Hand and Armpit Sweat 'Joule'Hydrosis, possible treatment for depression?
Jul 22, 2024
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Hyperhidrosis refers to the symptoms of excessive sweating in the whole body or local area. It is divided into innate and acquired according to the cause, and congenital hyperhidrosis refers to the case of sweating a lot in a specific area in a healthy state without any special cause. Acquired hyperhidrosis is a case of complications from central to peripheral nerves such as anxiety or depression, diabetes, hyperthyroidism, head damage, etc. This symptom occurs in about 3% of young people, and about 36 to 50% of patients have a family history.
Kim In-kwang, director of Cardiovascular Thoracic Surgery at Gangnam Nanuri Hospital, said "The number of patients visiting the hospital due to hyperhidrosis has continued to increase since June due to the early onset of the summer heat."There are also various age groups from teens to 40s. Patients complain of difficulties arising from social relationships caused by hyperhidrosis, such as employment, school, and home."
Kim, a man in his 30s who works as a salesperson, often shakes hands with customers due to the nature of his job. However, as my hands became soggy and sweat increased due to hyperhidrosis, I hesitated to shake hands. Kim gradually changed to a passive tendency and had difficulty building trust in customers. Recently, the company has even received a bad evaluation.
Park, who became a high school student this year, also suffered from hyperhidrosis, in which his armpits and palms were sweaty. My hands sweat during class, making it difficult to take notes, and when I share a book with my friends, I hesitate because I fear that the book will get wet. It is difficult not only to study but also to form relationships with friends.
As such, hyperhidrosis is a disease that is conscious not only of the patient's own discomfort but also of the eyes of those around him. If the symptoms worsen, it can lead to interpersonal avoidance or depression, which is why treatment is necessary.
Kim In-kwang, director of cardiovascular thoracic surgery at Gangnam Nanuri Hospital, said "Many patients often endure symptoms and come to the hospital. "Since hyperhidrosis often turns depressed and passive, rapid treatment through consultation with a specialist is necessary."
Non-surgical treatment for hyperhidrosis includes topically applying medication, medication (anticholinergic drugs and sedatives), and Botox injection treatment. However, this method has a limitation in that it recurs if the drug prescription is stopped or the procedure is stopped.
Surgical treatment is performed with sympathetic nephrectomy using thoracoscopic endoscopy.
Major General Kim In-kwang said'"Thoracoscopic sympathetic neurospectomy has few surgical wounds and can be discharged on the day of surgery, so it is advantageous to return to daily life quickly."The surgical site is mainly performed for the treatment of local hyperhidrosis such as face, hands, soles of feet, and armpits. The duration of the effect is also permanent, so it applies a lot to patients who have failed other treatments."
Regarding 'compensated hyperhidrosis', in which excessive sweat occurs in areas other than the area where you sweat after surgery "Unlike in the past, sympathetic nerves No. 5 and No. 6 are also resected to minimize compensated hyperhidrosis. Patients with hyperhidrosis are very satisfied with the changes that occurred after surgery, he said, dismissing some concerns.
Hyperhidrosis should be checked for personal hygiene and maintained proper weight management through exercise even after surgical treatment. In addition, people should eat less food that stimulates sympathetic nerves such as spicy food and refrain from smoking.
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