Ingabe ujuluka kakhulu? Ake sixoxe nge-hyperhidrosis!

Ingabe ngezinye izikhathi uzizwa sengathi ujuluka ngokweqile ngaphandle kwesizathu? Mhlawumbe izintende zakho, amathe, namakhwapha kuhlale kumanzi? Noma ingabe ujuluka kakhulu kangangokuthi izingubo zakho zimanzi ngisho nasentweni encane kakhulu? Lena inkinga abantu abaningi abanayo, kodwa yinto abanqikaza kancane ukukhuluma ngayo. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kuyini i-hyperhidrosis? Masiqonde kalula!

Kalula nje, i-hyperhidrosis ukujuluka ngokweqile. Ngokuvamile, siyajuluka ukuze silawule izinga lokushisa lomzimba wethu. Lokho kusho ukuthi kuyinto evamile ukujuluka lapho sizivocavoca, lapho sizizwa sesaba, noma ngosuku olushisayo. Kodwa-ke, umuntu one-hyperhidrosis angase ajuluke kakhulu ngaphandle kwesizathu esibonakalayo, mhlawumbe ngisho nalapho esegumbini elibandayo noma lapho siphumule nje.

Isikhumba sethu sinohlobo lwezindlala zokujuluka ezibizwa ngokuthi ama-eccrine glands . Lawa yizindlala ezikhiqiza ukujuluka. Lapho lokhu kujuluka kufinyelela ebusweni besikhumba bese kuhwamuka, umzimba uyaphola. Uma kwenzeka i-hyperhidrosis, lezi zindlala zokujuluka ziba zisebenza ngokweqile. Kufana nompompi ongavali kahle futhi uvuza amanzi.

Kunezinhlobo ezimbili eziyinhloko ze-hyperhidrosis. Ziyini?

Yebo, odokotela bathole izinhlobo ezimbili eziyinhloko zalokhu:

1. I-Primary Focal Hyperhidrosis:

• Lolu uhlobo oluvame kakhulu. Empeleni yisifo sesikhumba esingamahlalakhona.
• Ngokuvamile, lokhu kubangelwa ukuguquka kwezakhi zofuzo . Lokhu kusho ukuthi uma othile emndenini wakho enalesi simo, nawe unamathuba amaningi okuba naso.
• Lolu hlobo luvame ukujuluka ezindaweni ezithile kuphela, njengezingalo, izintende zezandla, izithende, nobuso.
• Lokhu kuvame ukuqala kubantu abasha abangaphansi kweminyaka engama-25 .

2. I-Hyperhidrosis Ejwayelekile Yesibili:

• Kulolu hlobo, ukujuluka ngokweqile kungabangelwa esinye isimo sezokwelapha esiyisisekelo (njengesifo sikashukela, isifo sikaParkinson) noma imiphumela emibi yemithi ethile oyithathayo (njengemithi yokunciphisa ubuhlungu efana ne-naproxen).
• Kulolu hlobo , ukujuluka kungenzeka hhayi endaweni eyodwa yomzimba kuphela, kodwa futhi nakuwo wonke umzimba.
• Ngezinye izikhathi, ukujuluka ngisho nalapho ulele ebusuku kungaba uphawu lwalolu hlobo.

Sivame kangakanani lesi simo? Ubani othinteka kakhulu?

I-Hyperhidrosis empeleni iyisimo esivame kakhulu kunalokho ongakucabanga. Ucwaningo lubonisa ukuthi cishe abantu abadala abangu-3% e-United States, abaneminyaka ephakathi kuka-20 no-60, bahlushwa yilesi simo. Kunabantu abaningi eSri Lanka abanalesi simo, kodwa abanye bayanqikaza ukukhuluma ngaso.

Ziyini izimpawu ze-hyperhidrosis? Uzizwa kanjani?

Uphawu oluyinhloko ukujuluka ngokweqile. Ungase ube nalokhu okulandelayo:

• Isikhumba sihlala simanzi .
• Izingubo ozigqokile ziyamanzi ngenxa yokujuluka.
• Kubonakala sengathi umjuluko uyaconsa ebusweni bakho nasebunzini.

Uma lesi simo siqhubeka isikhathi eside, kungase kuvele ezinye izimpawu:

• Ukujuluka kubangela ukulunywa nokuvuvukala kwesikhumba.
• Iphunga lomzimba. Lokhu kwenzeka lapho amagciwane esikhumbeni ehlangana nomjuluko. Umjuluko ngokwawo awunalo iphunga, kodwa yilapho amagciwane eqoqana khona lapho iphunga livela khona.
• Isikhumba esiqhekekile noma esixebukayo, ikakhulukazi ezinyaweni.

