Вегетососудистая дистония (ВСД) – это синдром, включающий в себя проявления различных нарушений вегетативной нервной регуляции деятельности внутренних органов.
Для большей ясности следует сделать небольшое отступление. Периферическая нервная система подразделяется на соматическую и вегетативную части. Соматические нервные волокна контролируют деятельность скелетной мускулатуры.
То есть, отвечают за иннервацию тех структур, которыми можно управлять осознанно. А вегетативные нервные волокна контролируют работу внутренних органов, а также всех структур, имеющих в своем составе гладкую мускулатуру. Следовательно, вегетативная иннервация регулирует деятельность органов нашего тела, которыми мы не можем управлять осознанно.
Таким образом, становится ясно, что при нарушении вегетативной нервной регуляции нарушается деятельность внутренних органов, а также гладкомышечных структур (в первую очередь – сосудов).
Проявления ВСД и ее последствия зависят от того, иннервация какого органа и / или структуры нарушена, поскольку процесс, как правило, поражает отдельные органы. Опасна ли ВСД? Как можно профилактировать этот синдром? Об этом мы расскажем вам в данной статье.
Об опасности ВСД
Сама по себе ВСД не представляет опасности для жизни пациента. Дискутабельным является вопрос о том, можно ли умереть от ВСД. Большинство врачей с уверенностью ответят на этот вопрос «нет», но наверняка найдутся и те, кто ответит положительно. Давайте разберемся с опасностями этой патологии.
Итак, чем опасна ВСД? Достоверно известно, что данный синдром:
- повышает вероятность развития психосоматических заболеваний;
- протекает с кризами, которые тяжело переносятся больными;
- может приводить к физической и/или психологической дезадаптации, в особенности у детей.
Разберемся с каждым из указанных выше пунктов.
Самыми распространенными психосоматическими заболеваниями являются гипертоническая болезнь, язвенная болезнь, желчнокаменная болезнь, хронический панкреатит и ожирение. Среди психосоматической патологии, развивающейся вследствие ВСД, распространенными также являются различные нарушения сердечного ритма и проводимости.
Каждое из этих заболеваний имеет последствия, среди которых есть и опасные для жизни. Именно это объясняет путаницу среди специалистов касательно вопроса о том, можно ли умереть от ВСД. Умереть непосредственно от ВСД нельзя, а вот от осложнения психосоматического заболевания, развившегося вследствие ВСД – вполне возможно.
ВСД протекает с периодическими обострениями, которые также называют приступами или кризами. Подчеркнем, что умереть непосредственно от приступа ВСД нельзя. Как бы тяжело приступ не переносился больным, сам по себе он не представляет угрозы для жизни.
Можно бояться умереть во время приступа, ведь страх смерти является характерным симптомом для кризов ВСД. А умереть во время приступа можно лишь вследствие какой-либо другой причины, которая может быть как связанной с ВСД, так и не связанной с данной патологией.
Пациентка Владлена, 15 лет. Врачем-педиатром был установлен диагноз ВСД. Периодически у пациентки возникают кризы, во время которых она тяжело дышит, жалуется на боли в сердце и со слов матери «боится умереть».
Короткая справка. Такая картина типична для пациентов с истерической акцентуацией личности.
Это особенность психотипа, при которой пациенты склонны демонстративно проявлять свои жалобы. Однако симптомы на самом деле беспокоят больных и довольно тяжело переносятся. Но вероятность смерти во время такого приступа минимальна.
В периоды обострений ВСД может значительно ухудшать качество жизни больных, ограничивая их повседневную активность и снижая работоспособность. Как следствие может развиться дезадаптация пациента. Данному явлению в большей степени подвержены больные детского и подросткового возраста, а также взрослые с нестабильным эмоциональным фоном.
Можно подвести итог всему вышесказанному и отметить, что последствия ВСД могут представлять угрозу для жизни больного, однако сам синдром – нет. При условии своевременного выявления, лечения, а также вторичной профилактики ВСД имеет благоприятный прогноз.
