Kwinqanaba elincinci lamatyala e-dystonia (i-AVD) yeemveliso, iimpawu kubantu abadala zidibene nomsebenzi ongaqhelekanga kwinkqubo ye-nervous autonomic system (ANS). Ubunzima beempawu ezingathandekiyo kwaye eziyingozi kwesi sifo kubangelwa yiminyango enovelwano kunye ne-parasympathetic yeVNS.
Yintoni iVSD?
Ukuxilongwa kwe-VSD kufakwa kuphela kumazwe amaninzi kwaye ayibonakali ngokupheleleyo eYurophu nakwi-United States. Isizathu salokhu kuphazamiseka kwesifo sesifo, esibandakanya yonke inkathazo yeempawu. Ukungaphumeleli emsebenzini we-system ye-nerveous autonomic kubangela ukuphazamiseka okusebenzayo kwimizimba eyahlukeneyo, kuba i-VNS ibangela uxanduva lwangaphakathi lwazo zonke izitho kunye neenkqubo-zikhawuleza kwaye zinciphise intliziyo, ukugaya i-salivation, ukuphefumula, kukhuthaza ukuveliswa kwe-adrenaline. Injongo yesibini ye-VNS yinkxaso yokusebenza komzimba kwiimeko zenguqu zangaphandle.
I-VSD ingabonakaliswa yintlupheko yentsholongwane, ukutshintshisiswa kwentsha, ukugaya. Ukongezelela, ekuxilongweni kweVSD, iimpawu kubantu abadala zikhona kunye nezifo ezongezelelweyo:
- iingxaki ze-endocrine (isifo sikashukela, thyrotoxicosis);
- izifo zesimiso senzwa;
- ukuphazamiseka kwengqondo;
- iimpendulo ezithintekayo;
- izifo zesisu ne duodenum;
- i-dysplasia okanye isifo soxhatshazo;
- uxinzelelo lwegazi okanye i-hypotension;
- i-scoliosis, i-osteochondrosis;
- i-atherosclerosis.
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Izizathu ze-IRR
Izizathu zokuvela kwe-VSD nazo zihlukeneyo kwaye zininzi, njengokuba kubonakaliswa ngokubonakalayo kwesi sifo. Kubantu abadala, i-VSD iyenzeka ikakhulu kwiminyaka engama-20 ukuya kwe-30, ngoko isifo singakwazi ukutshabalalisa okanye ukudala iingxaki kunye neentsholongwane ezinzulu. Isizathu sangaphakathi sokuvela kwe-VSD kukuba ubuthathaka kunye nokungasebenzi kwe-system ye-nervous system. Izizathu zangaphandle ze-IRD kubantu abadala zihluke kakhulu:
- uxinzelelo;
- izifo zentsholongwane;
- ulwasulelo lwebhaktheriya;
- ukutshatyalaliswa kombane;
- ukungcoliswa kombane;
- ukugqithisa kakhulu ilanga;
- izinto ezingqongileyo;
- utyhefu lomzimba ngotywala, izidakamizwa;
- umthwalo ogqithiseleyo;
- i-craniocerebral trauma.
Kwiqela elijongene nobungozi ngenxa yezinto ezinokwenzeka zityalo zedystonia, izilwanyana zisoloko ziwa-zivakalelwa, ziyamkela, zenza ukuba isimo sabo sengqondo siphazamiseke kalula. Ukongezelela, abafazi abakhulelweyo, abafazi ngokukhawuleza kokunyuka komzimba okanye ukufumana unyango lwama-hormone bahlala besengozini ngenxa yokutshintsha kwe-hormone. Kukho neqela lesibini lokungcipheko lokuxilongwa kweVSD - ezi ziyimpawu kubantu abadala abawela kuloluhlu:
- abantu abasenxilongweni yengqondo engapheliyo;
- zihlala zixhomekeke kwi-acclimatization;
- ekhokela phambili, ephila ngokuphila;
- uzalwe ngengozi yokuzalwa;
- ukugula ngenxa yezifo ezingapheliyo;
- ukuba nezihlobo neVSD.