Lezi zimpawu zingahluka kuye ngomuntu nomuntu. Abanye abantu baba nazo isikhathi esifushane bese ziyafika zidlule. Kwabanye, zihlala njalo usuku lonke futhi ziphazamisa imisebenzi yansuku zonke.

Okubaluleke kakhulu, lesi simo singathinta nempilo yakho yengqondo. Abantu abaningi bazizwa benamahloni futhi bagwema ukuhlangana nabantu ngenxa yokujuluka ngokweqile. Uma kunjalo, kubalulekile ukubona udokotela ukuze uthole usizo lokulawula lezi zimpawu, kanye nokukhuluma nomeluleki wezempilo yengqondo ngemizwa yakho.

Kukuphi emzimbeni lapho ungajuluka khona kakhulu kanje?

Nakuba sinezindlala zokujuluka (ama-eccrine glands) emizimbeni yethu yonke, kuneziningi zazo kwezinye izindawo. Yingakho singajuluka kakhulu kulezo zindawo:

• Amakhwapha (i-Axillary hyperhidrosis)
• I-Plantar hyperhidrosis
• Izintende zezandla (i-Palmar hyperhidrosis) - Lena yindawo ethinta abantu abaningi.
• Ibunzi nezihlathi (i-Craniofacial hyperhidrosis)
• Endaweni yobulili
• Isisu esingezansi

Kungani sijuluka kangaka? Yiziphi izizathu?

Isizathu esiyinhloko yizindlala zokujuluka ezisebenza ngokweqile. Ngokuvamile, lapho imizimba yethu ishisa, izindlala zokujuluka zisebenza ukusipholisa. Lokhu kwenzeka lapho sizivocavoca noma sithuthumela. Kodwa kubantu abane-hyperhidrosis, izindlala zokujuluka zikhiqiza ukujuluka ngisho noma umzimba ungashisi. Ucwaningo lusaqhubeka ukuthola ukuthi kungani lokhu kwenzeka.

Ezinye izinto (Izinto Ezibangela Ukujuluka) ezikhulisa ukujuluka:

Ezinye izinto zingavuselela izindlala zakho zokujuluka futhi zibangele ukujuluka okukhulu:

• Ukucindezeleka, ukukhathazeka, ukwesaba, kanye nemizwa yokwethuka.
• Isimo sezulu esishisayo noma umswakama ophezulu.
• Ukuzivocavoca noma umsebenzi womzimba.
• Ukudla neziphuzo ezithile: ukudla okunongwe kakhulu, ukudla okunamafutha amaningi, ukudla okunoshukela nosawoti omningi, ukudla okunamaprotheni amaningi. Iziphuzo ezifana nekhofi notshwala eziqukethe i-caffeine.

Eminye imithi engabangela ukujuluka ihlanganisa:

Ukujuluka ngokweqile kungaba nemiphumela emibi yemithi ethile oyithathayo. Nazi ezinye izibonelo:

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

Uma uphuza umuthi onjengalona futhi ujuluka kakhulu, khuluma nodokotela wakho. Ungayeki ukuthatha noma yimuphi umuthi ngaphandle kweseluleko sikadokotela.

Ezinye izimo zezokwelapha ezingabangela ukujuluka zifaka:

I-hyperhidrosis yesibili (ejwayelekile) ingabangelwa yisimo sezokwelapha esiyisisekelo. Izibonelo:

• I-Acromegaly
• Izifo (isib. Isifo Sofuba)
• Ukukhathazeka
• Umdlavuza
• Isifo sikashukela
• Isifo senhliziyo noma ukwehluleka kwenhliziyo
• I-Hyperthyroidism
• Ukunqamuka kokuya esikhathini
• Ukukhuluphala ngokweqile
• Isifo sikaParkinson

Ingabe lesi simo siwufuzo?

Yebo, usengozini, ikakhulukazi uma othile emndenini wakho ene -primary focal hyperhidrosis . Ucwaningo lubonisa ukuthi kungenzeka ukuthi ibangelwa ukuguquka kwezakhi zofuzo okuzuzwe njengefa .

Ingabe lokhu kujuluka ngokweqile kungabangela ezinye izinkinga?

Yebo, i-hyperhidrosis ingabangela ezinye izinkinga:

• Ukutheleleka kwesikhumba.
• Ukushintsha kwesikhumba: isikhumba esikhanyayo, ukushintsha kombala, ukuqhekeka kwesikhumba noma ukushwabana.
• Umswakama omningi kanye nokuthamba kwesikhumba (i-Maceration).

