Asthenic condition. What it is in adults, children, neurosis of various origins, scale. How do you know, fight, treatment, medications

According to statistics, every second visit to a doctor, therapist or psychologist contains complaints of fatigue, chronic fatigue and malaise. If in the morning there is an "as if he had not slept," then maybe it's fatigue. It is necessary to take appropriate therapeutic measures.

What is fatigue

Translated from the Greek word "fatigue" - weakness, and in medicine - a pathological phenomenon unfounded, groundless and stable loss of strength and emotional instability. Psychopathological disorder develops gradually and accompanies many diseases.

Asthenic syndrome is observed in all age, social (especially sickness affects women between the ages of 30 to 50 years) groups, and reports on the depletion of energy resources of the body.

Classification

Asthenic conditions, is different in its manifestations and causes of what is a rather complicated classification:

The main groups	forms asthenia	Description
Due to the occurrence of	Organic (45%)	Occurs when: infectious lesions organic brain character (encephalitis, tumors); severe traumatic brain injury; different states of dementia (multiple sclerosis); vascular disorders (ischemia, stroke); degenerative changes (Alzheimer's disease).
The functional or reactive (55%)	Any temporary and reversible processes caused by injury, illness or stress
etiology	somatogenic	It occurs on the basis of chronic diseases
posttraumatic	After suffering serious injuries
Postpartum	provoked: multiple pregnancy; postpartum depression; hormonal failure; underweight
Postinfective	As a consequence of infectious and viral diseases
Mental health	Associated with long-term insomnia, anxiety attacks
The peculiarities of clinic	hypersthenite	Expressed in increased irritability and excitability
Giposteniya	Decreased perception of external stimuli, indifference
according to leak	acute	This comes after the stress or acute infectious disease
chronic	Most often expressed in the chronic fatigue syndrome
special kind	Neurasthenia	depletion VNS

possible symptoms

All known fatigue state can be called a syndrome that manifests as:

• emotional instability (anxiety, panic, melancholy);
• mental disorders (confusion, forgetfulness);
• physical ailment (increased heart rate, body temperature jumps, nausea);

  

• causeless body pain, headaches;
• trouble sleeping;
• body weight jumps due to an unstable appetite;
• decreased libido;
• irritation from noise, light intensity.

All of these symptoms a person can experience, and after a busy day at work or after sports training. The difference is that the objective fatigue with rest, asthenic condition does not disappear without the help of professionals.

reasons

Asthenic conditions (such a disease occurs in different groups of individuals, regardless of age), according to experts, is basically the body is over-voltage and depletion VNS.

The impetus for the development of the illness can serve as:

• excessive consumption of vitality, energy;
• insufficient amount entering the body of nutrients;
• failures in metabolic processes;
• being in constant stress;
• a disease of the endocrine system;
• problems with the respiratory system;
• heart disease;
• lack of exercise, leading to stagnation;
• oncology;
• kidney disease;
• infectious and viral diseases;
• neurological disease;
• mental disorders.

Children asthenia additionally may come from a nervous and mental exhaustion caused by the uncomfortable conditions in children's institutions.

If a child:

• sluggish or jittery;
• experiencing a strong, long-term general weakness;
• tired quickly;
• He is suffering from aches in the whole body, headache, muscle or joint pain;
• give up your favorite games and activities;
• unable to concentrate on any work,

the situation requires a revision of its way of life and treatment specialists.

Symptoms and signs of fatigue

Asthenia is determined by several (at least 3-4) from below the following symptoms:

• reduced working capacity;
• insomnia or severe awakening;
• pervasive weakness;
• mild anxiety or constant sleepiness;
• indifferent to the ambient;
• neural state;
• causeless crying;
• memory problems;
• pain in the heart, neck, and throat;
• Blood pressure drops;
• painful lymph nodes in the neck, armpits;
• rapidly occurring shortness of breath;
• sweating hands and humidity;
• decrease perception read or heard.

Signs of fatigue can be strengthened or quantitative increase in the evening.

Duration of disease

Asthenic conditions (a state of health is sometimes confused with fatigue) begins gradually, builds and can last a long time.

The duration of the disease depends on:

• its causes;
• the degree of manifestation;
• period to eliminate unfavorable factors;
• timely treatment to the doctor and the correctness of the chosen treatment regimen.

If it is impossible to change the conditions and way of life of the patient can pursue asthenia or 1 year.

