Mene ne bayyanar cututtuka fahince somatoform autonomic tabarbarewa daga cikin juyayi tsarin?

Somatoform autonomic tabarbarewa - hadaddun cikin sharuddan diagnosing cutar. Yana yana da yawa cututtuka kamar jiki da hankulansu kiwon lafiya. Bugu da ƙari, marasa lafiya fama da su, jin da bayyanar cututtuka da cutar m isa cewa warware su masu sana'a ganin. Saboda duk da cewa dangantaka da cuta, ya kamata ka gane a daki-daki.

Overview SvD cuta

Somatoform autonomic tabarbarewa (SvD) gano mafi akai-akai a maza na soja shekaru, ko a marasa lafiya da suke sha gaggawa slozhbu ko tafiyar da kai tsaye fama. Wannan cuta, wadda bayyana kanta nauyin da ba-takamaiman cututtuka da kuma na bukatar cikakken bincikowa. Its manufa shi ne ya kawar da tsarin munanan na zuciya da kuma arrhythmias kazalika da cututtuka na tsakiya m tsarin.

An yi imani da cewa somatoform autonomic tabarbarewa ne m rashin daidaituwa tsakanin m da parasympathetic juyayi tsarin. SvD kanta ne zuwa kashi uku iri: SvD for cardiac, hypotonic da hypertonic irin. Su ya kamata a bambanta daga cututtukan zuciya, jijiya hypo- da hauhawar jini, wanda aka warware a cikin shakka daga events a kira ga soja. Saboda wannan dalili, mata SvD gano kasa akai-akai fiye da maza da yara maza. Ko da yake 80% na fallasa ganewar asali ne ba a tabbatar da babban kwamitin vrachebnokonsultatsionnoy.

symptomatology SvD

Somatoform tabarbarewa daga cikin autonomic juyayi tsarin aka bayyana taro nonspecific bayyanar cututtuka. Sau da yawa da suka bayyana da ka a kan bango na danniya da kuma gwada a shiru yanayi. Mahimmanci, IRS ƙila za a kira wani ciwo saboda shi sosai ya shafi babban adadin bayyanar cututtuka. Suna nuna zaɓuɓɓuka masu biyowa syndromes: cardiac, hypotonic, hypertonic. Har ila yau, akwai iya zama na kowa simtpomy, dyspepsia bayyanar cututtuka, numfashi cuta, jiki disadaptative. Wadannan cututtuka da za a tattauna a daki-daki.

bincikowa da Basics

Babban sharudda ga ganewar asali na munasaba zuwa SvD ne: lokacin kiranka na bayyanar cututtuka (mafi girma daga 2 years) da kuma rashin gemodinamicheskiznachimyh ko rai-barazanar cardiac arrhythmias ko tsari. Tsananin magana, duk da kananan cardiac munanan ba sakamakon canje-canje na zuciya kari cuta, ko cavities, ƙila a haɗe.

Ganewar asali "Somatoform autonomic tabarbarewa" sannan za a hade tare, misali, tricuspid (mitral, aortic ko na huhu) gazawar, arrythmia rare, mai shudewa WPW ciwo ko CLC. Duk da haka, irin wannan marasa lafiya ya kamata a lura sau 2 a shekara don gano karin take hakki. Babu shakka cewa, mafi yawan diagnoses SvD fallasa conscripts da kuma matasa, ba shi da wani hakkin ya wanzu. Sau da yawa, da ganewar asali ne likita da kansa ba tare da wani kuka kawai a kan tushen da gaban kananan tsarin lahani a cikin zuciya. Saboda game da 80% na diagnoses suna jayayya, amma na asibiti muhimmanci da kawai gunaguni da comorbidities da syndromes.

Common bayyanar cututtuka na SvD

A irin cututtuka, kamar yadda wani somatoform autonomic tabarbarewa, janar bayyanar cututtuka suna da yawa. Wannan yanayi disturbances, dysphoria, dysthymia, unwillingness yi wani jiki aiki, disturbances na ci, tsoka rauni, maimaita ciwon kai, mafi yawa sarrafa a cikin parietal da occipital yankin. Wani lokaci haƙuri damu game dizziness da kuma kona abin mamaki a cikin podlozhechkovoy yankunan ba alaka da yunwa ko satiety.

