The sympathetic-adrenal crisis, which is also called a panic attack, is one of the manifestations of the ( vegetative-vascular dystonia) of the hypertensive type.
This condition is not a disease, but a condition that manifests itself in the form of an acute attack accompanied by an increase in heart rate, chest pain, a sharp jump in blood pressure upwards, and an emotional sense of fear.
The most frequent time for the onset of a crisis is in the afternoon or night.
This fact is explained simply - for a day the body accumulates both physical and emotional fatigue, which can cause a panic attack.
Read more about panic attacks in our materials:
According to statistics, the symptoms of a panic attack are manifested in 45-70% of the world population, which is an impressive figure. And often the first. ..
Sudden panic attacks can greatly complicate the life of your victims. In many, as a result of such conditions, depression develops. ..
. The vegetative crisis is a misunderstanding, unpleasant for a person, a state of anxiety with fear and various physical manifestations. Application of the. ..
Contents of
Contents of
- What happens during a crisis
- Causes of crises
- Internal psychological causes
- Internal physical causes
- External factors
- Symptoms and signs
- Characteristics of treatment for sympathetic adrenal crisis
- Emergency care for an
- attack Medical treatment
- Psychotherapeutic treatment
- Prevention measures
- Other circulatory crises
- Video: Panic attacks - what is it?
What happens during the
crisis Let's take a closer look at what happens during the onset of the sympathetic adrenal crisis.
Physical manifestations: there is a headache, breathlessness, a feeling of lack of air, a shiver throughout the body, the sensitivity of the skin can be broken, even a slight touch causes pain, limbs become colder, body temperature rises.
In addition, as already mentioned above, heart rate increases and blood pressure rises.
Emotional manifestations: a patient has a feeling of fear, often a person experiences fear of a near death, unreasonable horror, ceases to trust to others and believes that he is in danger.
Typically, the duration of the crisis does not exceed 1-2 hours of the , although some patients state that in fact the panic attack lasts much longer - up to 8 hours. However, even during such a short period the body undergoes a colossal test and experiences great stress.
The end of the attack occurs suddenly and is characterized by a feeling of impotence, weakness.
Tense work of the kidneys during the crisis has the result of profuse urination, and the urine becomes very light.
At the moment, medical practice shows that treatment of sympatho adrenal crises is quite successful.
Modern techniques and medicines selected by a professional doctor give a positive effect and help to cope with such a condition. However, without the patient's desire to overcome a panic, the specialist will not be able to help in full.
Therefore only with the interaction of the doctor and the patient can achieve maximum effect and individual overcome the factors that trigger the development of the sympatho-adrenal crisis.
Causes of crises
The mere concept of "crisis" in the name of the state under consideration indicates the presence of an extreme situation for the organism that leads to a negative reaction. What are the causes of sympathetic adrenal crises?
These can be internal psychological or physical problems, as well as external factors that cause emotional disorders.
Internal psychological causes of
Attacks of panic attacks often suffer people who are used to suppress their emotions.
They can not afford to fully experience any upheaval, both positive and negative, and as a consequence live in a state of stress.
However, emotions accumulated for a long period of can negatively affect not only the moral state of a person, but also the body, finding a way out in a sympathetic adrenal attack.
Also to this category of factors of influence can be attributed bad habits.
Internal physical causes of
These include various health disorders that can trigger a sympathetic adrenal crisis.
Among them:
- tumor( tumor) in the brain of the adrenal gland, which contributes to the release of a high volume of adrenaline into the blood( regardless of the patient's psychological state);
- disorders that increase the stimulation of the central part of the sympathetic system in the spinal cord( tumor of the spinal cord, spine, ischemia);
- presence of pathological impulses associated with the sympathetic system and the hypothalamus of the brain regions( similar to epileptic seizures);
- the presence of a neuroinfection, as well as the past illness associated with neuroinfection;
- suffered craniocerebral trauma;
- disruption of the normal balance of hormones in the body;
- some disorders in the cardiovascular system;
- some diseases of the gastrointestinal tract and digestive system.
External factors
First and foremost, this category of reasons include emotional stresses arising from any events affecting the patient.
