Wednesday, 30 March 2011

Psychosomatic illness - it ...

Psychosomatic illness - a disease the impaired adaptation (adaptation, protection) of the organism. Man there is a constant under stress because He is not isolated from environmental influences. H. Selye argued that even "the sleeping person is under stress ... Complete freedom from stress is death." However, external factors can be so strong that the body's defenses can not cope with stress, and there is a painful condition. The boundary between the reaction of adaptation and disease is conditional and depends on the strength and duration of the influencing factors and the psychological and physical condition of the person. Of course, the adaptation (adaptive) features a young, strong, physically healthy, optimistic person is much higher than the old, physically weak, have often been subjected to the action of stress influences. It is the initial state depends on whether a person will actively seek a way out of a stressful situation or passively condemn themselves to the "destruction" of it. The connection between the psyche and the body through the autonomic nervous system and manifests in different vegetative-vascular reactions. Psychogenic situation as procatarxis launches first general nonspecific adaptation reactions. The most frequently encountered three types of reactions: 1) the reaction of the excretory organs - salivation, sweating, vomiting, frequent urination, diarrhea ("bear's disease"). May arise from anxiety before the exam, responsible reports, etc., 2) temperature reaction. Rising temperatures are often observed in children in any stressful situation (teething, sore weeping, and asthenia). Temperature reaction is typical of some women, and in the long psychotraumatic situation may hold subfebrilitet (37,0-37,5 ° C), 3) reaction of the cardiovascular system in the form of heart spasms, increase blood pressure, heart palpitations. Any non-specific reaction can be accompanied by anxiety or fear. With repeated exposures of psychogenic factors, or in a prolonged situation psychotraumatic response to stress becomes specificity in the form of destruction of individual organs and body systems. In other words, the body is affected, "target" that has this genetic predisposition. At the initial stage of the functional somatic disorders and in some cases, camouflage or zashtorivayut mental illness (neurosis, depression). Later the disease takes persistent or even irreversible, making it difficult to cure. Features of the development of psychosomatic diseases dictate and originality of therapeutic intervention. First, you need to arrest a direct somato-autonomic response in the body (raising blood pressure, heart pain, perforation of an ulcer). Then you must attach the psychotropic drugs (tranquilizers, antidepressants, sleeping pills, nootropics), indirectly stabilizing physical function. In addition, the whole process of treatment of damaged organs and systems should be accompanied by a course of psychotherapy aimed at correcting the patient's personality traits, his reaction to his surroundings, the resolution psychotraumatic situation, the settlement of family relationships, etc.

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