Why do people sweat when they are excited, what is the reason for excessive sweating? What to do in such a situation. Sweating, as a natural function of the body, is inherent in any person. With its help, heat exchange processes are regulated, slags and toxins are removed. increases markedly in hot weather or with additional physical activity, which is associated with physiology.
But there are situations when a person literally in a moment is covered with sweat. This happens when faced with danger, a sharp expression of positive and negative emotions, strong excitement. In order for increased sweating not to cause discomfort in such situations, you need to know the causes of its occurrence, be able to control the state of your body, and, if necessary, carry out the correct treatment.
In cases where it is caused by violent emotions, whether they are negative or positive, we must talk about emotional hyperhidrosis. Especially often this condition is observed in people who are naturally emotional and quickly excited, of course, in the absence of serious diseases that affect sweating. Moreover, both separate parts, for example, armpits, feet, face, palms, and the entire surface of the body, can be covered with moisture. The impact of a stressful situation can be instantaneous, for example, with fright, and long-term, with constant turmoil at home or at work.
In the modern world, stress and emotional excitement lie in wait for a person at every turn. At work - a serious conversation with the boss, at home - a quarrel with his wife due to a constant lack of money or other domestic problems, on the roads - a meeting with unpredictable 
drivers. All life presents a series of stresses and dangers, hence the problems with profuse sweating. In people with a weak psyche, the very thought of a stressful situation often causes streams of sweat.
The cause of increased sweating during excitement lies in the disruption of the sympathetic nerve, which is part of the autonomic nervous system. It is he who controls the processes that are not amenable to awareness. After all, a person cannot spontaneously increase the tone of blood vessels or the size of the pupils. The process of sweating is not affected.
What exactly causes a sharp increase in the amount of sweat released during excitement is not fully understood in some people. But the most common version is that adrenaline, which is released into the blood in large quantities during stress, accelerates the work of the sweat glands. If a person has an increased sensitivity of the glands to adrenaline, then when he is worried, he will instantly sweat. According to another theory, it is considered that the origins of the problem lie in the inheritance of dysfunction of certain parts of the brain responsible for sweating.
Some people sweat in normal interactions, in perfectly normal situations. It happens in the following way. Starting to communicate, a person is worried. The impulses of the nervous system are transmitted to the sweat glands and they begin to intensively produce sweat in response to a stressful situation.
A person feels that his body, especially the areas of the armpits, palms and face, 
covered with sweat. Moisture appears abundantly in areas visible to the interlocutor, and after a while an unpleasant odor appears. All this leads to the fact that a person begins to worry even more and, accordingly,. It turns out a cyclic process that becomes impossible to break.
Usually, when communicating, people sweat with a sensitive nervous system, shy, insecure, with a load of complexes that appeared in childhood. Increased sweating during communication interferes with arranging a personal life, getting a good job. Therefore, it is necessary to take measures as soon as possible to reduce sweating during stress and communication.
To cope with flushes of sweat during an unforeseen situation, excitement or unpleasant communication, a person must first learn to control his mental and emotional state. Psychiatrists have developed new techniques that affect the human psyche and help to adapt to real life conditions.
Here are the remedies and methods of treatment for emotional hyperhidrosis offered by medicine, depending on the severity of the disease.
Calming drugs are used to stabilize the nervous system. In the initial stages of the disease, you can limit yourself to tinctures from herbs, for example, motherwort, 
mints, valerian. With a more serious development of the disease, the doctor will prescribe sedatives and tranquilizers at his discretion.
Medication treatment will be appropriate if sweating occurs as a result of emotional arousal, or hyperhidrosis itself is the primary source of mental problems. Calming drugs will help the nervous system to react more calmly to the situation and cope with stress. In severe cases, the doctor may prescribe anticholinergic drugs such as propanteline, glycopyrrolate, atropine, klonopin, Prozac, which slow down the production of sweat.
The use of antiperspirants is the simplest and most affordable way to reduce sweating. Of course, it is impossible to get rid of hyperhidrosis with the help of antiperspirants, but it is quite possible to reduce the amount of moisture released and eliminate the unpleasant odor. 
really.
