Cold hands and feet

 (Figure)
● abnormal hands and feet hyperhidrosis is a disease, is caused by the hand, foot and sympathetic sweat hyperkinetic abnormal heating can occur regardless of the season

● Hand, Foot and hyperhidrosis is not a low incidence of in the domestic conservative estimate that about two thousand people will be affected by problems plagued the words on the severity of the disease a significant impact on work and learning

● applicator and use of local medicines hands and feet only a temporary solution, If the disease seriously affect the work, you can consider doing surgery

after the winter continued cold weather in Guangzhou, but even in this cold season, some people are still constantly sweating hands and feet , worse, while in the hands and feet sweating, or cold. This



In fact, this particular situation is a typical example of hand-foot hyperhidrosis, patients showed local sweating hands and feet, which occurred regardless of season, even if the same is true in the cold winter . Most of the patients with hand, foot sweat is cold, sweating in the winter fast heat dissipation, but also easily lead to frostbite. Liwan Hospital of Guangzhou Medical College, Director of Thoracic and Vascular Surgery, the doctor suggested the same LIAN Wei, deputy director, hand, foot sweating severely affected if the work and study, surgery may be considered acceptable.

text / correspondent Reporter Lu Wenjie Ouyang spike

medical guidance / Liwan Hospital of Guangzhou Medical College, Director of Thoracic and Vascular Surgery, deputy chief physician with LIAN Wei

case

< p> a grip steering wheel, hand on the old slip

18-year-old Arab-Israeli Army from primary school onwards found their own hands sweat a lot, but has little impact on health, there is no treatment. A military college after reading to work in a factory, in the locomotive operator. Then trouble came, A regular army attacks the hands and feet sweating, especially in the power car, drops of sweat hand smoke, one hand holding the steering wheel to slip, nearly causing several accidents. A military factory to see the situation, had to be removed from his post. A military is very worried, go to the hospital dermatology doctor, opened a topical ointment, but a withdrawal right hand sweating. To go in medicine, taking away some of atropine, but it is also wrong for a withdrawal has emerged.

with LIAN Wei introduced, in fact, people who sweat a lot of hands and feet in a hurry, a forced uncontrolled when your hands get sweaty. Because the hand is always wet, sweaty hands and feet of people and the people most reluctant to hand, and sometimes even social occasions, shaking hands is a problem. Some of the students homework, exam paper will do a hand dripping sweat, and the operating instruments were more highly detailed hands and feet sweat of torture.

cause

sympathetic hyperkinetic

sweating is the body temperature regulation means, when the temperature is high or who feel nervous and felt the pressure of time, the natural sweating a little more. But if the sweat to regulate body temperature exceeds the amount needed to belong to sweat out. LIAN Wei said that with the hands and feet, Hyperhidrosis is caused by the sympathetic nervous hyperkinetic abnormal palms sweat. Soon there was born in general the performance of elementary school children found that parents in general. Light in the hand, foot and heavy sweating can be divided into three levels, mild symptoms of the hands and feet damp, slightly sweated and moderate symptoms of hand-out of sweat, a sparkling glance that, to the severe sweating, with A wet paper towel to wipe tissue.

hand, foot and there is more Hyperhidrosis and climate, seasons and outside temperature, emotional changes, intense activity and many other factors. Person or a large amount of exercise stress, the symptoms was especially apparent. Generally speaking, hands and feet sweating in the summer when the symptoms of high temperature is more important, to the cold season relatively mild illness. But it is worth noting that patients in the winter will be the hands and feet still sweat, but also in the hands and feet will be cold sweat at the same time. This is because the sympathetic nerve function in the human body when excited, the relative inhibition of the parasympathetic nervous, vascular contraction in the light, so the hands and feet to get cold. In addition, because the heat will be distributed when the hand sweating, then relatively easy to frostbite.

hand, foot and hyperhidrosis are common, with LIAN Wei said that in China the estimated incidence rate of one thousandth of a conservative to the two. This reporter learned that, in Taiwan, 10 to 30-year-olds in the incidence of about 0.3%, or about three hundred young people, there is a fairly obvious foot suffers from hyperhidrosis, men and women is possible. Because of the specificity of race, young people grow in subtropical regions are particularly vulnerable to this disease.

treatment

drug treatment can not cure

hands and feet sweat no great prejudice to health, but severely affect work, study and daily social life. Many people can not properly written, can not operate a computer, can not shake hands with others, ashamed to make the object, so that patients with abnormal distress and even lead to psychological disorder.

However, the hand, foot and medical treatment of hyperhidrosis is not likely to receive good effect. With LIAN Wei said that the current medications are only a temporary basic, but can not make corrections for the cause, so a withdrawal is easy to relapse. For example, some people go to open topical dermatological medicine, hand creams have, indeed, control of the hands sweat, but short period of time effective to die after drug withdrawal, but also often applied very convenient. In addition, some oral drugs inhibit the sympathetic nervous system, such as atropine, the effect is good, but one side effect is dry mouth or gastrointestinal disorders, people can not long-term use.

with LIAN Wei suggested that if the patient's condition are comparatively light, can be symptoms of the disease when the topical or oral medication significantly. However, if the condition is too serious, have caused work can not continue to consider choosing surgery.

surgical removal of sympathetic ganglia

with LIAN Wei said the surgery to deal with excessive sweating of hands and feet is too much excitement in the sympathetic ganglion resection. Sympathetic chain of human armpit first section is to control the 2,3-hand sweat glands, and to cut off the two sections, can inhibit the discharge of hand sweat. Approach is VATS in all patients with bilateral axillary less than 1.5cm to open a small hole through the hole into the thoracic cavity mirror, and then the TV will be under the surveillance of ganglion blown. Process is generally 30 minutes, patients were discharged 4 to 5 days, most patients the symptoms disappeared immediately.

work, and general medical treatment of patients with less than good results. If the symptoms are mild and do not need surgery.

the same time, surgery has some side effects after surgery because of the hand sweat glands do not function, few people may be compensatory sweating, chest and back of the sweat from the site emerge. In addition, human sweat contains fat, the skin elasticity and moisture play a role. If the hand is no longer sweating, the skin of the hand is easy to dry, chapped, then need to use hand cream or medical glycerin to hydrate hands.

In addition, if you want to sweat through surgery to solve the problem of the hands and feet, but also the first to distinguish between their hands and feet hyperhidrosis is caused by the sympathetic nervous excitement, or other diseases caused by. LIAN Wei introduced with some diseases such as hyperthyroidism, endocrine diseases, mental disorders and so may lead to increased hand sweating, problem-solving need to be treated for primary disease.