Vegetative-vascular dystonia (VVD, Neurocirculatory dystonia)

Vegetative-vascular dystonia (VVD, Neurocirculatory dystonia) Vegetative-vascular dystonia (VVD or neurocirculatory dystonia) is pathological condition, disruption of the compensatory activity of the autonomic nervous system. Perhaps this is the most common diagnosis that is made by doctors and causes dissatisfaction in the patient, misunderstanding and anxiety - perhaps the doctors still haven’t found something serious, missed it?

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-hormonal disorders. More often, VVD is functional in nature, that is, it is not associated with a serious disease. Such a psychogenic disorder between the cerebral cortex and subcortical structures of the "I want - I can't" type. And there are symptoms of dystonia. Symptoms can vary. This is due to the variety of functions that the autonomic nervous system performs.

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 regulates the activity of all internal organs, glands of external and internal secretion, lymphatic and blood vessels, ensures the constancy (homeostasis) of the internal environment and the adaptation of the work of internal organs to changing environmental conditions.

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

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

Symptoms of vegetative-vascular dystonia

According to the localization of the main symptoms of vegetative-vascular dystonia, VSD is distinguished by respiratory, cerebral, cardiological, gastroenterological, vegetative-visceral types, with impaired thermoregulation.

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

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

Crises are characteristic of all types of vegetative-vascular dystonia. With vegetovascular dystonia of the hypertensive type, anxiety, palpitations, sudden arousal, symptoms of a panic attack, increased blood pressure, cold extremities, chills are observed. With vegetovascular dystonia of the hypotonic type - general weakness, shortness of breath, nausea, fading in the work of the heart, sweating, low blood pressure. With vegetative-vascular dystonia of a 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 the IRR are caused by the predominant influence of the parasympathetic nervous system - weakness, lowering blood pressure, respiratory disorders, bradycardia (slow heart rate and, accordingly, pulse), a feeling of "fading" of the heart, dizziness, dysfunction digestive system, hyperhidrosis (sweating), polyuria.

Mixed crises combine a variety of symptoms and their combinations.

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

Cardiopsychoneurosis

With the predominance of cardiovascular disorders in the complex of existing autonomic disorders sometimes the term "neurocirculatory dystonia" is 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, atrioventricular blockade I-II degree), violation of the processes of ventricular repolarization ( non-specific changes ST segment), 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.

With recurring headaches, changes in blood pressure, dizziness, weakness, increased fatigue, difficulty with memory, anxiety, emotional lability (mood swings), sleep disturbances, fear for one's health (hypochondria), pain in the heart, disorders heart rate, shortness of breath, a feeling of "coma" in the throat, pain in the abdomen, numbness of the limbs ... with almost any health disorder, you need to see a doctor.

Examination for vegetative-vascular dystonia

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

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

The task of the patient: to describe in detail their feelings. For example, not just - my head hurts, but in detail - where it hurts (forehead, back of the head, temple, on one side or diffusely), how it hurts (pulsates, bakes, shoots, bursts ...) what you feel, what sensations are accompanied by (can be pressure on the eyes and ears, can be vomiting, dizziness, visual disturbances ...), which precedes the onset of a headache - changes in weather conditions, stress, overwork ...

Of the possible examinations for suspected VVD, neurologists often use an electrocardiogram, vascular dopplerography, computed and magnetic resonance imaging, examinations by an ophthalmologist, endocrinologist, and therapist. To exclude thyroid diseases (both hyperthyroidism and hypothyroidism can be manifested by symptoms of vegetative-vascular dystonia), use laboratory tests- Examine the hormonal activity of the thyroid gland and ultrasound.

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

Treatment of vegetative-vascular dystonia

It is strongly recommended to modify the lifestyle for the successful treatment of vegetative-vascular dystonia: the regime of work and rest, sports are welcome in the game mode, but not in the professional one, swimming, running, aerobics, fitness, cold and hot shower, being outdoors, healthy eating, sleep 8 hours a day, visits to a psychotherapist, Spa treatment in neurological sanatoriums using all types of balneotherapy (hydrotherapy), reflexology, aromatherapy, physiotherapy, massage. This IMPORTANT RECOMMENDATION patients often do not take seriously and thereby aggravate their condition.

It is very important to normalize the blood circulation of the brain and prevent the development of stroke and other serious illnesses of cardio-vascular system. For example, the combination drug Vasobral improves blood circulation and metabolism in the brain. The components of the drug prevent thrombosis, reduce the permeability of the walls of blood vessels, increase the resistance of brain tissues to oxygen deficiency, 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

Use antidepressants and tranquilizers.

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

With an increase in blood pressure - antihypertensive drugs, with tachycardia - β blockers, with hypotension - caffeine, ginseng with B vitamins.

With venous insufficiency - vasoket, venoplant, detralex. These drugs are taken with heaviness in the head, throbbing, arching headache, aggravated after sleep and in the hot season (on a Doppler study, this is confirmed venous insufficiency), take for a long time from 1 to 2 months, more often in the evening, 1 tablet.

With dizziness and increased blood pressure, you can take cavinton, cavinton retard, oxybral, vinpocetine, sermion, nicerium. With reduced pressure and dizziness - preparations of ginkgo biloba - memoplant, ginkofar.

With noise in the head, betaserk 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. For acute dizziness, you can put the tablet under the tongue for a 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 10-14 days. Orange color has an antidepressant effect - use it. Orange, Orange juice bright umbrella...

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

With 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 lunchtime, for at least a month. Phenotropil 1 tablet per day. Glycine should be absorbed 2 tablets three times a day for 1-2 months.

