They helped me. I came to the clinic with pain in my left shoulder. The pain has decreased. I don't regret coming here. Doctor Elena Arkadyevna is attentive, polite, and explains everything clearly. I'm not breaking up!

Salaeva Violetta Kazbekovna, 78 years old

Gratitude and congratulations for the “Health Workshop”! On these holidays, Defender of the Fatherland Day and March 8th, I ask you to congratulate everyone and especially the wonderful doctor V.L. Egorov, the wonderful D.E. Vetrov, Alekhintseva S.E., Stepanov E.A. and all the treatment room staff, Alexandra and her entire team. I wish you all health, always a good mood, fulfillment of desires, success in your career and great personal happiness. With gratitude, V.I. Belyaeva

Belyaeva V.I., 72 years old

I suffered from chronic pain for 8 months, in the clinic and hospital they brushed me off or made vague diagnoses, despite all the information I provided... Viktor Anatolyevich is a doctor who accurately diagnosed my problem in the shortest possible time. The professional skills of such a highly qualified specialist are something that I have been critically lacking for a long time. Many thanks to the doctor and all the clinic staff!

McLashin B.

I express my deep gratitude to the attending physician Elena Vladimirovna Khislavskaya! Long and painful trips to the district clinic and the consultation center of the Kalininsky district led to nothing, none of the doctors could make an accurate diagnosis, they found nothing, they just shrugged it off, and some of them were sent to a psychotherapist. I was getting worse and worse. As this clinic was my last hope, I ended up with Elena Vladimirovna. She was so attentive to my problem, correctly diagnosed (Tittze syndrome), prescribed treatment, and little by little I began to get out. I believe that only her sensitive attitude towards people and her desire to understand gave results. Since the disease was advanced, treatment lasted for 2 months and then recovery after discharge. Yes, it costs money, but taking into account the fact that visiting compulsory medical insurance and even paid specialists from other clinics did not bring results, it is definitely worth it. I was returned to normal life in a way that can be measured! I would like to say a special thank you to orthopedist Rustam Fanilievich, he performed the blockade very carefully and accurately. I also express my deep gratitude to the massage therapist Sergei Nikolaevich Guberniatorov, he has golden hands. And to all the clinic staff for their friendly and sensitive attitude!

Olga, St. Petersburg

I express my gratitude to the clinic team for their respectful and attentive attitude towards patients. I would like to separately thank such doctors as Soboleva Svetlana Nikolaevna, Kustova Marina Anatolyevna, Akhmadullina Tamara Nurievna, Chernov Andrey Aleksandrovich for their professionalism, kindness of heart and great skill. It is a great blessing that such competent, skillful and talented, caring people work exactly where they are needed most. I wish prosperity and well-being to your clinic and the specialists who work in it.

Kudryavtseva Natalya Pavlovna, 65 years old

She underwent a course of treatment at the Health Workshop and in particular with Stanislav Vladimirovich. I want to express my deep gratitude for the help provided to me, for your golden hands. A very attentive and sensitive doctor, taking into account my diagnosis (hernia, protrusion, etc.), used gentle techniques and after each session my health improved and my life got better, I couldn’t wait to see him so that he could ease my suffering. Stanislav Vladimirovich, thank you very much, I will definitely recommend you to those who need the same help.

Love

Was treated by Lisina E.A. I'm very pleased. She saved me from a nervous breakdown and healed me. Problems with the hip joints. She prescribed plasma therapy. I am very grateful to her. All clinic staff are polite and attentive. All the medical staff are excellent workers. I am very grateful to all the employees of the Health Workshop. I also thank Alexander Sergeevich Kryukov, who immediately understood my condition and handed me over to E.A. Lisina.

Kharevich Lyudmila Vladimirovna

Doctor Kryukov Alexander Sergeevich. Thank you for the consultation and prescribed treatment. Very competent, knowledgeable and attentive doctor. Thank you!

Pleskovskaya Elena Vyacheslavovna

I would like to thank from the bottom of my heart the entire team of the “Health Workshop” at 224B Moskovsky Prospekt. Absolutely everything: both doctors and administrators are very attentive and professional. I received the treatment I wanted. I will definitely contact you again to maintain my current - very good condition - of the musculoskeletal system. I would especially like to thank neurologist E.A. Lisina, hirudotherapist G.V. Lapin, chiropractor S.V. Daskovsky. and physiotherapist D.T. Gvirdzhishvili It's just a pleasure to meet and work with them. Thank you!

Alekseeva Yana Vladimirovna

I would like to thank Stanislav Vladimirovich for his professionalism, humanity and sensitive attention to patients. A huge thank you to this doctor! Stanislav Vladimirovich is simply a super doctor, I wish there were more such knowledgeable doctors.

Larisa Ivleva

Here is my lifeline - “Health Workshop”: my legs can’t walk, my back hurts, my head is ringing. I accidentally heard about this clinic on the radio and this is the second time I have visited it. I enter and find myself in the kingdom of silence, peace and hope, if not cured, then at least improve my condition. Nice, charming girls-consultants greet you with kind greetings. They patiently listen to your questions, fill out the necessary documents and escort you to your doctor. During the waiting period, you are offered to watch help videos on TV and drink a cup of coffee or tea. And all fears are behind us! Thank you, dears. Without your well-coordinated work, attentive, friendly attitude towards the patient, there would be no such effect from the visit. And here is the first meeting with the doctor. I was lucky, and I think others were too. I met with a real magician, who with just one word gave me confidence that I needed treatment. This is Egorov Vladimir Leonidovich. Who in our district clinics would talk with a patient for an hour? Nobody! And Vladimir Leonidovich listened to me carefully, explained the essence of the disease - osteoporosis of the spine, and then spent the same amount of time selecting the necessary treatment. I am grateful to you, dear doctor, I congratulate you on the upcoming New Year and wish you health and creative success. I communicated with the same wonderful doctors, professionals in their field, very kind and attentive, while undergoing procedures. This is Alekhintseva Svetlana Evgenievna, Stepanova Elena Anatolyevna, Akhmadullina Tamara Nurievna, exercise therapy doctor and, of course, chiropractor Rakhmatov Tolmas Turaevich. This is a doctor from God. His warm hands do wonders. Thank you all for your conscientious work and respect for ordinary people. I would like to say a special thank you to the entire treatment room team. The work of nurses cannot be compared with anything in terms of difficulty and responsibility. And how sensitive, attentive and kind they all are... Forgive me for those I didn’t mention in my message. The whole team works just fine. Happy New Year to the entire clinic team! I wish you health, personal happiness, creative success, grateful patients.

Kalinova A.V.

Many thanks to Stanislav Daskovsky!!! A professional in his field with a capital P!!! My entire spine has numerous hernias and protrusions; for many years it simply hurt to walk. I went through six sessions of manual therapy and felt like a completely different person: the sharp pains went away, my back really straightened (I didn’t even think that I could bring my shoulder blades together again like in my youth), it was as if my lumbar region had a second wind. Take care of your hands Stanislav, they are not “simple” for you. Best regards, Alexey Seregin.

Alexey

I would like to say a big thank you to all the employees of the Health Workshop clinic for their attentive attitude towards patients. I especially want to mention my attending physician E.V. Khislavskaya. and chiropractor A.A. Kabaylov I came to the clinic with acute pain in the groin and lower back. After complex treatment I feel much better. Thank you!

Grigorieva Elena Leonidovna, 62 years old

I thank all the medical staff for their attention, kindness and competence. Very grateful to everyone.

Khaigonina Lyubov Fedorovna

Vegetative-vascular dystonia is a polysymptomatic disorder that covers a variety of body systems. The failure in question is a dysfunction of the autonomous system, responsible for two key operations in the body: maintaining and maintaining the stability of the internal microenvironment of the body (blood pressure, sweating, body temperature, frequency of myocardial and respiratory contractions, metabolic processes), as well as the activation of functional systems for their adaptation to constantly fluctuating environmental conditions (stressors, physical work, weather fluctuations, climate).

Reasons

Often in the body of human subjects the performance of all elements of the nervous system is disrupted, the result of which is the development of the described disorder, which is observed in a third of the world's population. Manifestations of the failure in question are the response of organs to the abnormal and inconsistent functioning of parts of the autonomous system.

Vegetative-vascular dystonia, what is it in simple words? It is incorrect to consider the described disorder as a separate disease. It is rather a symptom accompanying dysfunction of internal organs. It appears due to improper functioning of the ganglion system.

The pathogenesis of this disease is quite heterogeneous. More often, the disorder is found in the youngest members of society. Today, according to statistics, this condition is observed in 18% of children.

