Hyperhidrosis

　　Hand sweating is different from sweating in other parts of the body. Other parts of the body sweat due to heat, the hotter the more sweat. Palm sweating is related to physical fitness, endocrine and other factors. A healthy person should have dry palms even if they sweat all over the body. However, people who often sweat have no sweat on their bodies, but their palms are full of cold sweat, feeling cool. Some people sweat more on their palms in winter. Palm sweating is a manifestation of poor physique and coldness. If you are also very afraid of cold and have cold hands and feet in winter, you are probably right. Eating more warm and nourishing foods to regulate the body and strengthening exercise are necessary to accelerate blood circulation and promote metabolism, which should have a good effect.

　　Hyperhidrosis of the hands is caused by abnormal hypersensitivity of the sweat glands of the hands. There are also many reasons for excessive hand sweating, the main reason for the first aspect is some systemic diseases, such as thyroid function resistance, diabetes, and some obesity. In addition, some diseases of the central nervous system can also cause excessive hand sweating. Another main reason is that the functional resistance of the sympathetic nerve that controls hand sweating can also cause an increase in hand sweating.

　　(1) Atelectasis or pneumonia

　　Individual patients may show segmental atelectasis or pneumonia on postoperative X-ray. The key points of prevention and treatment are to encourage lung ventilation, get out of bed early after surgery, perform deep breathing and back patting, and cough up phlegm.

　　(2) Intraoperative bleeding

　　Intraoperative bleeding is usually caused by damage to intercostal veins or tributaries of the azygos vein during the dissection of the sympathetic chain in the chest. Once bleeding occurs, one should not panic and burn blindly with electrocoagulation. It is necessary to immediately use endoscopic forceps to clamp and coagulate the bleeding, or to compress the bleeding with a small gauze ball. Generally, this can be successful.

　　(3) Cardiac arrest

　　When performing a left sympathetic chain sectioning surgery, because this side is the dominant side controlled by the heart, it may have an impact on heart rate after sectioning, so the operation should be performed on the right side first. The patient's heart rate (rhythm) and blood pressure changes should be highly noted during the operation.

　　(4) Pneumothorax

　　Up to 75% of surgical patients have some residual gas in the chest after surgery, but it is usually absorbed, and only a few patients need to be placed with chest drainage tubes to exhaust. Tension pneumothorax is rare. If it is found that the gas cannot be exhausted when the gas is exhausted after the operation, chest drainage should be placed.

　　(5) Subcutaneous emphysema

　　It can appear alone or with pneumothorax, usually around the incision and limited to the chest. Mild subcutaneous emphysema generally does not require treatment, but attention should be paid to whether there is associated pneumothorax. Severe subcutaneous emphysema requires subcutaneous drainage.

　　Palm sweat syndrome is not a disease, but it is caused by excessive excitation of the sympathetic nervous system. However, this symptom often causes difficulties in learning, work, or social activities, and medical treatment is sought. People with a tendency to sweat often have wet palms most of the time, and long-term damp hands often cause easy peeling, which is also a bit of a spectacle. Young and middle-aged students often get their exam papers wet due to excessive palm sweat, affecting their exams, and often the papers are wet before they start writing. Young people are afraid to hold hands with others, and even shaking hands becomes a problem. In severe cases, the palms may even show symptoms of eczema and dermatitis. After adulthood, it also causes inconvenience in work and social activities. Patients with palm sweat syndrome often have symptoms of sweating on the hands and feet, and the sweat they secrete usually has no odor, which is different from patients with bromhidrosis. People with bromhidrosis (axillary hyperhidrosis with malodorous sweat) are more related to genetic constitution, mainly due to the development of apocrine glands in the armpits, which occur more frequently than palm sweat syndrome and cause more common troubles. It is like clothes always have unwashable yellow stains, and it is also not daring to wear sleeveless tops. The most important thing is that there is more psychological burden and fear when getting close to others.

　　Excessive sweating and facial redness are most common. Patients with palm sweat syndrome always have sweat and wetness on the palms, soles, and armpits, regardless of whether it is hot summer or freezing winter. Sometimes it even presents as bead-like sweating, and it is more severe when the mood is tense. Often, the paper is soaked when writing, the keyboard is dropped when typing, and it is even more embarrassing to shake hands with others. 'Head sweat syndrome' and 'facial redness' patients may appear with a full head of sweat and face redness and heat in crowded places, during meetings and reports, when meeting strangers, acquaintances, leaders, when tense and excited, during exercise, when meeting the opposite sex, when discussing sensitive topics, and sometimes inexplicably with a full head of sweat and face redness.

　　The cause of palm sweat syndrome is related to physical fitness, endocrine system, and other factors. Palm sweat syndrome is caused by abnormal hypersensitivity of the sweat glands in the hands, and the causes of palm sweat syndrome are also numerous. The first aspect is that palm sweat syndrome is mainly caused by systemic diseases, such as thyroid resistance. In addition, some diseases of the central nervous system can also cause excessive sweating, and the function resistance of the sympathetic nerve that controls palm sweat can also cause an increase in sweat. Therefore, in order to prevent palm sweat syndrome, everyone should actively prevent or treat the primary diseases that are prone to cause this disease.

　　Some people with weak physique and coldness may lead to hand sweat syndrome. Such people should eat more warm and nourishing foods to regulate their bodies, which can accelerate blood circulation and promote metabolism, and this effect is very good.

