Vegetative lability as a form of autonomic disorders. Vegetative insufficiency of the brain in the form of kgr Emotionally autonomic instability

The term "lability" means instability, mobility, variability of various phenomena and processes in the body (pulse, body temperature, physiological state, psyche).

Autonomic lability is an unstable work of the autonomic (autonomous) nervous system.

Increased sensitivity and reactivity of the autonomic nervous system manifests itself at minimal.

Anatomical and physiological overtones

The autonomic nervous system is part of the body's nervous system. Its functions include control and regulation of the work of internal organs (intestines, stomach, heart, etc.), lymphatic, circulatory system, glands of the body.

This system also regulates the process of sweating, pulse rate, thermoregulation, blood pressure. It is also responsible for a person's reaction in stressful situations, for the ability to complete physical relaxation during rest, for the digestion and assimilation of food consumed. The work of the autonomic nervous system is beyond human control.

The autonomic nervous system consists of two divisions - sympathetic and parasympathetic. The parasympathetic nervous system regulates the functioning of the endocrine system, the digestive tract, is responsible for metabolism and lowering blood pressure.

The sympathetic nervous system is active in stressful situations. It is responsible for supplying the muscles with oxygen, heart palpitations, and breathing.

In the normal state, there is an adequate reaction of the autonomic system to external stimuli (stress, temperature, sounds). With the syndrome of increased lability of the autonomic nervous system, an individual may experience inadequate reactions to the usual ones: increased sweating at low temperatures, increased blood pressure with little stress.

The reflexes of the autonomic system provide an adequate response of the body to stress, a person's understanding of the presence of anomalies in his state or sensations.

Autonomic lability is not an idiopathic disease. Often it is a sign. This disorder is present in about 80% of the population, in adults and children.

Causes of failure

Lability of the autonomic nervous system can develop gradually and occur suddenly. This condition often remains undiagnosed, as patients do not attach importance to the manifestations, considering them the result of stressful situations, fatigue. Patients can also be counted.

The causes of autonomic lability can be varied:

adverse effects of the external environment;
infectious diseases;
intoxication;
surgical intervention;
and other injuries
climate change and time zones;
pregnancy;
menopause;
psychological trauma, including childhood;
lack of vitamins (especially vitamins B1, B3, B6 and B12 and vitamin E).

There is also the possibility of autonomic lability due to, which can be caused by various diseases.

Such diseases include ulcerative colitis, Crohn's disease, diabetes, Ehlers-Danlos syndrome, paraneoplastic syndrome, sarcoidosis, Sjögren's syndrome.

Wide range of manifestations

Manifestations of autonomic lability are associated with all areas that are controlled by the autonomic nervous system, the symptoms of the condition can be varied:

Individuals with vegetative lability have an increased sensitivity to mental trauma, stress, meteorological changes, a tendency to sea and air sickness.

Examination and diagnosis

To make a diagnosis, a comprehensive examination is necessary, since the symptoms of autonomic lability are similar to those of other diseases. It is necessary to exclude mental illness, neuropsychiatric disorders, and in the case of manifestations from the side of physiology, to exclude organic pathologies.

After excluding other diseases, the probability of disorders in the work of the autonomic nervous system is considered. Often, it is enough to take an anamnesis, interview the patient, and superficial examination.

A specialist neurologist should pay attention to the narrowing or dilation of the pupils, excessive sweating, or excessive dryness of the skin, pallor, or flushing of the skin. To assess the work of the autonomic system, the work of skin, somatovegetative, sweat reflexes is analyzed.

Also, to assess the degree of violations, tests are prescribed for the biochemical composition of urine and blood.

Comprehensive approach to treatment

In the treatment of vegetative lability, methods without the use of pharmacological preparations predominate.

To bring the nervous system back to normal, it is recommended:

adhere to the normal mode of operation;
have adequate sleep and rest;
follow proper nutrition;
lead a healthy lifestyle;
do sport;
reduce physical activity;
spend time outdoors, take walks;
avoid stress factors;
use decoctions of mint, valerian, lemon balm.

Drug treatment consists in the use, as well as symptomatic treatment of organs and systems whose work has been disrupted due to the disease.

They use drugs whose action is aimed at normalizing sleep, sedatives, painkillers, vitamins.

A neurologist may prescribe anti-anxiety drugs (Tenoten,). The therapeutic course is selected individually.

In addition to visiting a neurologist, it is recommended to consult a psychiatrist, psychotherapist, psychologist. These specialists will help to identify the cause of the disease, as well as learn how to deal with stress, teach methods for relieving vegetative symptoms that arise due to internal stress.

Autonomic lability of the nervous system requires treatment, as it can lead to a number of diseases:

pathologies of the cardiovascular system (ischemia, hypertension, atherosclerotic changes);
diseases of the stomach (gastritis, peptic ulcer);
mental disorders.

2 years ago

The nervous system of the body includes a number of interacting systems, which ensures the normal coordinated work of a significant part of the body's systems and helps to adapt in a timely manner when conditions of the external or internal environment change. One of the parts of the nervous system is the autonomic nervous system, better known as the autonomic nervous system.

Its functions include responsibility for the normal operation of many internal organs, systems, glands. In addition, the normal level of sweating, blood pressure, thermoregulation and much more depend on the stable functioning of the nervous system.
A person does not have the ability to control the functioning of the vegetative system. It is not surprising that with certain disorders of the autonomic system, there are problems with well-being. One of these problems is vegetative lability. What is behind this term? What can cause this condition to appear? What signs indicate the presence of vegetative lability in a patient? How dangerous is this condition?

General information

With the normal functioning of the autonomic system of the body, when the host organism is exposed to various external stimuli (nervous strain, stressful situation, sound and temperature stimuli, etc.), the system responds adequately. In the event of such a disorder of the autonomic system as autonomic lability, the reaction of the patient's body can be unpredictable.
Even with a slight exposure to irritants, the patient may experience such manifestations as sudden changes in blood pressure (more often upwards), increased sweating, a concomitant decrease in body temperature, and others. It should be noted that autonomic lability does not belong to the category of idiopathic. Most often, this is one of the symptoms of the development of vegetovascular dystonia in a patient (one of the most common disorders of the human autonomic system, the signs of which are manifested to one degree or another in almost 80% of the world's population).

Causes

Vegetative lability does not occur for no reason. Usually this is the result of exposure to a number of factors favorable for the development of this disorder of the autonomic system, namely:

negative impact on the patient's body of a number of infectious diseases;
intoxication of the body;
a variety of injuries, especially craniocerebral;
against the background of surgical intervention, as a concomitant condition;
deficiency of vitamins of a certain group (most often some B vitamins and vitamin E);
adverse environmental conditions;
failure of the hormonal background (more often in women in a state of pregnancy or menopause);
psychological trauma suffered by the patient in childhood.

Autonomic lability can develop in patients whose life activity is associated with long-distance travel. This is due to the frequent change of the time zone, and, as a result, climatic conditions. In addition, modern scientists are considering a theory according to which the cause of vegetative lability can be a disorder of the vegetative system of the body that has arisen against the background of diseases such as sarcaidosis, diabetes, ulcerative colitis and others.

Signs of autonomic lability:

a state of general weakness;
increased level of fatigue;
periodic dizziness, fainting;
violation of normal sweating;
dysfunction of the digestive tract (bloating, constipation, etc.);
violations of thermoregulation of the body;
arrhythmia, palpitations;
sleep disorders;
trembling of the limbs.

Often there are signs such as mood swings, irritability, decreased concentration, speech function disorders. Many patients develop unreasonable fears and anxiety. Physical well-being also changes: soreness in the joints and muscle tissues, dry skin, periodically - numbness of body parts.

How dangerous is vegetative lability?

In the absence of timely diagnosis and comprehensive treatment under the supervision of specialists, this disorder of the autonomic system can provoke the development of a number of diseases and pathological conditions, including severe ones: diseases and pathologies of the heart and cardiovascular system, diseases of the gastrointestinal tract. There are also frequent cases of mental disorders in the patient.

SVD includes the manifestation of all forms of violation of autonomic regulation. Vegetative dystonia is called a syndrome because, as a rule, autonomic disorders are secondary manifestations of various forms of pathology.

Three forms of SVD can be distinguished:

psychovegetative syndrome;
syndrome of peripheral vegetative insufficiency;
angiotrophoalgic syndrome.

Psychovegetative syndrome. Manifested by permanent paroxysmal autonomic disorders (panic attacks, some forms of fainting), caused by dysfunction of the suprasegmental division of the autonomic nervous system. In the etiology of this syndrome, the main role is assigned to psychogenic factors.

Syndrome of peripheral vegetative insufficiency. It is caused by an organic lesion of segmental autonomic apparatuses, i.e., specific sympathetic and parasympathetic nuclei, nodes, peripheral preganglionic and postganglionic autonomic fibers. Typical clinical manifestations are orthostatic hypotension, tachycardia at rest and a rigid pulse, hypohidrosis, bladder atony and urinary incontinence, constipation, diarrhea, impotence.

The syndrome occurs mainly in diseases affecting the PNS (diabetes mellitus, alcoholism, amyloidosis, etc.), but also in diseases of the central nervous system (multisystem atrophy).

Angiotrophoalgic syndrome. The clinical picture of the syndrome consists of characteristic combinations of vasomotor, trophic and pain manifestations (acroerythrosis, erythromelalgia, Raynaud's syndrome, complex regional pain syndrome). The syndrome is based on the defeat of mixed nerves, plexuses and roots that innervate the arms and legs. But it can also be part of the psychovegetative syndrome (Raynaud's disease).

Analyzing SVD, it is necessary to take into account a number of factors: 1) the nature of vegetative disorders; 2) permanent and paroxysmal; 3) poly or monosystem nature of disorders; 4) generalized systemic and local disorders.

Taking into account the division of the autonomic nervous system into sympathetic and parasympathetic parts at the beginning of the 20th century. among vegetative disorders, vagotonia and sympathicotonia were identified. The doctrine of sympathicotonia and vagotonia has often been criticized, based on the idea of the rarity in real practice of such pure syndromes. Indeed, more often one has to deal with mixed sympathetic or parasympathetic manifestations, however, it is often possible to single out the predominant orientation of disorders or a different orientation in individual functional systems (for example, sympathetic activity in the cardiovascular and parasympathetic activity in the gastrointestinal systems). With all reservations and additions, it should be recognized that the principle of identifying autonomic disorders according to sympathicotonic and vagotonic manifestations has remained fruitful today.

The second factor is associated with the permanence and paroxysmal nature of vegetative disorders. If the latter are delineated in time and intense "vegetative storms" (panic attacks), then the designation of the remaining violations as "permanent" is to a certain extent conditional. All autonomic symptoms are dynamic. Thus, permanent disorders are not absolutely stable indicators, but their frequent fluctuations that are not clinically detectable and do not reach the level of vegetative crises.

The allocation of generalized, systemic and local disorders is to some extent conditional. It would seem that the question of local syndromes is most clear. It is known that local autonomic disorders can occur when the PNS is damaged. However, as they develop and deepen, they begin to acquire generalized psychovegetative disorders that occur as a reaction to chronic pain (if any) or to maladjustment caused by local disorders. Nevertheless, this situation seems to be sufficiently outlined from the point of view of the dominance of local forms of SVD.

