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Psychovegetative syndrome (vegetative dystonia)
January 15, 2013
The psychovegetative syndrome (vegetative dystonia, psychasthenic decline, etc.) is a syndrome at which at the person the disturbances of vegetative functions different in manifestations and an origin are observed.
Psychovegetative frustration are often diagnosed for children of the senior age group, and also for teenagers and young people. In more exceptional cases the illness is shown at people after 40 flyings. Neurocirculatory dystonia most often develops at young people. It, first of all, is connected with the slowed-down formation of neuroendocrinal system in a young organism, and also with inconsistency of physical development and work of endocrine system.
The psychovegetative syndrome is shown under the influence of hereditary factors, constitutional features, defeat of a nervous system of organic character, frustration of somatic and mental type. Symptoms of a disease are shown also owing to hormonal reorganizations of an organism, psychophysiological shifts (it is about a stress – acute and chronic), psychosomatic diseases (heart troubles, a hypertension, bronchial asthma, etc.), diseases of a nervous system, some occupational diseases, mental disorders and neurosises.
All described factors promote display of vegetative dystonia. If treatment of an illness is not made timely, then it can be complicated by manifestation of panic attacks.
Vegetative dysfunction often arises as an effect of organic illnesses of a brain, and also in the presence of defeat of a peripheral nervous system. But one of the most common causes of manifestation of vegetative disturbances is process of endocrine reorganization of a human body in the teenage period, and also at women in the period of a menopause. A separate form is psychophysiological vegetative dystonia which is shown at the person as an effect of a stress, strong physical tension, overfatigue, neurotic frustration.
The syndrome of vegetative dystonia can vyradzhatsya by different symptoms which etiological factors influence. Symptoms of vegetative dystonia are shown by a number of various syndromes which treatment has to be carried out only in a complex.
The cardiovascular syndrome at the patient is shown by changes in beat of heart, (both tachycardia, and bradycardia), rise in arterial pressure, skin discolorations (pallor, cyanosis), inflow, manifestation of a chill of extremities.
The Kardialgichesky syndrome is a developing of pains of various character or discomfort in precardiac area. Pain is taken sometimes for displays of stenocardia, however it is not be connected with exercise stresses, proceeds longer and does not pass after nitroglycerine reception. Changes can sometimes come to light on an ECG.
Also at pain of people suffers from hyperventilation (frequent breath, feeling of shortage of air), the asthma having psychogenic character and also for cough. At hurried breathing from an organism too much carbon dioxide is removed. In an organism the processes leading to manifestation of muscular spasms and paresthesia in distal departments of extremities and perioral area result. Hyperventilation can cause the preunconscious phenomena in the patient – at him darkens in eyes, weakness, dizziness is shown. But most often hyperventilation is shown by a heartache, and also abdominal pains at which disturbance of motility of a gastrointestinal tract takes place.
At disorders of functions of a digestive tract at the patient appetite is broken, the syndrome of the angry gut can disturb. Vomiting, weight in epigastriums, frustration of a chair is sometimes shown.
At vegetative dystonia sexual dysfunction at which at men disturbances of an erection or an ejaculation are observed can be shown, and women have a vaginismus or an anorgazmiya. One more symptom – a cystalgia (the speeded-up urodynia).
Psychovegetative disturbances are also expressed by existence of disturbances of thermal control. They are shown by a hyperthermia, a hypothermia, a perfigeration syndrome. The hyperthermia can have constant or paroxysmal character.
Speaking about own disease, patients for whom the general psychosomatic syndrome is diagnosed, note that illness symptomatology very wide. In other words, sometimes it seems to the person that he is hurt by all. Therefore, the main feature of symptomatology of this illness is the variety of manifestations.
Types of neurocirculatory dystonia
Today specialists define three different types of neurocirculatory dystonia: hypertensive, cardial, hypotensive. Symptoms of neurocirculatory dystonia on cardial type are expressed by insignificant changes of arterial pressure. However at the same time the person suffers from manifestation of the speeded-up heart rhythm, interruptions in cordial activity, an asthma. People who suffer from dystonia of this type have a tendency to periodic display of tachycardia, changes of a cordial rhythm, and also to other changes of cordial activity.
