Neurasthenia refers to mental disorders from a group of neuroses. The main manifestations of neurasthenia include increased irritability, rapid fatigue, inability to prolonged concentration of attention and prolonged physical exertion. For the first time neurasthenia was described by the American physician G. Bird in 1869.
Developed pathology as a result of a combination of mental trauma and hard work (stress, lack of rest, constant stress). Also, the development of the disease is facilitated by infections that weaken the defenses of the body, endocrine disorders, malnutrition, smoking, alcohol intake, etc.
Neurasthenia - Causes
The key cause of neurasthenia development is depletion of the nervous system due to any kind of overwork.
Other contributing factors:
- bad habits;
- alcoholic and other intoxication;
- hereditary predisposition;
- malnutrition or malnutrition;
- lack of vitamins;
- physical overload;
- increased anxiety;
- chronic lack of sleep;
- frequent stressful situations;
- endocrine disorders.
Neurasthenia - Symptoms
The most common symptom of neurasthenia is headache. Headache with neurasthenia is diffuse and, more often, occurs in the evening. The characteristic signs of such pain include pressure on the head, a feeling of squeezing the head with a "heavy helmet". The second most common complaint of patients associated with neurasthenia is dizziness. A characteristic feature of dizziness in neurasthenia is a sense of rotation in the head. But not the feeling of the rotation of the surrounding objects. Dizziness occurs when the weather changes, physical activity or agitation. Also, in case of neurasthenia, cardiovascular disorders such as tachycardia, pressing pain in the region of the heart, a feeling of strong palpitation, increased blood pressure, redness, or vice versa, the pallor of the skin can be observed.
Dyspepsia: worsening of appetite, heartburn, belching. Flatulence, heaviness in the stomach, causeless diarrhea or constipation. Also, there may be frequent urge to urinate, which increases with excitement. Sexual desire is reduced. Men may experience premature ejaculation.
Neurasthenia - Diagnosis
The diagnosis of "neurasthenia" is made by a neurologist on the basis of patient complaints, examination and the history of the disease. In a clinical examination, the doctor should exclude the presence of intoxication, chronic infections or somatic diseases.
Since neurasthenia can develop as a manifestation of organic brain damage (inflammatory diseases, tumor, neuroinfections), CT or MRI of the brain can be used to exclude this diagnosis. To evaluate the cerebral circulation - rheoencephalography.
Neurasthenia - Types of the disease
There are such clinical forms of neurasthenia:
- hypersthenic form;
- irritable weakness;
- hyposthenic form.
These forms can manifest as phases of the course of the disease.
Neurasthenia - The patient's actions
At the initial stage of the development of the disease, the patient can independently combat the manifestations of neurasthenia. For this, first of all, it is necessary, to put in order the mode of work and rest. Eliminate the cause of stress or emotional stress. It is also desirable to create a new hobby or hobby for yourself. Or find ways to get and sources of positive emotions. If the above measures do not help to eliminate the manifestations of the disease, you should seek help from a neurologist or psychotherapist.
Neurasthenia - Treatment
At the initial stage of the disease, correction of the day regimen, elimination of the cause of constant stress and emotional overstrain, general strengthening of the organism (nutrition, vitaminization, restorative procedures) is required. In severe cases, inpatient treatment is used. For the purposes of therapy, tranquilizers, sedatives (novo-passit) and antidepressants, psychotherapy are used. The prognosis of treatment is favorable.
Neurasthenia - Complications
Neurasthenia usually responds well to treatment and has the most optimistic predictions among other neuroses. However, often the disease can be transformed into a chronic form, which is difficult to treat.
Neurasthenia - Prevention
The main preventive measure in preventing neurasthenia development is observance of the working and rest regime, avoidance of nervous overstrain and strong physical exertion, stressful situations, application of relaxing techniques. In some cases, in order to prevent the development of neurosis, it is necessary to change the line of activity for a while, provide active rest, the possibility of a complete disconnection from work.