Kusukela kuphi futhi kungani kukhona ukujuluka okukhulu
Ukujuluka ngokweqile kwenzeka ngenxa yokuphazanyiswa komsebenzi wezinhlayiya ze-eccrine sweat futhi kuthiwa nge-hyperhidrosis. Uma uphelelwe yisikhumba ngokweqile, thatha inkathazo ukuthola imbangela yayo. Abashushisi besimo esingenakukhathazeka bobabili izici ezingaphandle nangaphakathi. Esikhathini sokuqala, i-hyperhidrosis ichazwa njengenhloko, noma ebalulekile, okwesibili - njengesibili.
Ngokuvamile ungakhuluma nge-hyperhidrosis eyinhloko (ihlupheka ngabantu abangaba yi-15% emhlabeni wonke), echaphazela izintende zezandla nezintambo, kaningi-indawo ye-armpits. Ngenxa yalokhu kwephulwa, ngokuvamile akunampilo ejulile. Kukhulu kunezinombolo ze-"average" zezigulane ezikhukhumezayo nokuphendula kwabo ngokweqile ngokwemvelo ngokwezenzo ezivamile zomzimba - yilokho, njengoba umthetho, ochwepheshe bathi. Umsuka wobubi umqondo wokubheka ukungasebenzi kwesistimu yomzwelo ozwelayo, uma ngaphezu kwezindawo okukhulunywe ngayo, ubuso nokukhwabanisa kuvame ukujuluka. Ngokuvamile lesi sici sinomlingiswa wefa, esizibiza kakade ebuntwaneni futhi sibonakala siphuthuma esikhathini sokukhulelwa.
Nge-hyperhidrosis eyinhloko, izimbangela eziyinhloko zokuhlukanisa ngokweqile ukujuluka kuyisimo sokucindezeleka ngokomzwelo, ukushisa kwezinga lomoya, ukudla okushisayo, ukuzivocavoca.
Nge-hyperhidrosis yesibili, isimo sinzima kakhulu. Akuyona into engaphezu kwesibonakaliso sesifo esitholakalayo, mhlawumbe esibi kakhulu futhi sidinga ukuxilongwa ngokugcwele kwemitholampilo nokusebenza. Uma isithukuthezi "ephephile" kaningi sinomuntu wendawo, uhlamvu lwendawo, khona-ke isimo asiyona neze engenasici, uma ukuthuthumela kuhamba phezu kobuso be-sweat gland. Lezi zinsuku zingabhekwa njengesibonakaliso se-endocrinopathies ehlukahlukene (isifo sikashukela, i-thyrotoxicosis), izifo ezithathelwanayo (isifo sofuba, i-brucellosis), izifo zofuzo, izicubu ze-neoplastic ...
Into esemqoka - ungenzi iziphetho ozimele mayelana nempilo yakho! Uma ukukhukhuma kukukhathaza isikhathi eside nangesibindi, qiniseka ukuthi uxhumane nochwepheshe.
Ikhambi elifanele lokulwa nokujuluka ngokweqile
Ama-injection ye-botulinum uhlobo lwe-A-izindlela ezisekelwe ngokwesayensi zokulungiswa kwe-hyperhidrosis, eyathatha indawo yayo emithini yezobuciko. Ukuvumelana kwalo kuqinisekiswa ngokuqiniseka ngemikhuba yezokwelapha. Isikhalazo kuso sinembile ngokubhekwa kwezindiza zokuziphatha. Inhloso yenkambiso ukuhlinzeka nge-chemodenervation yesikhashana eguquguqukayo, okungukuthi, ukuxhuma uxhumano phakathi kwe-sweat gland kanye nesisindo somzimba - isignali sokuthukumeza.
Indawo yangempela yomjovo inqunywa isampula ekhethekile: indawo yesikhumba nge-sweating eyengeziwe yenziwe ngesisombululo sotshwala, insimu yokuthi utshwala bukhuphuka kanjani, ukulungiswa kwe-ligol kusetshenziselwa isayithi eliphathwayo, bese lifafazwa nge-starchy substance. Uma izithukuthuku ziphelile, indawo edingeka ukuthi ithinteke iphenduka okwesibhakabhaka ngenxa yokusabela kwe-iodine-starch futhi ngaleyo ndlela izinikela kude. Okulandelayo, udokotela ubala i-injection dose efanele. Umphumela walokhu kuvezwa kubonakala emva kwezinsuku ezimbili kuya kwezinhlanu. Ayikho imingcele endleleni yokuphila ngemuva kweseshini. Uma ukwelashwa kwenziwa ngendlela efanele, izinkinga nemiphumela emibi engekho. Umphumela wemijovo ye-botulinum ye-toxin uhlobo A ezindaweni zokukhukhumeza okukhulayo kukhula kancane kancane ezinyangeni ezimbalwa ngemuva kwenqubo.
