Saterdag, 30 Maart 2013

Hyperhidrosis

What is Hyperhidrosis?

We all sweat throughout the day; our bodies naturally perspire in order to adjust the heat. When the production of sweat goes beyond what is necessary to cool the body, which is called as hyperhidrosis.

Hyperhidrosis:

Hyperhidrosis is a condition characterized by excessive sweating. This excessive sweating is more common in

1. hands (Palmar Hyperhidrosis)

2. armpits (axillary hyperhidrosis)

3. feet (Plantar Hyperhidrosis)

4. the face (Facial redness).

In stressful conditions, this condition worsens with consequent unwanted odor and staining of clothes and can be embarrassing and interfere with the person’s ability to work in high-stress situations.
Almost 6% of the population suffers from hyperhidrosis.

Causes of Hyperhidrosis:

The exact cause of Hyperhidrosis is unknown. It is expected that the most likely cause is a genetic, may be the cause of excessive sympathetic nervous system activity. In particular, is the sympathetic ganglion, thoracic chain that runs along the spine vertebra in the thoracic cavity. This controls the glands, known as eccrine and apocrine glands, head of sweat all over your body. Eccrine sweat glands are mostly concentrated in the palms of hands and soles of the feet. In most cases, the hands and feet are affected. A lesser extent, on the face and armpits (Axilla) regions eligible. This is another manifestation of the overactive sympathetic nervous system.

Symptoms of Hyperhidrosis:

Excessive sweating is impeding the activities of daily living. Sometimes it is caused by stress, emotion or exercise, but can also occur spontaneously. Patients with Palmar Hyperhidrosis wet wet hands, which sometimes interfere with the grab objects. Most patients with Palmar Hyperhidrosis also consider a difficult social problem because every time you shake hands, let the other person’s Palm very moist, a feeling most people find distasteful. Those who suffer from axillary hyperhidrosis sweat profusely from their armpits causing them to stain your clothes soon after dress. Once again, this proves to be very unpleasant and social disadvantage. Plantar Hyperhidrosis is excessive sweating of the feet and leads to wet socks and shoes that smell of the foot increases. For some there is profuse, especially when you eat spicy food this is the manifestation of facial Hyperhidrosis or facial blushing.

Treatment for Hyperhidrosis: initially, the treatment for Hyperhidrosis is doctor don’t involve any surgery if Hyperhidrosis are subordinate to other conditions, then clearly, those should be dealt with first. If there is no apparent cause, usually symptomatic measures are taken.

Aluminum chloride: the most powerful and effective agents used to sweating of the hands and armpits are aluminum chloride solution (Drysol, Xerac). Exactly how it works is controversial, but has decided to block the pores of the sweat gland. After two to three treatments a week, most patients experience decreased sweating. These medicines work best at night, when the activity of sweat glands is minimal.

Iontophoresis: is a procedure where electrical current is applied to block the sweat glands. Palms and soles that are sweaty are placed in an electrolytic solution and are soaked in twenty minutes. A disadvantage is that it requires several treatments before it can be effective, but can last up to a month calculated once.

Botulinum toxin: botulinum toxin (BOTOX) is a neurotoxic substance that has been found to be effective in the treatment of Hyperhidrosis, the procedure lasting up to 12 months of dryness. Disadvantages include its expensive cost and number of treatments necessary for its success.

Surgery

For Hyperhidrosis severe, surgery may be the only option. Removal of armpit sweat glands can significantly reduce the amount of sweating. Upper thoracic ganglionectomy or sympathectomy is surgery that can help severe Palmar Hyperhidrosis, but this procedure often has high complication rates.

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