If it is more than necessary, it causes discomfort, stress, irritation to the skin and predisposition to infection, which negatively affects the quality of life and leads to social anxiety disorder. Excessive sweating is observed in an average of 3 percent of the population. Excessive sweating is divided into two types: regional and widespread. While regional type refers only to hand, foot and armpit sweating, diffuse type can be seen throughout the body with active sweat glands.
Regional sweating usually begins in childhood and adolescence and continues intermittently or continuously throughout life. It does not discriminate against age, gender and race. There is a familial predisposition at a rate of 60-80 percent. It increases with temperature and gets lighter during the winter months. Nervousness, anxiety, stress and excitement increase sweating. There is a risk of contamination and related infection in areas where there is sweating, which causes bad odor. It is not a temporary condition, but it can be intermittent or permanent. Widespread sweating may be due to hyperthyroidism, menopause, obesity, diabetes, adrenal gland diseases, or it may be completely structural.
TREATMENT OF EXCESSIVE SWEATING
Treatment is also included. If an underlying cause of hyperhidrosis is found, the patient is referred to the relevant branch. If unexplained excessive sweating is mild to moderate, antiperspirant sprays and deodorants, aluminum chloride creams and iontophoresis are preferred first. With the compression effect of the creams, they physically block the mouth of the sweat ducts temporarily and prevent sweat excretion. It should not be forgotten that irritation may occur when using these creams. In the iontophoresis process, the hands and feet are placed in a bathtub containing electrolyte solution and the lowest current electric current is injected into the solution. This happens when the ions created by the current temporarily close the sweat channels. Botulinum toxin (botox) application is applied in more severe cases of hyperhidrosis, especially in armpit sweating. The procedure can also be applied for hand and foot sweating. This process, which temporarily blocks the sympathetic nerves that stimulate the sweat glands, is completed in approximately 30 minutes. The effect of the treatment lasts for 6-8 months. The last procedure that can be done in the treatment of excessive sweating is surgical intervention. Surgical treatments affect the sympathetic nerve stimulation of sweat glands in hand and armpit sweating. It is an endoscopic thoracic sympathectomy, which is the process of cutting or removing the tumors. It provides a permanent solution, but after the surgical procedure, compensatory sweating may occur in other parts of the body.
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