　　Generally speaking, tension, excitement, stress, or high temperatures in summer can cause sweating on the palms of the hands, which are important factors leading to palm sweating. Therefore, when taking care of the hands, everyone should pay attention to these factors.

　　Hand sweat syndrome makes patients feel embarrassed in their daily lives and打击 their confidence. It is very important for patients to check whether they have hand sweat syndrome in a timely manner. What are the methods of examination for hand sweat syndrome? The following will introduce them.

　　Hand sweat syndrome examination items: blood routine, chest X-ray, triiodothyronine (T3).

　　(1) Blood routine examination, the purpose is to clarify whether there is an infection in the body;

　　(2) Chest X-ray, to see if there is tuberculosis, as tuberculosis is also a cause of increased hand sweat;

　　(3) T3, T4, which are indicators of whether the thyroid function is normal or not;

　　(4) Blood sugar, check for diabetes.

　　Clinically, the symptoms of hand sweat syndrome can be graded, for example, the severity of hand sweat syndrome can be divided into three levels from mild to severe: mild is when the palms are moist; moderate is when the palms are wet through a handkerchief when sweating; severe is when the palms are sweating like droplets. If most of the following characteristics are present: onset in adolescence, family history, symmetrical bilateral sweating, triggering factors such as emotions, exercise, high temperature, etc.; no sweating during sleep, it is usually considered to be hyperhidrosis.

　　Eat more warm and nourishing foods to regulate the body and strengthen physical exercise. Hand sweat syndrome is related to a person's physical constitution and endocrine system. Therefore, to prevent sweating on the palms, one must exercise more, and only when the body is strong can sweat be controlled. Below are several food therapy recipes.

　　Eel Soup

　　[Function] Treats excessive sweating, spontaneous sweating, night sweats, and other symptoms.

　　[Ingredients] 90 grams of eel, an appropriate amount of cooking oil.

　　[Usage] Wash the eel with hot water to remove the slime, slit it open to remove the internal organs, then rinse it with clean water, drain the water, and fry with a moderate amount of oil until golden brown. Add a bowl of water and boil until cooked. Place the konjac powder in a basin and pour in a sufficient amount of hot water for steaming and washing.

　　Black Bean and Wheat Drink

　　[Function] Relieves wind and controls sweating.

　　[Ingredients] 15 grams of black beans, 15 grams of floating wheat.

　　[Usage] Boil the two ingredients to extract 200 milliliters of juice, add sugar to taste and take frequently, about 10 milliliters each time.

　　Black beans are sweet and mild. They tonify the kidneys, improve eyesight, calm the mind, and, when taken for a long time, promote a healthy complexion and prevent aging. They also relieve abdominal distension and improve digestion. Black beans combined with licorice can effectively detoxify a wide range of medicinal substances.

　　Leek Root Soup

　　[Function] Treats children's night sweats and spontaneous sweating, as well as heat in the palms of the hands and soles of the feet.

　　[Ingredients] 15 scallion roots.

　　[Usage] Boil scallion roots in an appropriate amount of water and take the decoction.

　　Scallion has a spicy, slightly sour taste, warm, and astringent.

　　The treatment of palm hyperhidrosis has two methods: internal medicine and surgery. Internal medicine medication uses drugs that inhibit the sympathetic nervous system, which often causes side effects such as dry mouth and throat or gastrointestinal disorders, making people reluctant to take them long-term. Local application of agents also has a limited duration of action and needs to be reapplied frequently, which is not a very convenient method. Because internal medicine methods all have their limitations, surgical treatment has become the trend. Surgical treatment involves cutting the sympathetic nerves that control the hand sweat glands at the second and third thoracic vertebrae, which is approximately at the level of the连线 of the nipples, a little higher on the sides of the back spine. By cutting these two sympathetic nerves, the purpose of preventing sweating from the hands can be achieved. The traditional surgical method involves cutting through the center of the back and cutting the bones where the ribs connect to the spine, and then removing the second and third sympathetic ganglia on both sides. Since the surgery takes about 2-3 hours, there is a wound of about 5-7 centimeters after surgery, which is quite painful, and the recovery time is relatively long, taking about 3-5 days in the hospital. There is also a possibility of pneumothorax (air leakage in the lungs that prevents breathing, a life-threatening sequelae), which is currently mostly replaced by sympathectomy using videoendoscopy. This operation has small incisions, does not require suturing, and the surgical process takes less than half an hour. After the anesthesia recovers, patients can return home to rest on the same day, and the success rate of the surgery can reach 98%.

　　The 'Thoracoscope Thoracic Sympathetic Nerve Ligation' treatment for these diseases only requires making 2 small incisions less than 1 centimeter in diameter on each side of the armpit, without opening the chest, to complete the operation. The small incisions, minimal pain, and small scars do not affect appearance, and most patients are discharged about 2 days after surgery, with the vast majority of patients experiencing immediate relief of symptoms after surgery. The cure rate is high, and recovery to normal work and life is quick. Patients' years or decades of pain disappear immediately, and their self-confidence increases rapidly, allowing them to quickly integrate into normal social life, interpersonal interactions, and work. Psychological measurement studies have found that the mental health level of patients also improves significantly after surgery. The success rate of treatment is as high as 95-99%.