Below are the factors that give rise to the development of vegetative-vascular dystonia. The cardinal of these factors is considered to be a predisposition passed on as an “inheritance.” The dysfunction described more often passes through the female line (in other words, from parent to daughter) rather than from mother to son, and inheritance through the line of the “starter of the family” is generally quite rare. Weakness of the capillaries and myocardium, often accompanied by organic damage to the nervous system, is also considered a common cause of the disease in question.

The causes of vegetative-vascular dystonia are a consequence of mitochondrial diseases (mitochondrial dysfunction leading to disruption of energy function at the cellular level), hormonal imbalances caused, for example, by endocrine imbalance, menopause, or those occurring as a result of natural hormonal changes in puberty, during pregnancy.

The personal characteristics of an individual also often influence the possibility of the occurrence of this disease. So, for example, a suspicious person prone to increased anxiety more often suffers from the described pathology than individuals who have a more stable psyche. In subjects with such a set of psycho-emotional characteristics, the risk of acquiring dystonia increases under stress, mental fatigue, and nervous exhaustion.

A sedentary existence is considered another condition leading to the formation of the imbalance in question. Individuals who have suffered from physical inactivity since childhood are predisposed to all sorts of ailments due to the frailty and instability of the body to various external influences. The infectious process occurring in the organ weakens it, which increases the susceptibility of this organ to the occurrence of other ailments, including the disease described. In addition, infectious foci can be located in segments of the autonomic system, destroying nerve fibers, infringing neurons and individual nodes. This is a prerequisite for the formation of vegetative-vascular dystonia in children.

Infringement of nerve fibers due to osteochondrosis, starting in the cervical segment, leads to a defect in nervous regulation, in particular, to disruption of the functioning of the nodes of the ganglion system, localized in the cervical segment of the brain and responsible for the performance of the myocardium and central capillaries.

In addition to the above-mentioned defects in the functioning of organs, vegetative-vascular dystonia can be caused by the following ailments: pancreatitis, atherosclerosis, allergies, peptic ulcers, occupational illnesses, injuries of the skull or spine, nervous degenerations, mental disorders, concussion.

The etiological factor of the disease in question is not always the presence of organic or physiological disorders. The risk of developing the condition in question increases significantly in individuals who are constantly in an unfavorable emotional environment (confrontations in family relationships, unhealthy microclimate at work, persistent intense emotional or intellectual stress, harmful working conditions). All of the above is an excellent basis for the formation of the analyzed state.

Symptoms of vegetative-vascular dystonia

Many subjects today are familiar with the concept in question. Often, for various disorders, you can see this diagnosis in the patient’s medical record. But most people lack a true understanding of vegetative-vascular dystonia.

First of all, you need to realize that this disorder is not an independent illness. The described imbalance is considered a secondary manifestation of various disorders and defects in the normal functioning of the capillary system, which inevitably leads to insufficient oxygen supply to the tissues.

Vegetative-vascular dystonia is also called myocardial or neurocirculatory dystonia. The disease in question can be classified as a defect in cerebral circulation. Its symptoms are determined by the state of the autonomous system, which is responsible for the balance of homeostasis, regulating body temperature, acid-base constancy, sugar concentration, and blood pressure. Responsible for the above indicators, the autonomous system contributes to the individual’s rapid response to external transformations and the influence of stimuli. It is thanks to the presence of the function of regulating the immutability of the internal environment (control over vegetative reactions) that the human subject adapts to external changes.

Symptoms of vegetative-vascular dystonia in adults are often quite diverse and can imitate other severe disorders. However, more often the symptoms are represented by the following syndromes.

Cardialgic syndrome is represented by the appearance of a feeling of discomfort in the myocardium or in the retrosternal space, a burning sensation and algia. The described manifestations are not caused by physical overexertion and often occur at rest.

Symptoms from the myocardium and capillary system are expressed by disturbances in myocardial rhythm (tachycardia or slowing of the rhythm), fluctuations in blood pressure, inadequate response of peripheral capillaries (pallor of the dermis, marbling of the skin, chilliness of the extremities).

Sweating disorder syndrome is manifested by increased sweat production in the palms and feet.

Hyperventilation syndrome is expressed by an increase in respiratory rate, which is characterized by difficulty in inhaling and a feeling of lack of air.

Dysfunction of the digestive system is detected in algia, localized in the lower segments of the abdomen, bloating, and stool instability. In addition, digestive disorders may occur, which is manifested in loss of appetite, nausea, and vomiting.

Altered urinary syndrome is manifested by frequent urination, often painful, in the absence of an inflammatory process.

Violations of thermoregulation are expressed by persistent low-grade fever in the absence of deterioration in health, signs of infectious processes, or a decrease in temperature to 35°C.

The signs of vegetative-vascular dystonia described above can be paroxysmal in nature or constantly present. Prolonged progression of dystonia without adequate therapeutic intervention leads to secondary dystonia, the development of a depressive mood, the appearance of phobias and aggravation of vegetative-vascular dystonia in adults.

The above indicates that it is quite difficult to determine any specific and distinct manifestations of the dysfunction in question. Therefore, therapeutic measures and medicine for vegetative-vascular dystonia are selected purely individually, taking into account all manifestations and anamnesis. And there is no single remedy that overcomes the described violation. Since the disease in question is a complex of syndromes caused by dysfunction of the autonomous system. Most individual manifestations often confirm the presence of other pathologies that are not directly caused by dysfunction of the ganglion system or brain activity. However, taken together, against the background of vascular or cardiac manifestations, they provide grounds for diagnosing such a condition as a symptomatology of the described disorder.

The following main typical symptoms of vegetative-vascular dystonia in adults can be identified: headaches, weakness, excessive sweating, dizziness, drowsiness, increased anxiety, sharp emotional fluctuations, suspiciousness, fainting, increased myocardial contractions, temperature changes.

Types of vegetative-vascular dystonia

In order to correctly diagnose the condition described by the patient and select drugs for treatment, it is important to have information about the differences between the varieties of this condition and the accompanying symptoms.

In the first place, vegetative-vascular dystonia is characterized by the severity of its course. There are three degrees of progression: mild, moderate and severe.

People experiencing mild autonomic dysfunction practically do not feel its influence. The second and third degrees of progression can significantly complicate existence and reduce performance. The mild stage is often practically asymptomatic, as a result of which most people do not suspect that they suffer from vegetative-vascular dystonia. It is usually accompanied by intermittent and short-term headaches and some irritability, minor algias in the myocardial area, occurring in waves due to emotional excitement or physical stress. The breaks between such manifestations are characterized by duration. Exacerbations or vascular crises occur once a year or less frequently, which has virtually no effect on ability to work and daily functioning.

The average severity of dystonia is characterized by an increase in the number of manifestations and severity of symptoms. Periods of exacerbation are characterized by duration (several months), remissions are short-term. With this course, crises are quite frequent, which complicates the existence of subjects and affects their ability to work.

The most unpleasant form of the described pathology is a severe degree, characterized by the stability of symptoms, an increase in the frequency of vegetative crises and the duration of exacerbations, which often leads to a transient loss of performance.

The classification of the analyzed disorder is determined by the symptoms, as a result of which the described disorder has 4 types: hypertensive and hypotonic, mixed and cardiac. Each type is characterized by specific symptoms, depending on which the medicine for vegetative-vascular dystonia is selected. This is why proper diagnosis is extremely important. The symptoms of each are described in detail below.

The hypertensive type got its name due to its main manifestation – high blood pressure. It is worth noting that hypertension here is not the etiological factor that caused the autonomic disorder, but its consequence. The foundation for the emergence of the type of dysfunction under consideration is disorders caused by impaired trophism of organs due to dysfunction of the capillary system. This gives rise to a complex of symptoms, which includes arrhythmic disorders, an increase in blood pressure for no apparent reason and its spontaneous decline to normal limits, migraine attacks accompanied by severe algia and photophobia, shortness of breath, increased anxiety, profuse sweating, increased temperature, disturbance of dreams, trembling of the limbs, decreased appetite. Often the pressure reaches normal levels after a short rest or sleep.

Hypotensive dystonia develops when the activity of the parasympathetic division of the ganglion system predominates. The basis of its symptoms are inhibition processes. The vessels dilate, as a result of which the tone decreases. The result is a decrease in systolic pressure. The type of vegetative-vascular dystonia under consideration is characterized by an abrupt decrease in “upper” pressure. As a result, a person feels persistent fatigue and performance is significantly reduced. There is muscle weakness and drowsiness. Often, against the background of the described condition, appetite decreases, and “hungry” headaches occur, and the predisposition to fainting increases.