For the choice of any medicines should be taken 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. Attracts attention domestic drug Eltacin, which relieves excessive tension, helps stabilize pressure, improve sleep, increases energy potential body and tissue resistance to oxygen starvation, and thus affects the cause of vegetovascular 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 (normalization of mood, anxiety relief, mental stress):

• Melissa is a sedative with antispasmodic and anxiolytic, antidepressant effect. “Delight of the heart” called Melissa Avicena, which makes the heart happy, strengthens the spirit and drives away dark thoughts. Used in the form of medicinal teas, decoctions, infusions
• St. John's wort - antidepressant action - reduces anxiety, anxiety, normalizes sleep. It is used in combined tablets - Novo-Passit, is available in tablets - Deprim.
• Hops - sedative effect, analgesic effect.
• Hawthorn - normalizes heartbeat, lowers blood pressure, has a calming effect.
• Mint - antispasmodic, hypnotic, sedative, cholagogue, reduces nausea.
• Valerian - a sedative effect, normalizes sleep, relieves psycho-emotional stress.
• use combined preparations- dormiplant, novo-passitis, sedasen, sedavit.

At VSD for hypertension type, you can use sedative herbs and hawthorn, swamp cudweed, raunatin, dog rose. You can take an infusion of hawthorn ¼ cup 4 times a day before meals (1 tablespoon of hawthorn flowers in 1 cup of hot water, leave for 2 hours). It is necessary to reduce the amount of salt, caffeine, alcohol, fats consumed. The diet needs to be diversified with vitamins - vegetables and fruits, pomegranate, apples, grapefruit, garlic, chocolate. Useful lungs physical exercises and walks in the fresh air, sea procedures, reflexology.

At VSD by hypotonic type you can use ginseng, eleutherococcus, Chinese magnolia vine, which increase efficiency and blood pressure - they have tonic and adaptogenic properties. With increased excitability, insomnia, they can 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 shower, physiotherapy exercises, sports, reflexology are recommended.

All medical and medical measures prescribed and supervised by a doctor.

Consultation of a doctor on vegetative-vascular dystonia

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

Answer: For the treatment of vegetovascular dystonia, doctors prescribe special medications, including sedatives and antidepressants. However, it should be borne in mind that taking drugs for vegetative-vascular dystonia is necessary only with the knowledge of a doctor, since they can be addictive!

The treatment of vegetative-vascular dystonia with folk remedies can be quite effective: in particular, infusions for cleansing blood vessels, heart tinctures, but only if there are no 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 vegetovascular dystonia with folk remedies in practice does not give recovery, but it does beneficial effect on the body, relieves some symptoms.

The most useful for vegetative-vascular dystonia is physiotherapy exercises, which provide a general strengthening effect on the body. Therapeutic exercise for VVD is an excellent tool for training the body and increasing its performance. With vegetative-vascular dystonia, physical education, thought out taking into account the age, state of health of the patient, is simply necessary. However, exercises for VVD should be soft and completely exclude jumping. It should also be borne in mind that a mobile lifestyle in general is a prevention of vegetative-vascular dystonia.

Rest is the best remedy for vegetovascular dystonia. Naturally, a person cannot quit his job. However, it is quite possible and necessary to allow yourself to travel outside the city. A lot of 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 sanatorium procedures are simply irreplaceable in the treatment of vegetovascular dystonia.

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

Answer: The causes of such a disease as VVD can often be psychological disorders (stress, depression, neurosis, 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 syndrome chronic fatigue. All this is treated by psychotherapists without pills, with the help of proven techniques. The treatment uses the method of behavioral therapy and hypnotherapy.

Question: What is better - to drink medicines and antidepressants for years or to get rid of VVD symptoms and panic attacks when visiting a psychotherapist?

If physical factors are the cause of the disease, then medications can and should be prescribed for the treatment of VVD. However, drugs for vegetative-vascular dystonia, caused by psychological disorders, are simply irrelevant. Do not help in this case in the treatment of VVD and folk remedies. In this case, the treatment of vegetative-vascular dystonia requires the help of a professional psychologist. Only in this case, the treatment of VVD will be really 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 ( VVD attacks). The nature of panic attacks and exacerbations of VVD is the same: in the body at these moments there is high concentration epinephrine, norepinephrine and acetylcholine. These biologically active substances are the cause of emotional overload and pain. That is why patients in need of treatment for panic attacks are often diagnosed with vegetative-vascular dystonia and prescribed drugs for VVD, 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 in VVD (and especially the headache characteristic of VVD) often does not need to be treated with drugs, but they continue to be prescribed. However, even in order to lower blood pressure (it rises with hypertensive VVD), we need not pills, but fast, professional psychological help.
The treatment of panic attacks and VVD symptoms, like the treatment of phobias, often does not require medical intervention.

Based on the materials of the article by the neurologist Novikova T.V.

Perhaps no ailment raises as many questions as vegetative-vascular dystonia. It is understandable, because even the very definition of this disease is very vague. It can be caused by many different reasons.

It is characterized by many manifestations, ranging from disorders of the cardiovascular system, ending with various psycho-emotional disorders.

But perhaps the most important feature of this disease is that it proceeds quite favorably.

To correctly understand what kind of disease it is, you need to have at least a small idea of ​​\u200b\u200bthe structure of the human nervous system. Without going into deep details, suffice it to say that there is a special network of nerve fibers, which is called the autonomic nervous system, or in other words, the parasympathetic.

Its role lies in the constant involuntary control over the work of internal organs and even the regulation of their activity, if such a need suddenly arises. That's just with the violations of this system and associated vegetative-vascular dystonia.

The true cause of VSD has not yet been revealed. It is believed that the following factors can provoke the development of this disease:

• frequent rhinitis and rhinopharyngitis of an infectious nature;
• constant stress and psycho-emotional overstrain;
• overexposure physical factors(cold, heat, ultraviolet, etc.);
• traumatic brain injury;
• sedentary image life;
• smoking;
• alcohol;
• hormonal disruptions;
• mental strain;
• exposure to toxic substances.

It is believed that one factor is not enough to provoke the development of the disease. At least two must be present. Only then is an appropriate background formed that can disrupt the functioning of the autonomic nervous system.

VSD classification

The generally accepted differentiation of vegetative-vascular dystonia does not yet exist. But Russian authors, for the most part, adhere to one classification of this nosological form, based primarily on differences in etiology, the prevalence clinical syndrome, varieties vegetative crisis, phase and severity of the disease.

According to the etiological form:

• infectious-toxic;
• idiopathic;
• hereditary;
• caused by physical overload;
• conditioned mental disorders;
• mixed.

