Kukwapula Kwambiri? Zowonjezera Zowonjezera ndi Zothetsera Zothekera
Kumangokhalira kumangokhalira kumangokhalira kudandaula ndi chinthu chofala. Ena ochita masewera olimbitsa thupi amavutika ndi kutukuta kwambiri pa masewera olimbitsa thupi. Koma ngakhale pamene simukugwira ntchito mumatha kupweteka kwambiri thukuta kapena thukuta m'dera lamapiri lomwe lingayambitse manyazi. Zingakhale zothandiza kuwunikira zomwe zimayambitsa thukuta kuti zithetse bwino.
N'chifukwa Chiyani Ndikumangirira Zambiri?
Nthaŵi zambiri, thukuta ndilolendo.
Chotupa chimapangidwa m'magalasi omwe amapezeka pakhungu lanu. Chotupa chimatulutsidwa kudzera pores, zomwe ndizitseguko zazing'ono pakhungu lanu. Khungu lililonse lachikopa liri ndi pafupifupi glands zokwana 650.
Nanga n'chifukwa chiyani timalumphira? Thupi lathu limatuluka kutulutsa kutentha ndi kuzizira. Ngakhale kuti simungadziwe, mumalumbirira nthawi zonse. Chotupa chimatuluka mofulumira kotero simukuzindikira kuti chiripo. Koma pali nthawi zina pamene mungazindikire kupuma kwa thukuta. Zomwe nthawi zambiri zimakupangitsani kutukuta kuposa nthawi zonse zimaphatikizapo:
- kutentha
- zolimbitsa thupi
- nkhawa kapena nkhawa
- Zakudya zonunkhira (curry, chitowe, msuzi wotentha, ndi zina)
- zakumwa zoledzeretsa
- zakumwa za khofi
Mwinanso mumatha kutukuta nthawi zambiri ngati thupi lanu likudutsa kusintha kwa mahomoni. Kuwombera kwambiri nthawi ya zaka zachinyamata komanso (kwa akazi) thukuta lokwanira pa nthawi ya kusamba ndilofala.
Anthu ena amazindikira kuti amalumbirira kuposa anthu ena ozungulira.
Ngati muli olemera kwambiri kapena ochepa kwambiri, mukhoza kuzindikira kuti mumapsa thukuta kuposa abwenzi ndi achibale anu ndi matupi ang'onoang'ono. Anthu omwe ali ndi BMI yapamwamba amatha kulumphira kwambiri. Ndipo amuna ambiri amawomba thukuta kuposa amayi, makamaka pa masewera olimbitsa thupi.
Kodi Kutupa Kwambiri N'kochilendo?
Ndiye mungadziwe bwanji ngati mumalumbirira kwambiri?
Pafupifupi 3 peresenti ya anthu ali ndi matenda otchedwa hyperhidrosis , kapena thukuta kwambiri.
Dokotala Bradley Bloom, MD ndi dermatologist yemwenso amadziwika pa Khungu ndi Laser Specialists ku New York City. Akuti palibe zizindikiro zomveka bwino zomwe zimasonyeza kuti thukuta lalikulu ndi lochuluka motani, koma ngati wina amamuyendera mu ofesiyo ndi kudandaula kuti ali ndi thukuta kwambiri, mwina ali. Odwalawa nthawi zambiri amanena kuti kutukuta kwakukulu kumatengera njira zosavuta za tsiku ndi tsiku komanso kumachepetsa mwayi wa anthu komanso / kapena akatswiri.
Malinga ndi International Hyperhidrosis Society, pali mitundu iwiri ya hyperhidrosis: yachiwiri ya hyperhidrosis ndi ya primary hyperhidrosis .
Hyperhidrosis yapamwamba yachiwiri ndi thukuta lokwanira lomwe limakhala ngati zotsatira za matenda ena . Mwachitsanzo, anthu omwe ali ndi matenda a shuga, shuga, kapena matenda ena amatha kukhala ndi hyperhidrosis. Azimayi omwe ali ndi mimba kapena amapita kumaliseche amakhalanso pachiopsezo chachikulu cha hyperhidrosis.
