ʻO nā lāʻau lapaʻau e pili ana i ka nui o ka pilikia. ʻO ka mea maʻamau, ua hoʻāʻo ka poʻe i ʻike i ke kauka a i ʻole dermatologist i kekahi mau deodorants a me nā antiperspirant me nā hopena maikaʻi ʻole.

ʻO ka wili

Ma mua o ka ʻike ʻana i ke kauka, hiki i kekahi ke ʻike i nā antiperspirants ʻoi aku ka ikaika ma mua o nā antiperspirants maʻamau ma ke kūkākūkā ʻana i kahi lāʻau lapaʻau. Mālama ʻia kēia mau huahana ma hope o ka lāʻau lapaʻau, no ka mea, pono ka hoʻohana ʻana i ka ʻike maikaʻi o ke kaʻina hana.

ʻO nā huahana i manaʻo ʻia i ka hihia o excessive sweating i loko kolamu kolamu, ʻoi aku ka maikaʻi ma mua o ka alumini a i ʻole zirconium hydrochloride, i hoʻohana mau ʻia i nā antiperspirant maʻamau².

Nā huahana i hāʻawi ʻia me ka ʻole o ke kau ʻana:

• A waiʻona waiʻona ʻO ka waiʻona ethyl i loaʻa ka alumini chloride ma nā ʻano ʻokoʻa: 6% (Xerac AC®), 6,25% (Drysol Mild®) a me 20% (Drysol®). Loaʻa ma ke ʻano he applicator underarm a ma ke ʻano he ʻōmole no nā lima a me nā wāwae;
• Un kūkā waiʻona loaʻa iā 15% alumini chloride, no nā ʻāʻī, nā lima a me nā wāwae (eg Hydrosal®). ʻO ka gel ka mea maʻamau i ka liʻiliʻi o ka ʻili o ka ʻili ma mua o ka wai ʻona;
• Product Kekahi Dri® aia pū kekahi me ka alumini klorida (12%). ʻO ia no kāna ʻāpana i hāʻawi ʻia i nā lāʻau lapaʻau ma nā papa, no ka mea aia i loko hopena wai.

ʻOi aku ka nui o ka ʻeha, ka ʻili a me ka ʻulaʻula ma mua o nā antiperspirant maʻamau. E hahai i nā kuhikuhi a ka mea hana a me ka lāʻau lapaʻau.

Inā ʻaʻole mālama kēia mau huahana i ka sweating oluolu, a kauka a dermatologist paha hiki ke kuhikuhi i kahi antiperspirant i loko o ka hui ʻana o ka alumini chloride a me nā mea hana ʻē aʻe.

I nā hihia koʻikoʻi

Ionophorèse. Aia ka Iontophoresis i ka hoʻohana ʻana i kahi Ke mana uila e hoemi i ka huna o ka hou. Hōʻike ʻia ia no nā poʻe i loaʻa i ka hyperhidrosis koʻikoʻi o ka mau lima or wawae. ʻO nā lima, no ka laʻana, ua hoʻokomo ʻia i loko o ʻelua mau puna wai, kahi e hoʻopili ʻia ai kahi electrode i hoʻopili ʻia i kahi mea hana e hoʻohua ai i ka mana o 20 milliamps. He iwakālua mau minuke ka lōʻihi o ke kau a hana hou ʻia i nā manawa he nui i ka pule. Ke kamaʻāina ke kanaka i nā kaʻina hana, hiki iā lākou ke kiʻi i kahi mea hana a hana i kā lākou lapaʻau ma ka home. Pono e hoʻomau ʻia kēia ʻano hana e mālama i kona pono. Loaʻa iā ia kekahi mau contraindications. E nānā me kāu dermatologist.

ʻO ka hoʻoheheʻe ʻana o ka botulinum toxin. Hoʻohana ʻia ka subcutaneous injection o botulinum toxin (Botox®) e mālama i ka hyperhidrosis koʻikoʻi o ka maʻi. ʻāpana lima, mau lima, wawae a maka. Hoʻopaʻa ʻo Botulinum toxin i ka hoʻouna ʻana i nā aʻalolo i ka ʻili hou. Loaʻa ka hopena o nā injections no ʻehā mahina. Pono ka anesthesia kūloko. Hiki ke hana ia e ka hoʻokomo ʻana i ka lidocaine a i ʻole ka pū (me ka ʻole o ka nila). Hoʻokahi lapaʻau e pono ai kekahi mau injections a me nā kumukūʻai he mau haneli kālā. Ua ʻae ʻia kēia hoʻohana ʻana o Botox® e Health Canada, a ma Farani no ka hyperhidrosis axillary koʻikoʻi. Hoʻopili ʻia nā contraindications.

Nā lāʻau'alopelo Anticholiner. ʻO kēia mau lāʻau lapaʻau i lawe ʻia e ka waha, e like me ka glycopyrollate a me propantheline, kaohi i ka hana a ka acetylcholine. Hoʻoulu kēia ʻelele kemika i ka nui o nā hopena olaola, me ka hana ʻana o ka hou. Eia naʻe, ʻaʻole i hoʻohana nui ʻia kēia koho a ʻaʻole makemake nui i ka wā lōʻihi ma muli o nā hopena ʻaoʻao (waha maloʻo, constipation, nalowale o ka ʻono, dizziness, etc.). Hoʻohana nui ʻia nā anticholinergics i nā hihia o hoʻohuʻu laulaha (ma ke kino a pau). Aia kekahi mau anticholinergics topical i ke ʻano o ka wai wai, i hoʻopili ʻia i ka lae a me ke poʻo.

ʻO ka cognitive-behavioral therapy, antidepressants. Ke koʻikoʻi ka ʻāpana psychic, kuhikuhi kekahi mau kauka i nā tranquilizer, nā lāʻau antidepressant a i ʻole nā ​​​​anxiolytics. Hiki ke ʻōlelo ʻia ka cognitive behavioral therapy.

Nā hana ʻoki kino

Thoracic sympathectomy. ʻO kēia ʻokiʻoki, ʻo ia ka hoʻopau mau ʻana i nā ganglia sympathetic e komo i loko o ka ʻūlū ʻūlū, mālama i ka hyperhidrosis o nā ʻāʻī a me nā lima. Hiki ke hana i ke kaʻina hana me kahi endoscope, e hoʻemi ana i ka nui o ka ʻoki a me ka manawa hoʻihoʻi. Eia nō naʻe, hiki ke loaʻa ka hyperhidrosis compensatory ma ke kua a ma hope paha o nā wāwae.

ʻO ka wehe ʻana o ka ʻili hou. Ma ke kaʻa ʻana, hiki ke wehe i kahi ʻāpana o ka ʻāʻī ma nā ʻāʻī. Kakaʻikahi nā pilikia kūloko.