Ngaba ubila kakhulu? Masithethe nge-hyperhidrosis!

Ngaba ngamanye amaxesha uziva ngathi ubila kakhulu ngaphandle kwesizathu? Mhlawumbi iintende zakho, iintende zakho, namakhwapha akho ahlala emanzi? Okanye ubila kakhulu kangangokuba iimpahla zakho zimanzi nakwinto encinci? Le yingxaki abantu abaninzi abanayo, kodwa yinto abathandabuzayo ukuyithetha. Makhe sithethe ngayo ngokweenkcukacha namhlanje.

Yintoni i-hyperhidrosis? Masiyiqonde ngokulula!

Ngamafutshane, i-hyperhidrosis kukubila okugqithisileyo. Ngokwesiqhelo, siyabila ukuze silawule ubushushu bomzimba wethu. Oko kuthetha ukuba kuqhelekile ukubila xa sizilolonga, xa sisoyika, okanye ngemini eshushu. Nangona kunjalo, umntu one-hyperhidrosis unokubila kakhulu ngaphandle kwesizathu esicacileyo, mhlawumbi nokuba usegumbini elibandayo okanye xa siphumle nje.

Ulusu lwethu lunohlobo lwee -bite glands ezibizwa ngokuba yi-eccrine glands . Ezi zii-glands ezivelisa ukubila. Xa lo mbilo ufikelela kumphezulu wolusu uze uphele, umzimba uyaphola. Kwi-hyperhidrosis, ezi glands zokubila ziyasebenza kakhulu. Kufana nempompo engavali kakuhle kwaye ivuza amanzi.

Kukho iintlobo ezimbini eziphambili ze-hyperhidrosis. Zithini ezo?

Ewe, oogqirha bachonge iintlobo ezimbini eziphambili zale nto:

1. I-Primary Focal Hyperhidrosis:

• Olu lolona hlobo luxhaphakileyo. Enyanisweni yimeko yolusu engapheliyo.
• Oku kuqheleke kakhulu, oku kubangelwa kukuguquka kwezakhi zofuzo . Oku kuthetha ukuba ukuba kukho umntu kusapho lwakho onayo le meko, nawe unokuba nayo.
• Olu hlobo ludla ngokubila kwiindawo ezithile kuphela, ezinje ngamakhwapha, iintende zezandla, iintende zeenyawo, nobuso.
• Oku kudla ngokuqala kubantu abancinci abangaphantsi kweminyaka engama-25 ubudala .

2. I-Hyperhidrosis Eqhelekileyo Yesibini:

• Kolu hlobo, ukubila kakhulu kunokubangelwa yenye imeko yezonyango engaphantsi (efana nesifo seswekile, isifo sikaParkinson) okanye isiphumo esibi samayeza athile owasebenzisayo (afana neentlungu ezifana ne-naproxen).
• Kule hlobo , ukubila kungenzeki kuphela kwindawo enye yomzimba, kodwa nakuwo wonke umzimba.
• Ngamanye amaxesha, ukubila nokuba ulele ebusuku kunokuba luphawu lolu hlobo.

Ixhaphake kangakanani le meko? Ngubani ochaphazeleka kakhulu?

I-Hyperhidrosis yimeko eqhelekileyo kunokuba unokucinga. Uphando lubonisa ukuba malunga ne-3% yabantu abadala eMelika, abaphakathi kweminyaka engama-20 nama-60 ubudala, banengxaki yesi sifo. Kukho abantu abaninzi eSri Lanka abanale meko, kodwa abanye bayathandabuza ukuthetha ngayo.

Zithini iimpawu ze-hyperhidrosis? Uziva njani?

Uphawu oluphambili kukubila kakhulu. Usenokuba neengxaki ezilandelayo:

• Ulusu luhlala lumanzi .
• Iimpahla ozinxibileyo ziyamanzi ngenxa yokubila.
• Kubonakala ngathi ukubila kuphuma ebusweni nasebunzini lakho.

Ukuba le meko iqhubeka ixesha elide, ezinye iimpawu zinokuvela:

• Ukubila kubangela ukurhawuzelelwa nokudumba kolusu.
• Ivumba lomzimba. Oku kwenzeka xa iintsholongwane eluswini zidibana nokubila. Ukubila ngokwako akunavumba, kodwa kuxa iintsholongwane ziqokelelana apho ivumba livela khona.
• Ulusu oluqhekekileyo okanye oluxobukayo, ingakumbi ezinyaweni.

