Recommend therapy 1 to avoid mental stress and emotional excitement. Those with mental and emotional factors can take oryzanol, bromine and diazepam orally.
2, anticholinergic drugs such as atropine, belladonna, propofol, etc. It has a temporary effect and reduces the dosage of sweat secretion.
3. External use of astringent drugs. 10% glutaraldehyde solution and 2%-4% formaldehyde solution. Patients with axillary hyperhidrosis can apply 20% aluminum chloride ethanol solution, and patients with palmoplantar hyperhidrosis for 7 days can also soak in 5% alum solution or compound copper sulfate solution.
4, iontophoresis with tap water and direct current as iontophoresis is suitable for hyperhidrosis of hands and feet.
There are two clinical manifestations: generalized hyperhidrosis and localized hyperhidrosis.
Systemic hyperhidrosis often occurs with moist skin surface and paroxysmal sweating.
Local hyperhidrosis is common in palms, soles and armpits, followed by nasal tip, forehead and vulva. Most cases occur in teenagers, and patients are often accompanied by peripheral blood circulation dysfunction.
What is hyperhidrosis? What is the reason?
Hyperhidrosis is a medical term, which refers to excessive sweating, that is, the human body sweats abnormally much. Although some systemic diseases, such as hyperthyroidism, obesity, diabetes, tuberculosis and so on. , can cause systemic hyperhidrosis, mostly primary hyperhidrosis confined to the palm, armpit and face. The so-called "primary (idiopathic)", that is, its etiology is not clear, and its pathogenesis is mainly caused by abnormal excitement of sympathetic nerve.
Is hyperhidrosis a disease? Why do you need treatment?
Hyperhidrosis is not a strictly defined disease, just like "single eyelid", it will not cause harm to the body, but it will have a serious impact on people's psychology. Studies have shown that its severity is obviously beyond the truly defined skin diseases such as eczema, itching, psoriasis and vitiligo. It will reduce the quality of life of patients. After the cure, the life of patients will change miraculously, and all kinds of undue troubles will disappear.
When is the best operation?
Hyperhidrosis will accompany you for life, and early treatment can get rid of it as soon as possible. The best time to treat hyperhidrosis is adolescence, when the symptoms are the most obvious and the psychological influence is the greatest. Hyperhidrosis symptoms can be relieved immediately after operation, and the success rate of operation is close to 100%. However, if hyperhidrosis is troublesome and inconvenient in primary school, it is not technically difficult for children over six to have surgery. However, after forty years old, it is often difficult to operate because of diseases such as pleural adhesion or lung lesions, and the failure rate increases.
What is endoscopic thoracic sympathectomy? What's the effect?
Endoscope is a surgical instrument, and only with the help of it can the operation be very simple and safe. This technology is also improving. In the past, 2-3 small incisions were needed on each side of the operation, but the latest method only needed one incision of 1-2cm. Because hyperhidrosis is caused by excessive excitement of sympathetic nervous system, the only cure is to cut off the sympathetic nerve chain in the chest. Suitable subjects for this operation are palmar hyperhidrosis, axillary hyperhidrosis, facial hyperhidrosis and facial flushing. The cure rate is over 90%, and the effective rate is almost 100%. Sweating on the soles of the feet is also effective, and the efficiency is more than half.
Is endoscopic thoracic sympathectomy difficult? Are there any side effects?
Endoscopic sympathectomy is less traumatic and difficult, so the so-called "not difficult for the operator" can be completed within 1 hour, and the patient can resume normal work and study within 3 days after operation. However, this operation is a highly accurate operation, which requires doctors to have rich experience and strictly grasp the location and scope of the operation. The side effects of the operation are few and light. More common is compensatory hyperhidrosis, that is, sweating in other parts after operation. This phenomenon is rare, and most of them disappear after a period of time, which is far less serious than hyperhidrosis itself.
Sweaty feet, can sympathetic neurotomy be treated? How to treat it?
Lumbar sympathectomy can be used to treat sweaty feet, but it is rarely used because the surgical site is at the waist, which is very difficult and has many side effects. Thoracic sympathectomy can also treat sweaty feet, but the effect is not as magical as sweaty palms. In addition, the treatment of sweaty feet can also rely on local medication and local cleaning.
How to judge the severity of hyperhidrosis? How much should the operation weigh?
Hyperhidrosis can be divided into four levels: 1 level (I have never noticed hyperhidrosis and never affected my life); Level 2 (sometimes it will affect your daily life, but it can be tolerated); Level 3 (it often affects your daily life and is more unbearable); Level 4 (has been affecting your daily life, unbearable). Grade 3 and 4 patients can directly consider surgical treatment. Grade 2 patients with poor curative effect after conservative treatment are also very concerned about hyperhidrosis, and surgical treatment can also be considered.
