Zamkatimu
Mankhwala a hyperhidrosis (thukuta kwambiri)
Chithandizo chimadalira kukula kwa vutolo. Nthawi zambiri, anthu omwe amawonana ndi dokotala kapena dermatologist ayesapo zochotsera zonunkhiritsa zingapo m'sitolo ndi antiperspirants ndi zotsatira zosasangalatsa.
Anti-thukuta
Munthu asanapite kukaonana ndi dokotala, amatha kulandira mankhwala oletsa kukomoka amphamvu kuposa mankhwala oletsa kukomoka mwa kufunsa dokotala. Mankhwalawa amasungidwa kumbuyo kwa pharmacy, chifukwa kugwiritsa ntchito kwawo kumafuna kumvetsetsa bwino kwa njirayi.
The mankhwala ananena ngati thukuta kwambiri muli zotayidwa mankhwala enaake, yothandiza kwambiri kuposa aluminiyamu kapena zirconium hydrochloride, yomwe imagwiritsidwa ntchito kwambiri poletsa kukomoka.2.
Mankhwala operekedwa popanda mankhwala:
- A mowa njira ethyl mowa wokhala ndi aluminium kolorayidi mosiyanasiyana: 6% (Xerac AC®), 6,25% (Drysol Mild®) ndi 20% (Drysol®). Kupezeka ngati chogwiritsira ntchito m'khwapa komanso ngati yankho la botolo la manja ndi mapazi;
- Un anthu mowa wa hydroalcohol okhala ndi 15% aluminiyamu chloride, m'khwapa, manja ndi mapazi (monga Hydrosal®). Gelisi nthawi zambiri imapangitsa kuti khungu likhale lochepa kusiyana ndi yankho la mowa;
- mankhwala Zina Dri® lilinso ndi aluminiyamu kolorayidi (12%). Ndi gawo lake loperekedwa m'ma pharmacies pamashelefu, chifukwa ali mkati njira yamadzimadzi.
Chiwopsezo cha kuyabwa, kuyabwa ndi redness ndi wamkulu kuposa antiperspirants wamba. Tsatirani malangizo a opanga ndi ogulitsa mankhwala.
Ngati mankhwalawa sakuwongolera thukuta bwino, a dokotala kapena dermatologist atha kupereka mankhwala oletsa kukomoka omwe amakhala ndi zosakaniza za aluminium chloride ndi zinthu zina zogwira ntchito.
Nthawi zambiri timasokoneza anti-thukuta et deodorants, mankhwala awiri omwe ali ndi zotsatira zosiyana kwambiri. Ma deodorants amapaka fungo loipa powasintha ndi mafuta onunkhira, pamene antiperspirants amachepetsa kupanga thukuta. Ma antiperspirants amapangidwa kuchokera ku mchere wachitsulo (aluminium kapena zirconium) womwe umatsekereza njira za glands za thukuta. Amakhalanso ndi antibacterial properties. Antiperspirants ali ndi vuto loyambitsa kuyabwa, redness ndi kuyabwa mwa anthu ena. |
Mu milandu kwambiri
Ionophorèse. Iontophoresis imaphatikizapo kugwiritsa ntchito a Mphamvu zamagetsi kuchepetsa kutuluka kwa thukuta. Amawonetsedwa kwa anthu omwe ali ndi vuto lalikulu la hyperhidrosis manja or mapazi. Manja, mwachitsanzo, amamizidwa m'machubu awiri amadzi, momwe electrode yolumikizidwa ndi chipangizo chomwe chimapanga mphamvu ya 20 milliamp imayikidwa. Gawoli limatenga pafupifupi mphindi makumi awiri ndipo limabwerezedwa kangapo pa sabata. Munthuyo akadziwa bwino njirazi, amatha kutenga chipangizo ndikupangira mankhwala kunyumba. Njirayi iyenera kupitilirabe kuti ikhale yogwira mtima. Iwo ali ena contraindications. Funsani dermatologist wanu.
Jekeseni wa poizoni wa botulinum. Jekeseni wa subcutaneous wa poizoni wa botulinum (Botox®) amagwiritsidwa ntchito pochiza hyperhidrosis yoopsa kwambiri. m'khwapa, manja, mapazi ndi nkhope. Poizoni wa botulinum amalepheretsa kufalikira kwa mitsempha kupita ku tiziwalo ta thukuta. Zotsatira za jakisoni zimatha pafupifupi miyezi inayi. Local anesthesia ndiyofunika. Ikhoza kuchitidwa ndi jakisoni wa lidocaine kapena mfuti (popanda singano). Chithandizo chimodzi chimafuna jakisoni angapo ndipo chimawononga madola mazana angapo. Kugwiritsiridwa ntchito kwa Botox® kumaloledwa ndi Health Canada, komanso ku France kwa axillary hyperhidrosis. Contraindications ntchito.
chandalama. Ngati mukuvutika kumeza, kupuma kapena kuyankhula mutalandira chithandizo ndi Botox, funsani dokotala mwamsanga. Health Canada idapereka chenjezo mu Januware 2009 kuwonetsa kuti Poizoni wa botulinum zimatha kufalikira m'thupi lonse ndikuyambitsa zotsatira zoyipa: kufooka kwa minofu, vuto lakumeza, chibayo, kusokoneza kulankhula komanso kupuma movutikira.3. |
Mankhwala oletsa anticholinergic. Mankhwalawa amatengedwa pakamwa, monga glycopyrollate ndi propantheline, amalepheretsa zochita za acetylcholine. Messenger wamankhwalawa amathandizira kuti zinthu zizichitika mwachilengedwe, kuphatikiza kupanga m'thukuta. Komabe, chisankhochi sichimagwiritsidwa ntchito kwambiri komanso sichikhala ndi chidwi chochepa kwa nthawi yayitali chifukwa cha zotsatira zake (pakamwa pouma, kudzimbidwa, kutaya kukoma, chizungulire, etc.). Anticholinergics amagwiritsidwa ntchito makamaka pazochitika za wamba thukuta (pathupi lonse). Palinso apakhungu anticholinergics mu mawonekedwe a amadzimadzi njira, ntchito pamphumi ndi scalp.
Chidziwitso-khalidwe mankhwala, antidepressants. Pamene chigawo cha psychic chiri chofunika, madokotala ena amapereka mankhwala ochepetsetsa, antidepressants kapena anxiolytics. Thandizo lachidziwitso la khalidwe lingaperekedwenso.
Mankhwala opangira opaleshoni
Thoracic sympathectomy. Opaleshoni iyi, yomwe imaphatikizapo kuwononga kotheratu ganglia yachifundo yomwe imayambitsa thukuta, amachitira hyperhidrosis wa m`khwapa ndi manja. Njirayi ingathe kuchitidwa ndi endoscope, yomwe imachepetsa kukula kwa kudula komanso nthawi yochira. Komabe, compensatory hyperhidrosis ikhoza kuchitika kumbuyo kapena kumbuyo kwa miyendo.
Kuchotsa thukuta. Ndi opaleshoni, n'zotheka kuchotsa mbali ya zotupa za thukuta m'khwapa. Zovuta zam'deralo ndizosowa.
Malangizo a chitonthozo chabwinoko chatsiku ndi tsiku:
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