Cardiac autonomic dysfunction is characterized by “signals” from the myocardium: cardiac algias in the central segment of the chest, moving to the subclavian or subscapularis zone, interruptions in the heartbeat, increased or slowed heart rate. With the described condition, patients feel a lack of air and tightness in the chest area. Quite strong algias are also observed, similar to angina pectoris and accompanied by the symptoms inherent in this disease, but not threatening pathological myocardial changes in vegetative-vascular dystonia.

The considered variations of autonomic disorder can rarely be observed without an admixture of other types of symptoms. More often there are manifestations, for example, of hypotensive dystonia and cardiac dystonia or a combination of other types of symptoms.

Often, manifestations of the hypertensive type are replaced by hypotensive symptoms or vice versa. The fourth type, called mixed, emerged precisely because of the high frequency of combination of manifestations of different variations of the described state.

Diagnostics

Due to the variety of symptoms, making a diagnosis often creates difficulties and forces physicians to rule out various ailments accompanied by similar symptoms. Since dystonia is a multicomplex disorder, before treating vegetative-vascular dystonia it is necessary to conduct a thorough diagnostic examination, since this disease is characterized by a variety of manifestations, often indicating other pathologies.

Diagnostic measures must begin with anamnesis. Often during the collection of anamnesis data, a generic factor in the onset of autonomic dysfunction and psychosomatic disorders is observed. In addition, the disease is often accompanied by myocardial ischemia, gastric ulcers, hyperthyroidism, bronchial asthma, hypertension, diabetes mellitus, and neurodermatitis.

Children suffering from autonomic disorders often have a history of difficulties during pregnancy, connective tissue dysplasia, and the presence of recurrent focal infectious processes of an acute or chronic course. The state of the autonomous system is assessed by vegetative indicators, namely ensuring efficiency, tone, and reactivity. In order to establish the state of tone, electrocardiography is used, the individual’s complaints and the results of cardiointervalography (assessment of heart rhythms) are taken into account.

Providing activity and reactivity is examined using a pharmacological test (carried out using medications that affect the arteries and myocardial functionality) or clinoorthostatic (the response to moving the body from a horizontal position to a vertical position and maintaining such a position is determined). The information obtained contributes to the assessment of the autonomic response.

Diagnosis of vegetative-vascular dystonia most often uses the following methods:

– echoencephalography (ultrasound echography);

– electroencephalogram (graphic representation of bioelectrical brain activity);

– rheovasography (study of blood circulation in the extremities), rheoencephalography (study of brain capillaries).

The listed methods help obtain a complete picture of the functioning of the central nervous system and the patient’s condition, identify intracranial hypertension and changes in the capillaries. In addition to the above, the patient also needs consultations with some specialized specialists, for example, an ophthalmologist, an endocrinologist, an ENT specialist, a neurologist, and sometimes a psychiatrist.

Since vegetative-vascular dysfunction is not a disease of a nosological variety, but represents exclusively a malfunction in the functioning of the endocrine glands and individual organs, when diagnosing this disorder, first of all, the etiological factor is studied, which should also be taken into account when prescribing targeted therapy.

Treatment of vegetative-vascular dystonia

For the described disorder, treatment measures must be comprehensive, long-term, and take into account the characteristics of the dysfunctions, the etiological factor and the individual characteristics of the person. If this disorder is advanced, therapeutic measures will be lengthy.

So, how to treat vegetative-vascular dystonia? As a rule, treatment measures involve the use of non-drug regimens, which can be supplemented with sedatives.

Non-drug therapeutic interventions include:

– the maximum possible exclusion of conditions that provoke the occurrence of symptoms of the described dysfunction;

– a proportionate ratio of wakefulness and dreaming, adherence to a daily routine, including time for eight hours (at least) of night sleep;

– adequate physical exercise (morning exercises, swimming, dancing);

– hardening procedures;

– massage of the collar area and head, back massage;

– following a healthy diet (consuming fortified foods, replacing some animal fats with vegetable fats, excluding marinades, brines, and drinks containing caffeine);

– psychotherapeutic correction, focused on normalizing the patient’s attitude to current circumstances and eliminating psychological tension;

– herbal medicines;

– aromatherapy procedures.

When diagnosing vegetative-vascular dystonia, treatment and medications are prescribed exclusively by the attending physician. The therapeutic effect is focused on restoring balance in the functioning of the ganglion system. Treatment in adults is mostly symptomatic. The choice of pharmacopoeial agents is determined by the characteristics of the condition. Typically, the practice is to prescribe anxiolytics that eliminate anxiety, and psychotropic drugs aimed at relieving depressive states. In addition to these categories of drugs, drugs that lower or increase blood pressure are also used. B-group vitamin preparations and beta blockers are required.

For venous insufficiency, phlebotonics (Detralex) are used. To eliminate headaches, analgesics are used, for example, Spazmalgon; in order to reduce blood pressure, Papazol and Captopril are prescribed. The functioning of brain capillaries can be normalized with the help of Glycine, and metabolic processes in the myocardium can be improved by prescribing Riboxin.

It is also recommended to carry out general strengthening therapy, namely the use of vitamin complexes, the appointment of mineral-containing products containing zinc, selenium and magnesium. In addition to the listed drugs, the use of drugs that dilate capillaries (Cavinton), normalize sleep (Imovan) and blockers of adrenaline production (Obzidan) is recommended.

It is also necessary to include water procedures (for example, pine or turpentine baths), acupuncture, darsonvalization, electrosleep, electrophoresis in the therapeutic strategy (the choice of drug is determined by individual symptoms).

In order for therapeutic measures to lead to the desired effect, first of all, a person should change his own daily routine. Since the adequate functioning of the ganglion system is directly determined by the correct ratio of wakefulness, work and sleep.

Prevention

People suffering from the analyzed disorder need to understand the importance of preventive measures, the implementation of which will not be superfluous even for healthy subjects. It should be emphasized that the disorder in question cannot lead to an untimely death, since it is only a manifestation of dysfunction of the autonomous system.

Prevention of vegetative-vascular dystonia in adults and children should include such components as a balanced diet and balanced physical exercise, the ability to eliminate tension (bodily and psychological) and water procedures. In addition, it is necessary to organize the daily work and rest schedule expediently, as well as to allocate sufficient time for proper sleep.

The first position among preventive measures is occupied by physical rehabilitation, including sports exercises. The most optimal method of physical rehabilitation today is yoga. Its advantage is that it is accessible to everyone, since the exercises do not require special physical training.

The second position is given to reasonable nutrition and maintaining a diet. First of all, the diet of an individual suffering from the disease in question must be tasty and balanced. All foods used for nutrition should be enriched with minerals and vitamins, since these elements can restore the relationship between the parts of the autonomous system, support the myocardium, and contribute to the adequate functioning of the capillaries.

First of all, the patient’s nutrition must be properly organized. Preference should be given to natural products. The diet should contain tomatoes, dill, beans and sorrel. It is recommended to replace animal fats with vegetable oils. It is recommended to reduce the amount of salt, flour products and sugar consumed, and it is better to completely eliminate the intake of alcohol-containing liquids.

The third position is occupied by water procedures, among which a contrast shower is considered to be the most effective. This procedure is not capable of ridding a person of this disorder, but it is irreplaceable as a preventive measure. The effect of a contrast shower is aimed at eliminating fatigue, relieving tension, increasing capillary tone, and preventing colds. There are several rules for using the described procedure.

First of all, in the initial stages of getting acquainted with this procedure, you should not practice too large a temperature run. Water temperature indicators should differ by a maximum of 18-20°C. In addition, cold water should not fall below the threshold of 18°C, and hot water should not exceed 40°C. The temperature run can be gradually increased. During the procedure, a person should not experience any discomfort. You should start the process and finish it with cold water, pouring it first on your feet, then on your knees, gradually moving the shower higher, reaching the shoulder girdle, you need to switch to hot water and go down in the reverse order. It is recommended to start with 5 alternations, gradually increasing to 11.

The use of the above preventive procedures guarantees the rapid elimination of the described unpleasant symptoms.

Vegetative-vascular dystonia is one of the most common and least understood diseases for those suffering from it. The neurologist talks in detail about the diverse manifestations of this disease, possible causes, and the basic principles of the functioning of the circulatory system and nervous system. Methods for correcting lifestyle, nutrition, and physical activity necessary to cure this disease are described.

Vegetative-vascular dystonia (VSD, Neurocirculatory dystonia)

Vegetative-vascular dystonia (VSD, Neurocirculatory dystonia) Vegetative-vascular dystonia (VSD or neurocirculatory dystonia) is a pathological condition, a disruption of the compensatory activity of the autonomic nervous system. Perhaps this is the most common diagnosis made by doctors and causes dissatisfaction in the patient, misunderstanding and anxiety - perhaps the doctors did not find something serious after all, or missed something?