Qaphela ukuthi umphumela wokwethulwa kwe-toxin ye-botulinum endaweni yezinhlayiya ze-sweat iqhubeka isikhathi eside kunomphumela we-botulinum yokwelashwa kwemisipha yobuso. Lokhu kungachazwa ngokutholakala ngokushesha kwezinzwa zomzimba emasukeni emisipha uma kuqhathaniswa nama-glands.
Ukuqaphela okucatshangayo: I-Botox iyakwazi ukuzama ukusebenzisana nomzimba kuphela, kodwa ... isenzo sengqondo. Odokotela baqaphele amacala lapho isifo se-botulinum senziwa kuphela endaweni yesundu esisodwa, kodwa ngesikhathi esifanayo isundu sesibili saqala ukuthuthumela kancane! Iyini imfihlo? Kubantu bendawo ethile yokugcina impahla, umjovo we-toxin we-botulinum kubonakala sengathi uhlobo lomjovo oqinisekisayo. Ngemuva kweseshini, umuntu uyeka ukhathazeka ngokweqile ngenkinga ayenayo, isimo sakhe sengqondo sithuthukisa, ukunakwa kuyashintsha, futhi ukujuluka kuvamile, njengoba kusho, ngokwayo.
Njengomthetho, umuntu oye wahlola ukwelashwa kwe-botulinum ukucindezelwa kwe-hyperhidrosis uphinda lokhu okuhlangenwe nakho ngezikhathi ezithile.
Namuhla, imitholampilo yomuthi wokuzijabulisa awuphiki umuntu botulinotherapy, ngisho nalapho i-hyperhidrosis ibangelwa yilokho noma leso sifo. Ukwelashwa kwesifo esiyinhloko ngezinye izikhathi kuthatha isikhathi esiningi, futhi uzizwe ubalulekile lapha futhi manje. Nakuba ngokuvamile ezindaweni ezinjalo kukhona abantu abane-sweating ngokweqile njengesici se-vegetative system. Eminyakeni eyishumi eyedlule, inani lalezi ziguli liye landa kakhulu, okubangelwa ukuwohloka kwesimo semvelo nokucindezeleka okungapheli.
Inqubo yokulungisa i-hyperhidrosis ngamagciwane we-botulinum isxin ithatha imizuzu engu-15-30 futhi yenziwa ngaphansi kwe-anesthesia yendawo. Isibalo somuthi esetshenzisiwe singashintsha. Uma sikhuluma ngemigqa ye-axillary, khona-ke izingxenye eziyi-100 zevolumu zenziwa njengezinga elijwayelekile ngokubala kwemikhakha emibili ye-axillary, okwenza injection kude ka-1.5-2 cm komunye nomunye. Le nqubo iqinisekisa ukusabalalisa okuhle komkhiqizo. Umphumela wenqubo ugcinwa izinyanga ezingu-6-12. Ngokuhamba kwesikhathi, izikhathi eziphindaphindiwe zidinga kancane kancane.
Imemo yesiguli
Ukuqhathaniswa kwe-botulinum yi:
- izifo ezithathelwanayo nezifo ezingapheli esigabeni sokuqeda amandla;
- izifo ezihambisana nokuphazamiseka kwegazi;
- i-myasthenia gravis (isifo se-neuromuscular autoimmune) kanye ne-myastheoid-like syndromes;
- izifo ezinzima emlandweni;
- ukusetshenziswa kwama-antibiotics, ikakhulukazi ama-aminoglycosides, kanye nama-anzicoagulants, ama-antigregregants, ama-muscle relaxants;
- i-hypersensitivity kuya ezingxenyeni zokulungiselela ubuthi lwe-botulinum;
- ukukhulelwa kanye nokulahlwa.