Синдром можно контролировать, соблюдая все рекомендации лечащего врача. При условии отсутствия лечения или приема пациентом неадекватной терапии прогноз ухудшается, снижая качество жизни и негативно сказываясь на общем состоянии больного.
Первичная профилактика патологии
Профилактика вегетососудистой дистонии может быть первичной и вторичной. Первичная подразумевает комплекс мероприятий, основная цель которых – препятствовать развитию синдрома и укрепить здоровье. А вот вторичная профилактика ВСД направлена на то, чтобы профилактировать развитие осложнений патологического процесса.
Комплекс мероприятий по первичной профилактике включает пункты, приведенные ниже.
Важно вести здоровый образ жизни.
Здоровый образ жизни – это очень широкое понятие, поэтому мы конкретизируем и укажем что именно важно для каждого, кто хочет профилактировать развитие ВСД, а также укрепить здоровье:
- отказаться от имеющихся вредных привычек;
- сбалансировать свой рацион, есть здоровую и полезную пищу;
- заниматься спортом, поддерживать режим двигательной активности.
Кроме того, важно гармонизировать режим труда и отдыха.
Следует беречь себя от переутомления, которое может быть как умственным, так и физическим. Рекомендуется смена рода деятельности во время отдыха.
Например, если у вас сидячая работа в офисе, то следует отдавать предпочтение активным видам отдыха (прогулки на свежем воздухе, подвижные игры и так далее). Если же вы занимаетесь тяжелым физическим трудом, то крайне важно давать своему телу расслабиться и отдохнуть в достаточной мере.
Здоровый сон нужен каждому из нас.
Назвать точную цифру в часах было бы неправильно, поскольку необходимое время сна индивидуально для каждого. Кому-то нужно 9 часов, кому-то 8, а кому-то хватит и 5 часов.
Главное подобрать время для отхождения ко сну и для утреннего подъема таким образом, чтобы просыпаясь, вы чувствовали себя действительно отдохнувшими. Здоровый сон поможет укрепить тело.
Своевременно лечить имеющиеся заболевания.
Как уже было сказано выше, ВСД может приводить к развитию ряда заболеваний. Но следует учесть, что сам синдром также может развивать как следствие уже имеющейся патологии. Поэтому важно лечить имеющиеся болезни, особенно хронические. Так вы значительно снизите вероятность развития ВСД, поможете укрепить силы вашего организма.
Как видите, рекомендации по первичной профилактике ВСД предельно просты. Каждый из нас, выполняя вышеназванные пункты, сможет укрепить свое здоровье и профилактировать ВСД.
Вторичная профилактика патологии
Комплекс мероприятий вторичной профилактики, позволяющий предотвратить развитие осложнений ВСД, включает пункты, перечисленные ниже.
Строго придерживаться рекомендаций лечащего врача.
- Обращаться за медицинской помощью при развитии кризов ВСД.
- Лечить имеющиеся сопутствующие заболевания.
- Мыслить позитивно.
Все пункты, кроме последнего, просты и не нуждаются в дополнительных комментариях. А вот о важности позитивного настроя пациента следует сказать отдельно. Больной в обязательном порядке должен контролировать свои мысли, настраиваясь позитивно и избегая всевозможных негативных эмоций. ВСД – это синдром с выраженным психофизиологическим компонентом. Поэтому мыслите позитивно, избегайте негатива и будьте здоровы!
Пациент Семен, 41 год. Диагноз ВСД был установлен год назад, когда больной обратился к врачу с жалобами на общую вялость, частые периоды депрессий, а также головные боли.
Больному были даны рекомендации, назначена общеукрепляющая терапия, однако депрессивный фон продолжал присутствовать. По рекомендации другого врача пациент начал посещать сеансы психотерапии. Уже через 2 сеанса пациент заметил значительное улучшение общего самочувствия.
Короткая справка. Психотерапия и сеансы гипноза являются альтернативными вариантами лечения, а также вторичной профилактики ВСД.