This situation is due to the fact that vegetative-vascular dystonia can be a symptom of many organic diseases: somatic and neurological, endocrinological, gynecological, oncological and so on, with endocrine and hormonal disorders. More often, VSD is functional in nature, that is, it is not associated with a serious disease. This is a psychogenic disorder between the cerebral cortex and subcortical structures of the “I want - I can’t” type. And symptoms of dystonia appear. Symptoms can vary. This is due to the variety of functions performed by the autonomic nervous system.

Causes of vegetative-vascular dystonia

The autonomic nervous system is located in the brain and spinal cord, has nerves and ganglia, neurotransmitters (acetylcholine, norepinephrine)...
The autonomic nervous system ensures regulation of the activity of all internal organs, exocrine and internal secretion glands, lymphatic and blood vessels, ensures constancy (homeostasis) of the internal environment and adaptation of the work of internal organs to changing environmental conditions.

The sympathetic and parasympathetic autonomic nervous systems have opposite effects on organ function. And as soon as the balance between this influence is disturbed, an imbalance in work occurs - vegetative-vascular dystonia. But it is said very simply, but the mechanism of regulation and relationships between organs and systems is very complex.

The occurrence of vegetative-vascular dystonia is influenced by constitutional predisposition, the human environment - family, religion, climate, education, culture and frequent or prolonged stress in this environment. People of any age suffer from vegetative-vascular dystonia.

Symptoms of vegetative-vascular dystonia

Based on the location of the main symptoms of vegetative-vascular dystonia, VSD is distinguished into respiratory, cerebral, cardiological, gastroenterological, vegetative-visceral types, with impaired thermoregulation.

Vegetative-vascular dystonia can manifest itself persistent symptoms- vascular, neuromuscular, neuroendocrine, cognitive (impaired intellectual functions), mental (neuroses, depression, panic attacks) and paroxysmal (paroxysmal)- according to hypotonic, hypertonic type, mixed types.

• VSD of the hypotonic type is characterized by a decrease in blood pressure.
• VSD of the hypertensive type is characterized by an increase in blood pressure.
• VSD of the mixed type is characterized by periodic fluctuations in blood pressure.

All types of vegetative-vascular dystonia are characterized by crises. With vegetative-vascular dystonia of the hypertensive type, anxiety, rapid heartbeat, sudden agitation, symptoms of a panic attack, increased blood pressure, cold extremities, and chills are observed. With vegetative-vascular dystonia of the hypotonic type - general weakness, shortness of breath, nausea, cardiac arrest, sweating, low blood pressure. With vegetative-vascular dystonia of mixed type, all of the above symptoms appear to one degree or another.

Autonomic crises (sympathoadrenal) are caused by the predominant influence of the sympathetic nervous system - increased blood pressure, tachycardia, chill-like hyperkinesis (trembling), hyperthermia, pain in the heart, fear, anxiety, panic, cold sweat, numbness of the extremities.

Vagoinsular crises of VSD are caused by the predominant influence of the parasympathetic nervous system - weakness, decreased blood pressure, breathing problems, bradycardia (slowing of heart contractions and, accordingly, pulse), a feeling of “fading” of the heart, dizziness, dysfunction of the digestive system, hyperhidrosis (sweating), polyuria.

Mixed crises combine a variety of symptoms and their combinations.

The course of vegetative-vascular dystonia is long, possibly for years, with periods of remissions and exacerbations.

Neurocirculatory dystonia

When cardiovascular disorders predominate in the complex of existing autonomic disorders, the term “neurocirculatory dystonia” is sometimes used. However, it should be borne in mind that neurocirculatory dystonia is an integral part of the broader concept of vegetative-vascular dystonia. There are three types of neurocirculatory dystonia: cardiac, vascular and mixed.

The cardiac type of neurocirculatory dystonia (functional cardiopathy) is manifested by rhythm and conduction disturbances (sinus bradycardia, extrasystole, paroxysmal and non-paroxysmal tachycardia, I-II degree atrioventricular block), disturbances in the processes of ventricular repolarization (nonspecific changes in the ST segment), and some forms of mitral valve prolapse.

Neurocirculatory dystonia of the vascular type is accompanied by arterial hypertension (neurocirculatory dystonia of the hypertonic type) or hypotension (neurocirculatory dystonia of the hypotonic type).

The mixed type of neurocirculatory dystonia has elements of both cardiac and vascular types with various combinations of their symptoms.

For recurring headaches, changes in blood pressure, dizziness, weakness, fatigue, memory difficulties, anxiety, emotional lability (mood swings), sleep disorders, fear for your health (hypochondria), pain in the heart, heart rhythm disturbances, shortness of breath , feeling of a “coma” in the throat, abdominal pain, numbness of the limbs... with almost any health problem you need to consult a doctor.

Examination for vegetative-vascular dystonia

To make a diagnosis of VSD, consultations with various specialists and examinations will be required (individually, depending on the symptoms detected). Therapist, neurologist, ophthalmologist, endocrinologist, gynecologist (for women) - the shortest list of possible consultations.

To confirm the diagnosis of VSD, it is necessary to exclude a possible somatic organic disease, which can cause manifestations of vegetative-vascular dystonia syndrome in each individual patient individually. And according to the complaints described in detail and the symptoms discovered during the doctor’s examination, the necessary studies are prescribed.

The patient’s task is to describe his feelings in detail. For example, not just - I have a headache, but in detail - where it hurts (forehead, back of the head, temple, on one side or diffusely), how it hurts (pulsates, burns, shoots, bursts...) what you feel, what sensations are accompanied (may be pressure on the eyes and ears, maybe vomiting, dizziness, visual disturbances...), which precedes the appearance of a headache - changes in weather conditions, stress, overwork...

Among the possible examinations for suspected VSD, neurologists most often use an electrocardiogram, vascular Dopplerography, computed tomography and magnetic resonance imaging, examinations by an ophthalmologist, endocrinologist, and therapist. To exclude diseases of the thyroid gland (both hyperthyroidism and hypothyroidism can manifest themselves as symptoms of vegetative-vascular dystonia), laboratory tests are used - they examine the hormonal activity of the thyroid gland and ultrasound.

When the diagnosis of VSD is established and all possible somatic diseases are excluded, individual treatment is prescribed.

Treatment of vegetative-vascular dystonia

For the successful treatment of vegetative-vascular dystonia, it is strongly recommended to modify the lifestyle: work and rest schedule, playing sports in a play mode, but not professionally, swimming, running, aerobics, fitness, contrast shower, being in the fresh air, healthy eating, sleep are encouraged 8 hours a day, visits to a psychotherapist, sanatorium-resort treatment in neurological sanatoriums using all types of balneotherapy (hydrotherapy), reflexology, aromatherapy, physiotherapeutic procedures, massage. Patients often do not take this IMPORTANT recommendation seriously and thereby aggravate their condition.

It is very important to normalize blood circulation in the brain and prevent the development of stroke and other serious diseases of the cardiovascular system. For example, the combination drug Vasobral improves blood circulation and metabolism in the brain. The components of the drug prevent blood clots, reduce the permeability of vessel walls, increase the resistance of brain tissue to oxygen deficiency, and increase mental and physical performance. The effectiveness of the drug in the treatment of vegetative-vascular dystonia has been clinically proven.

Drugs for the treatment of vegetative-vascular dystonia

Antidepressants and tranquilizers are used.

Medication prescriptions are individual - symptomatic. How multifunctional the autonomic nervous system is, how diverse the clinical picture of dystonia is, so variable is the prescribed therapeutic combination. The doctor prescribes all medications and indicates the dosage.

For increased blood pressure - antihypertensive drugs, for tachycardia - β blockers, for hypotension - caffeine, ginseng with B vitamins.

For venous insufficiency - Vasoket, Venoplant, Detralex. These drugs are taken for heaviness in the head, throbbing, bursting headache, worsening after sleep and in the hot season (Doppler examination confirms venous insufficiency), taken for a long time from 1 to 2 months, usually 1 tablet in the evening.

For dizziness and high blood pressure, you can take Cavinton, Cavinton-retard, Oxybral, Vinpocetine, Sermion, Nicerium. For low blood pressure and dizziness - ginkgo-biloba preparations - memoplant, ginkofar.

For noise in the head, betaserc is added - for adults, 16 mg 3 times a day or 24 mg 2 times a day for a long time - from 1 to 2 months. In case of acute dizziness, you can put the tablet under the tongue for quick action.

