Hyperhidrosis (the increased perspiration)
- Hyperhidrosis reasons
- Hyperhidrosis symptoms
- Treatment of the Hyperhidrosis
Excessive sweating is system pathology, shown more on a palm, ступнях and axillary hollows. The hyperhidrosis can exert serious impact on the patient's life. In certain cases persons with the increased perspiration avoid social contacts with other people because of confusion concerning this problem. However the hyperhidrosis can successfully be treated.
Normal sweating helps to maintain stable body temperature in hot weather, during fever, or at exercise stresses. Excessive sweating (hyperhidrosis) means that the person sweats much more, than usually. At this pathology perspiration is observed even in the absence of fever, a condition of a stress or exercise stresses.
The increased perspiration are subdivided into three types. It is important to know what type of a hyperhidrosis is available for the patient as the reasons and methods of treatment at different types differ.
Primary (idiopathic) localized hyperhidrosis. This term means that excessive sweating happens in one or more of the following areas: palms, soles of legs, armpits; face / head skin.
As a rule, the increased perspiration is observed symmetrically - that is, both sweat means that sweat glands in these areas are hyperactive or more sensitive, than usually. At some people the increased perspiration arises at presence of genetic factors. Usually it develops aged up to 25 years, but can be observed at any age. Men and women are ill to the same extent. The problem affects about 3 of 100 people.
Weight of manifestations can change from time to time. Uneasiness, nervousness, the use acute food, influence of heat can be releasers. The alarm concerning perspiration in itself can aggravate a situation. However, in most cases, nothing obvious causes sweating.
If the patient has typical symptoms of primary central hyperhidrosis, additional researches usually are not required.
The secondary localized hyperhidrosis. This pathology is a rarity. The term means that excessive sweating happens in this or that localized part of a body. But, unlike primary central hyperhidrosis, there are known or probable causes. For example, injuries can cause sweating on one leg. Any localized sweating which is not symmetric, most likely secondary.
The widespread hyperhidrosis means that the patient sweats more, than usually, and pathological process is widespread on all body. This form meets less than primary localized hyperhidrosis. However it is, as a rule, caused by a certain disease. A number of factors can lead to system increase in sweating. For example: alarming frustration, various heart troubles, injury of nerves of a spinal cord, side effects of some drugs, various hormonal problems (including hyperactivity of a thyroid gland), infections, some types of cancer, etc.
Though from the medical point of view the localized hyperhidrosis is not a serious disease, the increased perspiration brings the expressed discomfort at handshake, work with documents and on the keyboard. At the localized hyperhidrosis in axillary hollows the patient notices wet spots on clothes. The patient should change clothes during the day. Quite often the person is forced to avoid social contacts or sports activities because of confusion.
In certain cases affected areas of skin are more sensitive to an infection. There is a risk of development of eczema on affected areas of skin.
Treatment of the Hyperhidrosis:
If you found out that soap irritates affected areas of skin, replace usual soap with the softening soap or cream.
If it is possible, avoid the factors stated above which can aggravate a state.
If you have an increased perspiration in axillary hollows:
- Regularly use antiperspirants. There is a difference between antiperspirants and deodorants: antiperspirants promote sweat emission reduction, and the deodorant masks unpleasant smells of sweat.
- Avoid clothes on which wet spots are visible, choose clothes from natural fabrics of black or white color.
- You wear the clothes which are not constraining movements.
- Avoid clothes from artificial fibers, such as lycra and nylon.
- Use the special linings capable to absorb excess of sweat and to protect clothes from sweat.
If you have an excessive sweating of legs, it is necessary to take the following measures:
- Change socks at least twice a day.
- Use the absorbing powder twice a day.
- Provide full drying of footwear.
- Avoid sports shoes or boots. They often are less breathing, than usual shoes.
Strong antiperspirant is chemical under the name chloride aluminum. If usual antiperspirants do not work, then it is worth trying an antiperspirant which contains aluminum chloride. Their mechanism consists in blockade of stalemate channels. It, as a rule, works best of all in axillary hollows. Nevertheless, it can be also applied at the increased perspiration of palms and feet. Doctors usually do not recommend to use it on a face as there can be a strong irritation of eyes at hit in them of the chemicals which are contained in an antiperspirant.
