Regardless of the method used ...

Regardless of the treatment status of most patients improved and their body weight increases by 1-2 kg per week. Regular physical activity sharply increased levels of estrogen, which will positively impact not only on menstrual function and bone density. However, there are situations where anorexia nervosa patient's life-threatening and requires medical attention. In severe cases, when body weight is reduced by 40% or more, requires an immediate forced parenteral feeding (intravenous glucose and nutritional mixtures). It aims to combat severe malnutrition and is designed to prevent the death of the patient. However, too vigorous feeding in any way could easily disrupt the fragile metabolic balance, which is installed in the patient. Parenteral feeding may be complicated by an increase in liver enzymes (transaminases) and a violation of electrolyte balance, which sometimes leads to death. The article was published on the website http://www.rusmg.ru

Chronic insomnia

Insomnia is defined as difficulty falling asleep, wake up (after the onset of sleep, but before the desired waking time), the violation of the duration or quality of sleep, resulting in violations of daily activity, despite adequate opportunity and facilities to sleep. Most studies have adopted an arbitrary definition of insomnia: a delay in the onset of sleep for more than 30 minutes. or sleep efficiency (ratio of sleep time to time spent in bed) less than 85%. However, in clinical practice, subjective judgments about the patient's quality or quantity of sleep - a more important factor. Transient (transient) insomnia lasts less than one week, short-term - from one to four weeks. Chronic insomnia - insomnia lasting more than one month - has a prevalence of 10-15% and occurs more frequently in women, older adults and patients with chronic medical or psychiatric disorders. It may follow episodes of acute insomnia in people predisposed to it, and become chronic due to behavioral and psychological factors, such as anxiety and restlessness while in bed, as well as misconceptions about the duration of sleep. Effects include fatigue, mood disorders, problems of interpersonal relationships, difficulties in carrying out professional activities and reduced quality of life. Detailed history, obtained from the patient and his partner (if applicable) usually allows you to accurately classify the causes of insomnia. For the patient may be particularly helpful in keeping a diary recording the time of sleep for one to four weeks. Polysomnography is rarely needed, only in case of strong suspicion of impaired breathing during sleep, breach of periodic limb movements (periodic limb movement disorder) or in the absence of treatment effect. Insomnia can be classified as primary or secondary. Pathogenesis of primary insomnia is unknown, but available data indicate the state of gipervozbuzhdeniya (hyperactivity).