Tranquilizers - afobazole, for example - have an anti-anxiety effect. You can take 1 tablet 3 times a day for a month.

Antidepressants are prescribed by a doctor - you should know that the minimum intake of such drugs is 6 months and the effect occurs on average within 10-14 days. The color orange has an antidepressant effect - use it. Orange, orange juice, bright umbrella...

Smiling, purposefully stretching your lips into a smile, helps activate areas of the brain associated with the formation of positive emotions. Smile more often - it increases your vitality.

For asthenic syndrome, cerebrosthenia, neuroprotectors, antioxidants, drugs that improve blood circulation and microcirculation are prescribed - nootropil, piracetam, phenotropil, mildronate, cavinton, sermion, glycine, trental. Nootropil (piracetam, lucetam) is taken 1200 twice a day - in the morning and at lunch, for at least a month. Phenotropil 1 tablet per day. Glycine should be dissolved 2 tablets three times a day for 1-2 months.

The choice of any medications should be treated with extreme caution so as not to cause addiction in the patient and the need for constant use in order to achieve relief from the condition. Noteworthy is the domestic drug Eltacin, which relieves excessive tension, helps stabilize blood pressure, improve sleep, increases the body’s energy potential and tissue resistance to oxygen starvation, and thus affects the cause of vegetative-vascular dystonia, and not just its symptoms.

In the treatment of vegetative-vascular dystonia, it is possible to use herbs for a sedative (calming), antidepressant effect on the nervous system (normalizing mood, relieving anxiety, mental stress):

• Melissa is a sedative with antispasmodic, anxiolytic, and antidepressant effects. Avicena called Melissa “the delight of the heart,” making the heart happy, strengthening the spirit and driving away dark thoughts. Used in the form of medicinal teas, decoctions, infusions
• St. John's wort has an antidepressant effect - reduces anxiety, restlessness, and normalizes sleep. Used in combination tablets - Novo-Passit, produced in tablets - deprim.
• Hops - sedative effect, analgesic effect.
• Hawthorn - normalizes the heartbeat, lowers blood pressure, and has a calming effect.
• Mint is an antispasmodic, hypnotic, sedative, choleretic agent, reduces nausea.
• Valerian has a sedative effect, normalizes sleep, relieves psycho-emotional stress.
• Combination drugs are used - dormiplant, novo-passit, sedasen, sedavit.

At VSD according to hypertensive In this type, you can use sedative herbs and hawthorn, marsh grass, raunatin, rose hips. You can take hawthorn infusion ¼ cup 4 times a day before meals (1 tablespoon of hawthorn flowers per 1 glass of hot water, leave for 2 hours). It is necessary to reduce the amount of salt, caffeine, alcohol, and fats consumed. The diet needs to be diversified with vitamins - vegetables and fruits, pomegranate, apples, grapefruit, garlic, chocolate. Light exercise and walks in the fresh air, sea treatments, and reflexology are useful.

At VSD of hypotonic type You can use ginseng, eleutherococcus, Chinese lemongrass, which increase performance and blood pressure - they have tonic and adaptogenic properties. If you have increased excitability or insomnia, they should not be used. Ginseng tincture is taken in the morning on an empty stomach, 1 teaspoon for a month. Oxygen, pearl, aromatic baths, circular, fan tonic showers, physical therapy, sports activities, and reflexology are recommended.

All medications and therapeutic measures are prescribed and monitored by a doctor.

Consultation with a doctor on vegetative-vascular dystonia

Question: How to get rid of vegetative-vascular dystonia (VSD)? How to cure vegetative-vascular dystonia?

Answer: To treat vegetative-vascular dystonia, doctors prescribe special medications, including sedatives and antidepressants. However, it should be borne in mind that medications for vegetative-vascular dystonia should only be taken with the knowledge of a doctor, since they can be addictive!

Treatment of vegetative-vascular dystonia with folk remedies can be quite effective: in particular, infusions for cleansing blood vessels, cardiac tinctures, but only in the absence of contraindications to them. Treatment of vegetative-vascular dystonia with herbs (hawthorn, motherwort, etc.) also belongs to folk treatment; these remedies are only auxiliary in nature. Treatment of vegetative-vascular dystonia with folk remedies in practice does not provide recovery, but has a beneficial effect on the body and relieves some symptoms.

Physical therapy is most useful for vegetative-vascular dystonia, providing a general strengthening effect on the body. Physical therapy for VSD is an excellent means for training the body and increasing its performance. With vegetative-vascular dystonia, physical education, thought out taking into account the age and health status of the patient, is simply necessary. However, exercises for VSD should be gentle and completely exclude jumping. It should also be taken into account that an active lifestyle in general is a prevention of vegetative-vascular dystonia.

Rest is the best remedy for vegetative-vascular dystonia. Naturally, a person cannot quit his job. However, it is quite possible and necessary to allow yourself to travel outside the city. Much attention is paid to the treatment of symptoms of vegetative-vascular dystonia in sanatoriums - there are a lot of special procedures that will help a person feel much better. Based on the results, we can say that in the treatment of vegetative-vascular dystonia, sanatorium procedures are simply irreplaceable.

Question: I am diagnosed with vegetative-vascular dystonia. The doctor prescribed medication to me, but there was no improvement in my condition after treatment. In this case, how can I cure VSD?

Answer: The causes of a disease such as VSD can often be psychological disorders (stress, depression, neuroses, overwork, chronic fatigue). It is impossible to separate mental health from physical health; real health combines both aspects. Fear, phobias - this causes panic attacks, vegetative-vascular dystonia or chronic fatigue syndrome. All this is treated by psychotherapists without pills, using proven techniques. Treatment uses behavioral therapy and hypnotherapy.

Question: What is better - to take medications and antidepressants for years or to get rid of the symptoms of VSD and panic attacks by visiting a psychotherapist?

If the cause of the disease is physical factors, then medications can and should be prescribed to treat VSD. However, medications for vegetative-vascular dystonia, the cause of which are psychological disorders, are simply irrelevant. In this case, folk remedies will not help in the treatment of VSD. In this case, the treatment of vegetative-vascular dystonia requires the help of a professional psychologist. Only in this case will the treatment of VSD be truly effective.

Question: How is vegetative-vascular dystonia related to panic attacks?

The description of panic attacks is very similar to the description of the symptoms of vegetative-vascular dystonia during a crisis (attacks of VSD). The nature of panic attacks and exacerbations of VSD is the same: in the body at these moments there is a high concentration of adrenaline, norepinephrine and acetylcholine. These biologically active substances cause emotional overload and pain. That is why patients in need of treatment for panic attacks are often diagnosed with vegetative-vascular dystonia and prescribed medications for VSD, while people need psychological help. Vegetative-vascular dystonia and panic attacks are easy to confuse, especially since in Russia not even all doctors know about panic attacks. Pain associated with VSD (and especially headache, which is characteristic of VSD) often does not require treatment with medications, but they continue to be prescribed. However, even in order to lower blood pressure (it increases with VSD of the hypertensive type), you do not need pills, but quick, professional psychological help.
Treatment of panic attacks and symptoms of VSD, like treatment of phobias, often does not require drug intervention.

Based on an article by neurologist T.V. Novikova.

Vegetative-vascular dystonia (VSD), or neurocirculatory dystonia (NCD) is a complex polyetiological disorder that develops with dysfunction of the autonomic nervous system, which regulates the activity of internal organs and blood vessels. This disease can also be found under the names “cardioneurosis”, “vegetoneurosis”, which show the relationship between the symptoms of VSD and the state of the autonomic nervous system.

Although most doctors do not recognize the existence of such a diagnosis and do not consider it to be VSD disease, in the ICH you can find the heading F45.3, which combines all of the above diagnoses. However, for patients, vegetative-vascular dystonia becomes a real test, since the disease has a lot of variants of the course and painful symptoms, and significantly worsens the quality of life. But its duration is not affected, it has a favorable prognosis and a benign course.

What is it?

In simple words VSD is a syndrome that appears due to nerves. In general, most problems appear precisely because of stress and anxiety, but vegetative-vascular dystonia is always the first in line.

Attacks of VSD are caused by disturbances in the functioning of the cardiovascular system, which, in turn, appear against the background of functional disorders of the nervous or endocrine system. That is, the root cause is almost always nervous shock. Which, as we know, rarely go away without leaving a trace and very often can lead specifically to neurocirculatory dystonia, which is the other name for the disease.

