He aha e nga tohu tohu somatoform pōrearea autonomic o te pūnaha io?

Somatoform pōrearea autonomic - matatini i roto i ngā o Tātaritia te mate. He maha tohu pērā i te hauora tinana me te hinengaro. Ano, tūroro mate i a ratou, ite i te tohu o te mate whakapeka nui e whakaiti i to ratou iteraa ngaio. No te mea o katoa e pā ana ki te mate, kia matau koutou i roto i te taipitopito.

mate SVD Overview

Somatoform pōrearea autonomic (SVD) atu pinepine kitea i roto i nga tangata o tau hōia, ranei i roto i tūroro e mamae slozhbu akiaki whai wāhi i roto i te whawhai tika ranei. Tenei mate, e faaite ake taimaha o tohu kore-motuhake, me te titau tātaritanga āmiki. Ko tōna whakaaro, ko te ki te whakakore i te abnormalities hanganga o te ngakau me te arrhythmias rite te pai kia rite ki mate o te pūnaha io pokapū.

Kei te whakapono te reira e somatoform pōrearea autonomic ko te tāne i tamau i waenganui i te pūnaha io pukuaroha, me te parasympathetic. SVD iho e wehea ki e toru ngā momo: svd hoki cardiac, hypotonic me te momo hypertonic. kia rerekëtanga ratou i te mate ngakau, matua hypo- me takawhita, faatiti'aifarohia nei te i roto i te akoranga o ngā i te karanga mo te whawhai. Hoki tenei take, kitea wahine SVD iti pinepine i te tangata, me mau tamaroa. Ahakoa kore te 80% o te tātaritanga kitea whakapumautia e te pokapū komiti vrachebnokonsultatsionnoy.

tohutanga SVD

Somatoform pōrearea o te pūnaha io autonomic whakakitea te tohumate papatipu nonspecific. E mea pinepine puta matapōkeretia ratou i runga i te whakamārama o te ahotea me te whakamatautau i roto i ngā āhuatanga ata. Mea nui, ano kia kia huaina te IRS he syndrome no reira tino whai wāhi te maha nui o tohu. E whakaaturia ratou nga kōwhiringa syndromes e whai ake nei: cardiac, hypotonic, hypertonic. Ano, i reira kia kia simtpomy noa, tohu dyspepsia, disorders romahā, disadaptative tinana. Ka ēnei tohumate e kōrero i roto i te taipitopito.

tātaringa Basics

Ko te paearu matua mo te tātaritanga o te pānga ki SVD ko: te roanga o ngā tohu (nui ake i te 2 tau) me te gemodinamicheskiznachimyh ngaro ranei te ora-te whakawehi arrhythmias cardiac hanganga ranei. Tino korero, nga abnormalities iti katoa cardiac kore hua i roto i ngā huringa o disorders manawataki ngakau, kōwhao ranei, kia ngā.

Tātaritanga "pōrearea autonomic Somatoform" taea reira te ngā ki, hei tauira, tricuspid (mitral, te pūtahi o pūkahukahu ranei) kore, arrythmia onge, rangitahi syndrome WPW CLC ranei. Heoi, kia taua tūroro hei maharatanga 2 nga wa i te tau ki te tāutu i atu maumaui. Ko reira kitea e te nuinga o nga momo tātaritanga svd he rongo nui kitea me te iwi taitamariki, e kore e tika ki te tīariari. E mea pinepine, te tātaritanga ko te tākuta ia, kahore he amuamu noa i runga i te kaupapa o te aroaro o hē iti hanganga i roto i te ngakau. No te mea e totohe e pā ana ki 80% o tātaritanga, engari te auraa haumanu i amuamu anake me comorbidities me syndromes.

tohu noa o SVD

I roto i taua mate, ka rite ki te pōrearea autonomic somatoform, he maha tohu whānui. Tenei raruraru tūāhua, dysphoria, dysthymia, i pai ki te mahi i tetahi mahi tinana, raruraru o hiahia, uaua ngoikore, pāhoahoa recurrent, te nuinga paetata i roto i te kōpako, me te rohe kōpako. I te tahi taime te māharahara te manawanui e pā ana ki whanoke me te tahu sensation i roto i te wāhi podlozhechkovoy kore e pā ana ki te matekai makona ranei.