According to the predominance of the clinical syndrome:

• hypertensive;
• cardialgic;
• hypotonic;
• arrhythmic;
• migraine-like;
• syncope;
• dysthermic, etc.

According to the variant of the vegetative crisis:

• vagoinsular;
• sympathoadrenal;
• combined.

By phase:

• remission;
• exacerbation.

By severity:

• light;
• average;
• heavy.

The clinical picture of VVD

It's important to know!

This disease is most typical only for young people. Mostly children, girls and boys get sick. More often the disease occurs in females. These facts are explained by the great lability of the nervous system in children and adolescents and by pronounced hormonal changes in the female body in puberty(during puberty).

The following symptoms are characteristic of vegetative-vascular dystonia:

• increased sweating;
• marbling of the skin (especially on the palms);
• the appearance of red spots on the neck with excitement;
• joint and muscle pain at rest;
• palpitations during stress or constant tachycardia, which is always absent during sleep;
• heat intolerance (bath, sauna, any stuffy rooms, public transport);
• headaches and dizziness without any reason;
• decrease in heart rate below 60 beats per minute during sleep;
• causeless rises and falls in blood pressure;
• various, causeless pains in the region of the heart.

It should be noted that this is not a complete list of manifestations of this disease, and it is very rare for patients to have only one symptom. Most often there is a combination of them. That is why such a large variability makes it very difficult to diagnose.

Physicians are primarily concerned with eliminating serious problems with the heart or with the brain, and only then think about a more favorable pathology. The doctor may not come to the correct diagnosis right away, especially given the fact that it is simply impossible to confirm the IRR with any specific laboratory test.

Diagnosis of the disease

In most cases, when examining patients with VVD, the following changes can be found:

• instability of the T wave and the ST segment on the ECG during hyperventilation of the lungs or an orthostatic test;
• rather specific changes on the cardiogram at the end of the ventricular complex (QRS);
• in general analysis blood signs of a moderate inflammatory process;
• instability of pulse and blood pressure during daily monitoring of these indicators.

Obviously, there are no absolutely reliable laboratory signs of the disease. The doctor makes a diagnosis on the basis of a characteristic clinic and the presence of at least a few of the above signs.

VVD treatment

For the treatment of vegetative-vascular dystonia from medications, the following are usually used:

• pyrroxane;
• anaprilin;
• cyclodol;
• quercetin;
• ascorbic acid;
• caffeine.

All these drugs are selected strictly individually, taking into account the form of the disease, and taking them on your own, without a doctor's prescription, is extremely dangerous.

Treatment of VVD folk remedies

In connection with the favorable course of vegetative-vascular dystonia, its treatment with folk remedies is very popular. Usage traditional methods always carries a high risk of developing adverse and allergic reactions, and in herbal remedies this risk is much less. There are also very effective exercises and combined folk recipes for the treatment of VSD.

Treatment should begin with regular walks in the fresh air. It's about not about when a person on the run home or to work walks through the park, but about a purposeful trip to the street for at least an hour to some deserted place. It is not at all necessary that it be a park area, the main thing in choosing a place is the distance from highways and other sources of air pollution.

As for exercises for VVD, there is nothing complicated. All of them can be performed at home, without special preparation. At the initial stage, the usual morning exercises are suitable. The main emphasis should be on warming up the neck muscles, breathing exercises and mobility. spinal column. Some special exercises therapeutic orientation should be carried out in a special room under the supervision of a physiotherapist.

Also from sports disciplines will be very useful:

• swimming;
• cycling;
• athletics (excluding power elements);
• aerobics;
• gymnastics.

Alternative methods of treatment of vegetative-vascular dystonia

VVD can be treated by cleansing the body of toxins with clay. For such a treatment, you need to drink every day for one week, a solution of clay with water: one tablespoon of clay in one glass of warm water. And every day we reduce the amount of clay. By the last day of taking it, you need to add only a teaspoon to the water.

It is best to buy clay for treatment at a pharmacy, this will be the safest option, since self-accumulated clay will contain dirt and various impurities, in which case it will need to be washed well.

Mustard Baths

If you have VVD with headaches, then you can use the following alternative method of treatment:

1. We breed in warm water mustard - 5 tablespoons. Water should be taken so much to get a mass resembling thick sour cream.
2. We cut this composition into a bath with a water temperature of about 39 degrees.
3. We take a mustard bath for 7 minutes. After that, we immediately wrap ourselves in a sheet and go to bed.

After that, you should drink soothing tea, and you will feel much better.

Tea with cognac for headaches

If you have a headache and low blood pressure in the morning with VVD, then it is recommended to drink strong tea with the addition of one teaspoon of cognac to it.

Treatment with beets and vegetable juices

1. With vegetative - vascular dystonia, you need to take a small beetroot, cut it into two halves, and then attach the beetroot to the temples. And hold it like that for seven minutes.
2. It will be useful to drink fresh beetroot juice, diluting it with carrot and cucumber juices in this ratio of 1:3:1.

Treatment of vegetative-vascular dystonia with herbs

Alternative methods of treatment of vegetative-vascular dystonia, of course, cannot do without the use of herbs and other herbal remedies. Their mild effect is the best suited for the treatment of this disease. The most effective for treatment will be:

• valerian;
• motherwort;
• hawthorn;
• dill;
• caraway;
• calendula;
• peppermint;
• barberry etc.

With daily intake of herbs, improvement occurs quite quickly, after 2 weeks. However, it should be borne in mind that herbal treatment should be carried out quite long time.

Doses herbal decoctions and infusions per day, for different age groups:

• Children up to a year - 0.5 teaspoon;
• children under three years old - 1 teaspoon;
• children from three to six years old - 1 dessert spoon;
• children from six to ten years old - 1 tablespoon;
• over ten years old and adults - 2 tablespoons.

Herbal preparations for the treatment of VVD

Collection for men:

• wild rose fruit - 4 parts;
• licorice roots - 4 parts;
• St. John's wort grass - 3 parts;
• valerian roots - 3 parts;
• mistletoe grass - 2 parts;
• roots of leuzea, rhodiola and angelica - 2 parts each.

