多汗症:问题与解决方案

Q4 Medicine Vestnik dermatologii i venerologii Pub Date : 2024-02-09 DOI:10.25208/vdv11878
S. Petrova, V. Albanova, K. S. Guzev
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引用次数: 0

摘要

出汗的功能作用不仅限于体温调节和排泄。它还有其他功能,如增强和维持皮肤的水合作用和屏障功能。出汗过多会导致许多皮肤病的恶化或诱发这些疾病,还会因衣服潮湿或伴随难闻的气味而给人造成心理上的不适。原发性多汗症可能是一种常染色体显性遗传病。继发性多汗症通常是全身性多汗症,通常与药物对身体的影响或全身性疾病有关。治疗多汗症的方法有以下几种:1.阻断汗液向皮肤表面的释放(铝盐和甲醛);2.物理疗法(离子透入疗法);3.破坏汗腺并停止汗液分泌(切除皮下脂肪皮瓣、刮除术、微波技术等);4.终止信号传导。4. 终止中枢神经系统向汗腺发出的信号(经胸内窥镜交感神经切除术、经皮射频交感神经切除术、肉毒毒素注射、全身用抗胆碱能药物)。治疗多汗症的外用药包括含有 3.7% 甲醛的俄罗斯药物 Formagel。这种药物是一种非侵入性、易于操作、有效、安全的治疗多汗症的方法。
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Hyperhidrosis: problems and solutions
The functional role of sweating is not limited only to thermoregulation and excretion. There are other functions of it the ability to enhance and maintain hydration and barrier function of the skin. Excessive sweating can lead to an exacerbation or cause many skin diseases, form psychological discomfort in a person due to wet clothes or an accompanying unpleasant odor. Primary hyperhidrosis may be an autosomal dominant genetic disease. Secondary, usually generalized hyperhidrosis is often associated with drug effects on the body or a systemic disease. The following approaches are used in the treatment of hyperhidrosis: 1. blocking the release of sweat to the skin surface (aluminum salts and formaldehyde); 2. physiotherapy (iontophoresis); 3. destruction of sweat glands and cessation of sweat production (excision of a skin flap with subcutaneous fat, curettage, microwave technology, etc.); 4. termination of the signal from the central nervous system to the sweat glands (transthoracic endoscopic sympathectomy, percutaneous radiofrequency sympathectomy, botulinum toxin injections, systemic anticholinergic drugs). External remedies for excessive sweating include the Russian drug Formagel, containing 3.7% formaldehyde. This drug is a non-invasive, easily doable, effective, safe method of treating hyperhidrosis.
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
40
审稿时长
8 weeks
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