It is more difficult to separate generalized and systemic forms, since they can be the result of both disruption of the functioning of suprasegmental vegetative formations (psycho-vegetative syndrome) and damage to peripheral vegetative structures (progressive autonomic failure syndrome). These disorders are always polysystemic. The clinically detectable monosystem nature of pathological manifestations is most often the result of either non-detection or a subclinical course of disorders in other systems.

SVD, as a rule, is not a nosological unit. In the classification of autonomic disorders, primary and secondary central, peripheral and combined autonomic disorders are distinguished. The vast majority of autonomic disorders are secondary, and in these situations, the analysis of the nosological nature of the pathology that led to SVD is essential for correct diagnosis and especially for treatment.

With a certain degree of schematicity, a number of factors that cause vegetative disorders can be identified.

constitutional features. SVD of a constitutional nature usually manifests itself from early childhood and is characterized by instability of vegetative parameters: a rapid change in skin color, sweating, fluctuations in heart rate and blood pressure, pain and dyskinesia in the gastrointestinal tract, a tendency to low-grade fever, nausea, poor tolerance of physical and mental stress , meteotropic. Often these disorders are hereditary. With age, these individuals, with proper tempering education, achieve a certain compensation, although they remain vegetatively stigmatized all their lives. There are also very severe constitutional vegetative disorders. We are talking about familial dysautonomy, the Rye-lee-Day syndrome, in which gross violations occur in the internal environment of the body, incompatible with life, and the peripheral autonomic system is significantly involved in the pathological process.

Psychophysiological state. SVD psychophysiological nature.

It occurs in healthy people against the background of acute or chronic stress. Emotional-vegetative-endocrine reactions to acute stress are a normal physiological response of the body and cannot be considered pathological. However, excessive inadequate severity of reactions, their duration and frequency, violation of the adaptive capabilities of a person are already pathological, the basis of the clinical manifestations of which is psychovegetative syndrome. A mass manifestation of SVD of a psychophysiological nature is observed in stressful extreme situations.

Hormonal changes in the body. Occurs during puberty and menopause. At puberty, there are two prerequisites for the appearance of vegetative syndromes: the emergence of new endocrine-vegetative interactions that require the formation of other integrative patterns, and a fast, often accelerated increase in growth; this creates a gap between the new physical parameters and the possibilities of vascular supply. Typical manifestations are vegetative disturbances against the background of mild or severe endocrine disorders, fluctuations in blood pressure, orthostatic syndromes with presyncope and syncope, emotional instability, violation of thermoregulation.

Vegetative disorders are also aggravated during menopause, which is associated with the physiological endocrine and emotional accompaniments of this condition. Vegetative disorders are both permanent and paroxysmal in nature, and among the latter, in addition to the characteristic hot flashes, feelings of heat, profuse sweating, vegetative-vascular crises may occur. It should be emphasized that both menopause and puberty are characterized by significant psychological restructuring. Given this fact, we can assume that these autonomic disorders are based on both endocrine and psychological factors.

Organic somatic diseases. In many psychosomatic diseases (hypertension, ischemic, peptic ulcer, bronchial asthma), as well as visceral diseases with a pronounced algic component (cholelithiasis, urolithiasis, chronic pancreatitis), psychovegetative syndromes are often formed. In psychosomatic diseases, these disorders are an essential factor in pathogenesis, occur before the final development of the described diseases, and are of a psychophysiological nature in the early stages. Chronic pain syndromes, which are essentially chronic pain stress, are also accompanied by psychovegetative disorders. The latter are clearly represented in allergic disorders. A large group of somatic suffering, including endocrine (diabetes mellitus, hypothyroidism, etc.), systemic and autoimmune (amyloidosis, scleroderma, etc.), metabolic (porphyria, cryoglobulinemia, etc.) diseases, is accompanied by a syndrome of progressive autonomic failure . Of particular importance should be given to diabetes mellitus (given its high prevalence), in which peripheral autonomic disorders occur in 50-60% of cases.

Organic diseases of the nervous system. Their damage often causes clinically significant psychovegetative disorders.

In addition to the significance of the limbic-reticular complex, the role of interhemispheric asymmetry is also revealed. A closer connection of the right hemisphere of the large brain with psychovegetative regulation is shown. The above considerations are based on the topical principle, which is quite reasonable, since the nature of the disease is of less importance. At the same time, one should not forget the type of disturbances (destruction and irritation, extensive destruction of the brain).

The syndrome of vegetative-vascular-trophic disorders often occurs with peripheral syndromes (radiculopathy, plexopathy, neuropathy). The main clinical manifestations are found on the arms and legs, often they are unilateral. Peripheral (segmental) vegetative syndromes until recently were reduced to the diagnosis of "ganglionitis", "truncites" and damage to the celiac plexus ("solarite"). With all certainty, it should be emphasized that such a diagnosis is not justified.

Occupational diseases. The leading manifestations are psycho-vegetative (mainly astheno-vegetative) syndrome and the syndrome of vegetative-vascular-trophic disorders in the arms and, less often, legs.

Neurotic and other mental disorders. It is primarily about affective-emotional disorders. SVD in neurosis is one of the most common forms that cause autonomic disorders. The latter are considered as an obligate manifestation of neuroses. SVD in this situation is a classic manifestation of psychovegetative syndrome. The role of various forms of depression, both in the form of a distinct syndrome and in the form of its masked (larvated) forms, should also be emphasized. As in organic cerebral disorders, when vegetative symptoms overlap with sensorimotor ones, psychopathological syndromes clearly dominate in the picture of mental illness. At the same time, concomitant autonomic dysfunction is often ignored. The rationale for this rather pragmatic position is the disappearance of vegetative disorders with successful treatment of psychopathological disorders.

Thus, when identifying the syndrome of vegetative dystonia, it is necessary to establish the factors that play a leading role in its genesis. Conducting this analysis is of paramount practical importance, as it determines the therapeutic tactics of the doctor. Based on this, the syndrome of vegetative dystonia cannot appear as the main clinical diagnosis.

Vegetative emotional syndrome

Diagnosis of syndromes of the acute period PPNS is based on clinical manifestations and data from laboratory and instrumental research methods.

Clinical manifestations of the main syndromes PPNS(acute period) are summarized below.

Cerebral Excitability Syndrome: increased hypermotority (performing many movements), tremor of the chin, tongue and / or limbs; increased unconditioned reflexes and spontaneous physiological reflexes; regurgitation; sleep disturbances (the child is awake most of the time of the day). Cerebral excitability syndrome is more often observed with mild or moderate hypoxia.

cerebral depression syndrome: decreased motor activity; upon awakening, the child does not remain awake for a long time; reduced flexor response during traction; partially or completely suppressed Moro reflexes, sucking and pharyngeal. In coma (the maximum severity of cerebral depression), the following manifestations are noted: impaired consciousness, respiratory disorders (apnea, bradypnea), bradycardia, decreased blood pressure, diffuse muscle hypotension, cerebral symptoms, signs of hypoxic cerebral edema. With comatose syndrome, newborns lack motor activity and vocal response to painful stimuli, as well as independent sucking and swallowing, the “doll-eye” reflex is often depressed.

Syndrome of vegetative-visceral disorders (dysfunctions): transient cyanosis, thermoregulation disorders, skin autonomic reactions (vegetative-vascular spots), gastrointestinal dyskinesia (increased peristalsis, regurgitation, vomiting, etc.), lability of cardiovascular activity (arrhythmia, tachycardia, bradycardia) and respiratory (bradypnea, apnea) systems. It is a reflection of violations of diencephalic regulation of vegetative-visceral functions.

Syndrome of lico-vascular distension (intracranial hypertension): abnormally fast (excessive) increase in the size of the head circumference. Intracranial hypertension is described in a separate chapter on hydrocephalus.

convulsive syndrome. It is characterized by pronounced polymorphism (tonic deviations of the eyes; sudden and repeated contractions of the eyelids, facial muscles; paroxysmal chewing, swallowing, sucking, sticking out of the tongue, swimming movements of the hands; apnea, pedaling, etc.). In most cases, the convulsive syndrome is characterized by three types of manifestations: tonic (sudden extension and tension of the muscles of the whole body, often apnea and / or looking up); clonic (polyfocal paroxysmal movements migrating from one part of the body to another) or myoclonic (sudden synchronous movements of the upper / lower limbs, accompanied by convulsive eye movements or “freezing” of the gaze, apnea). There are also mixed variants of convulsive symptoms. The diagnosis of "febrile convulsions" until 3-6 months of age is not established.

Symptoms of congenital hypertonicity and congenital hypotonicity is quite obvious and follows from the very name of these PPNS syndromes. Depending on clinical situations, children with congenital hypertonicity may have decerebrate rigidity (increased spastic tone, extensor posture of the upper/lower extremities, internal rotation of the arms, mydriasis, downward eye movement); opistonus (increased spastic tone, sharp extension of the muscles of the back and neck); wax rigidity (increased tone according to the plastic type, slowing down of active movements, with passive movements in the limbs, uniform resistance, return to the flexor posture is slowed down, freezing in an unnatural posture); cervical radicular syndrome (stiff neck, sometimes with tension and elevation of the shoulder girdle).

One of the variants of congenital hypotension is the syndrome " flexible" or " sluggish» of the child (with vertical / horizontal suspension, the head and limbs of the child hang down, the legs are completely apart, the arms are extended, there is no flexor reaction during traction by the arms).

Other disorders of muscle tone. In this syndrome, various initial changes in muscle strength and tone are noted (by the type of monoplegia / monoparesis, diplegia, hemisyndrome, paraplegia / paraparesis or tetraplegia / tetraparesis), which subsequently transform into a syndrome of impaired motor development of the recovery period of PPNS.

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Artem V. VIKAPOV

Variants of autonomic dysfunction in neurological, cardiovascular and mental disorders. Vegetative-vascular dystonia

Manual for doctors and patients.

Problem: vegetative-vascular dystonia.

In recent decades, in the territory of the CIS and the former USSR, the terminology "dystonia" has been adopted with appropriate diagnostic and therapeutic approaches, but since these approaches do not reflect modern views on accurate and effective care for such patients, a new, non-traditional approach is needed. Physicians who in everyday practice are faced with the differentiation of disorders occurring with autonomic dysfunction should be guided by clear clinical criteria for diagnosis and therapy. This will significantly improve the adequate detection and quality of medical care, bringing this branch of medicine closer to evidence.

All researchers of this problem have noted a significant interaction between emotional pathology and the clinical picture of NCD. Attention to such disorders, which are at the interface between physical and mental pathology, arose in the middle of the last century. Somatic disorders as a result of asthenia that occurs after severe physical and mental stress in military personnel during the period of hostilities were described during the US Civil War (Mc Lean 1867, Da Costa, 1875), and then by British doctors, participants in military operations in India . Patients had fatigue, blurred vision, cardialgia, the appearance of a functional systolic murmur at the apex, paroxysmal and persistent tachycardia, orthostatic disorders, which was called "irritable heart syndrome" or Da Costa's syndrome. In 1914, a similar condition was named "Soldier's Heart Syndrome" (Lewis).