Collection for women:

• angelica roots and viburnum fruits - 3 parts each;
• dandelion roots, licorice, rosea rhodiola, leuzea - ​​2 parts each;
• nettle leaves - 2 parts;
• rosehip - 2 parts;
• wormwood and knotweed - 2 parts each.

Cooking:

1. Grind herbs, fruits and roots in a coffee grinder.
2. We take two tablespoons of herbal powder, which we ground, and pour 0.5 liters of boiling water in a thermos.
3. We leave to infuse for the night.
4. In the morning, the resulting infusion can be drunk.

Application for treatment:

The dose is one third of a glass, three times a day.

Treatment of VVD with herbs should be carried out in a course of 6-8 weeks.

Treatment of vegetative-vascular dystonia with folk remedies depends on the symptoms that prevail in the clinic of this disease. For example, for the hypertonic variant VSD is better hawthorn is suitable, and for hypotonic barberry. In mixed forms, various combinations of herbs (hops, fennel, etc.) are widely used.

As for food products that are useful for VVD, the mandatory presence in the diet is necessary:

• fish and seafood;
• carrots;
• cereals;
• fruits;
• dairy products;
• fresh greens;
• nuts.

These products contain substances that favorably affect the functioning of the autonomic nervous system. It is important to remember that excessive consumption of any one type of food can lead to dysfunction of the gastrointestinal tract. Therefore, it is important that the ingredients are harmoniously balanced. Only in this case, you can count on the beneficial effect of these products.

Disease prevention

Although the unequivocal cause of vegetative-vascular dystonia has not yet been found, all doctors unanimously agree that stress prevention will help to avoid the onset of this disease. It is necessary to minimize the likelihood of emotional overstrain. A healthy lifestyle, a balanced and proper diet, sports are also part of the prevention of VVD.

Note!

It is very important that the daily routine is rationally drawn up. Time for rest and sleep should be sufficient (in total, not less than 8-9 hours per day). Regular meals are required, if possible, every day at the same time. All these fairly simple recommendations will help not only to avoid illness, but, in general, will strengthen your health.

No matter how terrible the symptoms of VVD may seem, this disease has a good prognosis in almost 100% of cases. Can help to make a correct diagnosis instrumental methods research and analysis, but in general, the disease is detected on the basis of a characteristic clinical picture.

The use of folk remedies for the treatment of VVD is fully justified due to its favorable course. Therapy must necessarily be comprehensive and include not only herbal remedies, but also diet and the use of physiotherapy exercises. With the ineffectiveness of folk remedies, they resort to medical treatment.

Many patients ask what is VSD? Such a concept as vegetative - vascular dystonia (VVD), in itself, is not a separate disease. Rather, it is a kind of neurological syndrome, a complex of symptoms of various pathological processes.

In polyclinics, you can often meet people who undergo repeated examinations and, without revealing any significant deviations, undergo additional diagnostics in private clinics. Not surprising, because these are people with GVA. It is the extensive symptomatology that creates additional difficulties in making a diagnosis and prescribing adequate treatment for VVD.

Types of VVD and their treatment

There is no special classification, yet GVA is conditionally divided into the following types:

• Normotensive type of IRR (causes heart rhythm failure);
• The hypertensive type of IRR causes jumps in blood pressure in the patient. Patients are treated with drugs that correct the work of the heart, reducing the heart rate. Due to the pulsation of the vessels with this type of IRR, there is a risk of stroke in elderly patients.
• The hypothetical type of IRR, on the contrary, is characterized by low blood pressure with weakness and possible syncope. There are not many resources available for its treatment. Basically, it is atropine and aminophylline for vascular dystonia. Vitamins and antioxidants, green tea are also useful.

Important! If the sympathetic department is most active in the work of the autonomic system, then a sympathoadrenal crisis may occur. Redness or, conversely, pallor of the face testifies to its beginning.

The patient should begin to breathe as deeply as possible. A mustard plaster put on the back of the neck helps well. You can drip Valocordin or Corvalol for quick treatment.

When the parasympathetic zone is active, a vagoinsular crisis occurs with VVD. It is characterized by a state of weakness and darkening in the eyes, the pressure decreases, the patient may feel nausea and the urge to vomit, the pulse slows down. The patient can be helped by sweet tea, for calming and treatment - Corvalol.

Causes of the disease

Every disease has a cause. The VSD is no exception. The fundamental factors include: hereditary predisposition, problems with the endocrine system and hormonal changes in the body, stress and neuroses, organic brain damage (neoplasms, strokes, craniocerebral injuries).

As mentioned earlier, the symptoms of vascular dystonia are quite extensive. This may include:

• the presence of asthenic syndrome;
• unreasonable anxiety;
• problems in the stomach;
• increased sweating;
• unexplained increase in body temperature;
• lack of oxygen;
• numbness of the limbs;
• weather sensitivity;
• decrease in motivation.

All of the above manifestations of VDS weaken and exhaust the patient. It often happens that doctors, hooked on any one of the symptoms, begin treatment for hypertension, asthma, gastritis, or another disease that has the same symptoms.

Important! It is scientifically substantiated that the manifestations of VVD are associated with an unbalanced activity of the cerebral cortex, endocrine system and the hypothalamus. Signs of VVD often begin to appear in school-age children, it is during this period that the load on the body increases due to hormonal changes and an increased load on the nervous system.

Features of diagnosis and treatment of VVD by a doctor

So which doctor should you contact to start treatment? In accordance with the above symptoms, most often this problem is dealt with by such specialists as a neurologist, a cardiologist and, of course, a therapist.

If symptoms from the respiratory, digestive or urinary system appear, then to treatment of VVD other narrow specialists are involved. VVD can be cured only by receiving an individual, well-balanced treatment.

Attention! Problems often arise with the diagnosis of this condition - after all, there is no such equipment and such laboratory tests that can establish the diagnosis of VVD. Only a combination of symptoms will help to identify this disease. All this is analyzed based on the patient's complaints. When diagnosing vegetovascular dystonia, it is necessary to completely exclude diseases with similar symptoms.