Causes of VSD

Among the main causes of vegetative-vascular dystonia syndrome, doctors name factors of hereditary predisposition. Against the background of unfavorable external factors, these reasons can have a significant impact on the state of the human autonomic nervous system. The leading component of the manifestations and intensification of the syndrome is the brain, namely the hypothalamus, which is responsible for controlling the human endocrine system. Psychoneurological disorders lead to excessive activity of some processes and inhibition of others, which has a complex effect on various body systems, including the cardiovascular system.

1. Most often, vegetative-vascular dystonia in children is detected as a consequence of heredity. Increased nervousness and stress already in the first months of pregnancy can have a significant impact not only on the formation of the child’s personality, but also on the higher nervous activity of the brain. Facts show that the emotional instability of a child’s body provokes the development of VSD even in childhood.
2. The teenage years are transitional not only in the process of transformation of a child into an adult, but also in a neurophysiological one. Conflict situations, emotional stress, chronic diseases, endocrine disorders, lack of movement and other factors are largely provocateurs for the development of vegetative-vascular dystonia in adolescents. Increased mental stress, having a hereditary component, leads to a certain imbalance in the body, which leads to the appearance and development of vegetative-vascular dystonia.
3. In adulthood, hormonal changes in the body play a special role in triggering the mechanisms of VSD. This is why the female half of the world’s population suffers from VSD much more often than the male half. The prenatal period, pregnancy, menopause, all of this, being turning points in a woman’s life, can become the starting point for mobilizing the manifestation of symptoms of vegetative-vascular dystonia. Vegetative-vascular dystonia is especially unfavorable during pregnancy, when even minor deviations in a woman’s health necessarily affect the condition of the fetus.

The same is true for the presence of excess weight, which can provoke manifestations of dystonia. An increase in body weight leads to the development of hypertension, which in turn is an additional burden on the cardiovascular system. The development of vegetative-vascular dystonia in this case affects people of completely different ages.

Types of disease

As a result of vegetative vascular dystonia, the brain and heart, kidneys, and limbs suffer. Therefore, autonomic dystonia syndrome is like a chameleon: in different people it manifests itself with such different symptoms that it is difficult to suspect their common cause. There are three types of pathology: hypertensive, hypotonic and mixed.

1. If, regardless of the “internal need,” the sympathetic nervous system predominates during the day, they speak of a hypertensive type of vegetative-vascular dystonia. The person complains of attacks of palpitations and/or panic, anxiety, gets tired quickly, but has difficulty falling asleep in the evening. Blood pressure is elevated or unstable.
2. When the parasympathetic nervous system predominates throughout the day, a person feels weakness, drowsiness, fatigue, and occasionally dizziness and fainting; we are talking about the hypotonic type of VSD. The pressure is reduced.
3. When the sympathetic and parasympathetic systems “fight” for leadership, alternately winning and losing, hyper- and hypotonic symptoms replace each other, they speak of a mixed type.

Upon examination, it turns out that the organs and systems are in order, there are no pathologies in them, and such VSD is called primary. If the symptom complex of vegetative-vascular dystonia occurs against the background of another disease, it is considered secondary.

First signs

Disorders of the autonomic nervous system can cause very diverse manifestations; about 150 of them are known. For VSD, the most characteristic symptoms are those associated with the vascular reaction and the central nervous system:

• headaches;
• tinnitus;
• dizziness;
• tendency to faint;
• increased heart rate;
• weakness, drowsiness;
• increased sweating;
• unclear increase in body temperature;
• muscle pain;
• trembling in the body and hands.

Individuals with vegetative-vascular dystonia are characterized by mental characteristics:

• sudden changes in emotions;
• tendency to panic;
• obsessive thoughts;
• increased anxiety;
• suspiciousness in character.

Clinical syndromes of VSD

Autonomic dysfunction syndrome combines sympathetic, parasympathetic and mixed symptom complexes of a generalized, systemic or local nature, manifesting permanently or in the form of paroxysms (vegetative-vascular crises), with non-infectious low-grade fever, and a tendency to temperature asymmetry.

1. Vagotonia is characterized by bradycardia, difficulty breathing, redness of the facial skin, sweating, salivation, decreased blood pressure, and gastrointestinal dyskinesia. Vagoinsular crisis is manifested by a feeling of heat in the head and face, suffocation, heaviness in the head, nausea, weakness, sweating, dizziness, the urge to defecate, increased intestinal motility, miosis is noted, a decrease in heart rate to 45-50 beats/mi, and a decrease in blood pressure. up to 80/50 mm Hg. Art.
2. Sympathicotonia is characterized by tachycardia, pallor of the skin, increased blood pressure, weakened intestinal motility, mydriasis, chills, a feeling of fear and anxiety. During a sympathoadrenal crisis, a headache appears or intensifies, numbness and coldness of the extremities occurs, the face becomes pale, blood pressure rises to 150/90-180/110 mmHg, the pulse quickens to 110-140 beats/min, pain in the area is noted heart, excitement, motor restlessness appear, sometimes body temperature rises to 38-39 °C.
3. Syndrome of mental disorders - behavioral and motivational disorders - emotional lability, tearfulness, sleep disturbance, feeling of fear, cardiophobia. Patients with VSD have a higher level of anxiety, they are prone to self-blame, and experience fear in making decisions. Personal values ​​prevail: great concern for health (hypochondria), activity decreases during illness. When diagnosing, it is important to differentiate between somatoform autonomic dysfunction, in which there are no mental disorders, and hypochondriacal disorder, also considered a somatogenic neurosis-like condition, as well as panic disorder and phobias, other nervous and mental diseases.
4. Mixed crises are characterized by a combination of symptoms typical of crises, or their alternate manifestation. There may also be: red dermographism, zones of hyperalgesia in the precordial region, “spotted” hyperemia of the upper half of the chest, hyperhidrosis and acrocyanosis of the hands, tremor of the hands, non-infectious low-grade fever, a tendency to vegetative-vascular crises and temperature asymmetries.
5. Hyperventilation (respiratory) syndrome is a subjective sensation of lack of air, chest compression, difficulty in breathing, and the need for deep breaths. In a number of patients it occurs in the form of a crisis, the clinical picture of which is close to suffocation. The most common reasons that provoke the development of respiratory syndrome are physical exertion, mental stress, staying in a stuffy room, sudden changes in cold and heat, and poor transport tolerance. Along with the mental factors of shortness of breath, a decrease in the compensatory and adaptive capabilities of the respiratory function to hypoxic loads is of great importance.
6. Syndrome of adaptation disorders, asthenic syndrome - fatigue, weakness, intolerance to physical and mental stress, weather dependence. Evidence has been obtained that asthenic syndrome is based on disturbances in transcapillary metabolism, decreased tissue oxygen consumption and impaired hemoglobin dissociation.
7. Cardiovascular syndrome - cardialgia in the left half of the chest that occurs during emotional rather than physical stress, is accompanied by hypochondriacal disorders and is not relieved by coronal drugs. Blood pressure fluctuations, pulse lability, tachycardia, functional murmurs. ECG and bicycle ergometry most often reveal sinus and extrasystolic arrhythmias; there are no signs of myocardial ischemia.
8. Neurogastric syndrome - neurogastric aerophagia, esophageal spasm, duodenostasis and other disorders of the motor-evacuation and secretory functions of the stomach and intestines. Patients complain of heartburn, flatulence, constipation.
9. Syndrome of metabolic tissue and peripheral vascular disorders - tissue edema, myalgia, angiotrophoneurosis, Raynaud's syndrome. Their development is based on changes in vascular tone and vascular permeability, disturbances in transcapillary metabolism and microcirculation.
10. Cerebrovascular syndrome - headaches, dizziness, noise in the head and ears, tendency to faint. Their development is based on cerebral angiodystonia, the pathogenetic basis of which is dysregulation of cerebral vascular tone of a hypertonic, hypotonic or mixed nature. In some patients with persistent cephalgic syndrome, there is a violation of the tone of not only arterial, but also venous vessels, the so-called functional venous hypertension.

Panic attack

This is another syndrome that will be a characteristic symptom of vegetative-vascular dystonia. A person experiences severe fright, a feeling of approaching anxiety, and a wave of fear covers him.

At the same time, the body sends signals about danger, but it does not provide options for solving the problem. Therefore, the patient experiences a strong fear of death, it seems to him that his heart stops, his breathing takes away. It is noteworthy that literally after 10-15 minutes the panic attack against the background of VSD passes, and the person’s condition returns to normal.

Current of VSD

In most cases, without provoking factors, the disease is latent (asymptomatic).

However, under the influence of unfavorable conditions and overloads, crises often occur. Such crises are sometimes sudden in nature and are accompanied by symptoms characteristic of many diseases: pallor, sudden sweating, decreased blood pressure, abdominal pain, nausea and vomiting, and decreased body temperature.

