Esikhathini esiningi kakhulu samacala we-vegetative-vascular dystonia (AVD), izimpawu kubantu abadala zihlobene nomsebenzi ongavamile ohlelweni lwezinzwa ezizimele (ANS). Isiyinkimbinkimbi sezibonakaliso ezingathandeki futhi eziyingozi zalesi sifo kubangelwa iminyango ezwela futhi ephazamisekile ye-VNS.
Iyini i-VSD?
Ukuxilongwa kwe-VSD kufakwa emazweni amaningi futhi akubonakali ngokuphelele eYurophu nase-United States. Isizathu salezi zibonakaliso eziphawulekayo zesifo, okuhlanganisa konke okuyinkimbinkimbi yezimpawu. Ukwehluleka emsebenzini wesimiso sezinzwa ezizimele kubangela ukuphazanyiswa okusebenzayo emisebenzini yezitho ezihlukahlukene, ngoba i-VNS inesibopho sangaphakathi sazo zonke izitho nezinhlelo - isheshayo futhi iphuze ukushaya kwenhliziyo, ukugaya, ukuphumula, ukuphefumula, kuvuselela ukukhiqizwa kwe-adrenaline. Inhloso yesibili ye-VNS ukugqugquzela ukusebenza komzimba ngokushintsha isimo semvelo yangaphandle.
I-VSD ingabonakaliswa ukuphazamiseka kwe-circulatory, exchange exchange, ukugaya. Ngaphezu kwalokho, lapho kutholakala i-VSD, izimpawu kubantu abadala zikhona kanye nezifo ezengeziwe:
- izifo ze-endocrine (isifo sikashukela, thyrotoxicosis);
- izifo zesimiso sezinzwa;
- ukuphazamiseka kwengqondo;
- ukusabela okweqile;
- izifo zesisu ne duodenum;
- i-dysplasia noma isifo sofuba esisetshenziswayo;
- umfutho wegazi ophezulu noma i-hypotension;
- i-scoliosis, i-osteochondrosis;
- i-atherosclerosis.
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Izizathu ze-IRR
Izimbangela zokuvela kwe-VSD nazo zihlukene futhi ziningi, njengoba zibonakaliswa ngokomzimba zalesi sifo. Kubantu abadala, i-VSD iyenzeka ikakhulukazi eneminyaka engu-20-30, leso sifo singakwazi ukuphela noma ukubangela izinkinga kanye nezifo ezinzima. Imbangela yangaphakathi yokuvela kwe-VSD yibubuthakathaka kanye nokuhluleka kwesistimu yezinzwa ezizimele. Izimbangela zangaphandle ze-IRD kubantu abadala zihluke kakhulu:
- ukucindezeleka;
- izifo zegciwane;
- ukutheleleka kwebhaktheriya;
- ukuthuthumela kagesi;
- ukungcoliswa kwemisipha;
- ukuvezwa ngokweqile elangeni;
- izimo ezimbi ezingokwemvelo;
- uketshezi lomzimba ophuza utshwala, izinto ezidakayo;
- ukusebenza ngokweqile, umthwalo okweqile;
- i-craniocerebral trauma.
Eqenjini eliyingozi ukuze kwenzeke ukuthi i-dystonia ye-vegetative-vascular dystonia yenzeke, abesifazane bavame ukuwa - banomzwelo, bayakwamukela, okwenza isimo sabo sengqondo siphazamiseke kalula. Ngaphezu kwalokho, abesifazane abakhulelwe, abesifazane abasesimweni sokumisa esikhathini noma ukuphathwa kwe-hormonal bahlale besengozini ngenxa yokushintsha kwe-hormone. Kunesigaba sesibili sezinhlekelele sokuthola i-VSD - lezi yizimpawu kubantu abadala abawela kulolu hlu:
- abantu abanokukhathazeka kakhudlwana kwengqondo;
- ngokuvamile kuncike ekuvumelaneni;
- ehola indawo yokuhlala, indlela yokuphila ehlala phansi;
- ozalwa ngokuhlukunyezwa kokubeletha;
- ukuhlushwa izifo ezingelapheki;
- Ukuba nezihlobo ne-VSD.
