ntchito kuti adziwe izi. Ngati mwakhala mukutuluka thukuta kwambiri kwa miyezi isanu ndi umodzi ndipo mungayankhe "inde" ku mafunso awiri mwa awa:, ikhoza kukhala hyperhidrosis:

• Kodi mumatuluka thukuta m'khwapa, m'manja, m'mapazi, kapena pankhope?
• Kodi mumatuluka thukuta mofanana mbali zonse ziwiri za thupi lanu?
• Kodi simutuluka thukuta usiku, kapena mumatuluka thukuta pang'ono?
• Kodi mwakhala mukutuluka thukuta kwa sabata imodzi kapena kuposerapo?
• Kodi pali aliyense m'banja mwanu amene ali ndi vutoli?
• Kodi thukuta limasokoneza zochita zanu za tsiku ndi tsiku?
• Kodi muli ndi zaka zosakwana 25?

Ndi mayeso ati omwe amachitidwa kuti atsimikizire izi?

Dokotala angachite chimodzi kapena zingapo mwa izi kuti athandize kupeza chifukwa chake:

• Kuyesa sitachi ndi ayodini: Mankhwala a ayodini amathiridwa pamalo omwe ali ndi thukuta ndipo sitachi imathiridwa pamwamba. Malo omwe ali ndi thukuta lochuluka amasanduka mtundu wabuluu wakuda.
• Kuyesa kwa pepala: Pepala lapadera limayikidwa pamalo omwe thukuta limayamwa thukuta. Kenako pepalalo limayesedwa kuti lione kuchuluka kwa thukuta lomwe lilimo.
• Mayeso a magazi kapena zithunzi: Izi zingathandize kupeza chomwe chimayambitsa zizindikiro zanu mwa kutenga chitsanzo cha magazi anu kapena kujambula zithunzi za zomwe zili pansi pa khungu lanu.

Ndiye, kodi n’chiyani chingachitike kuti munthu athetse vuto la hyperhidrosis?

Njira zochiritsira zimasiyana malinga ndi gawo la thupi lanu lomwe lakhudzidwa, kuopsa kwa vutoli, ndi mtundu wa chithandizo chomwe chili choyenera kwa inu. Dokotala wa khungu angakuthandizeni kupeza chithandizo chabwino kwambiri kwa inu. Palibe chithandizo chimodzi choyenera onse.

Zinthu zosavuta zomwe mungachite kunyumba

• Kugwiritsa ntchito mankhwala oletsa thukuta ndi deodorant: Mankhwala oletsa thukuta amagwira ntchito potseka ma glands a thukuta ndikuchepetsa thukuta. Dokotala wanu angakulangizeni mankhwala ogulitsidwa kunja kwa chipatala (OTC) kapena mankhwala amphamvu. Mankhwala okhala ndi aluminiyamu ndi abwino kwambiri pa izi.
• Sambani kapena sambani thupi lanu pafupipafupi: Zizindikiro zochepa zimatha kuchepetsedwa posamba pafupipafupi tsiku lililonse.
• Valani zovala zopumira komanso zotulutsa thukuta: Nsalu monga thonje ndi zabwino pa izi. Nsalu zopangidwa monga polyester zimatha kusunga kutentha ndikukupangitsani thukuta kwambiri, choncho pewani.

Mankhwala omwe angatengedwe potsatira upangiri wa dokotala

Dokotala wanu kapena dermatologist angakulangizeni mankhwala monga awa:

• Mankhwala oletsa cholinergic (monga glycopyrrolate, oxybutynin)
• Mankhwala oletsa kuvutika maganizo (mitundu ina imathandizanso kuchepetsa thukuta)
• Beta-blockers (makamaka ngati munthu watuluka thukuta chifukwa cha nkhawa)
• Ma wipes opangidwa ndi mankhwala (monga glycopyrronium tosylate, Qbrexza®)
• Geli ya aluminiyamu ya chloride `(gel ya aluminiyamu ya chloride)`

Musanamwe mankhwala awa, kambiranani ndi dokotala wanu za zotsatira zake zoyipa.