1.1.1 Pure autonomic failure (Bradbury-Eggleston syndrome)

1.1.2 Shy-Drager syndrome:

1.1.2.1 with Parkinson's syndrome

1.1.2.2 with cerebellar and pyramidal insufficiency

1.1.2.3 with multiple system atrophy (combination of the previous two)

1.1.3 Familial dysautonomy (Riley-Day syndrome)

1.1.4 Dopamine B-hydroxylase deficiency

1.2 Acute or subacute dysautonomia (panautonomous neuropathy)

2.1 Diseases of the brain:

2.1.1 Tumors of the brain (especially of the third ventricle or posterior fossa)

2.1.2 Multiple sclerosis

2.1.4 Age related

2.2.1 Transverse myelitis

2.2.3 Tumors of the spinal cord

2.2.4 Spinal cord injury

2.2.5 Funicular myelosis (vitamin B12 deficiency)

2.2.6 Tertiary syphilis (taxes of the spinal cord)

2.3.1 Guillain-Barré syndrome

2.3.2 Infectious (diphtheria, botulism, tetanus)

2.3.3 Adie-Holmes syndrome

2.3.4 Diabetes mellitus

2.3.6 Hansen's disease (leprosy)

2.3.8 Paraneoplastic (myasthenic Lambert-Eaton syndrome)

3.5 Narcotic analgesics

3.6 Antiparkinsonian drugs

3.7 Tricyclic antidepressants

4.2 Autoimmune diseases and collagenoses

4.3 Kidney failure

In turn, patients who have a neurotic type of personal-environmental interaction with the disease (and most of them are among patients with vegetative dysfunctions) are precisely oriented towards receiving such a diagnosis, in which one can not be especially afraid of a sad outcome, but at the same time successfully manipulate the label. "VVD", while receiving little conscious benefit from the disease. In such a situation, people around do not have the right to demand recovery, and the intrapsychic conflict is successfully maintained.

1.2 Vegetative-emotional syndrome (reaction) in acute and chronic stress (psychophysiological vegetative dystonia)

1.4 Neurogenic syncope

1.5 Raynaud's disease

2.2 Mental illnesses (endogenous, exogenous, psychopathy)

2.3 Organic diseases of the brain

2.4 Somatic (psychosomatic) diseases

2.5 Hormonal changes (puberty, menopause)

2.2 Endocrine diseases (diabetes mellitus, hypothyroidism, hyperthyroidism, hyperparathyroidism, Addison's disease, etc.)

2.3 Systemic and autoimmune diseases (amyloidosis, rheumatism, scleroderma, Guillain-Barré disease, myasthenia gravis, rheumatoid arthritis)

2.4 Metabolic disorders (porphyria, hereditary beta-lipoprotein deficiency, Fabry disease, cryoglobulinemia)

2.5 Vascular diseases (arteritis, arteriovenous aneurysms, vascular obliterations, thrombophlebitis, vascular insufficiency)

2.6 Organic diseases of the brainstem and spinal cord (syringomyelia, tumors, vascular diseases)

2.7 Carcinomatous autonomic neuropathies

2.8 Infectious lesions (syphilis, herpes, AIDS)

III. Combined suprasegmental and segmental autonomic disorders:

1.2 Multiple system atrophy and progressive autonomic failure

1.3 Parkinsonism and progressive autonomic failure

2.1 Somatic diseases involving both suprasegmental and segmental vegetative systems in the process

2.2 Combination of somatic and mental (particularly neurotic) disorders

Pain or discomfort in the chest

Lability of blood pressure (significant fluctuations of at least 20-30 mm Hg)

Heart rate lability (significant fluctuations for at least 10 minutes)

Difficulty inhaling and dissatisfaction with inhalation

III. Gastrointestinal tract

Gastrointestinal disorders - constipation, diarrhea, flatulence

shaking or tremor;

Dry mouth (not due to medication or dehydration)

Numbness or tingling sensation

Redness of the skin, patchy hyperemia (vascular necklace), cyanosis or marbling of the skin of the extremities

Anxiety, irritability, resentment, unstable mood

Shyness - heightened response to small surprises or fear

Difficulty concentrating or "head blankness" due to anxiety or restlessness

Difficulty falling asleep, superficial sleep.

VI. Muscle tension symptoms

Tension headache

Restlessness and inability to relax

Feeling of a lump in the throat or difficulty swallowing

Tremor or shivering

Tendency to muscle spasms and cramps

Premenstrual syndrome - malaise, headaches and other symptoms before menstruation

The presence of temperature changes - subfebrile condition 37-38 or sudden rises in

absence of somatic diseases

Feeling dizzy, unsteady, faint

Weakness, asthenia for no reason

Feeling flabby, swollen, heavy.

In cases where primary autonomic failure is detected (Bradbury-Eggleston syndrome, Shy-Drager neurogenic orthostatic hypotension, Riley-Day familial dysautonomy, acute or subacute panautonomous neuropathy), autonomic dysfunction should be considered as a nosological form. In relation to the modern ICD-10 classification, the diagnosis is made as “disorders of the autonomic (autonomous) nervous system” and is encrypted in clusters G 90.0 - G90.3.

1. The presence of a long-term autonomic dysfunction syndrome corresponding to the above list of symptoms

2. Exclusion of any somatic disease, against the background of which dysregulation of the autonomic nervous system could occur

3. The exclusion of any disease (somatic or mental) in which the syndrome of dysautonomy is essential.

2. Exclude symptomatic forms of arterial hypertension.

generalized anxiety disorder (F41.1)

somatoform autonomic dysfunction (F45.3)

Diagnosis of disorders is carried out using the ICD-10 diagnostic criteria, which are based mainly on a simple quantitative assessment of clinically detected and presented complaints of the patient and the characteristics of his behavior (see Appendix).

Therapeutic measures for autonomic dysfunction. Treatment of vegetative-vascular dystonia by an internist

II. Medicinal treatment (I give here just some variants of the schemes).

2. Clonazepam: 0.5-1 mg - low dosages, 2-4 mg - medium, 4-8 mg - high. The main therapeutic course is 4-6 months. At this stage, a test is carried out that determines the likelihood of addiction to the drug. Maintenance doses are 1.5-2 times less than therapeutic doses, duration 4-6 months.

3. Diazepam: 20-30 mg per day, up to 4 weeks (usually at the beginning of the general course of treatment).

4. Alprazolam (Xanax) 1-10 mg per day for 3 doses, the retard form allows 2 doses, duration up to 2-3 months

Vegetative-edible dystonia

Everyone echoes this lamentation from headaches, inexplicable fluctuations in the ravine on the bloody nalyagan, disturbances in the rhythm of the heart, general otdadnalost, barzo death, sweating out, discomfort in the region on the heart. Tova sa is symptomatic of the syndrome of vegetative-sedovata dystonia (VSD). How do you imagine?

Tova is not a specific pain, but a syndrome, i.e. The totality of the symptoms, which can and will result in a deviation in work on various organs and systems. However, no pathology has been established, the disorders are of a functional nature, i.e. an organ or system acts “incorrectly” for no apparent reason. And for the time being, the diagnostics was not successful and it was discovered somehow that the disease was not treated, the treatment was usually fresh, but we lead a sensible start to the stomach.

If research does not establish organic disorders, doctors can and will provide effective assistance. Makar che VVD is not crumpled for the belly-frightening, accompany me to see the honors that they rule daily, this is unbearable. Average symptoms and symptoms are superficially dissane, painful menstruation, icing on extremes, disorders of the stomach-stomach tract (bolki, badena, kisselini) and many others.

The primary reason for the development of the VVD is a violation in the regulation of the blood-bearing diet. With the health of a person, those se svivat and expand in such a way as is necessary for the body in a particular situation. Tonus on blood-bearing food, controlling from two departments on the vegetative-nervous system - sympatheticus (giving command for the connection) and parasympatheticus (giving command for expanding). In case of pain from VVD, the regulation is disruptive and reacts to the blood-bearing on the outside and the effects become inadequate. For example, when it is brightly stavan from the light drink, the light turns and before your eyes do not prymnyava.

The reason for the goods is that you bleed the wrong way to react to the exchange in position for a lot and in the brain a little bit of oxygen. When calmly standing, inadequately expanded on a blood-bearing sidov, drive to a lowering on a bloody slap, and excessively svyvane - to a hangover.

Tosi syndrome is often a consequence of craniocerebral and childbirth injuries, some infectious diseases. Maybe yes, and from the tension in the hard data, the brain lining. Togava pull on the main brain under pressure, some pre-disturbance in the vegetative regulation. In this case, the reason is for the development of the VVD sa incorrect commands for managing the bloody food.

Algodismenorrhea (diseases of menstruation and uterine bleeding) is a consequence of the violation of the regulation of blood flow. Millions of wives suffer from it. Especially often takiva bolki izpitvat young momichet during the period of hormonal pre-tuning to the body. Specialize in confusion, what is the reason for the algomenorrhea and spasm on the blood-bearing food, which will save the shiikat on the matkata. Spasm muscles and tissues do not receive the necessary amount of storage and oxygen, some damage to the sick.

First tryabva and this discovery is the reason for the emergence of the syndrome, i.e. ill, something led to a violation of the regulation on blood-bearing food. Basic groups of preparations for sedative therapy (sleeping pills, tranquilizers, some antidepressants). In rare cases, antihistamines and other antiallergic drugs are used.

spisania.rozali.com

Vegetative-vascular dystonia. Causes, symptoms and treatment of pathology

The site provides background information. Adequate diagnosis and treatment of the disease is possible under the supervision of a conscientious physician.

Interesting facts about vegetative-vascular dystonia

What is the autonomic nervous system?

Sympathetic division of the nervous system

An important function of the sympathetic nervous system is to maintain vascular tone. The sympathetic division of the nervous system affects small and medium-sized vessels, thus creating vascular resistance. Also, this department of the autonomic nervous system interacts with the adrenal glands and their hormones.

parasympathetic nervous system

The main effects of the parasympathetic division affect the activity of the heart muscle. It reduces the excitability and contractility of the heart, reducing its heart rate especially at night, as it is most active at this time of day.

In the natural state, the divisions of the autonomic nervous system are in constant tension, called "tonus". The predominance of parasympathetic tone is called vagotonia, while the dominance of sympathetic effects is called sympathicotonia. Based on this, all people can be conditionally divided into vagotonics and sympathotonics.

Causes of vegetative-vascular dystonia

hereditary predisposition;

acute or chronic stress;

climate change;

neurological and somatic ( bodily) pathology;

hormonal changes in the body;

mental illness.

hereditary predisposition

Acute or chronic stress

Neurological and somatic ( bodily) pathology

Hormonal changes in the body

mental illness

Symptoms of vegetative-vascular dystonia

cardiac dysfunction syndrome;

respiratory syndrome;

asthenic syndrome ( or exhaustion);

thermoregulation disorders;

fainting states;

neurotic disorders.

Cardiac disorder syndrome

respiratory syndrome

Asthenic syndrome

Thermoregulation disorders

Fainting states

Disorders of a neurotic nature

Drug treatment of vegetative-vascular dystonia

Groups of drugs used in vegetative-vascular dystonia:

sedatives;

medicines that affect the cardiovascular system;

anti-anxiety drugs and antidepressants.

Adults should take 1 tablet or 5 milliliters of medication three times a day. The medicine should be taken before meals. Also available as a syrup.

Has a calming and relaxing effect.

It has antispasmodic, relaxing and cardiotonic ( reducing stress on the heart) Effect. Corrects the excitability of the nervous system.

Drink 10-20 drops systematically 2-3 times a day.

It is prescribed 1 - 2 tablets twice a day. The drug should be taken before meals, along with plenty of water.

An agent that fights hypertension. Also, the drug causes vasodilation, minimizes the total resistance of peripheral vessels. Makes physiological sleep deeper.

A medicine that improves cerebral circulation. Produces a vasodilating effect.