Izinhlobo ze-IRR
Ayikho isigaba esisodwa nesasetshenziswa ngokujwayelekile se-VSD, ngokuyinhloko odokotela bahlukanisa izinhlobo ezilandelayo eziyinhloko ze-dystonia ye-vegetative-vascular dystonia:
- i-hypertensive;
- i-hypotonic;
- kuxutshwe.
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Ngaphezu kwalezi zintathu eziyisisekelo, odokotela abathile baphinde bahlukanise izinhlobo ezinjalo ze-VSD:
- inhliziyo - ebonakala ngokungahambi kahle nokungahambi kahle emsebenzini wenhliziyo, i-extrasystole, ukujuluka;
- normotensive - kubonakaliswe ukungakwazi ukuphefumula, ikhanda;
- i-vagotonic - ebhekene nobunzima bokuphefumula, ukunciphisa isigqi senhliziyo, ukwanda kwesibindi, izinkinga ezinomthelela wamathumbu.
Uhlobo lwe-VSD oluxubile
I-dystonia ye-Vegeto-vascular ngokusho kohlobo lwe-hypertonic libhekene nengcindezi eyengeziwe - engaphezu kuka-130/90. Ngaphezu kwalokho, isiguli ngokuvamile sibhekene nezinhlungu, ukuhlaselwa kwe-migraine, i-tachycardia, ukwehla kwesifiso nesisulu, ukuhlaselwa kwesaba (ukuhlaselwa kwesibindi), ukukhanya kwe "goosebumps" ngaphambi kwamehlo akhe, ukujuluka okukhulu ngokweqile, ukusebenzisana nokukhubazeka. Ukuhlukanisa i-VSD kuloluhlobo lwe-hypertension kungenzeka ngeqiniso lokuthi ukulungisa ingcindezi akudingi izidakamizwa - udinga ukuzola futhi uphumule.
Uhlobo lwe-VSD hypotonic
Ukuxilongwa kwe-dystonia ye-vegetative-vascular ngokwezinga le-hypotonic libhekene nengcindezi enciphise - ngaphansi kuka-110/70, ubuthakathaka, isizungu, ukujuluka ngokweqile kwezintende zezandla, izinyawo nezindwangu. Ngenkathi isifo siphuthumayo, isiguli sivame ukuguquka, kuze kuvele ukukhanya okwesibhakabhaka ezindaweni ezithile zesikhumba. Ngaphezu kwalokho, uqala ukwehluleka ukuphefumula, okuvezwa ukuthi akunakwenzeka ukuphefumula. Kuvame ukutholakala kulolu hlobo lwe-VSD nokwephulwa emsebenzini wendlela yokugaya ukudla - ukushaya kwenhliziyo, isicashu, isifo sohudo.
I-VSD ngohlobo oluxubekile
Ifomu le-VSD ngohlobo oluxubekile luvame kakhulu kunezinye. Njengoba kunesifo esinjalo, isiguli singase sibe nezimpawu zombili izinhlobo ze-hypertonic ne-hypotonic ze-AVR:
- ukukhathala nokubuthakathaka;
- ukuzondwa, ikhanda;
- ukujula kwemizwa, ukwesaba ukufa, "ukuphuka kwenhliziyo";
- ukuhlaselwa kwesaba;
- ukwandisa noma ukwehla ekushiseni komzimba;
- ubuhlungu enhliziyweni yomsuka ongaziwa futhi wemvelo ehlukile;
- ukuphefumula, umoya wokuphefumula;
- ishintshi ngesilinganiso senhliziyo;
- i-tachycardia , i-arrhythmia;
- ukulala;
- ukumboza eminwe yemilenze, ukujuluka;
- ukuxhomekeka kwemvelo .
