{"id":71779,"date":"2004-11-12T00:00:00","date_gmt":"2004-11-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-quirurgico-de-la-hiperhidrosis-palmar-primaria-analisis-de-141-intervenciones\/"},"modified":"2004-11-12T00:00:00","modified_gmt":"2004-11-12T00:00:00","slug":"tratamiento-quirurgico-de-la-hiperhidrosis-palmar-primaria-analisis-de-141-intervenciones","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sevilla\/tratamiento-quirurgico-de-la-hiperhidrosis-palmar-primaria-analisis-de-141-intervenciones\/","title":{"rendered":"Tratamiento quir\u00fargico de la hiperhidrosis palmar primaria. an\u00e1lisis de 141 intervenciones"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Andr\u00e9s Arroyo Trist\u00e1n <\/strong><\/h2>\n<p>La hiperhidrosis se define como la sudoraci\u00f3n excesiva debida a la hiperactividad de las gl\u00e1ndulas sudor\u00edparas. Esta patolog\u00eda ocasiona una intensa alteraci\u00f3n del estado ps\u00edquico de los pacientes y dificulta las relaciones sociales condicionando la incorporaci\u00f3n laboral. La hiperhidrosis puede dividirse en fisiol\u00f3gica (dentro de un proceso de aclimataci\u00f3n, menopausia o la sudoraci\u00f3n gustatoria idiop\u00e1tica), secundaria a determinadas alteraciones (endocrinol\u00f3gicas, neurol\u00f3gicas, etc) o primaria (esencial), objeto esta \u00faltima del presente estudio. la hiperhidrosis primaria o esencial se cree que es el resultado de una hiperexcitabilidad de la v\u00eda polisin\u00e1ptica simp\u00e1tica del circuito reflejo implicado en la secreci\u00f3n escrina. Se ha comprobado la existencia de un aumento de la actividad del nervio simp\u00e1tico a nivel de la piel tras est\u00edmulos t\u00e9rmicos (36). Se puede localizar en plantas, axilas, palmas o una combinaci\u00f3n de las mismas. La incidencia de hiperhidrosis esencial estimada en la poblaci\u00f3n mundial est\u00e1 entre el 0,6 y 1% (71) siendo algo mayor en asi\u00e1ticos y jud\u00edos sefard\u00edes (75). Suele tener su aparici\u00f3n durante la infancia con una distribuci\u00f3n levemente superior en mujeres, afectando a varios miembros de la familia. Actualmente no existe un consenso sobre cu\u00e1l es el origen exacto de la hiperhidrosis esencial y, aunque se exacerba a consecuencia del estr\u00e9s emocional, no existe evidencia cient\u00edfica que respalde la teor\u00eda de una base psicopatol\u00f3gica en estos pacientes. Entre las alternativas terap\u00e9uticas se encuentra el tratamiento farmacol\u00f3gico t\u00f3pico con antiperspirantes, normalmente recomendados como la primera opci\u00f3n. los medicamentos de acci\u00f3n general incluyen sedante o ansiol\u00edticos respaldados por el trasfondo emocional de la hiperhidrosis esencial; anticolin\u00e9rgicos sist\u00e9micos en base al control simp\u00e1tico de las gl\u00e1ndulas sudor\u00edparas pero con el inconveniente de su inespecidad o los bloqueantes de los canales de c<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento quir\u00fargico de la hiperhidrosis palmar primaria. an\u00e1lisis de 141 intervenciones<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento quir\u00fargico de la hiperhidrosis palmar primaria. an\u00e1lisis de 141 intervenciones <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Andr\u00e9s Arroyo Trist\u00e1n <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/12\/2004<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li> Los Certales Abril Jes\u00fas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: hugo Galera davidson <\/li>\n<li>Emilio Canalis arrayas (vocal)<\/li>\n<li>eugenio Arevalo gimenez (vocal)<\/li>\n<li>Javier Ayarra jarne (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Andr\u00e9s Arroyo Trist\u00e1n La hiperhidrosis se define como la sudoraci\u00f3n excesiva debida a la hiperactividad de las [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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