Kev kho mob rau hyperhidrosis (tawm hws ntau dhau)

Kev kho mob rau hyperhidrosis (tawm hws ntau dhau)

Kev kho mob nyob ntawm seb qhov teeb meem. Feem ntau, cov neeg uas pom tus kws kho mob lossis kws kho mob dermatologist tau sim ob peb lub khw muag tshuaj deodorants thiab tshuaj tua kab mob uas tsis txaus siab.

Anti-hws

Ua ntej mus ntsib kws kho mob, ib tus tuaj yeem ntsib cov tshuaj tua kab mob muaj zog dua li cov tshuaj tiv thaiv kab mob los ntawm kev sab laj tus kws muag tshuaj. Cov khoom no tau khaws cia tom qab lub tsev muag tshuaj, vim tias lawv siv yuav tsum muaj kev nkag siab zoo ntawm cov txheej txheem.

Cov khoom pom zoo nyob rau hauv cov ntaub ntawv ntawm tawm fws muaj aluminium chloride, muaj txiaj ntsig zoo dua li txhuas lossis zirconium hydrochloride, feem ntau siv hauv cov tshuaj tua kab mob tsis tu ncua2.

Cov khoom uas muaj yam tsis muaj daim ntawv tshuaj:

  • A cawv daws ethyl cawv uas muaj txhuas chloride hauv ntau qhov sib txawv: 6% (Xerac AC®), 6,25% (Drysol Mild®) thiab 20% (Drysol®). Muaj raws li ib tug underarm applicator thiab raws li ib tug fwj tshuaj rau ob txhais tes thiab ko taw;
  • Un tuaj hydroalcoholic muaj 15% txhuas chloride, rau cov caj npab, tes thiab ko taw (xws li Hydrosal®). Cov gel feem ntau ua rau cov tawv nqaij tsawg dua li cov kua dej cawv;
  • khoom Qee yam Dri® kuj muaj aluminium chloride (12%). Nws yog rau nws ib feem muaj nyob rau hauv cov khw muag tshuaj ntawm lub rhawv, vim nws yog nyob rau hauv aqueous tov.

Qhov kev pheej hmoo ntawm khaus khaus, khaus thiab liab yog ntau dua li cov tshuaj tiv thaiv kab mob. Ua raws li cov chaw tsim khoom thiab tus kws muag tshuaj cov lus qhia.

Yog tias cov khoom no tsis tswj cov tawm hws puas, a kws kho mob lossis kws kho mob dermatologist tej zaum yuav muab tshuaj tua kab mob uas muaj cov tshuaj txhuas chloride thiab lwm cov khoom xyaw nquag.

Peb feem ntau tsis meej pem tiv thaiv tawm hws et deodorants, ob yam khoom uas muaj qhov sib txawv heev. Deodorants daim npog qhov ncauj ntxhiab tsw phem los ntawm kev hloov lawv nrog perfumes, thaum antiperspirants txo cov hws ntau lawm. Antiperspirants yog tsim los ntawm hlau ntsev (txhuas lossis zirconium) uas thaiv cov ducts ntawm cov qog hws. Lawv kuj muaj antibacterial thaj chaw. Antiperspirants muaj qhov tsis zoo ua rau khaus, liab thiab khaus hauv qee tus neeg.

Hauv qhov xwm txheej hnyav dua

Ionophorèse. Iontophoresis suav nrog kev siv a Electric hwj chim kom txo qhov tso tawm hws. Nws yog qhia rau cov neeg uas raug kev txom nyem los ntawm hnyav hyperhidrosis ntawm tus ob txhais tes or taw. Piv txwv li, ob txhais tes yog immersed nyob rau hauv ob lub tubs dej, nyob rau hauv uas ib tug electrode txuas nrog ib tug ntaus ntawv uas generates ib tug tam sim no ntawm 20 milliamps. Kev sib kho yuav kav ntev li nees nkaum feeb thiab rov ua dua ob peb zaug hauv ib lub lis piam. Thaum tus neeg paub txog cov txheej txheem, lawv tuaj yeem tau txais cov cuab yeej thiab ua lawv cov kev kho mob hauv tsev. Txoj kev no yuav tsum tau txuas ntxiv los tswj nws cov txiaj ntsig. Nws muaj qee yam contraindications. Nrog koj tus kws kho mob dermatologist.

Kev txhaj tshuaj botulinum toxin. Kev txhaj tshuaj subcutaneous ntawm botulinum toxin (Botox®) yog siv los kho cov mob hyperhidrosis ntawm qhov mob hnyav. lub qhov tso, ob txhais tes, taw thiab lub ntsej muag. Botulinum toxin thaiv cov hlab ntsha xa mus rau cov qog hws. Cov nyhuv ntawm cov tshuaj yuav kav ntev li plaub lub hlis. Cov tshuaj loog hauv zos yog tsim nyog. Nws tuaj yeem ua tau los ntawm txhaj tshuaj lidocaine lossis los ntawm rab phom (tsis muaj koob). Ib qho kev kho mob yuav tsum tau txhaj ob peb zaug thiab raug nqi ob peb puas duas las. Qhov kev siv ntawm Botox® no tau tso cai los ntawm Health Canada, thiab hauv Fabkis rau qhov mob hnyav axillary hyperhidrosis. Contraindications siv.

