From where and why there is increased sweating
Excessive sweating occurs due to disruption of the activity of the eccrine sweat glands and is otherwise called hyperhidrosis. If you are worn out by excessive sweating, take the trouble to find out its cause. The provocators of an uncomfortable state are both external and internal factors. In the first case, hyperhidrosis is defined as primary, or essential, in the second - as secondary.
Most often you can talk about the primary hyperhidrosis (they suffer about 15% of the world's population), affecting the palms and soles, less often - the area of the armpits. For this violation, there is usually no serious pathology. Greater than the "average" number of sweat glands and their overly violent reaction to normal physiological stimuli - that's what, as a rule, experts say. The root of evil is the sense to look for in the dysfunction of the sympathetic nervous system, when in addition to the areas mentioned, the face and the scalp often sweat as well. Often this feature has a hereditary character, declaring itself already in childhood and visibly exacerbating in the puberty period.
With primary hyperhidrosis, the main triggers for the excessive separation of sweat are emotional stress, increased air temperature, intake of hot food, exercise.
With secondary hyperhidrosis, the situation is more complicated. It is nothing more than a symptom of an identified, possibly severe disease and requires a thorough clinical and functional diagnosis. If the "safe" sweating often has a local, local character, then the situation is not at all harmless, when sweat protrudes all over the surface of the sweat gland. The latter can be regarded as a sign of various endocrinopathies (diabetes mellitus, thyrotoxicosis), infectious diseases (tuberculosis, brucellosis), genetic disorders, neoplastic tumors ...
The main thing - do not make independent conclusions about your health! If sweating bothers you for a long time and seriously, be sure to contact a specialist.
The right remedy against excessive sweating
Injections of botulinum toxin type A-scientifically based methods of correction of hyperhidrosis, which took its place in aesthetic medicine. Its consistency is convincingly confirmed by medical practice. The appeal to it is justified by considerations of the ethical-social plane. The purpose of the procedure is to provide temporary reversible chemodenervation, that is, disconnecting the connection between the sweat gland and the nerve impulse - a signal to sweating.
The exact area of injection is determined by a special sample: the area of the skin with increased sweating is smeared with alcohol solution, the field of how the alcohol evaporates, the ligol preparation is applied to the treated site, and then it is sprinkled with starchy substance. When sweat breaks out, the zone that needs to be affected turns blue due to the iodine-starch reaction and thus gives itself away. Next, the doctor calculates the correct injection dose. The effect of this exposure appears after two to five days. There are no restrictions in the way of life after the session. If the therapy is performed correctly, complications and side effects are absent. The effect of injections of botulinum toxin type A in the areas of increased sweating is gradually increasing within a few months after the procedure.
Note that the effect of introducing botulinum toxin into the zone of sweat glands persists longer than the result of botulinum therapy of facial muscles. This can be explained by faster recovery of nerve reactions in muscle tissue in comparison with glands.
Curious observation: Botox is able to exert not only physiological, but ... psychological action. Doctors note cases when botulinum toxin was introduced only in the area of one palm, but at the same time the second palm started to sweat less! What's the secret? For people of a certain warehouse, the injection of botulinum toxin appears to be a kind of reassuring injection. After the session, a person stops worrying excessively about the trouble he has, his emotional mood improves, attention is switched, and sweating is normalized, as they say, by itself.
As a rule, one who once tested botulinum therapy for the suppression of hyperhidrosis repeats this experience from time to time.
Today, clinics of aesthetic medicine do not deny a person botulinotherapy, even when the hyperhidrosis is caused by this or that disease. Treatment of the main pathology sometimes takes a lot of time, and feel confidently important here and now. Although more often in such centers are people with excessive sweating as a feature of the vegetative system. Over the past ten years, the number of such patients has increased significantly, which is mainly attributed to the deterioration of the ecological situation and chronic stress.
The procedure for correcting hyperhidrosis with injections of botulinum toxin takes 15-30 minutes and is performed under local anesthesia. The amount of the drug used can vary. If we talk about axillary cavities, then about 100 units of volume are introduced as standard with the calculation for two axillary zones, making injections at a distance of 1.5-2 cm from each other. This technique ensures optimal distribution of the product. The effect of the procedure is maintained for 6-12 months. Over time, repeated sessions are required less and less.
Patient's memo
Contraindications to botulinum are:
- acute infectious and chronic diseases in the stage of exacerbation;
- diseases associated with bleeding disorders;
- myasthenia gravis (autoimmune neuromuscular disease) and myastheoid-like syndromes;
- severe allergies in history;
- the use of antibiotics, especially aminoglycosides, as well as anzicoagulants, antiaggregants, muscle relaxants;
- hypersensitivity to the components of the preparation of botulinum toxin;
- pregnancy and lactation.