A crisis surge in disease activity is more severe in older people, especially those who suffer from concomitant diseases. In many cases, a crisis is the result of long-accumulated components, and therefore it is not uncommon for a large number of symptoms to manifest simultaneously.

Diagnostics

As already mentioned, VSD is a diagnosis of exclusion. Therefore, to diagnose it, all additional methods are needed that will exclude organic pathology. A general examination of the patient is needed, consultation with a neurologist, cardiologist, gastroenterologist and endocrinologist.

A complete cardiac examination is carried out: laboratory tests, cholesterol, ECG, ultrasound of the heart, exercise tests, Holter ECT and blood pressure. Also prescribed are x-rays of the chest organs, ultrasound of the abdominal organs, kidneys and thyroid gland, fibrogastroscopy, colonoscopy for gastrointestinal complaints. The level of thyroid hormones is determined, since its pathology is accompanied by similar symptoms.

If no pathology is found during all additional examinations, then the patient is diagnosed with vegetative-vascular dystonia in accordance with:

• leading clinical syndrome (cardiac, hypotonic, hypertensive, respiratory, asthenic, neurotic, mixed variant of the course);
• degree of severity – mild (3-6 complaints and symptoms), moderate (8-16 signs), severe (more than 17 signs and frequent crises);
• phase of the disease (exacerbation or remission).

Treatment of vegetative-vascular dystonia

For the described disorder, the treatment regimen must be comprehensive, long-term, and take into account the characteristics of the dysfunctions, the etiological factor and the individual specifics of the person. If this disorder is advanced, therapeutic measures will be lengthy.

So, how to get rid of vegetative-vascular dystonia in adults? As a rule, treatment measures involve the use of non-drug regimens, which can be supplemented with sedatives.

Non-drug therapeutic interventions include:

1. Optimization of periods of work and rest. In order to get rid of the symptoms of VSD, you should evenly alternate between mental and physical labor, and minimize the time spent in front of a computer monitor and TV. If this is not possible, take a break every 60-90 minutes, do gymnastics for the eyes, and warm up for the back.
2. Maintaining a stable daily routine with mandatory proper rest. The normal duration of night sleep varies from person to person. But for most, this figure should not be less than 8-9 hours. Sleeping conditions are also important. The bedroom should not be stuffy; regular ventilation and wet cleaning are necessary. The bed should be comfortable and suitable for the person’s height and build. It is better to give preference to an orthopedic mattress and pillow.
3. A diet that includes foods rich in potassium and magnesium. It is these minerals that are involved in the transmission of impulses in nerve endings, improve the activity of the heart and blood vessels, and restore balance in the functioning of the nervous system. Therefore, for VSD, it is recommended to consume buckwheat and oatmeal, legumes, dried fruits, nuts, herbs, potatoes, carrots and eggplants.
4. Adequate physical activity. The optimal activities are those that take place in the fresh air or in water, but do not put a significant strain on the muscular and cardiovascular systems. Swimming, water aerobics, dancing, skiing and cycling are most suitable for a patient suffering from vegetative-vascular dystonia. With such loads, gentle training of the heart occurs and the psycho-emotional state is normalized. At the same time, you should avoid sports that require sudden movements, high jumps, or staying in static tension for a long time. This creates additional stress on the vessels and can lead to worsening of the disease.
5. Acupuncture and massage promote relaxation, eliminate anxiety, normalize blood pressure, and restore sleep. For the hypertensive type, massage movements are indicated at a slow pace with increased impact on the collar area. With a hypotonic variant of VSD, on the contrary, the massage should be fast and intense.
6. The use of herbal preparations. For VSD with increased blood pressure, herbs with sedative and hypotensive effects (tincture of valerian, peony, motherwort) are suitable. The hypotonic variant of the disease requires taking drugs with a stimulating and activating effect (eleutherococcus, aralia, ginseng).
7. Physiotherapy methods have a positive effect in vegetative-vascular dystonia due to the normalization of the interaction of various parts of the nervous system and vascular tone. Such procedures improve blood circulation in organs and tissues and activate metabolic processes. The list of techniques used is quite large: electrophoresis with medicinal solutions on the cervical spine, ozokerite or paraffin applications on the collar area, laser irradiation in combination with magnetotherapy. Water procedures have an excellent effect. For all types of VSD, contrast baths, circular and fan showers, underwater massage, and swimming are recommended.
8. For hypotonic type VSD, it is necessary to consume foods that increase vascular tone: green tea, natural coffee, milk. In case of hypertensive variant of the disease, foods that provoke a rise in blood pressure should be excluded from the diet: strong tea and coffee, pickles and spicy dishes.

When diagnosing vegetative-vascular dystonia, drugs are prescribed exclusively by the attending physician. The therapeutic effect is focused on restoring balance in the functioning of the ganglion system.

Drugs for VSD

Drug treatment is determined by the predominant symptoms in a particular patient. The main group of drugs for VSD consists of drugs with a sedative effect:

1. Herbal remedies – valerian, motherwort, novo-passit, etc.;
2. Antidepressants – cipralex, paroxetine, amitriptyline;
3. Tranquilizers - seduxen, elenium, tazepam, grandaxin.

In some cases, nootropic drugs (piracetam, omnaron), vascular drugs (cinnarizine, Actovegin, Cavinton), psychotropics - Grandaxin, Mezapam, Sonapax - are prescribed. With the hypotonic type of VSD, taking adaptogens and tonic herbal remedies - eleutherococcus, ginseng, pantocrine - helps.

As a rule, treatment begins with “milder” herbal remedies; if there is no effect, mild tranquilizers and antidepressants are added. With severe anxiety, panic attacks, and neurosis-like disorders, medication correction is absolutely indispensable.

Symptomatic therapy is aimed at eliminating symptoms from other organs, primarily the cardiovascular system.

For tachycardia and increased blood pressure, anaprilin and other drugs from the group of beta-blockers (atenolol, egilok), and ACE inhibitors are prescribed. Cardialgia is usually relieved by taking sedatives - Seduxen, Corvalol, Valocordin.

Bradycardia less than 50 heart beats per minute requires the use of atropine and belladonna preparations. Cool, tonic baths and showers and physical exercise are helpful.

Folk remedies

First of all, treatment of VSD with folk remedies involves providing vascular support.

• Calming charges. To restore the harmonious state of the nervous system, it is useful to drink herbal infusions, which you can purchase at the pharmacy or prepare yourself. Here is one of them: mix valerian root, cumin, motherwort, dill and calendula in equal proportions. Pour 1 teaspoon of the mixture into 150 ml of boiling water, leave for 2 hours and strain. Take the medicine 5 times a day, 15 ml for a month. It is not recommended to skip, since regularity of administration directly affects the effectiveness of treatment.
• Another balm is prepared not only to strengthen blood vessels, it helps with strokes and heart attacks, vascular atherosclerosis, noise in the head, ears, inflammatory processes - given the composition, it turns out to be a very strong remedy. To make it, three tinctures are prepared: 40 grams of red clover flowers are poured with 40% alcohol in an amount of 500 ml and infused in the dark for 14 days, then filtered. The second infusion is prepared from the root of the Caucasian dioscorea in an amount of 50 grams, pre-crushed. The ingredient is poured with 40% alcohol in a volume of 500 ml and infused like clover. The third tincture is prepared from soft propolis, which is crushed and filled with 70% alcohol in a darkened glass container in a ratio of 100 grams per 1000 ml. The container is tightly closed, infused in the dark for 10 days at room temperature, and filtered. Then the tinctures are thoroughly mixed in a 1:1:1 ratio. The balm is taken in a small spoon three times a day after meals, first diluted with water in a volume of 50 ml. The duration of such therapy is two months. Then you should take a break for 14 days and repeat the course.
• You need to take a glass of dry dill seeds, add two large spoons of crushed valerian root to them, place the mixture in a thermos and add a liter of water brought to a boil. The composition is infused for 24 hours, after which it is filtered and 500 ml of natural honey is added to the liquid. Mix everything thoroughly and place in the refrigerator. The medicine is taken three times a day before meals. At least 30 minutes should pass before eating. A single amount of the mixture is one large spoon. The course of treatment lasts until the end of the prepared drug.

This is not worth doing

What should not be done by patients with vegetative-vascular dystonia?

1. Get involved in diets and fasting.
2. It's hard to look at what's happening in life negatively.
3. Create additional stress for the body - contrast showers, modern breathing practices.
4. Practice meditation.
5. Exhaust yourself with heavy physical activity.
6. Try to find a new manifestation of the disease in yourself.
7. Drink alcohol.