For example, rheumatism is very similar to VVD in terms of symptoms. With high blood pressure exclude the presence arterial hypertension. VSD can also be confused with bronchial asthma, mainly due to attacks of suffocation and shortness of breath in children during crises. If a feverish condition is present among the symptoms, the presence of an infectious or oncological disease. The presence of mental disorders also requires refutation. For all this, additional consultations with such specialists as an ophthalmologist, ENT doctor, psychiatrist may be required.

Treatment Methods

In order to successfully cure VVD, it is necessary to tune in to long-term treatment. The process should be complex, taking into account individual vegetative disorders.

Treatment should begin with the following steps:

1. Normalization of the daily routine. A person must necessarily sleep for 8 hours, go to bed at the same time, keep one mode. Sleep is a great remedy for various violations nervous system and for the treatment of VVD;
2. minimization stressful situations or the use of special auto-training to relieve stress during VVD. You should learn to relax and calm down for treatment;
3. sports, therapeutic gymnastics. Classes are best done under supervision, while monitoring blood pressure is mandatory. Exercises should be calm, fast and abrupt, it is not recommended to do with VVD. If shortness of breath appears, it is necessary to restore breathing. Sport games are also welcome (volleyball, basketball), it is allowed to practice on simulators. After classes, a contrast shower is desirable;
4. Balanced diet. No special diet is prescribed, it is only important that the foods consumed do not harm the person during the period of VVD treatment. The body must fully receive the necessary vitamins and minerals. Requirements are standard - fewer semi-finished products, smoked and canned food. The hypertensive form of VVD implies limiting the use of salt, coffee. If there are disorders of the digestive system in the symptoms, then fatty, spicy foods should be excluded, which creates an unnecessary burden on gastrointestinal tract during the treatment of VSD. In the diet for VVD, foods containing B vitamins must be present. Food must contain the required amount of calories, but at the same time, it is imperative to control body weight.

Drug treatment of VVD: what drugs will help

When prescribing medical drugs, one goal is pursued - to improve the functioning of the autonomic nervous system. In order to improve memory, to reduce the excitation of the nervous system, glycine is prescribed, which should be taken for quite a long time to treat VVD.

- accepted at anxiety states associated with vegetative disorders. The term of application is quite long, up to 30 days. It is forbidden to use for children and women during pregnancy.

Treatment of VVD with Betasercom. The medicine will help to relieve dizziness very well, blood circulation in the patient improves.

Bisoprolol for the treatment of VVD. A beta-blocker will cure IRR, reduce excessive heart activity and blood pressure. But people with bradycardia pills are not recommended.

Treatment of VSD with Vasorbal reduces the level of platelets and red blood cells. Improves blood circulation in the brain area of ​​the patient, the metabolic process will be more active. This drug is categorically incompatible with alcohol, it can cause a severe headache.

- Treats vegetative vascular dystonia in adults. It has a pronounced sedative and hypnotic effect. Alcohol is able to enhance the effect and even toxicity of Vestinorm at the time of VVD treatment.

Validol- helps with excessive excitability and rapid heartbeat. Improves the quality of sleep in the treatment of VVD, relieves headaches. Helps with susceptibility to loud sounds. You can drink for children.

Grandaxin- effective at convulsive syndrome, obsessive states at the time of treatment. Can be taken concurrently hormonal drugs, does not give side effects, but in rare cases can cause an allergic reaction.

- has a positive effect on the patient's vessels. It has a calming effect on the nervous system. Excellent relieves swelling, inflammation of various forms.

Zoloft at the time of VVD treatment- is prescribed for panic attacks and excruciating anxiety states in complex treatment. This most powerful antidepressant is not addictive, although the use is quite long (up to six months). Not recommended for pregnant women.

Cavinton for the treatment of VVD– improves blood circulation of the brain, functions of the central nervous system, general mental condition and coordination of movements. It can be both in tablets and in injections.

- Improves the function of the cerebral cortex positive influence for memory. This tool can reduce the side effects of some psychotropic drugs. Use only intramuscularly.

- relaxes skeletal muscles, has a hypnotic and sedative effect during treatment. It is prescribed for psychomotor crises.

Magne B6 and Magnesium B6- best of all helps the patient's nervous system to work. Normalizes sleep, relieves muscle spasms and irritability. Has no contraindications.

- cured the symptoms of many people suffering from VVD. Normalizes the rhythm of the heart, the tone of capillaries and blood vessels. Increases resistance to stress, improves intellectual abilities during treatment.

- perhaps one of the most effective anticonvulsants. Helps well as a sedative for VVD. Used only intravenously or intramuscularly.

Nootropil and Noopept- one of the most efficient nootropic drugs for the treatment of VSD. With insomnia, it is prescribed not at night, but during the day.

Spasmalgon in the treatment of VVD- relieves headaches, mainly prescribed for women ( this drug can be replaced with Citramon).

- a homeopathic remedy for the treatment of VVD, increases stress resistance, relieves fears and anxiety. Do not prescribe during pregnancy and during breastfeeding.

Phenazepam – great medicine to relieve a neurotic attack in a patient. Helps with disorders in the vegetative zone. Can be used as a sleeping pill in the treatment of VVD. Side effects include itching and rash. Children are not issued. Incompatible with alcohol intake.

Eleutherococcus in the treatment of VVD- quickly increases the overall tone of the body. Removes fatigue and irritation. Helps to increase mental and physical abilities.

Eufillin for the treatment of VVD- during attacks of lack of air, it is taken orally for 5 days with neurocirculatory dystonia.

Physiotherapy, massage, acupuncture and other treatments

In some cases, you can not resort to help in the treatment of VVD. In order for this to be possible, it is necessary to undergo a scheme of physiotherapy procedures.

In order to relax the body, the following procedures are shown:

• therapeutic baths with coniferous additions;
• useful massages of the patient's cervical zone;
• electrosleep;
• aroma treatment with natural oils;
• the use of a circular shower to increase the tone of the entire body of the patient;
• SUV irradiation;
• bath procedures with the use of contrast;
• turpentine bath for the best extension vessels;
• electrophoretic procedures for treatment.

