Senestopatia is a depressing, uncomfortableSensation in the body, which can be localized either in internal organs or on the surface of the body. Sensations of shemostopathy are devoid of objectivity. This is the key difference from visceral hallucinations. Senestopatia is characterized by the absence in the place of its concentration of an objective pathological process.
Severopathy, what is it? It is a violation of mental activity, manifested by various unusual bodily sensations and accompanying hypochondriac delirium, a depressive state, a syndrome of mental automatism. The term "senestopathy" was first introduced by E. Dupre, a psychiatrist from France. In Greek, it means a sense of suffering.
Causes of hay fever
Usually, senestopathies are born on the background of mental disorders.
Severopathy, what is it? Senestopathies are called various unpleasant,Depressing sensations both inside the body and on its surface. They may resemble twisting, squeezing, tightening, bursting, burning, pulsating, etc. Distinctive features of the described violation are a lack of objectivity, a sense of unnaturalness and the absence of a really existing pathogenic process explaining the subjects
Senostopathies are feelings of psychologicalCharacter, which the patient projects into the image of his body. Today, the described ailment has not been sufficiently studied, as a result of which it is impossible to obtain an unambiguous answer about its etiology, since it is believed that the origin of this pathology is due exclusively to psychological causes. In addition, practice shows that this disorder often appears as a satellite of various mental problems. Often observed with an onyroid,
Various etiology, in the depressive phase of manic-depressive syndrome, psycho-organic syndrome, affective-delusional states,
, Senestopathosis and a number of other abnormalities of mental activity.
Despite the fact that numerousStudies aimed at understanding the mechanism of the origin of the described disorder have so far not revealed clear causes of the disorder, they have made it possible to reveal some patterns. So, for example, there are a number of diseases that cause the emergence of this ailment, among which there are:
- organic pathology of the nervous system;
- toxic lesions, including alcoholic or toxic poisoning,
- Senestopathy with neurosis.
There are described unpleasant sensations inDifferent areas of the body. In addition, localization of senestropathy does not correspond to specific anatomical structures and is usually the basis for hypochondriac or delusional ideas. It is frequent and nocturnal censure.
Also, the described violation is complex (qualitative) and simple (quantitative). The first include significant changes in body structure, metamorphosis, in some cases, illusions and
, To the second - hyperesthesia.
This ailment is rarely characterizedAn independent course, not complicated by nervous disorders and mental disorders. Sometimes there are organic or functional lesions that facilitate the substantiation of complaints made by patients. They can help to find the inflammatory process, vascular spasm or rezi.
It should be noted that in true venisonThere are no reactions from the psyche, especially this refers to sensitive reactions. The patient complains of painful feelings, but they do not completely absorb it, and they are not the idea of fixation. An individual suffering from this disorder is an organically sick person who does not have a clear justification for his own pain. In a number of cases, senestopathy is found outside the boundaries of its nosological identification.
Symptoms of hay fever
We can distinguish the following variations of senestopathy, depending on their content:
- Thermal sensations in the form of a burning sensation, a cold or heat;
- sensations of movement or movement, for example, a feeling of turning, shearing, twisting;
- feelings of moving liquids in the form of transfusion, clogging, pulsation;
- Circumcryptive sensations in the form of burning pain or drilling;
- a feeling of tension.
Depending on the clinical symptoms, hallucinatory, interpretive, elementary, simple, and psychosensorial hallucinations are distinguished.
Subjective symptoms of the described diseaseCan be diverse. Some individuals suffering from this disease can complain of the burning sensation in a particular area of the body. Often, patients develop the sensation of stretching or contraction at the site of the onset of the disease. Also, patients can complain of cold on the surface of the skin. A common symptom of the disorder described is the sensation of squeezing in the area of the affected area.
In patients with shemostopathy, a sensation of rupture or a feeling of pulsation appears in the affected area. The following clinical manifestations are also characteristic of the disorder described:
- sensations of reversal of internal organs;
- a feeling of adhesion, adhesion in the region of the locus of localization.
Often, individuals experience feelings that can not be described, but bring discomfort and suffering during seizures. In this case, the individual does not feel pain.
Sentopathies are most often localized inHead region, but it can also occur in the chest, and rarely in the limbs. This violation is characterized by the ability to "migrate", which leads to the movement of the localization site.
Depending on the specific nature of seizures, the described disease is divided into permanent iselopathy and episodic senestopathy.