Mwinanso mungatenge thukuta kwambiri chifukwa cha mankhwala omwe mumatenga. Mankhwala ena amadziwika kuti amachititsa hyperhidrosis. Gulu likulumikiza mndandanda womwe mungathe kuwunika ngati mukuganiza kuti mankhwala anu akukupatsani thukuta.
Hyperhidrosis yapamwamba yapamwamba imakula pakakula. Kutuluka thukuta kumachitika m'dera limodzi la thupi kapena zonse (zowonjezera). Kuwombera kungathenso kuchitika masana popanda chifukwa chomveka kapena usiku pamene wagona.
Ngati muli ndi focal hyperhidrosis mumakhala ndi thukuta lamtundu umodzi kapena malo ena enieni m'thupi lanu. Kawirikawiri izi zimaphatikizapo ziphuphu, mapazi, manja, kapena pamphumi ndipo zidzachitika kumbali zonse ziwiri za thupi.
Anthu omwe ali ndi chiopsezo chachikulu cha hyperhidrosis nthawi zambiri amakhala ndi mbiri ya banja. Vutoli limakhala lodziwikiratu paunyamata ndipo madokotala samatha kupeza chifukwa china (monga mankhwala kapena matenda).
Ngati muli ndi primary focper hyperhidrosis, simudzapeza thukuta lowonjezera pamene mukugona.
N'chifukwa Chiyani Chiwopsezo Changa Chochuluka Kwambiri?
Kukwapula thupi lanu lonse kungakhale kovuta, koma anthu ambiri amawona thukuta kwambiri m'dera la armpit. Kutuluka thukuta kwambiri m'mapiritsi kumatchedwa axillary hyperhidrosis . Mukhoza kununkhira mderali komwe kungapangitse thukuta kukhala lochititsa manyazi komanso kuwonjezera kupsinjika kapena nkhawa.
Malinga ndi International Hyperhidrosis Society, glands opuma thukuta omwe akugwira ntchito m'makutu amatchedwa zilonda za apocrine. Matendawa amatulutsa madzi ambiri kuposa thukuta limene mungamve pazinthu zina za thupi lanu, monga mphumi yanu, manja anu kapena mapazi anu. Pamene thukuta lalikululi limagwirizana ndi mabakiteriya pa khungu pansi pa manja anu, ilo limapangitsa fungo.
Ngakhale kuti pafupifupi aliyense akukumana ndi chifuwa chachikulu, mungamve ngati zanu zili zovuta. Njira zowonongeka zogwiritsira ntchito mankhwalawa ndi:
- Zovala zophimba kapena kuvala. Matenda otupa kwambiri omwe amachokera kumtunda amatha kusungidwa pogwiritsa ntchito zida zazing'ono kapena zishango. Zida zotayika nthawi zambiri zimakhala ndi zothandizira kuti muthe kuziika mkati mwa shati kapena kavalidwe kuti mutenge thukuta.
- Zovala zamoto. Zojambula zina zosavuta zimathetsa vutoli povala chophimba chapansi pansi pa zovala zawo. Nsalu yophweka ya cotton yosavuta imagwira ntchito zina, koma palinso malaya opuma thukuta omwe apangidwa kuti athetsa thukuta ndi fungo.
- Otsutsa. Pali zambiri zogulitsa zamalonda zomwe zimalumikiza thukuta ndi / kapena fungo. Malo ambiri ogulitsa ndi okongola amakhala ndi antiperspirants (omwe amaloledwa kuti agwiritsidwe ntchito m'munsimu) omwe amagwira ntchito pobisa pores kotero thukuta sangathe kumasulidwa. Akatswiri amalangiza kuti mugwiritse ntchito antiperspirant usiku kuti mukhale ndi nthawi yolowera pores ndi kutseka zilonda za thukuta m'mawa. Zakudya zamadzimadzi zimathandizira kusunkhira fungo loyambitsa chisakanizo cha thukuta ndi mabakiteriya. Dokotala wanu akhoza kukupatsani mankhwala oletsa mankhwala omwe ali ndi chloride ya aluminium. Zogwiritsira ntchito mankhwalawa zingagwiritsidwe ntchito pamadera osiyanasiyana a thupi kuphatikizapo manja, mapazi, mapiri ndi mutu.