Ezi mpawu zinokwahluka kumntu nomntu. Abanye abantu baba nazo okwethutyana nje elifutshane kwaye ziyafika zidlule. Kwabanye, zihlala zinjalo imini yonke kwaye ziphazamisana nemisebenzi yemihla ngemihla.

Okubaluleke kakhulu, le meko inokuchaphazela nempilo yakho yengqondo. Abantu abaninzi baziva beneentloni kwaye bayakuphepha ukunxulumana nabantu ngenxa yokubila kakhulu. Ukuba kunjalo kuwe, kubalulekile ukubona ugqirha ukuze ufumane uncedo lokulawula ezi mpawu, kunye nokuthetha nomcebisi wezempilo yengqondo malunga neemvakalelo zakho.

Kuphi apho emzimbeni unokubila khona ngolu hlobo?

Nangona sinee-sweat glands (ii-eccrine glands) emizimbeni yethu yonke, zininzi kwezinye iindawo. Yiyo loo nto sinokubila ngakumbi kwezo ndawo:

• Iingalo ezingaphantsi (i-Axillary hyperhidrosis)
• I-Plantar hyperhidrosis
• Iintende zesundu (i-Palmar hyperhidrosis) - Le yindawo echaphazela uninzi lwabantu.
• Ibunzi nezidlele (i-Craniofacial hyperhidrosis)
• Kwindawo yesini
• Isisu esisezantsi

Kutheni sibila kangaka? Zithini izizathu?

Isizathu esiphambili ziingceba zokubila ezisebenza kakhulu. Ngokwesiqhelo, xa imizimba yethu ishushu, ii-glands zokubila zisebenza ukusipholisa. Oku kwenzeka xa sizilolonga okanye sixhalabile. Kodwa kubantu abane-hyperhidrosis, ii-glands zokubila zivelisa ukubila nokuba umzimba awushushu. Uphando lusaqhubeka ukuze kufunyanwe isizathu sokuba oku kwenzeke.

Ezinye izinto (Izinto ezibangela ukubila) ezibangela ukubila:

Ezinye izinto zinokuvuselela amadlala akho okubila kwaye zibangele ukubila okwandileyo:

• Uxinzelelo, ixhala, uloyiko, kunye neemvakalelo zovalo.
• Imozulu eshushu okanye ukufuma okuphezulu.
• Ukuzilolonga okanye umsebenzi womzimba.
• Ukutya okuthile neziselo: ukutya okuneziqholo, ukutya okunamafutha, ukutya okuneswekile eninzi netyuwa, ukutya okuneproteni eninzi. Iziselo ezifana nekofu kunye notywala obune-caffeine.

Amanye amayeza anokubangela ukubila aquka:

Ukubila kakhulu kunokuba yimpembelelo embi yamanye amayeza owasebenzisayo. Nazi ezinye zemizekelo:

• I-Albuterol (Proventil®)
• I-Bupropion (iWellbutrin®)
• I-Hydrocodone
• I-insulin `(Insulin (Humulin® R, Novolin® R))`
• I-Levothyroxine `(Levothyroxine)`
• I-Lisinopril `(Lisinopril)`
• I-Naproxen (Aleve®)
• I-Omeprazole (iPrilosec®)
• I-Sertraline (iZoloft®)

Ukuba usebenzisa amayeza anje kwaye ubila kakhulu, thetha nogqirha wakho. Musa ukuyeka ukusebenzisa amayeza ngaphandle kwengcebiso kagqirha.

Ezinye zeemeko zempilo ezinokubangela ukubila ziquka:

I-hyperhidrosis yesibini (eqhelekileyo) inokubangelwa yimeko yezonyango engabonakaliyo. Imizekelo:

• I-Acromegaly
• Iintsholongwane (umz. iSifo sePhepha)
• Ixhala
• Umhlaza
• Isifo seswekile
• Isifo sentliziyo okanye ukungaphumeleli kwentliziyo
• I-Hyperthyroidism
• Ukuya exesheni
• Ukutyeba kakhulu
• Isifo sikaParkinson

Ingaba le meko ibangelwa lilifa?

Ewe, usemngciphekweni, ingakumbi ukuba umntu kusapho lwakho une -primary focal hyperhidrosis . Uphando lubonisa ukuba oku kusenokubangelwa kukuguquka kwemfuza okuzuzwe njengelifa .

Ngaba oku kubila kakhulu kungabangela ezinye iingxaki?

Ewe, i-hyperhidrosis inokubangela ezinye iingxaki:

• Usulelo lolusu.
• Utshintsho lolusu: ulusu oluphaphathekileyo, ukutshintsha kombala, ukuqhekeka kolusu okanye ukushwabana.
• Ukufuma okugqithisileyo kunye nokuthamba kolusu (Maceration).