The dosage ranges from 25 to 50 milligrams, which are taken in two divided doses ( morning and afternoon).

The average dose for an adult to be consumed per day varies from 5 to 20 milligrams, which are distributed over several doses. It should be borne in mind that a single dose should not exceed 10 milligrams.

Sanatorium-resort treatment of vegetative-vascular dystonia

Climatic resorts

The healing effect when visiting medical institutions located in coastal areas is the healing effect of sea water and air on the body.

calcium - normalizes sleep and helps fight depression;
magnesium - helps fight irritability and nervousness;
bromine - has a beneficial effect on the nervous system;
manganese - strengthens the immune system;
selenium - improves the functioning of the heart and blood vessels;
iodine - normalizes the brain and immune system.

The effects that bathing in sea water has on the body are:

chemical - useful elements contribute to the achievement of a healing effect;
mechanical - the pressure of a large mass of water when bathing is a hydromassage, which improves blood circulation;
physiological - the temperature difference between sea water and the human body contributes to an increase in heat transfer, due to which metabolic processes in the body increase;
psychotherapeutic - waves and light swaying of water have a calming effect on a person.

Climate treatment in mountain sanatoriums

The mountain climate is characterized by clean air with a low oxygen content. Once in the body, such air improves the functionality of the circulatory system. The positive effect of mountain air masses is also due to the large number of negative ions in their composition. The climate in the mountains helps to improve the composition of the blood and activate the metabolism, which gives positive results in the treatment of this pathology. Staying in the open air calms the nervous system and has a beneficial effect on the body's immunity.

The basis of the treatment carried out at the climatic resorts is the dosed effect on the body of climatic factors and special procedures.

heliotherapy - sunbathing;
hypoxic therapy - treatment with mountain air;
aerotherapy - the effect of fresh air on naked ( in whole or in part) body;
speleotherapy - visiting karst caves, grottoes, salt mines and mines;
thalassotherapy - healing procedures using algae, water and other marine products.

Balneological resorts

souls ( fan, circular, underwater, sharko shower) - contribute to the stabilization of vascular tone;
shared and private baths ( nitrogen, coniferous, pearl, oxygen) - have a calming effect;
contrast mineral baths - improve blood circulation.

The rules for choosing waters for procedures are:

with hypertensive and cardiac types of the disease, radon, hydrogen sulfide, iodine-bromine waters are indicated;
with hypotensive vegetative-vascular dystonia, procedures using iodine-bromine waters are recommended;
with vasomotor syndrome, the patient is shown hydrogen sulfide and carbon dioxide baths;
with nervous excitement, radon and nitrogen baths help;
when exhausted, carbonic baths are prescribed;
with sympathicotonia, treatment based on sulfa waters is useful.

Mud spas

mud baths;
local applications with mud;
mud wraps;
combined exposure to dirt and electric current ( mud electrophoresis).

Rehabilitation treatment

Massage for vegetative neurosis should be carried out in accordance with the type of disease. In the hypertensive type, massage of the collar zone, legs, and abdomen is recommended. Percussion techniques along with tapping should be excluded. With hypotensive vegetative-vascular dystonia, acupressure and general massage are done, using such elements as stroking, rubbing, kneading, vibration. Massage helps to normalize the functionality of the nervous system, eliminate headaches, improve the patient's sleep.

Reflexology is an impact with needles, a magnetic field, a laser or an electrical impulse on the active points of the body located on the surface of the skin. Stimulation of reflex zones has a beneficial effect on the nervous system and, in combination with other methods, gives positive results in the treatment of vegetative-vascular dystonia.

Methods of physiotherapy treatment help to strengthen vascular tone, normalize the process of blood circulation and activate the metabolic processes of the body.

electrophoresis ( injection of drugs through the skin using electric current);
electrosleep ( the effect of weak electrical impulses on the brain);
magnetotherapy ( magnetic field treatment);
laser therapy ( procedures using special physiotherapy lasers).

Principles of psychotherapy in the treatment of vegetative-vascular dystonia

With this autonomic disorder, somatic ( bodily) violations in the body in most cases are combined with emotional disorders. Therefore, the spa treatment of this disease is not effective without the help of a psychologist or psychotherapist. Specialists help patients develop resilience to stress by changing their attitude towards negative events. Also, psychotherapeutic assistance involves the development of techniques for relaxation and breath control, which help to get rid of anxiety and control emotions.

Therapeutic exercise includes a set of exercises and physical activity, the purpose of which is to strengthen and increase the body's resistance. Sports activities help to normalize blood pressure, promote emotional relaxation and improve the functioning of the circulatory system.

aerobics in water;
swimming;
sports walking in the fresh air;
skiing, skating.

When choosing exercise equipment, you should avoid equipment that involves positioning the body upside down and performing exercises upside down. The optimal solution is a treadmill, rowing machine, bicycle ergometer.

Going in for sports with vegetative-vascular dystonia, it is necessary to exclude types of loads with a large amplitude of movement of the head and body. Fast exercises and those activities that involve prolonged static efforts are not recommended.

power gymnastics;
body-building;
high jumps;
somersault;
somersaults;
oriental martial arts.

Physiotherapy exercises should be started with minimal loads, gradually increasing their pace.

A balanced diet in sanatoriums allows patients to achieve positive results in the treatment of vegetative neurosis. The menu of such institutions includes dishes, which include a sufficient amount of vitamins and other useful elements that help the body fight this disease.

fresh vegetables and fruits;
porridge ( predominantly buckwheat and oatmeal);
dairy and dairy products;
Fish and seafood.

Food is prepared with a minimum content of salt and spices, fatty meats and animal fats are excluded.

Duration of spa treatment

Physiotherapy in the treatment of vegetative-vascular dystonia

electrosleep;
electrophoresis;
darsonvalization;
galvanization;
laser therapy;
magnetic therapy;
inductothermy;
aeroionotherapy.

Also, physiotherapeutic methods of treating this autonomic disorder are prescribed depending on the effect they have on the body.

soothing - electrosleep, electrophoresis of sedative drugs, aeroionotherapy;
tonic - magnetic and laser therapy, inductothermy;
vasodilator - galvanization, local darsonvalization;
vasoconstrictor - electrophoresis of adrenaline and other adrenomimetic agents ( adrenergic stimulating drugs);
antiarrhythmic - electrophoresis of potassium chloride, lidocaine.

electrosleep

The electrosleep procedure is a therapeutic sleep that occurs due to the influence of electric current pulses on the patient's brain. The procedure is carried out in a special room daily or every other day. The course of treatment includes from 12 to 15 exposures. Electrodes are attached to the patient's head. The frequency of impulses depends on the nature of the disorders that disturb the patient. With neurotic disorders, as well as cardialgic, hypertensive and arrhythmic syndromes, the frequency of the pulsed current varies from 5 to 20 Hertz.

Drug electrophoresis is a method of introducing drugs through the skin or mucous membranes of the body using an electric current. During the procedure, a special pad moistened with a solution of the drug is placed on the patient's body. A protective hydrophilic layer is fixed on top, on which the electrode is installed. Electrophoresis is prescribed in accordance with the type of vegetative-vascular dystonia.

In case of hypertensive syndrome, the procedure is carried out according to the method of general exposure or on the collar zone. The current strength is from 10 to 15 milliamps, the duration of exposure is 15 to 20 minutes.

sodium solution ( 5 - 10 percent);
potassium bromide ( 5 - 10 percent);
magnesium sulfate ( 5 percent);
eufillin solution ( 1 percent);
papaverine ( 2 percent);
dibazole ( 1 percent);
anaprilin ( 40 milligrams).

Electrophoresis in hypotensive vegetative-vascular dystonia

With this type of autonomic disorder, it is recommended to perform electrophoresis using caffeine. The duration of the procedure ranges from 10 to 20 minutes at a current strength of 5 to 7 milliamps. Systematic treatment - 15 sessions, which are carried out every other day. Also, with this type of disease, mezaton-based electrophoresis can be prescribed. If the patient suffers from insomnia and severe neurotic disorders, he is recommended bromine electrophoresis on the collar zone. With manifestations of severe asthenia, the patient is subjected to electrophoresis using a galvanic anode collar according to Shcherbak.

With a vegetative disorder of the cardialgic type, electrophoresis is prescribed using a solution of novocaine ( 5 - 10 percent) and nicotinic acid. Procedures are carried out according to the principle of general effect or according to the cardiac method. The second method involves placing electrodes in the region of the heart and between the shoulder blades.

If the patient has an arrhythmic syndrome, then he is prescribed electrophoresis using panangin ( 2 percent) or anaprilin by the cardiac method.

Darsonvalization is a medical procedure in which certain parts of the patient's body are exposed to pulsed alternating current, the characteristics of which are low frequency, high voltage and weak force. This procedure has a vasodilating and stimulating effect on the body.

In the cardiac form of the disease, darsonvalization is prescribed in the region of the heart. With a predisposition to spasms of cerebral vessels, the current is applied to the cervical region. The course of treatment is from 6 to 10 sessions, which are carried out every day.

During galvanization, the body is exposed to direct current, which has a low voltage and low power. Metal plates are applied to the patient's body, to which current is supplied from the apparatus using a wire. To avoid damage, a protective pad made of a material that absorbs water is fixed between the electrode and the skin. When the equipment is turned on, the current strength begins to increase, and by the end of the session, it decreases. The duration of the procedure depends on the specifics of the disease and can be from 10 to 30 minutes.

increased blood circulation;
increased vascular permeability;
stimulation of the nervous system;
improved metabolism.

laser therapy

Laser therapy is based on the influence of a directed light flux on the patient's body. Under the influence of the laser, capillaries expand, viscosity decreases and blood microcirculation improves. This physiotherapeutic method contributes to the activation of the immune functions of the body and has a beneficial effect on the general tone of the patient. One of the properties of laser therapy is to increase the body's sensitivity to medications. This allows you to achieve positive results of treatment in a short time with the use of minimal doses of drugs.

Magnetic therapy in the treatment of vegetative-vascular dystonia is a method of physical influence on the human body by a magnetic field of a constant or variable nature. The magnetic field is perceived by all body systems, but the nervous system has the greatest sensitivity to it. The effect of these procedures is manifested in the stabilization of the emotional background of patients, improving sleep, reducing the level of nervous tension. Also, the magnetic field has a beneficial effect on the cardiovascular system, which is expressed in lowering blood pressure and normalizing the pulse.

activation of metabolism;
increased tone of peripheral vessels;
improvement of blood circulation.

Inductothermy

Inductothermy is a treatment method in which the patient's body is exposed to heat. Certain areas on the body are heated using a special apparatus that operates on the basis of an alternating electromagnetic field. Due to eddy currents, the tissues are evenly heated to a depth of 6-8 centimeters. It should be noted that the skin and subcutaneous tissue heat up less than tissues and fluids located at a greater depth. Under the influence of this method of treatment in the patient's body, blood circulation improves, nervous excitability decreases, and the activity of immune functions is activated.

Aeroionotherapy is a treatment method in which the patient inhales air saturated with negative ions. For the procedures, special devices are used - air ionizers for individual or collective use. The patient is located at a distance of a meter from the equipment and inhales air for 20-30 minutes. During the course of treatment, the duration of which is 12-14 sessions, patients experience a decrease in blood pressure, a decrease in the number of heartbeats, and normalization of sleep. In addition, after this method of physiotherapy, the intensity of headaches decreases, weakness disappears and the immune processes of the body are activated.

