A compensatory hyperhidrosis is the phenomenon which can arise after performance of endoscopic sympathectomies. In struggle against a hyperhidrosis of feet, axillas or palms people quite often address to a sympathectomy ? to the most radical method which gives long-term effect in 98 % of cases, but in 10 % from them later are seen a collateral consequence ? a compensatory hyperhidrosis.
Sympathectomy is the operation which is referred on change of function of a sympathetic trunk ? diaphoresis depression. Operation is spent or with final fracture of a sympathetic trunk, or with its clamp, thus, if the compensatory hyperhidrosis arises in case of clamp it still can be corrected. In advance to tell, whether the compensatory hyperhidrosis will be shown at you it is impossible, tests do not exist, but each doctor is obliged before a sympathectomy to tell about possible by-effect to the patient.
As a rule, the compensatory hyperhidrosis if it can be shown, arises in the first month after operation, during this period the diaphoresis can be as much as possible plentiful, but eventually it usually decreases. The compensatory hyperhidrosis is shown especially strongly at exercise stresses, after visiting of baths and saunas, and in a hot climate at high temperature of air. Doctors conduct researches about definition of possibility of occurrence of compensatory hyperdrosis before operation.
Sympathectomy is enough difficult operation, therefore in some countries at a palmar hyperhidrosis it is forbidden while all other agents of treatment will appear no effective.
What can it be? After a sympathectomy of palms, within several months the compensatory hyperhidrosis which will be especially active in hot weather can be shown: the back, thoracal area will sweat. Thus in normal weather, a diaphoresis will be usual.
The compensatory hyperhidrosis its name specifies in the processes occurring in an organism: after losing a possibility to allocate former quantity of sweat in certain places on a body, the diaphoresis is shown on any other sites of a body. The compensatory hyperhidrosis can be rather easy, and can ?pour the river?.
Some physicians in sympathectomy protection say that the compensatory hyperhidrosis can arise and after curettage and a liposuction as these operations are referred on excision of sweat glands or blocking of their function, hence, the organism as will aspire to “compensate” sweat allocation on other sites of a body. However, after curettage and a liposuction the compensatory hyperhidrosis practically is not swept up.
In any case before daring at a surgical method of struggle against a hyperhidrosis, it is necessary, that also you and your doctor adequately estimated an event: you should foreknow, with what it is easier to reconcile ? to a usual hyperhidrosis or with compensatory which, in turn, will be irreversible.
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