The action of the antiperspirant provides aluminum chloride, which is part of the drug. It penetrates the sweat ducts and, by forming safe chemical compounds inside the tubules, makes them narrower. Due to this, sweating is drastically reduced.
There are many antiperspirants, different in smell, form of delivery, concentration of the active substance. Some of them work throughout the day, others are able to protect against sweat for more than 5 days.
Significantly reduce sweating will help or Desport. The active substance in these preparations is the paralytic poison botulinum toxin, used in 
minimum doses. When the agent enters the muscle fibers, the poison paralyzes, and the release of sweat in this area of \u200b\u200bthe body temporarily stops. After 4-8 months, the nerve endings are completely restored, and the person begins to sweat again.
The disadvantages of this method of dealing with hyperhidrosis is that the procedure is quite expensive in cost and requires repetition after a few months. In addition, if botulinum toxin is administered frequently, the body adapts to this poison, like any other, and the effectiveness of the drug decreases.
With the help of psychotherapy, it is impossible to completely cope with hyperhidrosis, but this type of treatment will help change the attitude towards the disease, increase resistance to stress, and raise self-esteem. To stop worrying about trifles, to strengthen the nervous system, it is necessary to apply various methods for psychological relief: think more about something pleasant, go in for sports or dance, listen to music. It is necessary to consult an experienced specialist in psychotherapy, which will help break the vicious circle.
Many people know firsthand such a rather unpleasant phenomenon as hyperhidrosis, or, in a more accessible language, excessive sweating. Sometimes this is due to the individual characteristics of physiology: in different people, the sweat glands work differently, and not only the abundance of secretions is different, but even the smell of sweat itself. In addition, a connection has been established for certain with the internal state of a person with the activity of his sweat glands: when a person is worried, worries, his body experiences a certain stress, his sweating intensifies. If you have ever wondered “why am I sweating so much”, our article will help you deal with this problem.
Most people with excessive sweating are not so much concerned with excessive sweating as with the fact that this process is accompanied by an unpleasant and pungent odor. Sweating increases during moments of irritation, unpleasant conversations, stress and even minimal physical exertion. In such cases, the appearance of the smell of sweat is sometimes simply infuriating.
The reason for the appearance of the smell is the body's reaction to stress, when, along with sweat, the release of lipid secretion begins, which is a favorable environment in which bacteria multiply. It is these bacteria that are the source of this smell.
Trying to get rid of the unpleasant odor is a must. Moreover, many note that the usual hygiene procedures in the form of a shower, a bath or a bath are often not enough. It is necessary to take a shower daily, and with excessive sweating, you should additionally use scented wet wipes in between hygiene sessions.
First of all, you should try to get rid of the complexes associated with this problem. Remember that you are not the only person suffering from this disease. By taking the right steps, you can deal with this:
The desire to completely get rid of sweating is considered by experts to be meaningless, since this is the same natural process for a living organism as, for example, breathing. You just need to try to minimize its consequences.
Sweating is an absolutely normal and physiological process that accompanies every healthy person. However, most people manage to suppress the main signs of sweating by observing the rules of hygiene, the selection of good cosmetic products. However, there are times when the armpits sweat so much that it brings serious discomfort to the person. This becomes a big aesthetic problem. Today we will talk about the causes of excessive sweating, consider the rules of sufficient hygiene and learn many secrets on how to deal with wet armpits.
Moderate perspiration accompanies every person. But in what cases does a person sweat especially strongly?
The pores through which sweat is released are located throughout the body. However, their greatest concentration is located in the armpits, palms and feet. That is why these areas of the body are most affected by moisture. We will tell you about simple hygiene rules that will help you suppress active sweating.
If with the advent of summer, increased sweating in the armpits makes you blush in front of others, try using our recommendations.
These simple tips will help you cope with excessive sweating, if it is caused by external factors. If the reasons lie inside the body, you can try to use safe and effective remedies that are sold in pharmacies.