Irin wannan korafin ne halin da asthenic ciwo somatoform autonomic tabarbarewa. Marasa lafiya ayan zama m, wani lokacin rashin himma da kuma sauƙi damu. Kowace daga cikin wadannan halayyar fasali su ne m dauka a kan sabon kasuwanci. Ƙara, su ba su kammala. Paradoxically, duk da haka, xamfaruwar, wanda tasowa a sakamakon qananan nasara a wasanni ko ta jiki rashin aiki take kaiwa zuwa da cewa yara sukan rama domin wannan binciken. Su ne mai kyau a tunawa, amma a stressful yanayi zaton irrationally. Guje wa danniya da kuma unwillingness su shiga a batutuwa da bukatar wani tunanin tashin hankali, a halayyar alama da marasa lafiya da autonomic tabarbarewa somatofrmnoy.

Jiki aiki a SvD

Low haƙuri zuwa wasan motsa jiki - shi ne wani hali alama na SvD. Marasa lafiya ne m dauka darussan a cikin aji ga ilimin motsa jiki, musamman idan ta na bukatar karfin. Yawanci, mobile wasanni masu sauki don wadannan marasa lafiya, yayin da ƙarfi darussan sa da yawa daga wahala. Za ka iya lura cewa bayan guje shi mafi dyspnea fiye da sauran yara na guda ginawa. Bugu da kari, wadannan marasa lafiya da sauri samun gaji, su jimiri ne m fiye da wasu. Har ila yau, a kan bango load iya bayyana numfashi ko cardiac SvD cututtuka aka bayyana a kasa.

Cardiac (zuciya) korafin da marasa lafiya

Somatoform tabarbarewa na autonomic juyayi tsarin da aka bayyana da yawa cututtuka wanda suna lalacewa ta hanyar wani rashin daidaituwa tsakanin sympathico da parasimpatikoy innervated sashin jiki. Zuciya gunaguni, tun da jiki yana da autonomic innervation, suna daga cikin mafi muhimmanci. Mafi na kowa bayyanar cututtuka na SvD a kan wani ɓangare na zuciya da jini ne: cardiac zafi, tachycardia, ta ƙara ko rage jini.

A yanayi na zafi a zuciyata ba takamaiman zuwa wani cuta. Pain ne yawanci daba da kuma wani lokacin latsa. Su location - zuciya na tushe (3-6 cm zuwa hagu na sternum) da kuma saman (5 cm zuwa hagu na sternum a 5th intercostal sarari). Tachycardia za a iya lalacewa ta hanyar wani tunanin danniya ko ta jiki da danniya. Yana da muhimmanci cewa shi tasowa a disproportionate nauyin aiwatar da nauyi. Alal misali, tachycardia bayyana nan da nan kafin darasi ko a farkon sosai, kuma ba kamar yadda ta tashi.

Yana da muhimmanci cewa da jin zafi a zuciya, idan suna da hali da kona, da kuma (ko) compressing da kuma bayyana 20-30 minti, ya kamata a daukarsa a matsayin ischemic, wanda na bukatar rikodi na electrocardiography ga guntu yiwu lokaci. Wannan shi ne saboda gaban na asibiti abokai kamar bambance-bambancen angina kuma cardiac ciwo X. A cikin wadannan pathologies 50-100 sau mafi girma da alama na kwatsam jijiyoyin zuciya mutuwa.

Hypotension ko hauhawar jini

Hauhawar jini tasowa infrequently. Wannan shi ne mafi rare irin SvD, domin shi ne mafi sau da yawa gani cardiac ko hawan jinni iri. Duk da haka hypotonic irin SvD bayyana lokaci zuwa lokaci sauke a jini matsa lamba a kan biyu makamai. Yana da muhimmanci cewa ganewar asali na irin wannan cuta da ake bukata domin yin echocardiography da electrocardiography, wanda damar ware gaban cututtukan zuciya ko arrhythmias. Fainting ne ma ãyõyin SvD, ko da yake nonspecific.

Hauhawar jini - shi ne wani hali kuka. Marasa lafiya staradayut matsa lamba Yunƙurin kafin yin wasan motsa jiki, maimakon ta hanyar da shi. A matsa lamba da aka kullum ya karu a kadaici ne ya tashe zuwa 160 systolic jini, yayin da diastolic ne guda. A ra'ayi na elasticity na jini a matasa da matasa matan da suka yi somatoform autonomic tabarbarewa daga cikin zuciya ne kamu mafi sau da yawa, diastolic jini iya, kuma ya aikata ƙi ɗan.

