Obstacles in communication and daily activities because of sweaty hands – VnExpress

Constantly sweating hands makes many people feel inferior, shy, and interferes with communication and daily activities; The disease is treatable if the cause is properly diagnosed.

Quynh Huong (32 years old, office worker, Tan Binh district, Ho Chi Minh City) started to have sweating in her hands from the day she went to school. Every time she wrote an article, her notebook was soaked in the palm rest. However, because she thought it was hot, Quynh Huong did not go to the doctor. When she went to work, despite sitting in an air-conditioned office, her sweaty hands continued to make her nervous and self-deprecating. She tried many ways such as hand massage, taking medicine… but the disease still did not improve. When she went to the Tam Anh General Hospital in Ho Chi Minh City, Quynh Huong was prescribed surgery to burn the sympathetic ganglia.

“After the operation, my sweaty hands improved markedly. For the first time in nearly 20 years, I no longer feel wet hands, especially on hot days”, Ms. Quynh Huong shared.

A case of sweaty hands before and after sympathectomy. Photo: Tam Anh General Hospital.

Similar to Ms. Huong, Mr. Quang Vinh (29 years old, restaurant manager in District 8, Ho Chi Minh City) confided that he has to regularly receive important customers, but his hands sweat constantly making him pressure and shy. when shaking hands with guests. At Tam Anh General Hospital in Ho Chi Minh City, Mr. Quang Vinh also underwent endoscopic sympathectomy. According to Vinh, after surgery, his sweaty hands decreased by 95% compared to before.

Causes of increased sweating hands

According to the International Association of Hyperhidrosis, about 365 million people suffer from hyperhidrosis, affecting work and life. Accordingly, up to 32% of patients suffer from psychological effects such as feeling autistic, difficult to get along with people around.

Dr. Nguyen Anh Dung – Head of Cardiovascular – Thoracic Surgery Department of Tam Anh General Hospital in Ho Chi Minh City, said that sweating is a normal response of the body to lower body temperature, like exercise. a lot, exercise or hot weather. If excessive sweating even under normal conditions, the patient should pay attention to visit the doctor. In which, some people just need to be a little worried and stressed to have sweaty hands.

In addition, abnormal sweating in the hands, armpits, feet, head and face, makes the patient feel embarrassed, shy when shaking hands, afraid to wear bright colors because the sweat secretes a lot. Some people sweat a lot and are afraid to open their shoes and participate in community activities.

In addition to the hands, sweat also secretes a lot in the armpits, neck, face, and legs, which interferes with the patient's daily activities.  Photo: Shutterstock

In addition to the hands, sweat also secretes a lot in the armpits, neck, face, and legs, which interferes with the patient’s daily activities. Photo: Shutterstock.

There are many causes of increased sweating, such as genetics, an unbalanced diet, excessive physical activity or a side effect of certain medications, Dr. Dung said. Chronic diseases such as congestive heart failure, diabetes, alcoholism or certain malignancies also cause abnormal sweating. However, about 90% of people with hyperhidrosis have no obvious cause, according to Dr. Dung.

Specifically, if two of the following symptoms are present: bilateral symmetric sweating, excessive sweating that interferes with daily activities, at least once a week, symptoms appear under the age of 25. If you’re old, there’s someone in your family who has increased sweating in the hands and sweat during the day, but it doesn’t happen during sleep…, the patient should go to the doctor.

Dr. Dung added, besides the patient’s symptoms of increased sweating, the doctor can rely on the HDSS index (Hyperhidrosis Disease Severity Scale) to assess the impact of the disease. on the patient’s emotions and activities, thereby diagnosing the appropriate treatment direction.

“Usually, hyperhidrosis with a cause will be controlled when the cause is well solved. Therefore, patients need to be examined to find the cause and have appropriate treatment,” Dr. Dung emphasized. .

Endoscopic surgery to treat sweating hands

According to Dr. Nguyen Anh Dung, because of being subjective and afraid to go to the doctor, many patients with increased sweating self-apply folk remedies such as rubbing their hands with coconut oil, rose water, wormwood tea… These measures only temporarily fix sweating but do not completely solve the disease. Some people also wear many layers of clothing, wear gloves, and wear socks all day, which makes the skin moist, which leads to dermatological diseases for a long time.

Doctor, Doctor Nguyen Anh Dung examines a patient.  Photo: Tam Anh General Hospital.

Doctor, Doctor Nguyen Anh Dung examines a patient. Photo: Tam Anh General Hospital.

“Medical now has many methods to treat hyperhidrosis such as using a topical solution at night, botox A injections, systemic anticholinesterase drugs, water ion therapy or endoscopic lymphadenectomy. Each method has its own advantages and disadvantages.Depending on the location of sweating, the severity or the lightness, and the patient’s wishes, the doctor will recommend an appropriate treatment method, in which, internal surgery. Sympathoscopy is performed when minimally invasive measures are unsuccessful or have side effects,” said Dr. Dung.

According to Dr. Nguyen Anh Dung, Tam Anh General Hospital has successfully treated many cases of hyperhidrosis with endoscopic sympathectomy. This method is performed with only two or three small incisions (0.5-1cm) in the armpit area, ensuring aesthetics, high efficiency and low recurrence rate.

“To increase the effectiveness of treatment, patients need to maintain a scientific lifestyle. Along with that, there are measures to prevent sweaty hands such as controlling anxiety and stress; washing hands often with cold water; wearing clothes Wear cool clothes, absorb sweat well; drink lots of water, follow a healthy diet,” emphasized Dr.

Ha Thanh


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