В ситуациях, когда традиционные методы не позволяют убрать имеющийся депрессивный фон, рекомендовано прибегать к нетрадиционным методам.
Вегето-сосудистая дистония — это заболевание, которого до сих пор нет в международной классификации болезней любого пересмотра. В полной мере еще и непонятно, что она собой представляет: соматическое или психическое заболевание. Некоторые считают, что это вегетосоматическое нарушение, которое имеет обе природы. Но пока они спорят, люди жаждут узнать, какие последствия ВСД для обычного человека.
Ну, сначала никаких органических поражений не наблюдается, а потом обычно они локализуются в каком-то одном органе, вызывая нарушение его функций. Но обо всем по порядку.
Статистика
Это вещь упрямая. Она показывает, что около 30 процентов людей страдают вегетативными нарушениями. Правда, в учет берутся только те люди, которые обратились к доктору. На практике же это число может быть значительно больше — на уровне 50%, а то и больше.
Среди же тех, кто входит в статистику, обычно страдают ВСД дети, или девушки. Причина кроется в ранимости характера этих социальных слоев. Эмоциональность в принципе — преимущество, но она может выступать и недостатком, если речь идет о неумеренных количествах.
Некоторые заболевания, при которых ВСД выступает в качестве симптома
В большинстве случаев ВСД не является самостоятельным заболеванием, а лишь проявлением других. Причем самих болезней насчитывается огромное количество. В этой статье мы рассмотрим лишь некоторые.
- Железодефицитная анемия. Это болезнь, при которой наблюдается недостаток железа в организме, вследствие чего не образуется гемоглобин — основной белок, который участвует в транспорте кислорода.
- Гиподинамия. Это скорее не заболевание, а образ жизни, характеризующийся низкой подвижностью.
- Шейный остеохондроз.
- Эндокринные заболевания.
- Болезни внутренних органов.
- Неврозы.
И многие другие состояния. Ответ на вопрос “чем опасна вегето-сосудистая дистония” зависит от вида заболевания, его причин и основной болезни. Если ВСД проявляется, как первичное заболевание, прогноз более благоприятный.
Причины
Очень часто ВСД начинается еще в раннем детстве. Ну второй вариант — во внутриутробном периоде. Причина заболевания кроется обычно в генетике, кислородном голодании в пренатальном периоде или травмы во время родов. Немаловажный фактор развития болезни — курение и употребление алкоголя матерью во время беременности. Но у младенцев и маленьких детей особо нарушений не видно. Разве что новорожденными имеют меньше вес, а психика неустойчивая.
Что касается взрослых людей, у них ВСД проявляется по разным причинам:
- Длительный стресс, который заканчивается нервным срывом.
- Резкий накал эмоций. Это может произойти, когда случается что-то очень неожиданное Причем нет разницы, какой знак у эмоции — положительный или отрицательный. Вредны любые чрезмерно сильные чувства.
- Переутомление. Поэтому ВСД часто называют болезнью трудоголиков. Особенно если учитывать то, что офисные работники очень мало движутся. То же касается жадных к деньгам фрилансеров. Все хорошо, но в меру.
- Аллергия. Проявление неадекватной реакции иммунной системы может касаться любого органа. Если затрагивается нервная система, одно и последствий — ВСД.
- Вредный климат или экология.
- Малоподвижный образ жизни. Или же наоборот — гиперподвижный. ВСД — болезнь неумеренных. Неумеренных в работе, неумеренных в физической активности или отдыхе, неумеренных в эмоциях и так далее.
- Изменения гормонального фона. Поэтому очень часто ВСД впервые диагностируется у подростков.
- Неправильное питание. Недостаток или переизбыток определенных микроэлементов может спровоцировать первый приступ.
- Инфекционные заболевания. Причем чаще всего это вирусные болезни. Если ваш ребенок часто болеет ОРВИ — у него риск заболеть ВСД значительно выше.