Ngaphezu kwale miphumela engokomzimba, njengoba kushiwo ngaphambili, ingaba nomthelela omkhulu empilweni yakho yengqondo . Ungase ulingeke ukushintsha indlela osebenza ngayo nsuku zonke futhi ugweme imisebenzi ethile (njengokuphakamisa isandla sakho, ukuxhawulana) ngoba ucabanga ukuthi abanye bazokubona ujuluka. Ungase ugweme nezinto ozijabulelayo ngenxa yalokhu. Ngakho-ke, uma lesi simo sithinta impilo yakho yengqondo neyomphakathi, qiniseka ukuthi ufuna iseluleko sezokwelapha.

Odokotela bakuthola kanjani ngokunembile lokhu njenge-hyperhidrosis? (Ukuxilongwa)

Udokotela uzonquma ukuthi une-hyperhidrosis yini ngemva kokukuhlola, ukulalela izimpawu zakho, nokubhala umlando wakho wezokwelapha. Kunezindlela ezimbalwa abazisebenzisayo ukuthola lokhu. Uma ubulokhu ujuluka ngokweqile okungenani izinyanga eziyisithupha futhi ungaphendula "yebo" okungenani emibuzweni emibili elandelayo:, kungaba yi-hyperhidrosis:

• Ingabe uyajuluka ngaphansi kwamakhwapha, izintende zezandla, amathe, noma ubuso?
• Ingabe ujuluka ngokulinganayo kuzo zombili izinhlangothi zomzimba wakho?
• Awujuluki ebusuku, noma ujuluki kancane?
• Uke wajuluka okungenani isonto lonke?
• Ingabe ukhona emndenini wakho onalesi simo?
• Ingabe ukujuluka kuyaphazamisa imisebenzi yakho yansuku zonke?
• Ingabe ungaphansi kweminyaka engama-25 ubudala?

Yiziphi izivivinyo ezenziwayo ukuqinisekisa lokhu?

Udokotela angenza ukuhlolwa okulandelayo noma ngaphezulu ukuze asize ekutholeni imbangela:

• Ukuhlolwa kwesitashi-iodine: Isixazululo se-iodine sisetshenziswa endaweni enomjuluko bese kufafazwa isitashi phezulu. Izindawo ezinomjuluko omningi ziphenduka umbala oluhlaza okwesibhakabhaka omnyama.
• Ukuhlolwa kwephepha: Iphepha elikhethekile libekwa endaweni enomjuluko ukuze limunce umjuluko. Iphepha liyalinganiswa ukuze kubonakale ukuthi lingakanani umjuluko okhona.
• Ukuhlolwa kwegazi noma kwezithombe: Lokhu kungasiza ekutholeni imbangela yezimpawu zakho ngokuthatha isampula yegazi lakho noma ukuthatha izithombe zalokho okungaphansi kwesikhumba sakho.

Ngakho-ke, yini engenziwa ukwelapha lesi simo se-hyperhidrosis?

Izinketho zokwelapha ziyahlukahluka kuye ngokuthi ingxenye yomzimba wakho ethintekile ithintekile, ubukhulu besimo, kanye nohlobo lokwelashwa olukufanele. Udokotela wesikhumba angakusiza ukuthola ukwelashwa okungcono kakhulu kuwe. Akukho ukwelashwa okulingana nosayizi owodwa.

Izinto ezilula ongazenza ekhaya

• Ukusebenzisa ama-antiperspirant nama-deodorant: Ama-antiperspirant asebenza ngokuvimba ama-sweat glands nokunciphisa ukujuluka. Udokotela wakho angase ancome ukuthi usebenzise i-over-the-counter (OTC) noma uhlobo olunamandla kadokotela. Imikhiqizo equkethe i-aluminium ingcono kakhulu kulokhu.
• Geza noma ugeze umzimba wakho njalo: Izimpawu ezincane zingadambisa ukugeza njalo nsuku zonke.
• Gqoka izingubo eziphefumulayo nezikhipha umjuluko: Izindwangu ezifana nekotini zilungele lokhu. Izindwangu zokwenziwa ezifana ne-polyester zingabamba ukushisa futhi zikwenze ujuluke kakhulu, ngakho-ke zigweme.

