Vegetososudisty dystonia: life in the medical mode
Among numerous human illnesses one of the most widespread and many-sided is vegetososudisty dystonia (VSD). This condition of “preillness“ which at influence of provocative factors can give rise to huge number of various pathological states. Unfortunately, VSD quite often arises at young mothers.
of Function of all our internals are under control of special department of the central nervous system - vegetative (or autonomous) nervous system. This is the chief conductor regulating work of all bodies and systems and providing normal functioning of a human body in various situations. We should not reflect that at physical activity for providing the working muscles with oxygen and nutrients the thicket needs to breathe, and to heart it is necessary to be reduced quicker and stronger, we do not care for composition of digestive juice that ate, and we do not worry about that how many and what enzymes and biologically active agents the liver should produce: for us the vegetative nervous system (VNS) is engaged in all this.
the Main departments of VNS are sympathetic and parasympathetic. The central departments of VNS are in a head and spinal cord, and nerves approach all internals. Depending on a situation the role of “the first violin“ is given to one of these departments as results of their work are often multidirectional: the sympathetic nervous system causes heartbeat increase, increase of arterial pressure, an angiospasm and muscles zheludochno - an intestinal path, etc. Evolutionarily such reactions of an organism were necessary in stressful situations, for example during attack when it was necessary to battle or, on the contrary, to run away from the opponent. The angiospasm prevented heavy blood loss.
Activity of sympathetic nervous system starts the processes connected with power consumption, and activity of parasympathetic system promotes accumulation of energy in an organism, effects of its action are opposite to effects of action of sympathetic system. And today at a heavy stress at the person the sympathetic department of VNS, but as our contemporary does not need to run from anybody is activated and against anybody to battle, “burn-out“ of the reactions put evolutionarily gives rise to pathological symptoms: to heartbeat, “jumps“ of arterial pressure etc. The parasympathetic nervous system is responsible for reduction of frequency of beats of heart, motility strengthening zheludochno - an intestinal path. Parasympathetic nerves approach airways and lungs, also genitals innervate secretory.“ The main subject“ parasympathetic department of VNS “sounds“ at night when the person sleeps.
Work of sympathetic and parasympathetic departments of VNS is in relative balance with prevalence of one of them. An imbalance of a tone of these departments - dystonia - also causes emergence of the term - VSD. At VSD there are no structural changes in departments of VNS, however that thin balance which ensures harmonious functioning of all systems of an organism is broken.
of the Reason of VSD
Most often “roots“ of VSD go to the childhood. Tendency to development of an imbalance in work of VNS is defined, first of all, by heredity, and also the earliest stages of development of the child. Hereditary predisposition is transferred to a thicket on the maternal line. The unsuccessful course of pregnancy, difficult delivery already at the very beginning of life lay the foundation for development of VSD.
During life influence of the most various provocative factors: infectious processes, chronic diseases, damages of a brain, hormonal reorganizations, neurosises, stresses - leads to emergence of clinical symptoms of VSD. Hormonal fluctuations can provoke emergence and an aggravation of symptoms of dystonia. That is why life stages of which sharp changes of level of hormones are characteristic: the puberty period, pregnancy, the postnatal period, a climax - often are followed by numerous manifestations of VSD.
As in a female organism of fluctuation of hormones occur cyclically (during a menstrual cycle), more frequent emergence of VSD is characteristic of women, and vegetative crises occur at them twice more often than at men. However stresses and various neurotic frustration are the most frequent reason of vegetative frustration. In this regard it should be noted that VSD symptoms for the first time can appear in the postnatal period that is provoked by a sleep debt, the fatigue increased by physical activities.Symptoms which have to guard
of Manifestation of VSD are so various
that VSD only the doctor can exclude existence of serious diseases behind “masks“. Besides, various chronic and sharp diseases can provoke development of an imbalance in work of VSN. In these cases signs of VSD appear against symptoms of these diseases.
the brightest symptoms of VSD most often arise from cardiovascular system. That is why the most widespread name of this syndrome is “vegetativno - vascular dystonia“. Other well-known name applied now to designation of dysfunction mainly from outside is warm - vascular system, - “neurocirculator dystonia“.