Disclaimer. Yog tias koj muaj teeb meem nqos, ua pa lossis hais lus tom qab kho nrog Botox, nrog kws kho mob tam sim ntawd. Kev Noj Qab Haus Huv Canada tau ceeb toom thaum Lub Ib Hlis 2009 qhia tias botulinum co toxin tuaj yeem kis tau thoob plaws hauv lub cev thiab ua rau muaj kev phiv loj heev: cov leeg tsis muaj zog, muaj teeb meem nqos, mob ntsws, hais lus tsis zoo thiab ua tsis taus pa.3.

Anticholinergic tshuaj. Cov tshuaj no coj los ntawm qhov ncauj, xws li glycopyrollate thiab propantheline, thaiv qhov kev txiav txim ntawm acetylcholine. Cov neeg xa xov liaison no txhawb cov tswv tsev ntawm cov tshuaj lom neeg lom neeg, suav nrog kev tsim khoom hws. Txawm li cas los xij, qhov kev xaiv no tsis yog siv dav thiab tsis txaus siab rau lub sijhawm ntev vim tias muaj kev phiv (qhov ncauj qhuav, cem quav, poob ntawm saj, kiv taub hau, thiab lwm yam). Anticholinergics feem ntau yog siv nyob rau hauv cov ntaub ntawv ntawm generalized tawm hws (ntawm txhua lub cev). Kuj tseem muaj cov tshuaj anticholinergics hauv daim ntawv ntawm cov tshuaj aqueous, siv rau hauv pliaj thiab tawv taub hau.

Cognitive-behavioral therapy, antidepressants. Thaum cov tshuaj tiv thaiv kev puas siab puas ntsws tseem ceeb, qee cov kws kho mob tau sau tshuaj tranquilizers, tshuaj antidepressant lossis anxiolytics. Kev paub txog tus cwj pwm kev coj cwj pwm kuj yuav raug pom zoo.

Kev phais phais

Thoracic sympathectomy. Qhov kev phais no, uas muaj nyob rau hauv tas mus li kev puas tsuaj lub sympathetic ganglia uas innervate lub tawm ua hws, kho hyperhidrosis ntawm armpits thiab ob txhais tes. Cov txheej txheem tuaj yeem ua tiav nrog endoscope, uas txo qhov loj ntawm qhov txiav thiab lub sijhawm rov qab los. Txawm li cas los xij, kev kho mob hyperhidrosis tuaj yeem tshwm sim hauv nraub qaum lossis sab nraub qaum.

Excision ntawm cov qog hws. Los ntawm kev phais, nws muaj peev xwm tshem tawm ib feem ntawm cov qog hws nyob rau hauv armpits. Cov teeb meem hauv zos tsis tshua muaj.

 

Cov lus qhia kom zoo dua kev nplij siab txhua hnub:

  • Ntxuav txhua hnub rau tua cov kab mob.
  • Qhuav kom zoo tom qab da dej los yog da dej. Cov kab mob thiab cov fungi zoo li proliferate ntawm ib daim tawv nqaij ntub dej. Ua tib zoo saib xyuas ntawm daim tawv nqaij ntawm cov ntiv taw. Yog tias tsim nyog, nphoo cov tshuaj tua kab mob rau ntawm ko taw tom qab ziab;
  • Haus ntau heevdej kom them nyiaj rau qhov poob, uas tuaj yeem ncav cuag 4 litres ib hnub. Cov zis yuav tsum meej;
  • Hloov txhua hnub los ntawm nkawm khau yog hais tias lub hws yog localized rau ko taw. Tej zaum nkawm khau yuav tsis qhuav ib hmos. Yog li nws yog qhov zoo dua tsis txhob hnav tib khub ob hnub ua ke;
  • Xaiv khaub ncaws hauv natural fabrics (cotton, wool, silk) uas tso cai rau cov tawv nqaij ua pa. Rau kev ua si kis las, nyiam "ua pa" fibers uas tso cai rau hws mus rau evaporate;
  • Hnav khaub ncaws tsim nyog rau chav tsev kub. Muaj ib hloov khaub ncaws;
  • Xaiv rau tawv khau thiab paj rwb los yog wool thom khwm. Thaum xyaum ua kis las, hnav cov thom khwm ncaws pob thiab khau uas haum rau cov khaub ncaws los yog cov tshuaj tiv thaiv kab mob. Hloov cov thom khwm ib zaug lossis ob zaug ib hnub;
  • Aerate feem ntau nws ob txhais taw;
  • Siv cov tshuaj tua kab mob thaum hmo ntuj ntawm ob txhais tes thiab ob txhais taw. Nyiam qhov antiperspirant tsis muaj tshuaj tsw qab.

 

 

Sau ntawv cia Ncua