Ukongeza kwezi ziphumo zomzimba, njengoko bekutshiwo ngaphambili, zinokuba nefuthe elikhulu kwimpilo yakho yengqondo . Usenokulingeka ukuba utshintshe indlela oqhele ukwenza ngayo imihla ngemihla kwaye uphephe imisebenzi ethile (njengokuphakamisa isandla sakho, ukuxhawula izandla) kuba ucinga ukuba abanye baya kukubona ubila. Usenokuziphepha nezinto ozithandayo ngenxa yoku. Ke ngoko, ukuba le meko ichaphazela ubomi bakho bengqondo nobentlalontle, qiniseka ukuba ucela ingcebiso kugqirha.

Oogqirha bayichonga njani ngokuchanekileyo le nto njenge-hyperhidrosis? (Ukuxilongwa)

Ugqirha uza kufumanisa ukuba unayo na i-hyperhidrosis emva kokukuhlola nokumamela iimpawu zakho kunye nembali yakho yezonyango. Kukho iindlela ezimbalwa abazisebenzisayo ukufumanisa oku. Ukuba ububila kakhulu ubuncinane iinyanga ezintandathu kwaye unokuphendula "ewe" ubuncinane kwimibuzo emibini elandelayo:, isenokuba yi-hyperhidrosis:

• Ngaba uyabila phantsi kwamakhwapha, iintende zezandla, iintende zeenyawo, okanye ubuso?
• Ngaba ubila ngokulinganayo kumacala omabini omzimba wakho?
• Awubi manzi ebusuku, okanye ubila kancinci?
• Ngaba ubusele ubila ubuncinane iveki yonke?
• Ngaba kukho umntu onayo le meko kusapho lwakho?
• Ngaba ukubila kuphazamisana nemisebenzi yakho yemihla ngemihla?
• Ingaba ungaphantsi kweminyaka engama-25 ubudala?

Zeziphi iimvavanyo ezenziwayo ukuqinisekisa oku?

Ugqirha angenza olunye okanye ngaphezulu kwezi vavanyo zilandelayo ukunceda ekufumaneni unobangela:

• Uvavanyo lwesitatshi-iodine: Isisombululo se-iodine sisetyenziswa kwindawo ebilayo kwaye istatshi sifafazwa phezulu. Iindawo ezibilayo kakhulu zijika zibe nombala oluhlaza okwesibhakabhaka omnyama.
• Uvavanyo lwephepha: Iphepha elikhethekileyo libekwa kwindawo ebilayo ukuze kufunxwe ukubila. Emva koko iphepha liyalinganiswa ukuze kubonwe ukuba lingakanani na ukubila okukhoyo.
• Uvavanyo lwegazi okanye imifanekiso: Olu vavanyo lunokunceda ekufumaneni unobangela weempawu zakho ngokuthatha isampuli yegazi lakho okanye ukuthatha imifanekiso yezinto ezingaphantsi kolusu lwakho.

Ngoko ke, yintoni enokwenziwa ukunyanga le meko ye-hyperhidrosis?

Iindlela zonyango ziyahluka ngokuxhomekeke kwinxalenye yomzimba wakho echaphazelekileyo, ubukhali bemeko, kunye nohlobo lonyango olukufaneleyo. Ugqirha wesikhumba angakunceda ufumane unyango olulungele wena. Akukho nyango lufanayo.

Izinto ezilula onokuzenza ekhaya

• Ukusebenzisa izithinteli zokubila kunye needeodorants: Izithinteli zokubila zisebenza ngokuvala amadlala okubila kunye nokunciphisa ukubila. Ugqirha wakho unokucebisa ukuba usebenzise i-over-the-counter (OTC) okanye uhlobo olunamandla kagqirha. Iimveliso ezine-aluminium zilungele oku.
• Hlamba okanye uhlambe umzimba wakho rhoqo: Iimpawu ezingephi zinokuthomalaliswa ngokuhlamba rhoqo yonke imihla.
• Nxiba impahla ephefumlayo nekhupha umbilo: Amalaphu afana nomqhaphu alungile koku. Amalaphu enziweyo afana ne-polyester anokubamba ubushushu aze akwenze ubile ngakumbi, ngoko ke ziphephe.