āhuatanga he amuamu taua e asthenic syndrome somatoform pōrearea autonomic. Tūroro ahu ki te kia hohekore, i ētahi wā kore o te kaupapa, me te ngāwari pouri. E hiahia ki te tango i runga i mahi hou i ia o enei āhuatanga āhuatanga. Piki, kahore e oti ratou. Haapapu, Heoi, introversion, e whanake rite ki te hua o te angitu iti i roto i te hākinakina hohekore tinana ranei arata'i ki te meka e ahu tamariki ki te utu mo tenei ako. He pai i te mahara ratou, engari i roto i te taumaha āhuatanga whakaaro irrationally. Tupato ano ahotea me i pai ki te whai wāhi i roto i ngā take e rapua e te oaoa aronganui, he āhuatanga āhuatanga o tūroro ki somatofrmnoy pōrearea autonomic.

mahi tinana i SVD

kātakí iti ki te mahi tinana - he mea he tohumate angamaheni o SVD. E hiahia ki te tango i ake mahi i roto i te akomanga mo te mātauranga tinana, ina koa, ki te titau te reira kaha tūroro. Tikanga, He ngāwari hoki enei tūroro kēmu pūkoro, i meinga mahi kaha te rota o te he. kia e koe te kite ai i muri i te rere i te reira atu dyspnea atu te tahi atu tamariki a te hanga taua. I tua atu, enei tūroro hohoro te tiki ngenge, he raro atu i te etahi o ratou manawanui. Ano i runga i te kawenga papamuri kia puta tohumate SVD romahā cardiac ranei whakaahuatia i raro nei.

Cardiac (ngakau) amuamu o tūroro

whakakitea Somatoform pōrearea o te pūnaha io autonomic e maha tohu e meinga e te tāne i waenganui i sympathico me parasimpatikoy innervated okana. amuamu Heart, mai i te tinana e te innervation autonomic, kei roto i te nui tino. Ko te tohu tino noa o SVD i te wahi o te ngakau, me te toto oko e: mamae cardiac, tachycardia, nui haere ranei heke pēhanga toto.

e kore te mea motuhake ki te mate ngā te āhua o te mamae i roto i toku ngakau. Pain Kei te nuinga o te mokotai me te ētahi wā te pēhi i. Ratou wāhi - te ngakau o te turanga (3-6 cm ki te maui o te whaturei) me te tihi (5 cm ki te maui o te whaturei i te wāhi intercostal 5). Ka taea te meinga Tachycardia i te ahotea aronganui ahotea tinana ranei. He mea nui kia whakawhanake te reira i te pikaunga taikaha kawea e mahara. Hei tauira, puta tachycardia tonu i te aroaro o te mahi ranei i te timatanga rawa, a kore rite tona ara.

He mea nui kia te mamae i roto i toku ngakau, ki te whai ratou i te huru o te tahunga, a (ranei) te kōpeke ka puta 20-30 meneti, kia i titiro rite rere pūroto, e titau te tuhi o electrocardiography mo te wā poto taea o te wā. Ko tenei tika ki te aroaro o hinonga haumanu pērā i kē angina me X. syndrome cardiac I roto i enei pathologies 50-100 wa teitei te tūponotanga o te mate coronary ohorere.

Hypotension takawhita ranei

whakawhanake takawhita pinepine. Ko te momo tino onge o SVD tenei, no te mea kei te tino maha kitea reira momo cardiac hypertensive ranei. Otiia momo hypotonic SVD putanga ia wā maturuturu i roto i te pēhanga toto i runga i ringa e rua. He mea nui kia te tātaritanga o tenei momo o te mate e hiahiatia ana ki te mahi i echocardiography me electrocardiography, e tukua ana ki te aukati i te aroaro o te mate ngakau arrhythmias ranei. E hoki kaihapai tohu o SVD, ahakoa nonspecific.

Takawhita - Ko te amuamu angamaheni. Tūroro staradayut pēhanga ara i mua i te raveraa i mahi tinana, kaua ki te roto i te reira. Kei te tikanga nui haere te pēhanga i roto i te noho motuhake e whakaarahia ki te pēhanga toto 160 systolic, i te diastolic ko te taua. I roto i te tirohanga o te elasticity o oko toto i roto i taiohi, me te kuao wahine e whai pōrearea autonomic somatoform o te ngakau, ko te taea e pāngia atu maha, te pēhanga toto diastolic me e heke ahua.