Wannan shi ne saboda da rashin daidaituwa daga cikin m da kuma parasympathetic juyayi tsarin, tsoka yana faɗaɗa lokacin norepinephrine jijiya, da ragewa gefe jijiyoyin bugun gini juriya. Yana da muhimmanci cewa matsa lamba da aka kara kullum, saboda ganewar asali da hauhawar jini ba za a iya kafa.

numfashi gunaguni

A irin wannan cuta a matsayin somatoform tabarbarewa na autonomic juyayi tsarin ne kuma cututtuka na numfashi hali. Dokokin da suka bayyanar kama da waɗanda suke a cikin hali na cardialgia, hypotension ko hauhawar jini. Wannan shi ne, na numfashi bayyanar cututtuka faruwa a lokacin motsa jiki. Har ila yau, da cewa su ne musamman zuwa SvD, ba za su iya bayyana bayan kammala na bada a cikin sauran lokaci. Wannan ne bambanci tare da numfashi gunaguni SvD na fuka bayyanar cututtuka na jiki danniya.

Misalai na gunaguni da SvD: bayyana gauraye dyspnea a kan aikinsa, ko a sauran lokaci bayan da aiwatar, kirji tightness da numfashi matsaloli. Don kwatanta, a cikin fuka karya exhalation. Tare da numfashi gunaguni a irin wannan cuta a matsayin somatoform tabarbarewa na autonomic tsarin bayyana cardiac. Hadin gwiwa bayyanar - m, amma ba musamman ãyã, pozvolyayuy yi irin wannan ganewar asali.

Dyspepsia da SvD

A irin wannan cuta a matsayin somatoform tabarbarewa na autonomic juyayi tsarin, haddasawa ne mahara. Su kama a cikin rashin daidaituwa tsakanin parasympathetic kuma m juyayi tsarin. Bugu da ƙari, cikin dukan gastrointestinal fili ne kuma da hannu a cikin wannan tsari, saboda an cikakken innervated da parasympathetic tsarin. A vagus jijiya iko da mugunya a ciki, pancreas, hanji. Shi ne da alhakin motor basira da kuma duk narkewa. Saboda a lokacin da SvD bayyana akai-akai dyspepsia, da kuma ciwon mara.

Daga cikin na kowa diarrheal events ya kamata a kasaftawa tashin zuciya ba tare da amai, maimaita zafi a cikin epigastric yankin, wanda aka halin da crushing ko daba. Su bayyanar ba ya dogara ne a kan abinci: shi ne m da kuma ake dangantawa da mafi yawa tare da danniya. Har ila yau, da zafi za a iya sarrafa a cikin wani yanki na ciki. Sun kuma bayyana kwatsam, kõ kuwa a lokacin motsa jiki. Wadannan sha raɗaɗin ba za'ayi a wasu sassa na ciki da kuma yana tare da zazzabi, zawo ko amai.

Yana da muhimmanci cewa bayyanar cututtuka aka jera a sama faruwa da kuma m hanji ciwo. An yi imani da cewa wadannan daban-daban cututtuka. Duk da haka, a lokacin da a cikin hanyar IBS ne ma unbalanced colonic motility. Saboda, watakila, ya kamata a gani a matsayin IBS alama SvD. Bugu da kari, shi ne mafi kowa a marasa lafiya fama da SvD. Bayyanar cututtuka na hanji ciwo suna jinkiri stool, bloating da tsãwa a ciki.

Daidai ganewar asali SvD

A irin wannan cuta a matsayin somatoform tabarbarewa na autonomic juyayi tsarin, da magani aka zaba akayi daban-daban dangane da rinjaye bayyanar cututtuka. SvD ganewar asali ba za a iya kafa ba tare da haƙuri da gunaguni, bayyana 2 ko fiye da shekaru saduwa sama sharudda. Yana da muhimmanci don kawar da duk kwayoyin cututtuka: nakasar (ko samu) zuciya lahani, arrhythmias, thyroid cuta, ciki ulcers (ko 12 duodenal miki), gastritis, Crohn ta cuta, da cushewar hanji.

Shi ne kuma dole su kauce wa yiwu shafi tunanin mutum da rashin lafiya, wadda bayyana somatoform cuta. Wannan yana nufin cewa haƙuri bukatar ka yi wasu bincike: yin janar da kuma biochemical jini gwaje-gwaje, urinalysis, jini glucose da kuma hormones schitovdidnoy gland shine yake, rikodin ECG, yi echocardiography, FEGDS, ultrasonography na brachiocephalic arteries da thyroid. A sakamakon bincike da ya ƙarasa da cewa, ko kamu ko alama bayyanuwar SvD Haka ya shafi sauran cututtuka.