At neurocirculatory dystonia on hypotensive type at the patient symptoms of heart failure are noted. It is about the lowered systolic pressure, lowering of symptomatic activity and cardiac index. The person suffers from a headache, he very quickly gets tired, feels low in muscles, at him extremities freeze, skin turns pale. As a rule, people who have an asthenic constitution suffer from this form of dystonia.
Tranzitorny rises in arterial pressure are characteristic of neurocirculatory dystonia on hypertensive type. But at the same time most of people do not feel deterioration in health. As a result, the disease is diagnosed late, and, in most cases it occurs at planned surveys. Except increase of the ABP at dystonia of this type at patients strong fatigue, headaches, tachycardia is noted. Considering these symptoms, it is possible to say that signs of this form of neurocirculatory dystonia are similar to hypertensia symptoms. Therefore for exact diagnosis careful survey of the specialist and purpose of further inspection is necessary.
Except the specified illness forms dystonia on the mixed type at which at the patient fluctuations of arterial pressure take place is also diagnosed.
It is possible to establish the diagnosis "vegetative dystonia" (a psychovegetative syndrome, vegetative neurosis) only in case of carrying out comprehensive inspection. It is initially necessary to exclude all somatic diseases which could provoke manifestation of certain symptoms. It is especially important to make it if only disturbances in work as one of systems take place.
To carry out high-quality diagnosis, consultations of several doctors – specialists of different profiles are often necessary. Poll of the patient is very important. The specialist needs to ask in detail the patient on his feelings and to learn in details about subtleties of all manifestations.
In the course of inspection at suspicion carrying out the electrocardiogram, MRT and computer tomography, dopplerography of vessels is often appointed to a psychovegetative syndrome. Treatment is appointed in an individual order, taking into account all features of displays of an illness.
Whenever possible treatment of a psychovegetative syndrome is carried out without use of medicines. To the patient sessions of reflexotherapy, massage, occupation by physiotherapy exercises are appointed. Also physical therapy methods, a resort therapy practice. The respiratory gymnastics helps to reduce extent of manifestations of hyperventilation. But if acute manifestations of symptoms of a disease take place, then to patients benzodiazepine drugs for a certain time can be appointed. If the person is disturbed by constant pain, to him the course of treatment antidepressants is appointed.
In the presence of an alarming depression with sleep disorders tselesoobrashchzen reception of the antidepressants having sedative influence. Drugs — beta-blockers apply at a heartache, arterial hypertension, tachycardia. If vegetative dystonia is shown by arterial hypotension, the course of treatment is recommended to the patient by tinctures of a ginseng, a magnolia vine, an eleuterokokk.
In view of various symptomatology at treatment also other medicamentous means which are appointed in an individual order are applied. The correct way of life, a hardening, the treatment directed to the general strengthening of an organism is also important.
In certain cases the overt positive effect renders use of rational psychotherapy in the course of which the patient realizes that it has no illness, life-threatening.
Also sanatorium-health-resort treatment which effectively works in view of influence on an organism of sick climate change practices. Under the influence of the changed climatic conditions the cardiovascular system of the patient functions in the mode of adaptation and adapts under all other systems of an organism. Climatic conditions also allow to train protective forces of an organism, therefore, it becomes much easier to struggle with diseases.
Besides, treatment by an ionotherapy which course proceeds about 30 days practices. At vegetative dystonia reception of sedatives is symptomatic recommended.
Considering tendency to high or low pressure, reception of medicinal herbs, and also the drugs made on their basis is possible. At supertension it is recommended to accept drugs of a motherwort, a valerian, marjoram ordinary. Before going to bed it is useful to use bee honey. With a low pressure it is worth applying infusion of an eleuterokokk, the Chinese magnolia vine.
Smoking and alcoholic beverages are contraindicated to patients with vegetative dystonia. And here sports activities and daily hydrotherapeutic procedures using an alternating douche will provide improvement of health. Occupations by run, walking in the fresh air are useful to health of patients with a psychovegetative syndrome of bathing in open reservoirs.
As prevention use of all measures described above directed to normalization of way of life of the person is important. Besides, special attention should be paid on the mode of rest and a dream. The person has to sleep daily not less than 8 hours.
Important factor is the correct approach to a daily food allowance. In a diet all dishes have to be with the high content of vitamins and minerals. At the same time it is better not to use the products exciting a nervous system. It is about coffee, tea, chocolate, spices, smoked products, a pickles.
Besides, doctors strongly recommend to try to receive as much as possible positive emotions and to aim at positive perception of life in general.