They can be both positive and negative ( often provoke a panic attack).
With a strong psychological shock, the brain gives the adrenal glands a command to release a large amount of adrenaline, which leads to a sympathetic adrenal crisis.
In addition, the external factor may be the propensity of close relatives to panic attacks, which can cause hereditary predisposition.
It should be noted that in one patient sympathetic-adrenal crisis can provoke different factors, and they will not always be the same for repeated attacks.
Symptoms and signs of
Sympathetic-adrenal crisis develops quite rapidly, and, as a rule, the symptoms manifest themselves together.
Sympatho adrenal crisis has such characteristic symptoms:
- difficulty breathing, sensation of heaviness, contraction in the chest;
- sensation of cold or heat, the appearance of tremor of the limbs;
- blurred skin;
- sharp increase in blood pressure, vasospasm;
- headache, sensation of pulsation;
- increased heart rate, arrhythmia;
- dry mouth;
- emotional sensation of unfounded horror, fear of death.
Treatment of sympathetic-adrenal crisis
The treatment process, as a rule, combines both the use of medications, and psychotherapy .Also important are preventive measures, patient compliance with certain rules of life.
Emergency care for an attack of
Usually, emergency care for sympatho adrenal crisis is not required, because at the moment of approaching the attack the patient can cope with it independently, taking control of his psychoemotional state.
However, in complicated cases, can be used with sedatives, which in a short time release the manifestations of the crisis, or other effects according to symptoms( eg, use of the drug to reduce pressure).
Medical treatment
For the treatment of the first symptoms of sympatho-adrenal crisis, groups of medical are used:
- Tranquilizers. For example, alprazolam, phenazepam. Used to reduce the excitability of the central nervous system( CNS).Drugs of of this group are also prescribed for the prevention of seizures. However, one should be aware that tranquilizers do not eliminate the cause of the crisis, but only relieve symptoms, so long-term use of such drugs is not recommended. As a rule, they are appointed at the beginning of treatment, until the causes of panic attacks are identified.
- Beta-blockers. Drugs in this group neutralize the effect of epinephrine, so they are used to arrest an attack or to prevent a crisis when the first symptoms appear. These drugs include atenolol, anaprilin.
- Antidepressants ( paxil, cipralex).To obtain a positive effect, such drugs are recommended for a long time( 6-12 months).However, after the abolition of antidepressants, a relapse of the sympathetic adrenal crisis is possible.
- Herbal medicines , which have a sedative effect( sage, motherwort, valerian and others).Used as an alternative to complex soothing drugs. Positive effect is achieved after taking a course lasting from 6 to 12 months.
Psychotherapeutic treatment
The patient's work with a therapist can achieve high results in overcoming panic attacks.
An experienced doctor will help to identify the causes of crises, and then work with the patient to work them out and neutralize them.
At the moment there are several methods by which the problem of sympathetic adrenal crises is solved, therefore it is possible to select a specific treatment technology individually for each specific case.
Prevention measures
Factors such as diet, day regimen, exercise stress are not critical for overcoming seizures. However, compliance with simple preventive measures will reduce the frequency of crises and mitigate their course.
The prevention measures include:
- walks in the fresh air, moderate, but regular exercise;
- high-grade dream;
- correctly nutrition, taking necessary vitamins and minerals, it is desirable to divide food into smaller portions, but increase the number of receptions;
- rejection of alcoholic beverages and energy;
- reduce the time allocated for watching TV, reading news on the Internet, to reduce the risk of negative emotions;If possible,
- should avoid stressful situations.
Other circulatory crises
Similar symptoms have liquorodynamic crisis, hemolytic crisis, vagoinsular crisis, vegetative-vascular paroxysm.
However, the causes of all these seizures are different, and therefore treatment is selected individually in each case.
That's why when you have anxiety symptoms, you should consult a doctor who, after carrying out diagnostic measures, will be able to accurately determine the type of crisis and prescribe the necessary treatment course.
Video: Panic attacks - what is it?
Panic attacks or sympathetic adrenal crisis is a very common problem. Many people cure them, but not all achieve successful results.