Vegetative-vascular dystonia (VVD, Neurocirculatory dystonia)Vegetative-vascular dystonia (VVD or neurocirculatory dystonia) – this is a pathological condition, the failure of compensatory activity of the autonomic nervous system. Perhaps this is the most frequent diagnosis, which put doctors and causes patient dissatisfaction, confusion and anxiety – perhaps doctors do something serious, she missed?
This situation has been caused by the fact that vegetative-vascular dystonia can be a symptom of many organic diseases: somatic and neurological, endocrinological, gynecological, oncological, and so forth, endocrine and hormonal disorders. Often the IRR is a functional one, that is not associated with serious disease. This psychogenic violation between the cerebral cortex and subcortical structures, the type “want ” impossible”. And symptoms of dystonia. Symptoms can be varied. This is due to the diversity of functions performed by the autonomic nervous system.
The causes of vegetative-vascular dystonia
The autonomic nervous system located in the brain and spinal cord has nerves and ganglia, neurotransmitters (acetylcholine, noradrenaline).
Autonomic nervous system controlling the activities of all the internal organs, glands of external and internal secretion, lymph and blood vessels, provides constancy (homeostasis) of the internal environment and the adaptation of work to the changing conditions of the external environment.
Sympathetic and parasympathetic autonomic nervous system have opposite impact on the work of the organs. And as soon as the balance of this influence, there is an imbalance in the work – vegetative-vascular dystonia. But it is written very simply, but the mechanism of regulation and relationships of organs and systems is very complex.
On the occurrence of vegetative-vascular dystonia affects constitutional predisposition, the environment of human habitation – family, religion, climate, education, culture and frequent or prolonged stress in this environment. Rooting of vegetative-vascular dystonia people at any age.
Symptoms of vegetative-vascular dystonia
Localization of the main symptoms of vegetative-vascular dystonia distinguish VSD on respiratory, cerebral, cardiovascular, gastrointestinal, vegetative-visceral types, with impaired thermoregulation.
Vegetative-vascular dystonia can manifest constant symptoms – vascular, neuromuscular, neuroendocrine, cognitive (impaired intellectual functions), mental (anxiety, depression, panic attacks) and paroxysmal (paroxysmal) – hypotonic, hypertonic type, mixed type.
Vegetative dystonia of hypotonic type is characterized by low blood pressure.
Vegetative dystonia of hypertensive type is characterized by increased blood pressure.
The IRR on the mixed type is characterized by periodic oscillations of blood pressure.
For all types of vegetative-vascular dystonia characterized by crises. In vascular dystonia of hypertensive type there is anxiety, heart palpitations, sudden arousal, symptoms panic attacks, increased blood pressure, cold extremities, chills. In vascular dystonia of hypotonic type – General weakness, shortness of breath, nausea, a sinking of the heart, sweating, low blood pressure. In the vegetative-vascular dystonia of mixed type all of the above symptoms manifest themselves in one way or another.
Autonomic crises (sympathoadrenal) caused by the predominant influence of the sympathetic nervous system – increased blood pressure, tachycardia, oznobopodobnom hyperkinesia (shaking), hyperthermia, pain in the heart, fear, anxiety, panic, cold sweat, numbness of the limbs.
Vagonlarni crises autonomic neuropathy are caused by the predominant influence of the parasympathetic nervous system – weakness, decreased blood pressure, respiratory failure, bradycardia (slowing of heart rate and pulse respectively), sense “fading” of the heart, dizziness, dysfunction of the digestive system, hyperhidrosis (sweating), polyuria.
Mixed crises combine various symptoms and their combinations.
For vegetative-vascular dystonia long period, perhaps for years, with periods of remissions and exacerbations.
With the prevalence of cardiovascular disorders in the existing complex of autonomic disorders sometimes use the term “neurocirculatory dystonia”. Note, however, that neurocirculatory dystonia is an integral part of the wider notion of vegetative-vascular dystonia. There are three type neurocirculatory dystonia: cardiac, vascular and mixed.
