Okuqukethwe
Ukwelashwa kwe-hyperhidrosis (ukujuluka okweqile)
Ukwelashwa kuncike ekutheni inkinga ingakanani. Ngokuvamile, abantu ababona udokotela noma udokotela wesikhumba baye bazama iziqedaphunga eziningana ezitholakala ngaphandle kwekhawunta kanye nama-antiperspirants anemiphumela engagculisi.
Ukujuluka
Ngaphambi kokubona udokotela, umuntu angathola ama-antiperspirants anamandla kunama-antiperspirants avamile ngokuthintana nosokhemisi. Le mikhiqizo igcinwa ngemuva kwekhemisi, ngoba ukusetshenziswa kwayo kudinga ukuqonda kahle inqubo.
Imikhiqizo ephakanyisiwe uma kwenzeka ukujuluka ngokweqile iqukethe i-aluminium chloride, isebenza kangcono kune-aluminium noma i-zirconium hydrochloride, evame ukusetshenziswa kuma-antiperspirants avamile2.
Imikhiqizo enikezwa ngaphandle kwencwadi kadokotela:
- A isixazululo sotshwala I-ethyl alcohol equkethe i-aluminium chloride ekugxilweni okuhlukahlukene: 6% (Xerac AC®), 6,25% (Drysol Mild®) kanye no-20% (Drysol®). Itholakala njengomuntu ofake isicelo ngaphansi kwekhwapha nanjengekhambi lezandla nezinyawo eliyibhodlela;
- Un i-gel utshwala obunama-hydroalcohol equkethe u-15% we-aluminium chloride, yamakhwapha, izandla nezinyawo (isb i-Hydrosal®). Ijeli ngokuvamile ibangela ukusabela kwesikhumba okumbalwa kunesixazululo sotshwala;
- Product I-Dri® ethile futhi iqukethe i-aluminium chloride (12%). Iyingxenye yayo ehlinzekwa emakhemisi emashalofini, ngoba ingaphakathi isixazululo samanzi.
Ingozi yokucasuka, ukulunywa nokubabomvu inkulu kunama-antiperspirants avamile. Landela iziqondiso zomkhiqizi kanye nosokhemisi.
Uma le mikhiqizo ungalawuli Ukuthuthumela ngokugculisayo, a udokotela noma udokotela wesikhumba ingase inikeze i-antiperspirant equkethe ingxube ye-aluminium chloride nezinye izithako ezisebenzayo.
Sivame ukudida anti-umjuluko et ama-deodorants, imikhiqizo emibili enemiphumela ehluke kakhulu. Ama-Deodorants afihla i-mask iphunga elibi ngokufaka amakha esikhundleni sawo, kuyilapho ama-antiperspirants ehlisa ukukhiqizwa kwezithukuthuku. Ama-antiperspirants enziwe ngosawoti wensimbi (i-aluminium noma i-zirconium) ovimba imigudu yezindlala zokujuluka. Futhi banezindawo zokulwa namagciwane. Ama-Antiperspirants anesimo esibi sokubangela ukucasuka, ububomvu nokuluma kwabanye abantu. |
Ezimweni ezimbi kakhulu
Ionophorèse. Iontophoresis ihlanganisa ukusebenzisa a Amandla kagesi ukunciphisa ukukhishwa komjuluko. Kunconywa kubantu abaphethwe yi-hyperhidrosis enzima izandla or izinyawo. Izandla, isibonelo, zicwiliswa kubhavu wamanzi amabili, lapho i-electrode exhunywe kudivayisi ekhiqiza i-current yama-milliamp angu-20 ibekwe. Iseshini ithatha cishe imizuzu engamashumi amabili futhi iphindwe izikhathi eziningana ngesonto. Uma umuntu esezazi izinqubo, angathola ithuluzi futhi enze ukwelashwa kwakhe ekhaya. Le ndlela kufanele iqhutshwe ukuze kugcinwe ukusebenza kwayo. Ine-contraindication ethile. Hlola nodokotela wakho wesikhumba.
Umjovo we-botulinum toxin. Umjovo we-subcutaneous we-botulinum toxin (Botox®) usetshenziselwa ukwelapha i-hyperhidrosis enzima amakhwapha, izandla, izinyawo futhi ubuso. Ubuthi be-botulinum buvimbela ukudluliselwa kwemizwa ezindlala zomjuluko. Umphumela womjovo uhlala cishe izinyanga ezine. I-anesthesia yendawo iyadingeka. Kungenziwa ngu umjovo we-lidocaine noma ngesibhamu (ngaphandle kwenaliti). Ukwelashwa okukodwa kudinga imijovo eminingi futhi kubiza amakhulu ambalwa amadola. Lokhu kusetshenziswa kweBotox® kugunyazwe yi-Health Canada, naseFrance nge-axillary hyperhidrosis enzima. I-contraindication iyasebenza.
Disclaimer. Uma unenkinga yokugwinya, ukuphefumula noma ukukhuluma ngemva kokwelashwa nge-Botox, thintana nodokotela ngokushesha. I-Health Canada yakhipha isexwayiso ngoJanuwari 2009 esibonisa ukuthi ubuthi be-botulinum ingasakazeka kuwo wonke umzimba futhi ibangele imiphumela emibi kakhulu: ubuthakathaka bemisipha, izinkinga zokugwinya, inyumoniya, ukuphazamiseka kwenkulumo nokuphefumula kanzima.3. |
Imithi e-Anticholinergic. Lezi zidakamizwa ezithathwe ngomlomo, njenge-glycopyrollate ne-propantheline, zivimbela isenzo se-acetylcholine. Lesi sithunywa samakhemikhali sivuselela inqwaba yokusabela kwezinto eziphilayo, okuhlanganisa ukukhiqizwa kwe izithukuthuku. Kodwa-ke, lolu khetho alusetshenziswanga kakhulu futhi alunasithakazelo esincane esikhathini eside ngenxa yemiphumela emibi (umlomo owomile, ukuqothulwa, ukulahlekelwa ukunambitheka, isiyezi, njll.). I-Anticholinergics isetshenziswa kakhulu ezimweni ze- ukujuluka okujwayelekile (emzimbeni wonke). Kukhona futhi i-anticholinergics ye-topical ngendlela yezixazululo ezinamanzi, ezisetshenziswa ebunzini nasekhanda.
Ukwelashwa kwengqondo-yokuziphatha, ama-antidepressants. Lapho ingxenye yengqondo ibalulekile, abanye odokotela banikeza ama-tranquilizers, ama-antidepressant noma ama-anxiolytics. Ukwelashwa kokuziphatha kwengqondo nakho kungase kunconywe.
Izindlela zokuhlinza
I-sympathectomy ye-Thoracic. Lokhu kuhlinzwa, okubandakanya ukucekela phansi unomphela i-ganglia ezwelayo eyenza innervate izindlala zomjuluko, yelapha i-hyperhidrosis yamakhwapha nezandla. Inqubo ingenziwa nge-endoscope, enciphisa kokubili usayizi we-incision kanye nesikhathi sokubuyisela. Kodwa-ke, i-hyperhidrosis yesinxephezelo ingenzeka ngemuva noma ngemuva kwemilenze.
Ukukhishwa kwezindlala zomjuluko. Ngokuhlinzwa, kungenzeka ukususa ingxenye ye-sweat glands emakhwapheni. Izinkinga zendawo azivamile.
Amathiphu okunethezeka okungcono kwansuku zonke:
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