- Kupanga mosamala. Ngati mumatuluka thukuta nthawi zina, monga misonkhano yamalonda kapena zamakhalidwe, zingakhale zothandiza kukonzekera patsogolo ndikubweretsa malaya ena. Amuna ndi abambo ena amalonda amavala malaya ena ku ofesi basi ngati mukufunikira.
Palinso njira zamankhwala zothetsera thukuta. Ena ndi ovuta kwambiri kuposa ena ndipo aliyense ali ndi ubwino wake komanso umoyo wake.
- Botox. Odwala ena amagwiritsa ntchito jekeseni wa botox (onabotulinumtoxinA) kuti athetse matenda opweteka. Botox imaletsa zizindikiro zosonyeza kuti glands lanu limayamba kutuluka thukuta. Dr. Bloom akulongosola kuti odwala omwe amagwiritsa ntchito botox kuti atenge thukuta amatha kupeza chithandizo chomwe chimakhala pafupifupi miyezi itatu kapena isanu ndi umodzi. Odwala ayenera kubwereza jekeseni kuti apitirize kuwathandiza. Botox ikhoza kugwiritsidwanso ntchito kumadera ena a thupi kuphatikizapo nkhope, kanjedza, ndi mapazi. Mtengo wa chithandizo cha botox umasiyana malinga ndi malo koma kawirikawiri, amawononga $ 1000-1500.
- miraDry. Njira iyi ya FDA -vomerezeka imagwiritsa ntchito mphamvu zamagetsi kuti zitha kulumikiza ndi kuthetseratu glands la thukuta. Dr. Bloom, yemwe amachita izi mu ofesi yake ku New York City, akuti odwala nthawi zambiri amachepetsa kuchepetsa kupweteka kwa dzuwa ndi 60 peresenti potsatira ndondomeko imodzi yokha komanso kuchepa kwa 80 peresenti pambuyo pa mankhwala awiri. Dr. Bloom anati: "Njira imeneyi imagwira ntchito yopweteka kwambiri, ndipo maphunziro ena amanena kuti imagwiranso ntchito phokoso." Koma akupitiriza kufotokoza kuti sizingagwire ntchito ngati fungo ngati simukutukuta kwambiri. Iye anati: "Zinthu zambiri zimapangitsa fungo, ndipo zimakhala zovuta kufotokoza fungo kuposa kufotokoza thukuta." Komabe, ananena kuti mankhwalawa ndi othandizira odwala omwe amamwa kwambiri thukuta chifukwa ndi otsika kwambiri kuposa botox ndi zochepa zochepa kuposa opaleshoni.Ananenanso kuti kupita patsogolo kwa mankhwala a anesthesia kwawathandiza kuti chithandizo chamaphunziro chitheke komanso zotsatira zowonjezereka pambuyo pa chithandizo choyambirira. Zotsatirapo zingaphatikizepo kuwonongeka kwa mitsempha pansi pa khungu, kupuma, ndi kutupa, Dr. Bloom akuti madera ambiri akhoza kuchepetsedwa ndi chithandizo choyenera chisanachitike. Mtengo wa miraDry umasiyana malinga ndi dera lanu, koma kawirikawiri, amawononga madola 1500- $ 2000 pa chithandizo. kuti asamalidwe thukuta lasuzi.
- Opaleshoni. Pali njira zosiyanasiyana zochitira opaleshoni zomwe zimapweteka kapena kuchotsa zipangizo zamoto zopweteka kuti zisagwire ntchito. Zothetsera zowonjezereka za thukuta lasuzi zikhoza kukhala liposuction, curettage (scraping procedure), kapena kuphatikiza njira ziwiri. Kuchotseratu kwathunthu kwa minofu yowonjezera (kusakanizidwa) ndi njira ina yothandizira koma sichivomerezeka, malinga ndi International Hyperhidrosis Society, chifukwa cha zotsatira zoyipa monga kuphwanya ndi kuchepa kuyenda mu mkono kapena m'magawa pambuyo pochita opaleshoni. Mtengo wa opaleshoni udzadalira momwe mungasankhire, kukula kwa dera lomwe mumakhala komanso mbali ya dziko lanu.