With the proper approach to asthenic conditions disease can go for 1.5-2 months. If fatigue provoked by diseases that have an irreversible effect (dementia, Parkinson's disease), its symptoms can only be kept under control and do not let them get worse.

diagnosis of the

The diagnosis a basis for initiating lie subjective patient complaints.

The doctor needs to know:

• time of onset of symptoms;
• the presence of intense mental or physical work;
• an experienced stressful situations and their duration;
• of existing chronic diseases;
• about the nature of ailments.

After the survey conducted a physical examination of organs and body as a whole.

According to the doctor appointed by the decision of some of these tests:

• Blood and urine tests - general analyzes;
• blood biochemistry;
• hormones;
• koptogramma;
• ultrasound study of the heart, the abdominal and retroperitoneal area;
• chest X-ray;
• Vascular ultrasound head;
• MR.

narrow specialists (cardiologist, neurologist, psychiatrist) may be held, if necessary, to the inspection.

Scale asthenic states (Shas)

Scale asthenic state - a kind of test, developed by Russian doctors on the basis of the received psycho-clinical findings and Minnesota multidimensional personality questionnaire. It includes 30 affirmative sentences to characterize the fatigue syndrome.

The questionnaire must be completed by the patient individually prepared for this site:

• adequate lighting;
• insulated;
• quiet;
• without distractions.

Instructions on passing the test

To pass the test the patient should be offered carefully read each paragraph, and to evaluate its degree in points with regard to his condition.

Earning points is as follows:

• the answer is "No, not true" - 1 point;
• "Probably yes" - 2 points;
• "It is true" - 3 points;
• "Absolutely" - 4 points.

The range of points - from 30 (total absence of disease) to 120 (pronounced symptoms).

medications

Asthenic conditions (a disease requires a specific approach) often takes place without the drugs.

It is an integrated approach and the use of drugs of the following groups:

• Stimulators biogenic focus and adaptogens - have anabolic properties of vegetable origin, improve workability, stabilize the mental activity.

1. ginseng extract - the main components: ginseng, its extract and vitamin C. Not recommended for children. Adults take 2 capsules with meals 2 p / day.
2. extract of Schisandra - tablets containing fruit extract in dry form, vitamin C, glucose. It shall be made within 20 days, 2 times in the first half of the day on 2 tab. There are contraindications.
3. extract eleutorokokka - a liquid agent which comprises a comminuted plant rhizomes and 40% ethyl alcohol. Not recommended for children under 12 years of age, pregnant and nursing women. Drink until the early evening of 25 drops 2 p / day for a month.
4. Rhodiola rosea extract - liquid preparation containing equal proportions of the extract of rhizomes and roots of plants and the alcohol (40%). 10 drops diluted in 70 ml of water and taken as a quarter of an hour before a meal 2-3 p / day. Course - not less than 10 days.

• Drugs that regulate the work and status of blood vessels - appointed to improve cerebral circulation, which helps to improve memory and concentration.

1. teralen - is available in the table, ampoules, drops.. Base material - tartrate alimemazin. Methods of application: in / in / m, inward. Daily consumption of the drug is determined by the doctor.
2. eglonil - sulpiride main component, the form of: capsule. For adults, the daily dose of 50 to 150 mg (1.3 r / day, 50 mg). Course - less than a month. For children 6 years after the daily dose depends on their weight, the rate of 5-10 mg per 1 kg. Course duration determined by the physician.
3. Pantogamum - therapeutic effect is determined by the calcium gopantenata, the release form - tablets. Used inside of 0, 25-1 g for patients older than 18 years and 0.25-0.5 g for children after ½ hour. after eating 3 p / day. The duration of treatment depends on the degree of faintness - 1 to 3 months.
4. Kardionat - is available in a formulation for injections, contains 3-propionate dihydrate. Diluted with water for injection. Applicable / 1 p / day (dose determined by the physician) for 2 weeks.
5. anxiolytics - means to facilitate the lowering of causeless anxiety and emotional instability.
6. imipramine - basis is imipramine hydrochloride, intended for ingestion, and the / m. The minimum dose of 25 mg per day. The first time the treatment is carried out under medical supervision, course duration is determined by him.
7. fluoxetine - fluoxetine hydrochloride tablets. Depending on the diagnosis used for 20- 60 mg / day 2-3 times at any time. The duration of the at least 2 weeks.

• nootropics - increase the efficiency of the brain, making it resistant to emotional and mental stress.