A good effect is exerted by tinctures of valerian, hawthorn, peony, motherwort (with hypertonic and mixed forms of VVD). In the hypotonic form, herbs such as sandy immortelle, Chinese magnolia vine, tinctures of ginseng and zamanihi are used. In the form of tea, you can use such medicinal plants as lemon balm and mint, St. John's wort, hops.

Massage can also significantly improve the patient's well-being. As a rule, such types of massage are used as segmental-reflex, acupressure, massage of the collar zone, back and legs, restorative.

Beneficial effect in the treatment of vascular dystonia Spa treatment, but for greater benefit, you should choose sanatoriums of your own, familiar, climatic zone. When treating in a sanatorium, it is easier to carry out constant medical monitoring when receiving various procedures and to ensure proper rest after them.

Acupuncture- not so common, but quite effective method treatment, including in the treatment of VVD. The most important thing is that the acupuncturist should be a professional in his field. It is no secret that there are various active points on the human body and that is where needles are placed. Acupuncture eliminates back pain, relieves muscle spasms helps improve blood circulation. It also strengthens the immune system and, in general, significantly improves the condition of the body.

Therapy with folk remedies independently at home

Traditional medicine has always been an alternative to traditional medicine. Therefore, in the treatment various forms autonomic dysfunction Phytotherapeutic recipes are widely used, which is especially important in the treatment of VVD in children and adolescents. The disadvantage of herbal medicine can be called the duration of treatment, its inability to provide quick effect. When treating with herbs, it is imperative to control your pressure, it should also be borne in mind that not all herbs can be combined with medicinal drugs.

Important! In general, as you know, the disease is easier to prevent than to treat it for a long time. Therefore, the prevention of vegetative-vascular dystonia is very important. To preventive measures First of all, it should be attributed the rejection of bad habits and maintaining a healthy lifestyle. Do not despair, this disease is completely curable, it is only important to adhere to all the above recommendations.

Symptoms of vegetovascular dystonia (VVD) are varied and non-specific, as is typical for most other diseases. Manifestations of vegetovascular dystonia are associated with the fact that the balance between the two branches of the autonomic nervous system is periodically disturbed, which is normally quickly restored.

Symptoms of VVD are fixed by patients constantly from day to day or paroxysmal, which implies the development of a vegetative crisis. Such crises proceed according to the type of pressure surges, semi-consciousness, disorders in the respiratory or digestive system, and a panic attack.

General symptoms

The main symptoms of VSD include:

• Increased fatigue, morning lethargy, weakness.
• Discomfort, localized in the chest and heart.
• Disorders from the psycho-emotional sphere - an increased level of anxiety, suspiciousness, irritability, unmotivated mood swings, decreased sleep quality.
• Feeling of insufficient air intake, which leads to deep and frequent breaths, pressure in the chest, suffocation.
• Headaches are accompanied or replaced by dizziness.
• Pain in limbs, spine.
• Tingling in the hands, their numbness, swelling.
• Memory impairment, absent-mindedness.
• Weather sensitivity.

The symptoms of vegetovascular dystonia are different for each person, their severity depends on the presence of concomitant diseases and VSD type.

Vegetoneurosis with cardiac symptoms

The heart muscle and blood vessels in the disorder of the functions of the autonomic nervous system suffer the most. The cardiac type of the disease, manifested by disorders in the work of the heart and blood vessels, is found in 9 out of 10 patients with VVD. To common symptoms relate:

• Pain in the region of the heart. More often they are pressing, pulling, aching. They can be alternating, when one type of pain replaces another.
• Discomfort in the chest. In this case, tingling, fluttering, and a sinking heart are often felt.
• Violation of the heart rhythm. Pathology is manifested by tachycardia, less often by bradycardia or arrhythmia.
• BP jumps. The pressure rises or falls. With hypotension, the patient has blue lips, coldness of the hands, feet, and a fainting state.

Painful symptoms of vegetovascular dystonia should be distinguished from painful sensations with coronary artery disease and myocardial infarction:

• With vegetative neurosis, pain does not radiate to the jaws and teeth, although it often radiates to the shoulder, arm, armpit, or shoulder blade.
• Pain in vegetative neurosis is not associated with physical activity, and with coronary artery disease, excessive effort causes an attack.

Heart pain in vegetovascular dystonia is not stopped by taking a nitroglycerin tablet, but decreases if you drink sedatives or Validol. Often, pain appears against the background of psycho-emotional stress. At the same time, there may be a feeling of a lump in the throat, numbness of the tongue, feet or hands.

Violation of the functioning of blood vessels in vegetative neurosis causes severe weakness, dizziness, chill-like tremor. The rise in pressure leads to the appearance of intense migraine-like pains and often to pain along the spine.

Hypotension causes an unsteady gait, dizziness, a strong heartbeat and a feeling of insufficient air intake. This leads to the fear of death.

Symptoms of VVD according to the cardiac type are divided into several subtypes:

1. The cardiac form of the disease is exhibited if the patient complains of changes in the heart. These are not having a clear localization and a single character of the course of pain in chest and heartbeat. The examination does not reveal organic disorders, and during the questioning it is possible to find out that the manifestations of the pathology occur after the stress.
2. Hypertensive form of VVD: develops when vascular tone is always increased. The pressure is kept at 140/90 mm Hg. Art., in addition, there are severe headaches, a feeling of heat and flushes to the head, fatigue. Vascular changes are manifested by periodic reddening of the skin of the face and body, increased sweating in certain parts of the body. There may be swelling on the feet, shins, swelling on the feet, shins. The skin of some patients acquires a "marble" color. The symptoms of vegetovascular dystonia with an increase in blood pressure include temperature jumps, that is, it can decrease or increase for no reason. If this type of dystonia is not controlled and treated, then imaginary hypertension can cause true hypertension. hypertension.
3. The hypotonic form of the disease develops when the tone of the main vessels decreases. BP is often less than 100/80 mm Hg. Art., this causes weakness, lethargy, lethargy. With a sharp change in body position from a lying position to a vertical one, a semi-conscious state (orthostatic collapse) appears, in severe cases turning into fainting. Before fainting may be severe dizziness, darkening in the eyes, ringing in the ears. In patients with hypotension, the fingers of the hands periodically turn blue, the feet become cold.
4. The mixed form is characterized by an unstable, variable vascular tone, which leads to pressure surges in one direction or another. The remaining symptoms of the pathology are similar to the manifestations of other forms of dystonia.

