Vegetative ntsoog: qhov kev ceeb toom tej yam tshwm sim thiab cov tu siab yuav tshwm

Heev feem ntau, vegetative ntsoog raug xa mus rau los ntawm lub sij hawm "ntshai nres", tab sis lub essence ntawm tus kab mob tsis hloov. Nws yog ib tug natural xeev ntawm epileptic keeb kwm, uas yog qhia polymorphic vegetative mob provoked los ntawm cov kev ua ntawm lub hauv paus autonomic lug. Cias muab, nws yog ib yam ntawm cov kev mob ntawm lub cev, uas zoo nkaus li thaum lub cev, lub hlwb, endocrine ntshawv siab, raws li zoo raws li nyob rau hauv tus ntawm cov tshuaj. Tab sis nyob rau hauv Feem ntau, vegetative ntsoog yog ib tug mob hauv daim ntawv ntawm neurotic mob thiab yog nrog los ntawm ib cov kev puas hlwb tsis meej. Tej ceeb tsis meej yog recurrent nyob rau hauv cov xwm, uas yog systematically rov tshaj ib tug tej lub sij hawm ntawm lub sij hawm, thiab qhov ntev ntawm no luv nyob ntawm ntau yam tseem ceeb. Los ntawm lawv qhov, psycho-vegetative paroxysms feem ntau muaj ib tug kev tshuaj ntsuam genetic predisposition, uas yog ib tug keeb ntawm noob caj noob ces, thiab nyob ntawm seb tus kawg ntawm lub autonomic lug.

Yuav ua li cas yog lub zog ntawm tus kab mob no? Ua ntej ntawm tag nrho cov, ib tug tej yam regularity yog tracked, uas kom meej meej txhais tau lub hnub nyoog qeb ntawm cov neeg mob. Yog li ntawd, vegetative ntsoog yog ntau ntau nyob rau hauv cov poj niam uas 20-40 xyoo, cov thawj ntawm nws aggravation, nyob rau hauv qhov tseeb, muaj tsis zoo yog vim li cas. Attack tsub kom rau ib tug ob peb feeb thiab yog nrog los ntawm complex autonomic mob: tsis muaj cua, tachycardia, mob los yog tsis xis nyob rau hauv lub kaus siab, hyperhidrosis, irrepressible co, kub flashes los yog ua daus no, koj ua daus no, kiv taub hau, xeev siab, lightheadedness, mob plab ntswj, kem plab, nquag tso zis. Vegetative ntsoog, cov tsos mob ntawm uas muaj ib tug ntau yam pauv loj load thiab ua nyob rau hauv ib tug stressful mob feem ntau ntawm tag nrho cov hauv nruab nrog cev, tsis sawv cev rau ib tug tiag tiag kev hem thawj rau lub neej, txawm li cas los ntau yam ntxwv nyob rau hauv cov puas siab puas ntsws lub xeev. Nyob rau hauv tas li ntawd, rau qhov no pathology cov yam ntxwv ntawm hysterical cov tsos mob, nyob rau hauv particular, ib tug split cwm pwm, fem, kev chim, tsis nco qab, mutism, ib tug siab ntawm detachment los ntawm lub ntiaj teb no. Tej zaum vegetative ntsoog nrog kiv taub hau thiab lwm yam vestibular ntshawv siab.

Thaum nws los txog rau panic teeb meem, nws yog tsim nyog los faib ib yam nyiam repetition, txij thaum lub zaus ntawm kev npaj txhij txog kev rov muaj dua yuav sib txawv los ntawm ob peb lub sij hawm ib hnub twg rau ib tug ob peb zaug ib xyoos. Tus nab npawb ntawm repetitions ntawm qaug dab peg nyob rau hauv ntau cov neeg mob, muaj ib tug npau taws ntshai ua ntej lub neej yav tom ntej ntshai sib cem. Nyob rau hauv cov neeg mob uas agoraphobia pib vam meej, uas yog, nyob rau hauv expectation ntawm lub tom ntej no aggravation lawv tsis txhob crowded qhov chaw, raws li yog hais tom nrhiav rau cov secluded "fab" rau tom ntej no nres.

Nws yog nyuaj heev rau kev tshawb nrhiav lub vegetative ntsoog, uas nws kho mob yog tseem nyuaj heev. kiag li tsim nyog kom meej mob mus kaws txhua yam kab mob zoo li no cov tsos mob, xws li qaug dab peg, mob hawb pob thiab lwm tus neeg. Tsis tas li ntawd, tsis txhob ua ib qho kev zam thiab kev puas hlwb pathology, xws li ib tug vegetative ntsoog zoo xws li cov ib co phobias, schizophrenia, endogenous kev nyuaj siab. Tom qab ib tug ncauj lus kom ntxaws kev soj ntsuam ntawm tej tus kws khomob tshwjxeeb yuav tsum tsim kom muaj phooj ywg kev sib raug zoo nrog tus neeg mob yuav nti qhia rau nws lub siab lub essence ntawm tus kab mob, thiab kuj yuav piav li cas koj yuav tiv thaiv tau qhov tshwm sim ntawm tawm tsam. Qhov tseem ceeb tshaj - mus qhia rau tus neeg mob lub tswv yim uas nyob rau hauv kev phem ntawm lub heev ntawm tawm tsam ntawm ib tug ntshai nres, nws muaj tsis muaj yog vim li cas yuav ntshai rau lawv lub neej, vim hais tias cov kab mob tsis dais ib tug ncaj qha kev hem thawj. Tsis tas li ntawd muab rau intensive kev kho mob txoj kev kho, uas muaj xws li tau txais antidepressants xws li amitriptyline, Doxepin, clomipramine, Tianeptine, thiab benzodiazepines, e.g., Alprazolam, lorazepam. Tus thawj pharmacological pab pawg neeg ua heev maj mam thiab tej zaum kuj nrog los ntawm ib tug deterioration ntawm, thiab cov neeg sawv cev ntawm lub thib ob farmagruppy pib txav ceev dua, tiam sis cov chav kawm ntawm tej kev kho mob yuav tsum tau txwv, txij li thaum lawv yuav ua rau lub cev co hom. Kev kho mob ua ke nrog hais txog qhov ntawm txij nkawm txoj kev kho.

Tus neeg mob yuav tsum tau kawm kom raws sij hawm raug ntes vegetative ntsoog, piv txwv li, ib ntsiav tshuaj nyob rau hauv tus nplaig Relaniuma, xwb ces koj yuav txo tau cov xov tooj ntawm rov thiab ho tsis lawv tus kheej lub xeev.