Mankhwala Ochiritsira Okha

Ngati mankhwala ndi mankhwala a kunyumba sapereka mpumulo waukulu, dokotala wanu angakupatseni chithandizo china monga:

• Iontophoresis: Manja kapena mapazi anu amaikidwa m'mbale yosaya kwambiri ya madzi. Chipangizo chapadera chimatumiza magetsi otsika kudzera m'madzi, omwe pakapita nthawi amatseka ma glands a thukuta. Gawo lililonse limatenga pafupifupi mphindi 10-20. Mungafunike kuchita chithandizochi kangapo. Muthanso kugwiritsa ntchito chipangizochi kunyumba.
• Jakisoni wa poizoni wa Botulinum (Botox®): Uwu ukhoza kubayidwa mu mitsempha yogwira ntchito mopitirira muyeso ndikuletsa kutulutsa thukuta kwa miyezi ingapo. Komabe, muyenera kulandira jakisoniyu mobwerezabwereza.
• Chithandizo cha microwave: Dokotala wanu amaika chipangizo chapadera (monga miraDry®) pakhungu lanu lotuluka thukuta. Chimatulutsa kutentha, ndikuwononga kwathunthu ma glands a thukuta. Ichi ndi chithandizo chomwe chimatenga pafupifupi ola limodzi mu ofesi ya dokotala.

Opaleshoni - ngati njira yomaliza

Ngati njira zina zonse zochiritsira zalephera, dokotala angaganizire za opaleshoni:

• Kuchotsa chiwalo cha m'chifuwa pogwiritsa ntchito njira ya Endoscopic thoracic sympathectomy (ETS): Iyi ndi opaleshoni yomwe imachitidwa kudzera mu kudula pang'ono kwambiri. Dokotalayo amadula mitsempha m'thupi, ndikuletsa chizindikiro chopita ku ma glands a thukuta kuti atulutse thukuta.
• Kuchotsa ma gland a thukuta: Dokotala wa opaleshoni amachotsa ma gland a thukuta pogwiritsa ntchito laser, curettage, excision, kapena liposuction.

Kuchita opaleshoni kungathandize anthu omwe sanalandire chithandizo china kwa nthawi yayitali. Komabe, ndikofunikira kukambirana ndi dokotala wanu za zotsatirapo za opaleshoni musanapange chisankho.

Kodi pali zotsatirapo zilizonse pa mankhwala awa?

Njira iliyonse yothandizira ikhoza kuyambitsa zotsatirapo zina. Mwachitsanzo:

• Khungu loyabwa, losweka, kapena lotupa.
• Kusintha mtundu wa khungu.
• Ululu kapena kusasangalala.
• Kusintha mtundu kapena kuwonongeka kwa zovala.
• Zilonda.

Dokotala wanu angakuuzeni zotsatirapo zake. Kambiranani izi mosamala musanayambe kulandira chithandizo.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditayamba kulandira chithandizo?

Mungamve kusintha nthawi yomweyo mukayamba kulandira chithandizo. Kapena zingatenge milungu ingapo kapena miyezi ingapo kuti zizindikiro zanu zisinthe. Nthawi yomwe imatenga pa chithandizo chilichonse ndi yosiyana. Dokotala wanu adzakuuzani za izi.

Kodi pali njira zopewera vuto la hyperhidrosis?

Si milandu yonse ya hyperhidrosis yomwe ingapewedwe. Mwachitsanzo, primary focal hyperhidrosis ndi ya majini ndipo motero ndi yovuta kuipewa. Komabe, ngati muli ndi mtundu wachiwiri (wodziwika), ukhoza kuchepetsedwa mwa kuwongolera matenda omwe amayambitsa kapena kuthana ndi zotsatirapo zoyipa za mankhwala.

Kodi mungayembekezere chiyani mukakhala ndi hyperhidrosis?

Ngakhale palibe mankhwala, pali njira zambiri zothandizira kuthana ndi zizindikiro. Si matenda omwe angakupheni, koma akhoza kukhudza kwambiri moyo wanu. Mungamve manyazi kapena manyazi kulankhula za matendawa. Zingakupangitseninso kusiya kuchita zinthu zomwe mumakonda. Chifukwa chake, ngati vutoli likukhudza thanzi lanu la maganizo, lankhulani ndi dokotala kapena mlangizi wa zaumoyo wamaganizo .

