Sweating - the most important function of the skin. Mingling with secret
sebaceous glands, sweat forms a thin protective layer on the skin surface.
Sweating is also one of the most important ways
thermoregulation of the body. The maximum intensity of perspiration from
a person may be 3.5-4 liters per hour for several hours
and eventually reach 14 liters a day.
In addition to thermoregulation, when healthy organism is isolated
psychogenic (emotional) and food sweating. psychogenic
It occurs when an emotional or mental strain and is not related to
the need to cool the body. This increased sweating
may have a different intensity over the entire surface amplified
body and in limited areas, especially on the palms and soles.
Food sweating observed when eating any temperature,
enhanced by the use of sharp and rich in extractive substances
food, alcohol. Sweat facilitates work of kidneys, the body with him
exempt from a number of harmful products of metabolism.
Sweating is carried out by sweat glands. Their total number of
in humans -. about 2 million At 1 cm2 palms or soles is located
about 430 sweat glands, while the remaining areas - from 64 to 200.
Known and apocrine sweat glands ekkrinnye. apocrine located
axillary and anal areas, perineum, peripapillary zone
breast, wings of the nose, eyelids, in the outer ear canal.
They do not take a significant part in thermoregulation and react in
primarily to stress. Functioning of apocrine glands
accompanied by destruction of secretory cells, therefore sweat odorous and
viscous. Apocrine glands begin to function during sex
maturation in old age their activity gradually weakened.
Ekkrinnye glands are located everywhere except the head and the foreskin
penis, red border. Isolation is not the secret of these glands
accompanied by destruction of secretory cells.
The composition of sweat are: up to 99% water; about 1% inorganic
(Sodium chloride, calcium, sulfates, phosphates, iron, zinc, cobalt,
tin, magnesium, copper, etc.) and organic (urea, uric and lactic
acid, amino acids, creatinine) substances. Sweat glands attached ekkrinnyh
skin surface acidic (pH 3,8-5,6) and apocrine sweat glands
It has a neutral reaction.
Increased sweating (hyperhidrosis) is one of the symptoms
some diseases of the nervous system, internal organs and has in those
cases of secondary importance. But sometimes sweating disorders
so pronounced that dominate the clinical picture and lead to
the emergence of emotional and behavioral disorders, and disruption of the social
The condition is a normal physiological sweating
skin, blood vessels, endocrine glands. lesions of these
bodies can cause sweating disorder. So, hyperhidrosis
usually accompanies diabetes, infectious diseases,
febrile illness, obesity, certain cardiovascular
disease, pain. Physiological hyperhidrosis occurs when
excess weight before and during menstruation, during menopause, to
end of pregnancy.
Often there is a hyperhidrosis of feet and armpits (result
violation of local heat transfer), aided by uncomfortable shoes,
flat, tight and poorly conductive warm clothes, an increase
temperature and humidity of the environment. desudation
often accompanied by the smell of sweat, more common in young men,
and young women are sometimes associated with menstrual irregularities.
It is believed that bad smell due to the presence in the composition of sweat
Some amino acids (leucine, tyrosine), fatty acids, products
bacterial decomposition of sweat. Increased sweating armpits
is hereditary, it occurs in both sexes, but
mainly in men at a young age, rarely - in the older, and do not
observed in children. It is believed that excessive sweating is associated with
ekkrinnyh increased activity of the sweat glands, the number of which
each axilla reaches 25 thousand.
Emotionally difficult tolerated excessive sweating
palms and soles - akrogidroz. When sweating palms always clearly
expressed emotional and age factors. Excessive akrogidroz
observed in patients suffering from neurosis, alcoholism, polyneuropathy, and others.
Hyperhidrosis contributes to the development of skin diseases - especially
fungal lesions stop. Hyperhidrosis of the hands and feet followed by
a number of congenital or hereditary diseases.
Treatment of patients with excessive sweating
Treatment of patients with excessive sweating - a complex process, and rarely
which leads to the complete emancipation of the disease. The main thing - to identify and
eliminate the causes of hyperhidrosis. General treatment is usually
appoint the expressed manifestations resistant to topical therapy, and
is the appointment of sedatives (drugs valerian,
motherwort, bromides, medicine spondylitis), tranquilizers and others.
Use products that contain atropine and papaverine (powders appoint
one 2 weeks 3 times daily). Effective Belloidum (his
appoint 1 tablet 3 times a day, for a long time). When hyperhidrosis
arising on a background of emotional disorders, a good effect is given
tranquilizers. Of the other assets into use calcium supplements,
rutin, vitamins A, E, B6, B15, sage tea (0.5 cups 2 times
With moderate hyperhidrosis commonly prescribed topical treatment.
Local media are divided into deodorants and antiperspirants. first
inhibit decomposition of sweat and mask the odor by using perfume
additives. The means of the second group inhibit sweat gland function.
in large quantities produced Deodorants perfume
industry. The presence in them of various antimicrobial
components, perfume additives and adjuvants sometimes
It leads to the development of dermatitis (especially in people with allergies).
For the treatment of hyperhidrosis, dermatologists used primarily
antiperspirants. These include: formaldehyde; aluminum salts, zinc
lead, chromium, bismuth; salicylic acid; Ethyl alcohol and other.
Antiperspirants are used in a variety of dosage forms: powder
(Powder) for dusting the feet, other areas of the skin, solution, broth
infusion and for wiping and bath gel, ointment.
The most effective drugs for the local treatment of
hyperhidrosis are ready to drugs containing
Formalin - Solution containing about 35% formaldehyde. apply
0.5 teaspoon to 2 cups of water for washing the feet. The disadvantage
the drug is that careless handling of concentrated
solution can cause burns and poisoning. Formalin is released on
a doctor's prescription.
1% alcoholic solution of formalin is used for wiping feet.
Formidron contains formaldehyde, ethanol, water and colognes.
A cotton swab dipped Formidron, for 2-4 weeks
a wipe interdigital folds and soles, taking breaks every
7-day treatment. Disadvantage - a big expense for application preparation
on the skin of the feet. Furthermore, evaporation of formaldehyde with ethanol
leads to unpleasant feelings (the pungent smell, irritation of the mucous membranes
Pasta Teymurova applied 2 times a day on the skin of the feet after washing.
Disadvantage - toothpaste stain bedding and socks, bad
satisfied with this content.
Formagel - Medication (gel), long-acting, containing 3.7%
formaldehyde. Applied thinly to the skin with enhanced
sweating (armpits, soles and interdigital spaces,
palm) after washing with warm soapy water and thoroughly drying
towel. The product dries quickly, forming a thin, colorless
film. After 30-40 minutes, the film is washed off with warm water and thoroughly skin
dried. One procedure is enough to reduce the sweating of the skin
for 7-12 days. After reducing the effect of the procedure is repeated, with sharply
severe sweating it spend 2-3 days in a row. Long
use of the drug leads to dryness. The drug is not shown
inflammatory diseases of the skin immediately after shaving or
removing hair in another way in the axillary region. Contraindications
is increased and individual sensitivity to
formalinsoderzhaschim connections. The preparation is easy to apply, not
has a strong odor, does not leave stains on the bedding and
clothes. Formagel sold without a prescription inexpensive.
From physical therapy for the treatment of hyperhidrosis of feet
appointed iontophoresis, general and local ultraviolet irradiation, UHF,
shower, Bucca rays.