These are popular pharmaceutical preparations that disinfect, deodorize and suppress the activity of the sweat glands. The most popular remedy is Teymurov's paste. It contains boric acid, zinc oxide, salicylic acid, lead acetate, formaldehyde solution and many other substances that actively cope with excessive sweating. The paste should be applied to clean and dried underarm skin. Prolonged and frequent use of the paste can lead to individual intolerance to the remedy, which is expressed in a rash and headache.
Another effective remedy for sweating is Lassar paste. It has a disinfecting and drying effect. You can use Formagel, which acts specifically on the sweat glands and suppresses their activity. Formidron works very well against sweating. It is applied to the skin of the armpits with a thin indelible layer, due to which the activity of the sebaceous glands is suppressed. Galmanin powder is also very effective. It contains salicylic acid, talc, starch. It not only deodorizes and dries, but also prevents the formation of prickly heat and various rashes. However, remember that any remedy must be used strictly according to the instructions, without exceeding the allowable doses and the period of use.
If you constantly think about moving your hands so that wet spots do not open up to others, if wet armpits do not allow you to live normally, you can get rid of them with the help of improvised means and folk recipes.
Use these recipes, they are not only effective, but also safe. In addition, the cost of such "drugs" is very low, you probably already have the ingredients for some recipes at home.
If all of the above tips do not help you get rid of excessive sweating, you should consult a doctor. Perhaps hyperhidrosis is caused by a disease or a malfunction in the body. If the cause is treated, the symptom (active sweating) will go away with the disease.
However, it happens that after a thorough examination, no pathological conditions are detected. In this case, the doctor does not associate hyperhidrosis with any diagnosis and concludes that this is an individual feature of the body. But in this case, you can find a way out. You can get Botox injections under the armpits. They block the sweat glands and you just stop sweating in this area. You can use a medical operation, during which the nerve nodes that feed the sweat glands are destroyed. Due to this, they stop receiving a signal from the body and do not secrete a secret. Another popular procedure is Curettage. During such a medical intervention, the sweat glands are simply removed. That is, no glands, no sweat. However, the effect is not permanent - after a few years, sweating is restored and the operation must be repeated.
Sweating is a vague concept that can be both a physiological norm and a symptom of a serious illness. In each individual case, the doctor must understand. If you're suffering from underarm sweating that you can't manage on your own, see a therapist. In the future, he can send you to narrow specialists - a gynecologist, endocrinologist, cardiologist, etc. Watch your body, respond to its signals in order to maintain health for many years.
Many people know such an unpleasant phenomenon as profuse sweating during stress. Why does this happen and how to stop sweating when excited? First you need to find out the cause of this unpleasant condition, and until that moment, if possible, avoid stressful situations that cause great excitement. If you cannot solve the problem on your own, you need to seek medical help.
Emotional hyperhidrosis is observed in people who suffer from profuse sweating during periods of strong emotions - both positive and negative. Most often this applies to people who are emotional and easily excited, while sweat can appear on any part of the body, but most often it is:
Sweating can be short-term, for example, at the moment of a strong fright, or long-term, if the situation around the person is constantly tense.
To the question of why, specifically, under stress or tension, a person begins to sweat a lot, there is no unambiguous answer. In most cases, adrenaline, which is released into the blood in large quantities during severe stress, helps to speed up the work of the sweat glands. The cause may also be dysfunction of some parts of the brain that are responsible for sweating.
Sometimes people start to sweat in completely harmless situations or during communication. At the same time, a person begins to experience excitement, as a result of which the impulses of the nervous system are transmitted to the sweat glands, and they, in turn, intensively produce sweat. The most unpleasant thing is that not only profuse sweat appears, but also an unpleasant smell, which the interlocutor also feels. This causes extreme discomfort and leads to even more sweating.
People who are insecure, shy and with complexes often fall into such an unpleasant situation. Due to excessive sweating, it is difficult for a person to communicate, find a good job and arrange a personal life. If he himself is not able to cope with this problem, close people can help him with this.