Very often this disorder is detectedUnexpected and acutely occurring seizures, which are called sensopathic crises. In addition, attacks of senestopathy are characterized by the appearance of panic reactions, autonomic disorders, epileptic seizures,
, Clear gestures and poses. Separate senostopathies are accompanied by various somatic ailments, invented by the patient himself (for example, cancer). Some patients are not able to choose to describe their own unpleasant sensations of the right words.
This pathology can be of a nature
, Hallucinations, persistence,
On reception at the expert of the general or common medical practicePatients describe uncomfortable bodily sensations that interfere with normal functioning, as patients constantly concentrate their attention on them. The localization of clinical manifestations is atypical for individual systems or organs. For example, some patients may complain of a burning sensation or a feeling of cold in the head, while others may experience experiences of violence. Such patients come with complaints about the sensations, as if they suck the brain or their internal organs decompose. This testifies to the involvement of various psychic processes in the senestopathies, since manifestations far exceed the limits of the usual violation of sensitivity. The variety of clinical symptoms in this disorder is manifested by the following manifestations: burning, all kinds of pain, a feeling of heaviness, fullness, movement, electrolysis. Individual patients who are in a depressed state give their own sensations the following color, for example, "I have unbearably wild, crazy pains, a vomiting character."
Some patients believe that physical pain is much more easily tolerated than the soreness itself.
The described disorder is characterized byUnusual and ornate feelings. Areas of localization of senestopathies can change regularly and have a diffuse configuration. Also, not a rare phenomenon is nocturnal hay fever.
At the beginning of the development of this disease in humansSimple senestopathies are formed, which are complaints of somatic pathology. After a while, the sensations gradually acquire a more complex and intricate character, with unnatural localization.
The first manifestations of senestopathy are characterized bySimplicity and static, but as the disease grows, they acquire a more intricate structure, become migratory and maneuverable, but their projection is not violated.
Elementary discomfort sensations have no clear localization. Patients suffering from manic depressive syndrome describe their own sensations as "stable internal tension".
Simple isletopathy is characterized by sensoryVarieties (pain, burning, parasthesia) and is projected onto the zone of the corresponding sensitivity region of the patient. The uncomfortable sensations of a person with a sickle-feeling can appear on any part of the body. Clear localization for them is not typical.
Severopenia can rarely beIsolated, often accompanied by mental abnormalities or nervous disorders. In some cases, the individual lacks comparative assessments and definitions in describing his own unusual sensations, it is during such periods that delusional sensuality appears. This indicates the replacement of mental activity with delirium. The persistent and intrusive nature of manifestations of this ailment does not give the patient a rest. They interfere with his habitual life, do not allow him to carry out his official duties or household affairs.
Psychosensory hallucinations representA sense of change in volume, size and direction. For example, the feeling of tying a stomach knot, raspiraniya in the chest, pressure in the head, as if the brain swells, "twisting the joints, twists, as if the legs turn knees forward. The sensations of changing the placement of an individual part of the body or the transformation of size can be short-lived. Often, such sensations are observed in combination with actual disturbances in the structure of the body.
Interpretative hallucinations areSensations, saturated with various interpretations, which may be unusual. For example, a patient complains that his brain "freezes", "the rib surface hurts" or "itches" the spleen. One can distinguish organotopic, associated and delusional senestopathies. Organotopic sensations are characterized by a clear localization, the associated ones represent a connection into a single picture of a multitude of sensations in different parts of the body, delusional sensopathies are characterized by a knowingly false version of the cause of the occurrence, for example, "blood does not enter the liver."
Hallucinatory senestropathies areSensations that are like hallucinations. They can be: geometric (for example, a circle hurts on the abdomen, from which the pain spreads all over the body), with a projection inside the body (it itches in the chest), resembling tactile hallucinations (as if struck on the leg with a fist or as if pulled by the hair) , Kinesthetic hallucinations (swings the head to the left and right) or hallucinations of transformation (the brain flakes off the skull).
This variety of canelopathy canAccompany with taste, visual, olfactory, acoustic sensations (for example, in the head like a fire, something burns and smells like a scorched). An invariable sign that allows one to distinguish hallucinatory sensations when shemostopathia from genuine hallucinations is the words "like", "like", "how", that is, expressions that indicate the relative nature of the descriptions.