N'chifukwa Chiyani Crotch Yanga Yakhudzidwa Kwambiri?
Ngakhale kupweteka kwapweteka kumakhala kofala, thukuta lochulukira m'dera lamapiri limakhala losavuta komanso lochititsa manyazi. Dr. Mache Seibel, MD ndi katswiri wodziletsa kusuta ndi pulofesa ku University of Massachusetts Medical School. Iye akufotokoza kuti vutoli ndilochititsa manyazi makamaka kwa akazi omwe amagwiritsa ntchito:
Kutuluka thukuta kwambiri kapena thukuta mu vagin, groin, chiweto ndi chifuwa chidziwika ndi truncal hyperhidrosis . Koma amayi ambiri amadziwa izo ngati malo amodzi. Ndi zopereka zakufa ndi zochititsa manyazi zochititsa chidwi kwambiri.
Dr. Seibel akunena kuti fungo likhoza kuchitika pamene malo odyerawo ali ouma: "Malo opatsirana ndi thukuta amawoneka bwino omwe amachititsa malo abwino kuti tizilombo toyambitsa matenda tiziyenda bwino. Mvula imalimbikitsa mabakiteriya oyipa kwambiri m'mimba yomwe imachititsa kuti pH iwonongeke. zonunkhira ndi zovuta. "
Amalemba njira zomwe zingathetsere vutoli.
- Mankhwala osagwiritsidwa ntchito angagwiritsidwe ntchito pa nthawi ya kusamba kuti achepetse thukuta lopweteka ndi fungo lopweteka. Apukuta asanayambe ndi pambuyo ndi ana opukutira, ndipo muvale chovala cha thonje. Kusintha pedi nthawi zambiri kumathandiza kuchepetsa kununkhira.
- RepHresh Gel ndi mankhwala omwe amathandiza kubweretsa pH ku mtundu wa 3.5-4.5 wokhazikika. Dr. Seibel akulangiza kuti odwala ake agwiritse ntchito ndi ma probiotic ngati RepHresh Pro-B kuti asunge yisiti ndi mabakiteriya tsiku ndi tsiku.
- Kumeta kapena kuchepetsa malo a pubic kumathandiza kuchepetsa fungo ndi thukuta. Koma Dr. Seibel akunena kuti kwa amayi ena, kumeta ndekha kungabweretse ku hidradenitis suppurativa , vuto lomwe limayambitsa zilonda pakhungu lomwe limawoneka ngati ziphuphu kapena zithupsa. Koma akunena kuti ndizovuta zomwe sizikhala zamuyaya.
- Valani zovala zosavala zopangidwa kuchokera ku zinthu zakuthambo. Pewani kiloni kapena zipangizo. Makampani ambiri ochita maseŵera amavala zovala zolimbitsa thupi pogwiritsa ntchito ulusi wopangira thukuta.
- Lankhulani ndi dokotala wanu za masamba othamanga . Kutsika kwa chithokomiro kapena kutsika kwa estrojeni m'kati mwake ndi kumayandikira kusamba kwake kungapangitse kupweteka kwa thukuta ndi fungo limati dokotalayo.
Pomalizira, kuwonetsa tsiku ndi tsiku, makamaka musanayambe kuchita masewera olimbitsa thupi, kapena mutangotha kuchita masewera olimbitsa thupi, zidzakuthandizani kuti malo obisalawo akhale oyera komanso opanda thukuta ndi fungo.
N'chifukwa Chiyani Manja Anga Ndi Manyowa Anga Ambiri Ambiri?
Manja opwetekedwa ndi miyendo yopweteka zingakhudzire tsiku ndi tsiku muzochitika zambiri zosakhumudwitsa. Kungotembenuzira kanyumba kazitsulo kungakhale kovuta ngati manja anu atapsa kwambiri. Ndipo mapazi opweteka angachepetse kusankha kwanu nsapato.