Amayeza anokuthatyathwa ngengcebiso kagqirha

Ugqirha wakho okanye i-dermatologist angacebisa amayeza afana nala:

• Iiarhente ze-anticholinergic (umz., i-glycopyrrolate, i-oxybutynin)
• Ii-antidepressants (ezinye iintlobo zikwanceda ekunciphiseni ukubila)
• Ii-Beta-blockers (ingakumbi kwiimeko zokubila ngenxa yoxinzelelo)
• Iiwipes ezisebenzisa amayeza (umz., i-glycopyrronium tosylate, i-Qbrexza®)
• Ijeli ye-aluminium chloride `(Ijeli ye-aluminium chloride)`

Ngaphambi kokuba usebenzise la mayeza, thetha nogqirha wakho malunga nemiphumo yawo emibi.

Iindlela zonyango ezithile

Ukuba amayeza asekhaya kunye namayeza awaniki ncedo lungako, ugqirha wakho unokucebisa unyango oluthile olufana nolu:

• Iontophoresis: Izandla okanye iinyawo zakho zifakwa kwisitya samanzi esingaphantsi. Isixhobo esikhethekileyo sithumela umbane ophantsi emanzini, othi ngokuhamba kwexesha uvale amadlala okubila. Iseshoni nganye ithatha malunga nemizuzu eli-10-20. Kusenokufuneka wenze olu nyango izihlandlo ezininzi. Usenokukwazi nokusebenzisa esi sixhobo ekhaya.
• Iinaliti zeBotulinum toxin (Botox®): Oku kungafakwa kwimithambo-luvo esebenza kakhulu kwaye kumise ukuveliswa kokubila kangangeenyanga ezimbalwa. Nangona kunjalo, kuya kufuneka ufumane ezi naliti ngokuphindaphindiweyo.
• Unyango lwe-microwave: Ugqirha wakho ubeka isixhobo esikhethekileyo (esifana ne-miraDry®) kulusu lwakho olubilayo. Sikhupha ubushushu, sitshabalalise ngokusisigxina amadlala okubila. Olu lunyango oluthatha malunga neyure eofisini kagqirha.

Utyando - njengesisombululo sokugqibela

Ukuba zonke ezinye iindlela zonyango aziphumeleli, ugqirha unokuqwalasela utyando:

• Utyando lwe-Endoscopic thoracic sympathectomy (ETS): Olu lutyando olwenziwa ngenxeba elincinci kakhulu. Ugqirha usika umthambo emzimbeni, evala isignali eya kumadlala okubila ukuze avelise ukubila.
• Ukususwa kwe-sweat gland: Ugqirha ohlinzayo ususa i-sweat glands esebenzisa i-laser, i-curettage, i-excision, okanye i-liposuction.

Utyando lunokubonelela ngesiqabu sexesha elide kwabo bangakhange baphendule kwezinye iindlela zonyango. Nangona kunjalo, kubalulekile ukuxoxa ngemiphumo emibi yotyando nogqirha wakho ngaphambi kokuba wenze isigqibo.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga kwezi ndlela zonyango?

Zonke iindlela zonyango zinokubangela iziphumo ebezingalindelekanga. Umzekelo:

• Ulusu olurhawuzelelwayo, oluqhekekileyo, okanye olunamadyungudyungu.
• Ukutshintsha kombala wolusu.
• Intlungu okanye ukungakhululeki.
• Ukutshintsha kombala okanye umonakalo empahleni.
• Amanxeba.

Ugqirha wakho angakuxelela ngqo ukuba zeziphi iziphumo ebezingalindelekanga zonyango. Xoxa ngale nto ngononophelo ngaphambi kokuba uqale unyango.

Ndiza kuziva bhetele nini emva kokuqala unyango?

Usenokuziva umahluko kwangoko xa uqala unyango. Okanye kungathatha iiveki okanye iinyanga ezininzi ukuba iimpawu zakho ziphucuke. Ixesha elithathwayo kunyango ngalunye lahlukile. Ugqirha wakho uza kukuxelela ngale nto.

Ngaba kukho iindlela zokuthintela le meko ye-hyperhidrosis?

Ayizizo zonke iimeko ze-hyperhidrosis ezinokuthintelwa. Umzekelo, i-primary focal hyperhidrosis yimfuza kwaye ngenxa yoko kunzima ukuyithintela. Nangona kunjalo, ukuba unohlobo lwesibini (oluqhelekileyo), lunokunciphisa ngokulawula imeko yezonyango esisiseko okanye ukulawula iziphumo ebezingalindelekanga zamayeza.

Yintoni onokuyilindela xa uphila ne-hyperhidrosis?