Very characteristic of VSD are various functional violations from outside zheludochno - an intestinal path. They are shown by an abdominal distension,
Parasympathetic part of VNS sometimes pains in various departments of a stomach, frustration of a chair, nausea, heavy feeling in the subspoon area, an eructation air.the Vegetative imbalance often leads
also to respiratory changes: to short wind, “unsatisfied“ breaths, feeling of shortage of air. The most frequent symptom is the speeded-up breath which leads to hyperventilation - receipt of excess amount of oxygen in lungs, so, in blood and in a brain and to electrolytic violations (to an imbalance of minerals - sodium, potassium, calcium etc.) . Due to the changes of electrolytic composition of blood often there are muscular spasms, violations of skin sensitivity, an angiospasm of hands and legs, a cold snap of extremities. Hyperventilation can lead to headaches, faints.
of VSD can cause developing of sexual dysfunction, an anorgazmiya - lack of an orgasm, painful periods. Women often become irritable, whining.
Hormonal fluctuations including endocrine reorganization of an organism after the delivery, a postnatal stress (especially at difficult delivery) provoke an aggravation of symptoms of VSD that is one of mechanisms of development of a postnatal depression. Spastic (periodic spontaneous) reductions of a uterus and a spasm of the vessels feeding internal genitals - the reason of painful periods and one of numerous manifestations of VSD against cyclic changes of a hormonal background. Sometimes the provoked spasms of smooth muscles and violation of nervous regulation of a bladder lead to quite expressed pains at an urination in a bladder - to tsistalgiya.
of Violation of thermal control, the increased perspiration, especially palms and feet, - a characteristic sign of VSD. Temperature at VSD never rises to very high (more than 38 °) figures, the person well transfers this temperature, in a dream it is normalized. As the reason of an aggravation of symptoms of VSD against pregnancy and in the postnatal period serve considerable hormonal reorganizations in a female organism.What
In classification of neurocirculator dystonia are allocated by kardialny, gipertenzivny and hypotensive types.
Kardialny type is characterized by complaints to pains in heart, sometimes sharp, burning, pricking, often badly localized, the heartbeat, feeling of interruptions in work of heart hard transferable is subjective. The VSD Kardialny type can be shown by the tachycardia attacks (increase of warm reductions) which sometimes are followed by short wind, nonspecific changes on an electrocardiogram not characteristic of serious defeats of a cardiac muscle.
At hypotensive type patients complain of weakness, slackness, drowsiness, increased fatigue, a chill of hands and legs, darkening in eyes at a fast rising, sometimes - faints against low figures of arterial pressure (as a rule, lower than 100 / 60 mm of mercury.) .
the VSD Gipertenzivny type is shown by frequent headaches, dizziness, periodic rise in arterial pressure to the upper bound of norm: 140 / 90 mm of mercury. At an uncontrollable current the VSD last type can pass into a hypertensive illness.
Diagnosis of vegetososudisty dystonia
Because disappearing under the masks, VSD can feign symptoms of various serious diseases, diagnose dysfunction of vegetative nervous system, having excluded existence of other pathology, only the doctor can.
First of all, the vegetologist excludes defeat of the central nervous system - a head and spinal cord. Besides usual neurologic inspection for this purpose such difficult diagnostic methods as computer and magnitno - a resonant tomography can be required. In some cases similarity of some symptoms of VSD with symptoms of diseases of heart and endocrine illnesses explains need of registration of the electrocardiogram, blood testing.
Treatment of vegetososudisty dystonia
would Seem if VSD is not an illness, then and to treat her there is no need. However in some cases, in the absence of control, the current of VSD can become heavier, there are vegetative crises which are characterized by sudden emergence against full health of vegetative frustration more often. Besides, reduction of number of patients with VSD is caused by progressing of vegetative dysfunction and development is warm - vascular diseases: a hypertensive illness, vascular pathology of a brain, etc.
the Large role in treatment of VSD is played by non-drug methods. Drugs are usually used at the heavy course of vegetative dysfunction.