To cope with excessive sweating in a stressful situation, first of all, you need to learn how to control your condition, you can’t be nervous over trifles. You can seek the help of a psychiatrist who will help develop a special technique for increasing self-esteem and confronting stressful situations.
If increased sweating comes from the nerves, then the nervous system must be strengthened. You should think about pleasant things more often, do what you love, sports, music or dancing.
But it is impossible to completely get rid of emotional hyperhidrosis in this way. Psychotherapy will only help to become more resistant to nervous tension.
Antiperspirants will help eliminate the symptoms of hyperhidrosis, they will significantly reduce the amount of sweat produced and will temporarily relieve the unpleasant odor. The composition of the preparations includes aluminum chloride, which penetrates the sweat ducts and narrows them, reducing sweating.
Antiperspirants are different in concentration and smell, everyone can easily choose what he likes. Such funds can get rid of the problem for a day and even for several days.
To stabilize the work of the nervous system, you need to seek help from a doctor. He will prescribe the necessary sedatives. If the disease is at an early stage, then you can get by with herbal tinctures:
In later stages, sedatives and tranquilizers will be required. These medicines will help to cope with a stressful situation in which certain parts of the body sweat. In more serious situations, the doctor may also prescribe anticholinergic drugs that slow down the release of sweat. The most common among them:
In some cases, patients may benefit from a Botox or Desport procedure. These are injections, the active substance in them is botulinum toxin - a paralytic poison used in the minimum dose. This method is indispensable if the armpits sweat a lot during excitement. The agent enters the muscle fibers and causes paralysis of the nerve endings of the sweat glands. Under the action of this remedy, perspiration stops in this part of the body for about half a year.
But the procedure is quite expensive, so not everyone can afford it. Moreover, in a few months it will have to be repeated. And after frequent use of this method, the body can adapt to this poison and the desired effect will not occur.
If your palms sweat from excitement, then you can make hand baths daily with the addition of a small amount of potassium permanganate to the water so that the water becomes a pale pink color. It is advisable to always have napkins with you, with which you can wipe your palms before shaking hands or armpits before an important meeting.
You can use another recipe for baths. Dissolve a teaspoon of sea salt in a liter of warm water. Hands in such water must be kept for at least 10 minutes. Instead of salt, one tablespoon of vinegar is added to the water; after the bath, the hands should be dried well and treated with talcum powder. Oak bark also helps in this case, it will take 3 tablespoons per liter of water. The mixture is boiled over low heat for about 5 minutes and cooled. You can keep your hands in this solution for at least 10 minutes.
With strong excitement, the face often sweats. This causes great inconvenience, especially for women, because makeup can suffer. If possible, stressful situations should be avoided, you can take a sedative or drink herbal tea. Mint or lemon balm work well for this.
You can try to wash your face with an infusion of oak bark, which perfectly tightens pores and reduces sweating. A spoonful of chopped bark is poured into a glass of water and boiled over low heat under a lid for about 20 minutes. Then the bark is infused for about half an hour and the face is rubbed with the finished tincture 2 times a day. Instead of oak bark, you can try sage grass.
It is useful to prepare ice cubes from a decoction of chamomile, oak bark or sage. In the morning you need to wipe your face with such a cube and get wet with a napkin. After such regular procedures, the pores on the face narrow and sweating decreases. In addition, this method allows you to harden the skin of the face and tone it.
With excessive sweating, it is advisable to reconsider your diet. It is necessary to reduce the consumption of coffee, cocoa, strong tea and hot chocolate to a minimum. If a woman knows that she is about to have an unpleasant meeting that can cause excitement and profuse sweating on her forehead and temples, a sweat-absorbing forehead bandage can be used. It can be decorative and suitable for the chosen hairstyle.