I-dystonia ye-Vegeto-vascular - izimpawu
Njengoba kutholakala ukuthi i-VSD, izimpawu zihluke kakhulu futhi zithinta kakhulu izinhlelo ezihlukene ezadokotela abaningi ekudaleni izidakamizwa ezidingekayo ukuze kuthuthukiswe izinga lokuphila kwesiguli. Izimpawu kubantu abadala zivame kakhulu kwi-VSD:
- ukucindezela ukushintshashintsha;
- ubuhlungu be-etiology ehlukene;
- ukuhlaselwa kwesibindi .
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Ukucindezela ku-IRR
Ngezinhlobo ezahlukene ze-VSD, kunezimpawu ezihambisana nokushintshashintsha kwegazi, futhi uma lezi zimpawu zithinta abanye, odokotela baxilonga i-AVR ngohlobo lwe-hypertonic noma lwe-hypotonic. I-dystonia ye-Vegeto-vascular - izimpawu kubantu abadala ezihambisana nezinguquko ezingcindezini:
- Ngaphansi kwengcindezi enciphise - ubuthakathaka, ukulala, ukukhanya, isizungu, ukukhanda ikhanda, ukupholisa kwemiphetho, ukuphazamiseka kwegazi, ukuphazamiseka kwegazi, ukuphefumula okungapheli /
- Ngcindezelo eyengeziwe - umsindo ezindlebeni, ekhanda, ekhanda, ekhanda isikhumba sobuso, ukwanda kwenhliziyo, ukuthuthumela emilenzeni.
Ubuhlungu nge-IRR
Izinzwa ezibuhlungu zemvelo ehlukile zingabonakala kunoma yiluphi uhlobo lwe-dystonia ye-vegetative-vascular. Ukuhlupheka okuningi kwe-VSD kunezindawo ezisezindaweni zenhliziyo - okunamandla, ukucindezela, ukucindezela, ukunikeza ingalo. Njengoba i-VSD ne-dyspeptic izifo zingavamile, isiguli singase sibe nesisu noma isisu esiswini. Ngokuvamile iziguli ezinjalo zinezinwele futhi lokhu kungaba:
- Ubuhlungu bokuhlukunyezwa buhlungu obukhulu, obumboza ikhanda njengesihlangu.
- Ukuhlaselwa kwe- migraine ukuhlunguphaza okubukhali ngakolunye uhlangothi lwekhanda, okuvame ukutholakala emathempelini, ebunzini noma endaweni yamehlo, kuhambisana nesicashu, ukuthuthumela kanye nesithombe se-photophobia.
- Ubuhlungu be-Cluster buhlungu obuhlungu ohlangothini olulodwa lwekhanda, okuvame ukuqala ebusuku futhi kubangele ukulele, ukuhambisana nokukhala, ubuhlungu emehlweni, ukuphuma kwegazi ebusweni.
Kulabo abamele ingxenye engaphelele yesintu, i-VSD ivame kakhulu kunamadoda. Izimpawu ezibuhlungu ze-dystonia ye-vegetative-vascular kwabesifazane ziqiniswa kakhulu ngaphambi kokuya esikhathini: izinzwa ezingathandeki phakathi nalesi sikhathi sokumboza kokubili isisu nesiphansi. Isizathu sokwandiswa kwezinzwa ezibuhlungu ku-dystonia ye-vegetative-vascular ngokuvamile kuvame ukushintsha kwe-hormone ngesikhathi sokukhulelwa, ukukhulelwa, ukuyeka ukuya esikhathini.
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I-VSD - ukuhlaselwa kwe-panic
Ukwesaba, ukwesaba noma ukukhathazeka nge-VSD - izimpawu ezivamile. Njengoba ngokuvamile lesi sifo sithinta ama-hypochondriacs, abantu abanosizi nokukhathazeka, basabela ngokujulile emizweni engajabulisayo futhi bangase babe nokuhlaselwa kwesifo-ukuhlaselwa okubonakala izimpawu eziningi zomzimba futhi kuhambisane nokwesaba ukufa noma ukuhlanya. Ukuhlaselwa kwe-panic nge-VSD, izimpawu kubantu abadala:
- ukwesaba okukhulu okwesaba;
- i-palpitation;
- isiyezi;
- isicasuli;
- ukuqhuma kwegazi;
- izikhukhula;
- ukwandisa noma ukuncipha kwengcindezi;
- ukuphefumula;
- ukuthuthumela;
- umlomo owomile, uzizwa "u-coma" emqaleni;
- izimpawu ze-neurologic - ukuthuthumela noma ukuphazamiseka kwamalungu, ukuphazanyiswa okubonakalayo, i-aphonia.
