autonomic neuropathy

Neurocirculatory dystonia (NCD, vegetative-vascular dystonia). Has a functional nature, it is characterized by disorders of the neuroendocrine regulation of the cardiovascular system. Changes arising from failures in the management tone of sympathetic and parasympathetic systems (refer to the autonomic nervous system) from the higher autonomic centers may lead to the development of so-called vegetative dystonia.

Most often it manifests disorder of cardiovascular activity with the development of vascular dystonia. Some people vegetative dystonia is observed from birth: they do not tolerate heat or cold, with waves blush or turn pale, sweat. Children vegetative dystonia can manifest nocturnal enuresis. In adults (mostly women) violation of regulatory functions of the autonomic nervous system, sometimes proceeds in the form of attacks - autonomic crises. Dystonia occurs on the basis of nervous overstrain or after acute and chronic infectious diseases, poisoning, vitamin deficiency, nervous breakdowns.

Symptoms of vascular dystonia may be permanent or manifest attacks - the so-called autonomic-vascular paroxysms. Persistent symptoms are more often in the innate instability of the nervous system. These people are poorly tolerate the weather, with physical work and emotional experiences can easily turn pale, turn red, feel the heartbeat, increased sweating.

Autonomic-vascular paroxysms start with either a headache or a pain in the heart and heartbeat, redness or blanching face. Blood pressure rises, the pulse becomes more frequent, increases body temperature, shivering begins. Sometimes there is a causeless fear. In other cases, there comes a general weakness, dizziness occur, darkening of the eyes, sweating, nausea, decreased blood pressure, pulse uryazhaetsya.

Seizures usually last from several minutes up to 2 - 3 hours, and many go without treatment. When aggravation of vascular dystonia of hands and feet are reddish-cyanotic, wet, cold. Lots blanching on this background, giving the skin a marble look. Numbness in the fingers appear, tingling, tingling and sometimes pain. Increases the sensitivity to cold hands and feet very pale, and sometimes the fingers are puffy, especially during prolonged supercooling brushes or stop.

Overwork and anxiety increase the frequency of seizures. After an attack a few days may remain a sense of weakness and general malaise. One form of autonomic-vascular paroxysms is faint. If you faint suddenly darkens the eyes, pale face, comes great weakness. Man loses consciousness and falls. Seizures usually does not happen. In the prone position syncope will be faster, it also contributes to inhalation of ammonia through the nose.

Depending on the reaction of the cardiovascular system emit 3 types of neurocirculatory dystonia: cardiac, hypotensive and hypertensive.

Cardial type - complaints of palpitations, irregularity in the heart, sometimes feel the lack of air, may mark the change of cardiac rhythm (sinus tachycardia, marked respiratory arrhythmia, supraventricular extrasystoles). Electrocardiographic changes, or sometimes no marked changes in spike T.

Hypertensive type - fatigue, muscle weakness, headache (often instigated by hunger), chill hands and feet and a tendency to syncopal conditions. The skin is usually pale, his hands are cold, wet hands, a decline in systolic blood pressure below 100 mmHg

Hypertensive type - characterized by a transient increase in blood pressure, which is almost half of the patients is not combined with the change being detected and the first time during a medical examination. The fundus, in contrast to hypertension, no change. In some cases, possible complaints of headache, palpitations, fatigue.

Preventing vascular dystonia must begin with a hardening in childhood and adolescence, the rational organization of work and leisure. Necessary to avoid nerve strain, when the disease carefully respect the doctor and other appointments.

Treatment of vascular dystonia - a complex with the use of drugs and physiotherapy procedures performed by a doctor. In order to improvement patients are widely used therapeutic exercise, outings, hiking, spa treatment, normalization of life, quenched procedure. If irritability, sleep disorders - drugs valerian, motherwort, valokordin, sometimes tranquilizers. When hypotensive type - physiotherapy, Belloid, caffeine, Phethanolum. In hypertensive type - betaadrenoblokatory, drugs rauvolfin.