About HYPERHIDROSIS

Life is always beautiful, except if you have the disorder. This is one disorder that I have always taken for granted by other people but has a big impact for me. yes, HYPERHIDROSIS. This is the following definition of hyperhidrosis:

HYPERHIDROSIS or in the other name DIAPHORESIS is the condition characterized by abnormally increased perspiration,in excess of that required for regulation of body temperature.

CLASSIFICATION:
Hyperhidrosis can either be generalized or localized to specific parts of the body. Hands, feet, armpits, and the groin area are among the most active regions of perspiration due to the relatively high concentration of sweat glands; however, any part of the body may be affected.



Hyperhidrosis can also be classified depending on if it is a congenital or acquired trait. Primary hyperhidrosis is found to start during adolescence or even before and seems to be inherited as an autosomal dominant genetic trait. Primary hyperhidrosis must be distinguished from secondary hyperhidrosis, which can start at any point in life. The latter form may be due to a disorder of the thyroid or pituitary gland, diabetes mellitus, tumors, gout, menopause, certain drugs, or mercury poisoning.

Hyperhidrosis may be also divided into palmoplantar (symptomatic sweating of primarily the hands or feet), gustatory or generalized hyperhidrosis.

Alternatively, hyperhydrosis may be classified according to the amount of skin that is affected and its possible causes. In this approach, excessive sweating in an area that is greater than 100 cm2 (up to generalized sweating of the entire body) is differentiated from sweating that affects only a small area.

CAUSE:
The cause of primary hyperhidrosis is unknown, although some surgeons claim that it is caused by sympathetic overactivity. Nervousness or excitement can exacerbate the situation for many sufferers. Other factors can play a role; certain foods and drinks, nicotine, caffeine, and smells can trigger a response.

A common complaint of patients is that they get nervous because they sweat, then sweat more because they are nervous.

Hyperhidrosis of a relatively large area (>100 square cm or generalized)

* In people with a past history of spinal cord injuries
o Autonomic dysreflexia
o Orthostatic hypotension
o Posttraumatic syringomyelia
* Associated with peripheral neuropathies
o Familial dysautonomia (Riley-Day syndrome)
o Congenital autonomic dysfunction with universal pain loss
o Exposure to cold
* Associated with probable brain lesions
o Episodic with hypothermia (Hines and Bannick syndrome)
o Episodic without hypothermia
o Olfactory
* Associated with intrathoracic neoplasms or lesions
o Associated with systemic medical problems
o Pheochromocytoma
o Parkinson's disease
o Thyrotoxicosis
o Diabetes mellitus
o Congestive heart failure
o Anxiety
o Menopausal state
o Due to drugs or poisoning
o Night sweats
o Compensatory

Hyperhidrosis of relatively small area (<100 style="font-weight:bold;">TREATMENT:
A. Drugs
Sedative and anticholinergic (drug aimed at blocking the chemicals responsible for nerve activity) is a drug commonly used, but these drugs are not made specifically for the treatment of hyperhidrosis is, besides a lot of side effects.

B. Antiperspiran
Antiperspiran and deodorants are used for daily use to reduce underarm sweating and body odor. For patients with excessive perspiration very special antiperspiran mengadung Aluminum Chloride Hexahydrate common usually given first. This herb is very easy to use but for some people this herb may cause skin irritation. This herb is very effective for patients with mild hyperhidrosis.

C. Iontophoresis
This method uses a weak electric current to reduce sweat gland function. Patient's hand or foot is placed on a plate which weak electric currents flowed. This method is very time-consuming and must be repeated.

D. Botox
As also used to eliminate facial wrinkles, Botox injections are used to paralyze the sweat glands and this method only for the treatment of hyperhidrosis axillae (armpit). This method also requires repetition.

2. Treatment with surgery
Because no one from the non-surgical methods above that can offer a permanent cure, the approach to the way the operation has been built to provide better treatment options. Since the year 1920, (an operation to separate the sympathetic nerve chain) has become a reliable method to eliminate hyperhidrosis. Unfortunately, the only way to reach the sympathetic chain is with a large incision in the chest or neck of the patient. This makes this method an operation that has greater risk of complications besides a large incision is also so reasonable if both the surgeons and patients are reluctant to pursue this method.

Thoracoscopy method (operation using a tool resembling a pipe as a tool to look inside the chest cavity), introduced in 1942 to run Sympathectomy and this method has executed hundreds of times in the 1940s, but for no apparent reason this method is forgotten until finally in tahun1980 thorascope introduced an equipped camera.

Now, with the new method allows surgeons perform Sympathectomy on both sides of the chest using only one camera instruments only. This method is known as Video-assisted Thoracoscopic Sympathectomy (VATS).

This operation is performed with general anesthesia and with two 5-mm incision size on both sides of the chest to access the chest cavity. With the help of cameras mounted on the thorascope Sympathetic nerve chain that is located at the base of the ribs of the second and third separated by using an electrical cutting tools. Usually patients can immediately feel the results and the patient can go home from hospital the next day with his hands dry and warm. The success rate of this method approaches 100%.

POSITIVE EFFECTS FROM SYMPATHECTOMY
1. Very excessive perspiration on the hands will be cured in almost all patients. After surgery the patient's hand will be dry and warm. The success rate of this method approaches 100%.
2. Very excessive perspiration in the armpit can be reduced or cured in almost all patients with thoracic nerve and cut into three.
3. Very excessive perspiration in the feet may be omitted. Some patients feel the sweat on the soles of the feet is reduced after the operation.
4. There was a slight decrease in the number of heartbeats. Some patients said they became more calm even in stressful circumstances and no longer experience the heart pounding. A pounding heart when making presentations in public can also slightly reduced.
5. Patients who also suffer from migraine headaches feel the loss of this disorder after surgery.

NEGATIVE EFFECTS OF SYMPATHECTOMY
1. Compensatory Sweating (CS) - replacement of sweat
After surgery 85% of patients felt the addition of sweat on the thighs and calves than ever.
2. Horner's Syndrome
This occurs when there is damage to the first thoracic nerve during the operation that causes the eyelids to be slightly down. It is very rare and may be improving as time goes by.
3. Pneumothorax (air leaks in lungs)
Complications are very rare as a result of injury to the lung surface or may occur in patients who settles lung disease. This condition usually improves by itself and is not a big problem.

In general, this operation is an excellent method to cure hyperhidrosis can this miserable. This operation provides a direct and permanent cure for the patient. This operation is relatively easy to implement with minimal side effects and complications are rare. The pain after surgery was also minimal and can be reduced with a simple painkiller.

Some of the opinions of patients why they want to implement Sympathectomy
1. A Student Accounting
"Paper I exam is always wet and dirty"
2. An Interior Designer
"All my dull design-design"
3. An Insurance Agent
"I'm embarrassed to shake hands with others"
4. A Beauty Expert
"My client complained to my boss after a facial treatment"
5. A Professional Dancer
"I can not dance Latin because no one wants to be my partner"
6. An Expert Electrical
"I do not want to die electrocuted one day"
7. A Bread Maker
"My handmade bread feel so bad"