Contraindications for physiotherapy

epilepsy;

diseases of the cardiovascular system in the acute stage;

neoplasms of a malignant type;

mental illness;

severe blood diseases;

tuberculosis in the active stage;

atherosclerosis of the brain;

hypertension ( 3 stage);

body temperature of 38 degrees and above.

Alternative methods of treatment of vegetative-vascular dystonia

agents for the treatment of hypertensive dystonia;

drugs intended for a disease of a hypotensive nature;

drugs for the treatment of vegetative disorders of the cardiac type;

folk recipes for all types of this vegetative disease;

Treatment of folk recipes for hypertensive dystonia

To prepare this medicine, you need to take 10 grams of dry hawthorn and pour water. Place the vessel with raw materials on a steam bath and heat for 15 minutes. It should be ensured that the water does not boil, because in this way the decoction loses its healing properties. It is necessary to take an infusion of hawthorn with vegetative neurosis, 15 grams of the remedy three times a day.

The components that are necessary for the manufacture of a decoction are:

dry hawthorn flowers - half a tablespoon;

dry hawthorn berries - half a tablespoon;

Crushed vegetable raw materials must be steamed with boiling water. The decoction will be ready in a couple of hours. It is recommended to drink the infusion during the day.

For tincture, magnolia leaves are used, which you need to purchase in specialized herbal stores. The crushed fresh plant should be poured with alcohol ( 96 degrees) at a rate of one to one and stand for two weeks, protecting the vessel from sunlight. Strained tincture should be taken 20 drops daily, mixing them with 50 milliliters of water. The tool helps to equalize blood pressure, and also has a positive effect on the functionality of the body's immune systems.

This remedy of traditional medicine helps to alleviate the patient's condition with a vegetative pathology of a hypertensive nature.

valerian root - 2 tablespoons;

dill seeds - 1 cup;

natural honey - half a glass ( 150 grams);

water - 2 cups ( half a liter).

Dry seeds and valerian root should be poured with boiling water and left for 15 - 20 hours. A more effective remedy is obtained if you insist it in a thermos. After 24 hours, clean the broth from the cake and mix with honey. Drink honey infusion should be three times a day, evenly distributing the amount of the resulting drink into 6 doses.

Viburnum berry juice not only normalizes blood pressure, but also activates the protective functions of the body, helping the patient to fight the disease more effectively. To squeeze the juice from the viburnum, the berries should be poured over with boiling water and lightly crushed with your hands. Place the crushed berries in cheesecloth, folded several times and put under oppression or squeeze strongly with your palms so that the juice flows out. A freshly prepared product should be mixed with May honey in a ratio of one tablespoon per hundred milliliters of juice.

You need to buy components for this folk remedy at a pharmacy. In finished form, a decoction of herbs has a short shelf life, which does not exceed 1 - 2 days. Therefore, it is worth steaming plants daily, and storing the drink in the refrigerator during the day.

valerian root - 20 grams;

lily of the valley flowers - 10 grams;

hawthorn flowers - 20 grams;

peppermint - 15 grams;

fennel - 15 grams.

For more convenient use, dry herbs, roots and flowers should be crushed and stored in a resealable container. To prepare a daily portion of the drink, you need to pour a tablespoon of raw materials with a glass of hot water. Using a slow fire, bring the composition to a boil, then remove the plants and take one-third of a glass before meals.

With this autonomic disorder, it is necessary to reduce the amount of tea and coffee consumed. You can replace these drinks with herbal tea, the components of which help reduce pressure and have a mild sedative effect.

chokeberry;

barberry;

black currant;

blueberry.

Dry ingredients should be mixed in equal amounts and stored in a glass container. The fruits can be used instead of tea leaves by brewing a tablespoon of tea leaves with a glass of boiling water.

Folk remedies for the treatment of vegetative neurosis of the hypotensive type

ginseng;

eleutherococcus;

St. John's wort;

rhodiola rosea;

immortelle;

juniper;

dandelion;

stinging nettle;

Chinese Lemongrass.

Ginseng root tincture

Taking 25 drops of ginseng tincture three times a day can help relieve the symptoms of this type of autonomic disorder. The product is bought in a ready-to-use form at a pharmacy or prepared at home. To make your own tincture, you need to pour dry crushed plant with vodka in a ratio of one to one. For 10 - 14 days, insist the composition, vigorously shaking the container 2 - 3 times a day.

To prepare the tincture, you need to purchase Rhodiola rosea root at the pharmacy. It should be borne in mind that the leaves of this plant lower the pressure, so the underground part of the flower is necessary for tincture. It is necessary to grind the dry rhizome in the amount of 100 grams and pour it with vodka or alcohol diluted to 40 degrees. Put the container with the composition in a place where sunlight does not penetrate, and shake it periodically throughout the week. Before use, the tincture must be made less concentrated by adding water in a ratio of 1 to 5.

This folk remedy has a pleasant taste, invigorates well and has no restrictions on use. To prepare a mixture for tea, 10 parts of St. John's wort and 1 part of angelica should be placed in a hermetically sealed refractory container. Herbs should be used fresh. Put the vessel with raw materials in the oven and keep on low heat for 3 hours. Grind the steamed raw materials and use instead of tea leaves. To prolong the use of vegetable raw materials, it can be divided into portions and frozen.

Immortelle sandy fights fatigue, apathy and increases blood pressure. A tablespoon of fresh grass should be poured with a glass of water, the temperature of which is 70 - 80 degrees. If dry raw materials are used, then it must be steamed with boiling water. You need to use the decoction during the day, dividing the amount of funds into 3 doses.

To prepare a decoction of Chinese magnolia vine, the fruits of the plant in the amount of 2 tablespoons should be poured with a glass of water. Put the container on the fire, wait for the boil and soak for 5 minutes. You need to use the resulting amount of infusion during the day, distributing it into 3 doses.

Active active substances that are part of the juniper fruit help to normalize blood pressure and fight well with the general weakness of the body. Berries can be added as seasonings in the preparation of dishes from pork, beef, chicken. The separate use of juniper berries also has a beneficial effect. You should start with 1 piece, daily increasing their number by another 1 berry. After 3 - 4 weeks of treatment should be discontinued.

The constituent elements of this folk remedy are:

Rhodiola rosea root - 20 grams;

echinacea flowers - 20 grams;

hop cones - 10 grams;

May honey - 2 teaspoons;

water - 250 milliliters.

Fresh or dry herbal ingredients should be combined with a glass of boiling water. After an hour, strain the product and add honey. You need to use the amount of the resulting product during the day. It is necessary to drink a decoction before meals for a month, after which a pause in treatment should be made.

The ingredients of this drug are:

dandelion ( leaves) - 10 grams;

gray blackberry ( leaves) - 20 grams;

stinging nettle ( leaves) - 20 grams;

water - 250 milliliters ( 1 glass).

It is necessary to use vegetable raw materials for the manufacture of herbal infusion after preliminary grinding. This will reduce the time required to infuse the decoction. You need to prepare a drink daily, as it spoils the next day. To do this, bring water to a boil and steam dry plants with boiling water. Wrap the vessel with the composition and leave for one hour. After this, the infusion must be filtered and drunk 30 milliliters each ( 2 tablespoons) 3 times a day.

Folk recipes for the treatment of cardiac dystonia

The composition of raisins includes a greater amount of glucose, which has a beneficial effect on the functionality of the heart muscle and normalizes its contractile activity. This course of treatment is recommended to be repeated twice a year. It is necessary to choose raisins that do not contain seeds. Two kilograms of dried berries should be thoroughly washed in warm, and then in cold water. Next, the raisins need to be dried naturally, laying it out on a clean cloth. After the dried fruits have dried, it is necessary to divide the total amount into two parts. Raisins should be taken 40 berries every day, consuming them half an hour before breakfast. After the first half of the dried grapes is finished, it is necessary to proceed to the second part. The second kilogram of raisins start with 40 berries every day, reducing the number of berries by 1 piece.

This folk remedy helps to fight heart pains that are characteristic of this type of pathology.

mint;

hop;

rosemary;

St. John's wort.

All components of the collection must be used in dry form. Equal parts of each component must be poured into a glass container or a bag made from natural fabrics. Thus, vegetable raw materials for making a drink can be stored for several years. For a decoction, you need to steam 2 tablespoons of herbal tea in a thermos for the night with half a liter of hot water. Reception schedule - one third of a glass three times a day. You can store the broth for no more than 2 - 3 days, and this fact should be taken into account when preparing the drink. The course of treatment is 1 - 2 months, after which it is necessary to take a break for 4 weeks.

The composition of this folk remedy includes plants that contribute to the normal functionality of the heart. Also, this tea contains a large amount of vitamins and useful elements that help strengthen the protective functions of the body.

hawthorn;

rose hip;

raspberry ( greens);

coltsfoot.

Equal portions of these ingredients should be poured into a container suitable for storage. To brew tea, you need to take a tablespoon of herbal tea and steam it in a thermos with 2 cups of boiling water. The next day, you need to drink a drink, distributing it between breakfast, lunch and dinner. After 1 - 2 months of drinking this herbal tea, a break of 20 - 30 days is necessary.

A decoction prepared on the basis of dill, wormwood, mint, and linden seeds has a mild sedative effect and helps to reduce pain in patients with this pathology. Dried and crushed plants should be combined in equal proportions. To prepare a drink, 2 tablespoons of herbs need to be poured with water and brought to a boil on the stove. After cooling the broth, it must be filtered and taken one third of a glass 3 times a day.

This tool helps to improve the patient's condition with a vegetative disorder of the cardiac type, because it strengthens blood vessels and improves the functionality of the heart. This folk preparation is made from tinctures, which must be bought ready-made at a pharmacy.

peony tincture - 100 milliliters;

hawthorn tincture - 100 milliliters;

valerian tincture - 100 milliliters;

motherwort tincture - 100 milliliters;

eucalyptus tincture - 50 milliliters;

mint tincture - 25 milliliters;

cinnamon grains - 10 pieces.

All ingredients must be mixed in a glass jar and left for 10-14 days in a place where sunlight does not penetrate. After the specified time, you should proceed to treatment, which should last no more than a month. You need to take the remedy 25 drops before meals, which must be mixed with a tablespoon of water.

Folk drugs with a general spectrum of action for dystonia

means for normalizing sleep and stabilizing the emotional background;

drugs that help eliminate fatigue

Means for correcting the emotional state

Treatment for insomnia with folk remedies is based on medicinal plants that contribute to the relaxation of the body.

The ingredients of this folk remedy are:

lavender ( flowers) - 50 grams;

peppermint ( leaves) - 50 grams;

chamomile ( flowers) - 75 grams;

valerian ( root) - 75 grams.

Dry plants must be crushed and poured into a jar. For insomnia, take a glass of decoction per day, which should be brewed in the proportion of two tablespoons of the collection per 250 milliliters of water.

Medicinal plants from which tea is prepared for the treatment of this autonomic disorder are:

veronica officinalis ( grass);

violet ( grass);

lavender ( flowers);

barberry ( berries);

melissa ( leaves).

The collection is made up of equal portions of each component. A decoction brewed on one tablespoon of raw materials and a glass of water should be taken 2 to 3 hours before going to bed.

This folk remedy not only calms the nervous system, but also activates the protective functions of the body.

Hypericum perforatum;

peppermint;

Melissa;

common hop cones.

Mix all ingredients in equal parts. A glass of decoction prepared from a tablespoon of herbs and a glass of boiling water, drink in small sips throughout the day.