Kotero palibe mankhwala athunthu a izi?

Palibe mankhwala a primary focal hyperhidrosis. Komabe, chithandizo chingachepetse zizindikiro ndikukweza moyo. Hyperhidrosis yachiwiri nthawi zina imatha kwathunthu ngati vuto lachipatala kapena mankhwala omwe adayambitsa athandizidwa. Komabe, si milandu yonse yachiwiri yomwe ingachiritsidwe.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati thukuta kwambiri limayambitsa zizindikiro izi, pitani kwa dokotala:

• Ngati zingakhudze moyo wanu moyipa .
• Ngati muyenera kupewa zochitika kapena anthu omwe mumawakonda.
• Ngati zinthu zikuipiraipira pakapita nthawi.
• Ngati mutuluka thukuta usiku mukugona .

Zadzidzidzi: Nthawi zina kutuluka thukuta kwambiri kungakhale chizindikiro cha matenda aakulu, omwe angawononge moyo. Ngati mukumva zizindikiro monga kupweteka pachifuwa, nseru, kapena chizungulire pamodzi ndi thukuta, pitani kuchipatala nthawi yomweyo.

Kodi ndifunse dokotala chiyani pankhaniyi?

Ngati muli ndi hyperhidrosis, funsani dokotala mafunso monga awa:

• N’chiyani chimandipangitsa kutuluka thukuta chonchi?
• Kodi ndi njira ziti zochiritsira zomwe ndili nazo?
• Kodi mungalimbikitse chithandizo chiti choyamba?
• Kodi pali zinthu zina zomwe ndingachite kuti ndichepetse zizindikirozi kapena kuti ndikhale ndi thanzi labwino?
• Kodi zitenga nthawi yayitali bwanji kuti zizindikiro zanga zichepe?
• Kodi ndingatani kuti ndizithandiza kukhala ndi thanzi labwino la maganizo?

N’chifukwa chiyani nthawi zina thukuta limanunkhiza? Pali mitundu iwiri ya tiziwalo totuluka thukuta pakhungu lathu!

Thukuta lochokera ku glands lathu la eccrine silikhala ndi fungo lenileni.Koma thukuta likaphatikizana ndi mabakiteriya pakhungu, limapanga fungo. Thukuta nthawi zambiri limakhala madzi. Khungu lathu limakhala ndi mabakiteriya ochepa. Mabakiteriyawa akaphatikizana ndi madontho a thukuta, amaswa tinthu ting'onoting'ono ta thukuta. Imeneyo ndiyo njira yomwe imayambitsa fungo lamphamvu.

Tilinso ndi mtundu wina wa thukuta wotchedwa apocrine glands . Izi zimapezeka m'malo omwe muli tsitsi, monga m'khwapa ndi m'malo oberekera. Madzi ochokera m'matendawa ndi okhuthala pang'ono kuposa madzi ochokera m'matenda a eccrine. Madzi okhuthala awa akaphatikizana ndi mabakiteriya pakhungu, fungo la thupi limayamba.

Pomaliza, zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kuchuluka kwa madzi m'thupi (hyperhidrosis) kungakhale vuto la kanthawi kochepa kapena kwa nthawi yayitali, ndipo lingakhale lovuta kulithetsa. Mungapewenso kuyanjana ndi anthu chifukwa choopa momwe ena angachitire ndi zizindikiro zanu (monga kugwirana chanza ndi manja otuluka thukuta).

Ngakhale kuti palibe mankhwala a izi, thandizo lilipo! Dokotala wanu angakulembereni mankhwala oletsa thukuta kapena mankhwala ochepetsa zizindikiro zanu. Izi sizinthu zomwe muyenera kudutsa nokha. Muli ndi ufulu wolankhula za izi ndikupempha thandizo. Chifukwa chake, musachite manyazi kapena kuopa kufunafuna upangiri wa dokotala. Chitanipo kanthu kuti moyo wanu ukhale wabwino lero!

` Kutuluka thukuta, thukuta lochuluka, hyperhidrosis, thukuta, matenda a thukuta, matenda a pakhungu, chithandizo