Koj yuav tsum ntshai ntawm vegetative dystonia?

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Yuav ua li cas ua neej nyob nrog kev kuaj mob uas tsis muaj nyob, Lifehacker nug Nikita Zhukov, tus kws kho mob hlwb thiab tus sau phau ntawv ntawm cov tshuaj pov thawj.

Vegetovascular dystonia, los yog VSD luv luv, yog ib qho kev kuaj mob tshwj xeeb uas cov kws kho mob ntawm lub tsev kawm ntawv qub nyiam thiab tsis nyiam cov kws kho mob uas nyeem cov ntaub ntawv niaj hnub no thiab paub tias cov tshuaj muaj pov thawj li cas.

Thiab tag nrho vim tsis muaj qhov kev kuaj mob zoo li no: nws tsis tuaj yeem nyob hauv International Classification of Diseases. Lub caij no, nws flaunts ntawm daim npav tas li, muaj tag nrho cov pab pawg, cov rooj sab laj thiab qhov chaw mob siab rau kev kho mob ntawm VSD.

Qhov twg dystonia tuaj ntawm?

Lub autonomic paj hlwb yog ib feem ntawm cov paj hlwb uas yog lub luag haujlwm rau kev ua haujlwm ntawm cov kabmob sab hauv. Simplifying, peb tuaj yeem hais tias qhov no yog ib feem ntawm qhov system, cov haujlwm uas peb tsis cuam tshuam. Lub autonomic paj hlwb tswj lub plawv dhia, digestion, thiab ntshav siab. Dystonia, nyob rau hauv kev xav, txhais tau hais tias ib yam dab tsi mus tsis ncaj ncees lawm nyob rau hauv no system.

Cov neeg mob muaj qhov tshwj xeeb, txawm tias cov tsos mob sib txawv kiag li. Ib tug neeg yws ntawm ib tug ceev mem tes thiab tshee tes. Ib tug neeg muaj kiv taub hau, mob hauv siab. Cov neeg mob raug kev qaug zog los yog insomnia, thiab qee zaum ob leeg. Qee zaum mob plab thiab ntau ntxiv ntxiv rau lub paj. Nyob rau tib lub sijhawm, tsis yog kws kho plawv lossis kws kho mob gastroenterologist pom qhov txawv txav, thiab cov kws kho mob hlwb kuj tsis pom. Qhov no yog li cas VSD tshwm.

Cov neeg mob tsis ua txuj, lawv yeej muaj teeb meem. Tsuas yog tag nrho cov tsos mob no, ob leeg ua ke thiab sib cais, tshwm sim tsis yog vim vegetative dystonia, tab sis vim muaj lwm yam kab mob uas tseem tsis tau kuaj pom. Feem ntau lawv yuav tsum tau kho tsis yog los ntawm ib tug neurologist, tab sis los ntawm ib tug psychotherapist - cov no yog neuroses, ceeb tawm tsam thiab ntxhov siab vim.

Yuav ua li cas thaum kuaj mob VSD

Kev sau txog cov kab mob vascular dystonia nrog cov pov thawj yog ib txoj haujlwm ua tsaug, vim hais tias, raws li koj tuaj yeem twv, txij li tsis muaj qhov kev kuaj mob no, tsis muaj kev tshawb fawb txog cov ncauj lus no uas yuav ua tau raws li cov cai ntawm cov tshuaj pov thawj.

Tam sim no, yog tias qee qhov The Lancet tau luam tawm ib tsab xov xwm hais txog yuav ua li cas kev kuaj mob tsis muaj tshwm sim cuam tshuam rau kev noj qab haus huv ntawm cov pej xeem hauv Russia! Tab sis kom txog rau thaum qhov no tshwm sim, peb nug tus kws kho mob neurologist Nikita Zhukov yuav ua li cas yog tias koj qhov kev kuaj mob yog vegetative-vascular dystonia.

Nikita, Kuv yog ib tug ntawm cov neeg mob uas tau sau VSD ntawm daim npav. Kuv tsis txawm paub qhov tseeb kuv tau kuaj mob rau. Vim li cas qhov no ua tau?

- Vim tias nws yog qhov kev kuaj mob tseem ceeb ntawm tag nrho cov tshuaj Lavxias teb sab: VSD tuaj yeem raug rau txhua tus neeg mob uas yuav luag txhua qhov kev tsis txaus siab. Yog li ntawd, nws tsis yog qhov xav tsis thoob tias koj tsis paub tias yog vim li cas koj thiaj li tau muab nws, qhov no yog qhov tshwm sim. Feem ntau, tus kws kho mob nws tus kheej tsis paub thiab. Muaj ib txoj cai tsis hais: yog tias koj tsis paub yuav kuaj mob dab tsi, nthuav tawm VSD.

Kuv tuaj ntsib kws kho mob tsis txaus siab, nws hais tias kuv muaj VSD. Kuv paub tias qhov no ua tsis tau. Kuv yuav ua li cas? Cov kws kho mob dab tsi, dua li tus kws kho mob hlwb, koj yuav tsum hu rau?

- Zoo, muaj ob txoj kev xaiv.

1. Khawv koob: Sim ua kom tus kws kho mob zoo li tus neeg ruam thiab kawm qee yam. Koj xav tau kev paub zoo txog qhov teeb meem, kev tshaj tawm xov xwm tsis txaus ntseeg thiab lub siab xav hloov lub ntiaj teb kom zoo dua (raws li koj tuaj yeem pom, tsis yog lus hais txog kev kho mob).
2. Txhawm rau nrhiav tus kws kho mob paj hlwb uas tsis tso VSD, xyoo 2017 twb muaj txaus lawm. Peb ncaj qha txhawb peb tus kheej: "Tsis muaj VSD, homeopathy thiab physiotherapy!" Koj tuaj yeem sim mus ncaj nraim mus rau tus kws kho mob hlwb, tab sis nrog lawv txhua yam tseem phem dua li cov kws kho mob hlwb.