During stress, proper breathing is also important, it should be deep and calm. We must learn to prevent excitement and try to be as calm as possible. Doing what you love and talking to nice people will help you avoid stressful situations and profuse sweating.
emotional hyperhidrosis- this is a condition in which excessive sweating is caused by strong emotions, and not only negative emotions can cause hyper sweating, but also positive ones (great joy, an overabundance of feelings, admiration). Excessive sweating is usually observed in naturally emotionally excitable people (without the presence of serious health problems) and is a manifestation of a disorder of the autonomic nervous system at different levels. An increase in sweating can have a different intensity, intensify both in limited areas (armpits, palms and feet), and on the entire surface of the body.
It's no secret that emotional stress lies in wait for us literally at every step. Quarreled with his wife - the emotion of anger overwhelms, the boss scolded - the emotion of resentment blooms, the car flashed a step away from you - please, the emotion of fear. Often, even just the thought of some possible stressful situation causes profuse sweating. Given that our entire current life is a series of stresses, one can imagine the problems that arise.
The mechanism of sweating is activated during excitement, nervous tension, fright, physical stress, but normally sweating in a person is adequate and not too plentiful. Unfortunately, to date, the exact causes of dysfunction of the sympathetic nervous system and sweat glands, leading to severe sweating, have not been determined. Abundant abnormal sweating is usually inherent in overly emotional people suffering from vegetative-vascular dystonia, neuroses, as well as women with menstrual irregularities.
Cause of emotional hyperhidrosis.
The reason for the increased level of sweating with different emotions is a violation in the work of a certain part of the autonomic nervous system, namely the sympathetic nerve. It regulates such functions of the body that are not amenable to the conscious control of a person. These include vascular tone, heart rate, pupil size and, of course, sweating.
What exactly causes some people to sweat at the slightest excitement is unknown. According to one of the most popular theories, this is due to the increased sensitivity of the sweat glands to high concentrations of adrenaline, which enters the bloodstream in response to emotional stress. Other experts believe that the basis of emotional hyperhidrosis is hereditary dysfunction of specific vegetative centers of the brain that regulate the sweat glands.
Mechanism of emotional hyperhidrosis.
The sweat glands and the nervous system are responsible for the process of sweating in the human body. The nervous system is a set of organs formed by the nervous tissue that control all the physiological functions and metabolism of the body and communicate with its external environment. The human nervous system is divided into somatic and autonomic. The somatic is responsible for the implementation of functions that we ourselves can control - flexion of the limbs, walking, speech, and the autonomic is responsible for those functions that we cannot control - heartbeat, pulse, and so on. We are interested in the autonomic nervous system, which consists of the sympathetic and parasympathetic. It is the sympathetic nervous system that regulates perspiration.
Sympathetic autonomic nervous system provides the body's response to stress, including controlling the function of sweating, and is the module that prepares the body for stress, it is responsible for the mobilization effect, which is important for stressful situations. In practice, this happens as follows - the center of the sympathetic nervous system, located in the thoracic spinal cord, receiving information from the brain about the presence of a stressful situation, sends signals along the sympathetic nerves to the sweat glands. But before reaching the glands, the signal passes through a series of intermediate formations called ganglia (nodes) that are located along the spine, one on the right and left near each vertebra. From each ganglion, a nerve fiber departs to a certain area of the body. Further, it branches into smaller branches that go directly to the sweat glands and regulate sweating. When the sympathetic nervous system functions excessively, then there is increased sweating of certain areas, in particular, the armpits - at the slightest excitement, the person immediately becomes covered with sweat.
Sweating is normal when we experience strong emotions or stress, regardless of temperature. This type of sweating is often referred to as "cold sweat". Emotions such as fear, anxiety or stress trigger the release of the hormone adrenaline, which in turn starts a whole series of actions in the body, one of which is sweating. Any mental stress, be it anxiety, fear, anger or pain, causes the nervous system to come into a state of readiness for action. Internal regulation systems respond to emotions by increasing heart rate, increasing pressure, and toning muscles. And although we can continue to quietly sit still, the body considers options for “waiting” and at the same time turns on the “emergency” cooling system - it releases sweat.
Nervous tension and hyperhidrosis.
