In the eyes of many people, sweating is a good symptom, because in addition to urination and defecation, another way to excrete excessive toxins in the human body is through sweating. However, sweating can be divided into good sweating and bad sweating. Some people are prone to sweating when their bodies are too weak. At this time, they need to nourish their bodies well. But what happens when a person sweats on his forehead, chest and back at the same time? Hyperhidrosis refers to an abnormal increase in sweating locally or all over the skin. True systemic hyperhidrosis is rare, and even hyperhidrosis caused by systemic diseases mainly occurs in certain parts of the body. Systemic hyperhidrosis is mainly caused by widespread sweating caused by other diseases, such as infectious high fever. Localized hyperhidrosis often first occurs in children or adolescents, often has a family history, and tends to subside naturally in adulthood. The causes of hyperhidrosis are divided into pathological and functional disorders: 1. Pathological causes are more common in endocrine disorders and hormonal disorders, such as hyperthyroidism, hyperpituitarism, pregnancy, diabetes, nervous system diseases, febrile diseases, and some hereditary syndromes. 2. Functional ones are mostly related to mental factors, such as mental tension, emotional excitement, anger, terror and anxiety, which are caused by sympathetic nervous system disorders. treat Systemic hyperhidrosis is difficult to control, and the focus is on treating the underlying disease associated with it. Palmoplantar hyperhidrosis is mainly treated locally. Treatment of axillary hyperhidrosis is often less effective than treatment of palmoplantar hyperhidrosis. 1. Medication (1) Commonly used antiperspirants for external use include 20%-25% aluminum chloride solution, 0.5% aluminum acetate solution, 3%-5% formaldehyde solution, 5% alum solution, and 5% tannic acid solution. Excessive use of topical medications can cause local dryness, mild chapped skin or severe irritation. (2) Internal medication for systemic hyperhidrosis is mainly used to treat the related primary disease. Sedatives (phenobarbital, amobarbital, secobarbital, chlormezazone, etc.) and low-dose antianxiety drugs (diazepam, hydroxyzine, doxepin, etc.) are effective for emotional hyperhidrosis. Larger doses of anticholine drugs have the effect of inhibiting sweat secretion, which can cause unbearable dry mouth, so they tend to be eliminated. (3) Physical therapy: tap water ion electrophoresis therapy, suitable for patients who have failed local (palms, soles, axillae) topical treatments. Patients with pacemakers are prohibited from using this product. Superficial X-ray irradiation can inhibit sweat gland secretion and is only suitable for patients with severe palmoplantar hyperhidrosis who have failed other treatments. (4) Local injection of botulinum toxin A (BTX-A) is often used to treat palmoplantar and axillary hyperhidrosis. Generally, the antiperspirant effect is obvious 5 to 7 days after the injection and can last for an average of 9 to 12 months. 2. Surgical treatment: Selective removal of the second to fourth pairs of thoracic sympathetic nerves has significant effects on hyperhidrosis of the palms, axillae, chest and face, but is not suitable for patients with plantar hyperhidrosis. Moreover, surgery can lead to permanent anhidrosis and compensatory hyperhidrosis in other parts of the body, so it should be used with caution. For those who only have excessive sweating in the armpits, the most active sweat glands in the armpits can be selectively removed. This method has a definite therapeutic effect. prevention 1. Simple gustatory hyperhidrosis should avoid spicy and irritating foods and drinks. 2. For hyperhidrosis caused by mental factors, you should actively adjust your mentality and avoid mental tension, emotional excitement, anger, fear and anxiety. |
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