There are several brands of antiperspirants with the content of chloride aluminum, for example: Driclor ® and Anhydrol Forte ® which are issued in bottles with the applicator. ZeaSORB ® is powder which contains aluminum chloride. It is important to use aluminum chloride on a basis antiperspirants correctly:
- To apply on clean, dry skin. On wet or wet skin these drugs cause irritation. Wipe skin with a dry towel before use. Some people use the hair dryer to be convinced that dry skin.
- Apply an antiperspirant with chloride aluminum for the night (before going to bed) when sweat glands are less active.
- Wash away the next morning.
- Not to a broyta of area which processed the specified substances in 24 hours prior to or after use.
- Avoid hit in eyes, you do not apply on the injured or inflamed skin.
- Apply each 24-48 hours to noticeable effect. Then you put time in 1-3 weeks, depending on result.
- Treatment can be continued it is long.
Antiperspirants with aluminum chloride often cause irritation of skin or its inflammation. To reduce effects of any irritation of skin or an inflammation which can arise it is necessary:
- To reduce use frequency
- Put softening (the moisturizing cream) every day after use of chloride aluminum
- To apply a short course of steroids in the form of cream, on the struck area twice a day within at most 14 days.
If the stated above measures of the general character and antiperspirants do not work, consultation of the cosmetologist is necessary. The specialist can offer one of the following procedures.
Ionophoresis. This treatment at which electric stimulation is applied. It is used generally for treatment of perspiration of palms and/or feet. It can be also used for perspiration treatment by armpits. This method well works in most cases. The method assumes immersion of hands and/or legs in the small capacity filled with water. Small electric current is passed through water by means of the special car. It is not dangerous, but can cause some discomfort, feeling of a pricking. By means of small electric current sweat glands are blocked.
As a rule, 3-4 sessions a week are necessary. Each session lasts about 20-40 minutes. Most of people see improvement after 6-10 sessions. The supporting sessions carry out time in 1-4 weeks. For strengthening of effect add substance under the name glycopyrronium bromidi to water. Nevertheless, the ionophoresis not always works. Besides, side effects, such as dryness in a mouth, a pharyngalgia, dizziness within 24 hours after each session of treatment in certain cases develop. Until recently a lack of an ionophoresis was need of visit of hospital for each session. However, modern devices have the smaller sizes and can be used in house conditions.
It is impossible to apply an ionophoresis at pregnancy or existence of metal implants (for example, the brackets and plates imposed to the place of a change), or in the presence of a pacemaker.
Injections of botulinum toxin usually well work at a hyperhidrosis of axillary hollows. Treatment consists of a set of small injections under skin in the field of the increased perspiration. Botulinum toxin blocks nerves in skin which manage work of sweat glands. Botulinum toxin is not licensed for treatment of perspiration of palms and the person.
Lack of botulinum toxin is that the effect usually decreases in 4-12 months. Therefore sessions of injections need to be repeated.
Some people test easy grippopodobny symptoms during the day after treatment. Besides, the websites of an injection can be painful within several days after processing. Seldom after an injection heavy allergic reaction develops.
Surgical treatment. At people who were not helped by the treatment methods described above surgical intervention is applied.
At the increased perspiration the option of surgical treatment consists in axillary hollows of sweat glands at a distance. There are various methods. For example, there is a technique of removal of the site of skin in an axillary hollow which contains sweat glands. As a rule, sweating decreases, but cosmetic problems and dysfunction of an upper extremity are caused by the expressed discomfort. One of the last innovations in treatment of a hyperhidrosis is the laser therapy capable to destroy sweat glands in an axillary hollow. The procedure is called LSA (laser ablation of sweat).
At a hyperhidrosis of palms an operative measure consists in crossing of some nerve fibrils conducting from a spinal cord. Operation is called a torakoskopichesky sympathectomy. At most of people the considerable positive effect is noted. Nevertheless, a complication which often arises after this operation is compensatory increase in sweating in other parts of a body (for example, on a breast or in a groin).
At the increased sweating in the field of feet surgical treatment usually is not applied.