Under normal conditions, in addition to high air temperature, nervous tension can become a provocateur of sweating. We are worried, nervous, worried, frightened - both palms and armpits immediately betray our emotions to others, as well as a pungent smell. Overly emotional people are especially unlucky in this regard - they start sweating instantly, and in general it happens very often, especially armpit sweating. In such people, nerve cells give impulses to the sweat glands, regardless of temperature fluctuations - now they react with instant increased sweating to fear, excitement, confusion, in a word, to any adrenaline rush. The impact of stress can be immediate, but very strong (for example, fear) or long-term (constant conflicts at work, in family life, dissatisfaction with oneself and others).
Diagnosis of emotional hyperhidrosis.
First of all, it is necessary to separate excessive sweating as an independent problem (primary hyperhidrosis) from hyperhidrosis, which is only a consequence of an already present disease (secondary hyperhidrosis). With excessive sweating, people usually go to a doctor who treats skin diseases - a dermatologist.
If excessive sweat production is caused by another disease, then it is necessary to undergo an examination and take tests. Blood must be taken not only for a general analysis, but also for thyroid hormones (their amount in the blood changes with illness). It is also necessary to undergo a fluorography to exclude tuberculosis, because it also gives general sweating.
Be sure to do an electrocardiogram - in acute conditions of the cardiovascular system (myocardial infarction, shock, a sharp decrease in pressure), the person is covered with sweat. In acute poisoning, in addition to sweating, vomiting and diarrhea are present.
When you pass a full examination and it turns out that you have no pathology, except for increased sweat production, then you need to start treating sweating.
Methods for the treatment of emotional hyperhidrosis.
1. Drug treatment.
Since we are talking about emotional hyperhidrosis, sedatives can help in this case. These include both herbal preparations (tincture of valerian, peony, motherwort), as well as more serious sedatives and tranquilizers, which are prescribed by a doctor according to a special prescription. The appointment of medications in this group is advisable if emotions are too high and cause excessive sweating, or hyperhidrosis itself becomes a source of psychological problems. By reducing the excitability of the nervous system, they help to cope with everyday stress as a factor in the occurrence of hyperhidrosis. Medicines that are called anticholinergics (eg, propanteline, glycopyrrolate, atropine, klonopin, Prozac, etc.) prevent the sweat glands in the body from being stimulated. However, the use of these drugs may affect the stimulation of other important structures in the body, causing side effects such as dry mouth, drowsiness, constipation, tachycardia, visual disturbances, etc. Thus, long-term use of such drugs is not recommended for the treatment of hyperhidrosis. The duration of treatment is usually 2-4 weeks. The selection of the correct drug and its dosage should be carried out by a doctor.
2. Aluminum chloride antiperspirants.
The invention of antiperspirants opened a new era in the treatment of excessive sweating. These chemical compounds are based on aluminum chloride (aluminum chloride). It penetrates into the sweat tubules that come from the sweat gland and exit to the surface of the skin. A safe chemical compound is formed inside the tubules, which narrows their lumen. At the same time, perspiration is drastically reduced.
Etiaxil antiperspirant is not cosmetics in the truest sense of the word, like ordinary store-bought antiperspirants and deodorants, but a remedy, because it has a lasting effect. The components of Etiaxil are not absorbed into the general circulation, do not accumulate in cells and do not have a systemic effect on the body, so this antiperspirant is safe for long-term use.
3. Injections of Botox, Dysport.
You can get the desired dry underarms with the help of Botox and Dysport. In this case, the active substance is the paralytic poison botulinum toxin, diluted to negligibly small doses. These doses are sufficient to cause a local pharmacological effect, but they are too small to have a toxic effect on the body as a whole. Like any poison of this category, it acts on the nerve and muscle fibers, blocking them, and temporarily paralyzes the sweat glands. These drugs suppress the release of a special substance - acetylcholine, which transmits commands from the nerve to the sweat gland. Without receiving signals from the nervous system, the sweat glands in the area of action of botulinum toxin stop producing sweat. The procedure is performed on an outpatient basis and takes no more than one hour. The effect is achieved for 4-8 months, and then expensive injections (from $400 to $700 USD) must be repeated. The method has a certain minus also in the fact that over time the injections reduce their effectiveness - the body can develop antibodies to the toxin and it will cease to act. After 3-4 courses, you need to look for something cardinal.