First of all, it is recommended to limit, and whenever possible - to exclude influence of provocative factors (a psychoemotional stress, harmful working conditions, excessive physical and intellectual activities), to carry out sanitation of the centers of a chronic infection, usually oral cavities, almonds; to compensate chronic diseases zheludochno - an intestinal path, endocrine system, etc. Refusal of addictions is important (smoking, alcohol intake).
Great value are got by the recommendations about observance of a day regimen seeming banal. The insufficient uneasy superficial dream causes a big loss to stability of nervous processes and promotes an aggravation of symptoms of VSD. Intellectual loadings have to alternate with physical. Duration of a dream has to be not less than 8 hours. The room for a dream has to be aired, air temperature - is not higher than 18 - 20 degrees as cool air does breath more rare and deep that promotes sufficient receipt in an oxygen organism, to good rest during a dream. It is recommended to limit time of viewing of telecasts and work on the computer till 2 o`clock in day, in the absence of such opportunity it is necessary to do each 45 - 60 minutes breaks in work. > It is desirable for p to hold by
the gymnastics sessions during the day allowing to warm up, dump tension, to give rest to muscles, eyes, the central nervous system. At VSD exercises on a relaxation are useful.to
Sometimes needs the help of the psychotherapist and psychotherapeutic correction with purpose of sedative, somnolent preparations, antidepressants.
the Moderate, gradually increasing physical activity helps restoration of balance with work of vegetative nervous system, normalization of a vascular tone, to enrichment of fabrics as oxygen. Loadings of aerobic type have such effect: the walking dosed on distance, time and an angle of lead - health path; occupations on a racetrack; bicycle, swimming, skis. It is necessary to avoid power loadings, exercises with sharp inclinations at which the head appears lower than the level of a breast, fast changes of position of a body.it is sanatorno recommended to
At a medium-weight current of VSD at a stage of rehabilitation - resort treatment. The major medical factors of sanatorium treatment are the climatotherapy, mineral waters, a balneoterapiya (at the same time character of bathtubs: coniferous, pearl, radonic, carbonic, etc. - is defined by the most expressed VSD symptoms), a circular and fan shower, sea bathings, massage, reflexotherapy, physiotreatment (an electrophoresis, an electrodream, an aeroionoterapiya), LFK and respiratory gymnastics.
Full and balanced on the content of proteins, fats, carbohydrates, calories the diet enriched with vitamins, calcium, magnesium enters complex treatment of VSD.
Medicines at VSD are appointed by the doctor. However in a number of situations use of phytopreparations and means which belong to so-called adaptogens - the substances increasing adaptive abilities of an organism is authorized. At the pricking pains and unpleasant feelings in heart soothing herbs, collecting help (during breastfeeding to accept any preparations including vegetable, it is possible only with the permission of the attending physician as drugs get to milk and influence the child). In coordination with the doctor it is possible to use containing a valerian, the pustyrnik of a drop of CORVALOL, VALOCORDIN, to rassasyvat the VALIDOL containing menthol.
Numerous symptoms of VSD, as a rule, do not constitute danger though subjectively can be transferred very hard. However, considering not inoffensiveness of VSD concerning development of serious diseases, heredity burdening, it is not necessary to let out from - under control a “many-sided“ imbalance in work of vegetative nervous system, disregarding the factors provoking development and progressing of symptoms of vegetative dysfunction. Therefore if you are disturbed by symptoms which can be carried to displays of vegetososudisty dystonia, do not wave away from them as from frivolous, address the doctor, often normalization of a day regimen and other all-strengthening procedures will be able to help already now and will serve as prevention of serious diseases further.to
At hypotonia (the low arterial pressure which is followed by weakness, slackness, increased fatigue etc.) course receptions of the stimulating adaptogens help: a ginseng, an eleuterokokk, a magnolia vine Chinese on 20 - 25 drops 2 - 3 times a day, zamanikh, araliya Manchurian on 30 drops 2 times a day. Course 3 duration - 4 weeks. Treatment is carried out 4 - 5 times a year, it is obligatory during the spring and autumn periods, and also after epidemics of a SARS and flu.