I-Hyperhidrosis

I-Hyperhidrosis yisimo sezokwelapha lapho umuntu ejuluka ngokweqile futhi engalindelekile. Abantu abane-hyperhidrosis bangajuluka noma ngabe izinga lokushisa lipholile noma bephumule.

Ukujuluka kusiza umzimba ukuthi uhlale upholile. Ezimweni eziningi, kungokwemvelo ngokuphelele. Abantu bajuluka kakhulu emazingeni okushisa afudumele, lapho bezivocavoca umzimba, noma bephendula izimo ezibenza bathuke, bathukuthele, babe namahloni noma besabe.

Ukujuluka okweqile kwenzeka ngaphandle kwezimbangela ezinjalo. Abantu abane-hyperhidrosis babonakala benezindlala zezithukuthuku ezingasebenzi ngokweqile. Ukujuluka okungalawuleki kungaholela ekuhluphekeni okukhulu, ngokomzimba nangokomzwelo.

Lapho ukujuluka okweqile kuthinta izandla, izinyawo, nomakhwapheni, kubizwa ngokuthi yi-focal hyperhidrosis. Ezimweni eziningi, asikho isizathu esingatholwa. Kubonakala kugijima emindenini.

Ukujuluka okungabangelwa esinye isifo kuthiwa yi-primary hyperhidrosis.

Uma ukujuluka kwenzeka ngenxa yesinye isimo sezokwelapha, kubizwa ngokuthi yi-hyperhidrosis yesibili. Ukujuluka kungaba emzimbeni wonke (kuvamile) noma kungaba endaweni eyodwa (kugxilwe). Izimo ezibangela i-hyperhidrosis yesibili zifaka:

• I-Acromegaly
• Izimo zokukhathazeka
• Umdlavuza
• Isifo seCarcinoid
• Imithi ethile nezinto zokuhlukunyezwa
• Ukuphazamiseka kokulawulwa kweglucose
• Isifo senhliziyo, njengokuhlaselwa yinhliziyo
• Indlala yegilo eyeqile
• Isifo samaphaphu
• Ukunqamuka kokuya esikhathini
• Isifo se-Parkinson
• I-Pheochromocytoma (i-adrenal gland tumor)
• Ukulimala komgogodla
• Unhlangothi
• Isifo sofuba noma ezinye izifo

Uphawu oluyinhloko lwe-hyperhidrosis ubumanzi.

Izimpawu ezibonakalayo zokujuluka zingaphawulwa ngesikhathi sokuvakasha nomhlinzeki wezokunakekelwa kwempilo. Ukuhlolwa kungasetshenziselwa ukuxilonga ukujuluka okweqile, kufaka phakathi:

• Ukuhlolwa kwesitashi-iodine - Isixazululo se-iodine sisetshenziswa endaweni ejulukayo. Ngemuva kokuthi isomile, isitashi sifafazwa endaweni. Inhlanganisela yesitashi-iodine iguqula umbala ohlaza okwesibhakabhaka okumnyama ube mnyama lapho kukhona izithukuthuku ezeqile.
• Ukuhlolwa kwephepha - Kubekwa iphepha elikhethekile endaweni ethintekile ukumunca izithukuthuku, bese kukalwa. Lapho isisindo sisinda, umjuluko owengeziwe usunqwabelene.
• Ukuhlolwa kwegazi - Lokhu kungalawulwa uma kusolwa izinkinga ze-thyroid noma ezinye izimo zezokwelapha.
• Ukuhlola ukuhlolwa ingalawulwa uma kusolwa isimila.

Ungase futhi ubuzwe imininingwane ngokujuluka kwakho, okufana nalokhu:

• Indawo - Ngabe kwenzeka ebusweni bakho, ezintendeni zezandla, noma emakhwapheni, noma emzimbeni wonke?
• Iphethini yesikhathi - Ingabe kwenzeka ebusuku? Ingabe iqale ngokuzumayo?
• Izimbangela - Ingabe ukujuluka kuyenzeka lapho ukhunjuzwa ngento ekucasulayo (njengomcimbi ohlukumezayo)?
• Ezinye izimpawu - Ukwehla kwesisindo, ukushaya kwenhliziyo okushisayo, izandla ezibandayo noma eziwumbombayi, imfiva, ukungathandi ukudla.