Ukuhlaselwa kwe-IRR
I-VSD igxilile ngesikhathi sokuhlangenwe nakho ngokomzwelo, ukucindezeleka, emva kokugula okubi, ukusebenza ngokweqile kwengqondo nokusebenza ngokomzimba. Izimpawu ze-dystonia ye-vegetative-vascular ngesikhathi sokuhlaselwa zibonakaliswa ngokucacile, zonke izihlukumezi ezinhlelo ezihlukahlukene zomzimba zenza bazizwe ngesikhathi esifanayo. Izimpawu zokuthathwa kwe-VSD:
- ukuwohloka okubukhali esimweni jikelele;
- ubuthakathaka;
- ubuhlungu ekhanda, esifubeni, emilenzeni;
- "Yeqa" noma ukucindezela kwehla;
- ukushisa noma ukupholisa kwezitho;
- ukuhlushwa;
- ukwesaba;
- izinkinga ezibuhlungu.
Iqoqo lezinyathelo ezidingekile lizosiza ukubhekana nokuhlaselwa:
- isiguli sidinga ukulala phansi noma ukuhlala phansi uphumule;
- Hlanganisa umphumela we-stimulus owabangelwa ukuhlaselwa;
- ngobuhlungu enhliziyweni - uthathe i-Nitroglycerin, ngokucindezela okwandisiwe - isidakamizwa esinikezwe udokotela;
- ukuqinisekisa ukuqhutshwa komoya;
- baphuze itiye eliphuzayo.
I-dystonia ye-Vegeto-vascular - ukwelashwa
Umbuzo wendlela yokuphatha i-VSD uphazamisa bonke abahlukunyezwayo kanye nokubonakaliswa kwalesi sifo. I-remedy universal for VSD ayikho, esimweni ngasinye umuntu udokotela ukhetha ukwelashwa okufanelekile isiguli. Ukuqeda ukungasebenzi komzimba, izinzwa, ama-genitourinary, ama-hormonal noma ipheshana lomzimba, udokotela ubeka izidakamizwa ezihloswe ekuthuthukiseni ukusebenza kwazo. Njengoba kunezinkinga ze-neurological, ama-tranquilizers angabekwa. Kusukela emithini ye-VSD ngokuvamile ukuqoka:
- ukutshala amalungiselelo aqabulayo noma ama-tonic - i-Persen, i-Novopassit, izitho zomoya zo-valerian, i-motherwort, i-ginseng, i-eleutherococcus, i-magnolia;
- ama-nootropics - iPiracetam, i-Nootropil, i-Phenotropil;
- izinxushunxushu - Nosepam, Seduxen, Diazepam;
- izidakamizwa - i-Cipralex, i-Pirazidol;
- izidakamizwa ze-antipsychotic - droperidol;
- izidakamizwa zokuthuthukisa ukusakazwa kwe-cerebral - iCinnarizine , i-Cavinton.
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Ukwelashwa okungewona ukwelashwa kwe-VSD kuhlanganisa:
- Umthwalo womzimba - ukubhukuda, i-yoga, ukudansa, ukuhamba, ukuhamba ngebhayisikili.
- Izinqubo ezikhandlayo - ukuhlukanisa isondlo, ukuxuba.
- Ukushisa - emuva, indawo yekholomu, ikhanda.
- Ukudla okunomsoco - kufakwa ekudleni kwemikhiqizo elula futhi ewusizo, ukukhipha amafutha, izilondolozi, ukudla okusheshayo.
- Imodi elinganisiwe - ukulala okungenani amahora angu-8.
- Physiotherapy - okugeza okuphumuzayo, ukwelapha magnetic, electrophoresis, electrosleep.