Ko e tika ana ki te tāne i o te pūnaha io pukuaroha, me te parasympathetic tenei, E faarahi uaua ka iatuku norepinephrine, whakaiti resistance iaia piringa. He mea nui kia nui haere te pēhanga e tonu, no te mea e kore e taea te whakaturia te tātaritanga o te takawhita.

amuamu romahā

I roto i te mate pērā i somatoform pōrearea o te pūnaha io autonomic e hoki tohu o pūāhua romahā. Ture o ratou ahua rite ki te hunga i roto i te take o te cardialgia, hypotension takawhita ranei. Ko, o tohu romahā puta i roto i mahi. Hoki, e te hunga motuhake ki te SVD, taea puta ratou i muri i te otinga o te mahi i roto i te wā toenga. Ko tenei i roto i te rerekē ki amuamu romahā svd o tohu huangō o te ahotea tinana.

Tauira o ngā amuamu ki SVD: whakahuatia dyspnea whakauru i runga i te oma ranei i wā era i muri i tona whakatinanatanga, uma tightness me te manawa fifi. No te whakarite, i roto i te huangō whati launoa. Fakataha ki amuamu romahā i taua mate rite somatoform pōrearea o te pūnaha autonomic whakakitea cardiac. Ratou ahua tahi - kōrero, engari tohu kore-motuhake, kia pozvolyayuy he tātaritanga taua.

Dyspepsia ki SVD

I roto i te mate pērā i somatoform pōrearea o te pūnaha io autonomic, he maha nga take. piri ratou i roto i te tāne i waenganui i nga pūnaha io parasympathetic me pukuaroha. Ano, Kei te whai wāhi hoki te wahi gastrointestinal katoa i roto i tenei tukanga, no te mea kei te tino innervated reira e te pūnaha parasympathetic. whakahaere te io vagus te secretion i roto i te kopu, taiaki, whēkau. Ko ia te kawenga mō ngā pūkenga nekeneke me te nakunaku katoa. No te mea ka puta SVD pinepine dyspepsia, me te mamae puku.

O kia tohaina nga ngā diarrheal tino noa whakapairuaki, kahore ruaki, te mamae recurrent i roto i te rohe epigastric, e kua āhuatanga e kuru mokotai ranei. e kore e ratou ahua whakawhirinaki i runga i te kai: ko reira huru, me te te e pā ana te nuinga ki te ahotea. Hoki, ka taea te paetata te mamae i roto i tetahi atu rohe o te puku. puta ano ratou kitea rawatia ake i roto i mahi ranei. e kore e ēnei mamae kawea atu i roto i te tahi atu wahi o te puku, me te e haere tahi i te kirika, korere ruaki ranei.

He mea nui kia te tohu whakarārangitia i runga ake puta me te syndrome whēkau pukukino. Kei te whakapono te reira e enei mate rerekē. Heoi, ka ko ano hoki te take o IBS porangi motility colonic. No te mea, pea, kia whakaaro rite IBS tohumate SVD. I tua atu, ko reira atu noa i roto i tūroro mate i SVD. E roa tohu o syndrome intestinal nohoanga, bloating me te ngaehe i roto i te puku.

tātaritanga tika o SVD

I roto i te mate pērā i somatoform pōrearea o te pūnaha io autonomic, tīpakohia te maimoatanga e takitahi i runga i nga tohu anö rānei. e kore e taea te whakaturia SVD tātaritanga kahore amuamu a te manawanui, whakakitea 2 atu ranei nga tau ki te whakatau i te paearu i runga ake. He mea nui hoki ki te whakakore mate organic katoa: congenital (riro ranei) melé ngakau, arrhythmias, mate thyroid, mariao puku (ranei 12 whewhe duodenal), gastritis, mate a Crohn, diverticulosis whēkau.

Ko reira tika hoki ki te karo i te taea te mate hinengaro, e faaite mai i disorders somatoform. Tenei te tikanga e hiahia ana te manawanui ki te mahi i etahi rangahau: ki te hanga whakamātautau toto whānui, me te matüora, urinalysis, toto kūhuka me te repe hormones schitovdidnoy, tuhi te ECG, te mahi echocardiography, FEGDS, ultrasonography o pera brachiocephalic me thyroid. faaoti te hua o te rangahau e, ahakoa pāngia ranei te faaiteraa tohumate SVD taua pā ki ētahi atu mate.

pōrearea autonomic Somatoform: maimoatanga

tukinotia SVD e maha ngā tikanga e ngā rongoā, huaora therapy, supplementation o te toenga kohuke o te tinana, therapy mahi me te therapy tinana. I roto i te rongoā nui ki te taurite nootropics (pōuritanga ranei) ki te cardiotropic. He tauira ko te takanga ngā "Phenibutum" ranei "Noofen" i te horopeta o 250 mg toru nga wa he ra mo te 2 marama "Thiotriazoline" 100 mg 2 nga wa he ra mo te 2 marama. I runga i te whakarite o pōuritanga kia kōrero te tākuta nei e aromatawai i te tau, me te potenialnuyu ati o taero ki te manawanui.