Mankhwala a palmar hyperhidrosis (pazanja za manja anu) ndi hyperhidrosis ya zomera (pamapazi) amatha kuchiritsidwa ndi njira zapakhomo ndi zaofesi:
- Otsutsa . Zambiri zamagetsi zomwe mumagwiritsa ntchito pazomwe mumapanga kuti muchepetse thukuta zingagwiritsidwe ntchito pa mapazi anu. Dokotala wanu angakhoze kulembetsanso amphamvu antiperspirant kuti ateteze mapazi anu.
- Botox . Odwala ena amapita ku jekeseni ya botox kuti athandizidwe ndi thukuta m'manja ndi m'mapazi. Komabe, chithandizochi chikhoza kukhala chamtengo wapatali, sichiri chosatha, ndipo chingakhale chosasangalatsa mukagwiritsidwa ntchito kumapazi ndi manja.
- Iontophoresis. Zipangizo zamankhwalazi zimakulolani kukhala pansi ndi manja ndi mapazi anu kumizidwa muchitayi cha madzi pamene magetsi akudutsa mumadzi. Chithandizo chilichonse chimatha pafupifupi mphindi 15 mpaka 40 ndipo chimabwerezedwa katatu pa sabata mpaka mutapeza zotsatira zomwe mukufunikira. Pa nthawi yokonza, mungathe kuchiza kamodzi pa sabata. Mtengo wa chipangizo ungayendetse pafupi ndi $ 700 koma ukhoza kubwerekedwa ndipo inshuwalansi yanu ikhoza kuwononga mtengo wa mankhwalawa.
- Masokiti oyendetsa utsi. Nyuzipepala ya American Academy of Dermatology imalimbikitsa kuti anthu omwe amamenya thukuta kwambiri pamapazi asatenge masokosi a thonje ndipo m'malo mwake amasankhe masokosi opangidwa ndi utsi wochuluka. Amanenanso kuti muzivala nsapato zomwe zimapangidwa kuchokera ku zinthu zakuthupi monga chikopa.
Mawu Ochokera
Tonsefe timatuluka. Ndipo pafupifupi tonsefe takhala tikukumanapo nthawi yomwe timalumbirira kwambiri. Koma ngati mumakhala ndi thukuta kwambiri nthawi zonse, mumayenera kupumula. Ngakhale kutaya thukuta mwinamwake sikukuwopsyeza moyo, kungakhale chizindikiro cha vuto lalikulu kwambiri komanso mankhwala ochizira owonjezera amapezeka. Choncho lankhulani ndi dokotala ngati thukuta m'mbali iliyonse ya thupi lanu likukhudza tsiku ndi tsiku. Akatswiri amalangiza kuti mupitirize kulengeza thukuta musanatuluke kuti muthandize othandizira zaumoyo wanu kuti adziwe zomwe zimayambitsa kutuluka thukuta komanso njira zabwino zothandizira. Dokotala wanu wamkulu amatha kukhala njira yoyamba yopempha uphungu, koma pamapeto pake mungafunike kupeza chisamaliro cha dermatologist yemwenso amatsimikizira kuti mungachite bwino.
> Zotsatira:
> Amabebe, E., Osayande, S., Ozoene, J. ndi Ugwu, A. (2014) Chiyanjano pakati pa Kuwopsya kwa Mwamuna ndi Misa ya Mthupi. Tsegulani Journal of Endocrine ndi Matenda a Metabolic , 137-146.
> Gagnon, D. ndi Kenny, GP (2012), Kodi kugonana kuli ndi mphamvu yodziimira pa thermoeffector yankho pazochita zolizira? The Journal of Physiology, 590: 5963-5973.
> Hyperhidrosis. American Academy of Dermatology. Aadorg . 2017. https://www.aad.org/public/diseases/dry-sweaty-skin/hyperhidrosis#tips.
> International Hyperhidrosis Society. Sweatlporg . 2017. http://www.sweathelp.org.
> Yambani Zopangira Ntchito Zapamtima Pachikopa. American Academy of Dermatology. 2014. https://www.aad.org/public/kids/good-skin-knowledge-lesson-plans-and-activities/skin-health/skin-introduction-ages-11-13.