Also listen to amateurs in this matter (neighbors, girlfriends, acquaintances, relatives who do not have a medical education), especially when it comes to prescribing medications!

Let's sum it up

Many doctors believe that such a diagnosis does not exist. The alarming thing is that no one has yet decided on the nomenclature of the disease, everyone calls it differently, no one can say exactly how it manifests itself.

Any of the symptoms related to the symptoms of vegetative-vascular dystonia can be found in any person at any period of his life. Not all people in the world can suffer from any disease.

1. The symptoms of vegetative-vascular dystonia are described very vaguely and in different ways in different sources. Most patients who have been diagnosed with this for years find it difficult to explain that they do not have such a disease, and indeed that such a disease does not exist. Otherwise, a completely logical question arises: what was he treated for all these months or years?
2. For many doctors, this diagnosis is a “lifeboat” or a “garbage can”, depending on which way you look at it. If a patient has a number of symptoms, but the examination does not reveal any significant organic pathology, it is impossible to tell him that everything is fine.
3. He came with complaints, something was bothering him, something brought him to the doctor’s office. He simply will not understand the doctor and will decide that he is not competent enough and will go to another doctor, in the hope that he will understand the problem. Therefore, the doctor uses a proven method and writes the diagnosis “vegetative-vascular dystonia” on the card.

Then he prescribes harmless valerian, motherwort, and walks in the evenings under the moon, accompanied by thoughts about something positive. What do we have? And the wolves are fed, and the sheep are safe. The patient is glad that the cause of his problems has been found; fortunately, the reason is trivial, because most of his friends and relatives have vegetative-vascular dystonia.

VSD or vegetative-vascular dystonia is a complex of functional disorders and is accompanied by a variety of signs and symptoms. This disease affects different organs and systems of the human body. It is useful for everyone to know the symptoms of VSD in order to determine its onset in time. A strong negative effect occurs on the state of the cardiovascular and nervous systems.

What is vegetative-vascular dystonia

Vegetative-vascular dystonia is manifested by a large number of different signs that indicate the formation of certain diseases that can connect certain organs with each other. Long-term treatment is required, but the disease is difficult to diagnose and only a doctor can identify the disease after a full medical examination, and tests are required.

The disease vegetative-vascular dystonia is very dangerous, because it provokes malfunctions in the functioning of various body systems:

• if the heart was affected, then a change in pressure occurs, tachycardia, extrasystole, arrhythmia are of concern;
• when changes are observed in the respiratory system, the patient is constantly bothered by shortness of breath, asphyxia, obsessive and prolonged yawning appears, breathing becomes difficult;
• disruptions in the functioning of the stomach may occur, which provoke a feeling of pain in the hypochondrium and abdomen, a disturbing feeling of nausea, vomiting, bloating, belching, diarrhea may appear, acidity decreases or increases;
• sometimes the genitourinary system is also affected. The patient begins to worry, even if practically no liquid has been consumed. Pain in the groin area, burning, severe itching, adnexitis and enuresis appear. Vegetovascular dystonia has the following symptoms in adult women: the menstrual cycle is disrupted, infertility develops, and the risk of miscarriage increases. In men, prostatitis develops;
• the symptoms of VSD, which has affected the blood vessels, are as follows: a feeling of chills, a subfibrile temperature rises, coldness in the legs and arms bothers you, sudden flashes of heat are felt, sweating increases.

Vegetative-vascular dystonia is one of the most unpleasant and very dangerous diseases. Its development provokes disruptions in the functioning of almost the entire human body, which necessitates adjustments to the usual lifestyle, the rhythm of rest and work. It can only be treated with medication, but in the most severe cases, unpleasant symptoms remain.

Types of VSD

This disease, taking into account the symptoms shown, is divided into several types:

1. Cardialgic type. The disease can manifest as sharp stabbing pains in the area of ​​the heart. They often occur both during heavy physical exertion and when the patient remains at rest. Often cardialgia is aching in nature and lasts for a long time, and can be repeated with a certain frequency. This feature is considered a hallmark of the formation of a complex syndrome of disorders, which is called vegetative-vascular dystonia.
2. Tachycardic type. This type of disease occurs in older people. The main characteristic feature is an increase in the number of contractions of the heart muscle - approximately 90 beats per minute. The manifestation of clear signs of vegetative-vascular dystonia is diagnosed by doctors as the formation of a tachycardic crisis. It may be necessary to treat a specific exacerbation, rather than the complex as a whole. In some cases, there is a sharp increase in heart rate, which reaches 140-150 beats per minute. Taking into account individual manifestations of VSD syndrome, neurocirculatory dystonia is determined to be of the hypertensive type. When this type of disorder occurs, cardiac output increases and healthy peripheral vascular resistance is maintained.
3. Bradycardic type. It occurs much less frequently and will be manifested by a decrease in the number of heartbeats. On average, the frequency of contractions of the heart muscle is about 60 beats per minute, but can drop to 40. Signs of vegetative-vascular dystonia manifest themselves in the form of frequent fainting, the patient is bothered by dizziness, which is clearly manifested with increased physical activity. This syndrome is always accompanied by cold feet and hands. People at a young age may suffer from cardiac-type neurocircular dystonia. The main indicator is irritability, an unstable emotional state.
4. Arrhythmic type. It is very difficult to determine this type of disease. This occurs due to the manifestation of similar symptoms to arrhythmia of the heart and lung myocardium. Such symptoms are provoked by osteochondrosis, gallbladder pathology, and hyperfunction of the thyroid gland.

Symptoms of the disease

Signs of the formation of vegetative-vascular dystonia can appear with varying intensity. If your health worsens, you should immediately consult a doctor. The specialist will be able to accurately determine the causes of vascular dystonia, conduct a full medical examination and prescribe the optimal treatment. Depending on the gender and age of the patient, a variety of symptoms of the disease may appear.

In adults

This disease in adults has the following symptoms:

• constant headache;
• numbness of the limbs;
• increase in temperature;
• lack of air;
• development of a phobia (an attack appears unexpectedly);
• dizziness;
• the appearance of severe emotional discomfort;
• heartbeat slows or increases;
• increased sweating.

Women

The main symptoms of VSD in women are as follows:

• daytime sleepiness;
• tinnitus;
• dysfunction of the cardiovascular system;
• feeling of constant fatigue, anxiety, severe irritability, suspiciousness;
• development of insomnia;
• respiratory and neurotic disorder;
• increased blood pressure, which provokes a hypertensive crisis;
• severe headaches;
• decreased appetite;
• burning sensation in the soles of the feet;
• the appearance of red spots on the neck and face;
• restless feeling of inner trembling;
• cold extremities;
• a sharp increase in temperature;
• disruption of the gastrointestinal tract - diarrhea, constipation, bloating.

Men

Symptoms of VSD of the hypertensive type in men manifest themselves as follows - someone begins to withdraw into themselves, trying to cope with the problem on their own. And some people constantly go to doctors. Signs of the disease in representatives of the stronger sex directly depend on the type of nervous system. Men begin to be haunted by panicky thoughts, unreasonable fear, feelings of fatigue and irritability.

Some individuals believe that the main organ in the body is the brain, therefore, with the development of vegetative-vascular dystonia, a sharp change in mood occurs, sleep is disturbed, and insomnia develops, which provokes severe and incessant headaches. Symptoms such as increased urination or disturbances in the digestive system may also occur.

In children

Teenagers often suffer from this disease. The formation of problems at an early age depends on various factors. Symptoms of VSD in adolescents include the following:

• feeling of chronic fatigue;
• anxiety, tearfulness, rapid excitability, nervousness;
• fainting conditions;
• dizziness accompanied by severe headaches;
• the child feels nausea, causing vomiting;
• heart rate increases.

Exacerbation

An exacerbation of the symptoms of vegetative-vascular dystonia occurs with the onset of summer: as the air temperature rises, the risk of unpleasant symptoms also becomes higher. Only a doctor can prescribe an effective medication to treat the disease. Any folk method of eliminating symptoms is strictly prohibited, because it can be dangerous and provoke a worsening of the condition.

Find out what to do if you have the disease, signs and complications.

Video about the symptoms of vegetative-vascular dystonia

A remedy prescribed by a doctor does not always help relieve unpleasant signs of the disease. After the pill is taken, the symptoms of dystonia often continue to bother the patient. Therefore, it is not surprising that reviews of this disease will only be negative, because it is very difficult to cure. It is useful for everyone to know about the exacerbation of symptoms of vegetative-vascular dystonia and their manifestations, which are shown in the following video:

What are the signs of VSD?

Mixed symptoms