I roto i te mate pērā i somatoform pōrearea o te pūnaha io autonomic, te maimoatanga hoki ngā mineralotherapy. Whakamatauria e, mo te tauira, prolapse piha mitral , atu kore o mapuni e pā ana ki te tāne i konupora interstitial ranei. Ka whakaora ona taumata āwhina ki te whakaiti i nga tohu o amuamu cardiac me te pakeke o te hypotension takawhita ranei.

Huaora, ngā whakakīkī anō huaora C, E ko D, me te B1, B2, B5 me te B6 ko te titauraa kouma. Heoi, kei te ruarua riro enei matū huaora i roto i coadministration. No te mea e hiahiatia ana utu maimoatanga 1 marama rōpū huaora C, E ko D, a ka 1 marama huaora B1 me B2, ka 1 marama B6 me B5. O te akoranga, pera i roto i te kōpiro nui o ngā raraunga tangata e synthesized huaora ratou, kia kai ano hoki huawhenua hou me otaota, kahore maimoatanga wera.

Mai te whanaketanga o te SVD whai te tūranga o te iti te moni i roto i to ratou ake hauora, me te tau'a ore o te tinana, te ētahi o huaora me ngā ōpapa, āwhina ana ki te whakaiti i te pakeke o ngā tohu. Occupational Therapy i roto i te maimoatanga hōhipera (utu-kia rite i roto i te whare hauora e kore e utunga tukuna tūroro ki SVD) ka whai pānga nui atu eu. Ko te manawanui pai whakamārama e ara te toenga, ko te rongoa i te iti rawa hoki ia no te mea i roto i te toenga i kahore amuamu.

Somatoform pōrearea o te pūnaha io autonomic (ICD-10)

I roto i te whakarōpū ao o te mate ki reira mai i 1993. kitea ana tēnei māuiuitanga e puta noa te ao, me te kore e whakawhirinaki i runga i te āhuatanga o te iwi ngā iwi ranei. Ko te ICD 10 somatoform pōrearea autonomic Revised V me VI upoo parau. Kei roto te tuatahi "Mental me disorders whanonga" (ā waehere F0-99), me te tuarua - "pōhewahewa, e pā ana-ahotea me somatoform disorders" (waehere F45-F48 ā).

F45 Kāwai ngā te pathologies e whai ake nei: te whakararuraru, somatisation, whakararuraru somatoform undifferentiated, somatoform pōrearea autonomic tika, whakararuraru hypochondriacal, ukauka whakararuraru somatoform mamae, me te tahi atu disorders kāore o te ture io. somatoform ia he whakawaeheretia waehere pōrearea F45.3 autonomic me titau te whakakorenga o whekau mate innervated pūnaha io autonomic piringa.

mutunga

He maha kaipūtaiao inaianei whakapono e kia kia whakaaro te pōrearea autonomic somatoform i roto i te taipitopito atu. pā ana tēnei mate urutaunga pāpori o te manawanui. I roto i te maha o te wā i whakamatauria te faaiteraa ngā o te SVD me kōhikohiko hanganga i roto i sedrtse. Ko te whānui o te echocardiography mahi whakaaetia ki te kitea i roto i taua i te aroaro o atu tangiata o te mānawanawa maui, me te piha mitral prolapse nekehanga raro ki regurgitation iti. Tata māuiuitanga arrhythmias faingataa me mata ki te kore te ngakau congestive ki tau.

Tenei te tikanga e kia kia whakaaro he pōrearea autonomic somatoform rite te tohumate (syndrome), tono he rata mo tātaritanga atu, e hāngai ana ki te tāutu o comorbidities. Ahakoa te i konei parakore - he mate neurogenic, e pā nei te ki te tāne i waenganui i te pūnaha io piringa pukuaroha, me te parasympathetic. Hoki, i roto i te tirohanga o te hiranga pāpori o māuiuitanga, he mea nui ki te whakatū i ngā paearu tātaritanga mārama mō te SVD. Tenei ka tukua ki te rerekëtanga mate psychogenic me somatic i roto i te mahi o ngā mahi ki te karanga mō te te whawhai.