Vegetative dystonia is a polyetiological syndrome (not a disease) characterized by dysfunction of the autonomic nervous system [1] . The term "vegetovascular dystonia" is outdated and narrow-minded, it is absent in the modern International Classification of Diseases [2] . A more correct name for a portion of the disorders attributed to the IRR is the name “somatoform autonomic dysfunction of the nervous system” [3] [2] (the diagnosis of somatoform autonomic dysfunction of the nervous system is present in the International Classification of Diseases (ICD) [2] It goes under the code F 45.3 [4] ).
The frequent use of the term "vegetative dystonia" by therapists , cardiologists and neurologists is connected with the fact that such syndromic diagnoses are convenient, allowing you not to spend time on a diagnostic search for the specific causes of the disorder; Another reason for the frequent use of the term is the slow restructuring of the existing stereotypes of clinical thinking. The term “vegetovascular dystonia” is close in meaning to the term “ neurocirculatory dystonia ”, which is also absent in the International Classification of Diseases and is also widely used by therapists, cardiologists and neurologists [2] . The diagnosis of “vascular dystonia” and “neurocirculatory dystonia” is often accompanied by inappropriate and ineffective treatment measures, which worsens the prognosis of the disease and the quality of life of patients [5] .
As a rule, autonomic disorders, traditionally attributed to the concept of vegetative dystonia, are secondary and occur against the background of mental disorders or somatic diseases [6] , with organic damage to the central nervous system , due to hormonal shifts in adolescence [3] , etc. In some cases, these autonomic disorders may be part of hypertension , endocrine disorders , chronic coronary heart disease , etc. [2] ; in cases when they are secondary to mental disorders, they can occur within the framework of somatoforms (including somatoform dysfunction of the autonomic nervous system), anxiety (including panic disorder ) and depressive disorders [7] .
Content
Symptoms
Symptoms are of two types. The first type of symptoms is general complaints related to signs of vegetative irritation, such as tremor, excessive sweating, heart palpitations, prolonged slight fever, redness and anxiety about possible impairment of health, etc. The second type of symptoms is what kind of - a specific organ or organ system, such as fleeting pain throughout the body, a sensation of heat, heaviness, fatigue or bloating, which the patient relates to any organ or a system of organs that objective studies often are not confirmed.
- Dizziness , fatigue.
- Increased heartbeat, arrhythmia, "heaviness in the heart."
- Nausea , hiccups , flatulence .
- Shortness of breath , feeling short of breath, difficulty breathing, rapid and forced breathing.
- Difficult, rare or frequent urination .
- Non-acute unstable joint pains.
- Sleep disturbance
- Temperature rise to 37.5 ° and above.
- Chilliness or heat.
Treatment
Combined therapy with regard to individual clinical manifestations. Normalization of lifestyle , moderate exercise. Psychotherapy .
See also
- Hypochondriacal Disorder
- Generalized anxiety disorder
- Post traumatic stress disorder
- Neurosis obsessive
- Panic disorder
- Panic attack
- Agoraphobia
- Asthenia
- Neurosis
- Phobia
- Hypovitaminosis
Notes
- ↑ Vegetative dysfunction - an actual problem of the present. Modern therapy and prevention of vegetative-vascular dystonia . cyberleninka.ru. The appeal date is May 11, 2018.
- ↑ 1 2 3 4 5 Abdueva F. M., Kamenskaya E. P. Is vegetovascular dystonia or somatoform dysfunction of the autonomic nervous system of the heart? // Bulletin of the Kharkiv National University named after V.N. Karazin. Series "Medicine". - 2012. - № 23 (998).
- ↑ 1 2 Ruzhenkova V.V., Ruzhenkov V.A., Shkileva I.Yu., Shelyakina E.V., Gomelyak Yu.N. Educational stress and somatoform vegetative dysfunction in first-year medical students // Scientific Gazette of Belgorod State University. Series: Medicine. Pharmacy. - 2017. - V. 40 , no. 26 (275) . - ISSN 2075-4728 .
- ↑ World Nealth Organization. ICD-10.
- ↑ Evsegneev R.A. Why is the diagnosis “panic disorder” better than the diagnosis “vegetative-vascular dystonia”? // Liki Ukraine. - May 2008. - № 4 (120).
- ↑ Vorobieva OV, Rusaya V.V. Autonomic dysfunction associated with anxiety disorders // Effective pharmacotherapy. - 2011. - № 17. - p. 46-50. - ISSN 2307-3586 .
- ↑ Starostina E.G. Features of diagnosis and treatment of psychosomatic disorders in the work of the general practitioner // Almanac of Clinical Medicine. - 2004. - № 7.