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Nervous System

Cardiopsychoneurosis: causes, symptoms, treatment

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Cardiopsychoneurosis - disease characterized by cardiovascular, respiratory disorders, poor tolerance of stress and physical exertion.

Causes

  • neuro-emotional stress,
  • unfavorable socio-economic conditions,
  • excessive exposure to the sun,
  • hot climate,
  • vibration,
  • chronic intoxication, including alcohol and tobacco,
  • upper respiratory infections and the nasopharynx,
  • sedentary lifestyle,
  • mental and physical exhaustion.

Manifestations of neuro dystonia

When neuro dystonia noted pain in the heart (aching, stabbing). The duration of their different from instantaneous ( "piercing") to the monotonous, lasting for hours and days. The occurrence of pain associated with fatigue, anxiety, weather changes, alcohol intake. In women, the pain sometimes occurs during the premenstrual period. Paroxysmal intense pain accompanied by fear and autonomic disturbances in the form of lack of air feeling, sweating, feeling of inner trembling. Patients willing to take tincture of valerian, or hawthorn. Nitroglycerin does not eliminate the pain.

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Some patients complain of frequent shallow breathing, feeling of incomplete inspiration, the desire to deeply inhale the air ( "wistful sigh"). Perhaps the feeling of "lump" in the throat or crushing it. The patient is difficult to be in a stuffy room, there is a need to open windows. These phenomena are accompanied by anxiety, dizziness, fear of choking.

Patients report palpitations, feeling hard work of the heart, accompanied by a feeling of pulsation vessels of the neck, head, appearing at the time of load or disturbances, and sometimes at night, by which the patient wakes up. Heartbeat provoked excitement, physical activity, alcohol intake.

Asthenic syndrome is reflected in decreased performance, a feeling of weakness, fatigue.

periodically disturbed headache"Flickering flies" before the eyes, dizziness, feeling of cold extremities.

Some patients notice an increase in body temperature up to 37,2-37,5 ° C, the temperature differences in the right and left armpits, limb skin temperature reduction ( "icy hands").

Vegetative crises manifest tremor, chills, dizziness, sweating, a feeling of lack of air, unaccountable fear. Such states typically occur at night, lasts from 20-30 minutes to 2-3 hours and often end abundant urination or liquid stool.

Such conditions are usually tested individually or by taking medication. With the severity of crises over time decreases, crises occur less frequently, and may disappear entirely.

Diagnosis neyrotsirkulyatrnoy dystonia accomplished by examination of a number of specialists (endocrinologist, neurologist, cardiologist, etc.). Exclusion method.

Treatment

Very effective in the treatment of neuro dystonia auditory training and relaxation (relaxation).

Valerian root or motherwort herb taken in the form of infusions (of 10 g per 200 ml of water) 1/4 cup 3 times a day and at night for 3-4 weeks.

Tranquilizers relieve feelings of fear, anxiety, emotional tension.

  • Elenium appointed by 0.005-0.01 g 2-3 times a day.
  • Diazepam (Seduxen, ì) - administered in a dose of 2.5-5 mg 2-3 times a day, with the expressed sense of fear single dose can be increased to 10 mg. Fenazepam - is highly active anxiolytic drug is recommended to take 0.5 mg 2-3 times a day.
  • Oxazepam (Nozepam, tazepam) - is received on 0.01 g 2-3 times per day.
  • Medazepam (Medazepam, Rudotel) - is received on 0.01 g 2-3 times per day.
  • Tofisopam (Grandaxinum) - daytime tranquilizer use of 0.05-0.1 g 2-3 times a day.

Tranquilizers are received within 2-3 weeks, they are particularly indicated to stressful situations. In recent years, it has been used drugs such as Afobazol (OTC daily trakvilizator without causing drowsiness) and tenoten (homeopathic preparation).

Combination products "Belloidum" and "Bellaspon" have a calming influence.

  • Belloidum - 1 tablet contains 30 mg butobarbitala, 0.1mg of belladonna alkaloids, 0.3 mg ergotoxine. Assign 1 tablet 2-3 times a day.
  • Bellaspon (Bellataminal) - 1 tablet contains 20 mg of phenobarbital, ergotamine 0.3mg, 0.1mg of belladonna alkaloids. Appoint 1-2 tablets 2-3 times a day.

Antidepressants are shown primarily at depression. The ability to mask depression when depression itself is "masked" a variety of diseases.

Piracetam (Nootropil) - administered in capsules or tablets of 0.4 grams 3 times per day for 4-8 weeks. If necessary to increase the dose to 0.8 grams 3 times per day. More modern and powerful tools are Fenotropil, Pantokaltsin. Soft action renders Pikamilon and well tolerated.

  • Cavinton (vinpocetine) - is used in tablets of 0.005 g of 1-2 tablets three times a day for 1-2 months.
  • Stugeron (cinnarizine) - administered in tablets of 0.025 g of 1-2 tablets three times a day for 1-2 months.
  • Instenon forte - 1 tablet 2 times a day for at least 1 month.

When cardiopsychoneurosis Persen used as a sedative with increased nervous excitability, sleep disorders, insomnia, Irritability; feeling of inner tension. Persen presented in two dosage forms - Persen Persen forte tablets and capsules. Adults and adolescents over 12 years of drug prescribed 2-3 tablets or 1-2 capsules. The drug is taken 2-3 times a day. For insomnia - 2-3 tablets or capsules for 1-2 hours before bedtime. Children aged 3 to 12 years, the drug is prescribed only under medical supervision and only in the form of tablets. The dose depends on the body weight of the patient, an average of 1 tablet 1-3 times a day.

Additional therapy for neuro dystonia

For the purposes of the regulatory impact on the nervous system, reducing the manifestations of pain in my heart used electrosleep. For its calming effect appoint 20 to 40 minutes a day, a course of treatment of 15 sessions.

A positive effect on patients with neuro dystonia have water treatments. Use a variety of soul, pouring, dry and wet wraps. Expressed calming effect is valeric bath, coniferous, oxygen, nitrogen and pearl (temperature 36-37 ° C) lasting 8-15 minutes. Bath appointed a day, treatment course - 10-12 baths.

In marked predominance of excitation processes best effect is radon and nitrogen bath, asthenia - carbon dioxide. Radon and bromine baths are suitable as osteochondrosis.

It became widespread in the treatment of patients with neuro dystonia aeroionotherapy. Aeroionizers used for individual ( "Ovion-C") and shared ( "chandelier Chizhevskogo"). In the process of ionization of air generated air ions with a predominance of negative ions sign. Patients are at a distance of 70-100 cm from the device, connection time 20-30 min, during which time the patient inhales air, charged with negative ions. The treatment course is 12-14 sessions. Influenced aeroionotherapy marked decrease in blood pressure (5-20 mm Hg. v.), slowing of heart rate, increase in gas exchange, increased oxygen consumption, the disappearance of insomnia, decrease in headaches, weakness.

Massage has a positive effect on patients neurocirculatory dystonia. Patients useful tonic massage, recommended careful massage of the cervical and thoracic spine in osteochondrosis of these departments. Effective treatment for neuro dystonia is acupressure.

Acupuncture normalizes the functional state of the nervous system; eliminates cardiopsychoneurosis; It increases the adaptive capacity of the organism. Acupuncture may be performed by the classical method or in the form of electroacupuncture. The first course 10 includes the session after a 2-week interval and the second assigned after 1.5 months - the third course.

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