- Интоксикации любого рода. Да, после неумеренного торжества за новогодним столом тоже можно заработать ВСД.
- Недостаток силы воли. Причем ее проявления могут быть правильными и неправильными. Верное применение волевой энергии — управление собственными мыслями, думать в нужном вам ключе. Это нелегко, но безвредно. А вот если человек не хочет чего-то делать, но делает, то это создает стресс. Такое проявление силы воли может только усугубить симптомы. Сила воли — это управление желаниями, а не действиями.
Симптомы
В зависимости от того, в каком участке локализуется болезнь, она может быть:
- Респираторной. Ее характерные признаки — невозможность сделать глубокий вдох, и параллельно человек жалуется на нехватку кислорода. Кроме этого, дыхание учащается (поскольку человек не может глубоко вдохнуть, для обеспечения органов нужным количеством кислорода, необходимо больше дышать). Все это пугает человека, могут параллельно добавляться панические атаки. Видим, насколько тесно сплетены между собой соматические и психические нарушения.
- Сердечной. При такой форме человек чувствует боль в сердце. Иногда может ритм прерваться, иногда орган замирает. Также может быть тахикардия. Вместе с ней наблюдаются и нарушения кровяного давления (снижение или повышение — гипотензивный или гипертензивный тип соответственно).
- Сексуальной. У мужчин она может проявляться, как аноргазмия — человек испытывает половое влечение, но при этом не может испытать оргазм. У женщин сексуальная ВСД проявляется в бесплодии и других симптомах. У обоих полов могут чувствоваться боли в пахе. В крайних ситуациях ВСД сексуального характера приводит к энурезу.
- Диспептическая. Здесь локализация перемещается на пищеварительный тракт. Человек может ощущать тошноту, которая доходит до рвоты, газы, запоры или поносы в зависимости от формы.
- Терморегуляторная. В этом случае могут быть беспричинные скачки температуры. Сначала нормальная, потом поднялась до 38 градусов, потом опять стала в норме.
- Психоневралгическая. Эта форма сопровождается невротическими проявлениями — паническими атаками, повышенной тревожностью, вспыльчивостью, агрессивностью, утомляемостью, неустойчивостью внимания и так далее.
Для того, чтобы поставить диагноз “ВСД”, необходимо обязательно проконсультироваться у психоневролога или невролога. Врач должен обследовать вас с помощью энцефалограммы, ЭКГ, КТ и другие методы диагностики с целью дифференциации проявлений ВСД от других похожих заболеваний.
ВСД — последствия и осложнения
А теперь мы собственно пришли к описанию того, что будет, если не лечить ВСД. Обычно среднетяжелая форма заболевания снижает трудоспособность человека на 50%. А если это усложненный вид болезни, то могут быть и все сто процентов. Прогноз во многом зависит от того, какая система органов в первую очередь страдала от проявлений заболевания.
Закончиться без лечения все может плачевно. Последствия сердечной ВСД — гипертония, гипотония и другие заболевания кровеносной системы. Психоневралгическая форма может привести к возникновению психических заболеваний (особенно у склонных к этому людей). Но если вовремя начать лечить болезнь, то прогноз благоприятный. Опасно ли ВСД для жизни? В этом плане переживать не стоит. Болезнь, конечно, приводит к значительному ухудшению качества жизни, но к смерти не приводит. Вместе с тем, стоит отметить роль эффекта плацебо. Известны случаи, что человек себя программировал на смерть в определенное время, как только слышал диагноз. Поэтому не нужно себя накручивать. Болезнь не смертельна, любая паника должна убираться волевым усилием. Теперь вы знаете и ответ на вопрос “опасна ли для жизни ВСД”.
Профилактика
Предотвратить болезнь сложно, поскольку доселе полностью не известны причины. Тем не менее, учитывая все вышесказанное, профилактика ВСД производится по следующим направлениям.
- Спорт. Одна из причин — гиподинамия. Исправляется эта ситуация обильной физической активностью. Специалисты рекомендуют начинать день с пробежки, поскольку она не только активизирует организм, но и предотвращает стрессы в течение дня.