Iintlobo ze-IRR
Ayikho isigaba esisodwa esisetyenziswa ngokuqhelekileyo se-VSD, ngokugqithisi oogqirha bahlukanisa ezi zilandelayo ziintlobo eziphambili zedystonia-vascular dystonia:
- xhe lekile;
- hypotonic;
- zixutywe.
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Ukongeza kwezi zintathu ezisisiseko, oogqirha abathile bahlula iintlobo ezinjalo zeVSD:
- inhliziyo - ebonakaliswe ngokungaqhelekanga kunye nezitenxo kwimisebenzi yentliziyo, i-extrasystole, i-sweating;
- i-normotensive - ibonakalise ukungakwazi ukuphefumula, intloko;
- i-vagotonic - ibonakaliswe ukuphefumula ukuphefumula, ukucotha kweengcamango zentliziyo, ukunyuka kwe-salivation, iingxaki zesigxina sesisu.
Uhlobo lwe-VSD oluxinzelelekileyo
I-dystonia yemifuno ye-Vegeto-vascular ngokubhekiselele kuhlobo lwama-hypertonic lubonakala ngongcinezelo olwandisiweyo - ngaphezu kwama-130/90. Ukongezelela, isiguli sisoloko sibhekene neentloko, ukuhlaselwa kwe-migraine, i-tachycardia, ukwehla kwesidlo kunye nesiphithiphithi, ukuhlaselwa kwesibindi (ukuhlaselwa kwesibindi), ukukhanya kwe "goosebumps" phambi kwamehlo akhe, ukujuluka okugqithiseleyo, ukungahambi kakuhle. Ukwahlula i-VSD kule ndlela yokuxinzelela ingozi yinto enokwenzeka kukuba ukulungelelanisa ingcinezelo ayifuni imichiza - kufuneka uhlalise uze uphumule.
Uhlobo lwe-VSD hypotonic
Ukuxilongwa kwe-vegetative-vascular dystonia ngokwempawu ze-hypotonic ibonakaliswe ngcinezelo oluncitshisiweyo-ngaphantsi kwe-110/70, ubuthathaka, utywala, ukukhupha okugqithiseleyo kweentendelezo, iinyawo kunye neendwangu. Ngethuba lokugqithisa kwesi sifo, isigulane sidla ngokukhawuleza, kude kube yinto ebomvu kwezinye iindawo zesikhumba. Ukongezelela, udala ukungaphumeleli kokuphefumula, okubonakaliswa ngokungenakwenzeka kokuphefumlela ngokupheleleyo. Ngokuqhelekileyo kufumaneke kulolu hlobo lwe-VSD kunye nokuphulwa komsebenzi wendlela yokugaya ukutya - ukukrakra, ukucabisa, isifo sohudo.
VSD ngohlobo oluxubekileyo
Ifom ye-VSD ngoluhlobo oluxubekileyo luqhelekile kunabanye. Ngokugula okunjalo, isigulane sinokubonakalisa iimpawu zombini ze-hypertonic kunye ne-hypotonic ze-AVR:
- ukhathala nobuthathaka;
- utywala, intloko;
- ukuxhamla kwemizwa, ukwesaba ukufa, "ukuphuka kwentliziyo";
- ku hlaselwa;
- ukwanda okanye ukunciphisa ukushisa komzimba;
- intlungu entliziyweni yomthombo ongaziwa kunye nobume obuhlukile;
- ukuphefumula okufutshane, ukuphefumula okufutshane;
- utshintsho kwizinga lentliziyo;
- tachycardia , i-arrhythmia;
- kulala;
- ukubetha kwiminwe yeengalo, ukujuluka;
- kuxhomekeka kweemeteorological .