Nangona kungekho nyango, kukho iindlela ezininzi zonyango ezifumanekayo zokunceda ukulawula iimpawu. Asiyongxaki esongela ubomi, kodwa inokuba nefuthe elikhulu ebomini bakho. Ungaziva uneentloni okanye uneentloni ukuthetha ngayo. Inokubangela ukuba uyeke imisebenzi oyithandayo. Ngoko ke, ukuba le meko ichaphazela impilo yakho yengqondo, thetha nogqirha okanye nomcebisi wezempilo yengqondo .

Ngoko ke akukho nyango lupheleleyo lwale nto?

Akukho nyango lwe-primary focal hyperhidrosis. Nangona kunjalo, unyango lunokunciphisa iimpawu kwaye luphucule umgangatho wobomi. I-secondary generalized hyperhidrosis ngamanye amaxesha inokuphela ngokupheleleyo ukuba imeko yezonyango esisiseko okanye amayeza ayibangeleyo ayalawulwa. Nangona kunjalo, ayizizo zonke iimeko zesibini ezinokunyangeka.

Ndifanele ndimbone nini ugqirha?

Ukuba ukubila kakhulu kubangela naziphi na ezi mpawu, qiniseka ukuba ubona ugqirha:

• Ukuba ichaphazela ubomi bakho kakubi .
• Ukuba kufuneka uhlale kude nemisebenzi okanye abantu obathandayo.
• Ukuba imeko iba mandundu ngokuhamba kwexesha.
• Ukuba ubila xa ulele ebusuku .

Ingxamiseko: Ngamanye amaxesha ukubila kakhulu kunokuba luphawu lwemeko embi kakhulu, esongela ubomi. Ukuba ufumana iimpawu ezifana neentlungu zesifuba, isicaphucaphu, okanye isiyezi kunye nokubila, funa uncedo lwezonyango ngokukhawuleza.

Ndingambuza ntoni ugqirha ngale nto?

Ukuba une-hyperhidrosis, ungabuza ugqirha wakho imibuzo efana nale:

• Yintoni endenza ndibile ngolu hlobo?
• Ziziphi iindlela zonyango endinazo?
• Loluphi unyango onokulucebisa kuqala?
• Ngaba zikho ezinye izinto endinokuzenza ukunciphisa ezi mpawu okanye ukuphucula impilo yam iyonke?
• Kuza kuthatha ixesha elingakanani ukuba iimpawu zam ziphele?
• Ndingazinceda njani ukuba ndihlale ndisempilweni engqondweni yam?

Kutheni ukubila ngamanye amaxesha kunuka? Kukho iintlobo ezimbini zeendlala zokubila eluswini lwethu!

Ukubila okuvela kumadlala ethu e-eccrine akunavumba lihle ngokwenene.Kodwa xa loo mbungu udibana neebhaktheriya eluswini apho uvelisa ivumba. Ukubila ikakhulu ngamanzi. Ulusu lwethu ngokwendalo lunenani elincinci leebhaktheriya. Xa ezi bhaktheriya zidibana namathontsi okubila, ziqhekeza amasuntswana amancinci ekubila. Yiloo nkqubo ebangela ivumba elinamandla.

Sikwanalo nolunye uhlobo lwe-sweat gland olubizwa ngokuba yi-apocrine glands . Ezi zikwiindawo apho kukho ii-hair follicles, ezinje ngamakhwapha nakwiindawo zesini. Ulwelo oluvela kwezi glands lutyebile kancinci kunolwelo oluvela kwii-eccrine glands. Xa olu lwelo lukhulu ludibana neebhaktheriya eluswini, kuvela ivumba lomzimba.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Hyperhidrosis inokuba yimeko yexesha elifutshane okanye elide, kwaye kunokuba nzima ukuyilawula. Ungakuphepha ukunxibelelana nabantu ngenxa yokoyika indlela abanye abaya kusabela ngayo kwiimpawu zakho (umz., ukuxhawula izandla ngezandla ezibilayo).

Nangona kungekho nyango loku, uncedo luyafumaneka! Ugqirha wakho unokukunika i-antiperspirant okanye amayeza okunceda ukunciphisa iimpawu zakho. Le ayisiyonto ufanele udlule kuyo wedwa. Unelungelo lokuthetha ngayo kwaye ucele uncedo. Ngoko ke, ungabi neentloni okanye woyike ukufuna ingcebiso kagqirha. Thatha amanyathelo okwenza ubomi bakho bube mnandi ngakumbi namhlanje!

Ukubila , ukubila okugqithisileyo, i-hyperhidrosis, ukubila, amadlala okubila, izifo zolusu, unyango