Cardiac type neurocirculatory dystonia (functional cardiopathy) leads to violations of rhythm and conductivity (sinus bradycardia, extrasystoles, paroxysmal and nonparoxysmal tachycardia, atrioventricular block I-II degree), a violation of the ventricular repolarization (nonspecific changes of segment ST), some forms of mitral valve prolapse.
Neurocirculatory dystonia vascular type accompanied by arterial hypertension (neurocirculatory dystonia of hypertensive type) or hypotension (neurocirculatory dystonia of hypotonic type).
Mixed type neurocirculatory dystonia has elements of both cardiac and vascular types with different combinations of their symptoms.
When recurring headaches, changes in blood pressure, dizziness, weakness, fatigue, problems with memory, anxiety, emotional lability (mood swings), sleep disorders, fear for their health (hypochondria), pain in the heart, cardiac arrhythmias, shortness of breath, feeling “coma” throat, abdominal pain, paralysis of limbs… with virtually any irregularity in the condition you need to consult a doctor.
Examination of vegetative-vascular dystonia
For the diagnosis of a VSD will require consultation with various specialists and tests (individually, depending on the detected symptoms). Therapist, neurologist, ophthalmologist, endocrinologist, gynecologist (for women) – the shorter the list of possible consultations.
To confirm the diagnosis of VSD, it is necessary to exclude possible organic somatic disease that can give manifestations of the syndrome of vegetative-vascular dystonia in each patient individually. And respectively explained in detail the complaint and found by the inspection of the doctor the symptoms are assigned the necessary research.
The task of the patient: to recount their experiences. For example, not just – I have a headache, and dateline – where it hurts (forehead, nape, temple, with one side or diffuse), the pain (throbbing, bakes, shoots, bursting…) what You feel, what feelings accompanied (by pressure on the eyes and ears, vomiting, dizziness, visual impairment…) that precedes the headache – changing weather conditions, stress, fatigue…
Possible surveys for suspected VSD neuroscientists often use – electrocardiogram, Doppler vascular, CT and magnetic resonance imaging, examinations ophthalmologist, endocrinologist, internist. To exclude thyroid disease (both hyperthyroidism and hypothyroidism may show symptoms of vegetative-vascular dystonia) use laboratory tests – explore the hormonal activity of the thyroid gland and ultrasound.
When diagnosed with autonomic neuropathy and eliminated all possible physical illness, is assigned to individual treatment.
Treatment of vegetative-vascular dystonia
Highly recommended for successful treatment of vegetative-vascular dystonia to modify lifestyle: mode of work and rest, welcome sports in game mode, but not in professional, swimming, running, aerobics, fitness, douche, stay in the fresh air, healthy food, sleep 8 hours a day, visit therapist, Spa treatment in sanatoria neurological diseases with the use of all forms of balneotherapy (hydrotherapy), reflexology, aromatherapy, physiotherapy, massage. This IMPORTANT recommendation to patients is often not taken seriously and thus exacerbate your condition.
It is very important to normalize the circulation of the brain and prevent the development of stroke and other serious diseases of the cardiovascular system. For example, a combined preparation of Asobal improves circulation and metabolism in the brain. Components of the drug to prevent thrombosis, reduce the permeability of the vessel walls, increase the resistance of brain tissue to the lack of oxygen, increase mental and physical performance. Clinically proven efficacy of the drug in the treatment of vegetative-vascular dystonia.
Drugs for the treatment of vegetative-vascular dystonia
Use antidepressants and tranquilizers.
Medical appointment individual – symptomatic. How multi-functional the autonomic nervous system, how diverse clinical spectrum of dystonia, so variable assigned therapeutic combination. Appoints all medicines and indicates the dosage of the doctor.
When increased blood pressure – anti-hypertensive drugs for tachycardia – β – blockers, hypotension — caffeine, ginseng with vitamins of group B.
When venous insufficiency – vasocet, oneplant, Detralex. These drugs are taken with heaviness in the head, throbbing, bursting headache, worse after sleep and in the hot season (dopplerographic study in this case – confirmed venous insufficiency), take a long time from 1 to 2 months, usually in the evening 1 tablet.