I-Vegeto-vascular dystonia - iimpawu
Ngokuxilongwa kwe-VSD, iimpawu zihlukeneyo kwaye zichaphazela kude iinkqubo ezininzi ezahlukahlukeneyo oogqirha abaye balahleka ekumiseni izidakamizwa ezifunekayo ukuphucula umgangatho wobomi besigulane. Iimpawu kubantu abadala ziqhelekileyo kwiVSD:
- uxinzelelo lweenguqu;
- intlungu ye-etiology;
- u ku hlaselwa .
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Uxinzelelo kwi-IRR
Ngeentlobo ezahlukeneyo ze-VSD, kukho iimpawu ezihambelana nokuguqulwa kweengcinezelo zegazi, kwaye ukuba le mpawu iyanqoba kwabanye, oogqirha baxilonga i-AVR kwindawo e-hypertonic okanye hypotonic. I-dystonia ye-Vegeto-vascular - iimpawu kubantu abadala abachaphazelekayo kunye neenguqu zengcinezelo:
- Ngaphantsi koxinzelelo oluncitshiswayo - ubuthathaka, ukulala, ukuhluma, ukuxakeka, ukuphuza ikhanda, ukupholisa emiphelweni, ukuphazamiseka, ukuphazamiseka kwegazi, ukuphefumula okungapheliyo /
- Ukunyuka kwengcinezelo - ingxolo ezindlebeni, intloko, isisongqa, ukuhlengahlengiswa kwesikhumba ebusweni, ukunyuka kwentliziyo, ukuthuthumela kwimilenze.
Ubuhlungu kunye ne-IRR
Iintlungu ezibuhlungu zendalo ezahlukeneyo zingabonakala kuyo nayiphi na uhlobo lwe-dystonia ye-vegetative-vascular dystonia. Ubandezeleka obukhulu beVSD bunemimandla kwingingqi yentliziyo - ngokukhawuleza, ukuxinezela, ukunyuka, ukunika ingalo. Ekubeni i-VSD kunye neengxaki ze-dyspeptic aziqhelekanga, isigulane sinokuba nesisu okanye isisu esiswini. Ngokuqhelekileyo izi gulane ziba neentloko kwaye oku kunoku:
- Intlungu yokuxhatshazwa yintlungu ephilileyo, efaka intloko njengesihenqo.
- Ukuhlaselwa kwe- migraine yintlungu ebuhlungu yecala kwelinye icala lentloko, edlalwa kwiitempile, ebunzini okanye kwindawo yamehlo, ihamba kunye neentlanzi, ukuthuthumela kunye ne-photophobia.
- Intlungu yeCluster iyintlungu ebuhlungu kwinqanaba elithile lentloko, esoloko iqala ebusuku kwaye ibangela ubundlobongela, ihamba kunye nokulila, intlungu emehlweni, ukunyuka kwegazi ebusweni.
Kwimmeli yesahlulo sabantu abuthathaka, i-VSD iyaxhaphaka ngaphezu kwamadoda. Iimpawu ezibuhlungu ze-dystonia ye-vegetative-vascular i-dystonia kubasetyhini ziqiniswa kakhulu ngaphambi kokuya esikhathini: ukuvakalelwa okungahambi kakuhle ngeli xesha likhupha isisu esisemva kunye nesantya esezantsi. Isizathu sokwanda kovakalelo olubuhlungu kwi-dystonia ye-vegetative-vascular often is a change of time during the puberty, pregnancy, menopause.
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Ukuhlaselwa kwe-VSD
Inkathazo, ukwesaba okanye ukuxhalabisa ngeVSD - iimpawu eziqhelekileyo. Ekubeni isoloko esichaphazelayo isithintelo se-hypochondriacs, abantu abaxhalabileyo nabanentsingiselo, basabela ngokugqithiseleyo kwiimvakalelo ezingathandekiyo kwaye banokuba ne-panic attack - ukuhlaselwa okubonakaliswe yimpawu ezininzi zomzimba kwaye kuhambisane noyiko lokufa okanye ukuhlanya. Ukuhlaselwa kwePaic ngeVSD, iimpawu kubantu abadala:
- ukwesaba okukhulu;
- i palpitation;
- ukungcola;
- isicefe
- ukuphalaza kwegazi;
- ukuphosa;
- ukwanda okanye ukunciphisa uxinzelelo;
- ukuphefumula okufutshane;
- ukukhupha;
- umlomo owomileyo, uvakalelwa "u-coma" emqaleni;
- iimpawu ze-neurologic - ukuthuthumela okanye ukuphazamiseka kweengalo, ukuphazamiseka okubonakalayo, i-aphonia.
