Let us mention first of all operative methods:
Traditional operation:
What is it? The surgeon does a cut and deletes a tissue containing sweat glands (this technique also is called liposuction or curettage). As a result the quantity of glands decreases — a sweating too.
At what kind of a hyperhidrosis it is applied? At the axillary hyperdrosis.
Efficiency reaches 50 %. The effect remains 3-4 years.
Contraindications: A serious illness of heart, respiratory system, a liver and kidneys, pregnancy, feeding.
The advantage of such procedure is such that the effect is reached for once.
Minus: Operation is enough traumatically. Possible consequences of such procedure is occurrence of rasping inspissations (fibrosis), pigmentation occurrence. The general narcosis. And it is also not cheap.
Endoscopic sympathectomy:
What is it? The cut is not present; through a small aperture under a skin enter a tube with "eye" on the extremity. The surgeon sees, where its instruments (it are entered through others small apertures) move ahead. When it finds a nerve ganglion clings on it a special clip which blocks its work.
At what kind of a hyperhidrosis it is applied? At axillary and palmar.
Efficiency reaches 95—98 %. The effect remains 3-4 years.
Contraindications: The same, as at traditional operation.
Advantage: Operation is less traumatically. After a traditional sympathectomy the patient should spend week to beds, after an endoscopic sympathectomy the patient can be written out from a hospital in day of operation.
Disadvantage: Quite often there is a compensatory intensifying of a sweating in other places — on a stomach, a breast, back. At poor-quality carrying out of operation hematomas and a puncture of a pleural cavity (a cavity in which there are lungs) are possible. The general narcosis.
Treatment is also expensive.
Sweating is normal when:
— After hot meal
— After the use acute
— After plentiful drink
— At strong stress
— Against a drug intake
— After active playing sports
... Illnes:
— At immunity depression
— At a tuberculosis
— At tumours
it is necessary to approach to a hyperhidrosis treatment in a complex. After all methods which offer in clinics, are frequently referred on consequence treatment, instead of the reasons. And if the reason of the raised sweating is a vegetal-vascular dystonia the most part of techniques will not bring desirable effect without psychotherapy sessions and if the reason is some other illness so the consultation of the endocrinologist is necessary. As to a choice of techniques I would not never recommend operative treatment of this problem if the problem of sweating is not that much big. Any way don’t be afraid of this and first of all pass the examination with doctor before making any decisions of what to do wit the excessive sweating.
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