4. Psychotherapeutic method.
Psychotherapy helps with increased sweating that occurs during stress, psychological stress. This method is not able to solve the problem of hyperhidrosis as such, but helps to change the attitude towards it, remove pronounced psychological problems, increase stress resistance, self-esteem and improve the psycho-emotional background. Excitement always leads to increased perspiration. If a person with hyperhidrosis experiences constant excitement, then he will not be able to reduce the amount of sweat released until he stops worrying with or without a reason. In this case, it is necessary to apply various methods of psychological unloading, learn to switch your attention to something pleasant, and exercise regularly. Consultation of an experienced psychotherapist helps to break the vicious circle that is created in the patient: increased sweating causes fear of communicating with people - fear causes increased sweating - increased sweating increases stress.
5. Folk methods.
To prevent excessive sweating, you can use traditional medicine - baths from decoctions of oak, mint, chamomile, succession and other herbs, herbal ointments, all kinds of infusions. Folk methods are natural and economical, but their preparation, as a rule, takes a lot of time, and the course of treatment itself will be months.
6. Surgical treatment of sweating.
In severe cases of emotional hyperhidrosis, when the armpits get too wet at the slightest emotional stress, surgical methods of treatment are used. Such invasive procedures are extreme, can cause side effects (scarring, sweating imbalance) and are usually considered as a last resort. Before choosing any of these procedures, you should consult with your doctor or other medical professional. With all types of local surgical operations, the effect of reducing sweating is due to two factors: the first is that the nerve endings that regulate the function of the sweat glands are torn, and the second is that the glands themselves are destroyed. The first effect is temporary, after a few months or years, due to the regeneration of the nerves, their connection with the sweat glands is restored and sweating resumes. At the same time, the sensitivity in the operation area is also restored. The effect of reducing perspiration achieved by destroying the sweat glands is maintained for life. But sweating does not disappear completely, since it is impossible to destroy all the sweat glands during the operation.
a. Excision of the skin of the armpit:
It is the removal of an area of skin along with sweat glands. This is a rather traumatic operation, characterized by a long rehabilitation period and pronounced cicatricial changes. It is more often used in the presence of concomitant recurrent hidradenitis. May result in limited range of motion in the shoulder joint.
b. Curettage:
It is the removal of sweat glands and nerve endings that come to them "from the inside", from the "back" side of the skin. Through a small incision in the skin, an instrument is inserted under it and its inner surface is mechanically “scraped out”. In this case, the treated area of the skin is completely separated from the subcutaneous fat. Underarm curettage has two main goals - the destruction of nerve endings at the level of subcutaneous tissue and the elimination of sweat glands. Violation of their interaction helps to reduce the volume of sweat secretions, while the number of glands that produce sweat is also significantly reduced. After curettage, the probability of completely getting rid of armpit hyperhidrosis is very high, but there is a possibility of subsequent sprouting of nerves with a connection to the sweat glands and a recurrence of hyperhidrosis.
v. Liposuction:
Liposuction of the axillary zone is quite traumatic - all subcutaneous fat is removed under the armpits with the accompanying destruction of the sympathetic nerves passing through it, which contributes to the destruction of the nerve nodes suitable for the sweat glands and the reduction of sweating. The efficiency of this method reaches 80%. Classical liposuction is a fairly serious operation performed in a hospital and requires preparatory and rehabilitation periods. In addition, armpit liposuction cannot be performed in large volumes in one procedure.
d. Sympathectomy:
Traumatic and painful, in comparison with the rest, the method of getting rid of severe sweating is sympathectomy, which can be reversible and irreversible. In the first case, the nerve responsible for sweating in the desired area is clipped (clamped), and the clip can always be removed. In the second case, the nerve is simply stopped. As a result, there is a blocking of nerve impulses to the sweat glands. The effect of the sympathectomy performed can last a lifetime. Relapses occur in no more than 5% of patients. However, in about half of the patients, compensatory hyperhidrosis of other localizations (trunk, inguinal folds) of varying severity occurs.