Ukuhlaselwa kwe-IRR
I-VSD iyancipha ngexesha lokuvalelwa ngamava, ukuxinezeleka, emva kwezigulane ezigwenxa, ngokwengqondo nangokwenyama. Izibonakaliso ze-dystonia ngexesha lokuhlaselwa zibonakaliswe ngokukhawuleza, ukuphulwa konke kwiinkqubo ezahlukeneyo zomzimba kwenza bazive ngelo xesha. Iimpawu zokuthathwa kweVSD:
- ukuphazamiseka okubukhali kwimeko jikelele;
- buthathaka;
- intlungu entloko, esifubeni, ezinyeni;
- "Ihla" okanye ukunyuswa kwexinzelelo;
- ukushisa okanye ukupholisa kwezitho;
- ukuxhatshazwa;
- ukoyika;
- iingxaki zentlupheko.
Isethi yamanyathelo afanelekileyo kuya kunceda ukujamelana nokuhlaselwa:
- isiguli sifanele silale phantsi okanye sihlale phantsi siphumle;
- Ungazibandakanyi umphumo wefuthe elibangele ukuhlaselwa;
- ngentlungu entliziyweni - thabatha i-nitrolycerin, ngokunyuka kwengcinezelo - isicatshulwa esikhankanywe ngugqirha;
- ukuqinisekisa ukukhutshwa komoya;
- ukusela itiye ephunga.
I-dystonia ye-Vegeto-vascular - unyango
Umbuzo wendlela yokuphatha i-VSD iphazamisa bonke abachaphazelekayo ngokubanjelwa kunye nokubonakalisa kwesi sifo. Isilungiso sokuphela kwe-VSD asikho, kwimeko nganye umntu ugqirha ukhetha unyango olufanele isigulane. Ukuphelisa ukungasebenzi kwesifo senhliziyo, ukukhathazeka, i-genitourinary, i-hormone okanye i-tractinal tract, ugqirha ubeka izilwanyana ezijolise ekuphuculeni ukusebenza kwazo. Ngenxa yokuphazamiseka kwemizimba, iingqungquthela ziyakunikwa. Ukususela kumachiza kwiVSD kaninzi ukutyumba:
- ukutshala izityalo ezinonxantathu okanye i-tonic - i-Persen, i-Novopassit, izitho zomoya zel valerian, i-motherwort, i-ginseng, i-eleutherococcus, i-magnolia;
- i-nootropics - i-Piracetam, i-Nootropil, iPhenotropil;
- i-tranquilizers - i-Nosepam, Seduxen, i-Diazepam;
- i-anti-depressants - Cipralex, Pirazidol;
- izidakamizwa zokulwa ne-antipsychotic - droperidol;
- iziyobisi ukuphucula ukujikeleza kwe-cerebral - iCinnarizine , iCavinton.
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Ulwaphulo lwe-VSD olungekho phantsi kweziyobisi lubandakanya:
- Umthwalo wemvelo - ukubhukuda, i-yoga, ukudansa, ukuhamba, ukuhamba ngebhayisikili.
- Iinkqubo ezinobungozi - isitya esahlukileyo, ukukhwaza.
- Ukuhlambalaza, umda wekollar, intloko.
- Ukutya okunokulinganisela - ukubandakanywa ekudleni kwemveliso elula neyiluncedo, ukukhutshwa kwamafutha, izilondolozo, ukutya okukhawulezayo.
- Imodi elinganisiweyo - ukulala okungenani iiyure eziyi-8.
- I-Physiotherapy - iibhagi zokuphumla, unyango olumandla, i-electrophoresis, i-electros sleep.