VSD with respiratory disorders

VSD hyperventilation form is expressed by the following symptoms:

• Spasms of the larynx are felt as a lack of air, a foreign lump in the throat, nasal congestion.
• Spasms in the legs and arms are manifested by chill-like trembling.
• Yawn.
• Deep, heavy breaths.
• The appearance of visual disturbances during a panic attack ("flies" before the eyes).

These symptoms cause a headache, severe weakness, a veil or fog before the eyes, and palpitations. Vegetovascular dystonia appears with respiratory symptoms as well as nausea and belching.

A strong feeling of lack of air leads to a panic state, a fear of death appears, and this only aggravates the patient's well-being.

VSD with gastrointestinal symptoms

With VVD, gastrointestinal symptoms appear:

• Psychogenic nausea.
• Heaviness in the epigastrium, not associated with eating.
• Belching with air.
• Heartburn.
• Increased formation of gases is fixed.
• Frequent loose stools are associated with prolonged constipation.

Other symptoms with VVD

The forms of vegetovascular dystonia listed above are determined in most patients. But the pathology is manifested by other symptoms:

• With VVD, the development of abundant and frequent urination, the examination does not reveal any organic disorders in the urinary system. Often with a prolonged course of dystonia, libido decreases, women often develop vaginismus, men have poor erections or impotence.
• Violation of thermoregulation. subfebrile temperature in patients with vegetative neurosis, it often lasts for several weeks or even more. It cannot be knocked down by taking antipyretics, but at rest of the nervous system, that is, at night, it decreases to normal numbers. Violation of thermoregulation can also occur in the form of feverish trembling. A drop in temperature causes weakness, sweating, hypotension, and drowsiness.
• Violation of the sweat glands. The autonomic nervous system also controls the work of the sweat glands, therefore, with an imbalance, the production of sweat increases or, on the contrary, weakens. Excessive sweating It is fixed at the moment of strong excitement, during panic attacks. Sweat is sometimes produced so much that it flows in droplets, and clothes quickly get wet.
• Violation of the salivary glands is expressed by dryness of the mucous membranes of the mouth or over-education saliva (hypersalivation).
• Lacrimal disorder. The formation of tears in large quantities is recorded during wind, psycho-emotional stress, under the influence of low temperatures. Insufficient tear production, expressed as dry eyes, is rare.
• Psycho-emotional changes. Symptoms in adults from the psycho-emotional sphere are expressed by increased anxiety, unreasonable anxiety. There are irritability, aggressiveness, fears, negative mood. With such manifestations of the disease, a person subconsciously prepares for the worst, and this greatly worsens the quality of life of people with VVD.
• Cephalgia, or headaches. The nature of pain in the head is different. Often, pain in the frontal or temporal part passes to the eye sockets and causes intolerance to bright light. Gain pain patients associate with movement, sharp and loud sounds, and even with certain smells. Migraine-like pain lasts for several hours, less often days, it is poorly relieved by analgesics and antispasmodics. In addition to the headache, pain and colic are recorded in the abdomen, heart, lungs, and spine. Such pains do not have a clear localization and do not increase, but can spread to nearby tissues and organs.
• Discomfort. With VVD, sensitivity in the arms and legs is often impaired, which leads to numbness, tingling, tremor, heavy sweating. Feet, fingers and palms turn blue, swelling of the extremities periodically appears.

A person suffering from dystonia often has a different combination of symptoms. That is why you should tell your doctor in detail about your subjective feelings, describe how the attack goes, what manifestations of the disease come to the fore.

Vegetative-vascular dystonia: types, causes, symptoms, treatment in adults and children

Perhaps there is no person among us who has never heard of vegetative-vascular dystonia (VVD). This is no coincidence, because according to statistics it affects up to 80% of the adult population of the planet and about 25% of children. Due to greater emotionality, women suffer from autonomic dysfunction three times more often than men.

Pathology is usually detected in childhood or young age, the peak of symptoms occurs in 20-40 years- the most able-bodied and active period, while the usual rhythm of life is disturbed, it is difficult professional activity, suffer intra-family relationships.

What is it: a disease or features of the functioning of the nervous system? The question of the essence of vegetative dysfunction remained controversial for a long time, experts first defined it as a disease, but as patients were monitored, it became clear that VVD is a functional disorder, primarily affecting the psyche and autonomics.

However, functional disorders and subjective painful sensations not only force you to change your lifestyle, but also require timely and qualified assistance, because over time they can develop into more - coronary heart disease, hypertension, ulcers or diabetes.

Causes of vegetative-vascular dystonia

The autonomic nervous system, which includes the sympathetic and parasympathetic divisions, regulates the function of internal organs, maintaining a constant internal environment, body temperature, pressure, pulse, digestion, etc. The correct reaction of the body to external stimuli, its adaptation to constantly changing environmental conditions, stress and overload depends on the coordinated work of these departments.

The autonomic nervous system works independently, autonomously, does not obey our desire and consciousness.Sympathy determines such changes as an increase in pressure and pulse, pupil dilation, acceleration of metabolic processes, and parasympathetic responsible for hypotension, bradycardia, increased secretion of digestive juices and smooth muscle tone. Almost always, these sections of the autonomic nervous system have an opposite, antagonistic effect, and in different life circumstances, the influence of one of them prevails.

In discord autonomic function a variety of symptoms appear that do not fit into the picture of any of the known diseases of the heart, stomach or lungs. Usually not found in VSD organic damage other organs, and the patient's attempts to find a terrible disease in himself are futile and do not bring the expected results.

VSD is closely related to emotional sphere and features of the psyche, therefore usually proceeds with the most different manifestations psychological nature. It is very difficult to convince a patient that he has no pathology of internal organs, but indeed effective help a psychotherapist can provide.