- А ведь профилактика стрессов — одно из направлений профилактики ВСД. Неврозы возникают из-за слишком длинного или сильного напряжения, непривычного для человека. Более того, панические атаки могут быть проявлением ВСД.
- Избегание алкоголя, курения и кофеина. Здесь все понятно. Алкоголь и сигареты выступают одной из причин болезни не только из-за своего токсического действия, но и по причине того, что они создают стресс, как только человек впадает в зависимость. Причем испытывается он постоянно. Немного не хватает сигарет или выпивки, сразу организм бьет тревогу, а она может провоцировать панические атаки и ВСД.
Лечение ВСД
Избавляются от этого заболевания в зависимости от того, какой характер оно имеет. Если первичный, то обычно достаточно успокоительных настоек боярышника и валерианы. Первая стимулирует сердечную деятельность, а вторая — успокаивает нервы. Кроме этого, может применяться психотерапия (особенно если ВСД является проявлением невротических состояний).
Если же заболевание имеет вторичную природу, то в первую очередь надо лечить основную болезнь. Ну и добавить симптоматическую терапию. Также лечение зависит от формы.
Выводы
В этой статье мы разобрались в том, что такое ВСД, разобрали симптомы и лечения, последствия заболевания, Мы поняли, что это достаточно неоднозначное заболевание, которого нет в международном классификаторе. Поэтому его достаточно тяжело диагностировать.
Да и симптоматика неоднозначная, хотя в определенной степени единая классификация проявлений заболевания осталась. Также мы поняли, что опасность болезни преувеличена, хотя она может отравить жизнь.
Можно ли умереть от ВСД? Этот вопрос волновал, наверное, каждого, кто на протяжении жизни столкнулся хотя бы с несколькими симптомами вегетососудистой дистонии. С одной стороны, этот диагноз ставится едва ли не чаще всех прочих соматических и психических нарушений, с другой — многие специалисты не считают ВСД самостоятельной болезнью, а скорее комплексом симптомов и состояний.
Опасные симптомы дистонии
Диагностика вегетососудистой (еще одно название — нейроциркуляторной) дистонии часто затрудняется широтой разнообразия симптомов, описываемых пациентом. У многих это проявляется учащением сердцебиения, потливостью, ознобом, дрожью в конечностях и болями в груди. У кого-то сопровождается головной болью, скачками давления, затруднением дыхания или одышкой. Некоторые ощущают тошноту, иногда до рвоты, внезапные позывы по нужде. Все это тоже относят к симптомам вегетативного расстройства.
Часто все эти признаки объединяет чувство страха: от неясной тревоги до вполне отчетливого страха смерти. Особенно это актуально для человека, у которого дистония проявляется в основном кардиологическими симптомами: болью за грудиной, тахикардией, головокружением, потемнением в глазах. Такие больные в дополнение к этим ощущениям отчетливо ощущают страх умереть прямо во время приступа. Вполне закономерно, что у них возникает вопрос, чем опасна ВСД и не приводит ли она к непоправимым последствиям.
Помимо страха, обостряются и другие эмоциональные расстройства. Больной ощущает повышенную утомляемость, раздражительность, панику, общую нестабильность эмоциональных реакций. Накопившийся постоянный стресс крайне негативно влияет на качество жизни, и в этом аспекте последствия ВСД можно считать опасными для общего самочувствия человека.
Причины и механизм развития ВСД
Диагностические исследования говорят, что этот комплекс симптомов является следствием дисбаланса в работе вегетативной нервной системы. В отличие от соматической нервной системы, которая управляется сознанием и разумом, вегетативная работает без нашего участия. Это регуляция дыхания, сердечных сокращений, фокусировки зрения и других базовых функций организма в зависимости от окружающих условий: например, ускорение реакции и учащение сердцебиения в экстремальных условиях или замедление дыхания и расслабления мышц во сне. Этот отдел нервной системы работает всегда: с момента рождения человека и буквально до самой смерти.