Why do some doctors say no treatment is needed? Whose advice is good?
Hyperhidrosis has been highly valued in developed countries and Hong Kong and Taiwan, and its surgical treatment has been widely recognized. But it has not been understood in China. The public does not understand the pain of hyperhidrosis patients, and doctors do not know how to treat hyperhidrosis. Only specialists know "endoscopic thoracic sympathectomy" and its miraculous effect. Is it surgery? It depends on the patient's own wishes and the advice of experts. From the medical profession, it is most important to exclude other diseases and surgical contraindications.
Do you need special care at home after the operation?
65438+ 0-2 days after operation, I will feel a little chest tightness, chest pain and slight pain in the incision. This is a normal phenomenon, and the incision will disappear after healing and suture removal. Don't get wet before removing stitches on both sides of the wound. If it gets wet accidentally, change the sterile gauze immediately and keep the wound dry. After the operation, you can stay in the hospital until the stitches are removed, or you can leave the hospital on the third day after the operation, and come back to the hospital on the eighth to ninth day after the operation or go to the local hospital for stitches removal. Take a bath after taking out stitches for 2 days.
What is compensatory hyperhidrosis? Serious not?
Very few patients will have increased sweating on their back, abdomen or thighs after operation, which is a compensatory reaction of the body to the reduction of sweating at the surgical site, which is much better than hyperhidrosis, and this reaction will gradually decrease until it disappears.
Hu Zeyong, chief physician of Gamma Knife Center of Air Force General Hospital, believes that all our skin will sweat, especially in sports or hot weather. This is the physiological reaction of the body to prevent overheating and increase evaporation and heat dissipation. How much do you sweat? There are more men than women, more fat people than thin people, and more mature people than children and old people. However, sweating is abnormally increased, which is beyond the normal physiological range. It may be hyperhidrosis, which is often annoying.
The incidence of hyperhidrosis is about 1-5%, which is extensive and limited. Systemic hyperhidrosis, often paroxysmal skin dampness and cold, can be an excessive physiological reaction or a symptom of some diseases such as hyperthyroidism, diabetes and chronic infection. Localized hyperhidrosis is common in palms, soles of feet, armpits, nasal tips, foreheads and pudendal parts. Most of them are not diseases, but because the sympathetic nerves that regulate sweat secretion are too sensitive, often accompanied by poor peripheral blood circulation, such as wet and cold skin of hands and feet, blue or pale skin, which is prone to frostbite. Sweating feet, due to poor evaporation of sweat, the plantar epidermis is white, often accompanied by foot odor. Sweating under the armpits and genitals often leads to bacterial infection and odor. Hyperhidrosis can occur from primary school students, especially in adolescence, among which the most troublesome is palmar, armpit and sole hyperhidrosis. Young people's emotions are difficult to control. The increase in sweating makes them nervous, shy and afraid. The more anxious you are, the more you sweat, causing a vicious circle. It often makes patients very embarrassed, affects normal social and work, and becomes a serious heart disease.
The amount of perspiration does not change with human will, but is controlled by the nervous system called autonomic nervous system. Our brain can not only consciously control the functional activities of various parts of the body, but also unconsciously control the functional activities of various parts of the body. This functional system is called autonomic nervous system. The autonomic nervous system is responsible for controlling heartbeat, intestinal movement, perspiration, saliva secretion and other uncontrollable functions. The autonomic nervous system is divided into sympathetic nerve and parasympathetic nerve, which interact and coordinate with each other to jointly maintain the normal function of the body. The imbalance between them will lead to abnormality. Hyperhidrosis is caused by excessive excitement of sympathetic nerve. If you want a radical cure, you can only do thoracic sympathectomy. This operation is unacceptable because of severe trauma in the past. The recent development of endoscopic technology makes this operation safe and easy, and the trauma is very slight. A small incision of armpit 1-2cm can complete surgical ligation or cut off the sympathetic nerve chain, eliminate the excessive influence of sympathetic nerve on sweat glands, and achieve the effect of radical treatment of hyperhidrosis. The operation efficiency is extremely high. In addition, there are some palliative treatment programs, including: ① taking sedatives to avoid mental stress and emotional excitement; (2) taking drugs to reduce sweat secretion; ③ Local application of astringent drugs; ④ Change socks frequently and wear shoes with good air permeability and water absorption; ⑤ Destroy local sweat glands.