Izinhlobonhlobo zokwelashwa okuvamile kwe-hyperhidrosis zifaka:

• Abaphikisi - Ukujuluka okweqile kungalawulwa ngama-antiperspirants aqinile, axhumanisa amapayipi okujuluka. Imikhiqizo equkethe i-10% kuya ku-20% ye-aluminium chloride hexahydrate iyindlela yokuqala yokwelashwa kokujuluka ngaphansi kwekhwapha. Abanye abantu bangahle banikezwe umkhiqizo oqukethe umthamo ophakeme we-aluminium chloride, osetshenziswa ebusuku ezindaweni ezithintekile. Ama-antiperspirants angadala ukucasuka kwesikhumba, futhi amanani amakhulu we-aluminium chloride angalimaza izingubo. Qaphela: Iziphuzo ezingavimbeli ukujuluka, kepha ziyasiza ekwehliseni iphunga lomzimba.
• Imithi -- Ukusetshenziswa kwemithi ethile kungavimbela ukukhuthazeka kwezindlala zomjuluko. Lokhu kunqunyelwe izinhlobo ezithile ze-hyperhidrosis njengokujuluka okweqile kobuso. Imithi ingaba nemiphumela engemihle futhi ayilungele wonke umuntu.
• Iontophoresis - Le nqubo isebenzisa ugesi ukucisha okwesikhashana indlala yezithukuthuku. Kusebenza kakhulu ekujulukeni kwezandla nezinyawo. Izandla noma izinyawo zifakwa emanzini, bese kudluliswa kuwo ugesi omnene. Ugesi wenyuka kancane kancane aze umuntu ezwe ukuzwa okukhanyayo okuncane. Ukwelashwa kuthatha imizuzu eyi-10 kuya kwengu-30 futhi kudinga izikhathi eziningi. Imiphumela emibi, yize ingavamile, ifaka ukuqhekeka kwesikhumba namabhamuza.
• Ubuthi be-botulinum - Ubuthi beBotulinum busetshenziselwa ukwelapha ukujuluka okunzima kwangaphansi, isundu, nokutshala okutshalwayo. Lesi simo sibizwa nge-axillary hyperhidrosis eyinhloko. Ubuthi be-botulinum obufakwe ekhwapheni buvimba okwesikhashana izinzwa ezikhuthaza ukujuluka. Imiphumela emibi ibandakanya ubuhlungu besiza somjovo kanye nezimpawu ezifana nomkhuhlane. Ubuthi beBotulinum obusetshenziselwa ukujuluka kwezintende kungadala ubuthakathaka obuthile, kepha besikhashana nobuhlungu obukhulu.
• I-Endoscopic thoracic sympathectomy (ETS) - Ezimweni ezinzima, inqubo yokuhlinza encane-engahlaseli ebizwa ngokuthi i-sympathectomy inganconywa lapho ezinye izindlela zokwelapha zingasebenzi. Inqubo isika imizwa, icishe isignali etshela umzimba ukuthi ujuluke ngokweqile. Kuvame ukwenziwa kubantu abanezintende zezandla ezijuluka kakhulu kunokujwayelekile. Kungasetshenziselwa ukwelapha ukujuluka okwedlulele kobuso. I-ETS ayisebenzi kahle kulabo abanokujuluka okweqile kwekhwapha.
• Ukuhlinzwa ngaphansi kwezikhali - Lokhu ukuhlinza ukususa izindlala zomjuluko emakhwapheni. Izindlela ezisetshenzisiwe zifaka phakathi i-laser, i-curettage (ukusula), ukusika (ukusika), noma i-liposuction. Lezi zinqubo zenziwa kusetshenziswa i-anesthesia yendawo.

Ngokwelashwa, i-hyperhidrosis ingaphathwa. Umhlinzeki wakho angaxoxa nawe ngezindlela zokwelashwa.

Shayela umhlinzeki wakho uma ujuluka:

• Lokho kuhlala isikhathi eside, ngokweqile, futhi akuchazeki.
• Nge noma kulandelwe ubuhlungu besifuba noma ingcindezi.
• Ngokunciphisa umzimba.
• Lokho kwenzeka ikakhulu ngesikhathi sokulala.
• Ngomkhuhlane, ukwehla kwesisindo, ubuhlungu besifuba, ukuphefumula okuncane, noma ukushaya kwenhliziyo okusheshayo, okushaya ngamandla. Lezi zimpawu zingaba uphawu lwesifo esiyimbangela, njengegilo elisebenza ngokweqile.

Ukujuluka - ngokweqile; Ukuphefumula - ngokweqile; I-Diaphoresis

Izindlala JAA. I-Hyperhidrosis. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, abahleli. Ukwelashwa Kwezifo Zesikhumba: Amasu Wokwelashwa Okuphelele. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 109.

UMiller JL. Izifo ze-eccrine ne-apocrine sweat gland. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 39.