Baths with herbal extracts help to relax, relieve muscle tension and normalize sleep.

subdued light in the bathroom;

water should not be hot, but warm ( 35 - 37 degrees);

stay in the bath should not exceed 15 minutes;

after the bath you need to take a warm shower.

Baths with herbal infusions

To prepare a herbal infusion for a soothing bath, steam 100 grams of raw materials with two glasses of boiling water, insist and add to water.

melissa;

valerian;

lavender;

oregano.

These herbs are used both independently and in the form of mixtures.

Baths with the addition of essential oils to the water have an effective effect. To avoid skin irritation, the essential oil can be mixed with honey or milk before being added to water. The dosage of essential oil is 3-4 drops per whole bath.

Treatment aimed at restoring strength should include components that contribute to raising the general tone of the body and normalizing the patient's physical and mental activity.

The biologically active components that make up this remedy for the treatment of autonomic dysfunction help restore the patient's physical and mental fitness. Also, this recipe normalizes the functionality of the circulatory system, thanks to pomegranate juice.

birch leaves ( fresh) - 100g;

Kalanchoe leaves - 150 grams;

pomegranate juice - 125 milliliters;

Leaves of birch and Kalanchoe should be filled with water, put on a steam bath and wait for the boil. After ten minutes, remove the vessel from the heat, strain and mix with pomegranate juice. The course of treatment is 10 days, the dosage is 125 milliliters of the drink ( half glass).

Zamaniha high is a plant that has an effective positive effect on mental and physical exhaustion. The tincture purchased at the pharmacy should be consumed in the amount of 30-40 drops twice a day thirty minutes before meals. People who suffer from sleep disorders should avoid this remedy.

Rosehip contains a large number of active elements that help fight overwork. To prepare the infusion, you need 20 grams of fruit ( dry or fresh) Steam with two cups of boiling water in a thermos. The next day, add sugar or honey to the infused rosehip and take half a glass 3 times a day.

To prepare this folk remedy, you need red dessert wine ( e.g. Cahors). Wine in the amount of 350 milliliters should be mixed with 150 milliliters of fresh aloe juice and 250 grams of May honey. To maximize the benefits of aloe, before cutting off the lower leaves, the plant should not be watered for several days. Aloe needs to be washed, crushed, add wine with honey and insist for 7-10 days. The temperature in the place where the container is stored should not exceed 8 degrees. After the infusion is ready, it should be filtered and taken in a tablespoon three times a day.

Autonomic lability is an unstable work of the autonomic (autonomous) nervous system.

Increased sensitivity and reactivity of the autonomic nervous system manifests itself with minimal stress factors.

Anatomical and physiological overtones

The autonomic nervous system consists of two divisions - sympathetic and parasympathetic. The parasympathetic nervous system regulates the functioning of the endocrine system, the digestive tract, is responsible for metabolism and lowering blood pressure.

The sympathetic nervous system is active in stressful situations. It is responsible for supplying the muscles with oxygen, heart palpitations, and breathing.

In the normal state, there is an adequate reaction of the autonomic system to external stimuli (stress, temperature, sounds). With the syndrome of increased lability of the autonomic nervous system, an individual may experience inadequate reactions to common stress factors: increased sweating at low temperatures, increased blood pressure with little stress.

The reflexes of the autonomic system provide an adequate response of the body to stress, a person's understanding of the presence of anomalies in his state or sensations.

Autonomic lability is not an idiopathic disease. Often it is a sign of vegetovascular dystonia. This disorder is present in about 80% of the population, in adults and children.

Causes of failure

The causes of autonomic lability can be varied:

stress factors;
adverse effects of the external environment;
infectious diseases;
intoxication;
surgical intervention;
craniocerebral and other injuries;
climate change and time zones;
pregnancy;
menopause;
psychological trauma, including childhood;
lack of vitamins (especially vitamins B1, B3, B6 and B12 and vitamin E).

There is also the possibility of autonomic lability due to dysfunction of the autonomic nervous system, which can be caused by various diseases.

Such diseases include ulcerative colitis, Crohn's disease, diabetes, Ehlers-Danlos syndrome, paraneoplastic syndrome, sarcoidosis, Sjögren's syndrome.

Wide range of manifestations

Manifestations of autonomic lability are associated with all areas that are controlled by the autonomic nervous system, the symptoms of the condition can be varied:

fainting and dizziness;
increased fatigue (due to the lack of adequate adjustment of the heart rate in relation to the loads);
increased or decreased sweating;
headache;
disorders in the digestive tract, which lead to constipation, diarrhea, bloating, loss of appetite;
difficulty urinating;
problems in the genital area (lack of erection, vaginal dryness, nonorgasmia);
visual disturbances (increased sensitivity to light, blurred vision);
poor tolerance of cold and heat;
sleep disorders;
tremor;
heart palpitations, arterial pressure lability;
apathy, lethargy, weakness, constant slight malaise;
increased irritability;
reduced concentration of attention;
sudden mood swings;
speech disorders;
unreasonable fears, anxiety and neurotic phobias;
pain in the joints and muscles;
dry skin;
numbness in various parts of the body.

Examination and diagnosis

Also, to assess the degree of violations, tests are prescribed for the biochemical composition of urine and blood.

Comprehensive approach to treatment

In the treatment of vegetative lability, methods without the use of pharmacological preparations predominate.

To bring the nervous system back to normal, it is recommended:

adhere to the normal mode of operation;
have adequate sleep and rest;
follow proper nutrition;
lead a healthy lifestyle;
do sport;
reduce physical activity;
spend time outdoors, take walks;
avoid stress factors;
use decoctions of mint, valerian, lemon balm.

Drug treatment consists in the use of drugs that calm the nervous system, as well as symptomatic treatment of organs and systems whose work has been disrupted due to the disease.

They use drugs whose action is aimed at normalizing sleep, sedatives, painkillers, vitamins.

A neurologist may prescribe anti-anxiety drugs (Tenoten, Phenazepam, Phenibut, Afobazol). The therapeutic course is selected individually.

Autonomic lability of the nervous system requires treatment, as it can lead to a number of diseases:

pathologies of the cardiovascular system (ischemia, hypertension, atherosclerotic changes);
diseases of the stomach (gastritis, peptic ulcer);
mental disorders.

This section was created to take care of those who need a qualified specialist, without disturbing the usual rhythm of their own lives.

Vegetative lability what is it

Not a disease, but it needs to be treated

Vegetative lability is now familiar not only to adult patients, but also to children. According to neurologists, the prevalence of this syndrome among babies and adolescents reaches from 10 to 50%. Marzhan Zharekeyeva, a neuropathologist at the Children's Infectious Diseases Hospital in Astana, will tell you more about this disease.

There are many synonyms for this disease: autonomic lability, vegetative-vascular dystonia, autonomic dysfunction, autonomic neurosis, vegetative-vascular form of the hypothalamic syndrome, psycho-vegetative syndrome, etc. In fact, all this is not a disease. This is a syndrome that includes disorders of autonomic functions of various origins and manifestations, caused by a disorder in their regulation.

What is the reason for this imbalance in the body of children?

The causes of VSD in children depend on age. In early childhood, hereditary burden and perinatal pathology, accompanied by minimal cerebral dysfunction, are of great importance. In the later - allergic and toxic-infectious lesions of the autonomic nervous system with focal (caries, chronic tonsillitis, sinusitis, pharyngitis) or general infection.

In addition, traumatic brain injuries previously suffered by the child and the impact of negative psycho-emotional factors are of great importance. Such factors may be overload at school, conflict situations in the family and school.

In the pubertal period, vegetative lability is transient, but when exposed to additional other causes, it becomes very persistent.

What does the symptomatology of the disease look like?

At an early age, signs of vegetative-vascular dystonia of the VVD are noted in the gastrointestinal tract. Regurgitation, bloating accompanied by crying, unstable stools, diarrhea or constipation are observed. Appetite is reduced, there is a delay in weight gain. There may be diaper rash, persistent erythema, and exudative diathesis on the skin. There is a tendency to allergic reactions. The sleep of such babies is superficial, with frequent waking up, causeless crying.

In the second and third years of a baby's life, a decrease in the adaptive capabilities of the child is manifested (increased sensitivity to infections, meteotropic effects, a tendency to colds). There is a poor appetite, insufficient chewing. Such children are very impressionable, shy, uncommunicative, pathologically attached to mom or dad.

Paroxysmal conditions of a different nature appear in children of older preschool age (night terrors, affective respiratory or hysterical seizures), which manifest themselves against the background of permanent autonomic dysfunction. Children become pale, get tired quickly, suffer from pre-syncope (lipothymia), fainting, frequent headaches, sometimes in the form of a typical migraine. In adolescence and youth, outlined syndromes of impaired activity of organs and systems are formed, and vascular dystonia develops.

Adolescents usually complain of hypertensive conditions: fatigue, heart pain, headaches, dizziness, sweating, chilliness, feeling short of breath, sleep disturbances.

It is also necessary to distinguish between such a syndrome as vegetative-vascular dystonia of the hypotonic type. It occurs in a baby at an early age, but, as a rule, manifests itself only in puberty. It is characterized by an asthenic physique, a lag in physical and psychomotor development in a teenager, fatigue, headaches, dizziness when changing position, poor tolerance to transport or height, vestibulopathy, and discomfort in the region of the heart. Sometimes there are fainting spells and migraines.

What tests are used to diagnose?

Based on clinical data, ECG, Doppler sonography, EEG, we determine dermographism, we analyze cardiovascular reflexes. When making a diagnosis, consultations of a psychiatrist, endocrinologist, psychologist are required in order to exclude other diseases.

How is vascular lability treated?

If possible, preference should be given to non-drug methods - reflexology, physiotherapy exercises, massage, physiotherapy and herbal medicine, spa treatment.

Many doctors recommend breathing exercises for such children, which reduce the manifestations of hyperventilation, based on training diaphragmatic (abdominal) breathing, the formation of a certain ratio between the duration of inhalation and exhalation (1: 2), deepening and thereby exercising breathing.

During exacerbations, patients are prescribed drugs with a sedative effect for a short period of time.

Rational psychotherapy plays a significant role - it is necessary not only to inform the mother, but also the sick child about the absence of a life-threatening disease, but also to explain the essence of his condition. Everything is curable.

Magazine article

Vegetative lability

What's this?

Vegetative disorders in the human body are a fairly common phenomenon, which is observed in about 80% of adults. The causes of this disease are structural and functional changes in the autonomic nervous system, resulting in a violation of the regulatory functions of some organs and systems, for example, cardiovascular, respiratory, gastrointestinal, genitourinary, etc. In recent years, there has also been a rejuvenation of such symptoms - more and more signs of autonomic lability appear in adolescents and children. There are several reasons for this: excessive study loads at school, where the child has to be almost constantly in suspense; poor quality food; bad environmental conditions. By the way, now children move very little, preferring computer games instead of outdoor games.

Signs of autonomic lability

Symptoms of this disorder in children can manifest themselves in different ways, which complicates its diagnosis: dizziness, headaches; rapid heartbeat; unexplained jumps in blood pressure. As a result, we get poor sleep, increased fatigue, increased irritability, sometimes the stomach hurts, the temperature rises, nausea appears, etc. Dizziness can provoke fainting, especially if you stand up abruptly or stand in one place for a long time. In the presence of vegetative disorders, the child becomes too anxious, afraid of everything, often cries, which entails many psychological problems.