Imithi engasetshenziswa ngeseluleko sezokwelapha

Udokotela wakho noma udokotela wesikhumba angancoma imithi efana nale:

• Ama-anticholinergic agents (isb., i-glycopyrrolate, i-oxybutynin)
• Ama-antidepressants (ezinye izinhlobo nazo ziyasiza ekunciphiseni ukujuluka)
• Ama-Beta-blocker (ikakhulukazi ezimweni zokujuluka ngenxa yokucindezeleka)
• Ama-wipes anemithi (isb., i-glycopyrronium tosylate, i-Qbrexza®)
• Ijeli ye-aluminium chloride `(Ijeli ye-aluminium chloride)`

Ngaphambi kokuthatha le mithi, khuluma nodokotela wakho ngemiphumela yayo emibi.

Izindlela Zokwelapha Ezithile

Uma amakhambi asekhaya kanye nemithi kunganikezi impumuzo enkulu, udokotela wakho angase asikisele izindlela zokwelapha ezithile ezifana nalezi:

• Iontophoresis: Izandla noma izinyawo zakho zifakwa esitsheni samanzi esingajulile. Idivayisi ekhethekile ithumela ugesi ophansi emanzini, okuvimbela izindlala zokujuluka ngokuhamba kwesikhathi. Isikhathi ngasinye sithatha cishe imizuzu eyi-10-20. Kungadingeka wenze lokhu kwelashwa izikhathi eziningana. Ungase ukwazi futhi ukusebenzisa le divayisi ekhaya.
• Imijovo ye-Botulinum toxin (Botox®): Lokhu kungafakwa emthanjeni osebenza ngokweqile futhi kumise ukukhiqizwa kokujuluka izinyanga ezimbalwa. Kodwa-ke, kuzodingeka ukuthi uthole le mijovo ngokuphindaphindiwe.
• Ukwelashwa nge-microwave: Udokotela wakho ubeka idivayisi ekhethekile (njenge-miraDry®) esikhumbeni sakho esijulukayo. Ikhipha ukushisa, ibhubhise unomphela izindlala zokujuluka. Lokhu ukwelashwa okuthatha cishe ihora ehhovisi likadokotela.

Ukuhlinzwa - njengendlela yokugcina

Uma zonke ezinye izindlela zokwelapha zingaphumeleli, udokotela angase acabangele ukuhlinzwa:

• Ukuhlinzwa kwe-Endoscopic thoracic sympathectomy (ETS): Lokhu ukuhlinzwa okwenziwa ngokusikwa okuncane kakhulu. Udokotela ohlinzayo usika inzwa emzimbeni, amise isignali eya ezindlaleni zokujuluka ukuze kukhiqizwe ukujuluka.
• Ukususwa kwezindlala zokujuluka: Udokotela ohlinzayo ususa izindlala zokujuluka esebenzisa i-laser, i-curettage, i-excision, noma i-liposuction.

Ukuhlinzwa kunganikeza impumuzo yesikhathi eside kulabo abangazange basabele kwezinye izindlela zokwelapha. Kodwa-ke, kubalulekile ukuxoxa ngemiphumela emibi yokuhlinzwa nodokotela wakho ngaphambi kokwenza isinqumo.

Ingabe ikhona imiphumela emibi kulezi zindlela zokwelapha?

Yonke indlela yokwelapha ingaba nemiphumela emibi. Isibonelo:

• Isikhumba esilumayo, esiqhekekile, noma esinamaqhubu.
• Ukushintsha kombala wesikhumba.
• Ubuhlungu noma ukungakhululeki.
• Ukushintsha kombala noma ukulimala kwezingubo.
• Izibazi.

Udokotela wakho angakutshela ngqo ukuthi yimiphi imiphumela emibi yokwelashwa. Xoxa ngalokhu ngokucophelela ngaphambi kokuqala ukwelashwa.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokuqala ukwelashwa?

Ungase uzwe umehluko ngokushesha lapho uqala ukwelashwa. Noma kungathatha amasonto noma izinyanga ezimbalwa ukuthi izimpawu zakho zithuthuke. Isikhathi esithatha ukwelashwa ngakunye sihlukile. Udokotela wakho uzokutshela ngalokhu.

Ingabe zikhona izindlela zokuvimbela lesi simo se-hyperhidrosis?

Akuwona wonke amacala e-hyperhidrosis angavinjelwa. Isibonelo, i-primary focal hyperhidrosis iwufuzo ngakho-ke kunzima ukuyivimbela. Kodwa-ke, uma unohlobo lwesibili (olujwayelekile), lungancishiswa ngokulawula isimo sezokwelapha esiyisisekelo noma ukulawula imiphumela emibi yemithi.

Yini ongayilindela uma uphila ne-hyperhidrosis?