Treatment of hay fever
Before the treatment of hayfeverTo make sure of the correctness of the diagnosis. Diagnosis of the described disorder occurs through the collection of anamnesis, analysis of patient complaints, examination results and information obtained from laboratory studies.
How to cure hay fever? In the first turn, they differentiate from painfulOr uncomfortable sensations caused by somatic diseases, and from paresthesias. For manifestations provoked by the pathology of the internal organs, there is a constant clear localization, a connection with the location of the diseased organ and monotony. Often, hypersensitivity can be noted in the so-called Zakharyin-Ged areas (limited areas of the skin in which abnormal sensations, temperature hyperesthesia, appear in pathologies or abnormalities of internal organs functioning). Instrumental examinations such as: ultrasound examination of radiography, computer or magnetic resonance imaging, help to identify signs of the presence of somatic pathology.
Paresthesia, as opposed to uncomfortable sensationsWhen shestopatiyah, are the result of neurologic pathology or vascular dysfunction. Paresthesias caused by neurological disorders are located on the surface of the dermis, correspond to a certain area of innervation and are combined with other neurological symptoms.
Paresthesia caused by a disorderCirculatory, appear as a result of external influences, such as: cold, increased load on the limbs. They are accompanied by a change in the color and temperature of the extremities, trophic disorders, weakening or complete disappearance of the pulse on the peripheral vessels.
In various literature there are manyOpinions on how to cure hay fever. A lot of recommendations have been developed for choosing specific measures and methods of therapy. However, the medical community did not come to the same opinion. So, for example, a number of specialists consider the described violation without taking into account its nosological affiliation and structural features of the disease. That is why you can often come across the opposite views on the methods of treatment of the severopathy. Some scientists are convinced that no drug therapy is able to help, while others, on the contrary, optimistically state that discomfort sensations provoked by shepetopathy can be treated easily and quickly eliminated.
Regardless of the prevailing views on therapyDescribed the disease, treatment should be prescribed in accordance with the cause that caused the disease. The best way to treat drugs with psychoactive effects is the appointment of neuroleptics (haloperidol), small tranquilizers (Elenium) and antidepressants (Amitriptyline) in different combinations. In this case, doses should always be minimal. Therapy with the described means is especially effective in cases when unpleasant sensations are noted in sick people against a background of bad mood.
For example, the popular treatment of hay fever with neurosis or depressive states suggests the appointment of antidepressants, tranquilizers, with
It is believed that if the described ailment passed intoA chronic form, then most likely in the brain there have come changes, irreversible nature, then treatment of senestropathies with psychotropic drugs is absolutely without effective. However, as a rule, a timely and adequate course of treatment has a positive effect, often leading to a full recovery.
F. Berezin claims that in the early stages of the disease, drugs that provide the so-called "quick" result-tranquilizers and neuroleptics-are effective. In addition, these drugs reduce the activity of patients.
, Depression and lethargy, he recommends to use antidepressant drugs in the type of monoamine oxidase inhibitors.
In patients with this disease,The initial stage and diencephalic lesions, the best effect was provided by the use of causal therapy, namely the use of anti-infective drugs, vitamin therapy and hormone therapy.
M. Tsaune for the treatment of shemostopathy against a background of vegetative
Recommends the use of a combination of frenolone, triptyzole and trifazine.
Fourney believed that the most favorable therapeutic effect on patients who have a companion of hay fever is fear, is electroconvulsive therapy.
Most of the townsfolk mistakenly believe thatIt is possible to cope with the genitalia on its own, without seeking professional help. This attitude to the disease is erroneous and can lead to the transition of the disease to chronic treatment.
Often, many of the problems provoked by this ailment can be solved only with the joint efforts of specialists from related fields.
If you find a clinical manifestation,Inherent senestopathy, do not despair at once. Any graduate will confirm that, regardless of the intensity of pain caused by the described ailment, and their localization, they do not pose any threat to the health of the patient.
This disease can provokeThe only complication is the aggressive behavior of the patient, due to the exhaustion of the nervous system with a constant sensation of pain. A person exhausted by pain can himself be a threat to his own health and life (suicidal attempts in this state are not uncommon). Therefore, self-medication not only does not help, but can lead to fatal results.
Also, when deciding to apply forProfessional help for treating senestopathy or not, you need to take into account that this disorder is not independent, it always indicates the need for medical care to the body.