Don't start the disease

Alas, not all parents pay due attention to the symptoms described above in a child. Fatigue and headaches are easily explained by school workloads, and gastrointestinal problems are easily explained by an unbalanced diet or minor food poisoning. A doctor is consulted only when the symptoms become severe. However, autonomic disorders can cause complications, so you should contact your doctor as soon as possible. Statistics show that against the background of autonomic disorders, pathologies of the cardiovascular system can easily develop: hypertension, coronary artery disease, atherosclerotic changes.

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Neurotonia and their manifestations. Vegetative lability

To name and define similar forms of autonomic disorders. in which we are talking about the general predominance, in various mixtures and proportions, the term and concept of neurotonia (Guyom - 1919) and hyper- or hypoamphotonia (Danielopolu - 1923) appeared. Both want to express conditions characterized by a general predominance of both vegetative components, in combinations in which it is difficult to specify the proportion of each of them, in which the symptoms and signs of vagotonia and sympathicotonia are intertwined differently from person to person, from territory to another, even from day to day. , creating strange symptomatic pictures, sometimes difficult to decipher, even paradoxical. For these conditions, labels later appeared for autonomic dystopia (Sicard), amphodystonia, dysvegetosis, as well as autonomic lability, autonomic ataxia (Birkmeyer).

These names refer - all - to the category of patients with various neurovegetative disorders that cannot be included in simple tone deviations (ie, hyper- or hypo-sympathetic-vagotonias). The various names indicated tend to mean - each - neurovegetative disorders, in which deviations of the sympathicus with the vagus are interwoven, in different features and proportions. It seems that they are thus equivalent, synonymous.

However, there is some relative content difference between them. Hue in their use is also useful in practice, and therefore should be emphasized.

Autonomic lability means a state of instability, sensitivity and increased reactivity of the neurovegetative system, with minimal, banal, general stimuli. A vegetatively labile individual presents a living reflectivity that is excessive, exceeding the overall dimensions of viscera, organo-vegetative life, compared to general physical factors (cold, heat), in the face of noise, polluted atmosphere, fatigue, emotions, food excesses, spoiled foods, etc.

influenced by such factors. more or less general, an individual with autonomic lability, quite easily and relatively often presents with episodic disorders consisting of headache, migraine, palpitations, precordial pain, nausea, spasms, abdominal cramps, complains of cold or hot flashes, becomes pale or engorged, sweating, his mouth dries out or saliva collects, possibly he has an attack of diarrhoea; his pulse speeds up or slows down, his pressure rises (less often falls).

Vegetatively labile individuals are sensitive to mental trauma, to mental stress, to meteorological changes, to which they react very strongly; they are very sensitive when traveling and easily get seasick, air sickness and train sickness; it is also easy for them to cause nitritodine crises, reactions of intolerance, a state of collapse, fainting. They are, strictly speaking, not sick, in the purely classical sense of the word - they are sick; present on an organism that is normal in appearance, greater organo-vegetative sensitivity, increased moral and physical sensitivity, increased visceral reflectivity, causing them to periodically suffer due to aggressive conditions, even of low intensity. They are, as Eppinger and later Guyom called them, "invalids of the vegetative system," and Bergamn - "vegetatively stigmatized; they have an unstable, unreliable balance of the vegetative system. Their state of dysreactivity, lability, concerning the organo-vegetative system was also called "neurovegetative erethism, visceral erethism" or "vegetative ataxia" (Birkmeyer).

Sources: http://dzm.kz/articles/4600, http://pacient.info/a_vegetativnaya_labilnost-26.html, http://meduniver.com/Medical/Psixology/423.html

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Emotional lability: good or bad?

Emotional lability is a concept that implies the instability and variability of mental processes in the structures of higher nervous activity of a person. Their appearance can be due to both a number of internal factors - for example, a malfunction in the human hormonal background, and external stimuli - high temperature, contact with chemicals, changes in the magnetic field.

The syndrome of emotional lability is more typical for people whose psyche reacts too actively to changes in the environment, to stressful situations, or to the appearance of internal diseases.

At the same time, lability in psychology is considered as mobility, and in some cases, instability of the human psyche, outside of its relationship with physiology. By itself, the state is usually attributed to negative qualities. However, experts give it its due as one of the mechanisms of adaptation to a changing external environment. Mood swings can be interconnected with the characteristics of the innate parameters of the human psyche, for example, the choleric personality type, or with the psychological trauma he has suffered.

Whereas lability in physiology is considered solely from the point of view of the properties of the nervous tissue - its ability to conduct an electrical impulse, transform it or stop it. Such characteristics are necessarily taken into account by specialists in the selection of optimal treatment regimens for various nervous and mental diseases.

Intellectual instability

Widespread emotional lability is its intellectual variety. In fact, it is the ability of a person to quickly switch his attention from solving one life task to another, requiring the application of intellectual efforts.

A biologically determined process directly depends on the neurophysiological parameters of the cerebral cortex inherent in a person by nature. Therefore, practice and learning will not play any role - each of us is a unique person in this respect.

High lability of the nervous system is the ability to:

However, not every person has the required characteristics of intelligence. Therefore, in an attempt to adapt to the modern pace of life and its demands, people become irritable, embittered, acquire many nervous diseases and disorders.

Emotional instability

Not less often in the practice of psychotherapists there is such a condition as emotional lability. As a rule, such instability is secondary, accompanying other pathologies and diseases of brain structures. For example, mood lability can occur in people who have a history of:

senile dementia;
severe cerebral atherosclerosis;
suffered brain catastrophes - for example, strokes;
obliterating form of cerebral thromboangiitis;
hypertension stage 2-3;
traumatic brain injury;
brain tumors.

Psychoemotional lability in this case will be only one of the many clinical signs of exhaustion of the nervous system. Only a highly professional specialist can assess its severity and establish the true root cause.

Failure in the balance between the processes of excitation and inhibition in the cerebral cortex will manifest itself in different ways. Most often, emotional lability is expressed as follows:

the appearance of sudden, unexpected affective outbursts - for a seemingly insignificant reason,
out of place for the spoken word, they also quickly disappear;
abrupt change, mood swings - from the peak of anger to deep despondency, tearfulness;
lack of a tendency to physical aggression, even at the height of emotional experiences;
restlessness and lack of assembly at home and at work;
lack of an adequate assessment of one's own behavior.

People with a similar mental instability are prone to quarrelsomeness, lack of social attachment, and excessive impressionability. They can go from one extreme to another.

Autonomic instability

Therefore, the parameters of blood pressure, sweating, thermoregulation and many other internal processes depend on the full-fledged activity of this system. Functional lability will consist precisely in the lack of coherence between the central structures of the brain and the peripheral parts of the autonomic system.

The main manifestations of instability:

prone to fainting;
persistent dizziness;
increased fatigue;
frequent and causeless euphoria;
excessive sweating;
difficulty with bowel movements;
dysuric conditions;
erectile dysfunction in men, vaginal dryness in women;
visual impairment not related to physical causes;
violations of the sensitivity of the pharynx, which can also be observed with neurosis of the pharynx;
poor tolerance for temperature fluctuations;
various disorders of sleep quality;
severe trembling in the limbs;
tachycardia.

With age, autonomic lability can both decrease and increase - for example, tantrums in women during menopause occur much more often, while after stabilization of the hormonal background, mental lability decreases.

mental instability

An extremely unstable psychological state is the main clinical sign of such a disorder as mental lability. A similar feature is inherent in people of creative professions - theater and film actors, artists and singers, as well as film directors and writers.

The whole range of possible feelings and emotions is experienced by them with excessive depth - from love to hate, it can take a few moments. However, emotional lability in this case does not differ in particular duration - as a rule, a person quickly regains control over emotions.

If affective outbursts can even be called a plus for a choleric personality, they help them express themselves, fulfill their work duties, for example, actors. Then, in severe cases, mental emotional lability can be a sign of an organic personality disorder, some psychopathy and even mania.

Borderline symptoms of instability:

excessive impressionability;
the tendency to shift the difficulties of life onto other people;
rapid change of emotions and interests;
pronounced emotional as well as physical exhaustion following an affective outburst;
ignoring the prohibitions from others.

Gradually, negative character traits are aggravated, a person completely loses control over his mental activity, can become dangerous to society. Treatment in this case should be handled by a psychiatrist, not a psychotherapist.

Features of emotional instability in childhood

Often, emotional lability in children is difficult to distinguish from hysterical psychopathy or the need for increased attention from adults. Toddlers with a hysterical psychotype constantly arrange "scene" and do not respond well to educational measures.

However, most often, increased psychological lability is a consequence of the stress experienced by the child. Therefore, it is enough to establish what caused the disorder in the emotional sphere of the baby in order to restore his peace of mind. Parents should pay attention to the stubborn unwillingness of their crumbs to communicate with this or that person, to fulfill any requirements. Timely seeking help from a child psychologist allows you to take appropriate measures and return emotional well-being to the family.

If specialized treatment is required, it is also desirable to start from an early age. Then the chances of the baby to develop more or less according to age increase significantly, and later the child will be able to adapt in society without serious consequences.

Treatment tactics

The treatment of emotional lability must necessarily be complex - it requires an impact not only at the physiological level, directly on the speed of the processes of excitation and inhibition in neurocytes, but also work with a psychotherapist.

In some cases, it is enough to follow general recommendations - get enough sleep, eat right, avoid stressful situations in order to gain control over your own emotions. In addition, the specialist prescribes light sedative medicines on a plant basis. Motherwort, valerian, as well as lemon balm, chamomile, hawthorn have proven themselves well.

If the lability is due to the course of a particular mental illness, then the treatment tactics will be different, aimed at correcting the underlying disorder. Medications are selected from psychotropic subgroups of the anticonvulsant series, nootropics and agents that improve cerebral circulation and relieve increased anxiety of the individual. Physiotherapy, massage, hydrotherapy come to the rescue. Be sure to appoint courses of psychotherapy, occupational therapy.

The key to success in the fight against emotional instability is in timely seeking medical help. At an early stage of the appearance of fluctuations in the emotional sphere, it is quite possible to cope with them if all the doctor's prescriptions are followed.

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Vegetative lability in children

With vegetative disorders in children, it is important to take all measures in time so that the situation is not complicated by other diseases.

What it is?

Vegetative disorders in the body are a fairly common problem, which is observed to some extent in more than 80% of the adult population. The causes of this disease lie in the structural and functional changes in the autonomic nervous system. As a result, the vegetative regulation of some organs and systems, in particular, the cardiovascular, gastrointestinal, respiratory, genitourinary, and others, is disrupted. Unfortunately, every year the symptom complex is getting younger, and more and more often signs of vegetative disorders are observed in children. There are several reasons for this state of affairs. These are excessive workloads at school, where the child is in constant tension, poor nutrition and unsatisfactory environmental conditions. In addition, modern children move very little. They prefer computer games to outdoor games and physical activity.

Characteristic features

Symptoms of autonomic disorders in children can be different, which complicates the diagnosis. For example, it can be palpitations, headaches and dizziness, jumps in blood pressure, and as a result - increased fatigue, sleep disturbance, irritability, and in some cases abdominal pain, nausea, fever and other symptoms. Sometimes dizziness leads to fainting, especially when getting up abruptly, or in the case of prolonged standing. In the presence of autonomic disorders, the child is prone to anxiety, tearfulness and fear, which leads to a number of psychological problems.