1. gingko biloba - tablet contains a plant extract, wherein flavonglikozidy 24 mg and 6 mg terpenlaktonov. Prescribed to patients not younger than 12 years old and up to old age. Drink formulation according to Table 2. mealtime 1 p / day. Not recommended during pregnancy and lactation.
2. cavinton - the active ingredient is vinpocetine. Applied orally 3 r / day (minimum 15 mg per day, maximum - 30 mg). Course - 3 months. There are side effects and contraindications. The drug can be administered with only 18 years.
3. nootropil - the active substance acts piratsitam. The drug is taken orally on an empty stomach or with food 3 r / day, the dose determined by the physician depending on the diagnosis. There are contraindications for pregnant and breastfeeding women.
4. Aminalon - is available in tablets containing gamma-aminobutyric acid. Applied orally, 1.5-3 g per day fractional duration of treatment of 15 days up to 4-6 months.

The use of these medication can not tolerate self-medication drugs in combination should be administered by a specialist. The symptoms of fatigue disappear or substantially decrease after the removal of the main disease.

vitamins

As one of the causes of fatigue can speak deficiency in the body:

• vitamins₆ and B₁₂;
• vitamin C;
• gland;
• magnesium;
• manganese.

In this regard, the complex treatment of the disease is assigned to the intake of vitamins and minerals:

• B vitamins - advised to take in combination with folic acid, biotin (1 caps. 2 r / day with meals);
• Vitamin C - usual daily dose of 500 mg in the morning and evening, but the amount of the drug is reduced when diarrhea occurs;
• manganese - assigned at 2-5 mg / day, sometimes in combination with zinc and copper;
• magnesium - a daily dose of 400 mg fractional, taken during a meal. Course - 2 months. Is contraindicated in chronic kidney diseases.

The physician may prescribe receiving fish oil (for 2 hours. l. per day) as a source of fatty acids (omega-3).

If you have poor assimilation of nutrients useful to take a means of marine origin - powdered algae or oyster shells.

Therapy is recommended to supplement the selection of the optimal mode of labor and rational diet.

Folk remedies

folk remedies can to help in the fight against asthenia:

1. Tincture aralia is used as a means of:

• renders restorative effect on the body;
• increases motor functions;
• relieves drowsiness;
• affects the stimulation of the heart muscle.

Preparing tincture of plant roots and alcohol (70%) in a ratio of 1: 5. After 2 weeks of insisting in a warm, dark place, the tool filter and take 30 drops. 3 p / day for 1 month.

2. Green tea It is stimulating and tonic, improves blood flow in the heart vessels due to expansion of. Typically beverage (100 g of dry leaves and 2 liters of water) infused 10-20 min., Then cooked for about 1 hour.

Filtered pasteurized liquid in a glass jar, it will help keep the means for a long time. Broth is recommended to drink for adults - 3 p / day for 2 tablespoons. l, for teenagers -. 1 ten. l for children -. 1 h. l. 2 p / day.

3. Coffee has a stimulating effect, it stimulates the central nervous system activity. Reception 2 cups of coffee relieves drowsiness, helping to collect his thoughts. Excess beverage reception ceases to be useful.

Coffee is contraindicated in people with diseases such as:

• heart failure;
• hypertension;
• angina;
• heart disease.

Coffee is not recommended to drink at night, since it can provoke insomnia.

4. Tea vivacity. 1.5 hours. l. collection of St. John's wort, its flowers, inflorescence lavender, hop cones are added 250 ml of boiled water for 20 minutes. and slowly drink instead of the usual morning tea.

5. lavender bath at night allows a good sleep, promote healthy sleep. On a hot water bath have 5-7 lavender oil droplets. Water treatment is carried out not more than 2 times per week.

It must be remembered that not all recipes can approach young patients.

Especially the treatment of fatigue in children

Such a condition as asthenia in children, aged primarily requires parents living child, and review its approach to health:

• during prolonged stress (parental divorce, moving to a new place) necessary to distract the child from reality, to help overcome feelings;
• when fatigue caused by the disease - to treat the root cause and strengthen the immune system;
• if not identified and the reasons for the pronounced asthenic syndrome turn to a pediatrician;
• by prolonged depression it is recommended to consult a child psychologist.

After a medical examination, the doctor may prescribe vitamin B or C, immunomodulatory drugs. The recommended fish oil to give the child as a prevention.

Man in a state of fatigue can be a good companion or partner, this disease robs his will and determination, so that for a long time did not fall out of the family and social life, you need to give serious consideration to their health.

Registration of the article: Mila Friedan

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