Excessive sweating, especially in the armpit, fishing bacteria so that it appears the body odor. These abnormalities seem trivial, but it can bring discomfort, both physically and emotionally, so it makes people less confident.
The sweat produced by apocrine glands that produce viscous liquid, turbid and ekrin glands that produce a thin, clear. Apocrine glands found in hair follicles on the head, axilla, and genitalia. Ekrin glands throughout the body and there is direct contact with skin.
When body temperature rises, the central nervous system stimulates these glands to secrete fluid onto the surface of the skin to cool the body. Highly active sweat glands can be congenital. Compared to other body parts, the most active sweat glands in the skin of the armpit.
Secretion of apocrine sweat glands resulting often cause odor, especially when mixed with bacteria.
Can Be Derived
People with hyperhidrosis (diaphoresis) may be sweating, even when temperatures are low or they are at rest. Hyperhidrosis can occur or a local comprehensive. If excessive sweating occurs on the palms of the hands, feet and underarms, then it is called primary hyperhidrosis (local). Or comprehensive secondary hyperhidrosis usually associated with systemic diseases, such as hyperthyroidism, diabetes, infection vague, retikulosis, and others.
In the primary hyperhidrosis cases, no cause is found. Experts suspect that defects of this type can be derived from the family. The exact cause of hyperhidrosis is unknown. It is argued that hyperhidrosis may occur due to intake of spicy foods and hot beverages that contain caffeine or alcohol. Caffeine and alcohol stimulate the sweat glands release more fluid.
High-calorie foods, such as fat and high protein foods, if consumed in excessive amounts can lead to a less pleasant smell of sweat. Therefore, these foods can stimulate the gland secretes more sweat than the low-calorie foods.
Triggered by Stress
Hyperhidrosis can be caused by menopause. Women who enter menopause may experience hot flashes, which is an increase in skin temperature accompanied by sweating and swelter. This occurs because of decreased estrogen levels.
Some menopausal women often wake up at night because his clothes soaked with sweat.
Other causes, namely hypoglycemia. Low blood sugar levels often found in people with diabetes who take insulin or antidiabetic drugs. Early symptoms sweating, shaking, weakness, hunger, and nausea. Hypoglycemia can also occur after eating, especially in those who had undergone gastric or intestinal surgery.
Sweat is pouring also sometimes triggered by stress, emotion, or exercise, but can also occur spontaneously. On the palmar hyperhidrosis, patients moist and wet hands. This poses a social problem because each of them would shake his opponent's lead hand is wet.
Parts of the body have hyperhidrosis often pink or bluish white. In the more severe cases, the skin cracked and scaly, especially in the legs. Consumption of drugs and alcohol; heart disease, respiratory, neurological, infectious, hormonal disorders, or malignant disease can also cause symptoms of excessive sweating. When the trigger condition is overcome, then the problem of excessive sweating was completed.
Side effects
The most lightweight and safe way to overcome excessive sweating is lifestyle modification. This includes not wearing tight clothing, nylon, polyester, or wool except in cold temperatures, and hats.
For excessive sweating in the armpits can be a conservative treatment, either topical or systemic and operative. This type is widely used topical treatment without a prescription, such as the use of deodorants that contain aluminum chloride.
Deodorant can reduce sweating, but it is temporary. The resulting side effects can usually mild, such as irritation. Systemic treatment is done by providing medicine by mouth and sedative drugs to inhibit the effects of acetylcholine on the sweat glands. However, common side effects with more than hiperhidrosisnya problems, such as dry mouth, vision problems, glaucoma, hyperthermia, hypotension, and seizures.
Noteworthy is the toxic effects of anticholinergic drugs are usually reached before any effect antihidrosisnya. Meanwhile, the sedative usually does not respond even though hyperhidrosis is influenced by emotional stress.
Surgery
Operative method of excessive sweating in the armpit can be done with a variety of actions, ie, subcutaneous curettage, excision and curettage partially open, wide excision, sympathectomy, and the injection of botulinum toxin A.
Subcutaneous curettage is surgery to take all the sweat glands with a maximum activity using a curette. The act of partial excision and curettage done by eliminating some of the skin with maximum sweat gland activity, and the rest is done curettage.
Wide excision is surgery to take all the sweat with a maximum activity of the skin closure is then performed.
The surgical sympathectomy is to take a sympathetic ganglion, usually performed by a neurosurgeon. Injecting botulinum toxin A can be done in the underarm area with maximum sweat gland activity.
Operative methods are more advantageous because it can obtain the therapeutic effect of a permanent or longer. Side effects that may arise as a surgical method in general, such as bleeding during or after surgery, infection, accumulation of serum, lymph node inflammation, discomfort in the upper arm, numbness, and keloids occur in people who have talent keloid.
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