Puas muaj kev txav mus rau cov tshuaj pov thawj? Hais lus ntxhib, yog kuv hais tias: "Tus kws kho mob, kuv tsis ntseeg VSD, kuv tsis tuaj yeem sau tshuaj nootropics", tus kws kho mob puas tuaj yeem nkag siab txog txoj haujlwm no? Lub caij nyoog yog dab tsi?

- Tau kawg, tsis yog txhua yam muaj kev cia siab! Muaj OSDM.org, ib pawg ntawm cov neeg nyiam (xws li kuv, kek), ib ceg Cochrane tab tom qhib hauv Kazan, cov chaw kho mob loj loj pib nkag siab tias cov tshuaj pov thawj yog qhov zoo, thiab txawm tias Ministry of Health tau ua pov thawj raws li cov lus qhia (nyob ntawd, tau kawg, muaj umifenovir, zoo dua hu ua "Arbidol", tab sis kuj muaj ntau qhov tsim nyog).

Kuv tuaj hauv tsev kho mob, tso nyiaj ntau heev rau kev kuaj mob, nkim sij hawm, ces tus kws kho mob sau tias kuv muaj VSD. Cov lus nug dab tsi los nug thaum pib ntawm lub sijhawm teem tseg kom tsis txhob muaj qhov no?

- Lo lus tseem ceeb ntawm no yog cov lus nug. Koj yuav tsum nug cov lus nug txog txhua qhov kev ua ntawm tus kws kho mob, thiab tus kws kho mob tshwj xeeb yuav tsum tau teb lawv kom meej. kuv yuav tsum! Qhov kev kuaj xyuas puas tsim nyog? Puas yog nws ua tau yam tsis muaj nws thiab yuav ua li cas tom qab ntawd? Tus kws kho mob xav pom dab tsi hauv nws? Thiab yog nws tsis pom?

Yuav ua li cas tam sim no rau cov neeg uas tau kho VSD tau ntau xyoo? Puas yog vim qhov no, lwm yam kab mob tuaj yeem tshwm sim?

- Txoj kev xav, yog, tab sis kuv tsis tau tuaj hla qhov no thiab kuv xav tias qhov no tsis zoo li: cov neeg mob uas muaj VSD tau kuaj xyuas txhua zaus ntau zaus, uas tsis suav nrog qhov muaj peev xwm ploj mus yam mob hnyav.

Ib tug neeg raug kho rau VSD tau ntev, thiab nws pab nws. Puas yog nws tsuas yog cov nyhuv placebo?

- Yog, yog tias qhov no yog ib qho "VSD kev kho mob", vim hais tias hauv paus ntsiab lus nws cuam tshuam nrog kev kho nrog fuflomycin, uas muaj ib qho txiaj ntsig - placebo.

Tsis yog, yog tias tus kws kho mob tau sau qee cov tshuaj tsis zoo (hauv qhov no, cov no feem ntau yog cov tshuaj tiv thaiv kev ntxhov siab), tab sis tsis hloov qhov kev kuaj mob vim li cas, vim tias cov neeg mob lawv tus kheej feem ntau nyiam VSD, saib xyuas peb tsab ntawv no thiab yuav tsis muab rau lawv.

Xav tias tus kws kho mob hlwb sau SVD (somatoform autonomic dysfunction, F45.3) es tsis txhob VSD, tab sis kho nws tsis zoo. Qhov kev teem caij twg qhia tau tias nws yog lub sij hawm hloov koj tus kws kho mob?

- Kev kuaj mob ntawm F45.3 yog ib qho uas tsim nyog, niaj hnub thiab raug hloov pauv rau VSD. Tab sis ntawm no koj yuav tsum tau xyuam xim rau tsab ntawv F: qhov no yog kev kuaj mob puas hlwb. Yog li, yog tias nrog rau nws koj tsis tau muab tshuaj tiv thaiv kev ntxhov siab lossis tshuaj tiv thaiv kev ntxhov siab, ces tus kws kho mob yog ib tus neeg ruam, lossis ib qho ntawm ob.

Tib txoj kev tawm yog mus nrhiav lwm tus kws kho mob? Puas yog tus neeg mob tsis muaj lwm txoj hauv kev los cuam tshuam qhov xwm txheej?

- Koj yuav tsis ua pov thawj rau tus kws kho mob tias nws ua tsis yog yog tias koj tsis yog kws kho mob, uas, txawm li cas los xij, yog qhov zoo rau lwm yam tshwj xeeb. Kuv xav tias nws tsim nyog mus rau lwm txoj hauv kev thiab siv cov txiaj ntsig ntawm cov ntaub ntawv hnub nyoog: sau thiab tawm cov kev tshuaj xyuas ntawm cov kws kho mob, nrhiav cov lus ntawm qhov ncauj thiab qee qhov sau npe "Cov Kws Kho Mob tsis muaj VSD". Ntau tus neeg mob tuaj rau kuv uas hais li ntawd los ntawm qhov rooj: "Kuv tuaj rau koj, vim kuv tau kuaj VSD tau kaum xyoo, tab sis lawv hais txog koj tias koj tsis ua nws."

Yog tias koj xav kawm ntxiv txog kev kuaj mob uas tsis muaj nyob, thiab kawm paub yuav ua li cas paub qhov txawv cov tshuaj pov thawj los ntawm shamanism, peb pom zoo Nikita Zhukov cov phau ntawv ntawm cov kev kho mob uas muaj kev ntxhov siab tshaj plaws thiab cov lus dab neeg.