Causes of vegetative-vascular dystonia very different and, sometimes, lie in early childhood or even during fetal development. Among them highest value have:

When the diagnosis is not in doubt, and other diseases are excluded, the doctor decides on the need for treatment. Therapy depends on the symptoms, their severity, the degree of impairment of the patient's life. Until recently, patients with VSD were managed by neurologists, but today it is considered indisputable that a psychotherapist can give the greatest amount of help, because VVD is, first of all, a problem of a psychogenic plan.

Of paramount importance in the treatment of vegetative-vascular dystonia belongs to general measures. Of course, most patients expect that they will be prescribed a pill that will immediately remove all the symptoms of the disease, but this does not happen. To successfully get rid of the pathology, the work of the patient himself, his desire and desire to normalize his well-being is needed.

General measures for the treatment of VVD include:

1. Healthy lifestyle and proper regimen.
2. Diet.
3. Adequate physical activity.
4. Exclusion of nervous and physical overloads.
5. Physiotherapy and water procedures.

A healthy lifestyle is the basis for the proper functioning of all organs and systems. With VVD, smoking, alcohol abuse should be excluded. It is necessary to normalize the mode of work and rest, with severe symptoms You may need to change the type of work activity. After a hard day's work, you need to properly relax - not lying on the couch, but rather walking in the fresh air.

The diet of patients with VVD should not contain excess salt and liquid (especially in the hypertensive type), it is worth giving up strong coffee, floury, fatty and spicy foods. Hypotonic patients are shown seafood, cottage cheese, tea. Considering that most patients experience digestive difficulties, suffer from impaired stool and intestinal motility, nutrition should be balanced, light, but full-fledged - cereals, legumes, lean meat, vegetables and fruits, nuts, dairy products.

Physical activity allows you to normalize the tone of the autonomic nervous system, so regular exercise, exercise therapy, walking are a good alternative to sitting or lying down at home. Very useful all kinds water procedures(baths, contrast showers, douches cool water, swimming pool), because water not only helps to strengthen muscles, but also relieves stress.

Patients with VVD need to protect themselves as much as possible from emotional and physical overload. TV and computer are strong irritants, so it is better not to abuse them. It will be much more useful to chat with friends, go to an exhibition or to the park. If you want to go to the gym, you should exclude all types of strength exercises, weight lifting, and it is better to prefer gymnastics, yoga, swimming.

Physiotherapy procedures help to significantly improve the condition. Acupuncture, massage, magnetotherapy, electrophoresis with magnesium, papaverine, calcium (depending on the form of pathology) are shown.

Spa treatment shown to all suffering from VVD. At the same time, you should not choose a cardiological institution, an ordinary sanatorium or a trip to the sea is enough. Rest from usual affairs, a change of scenery, new acquaintances and communication allow you to abstract from the symptoms, get distracted and calm down.

Medical treatment determined by the predominant symptomatology in a particular patient. The main group of drugs for VVD are drugs with a sedative effect:

• Phytopreparations - valerian, motherwort, novo-passit, etc.;
• Antidepressants - cipralex, paroxetine, amitriptyline;
• Tranquilizers - seduxen, elenium, tazepam, grandaxin.

In some cases, prescribed (piracetam, omnarone), vascular drugs (cinnarizine, actovegin, cavinton), psychotropics - grandaxin, mezapam, sonapax. With the hypotonic type of VVD, the intake of adaptogens and tonic phytochemicals - eleutherococcus, ginseng, pantocrine helps.

As a rule, treatment begins with more "soft" herbal remedies, in the absence of effect, light tranquilizers and antidepressants are added. With severe anxiety, panic attacks, neurosis-like disorders, medication correction is indispensable.

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

With tachycardia and increased blood pressure, anaprilin and other drugs from the group (atenolol, egilok) are prescribed. Cardialgia is usually relieved by taking sedatives - seduxen, corvalol, valocordin.

Bradycardia less than 50 heartbeats per minute requires the use of atropine, belladonna preparations. Useful cool tonic baths and showers, exercise.

Treatment with folk remedies can be quite effective. given that many herbs provide a much-needed sedative effect. Apply valerian, motherwort, hawthorn, peony, mint and lemon balm. Herbs are sold in a pharmacy, they are prepared in the way described in the instructions, or simply brewed sachets in a glass of water. Phytotherapy can be successfully combined with medication.

It is worth noting that the appointment of the described "heart" drugs does not yet indicate the presence of a truly cardiac pathology, because in most cases problems with heart rhythm and pressure are functional character R. This should be known to patients who are looking in vain for signs of really dangerous diseases.

Psychotherapeutic measures deserve special attention. It so happened that a trip to a psychiatrist or psychotherapist is often regarded by both the patient and his relatives as an undoubted sign mental illness, which is why many patients never reach this specialist. Meanwhile, it is the psychotherapist who is able to the best way assess the situation and treat.

Both individual and group sessions are useful using various methods of influencing the patient's psyche. With many phobias, unreasonable aggression or apathy, an obsessive desire to find a terrible disease in oneself, a psychotherapist helps to find out true reason such disorders, which may lie in childhood, family relationships long-term nervous shocks. Having understood the cause of their experiences, many patients find a way to deal with them successfully.

It is necessary to treat VVD comprehensively and with the participation of the patient himself, choosing individually schemes and names of drugs. The patient, in turn, must understand that the symptoms of trouble from the internal organs are associated with the characteristics of the psyche and lifestyle, so it is worth stopping the search for diseases and start changing your lifestyle.

The question of whether it is worth treating VVD at all, if it is not an independent disease, should not be. Firstly, this condition worsens the quality of life, reduces efficiency, exhausts the already depleted nervous system of the patient. Secondly, a long-term VSD can lead to the development of severe depression, suicidal tendencies, and asthenia. Frequent and arrhythmias will eventually cause organic changes in the heart (hypertrophy, cardiosclerosis), and then the problem becomes really serious.

With timely and correct correction of VVD symptoms, the prognosis is favorable, health improves, the usual rhythm of life is restored, work and social activity. Patients should be under the dynamic supervision of a neurologist (psychoneurologist, psychotherapist), and treatment courses can be taken as a preventive measure, especially in the autumn-spring periods.