Stabilization of the nervous system.
Modern life is full of various emotional stresses, which, under adverse, stressful circumstances, can turn into psychological breakdowns. Stressful situations lead to an overstrain of the nervous system, and then this tension "beats" the body. As a result, hypertension, angina pectoris, neurodermatitis, myocardial infarction, cerebral hemorrhage, gastric ulcer, bronchial asthma, eczema, hyperthyroidism, diabetes and other ailments accompanied by increased sweating may develop. In a word, the psychogenic factors of diseases are too serious to be treated irresponsibly. So what to do? How to avoid overstrain of the nervous system, and with it, increased sweating?
1. Balanced daily routine, sleep duration 8-9 hours. Good sleep for patients with dystonia is vital. Otherwise, "lack of sleep" will cause rapid fatigue, irritability and increasing weakness. And this can lead to stressful situations, which will lead to an exacerbation of the disease. Moreover, the time of sleep must necessarily fall at night. Therefore, patients with vegetative-vascular dystonia are not recommended to work on a rotating schedule or on night shifts.
2. Adequate physical activity preferably outdoors. Walking, running, skiing, swimming, aerobics, dancing have a good effect. Persons with high blood pressure should exercise in a gentle mode. You can use cycling: 10-20 minutes, course 30 days. Swimming or aqua aerobics train the blood vessels and the heart muscle, help normalize blood pressure, reduce fatigue, give a charge of vivacity and good mood. The recommended simulators include a treadmill, a bicycle ergometer, a stepper. And, remember that the body must be kept in good shape constantly. And since he gets used to everything, you need to change the types of loads: light running (2-3 months) should smoothly turn into swimming (2-3 months), then cycling and running again.
3. A proper balanced diet also plays a role. The main thing: in no case should people with vegetative-vascular dystonia sit on strict diets, starve. Fasting aggravates the course of the disease and provokes another exacerbation. What you need to give up is alcohol, and not only strong strong drinks, but also weak carbonated cocktails. The same applies to strong coffee, even with milk. Tea, juices, cocoa are preferred. The lion's share of products should be of plant origin (cereals, vegetables, herbs, fruits), less fat, sugar. All this has a beneficial effect on metabolism. Useful fish, especially marine. Meat should not be a staple food. Need food rich in vitamins, foods containing potassium - potatoes, eggplant, cabbage, prunes, apricots, raisins, figs, green peas, parsley, tomatoes, rhubarb, beets, dill, beans, sorrel. Some animal fats should be replaced with vegetable ones (sunflower, corn, olive oil). Patients with high blood pressure need foods containing magnesium salts - buckwheat, oatmeal, wheat cereals, nuts, soybeans, beans, carrots, rose hips. Pickles, marinades should be excluded from the diet, salt should be limited to 4-5 g. Strong tea, coffee, chocolate are contraindicated.
4. Recommended physiotherapeutic and orthopedic measures include: a special complex of physiotherapy exercises for the cervical-shoulder region of the spine, non-intensive massage of the cervical-collar zone and the scalp, wearing an orthopedic corrective collar, careful traction (traction) of the cervical spine, as well as the appointment of electrophysiotherapy using devices - Bernard currents, electrosleep, ultrasound, a new device for magnetic laser therapy - Terraquant, etc.
5. Phytotherapy: valerian, red viburnum, peony, motherwort are sedatives, quince, birch mushroom, poppy, almond, carrot, mint, parsnip, licorice have the same effect and mild diuretic. In the absence of normalization of blood pressure, periwinkle, butterbur, vervain, snakehead, magnolia, rauwulfia, black mountain ash, arnica, wild rosemary, shepherd's purse are added.