Nakuba kungekho ikhambi, kunezindlela eziningi zokwelapha ezitholakalayo zokusiza ukulawula izimpawu. Akusona isimo esisongela impilo, kodwa singaba nomthelela omkhulu empilweni yakho. Ungase uzizwe unamahloni noma unamahloni okukhuluma ngaso. Kungase futhi kubangele ukuthi uyeke imisebenzi oyithandayo. Ngakho-ke, uma lesi simo sithinta impilo yakho yengqondo, khuluma nodokotela noma umeluleki wezempilo yengqondo .

Ngakho-ke akukho ikhambi eliphelele lalokhu?

Akukho ukwelashwa kwe-primary focal hyperhidrosis. Kodwa-ke, ukwelashwa kunganciphisa izimpawu futhi kuthuthukise ikhwalithi yokuphila. I-secondary generalized hyperhidrosis ngezinye izikhathi ingaphela ngokuphelele uma isimo sezokwelapha esiyisisekelo noma imithi eyibangele iphathwa. Kodwa-ke, akuwona wonke amacala esibili angelapheka.

Kufanele ngimbone nini udokotela?

Uma ukujuluka ngokweqile kubangela noma yiziphi zalezi zimpawu, qiniseka ukuthi ubona udokotela:

• Uma kuthinta kabi impilo yakho .
• Uma kufanele uhlale kude nemisebenzi noma abantu obathandayo.
• Uma isimo siba sibi kakhulu ngokuhamba kwesikhathi.
• Uma ujuluka ulele ebusuku .

Isimo Esiphuthumayo: Ngezinye izikhathi ukujuluka ngokweqile kungaba uphawu lwesimo esibi, ngisho nesisongela ukuphila. Uma uhlangabezana nezimpawu ezifana nobuhlungu besifuba, isicanucanu, noma isiyezi kanye nokujuluka, funa usizo lwezokwelapha ngokushesha.

Yini okufanele ngiyibuze udokotela ngalokhu?

Uma une-hyperhidrosis, ungabuza udokotela wakho imibuzo efana nale:

• Yini engenza ngijuluke kanje?
• Yiziphi izindlela zokwelapha enginazo?
• Yikuphi ukwelashwa ongakuncoma kuqala?
• Ingabe kukhona ezinye izinto engingayenza ukuze nginciphise lezi zimpawu noma ngithuthukise impilo yami iyonke?
• Kuzothatha isikhathi esingakanani ukuthi izimpawu zami ziphele?
• Ngingazisiza kanjani ukuthi ngilondoloze impilo yami yengqondo?

Kungani ngezinye izikhathi ukujuluka kunuka? Kunezinhlobo ezimbili zezindlala zokujuluka esikhumbeni sethu!

Ukujuluka okuvela ezindlaleni zethu ze-eccrine akunaphunga ngempela.Kodwa yilapho lowo mjuluko uhlangana namagciwane esikhumbeni lapho udala khona iphunga. Umjuluko ikakhulukazi ungamanzi. Isikhumba sethu ngokwemvelo sinenani elincane lamagciwane. Lapho la magciwane ehlangana namaconsi omjuluko, aphula izinhlayiya ezincane emjulukweni. Yileyo nqubo ebangela iphunga elinamandla.

Siphinde sibe nolunye uhlobo lwe-sweat gland olubizwa ngokuthi i-apocrine glands . Lawa atholakala ezindaweni lapho kunezinwele ezinde, njengemakhwapheni nasezindaweni zangasese. Uketshezi oluvela kulezi zindlala lujiyile kancane kunoketshezi oluvela ezindlaleni ze-eccrine. Uma lolu ketshezi olujiyile luhlangana namagciwane esikhumbeni, kuvela iphunga lomzimba.

Okokugcina, izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Hyperhidrosis ingaba yisimo sesikhashana noma eside, futhi kungaba nzima ukusilawula. Ungase futhi ugweme ukuxhumana nabantu ngenxa yokwesaba ukuthi abanye bazosabela kanjani ezimpawini zakho (isib., ukuxhawula izandla ngezandla ezijulukayo).

Nakuba kungekho ikhambi lalokhu, usizo luyatholakala! Udokotela wakho angase akunike umuthi wokulwa nokujuluka noma umuthi wokusiza ukunciphisa izimpawu zakho. Lokhu akuyona into okufanele udlule kuyo wedwa. Unelungelo lokukhuluma ngakho futhi ucele usizo. Ngakho-ke, ungabi namahloni noma wesabe ukufuna iseluleko sezokwelapha. Thatha izinyathelo zokwenza impilo yakho ibe ntofontofo namuhla!

Ukujuluka , ukujuluka ngokweqile, i-hyperhidrosis, ukujuluka, izindlala zokujuluka, izifo zesikhumba, ukwelashwa