It is important not to start the disease

Unfortunately, parents do not always respond properly to the above symptoms. We often attribute fatigue and headaches to school, and problems with the gastrointestinal tract are almost always blamed on an unbalanced diet or we suspect food poisoning. As a rule, we turn to the doctor only when the symptoms become more pronounced. But autonomic disorders can lead to complications, so you need to seek medical help as soon as possible. It was noted that against the background of vegetative dysfunctions, the risk of developing cardiovascular pathologies, in particular hypertension, coronary heart disease and atherosclerotic changes, increases.

Take Action

In the presence of autonomic lability in your child, certain lifestyle changes are recommended: normalization of sleep, moderate physical activity, balanced nutrition and, of course, the use of special means that correct the functioning of the nervous and cardiovascular systems.

When searching for a remedy for cardiovascular disorders, researchers realized that such drugs are usually taken for long courses, which is dangerous with toxic complications on the body. In order to solve this problem, it was decided to create a drug on a natural basis. Scientists knew that one of the most effective remedies for cardiovascular diseases is hawthorn fruit. However, with vegetative disorders, the action of hawthorn is insufficient, so it was decided to create a combined preparation, which consists of extracts of hawthorn and motherwort. Thus, the combined drug CRATAL was created, which includes the amino acid taurine and thick extracts of hawthorn and motherwort fruits.

Especially for use in pediatric practice, the Borschagovsky Chemical and Pharmaceutical Plant has developed a children's dosage of Kratal. The combined preparation "Kratal for children" gently calms the nervous system, significantly improves the emotional state, and also increases the child's performance. Such a wide spectrum of action is due to the properties of the constituent components: the amino acid taurine, extracts of hawthorn and motherwort fruits. The amino acid taurine improves cerebral circulation and cognitive functions of the central nervous system, and also acts as an antiplatelet component.

Combined drug "Kratal for children" "can be used for children from 6 years of age in the complex therapy of vegetative-vascular and neurocirculatory forms of autonomic disorders. For children of different ages, the drug is taken in the following dosage:

children aged 6-11 years old take 1 tablet 3 times a day;
older children - 2 tablets 3 times a day.

The drug is used orally before meals, drinking plenty of water. The duration of the course of treatment is 1 month. If necessary, the course of treatment is repeated. The frequency of repeated courses of treatment is prescribed by the doctor on an individual basis.

The drug has antiarrhythmic, antianginal, mild cardiotonic and sedative effects. In addition, the drug "Kratal for Children" improves the blood supply to the heart muscle, normalizes the pulse and blood pressure.

In the presence of hypersensitivity to the constituent components of the drug, allergic reactions (itching, hyperemia, swelling of the skin, urticaria, rash), arterial hypotension, bradycardia, drowsiness and dizziness are possible.

Before use, be sure to read the instructions and consult your doctor.

Keep the drug out of the reach of children.

Self-medication can be hazardous to your health.

Medication Instructions

The term "lability" is used in the medical field and means instability, mobility, changeability. In people with VVD, vegetative lability is always observed, what it is and how it is treated, we will consider in the article. It's actually not as scary as it sounds. Vegetative lability refers to psychosomatic manifestations and, with timely treatment, does not pose a serious danger to physiological health.

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The autonomic system is an autonomous part of the nervous system responsible for the control and regulation of the work of internal organs. It is she who regulates in our body such processes as breathing, heartbeat, digestion, sweating, body temperature, muscle tension, etc.

Important!

Under the guise of VVD, other serious diseases can be hidden, especially those associated with the endocrine system. Only a doctor can make an accurate diagnosis and prescribe the right treatment! All information on the site is for informational purposes only and is not a reason for self-diagnosis and self-treatment.

The autonomic nervous system (ANS) works independently, without any human intervention. Without it, we simply could not live. Just imagine if for life it was necessary for people to consciously control their pulse, give commands to the intestines to digest food, constantly monitor the rhythm of breathing, and influence temperature. There would simply be no time left for other things. But nature is brilliant and our body has perfect systems.

The ANS consists of two divisions - sympathetic and parasympathetic.

The sympathetic autonomic division is activated in stressful situations. He is responsible for our survival and preservation. When danger signals are received from the outside (through the organs of vision, hearing) to the brain, the sympathetic department instantly prepares the body for the “fight or flight” state. After all, if a person is really threatened by something, then there are only two ways to save his life - to run away or defeat the enemy in battle. At this moment, the sympathetic department turns off the work of some organs (stomach, bladder) so that they do not interfere, and mobilizes other systems. Muscles tighten, breathing quickens, pulse rises, pressure rises, blood rushes to the head.

The parasympathetic division is responsible for relaxation. This part of the system regulates the process of digestion, the work of the endocrine system, the removal of fluid from the body, lowering blood pressure, and reducing muscle tone. When it is in a calm and relaxed state, the sympathetic department is also resting, and the parasympathetic is actively working.

With a healthy psyche and a strong nervous system, the vegetative system functions smoothly. Sympathy comes into action only when a person is really in danger.

Vegetative lability is the instability of the two divisions of the ANS, a failure in their work. With the syndrome of increased lability, people experience inadequate reactions of the body to very minor external factors and even to their own thoughts. The VSDshnik may have increased pressure, increased heart rate, severe sweating due to small stresses, information received, negatively colored images in the head.

An increase in the tone of the parasympathetic nervous system is accompanied by a decrease in the strength and frequency of heart contractions, a slowdown in the speed of excitation through the myocardium. a decrease in blood pressure, an increase in insulin secretion and a decrease in the concentration of glucose in the blood, an increase in the secretory and motor activity of the gastrointestinal tract.

From the medical encyclopedia

In simple words, the body of the unfortunate person begins to behave as if there is an atomic war around, when in fact there is no real danger. And such failures in the nervous system can occur many times during the day. A patient with a functional disorder of the nervous system is usually diagnosed with "vegetative-vascular dystonia" or "". Labile vegetative in itself is not an independent disease. Violation is caused by other factors and becomes only their consequence. Symptoms of VVD may occur suddenly or develop slowly and at first hardly noticeable.

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So, we found out what vegetative lability is. Now let's look at the reasons.

The neurotransmitter norepinephrine is involved in the regulation of nervous activity. Thanks to his work, the motor apparatus is activated in a stressful or shock situation, mental activity increases dramatically. Since it is responsible for the work of the sympathetic department, norepinephrine regulates the level of blood pressure, narrows the lumen of blood vessels, increases blood volume, and enhances the work of the heart muscles. Unlike adrenaline, this mediator does not affect the functioning of smooth muscles, but is much more capable of narrowing blood vessels.

Treatment of autonomic lability

Vegetative-vascular dystonia does not pose a serious threat to human health. But it can significantly “poison” life and significantly reduce its quality. In addition, if the vegetative system is not stabilized, over time, cardiovascular diseases, diseases of the gastrointestinal tract and other organic pathologies may begin to develop. A neuropathologist or psychotherapist is engaged in the treatment of autonomic lability. Sometimes both specialists at the same time.

Treatment of VVD always involves an integrated approach, including drug therapy, physiotherapy and psychotherapy.

The following drugs may be included in medical treatment:

Sedatives.
Tranquilizers (anti-anxiety drugs).
Antidepressants.
Nootropics.
Antipsychotics (in especially severe cases).
Vitamins to strengthen the nervous and medial-vascular system.

It is worth noting that the listed groups of drugs do not cure anything, but only stop or eliminate the symptoms of autonomic lability.

As physiotherapy, the patient is prescribed massage, electrophoresis, therapeutic baths, acupuncture. All these procedures are aimed at relieving tension, muscle spasms, relaxing the body, improving blood circulation and vascular function.

Consultations with a psychotherapist help the patient understand the psychosomatic nature of their symptoms, discover internal conflicts and unresolved problems, and learn how to respond differently to stress factors.

To eliminate lability in the work of the autonomic system, the patient must be given recommendations:

Be outdoors more often.
More walking.
Do any kind of sport (at least regular gymnastics at home).
Stick to proper nutrition.
Normalize sleep and rest.
Avoid stress.
Don't get overwhelmed at work.
Have activities that bring joy and pleasure.
Spend time in nature from time to time.

Very effective in the treatment of VVD is a sanatorium vacation. Typically, patient therapy is carried out on an outpatient basis. In severe cases, when the patient's condition is critical, inpatient treatment in a neurological dispensary is indicated.

Knowledge about the autonomic nervous system, as one of the elements of the integral nervous system of the human body, is an integral part of the theoretical minimum that every person who has encountered VVD should have.

After all, the better you understand your problem, the easier it is to deal with it.

We answered the question - autonomic lability, what it is and how it is treated. In conclusion, I would like to add that you should not ignore even the slightest symptoms of VVD. The sooner a person seeks qualified help, the faster and easier he will be able to improve his health.

Vegetative-vascular dystonia is a reversible functional disorder, but its treatment largely depends on the mood of the patient.

People with this diagnosis should not look for a "magic pill". Their main task is to strengthen their own psyche and deal with internal mental problems. Calmness and harmony inside is the key to a strong nervous system.

Article author:

“I was convinced in my work that most of the diseases occur in people from an unhealthy lifestyle and stress.

I believe that any disease is better to prevent than to cure. I am happy to share my knowledge. The better people are informed about prevention measures and signs of disease, the higher the chances of staying healthy.”

Vegetative lability as a form of autonomic disorders. Vegetative insufficiency of the brain in the form of kgr Emotionally autonomic instability

Anatomical and physiological overtones

Causes of failure

Wide range of manifestations

Examination and diagnosis

Comprehensive approach to treatment

General information

Causes

Signs of autonomic lability:

How dangerous is vegetative lability?

Vegetative emotional syndrome

Artem V. VIKAPOV

Variants of autonomic dysfunction in neurological, cardiovascular and mental disorders. Vegetative-vascular dystonia

Vegetative-edible dystonia

Vegetative-vascular dystonia. Causes, symptoms and treatment of pathology

Interesting facts about vegetative-vascular dystonia

What is the autonomic nervous system?

Sympathetic division of the nervous system

parasympathetic nervous system

Causes of vegetative-vascular dystonia

hereditary predisposition

Acute or chronic stress

Neurological and somatic ( bodily) pathology

Hormonal changes in the body

mental illness

Symptoms of vegetative-vascular dystonia

Cardiac disorder syndrome

respiratory syndrome

Asthenic syndrome

Thermoregulation disorders

Fainting states

Disorders of a neurotic nature

Drug treatment of vegetative-vascular dystonia

Sanatorium-resort treatment of vegetative-vascular dystonia

Climatic resorts

Balneological resorts

Mud spas

Rehabilitation treatment

Duration of spa treatment

Physiotherapy in the treatment of vegetative-vascular dystonia

Contraindications for physiotherapy

Alternative methods of treatment of vegetative-vascular dystonia

Treatment of folk recipes for hypertensive dystonia

Folk remedies for the treatment of vegetative neurosis of the hypotensive type

Folk recipes for the treatment of cardiac dystonia

Folk drugs with a general spectrum of action for dystonia

Anatomical and physiological overtones

Causes of failure

Wide range of manifestations

Examination and diagnosis

Comprehensive approach to treatment

Vegetative lability what is it

Not a disease, but it needs to be treated

Vegetative lability

What's this?

Signs of autonomic lability

Don't start the disease

Ask a doctor!

Neurotonia and their manifestations. Vegetative lability

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Consultation in any field of medicine

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Emotional lability: good or bad?

Intellectual instability

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mental instability

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Vegetative lability in children

What it is?