Среди факторов, провоцирующих это нарушение, выделяют следующие:
- Наследственность. Известно, что расстройства нервной системы часто передаются по наследству, и дистония — не исключение. Если кто-то в роду страдал эмоциональной лабильностью, повышенной тревожностью, спонтанными страхами, то следующие поколения попадают в группу риска.
- Период гормональной перестройки. Время, когда организм переживает перестроение эндокринной системы (подростковый возраст, беременность, роды, постоянные сильные стрессы и т.д.), становится благоприятной почвой для проявления симптомов НЦД. На фоне гормонального дисбаланса, резких всплесков и снижения активности желез внутренней секреции люди часто переживают вышеописанные ощущения в той или иной степени выраженности.
- Органические поражения мозга. Больные, имеющие в анамнезе ЧМТ, опухоли мозга или инсульты, весьма уязвимы в плане развития ВСД, даже если само заболевание уже вылечено. Нервные расстройства в виде частого сердцебиения, головокружений, панических атак и прочих характерных проявлений — частые спутники таких людей.
- Болезни эндокринной системы. Нарушения в работе надпочечников, щитовидки, половых желез нередко провоцируют дистонические проявления, потому что в этих случаях нарушается гормональный баланс организма.
Как жить с ВСД и опасно ли это для жизни?
Случаев смерти от ВСД до настоящего времени не зафиксировано, да это и не удивительно: большинство специалистов считают это состояние больше эмоциональным расстройством, чем конкретным телесным заболеванием. А это, как известно, не смертельно.
Тем не менее качество жизни человека в этих случаях вполне ощутимо страдает, поэтому разумно будет соблюдать некоторые рекомендации, чтобы максимально сгладить последствия и проявления нейроциркуляторного расстройства. Вот что можно сделать в первую очередь в порядке самолечения:
- Минимизировать стрессы. Проанализируйте свой образ жизни и попытайтесь перестроить его таким образом, чтобы меньше беспокоиться и попадать в напряженные ситуации.
- Нормализовать режим сна. Старайтесь спать не менее 7–8 часов в сутки, при этом делая все, чтобы сон был непрерывным: затемните комнату, исключите факторы беспокойства вроде внезапных телефонных звонков, лишнего света и звука. После пробуждения нелишней будет зарядка или легкая гимнастика.
- Старайтесь чаще гулять на свежем воздухе, особенно в вечернее время, перед сном.
- По возможности откажитесь от вредных привычек и чрезмерного употребления стимулирующих напитков.
- Сведите к минимуму потребление острой, жирной, слишком соленой пищи, а также сахара. Обратите больше внимания на овощи и фрукты, особенно те, что богаты калием и другими полезными минералами.
Если проявления ВСД слишком мешают вам жить и не поддаются корректировке вышеприведенными методами, на этом стоит закончить самодиагностику и обратиться к врачу. Панические атаки и резкие приступы дистонии вполне успешно купируются лекарственными средствами, но для их назначения необходимо будет обследование с целью уточнения диагноза.
Если вас пугают обострившиеся эмоциональные реакции, не бойтесь обратиться к психиатру. К сожалению, на сегодняшний день в обществе бытует убеждение, что к врачам этого профиля нужно обращаться только тогда, когда уже полностью потерян контроль над собой, а то и дожидаться принудительной госпитализации. Это не так. При отсутствии соматических нарушений психиатр назначит препараты для коррекции эмоционального состояния, которые часто помогают победить и другие симптомы ВСД.
Так что на вопрос, чем опасна вегето-сосудистая дистония, ответ будет примерно такой: ничем, кроме самих симптомов. Страх смерти в таких случаях не влечет за собой ничего, кроме самого страха. Самое страшное, что может произойти — это, фигурально выражаясь, сойти с ума от нарушения эмоционального состояния: в частности, и мыслей о том, опасна ли эта болезнь. Физический риск смерти при НЦД отсутствует.
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