Somatoform autonomic tabarbarewa: magani

SvD aka bi ta hanyoyin da dama da hada pharmacotherapy, bitamin far, supplementation na ma'adinai balance na jiki, sana'a far da jiki far. A pharmacotherapy muhimmanci daidaita nootropics (ko antidepressants) tare da cardiotropic. An misali ne hade shiri "Phenibutum" ko "Noofen" a wani kashi na 250 MG sau uku a rana for 2 months "Thiotriazoline" 100 MG sau 2 a rana domin 2 months. A nada antidepressants kamata shawarci likita hauka wanda zai tantance shekaru, kuma potenialnuyu hatsarin kwayoyi ga mãsu haƙuri.

A irin wannan cuta a matsayin somatoform tabarbarewa na autonomic juyayi tsarin, da magani ma ya hada da mineralotherapy. Tabbatar da cewa, misali, mitral bawul prolapse , ko wasu gazawar da bawuloli dangantawa da interstitial magnesium rashin daidaituwa. Ya mayar da matakan taimaka wajen rage bayyanar cututtuka na cardiac gunaguni, kuma mai tsanani daga hypotension ko hauhawar jini.

Vitamin, musamman replenishing bitamin C, E da kuma D, kazalika da B1, B2, B5 kuma B6 ne m da ake bukata. Duk da haka, wadannan abubuwa suna talauci tunawa bitamin a lokacin coadministration. Saboda bukata musayar magani 1 ga watan kungiyoyin bitamin C, E da kuma D, sa'an nan 1 ga watan bitamin B1 da B2, sa'an nan 1 ga watan B6 da B5. Hakika, kamar yadda a cikin manyan hanji na mutum data an hada da bitamin da kansu, ya kamata kuma ci sabo ne da kayan lambu da kuma ganye ba tare da zafi magani.

Tun da ci gaban da SvD taka rawar da wani low sha'awa cikin nasu kiwon lafiya da kuma rashin kula na jiki, da ƙari na bitamin da kuma ma'adanai, taimaka wajen rage mai tsanani daga cututtuka. Sana'a Far a lokacin sanatorium magani (biya-kamar yadda a cikin asibitin ba su bayar da baucoci marasa lafiya da SvD) zai yi yawa more barga sakamako. Amma da mãsu haƙuri mafi bayyana cewa, ko da sauran shi ne magani akalla ga shi, saboda a lokacin da sauran da ba gunaguni.

Somatoform tabarbarewa na autonomic juyayi tsarin (ICD-10)

A cikin kasa da kasa rarrabuwa da cutar a can tun 1993. Wannan Pathology da aka samu a ko'ina a cikin duniya, kuma ba ya dogara ne a kan halaye da wani tseren ko al'umma. A ICD 10 somatoform autonomic tabarbarewa Littafi V kuma VI headings. A farko hada da "shafi tunanin mutum da kuma halayya cuta" (masu lamba code F0-99), da kuma na biyu - "Neurotic, danniya da alaka da somatoform cuta" (masu lamba F45-F48 code).

F45 Category hada da wadannan pathologies: somatisation cuta, undifferentiated somatoform cuta, somatoform autonomic tabarbarewa kai tsaye, hypochondriacal cuta,] orewar somatoform zafi cuta da sauran unspecified cuta na cikin juyayi tsari. Ta somatoform autonomic tabarbarewa F45.3 code shi ne rikidadde da kuma bukatar kawar da waxannan cututtukan gabobin innervated gefe autonomic juyayi tsarin.

ƙarshe

Masana kimiyya da dama yanzu yi imani da cewa somatoform autonomic tabarbarewa kamata a yi la'akari a cikin mafi daki-daki. Wannan cuta rinjayar da haƙuri da zamantakewa karbuwa. A wani yawan lokuta tabbatar da hada magana da SvD da kuma tsarin anomalies a sedrtse. A fadi yi na echocardiography yarda ka gano cewa gaban mafi guitar na hagu ventricle da mitral bawul prolapse ƙananan digiri da kadan regurgitation. Recent Pathology wuya arrhythmias da gubar zuwa congestive zuciya rashin cin nasara da shekaru.

Wannan yana nufin cewa a somatoform autonomic tabarbarewa kamata a yi la'akari a matsayin alama (ciwo), bukata likita domin kara ganewar asali, da nufin a katin shaida na comorbidities. Ko da yake mai tsarki a nan - a neurogenic cuta, wanda ake dangantawa da wani rashin daidaituwa tsakanin m da parasympathetic na gefe m tsarin. Har ila yau, a cikin ra'ayi na zaman jama'a muhimmancin Pathology, yana da muhimmanci a kafa sarari bincike sharudda ga SvD. Wannan zai ba da damar bambance psychogenic da somatic cututtuka a yi ayyukan kira ga soja.