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Secondary generalized hyperdrosis

The reasons of secondary generalized hyperdrosis are the following conditions:

• endocrine disturbances:

• a hyperthyroidism;

• a diabetes;

• a climacteric syndrome;

• a pheochromocytoma;

• a carcinoid syndrome – superfluous coming in a blood of a serotonin, metastasizing in a liver;

• an acromegalia;

• infectious diseases:
• a tuberculosis;

• a brucellosis;

• a malaria;

• oncologic diseases:

• a lymphogranulomatosis;

• malignant lymphoma;

• genetic disturbances:

• family vegetative dysfunction that is a hyper salivation, generalized hyperdrosis, mental lability, lowered painful sensitivity;

• the use of the medical products possessing cholinergic effect;

• an alcoholic or narcotic abstinent syndrome;

• a poisoning phosphor substances, fly-agarics.

Hyperdrosis treatment:

At treatment ofsecondary hyperdrosis it is necessary to influence the reason which has caused it first of all. Often therapy of a basic disease promotes retrogress of treatment methods of idiopathic hyperdrosis and it is possible to part on two groups: conservative and surgical.

Surgical methods of treatment:

Operative measures at hyperdrosis:

A remote method is surgical interventions on the sites which have been kept away from a place of the raised diaphoresis. The sympathectomyis among such methods. The method consists in crossing of a sympathetic trunk at certain level. As a rule, the sympathectomy is carried out at palmar hyperdrosis, it is ineffective at hyperdrosis of axillas and is no effective at hyperdrosis of feet. The lumbar sympathectomy causes an impotency in men.

There are three kinds of a sympathectomy:

• endoscopic – the optimal way from all operative measures concerning hyperdrosis;

• opened – it is characteristic traumatical access, the long period of the after treatment, the expressed postoperative cicatrixes;

• in skin method – it is carried out without visual control of the surgeon that becomes complicated frequent “misses”.

Local, or surgical interventions are applied only to treatment of axillary hyperdrosis and to it concerns:

• a liposuction of an axillary hollow – high cost of procedure and doubtful efficiency;

• a curettage of an axillary hollow – it is dangerous, as a bleeding and formation of hematomas can be seen, besides in some years after performance of curettage the sweating can be restored in connection with possible germination of the nervous terminations and sweat glands;

• excising of an axillary zone – excision of a site of a skin on which the great bulk settles down of sweat glands. It is enough traumatically operation which because of cicatrical changes can limit subsequently volume of movements.

The choice of a method of treatment of the patient with the raised sweating depends on concrete diseases, awareness of the doctor concerning modern methods of therapy and also on wishes of the patient. However the doctor should know about complications and traumatism of surgical methods and in cases, when the clinical situation allows preferring conservative therapy, in which arsenal – highly effective, safe and convenient agents of application.

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Conservative methods of treatment:

Radial therapy: the given method has special historical value. Application of radial therapy is unreasonable owing to the expressed by-effects: inflammatory processes in a skin, destruction of sweat glands and hair follicles, development of malignant neoplasms.

Psychotherapy: the given method isn’t capable to solve problem of the raised sweating as that, but helps to change the relation to it and to take out the expressed psychological problems. Besides the psychotherapy promotes control of emotions which often are at the bottom of the raised diaphoresis.

Medicament therapy: specific medicament methods of treatment of hyperdrosis don’t exist. Appointment of sedative preparations and tranquilizers ineffectively and also is always accompanied by development of the expressed by-effects at their long application. The preparations reducing activity of nervous fibers (atropine and its derivatives), besides the core actions cause the expressed dryness in a mouth, giddiness and consciousness disturbance.

Modern “fashionable” agent of medicament treatment is injections of botulotoxin of Botox type which blocks the nervous terminations of sweat glands. The method is expensive and procedure is necessary for repeating constantly (preparation action lasts nearby from four to eight months).

Local treatment and physiotherapy:

There are methods of treatment which efficiency reaches 90 %, they don’t demand an operative measure, aren’t expensive, and they can be used in house conditions. “Odaban” and “Maxim”, and also portable physiotherapeutic apparatus come to a question about antiperspirants.

Also there is an apparatus that was developed by the American scientists, the principle of its action is based on an ionophoresis. Under the influence of a weak electric current on a skin there is an activity suppression of sweat glands and appreciable reduction of a diaphoresis by the period to 4-6 weeks.

There are two kinds of apparatus for palms/feet and axillary hollows.

To local therapy carries also application of antiprespirants. Unlike deodorants they stop diaphoresis process: sweat continues to be developed, but do not get to a skin surface. Similar action causes a part of antiperspirants of organic bonds of aluminum. It is impossible to use antiperspirants in the situations accompanied by a plentiful diaphoresis (appreciable exercise stresses, a strong nervous shock and etc.), as sweat, without leaving on a skin surface, can cause an edema of an axillary hollow. Therefore in such extreme cases it is better to use deodorants.

“Odaban” antiperspirant that was manufactured in Great Britain is an effective agent of night action on a spirituous basis. Since 1971 it is recognized by one of the most powerful agents for elimination of a diaphoresis and is widely used in Great Britain, and all over the world. It is safe, reliable, effective and a universal remedy which is applied for treatments of all kinds of an excessive diaphoresis.

It eliminates such by-effects, as an unpleasant smell (feet, axillas), attritions and grazes (arms, feet). The active ingredient of “Odaban” doesn’t block work of sweat glands; the effect of dryness is based on “closing” of skin pores by the “caps” formed at interaction of Sodium chloride of aluminum and dermal fiber. Insolubility of it formations in water guarantees total absence of absorptions of aluminum by an organism that makes “Odaban” safe at long application and allows to use it in pregnancy.

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Traditionally, credit card payments are accepted by businesses that have a Point Of Sale or POS terminal or credit card terminal which is installed permanently in the store or business location; the customers credit cards are swiped through said machines in order to complete a sale transaction. This kind of set up is alright for the typical stationary business but not so much for the kinds of businesses that need to go to their customers locations like car transport services, home repair, plumbing etc., which makes it important for these businesses to invest in a portable or wireless Credit Card Reader. Without these portable POS terminals, businesses can run in through a lot of problems. Read the full story