Wednesday, March 25, 2015

Chronic Fatigue Syndrome

General Information
One way or another have experienced this state in everyday life after a serious, hard work and lack of sleep. Usually goes away after fatiguegood rest and sleep. If symptoms persist, it means that your body wants to know that he is sick.
Long periods of fatigue may be a sign of a serious disease known as chronic fatigue syndrome (CFS), mainly affects women. CFS attacks often occur after undergoing viral diseases, but the causes of CFS had still not clear.
Causes of fatigue
- Fatigue may be due to the ingestion of certain drugs such as cold medicine, cough and motion sickness, antihistamines and allergy medications, sleeping pills, muscle relaxants, contraceptives, and antihypertensives,- Diseases in which difficulty breathing, for example chronic bronchitis, asthma and emphysema,- Heart failure, where the heart is slightly reduced and performs its function fully,- Depression and anxiety, bad mood, apprehension,- Sleep disorders and nutrition.
Fatigue is often the case in a month after suffering a viral infection, and may be an early symptom of some serious diseases (hepatitis, cancer, diabetes, anemia, heart disease, hypoglycemia, obesity, hypothyroidism, mononucleosis, rheumatoid arthritis, myasthenia gravis, alcoholism, sleep disturbances).

Symptoms of chronic fatigue syndrome
State of exhaustion often goes away after a weekend or holiday. Often you just need to give your body a rest, and it will start working again in full force.
Consult your doctor if you are concerned about long-term state of strong fatigue.
The symptoms of chronic fatigue syndrome, except the exhaustion include:
- Loss of memory and ability to concentrate,- Pharyngitis,- Inflamed lymph nodes in the neck and armpit,- Unexplained muscle pain,- Pain in the joints, and they are not swollen and the skin over them does not blush,- Severe headaches,- Sleep problems,- Extreme exhaustion lasting more than 24 hours after normal working or school day.
Sometimes CFS is difficult to diagnose, because its symptoms similar to the symptoms of many other diseases. First, your doctor will have to rule out all other possible diseases. The criterion for the diagnosis of CFS is chronic fatigue lasting 6 months or more, and 4-8 of the above symptoms. CFS is often accompanied by depression.
What you can do
Organize your time properly. Get up early and you will not have to start the day in a hurry and with a sense of fatigue. Learn to delegate something else, especially when your life and so it is enough responsibilities and actions.
Be physically active. Try at least 30 minutes a day on physical exercise. Do not exercise before going to bed, it can break it, and in the morning you feel tired. The optimum amount of sleep time.
Most people to sleep, requires 6-8 hours. If you feel the strength and desire to work, then you have slept enough. Well, if during the day you can manage to get some sleep. This can be especially useful for adolescents with their hectic pace of life and the elderly, who sleep less deep. However, avoid daytime sleep, if after you will not be able to sleep at night.
Do not start smoking. Smoking breaks the supply of oxygen in your body, replacing oxygen or deadly carbon monoxide. If you smoke for a long time, then give up this bad habit will not be easy. Still, at least try to reduce the number of cigarettes smoked.
Eat as little as possible of caffeine and alcohol. Alcohol acts as a depressant, it brings only fatigue, do not add strength. Caffeine will give a temporary rapid rise of activity followed by cutting fatigue.
Choose an appropriate power supply: some people work better after a light snack, while others may only work closely eating. Avoid fatty foods, as fat processed slower than carbohydrates, and this may reduce your activity.
During the day, make small breaks.
Go on vacation, or at least turn off the phone and relax at home.
How can I watch TV less. If you look at it, to relax, sooner or later you may find that you are in a slow and sluggish state. Try to relax more actively, for example, walk or read. Find a way to calm yourself. Listen to relaxing music, say a phrase or prayer that gives you a sense of calm. Imagine yourself on the coast, in the mountains or in any other place in the world where you feel good.What can a doctor
The doctor can determine systematic violations that cause fatigue. The doctor will examine, prescribe the necessary diagnostic studies.Effective treatment for CFS does not exist, but the treatment of the symptoms may improve your condition. If the doctor finds it necessary, he may prescribe painkillers or antidepressants.
A specialist in the field of rehabilitation medicine teach you plan a day to use the time usefully. Perhaps you need a psychologist.
Prevention of fatigue- Exercise regularly, it improves the functioning of the heart, lungs and muscles trains- Get a hobby, so as not to get bored in your free time,- Meet friends, go to exhibitions, theater,- Define what's bothering you, and little by little to solve their problems,- Learn to relax and manage stress, you can help breathing exercises, muscle relaxation exercises, massage or meditation,- Try not to use sleeping pills because they have many negative effects and can be addictive,- Give up alcohol and cigarettes.

Back pain

In most cases, back pain is not a serious breach and it can easily be prevented, but it can sometimes be associated with severe disease and spinal cord injuries (including osteochondrosis) and in some cases, gastro-intestinal tract.
General Information
Almost all adults occasionally feel pain in his back. Structure and function of the spine prone to make back pain and injury. The spine consists of 33 vertebrae separated by flexible cartilage called intervertebral discs, while it is surrounded and permeated by ligaments, muscles and nerves. Unfortunate, sudden movement, too much load (eg, wearing weights) or poor posture can cause back pain. In most cases, back pain is not a serious breach and it can easily be prevented, but it can sometimes be associated with severe disease and spinal cord injuries (including osteochondrosis) and in some cases, gastro-intestinal tract or urinary tract ( e.g., kidney stones).

Causes
- Poor posture;- Overweight;- Lifting weights;- Infections and other diseases.Symptoms
If you feel pain in the back of the voltage and during exercise, or if you occasionally occur pain in the neck and back, it is advisable to consult a doctor if no improvement does not occur after 3-5 days, back pain and temperature above 37.8, if the back pain is accompanied by nausea, vomiting or diarrhea, painful or too frequent urination, when expressed as back pain during menstruation, when the pain in the back gives the hands or feet, and is accompanied by numbness of the lower extremities. Requires immediate hospitalization, if at the same time noted the difficulty of movements in the limbs, shock, confusion.
What you can do
Moderate physical activity is the best way to combat back pain.A hot bath or hot compress can reduce pain, but these tools is better not to use the first 2 days. Take medication to relieve pain and inflammation.During sleep, it is recommended to put a pillow under your knees or if you sleep on your side, place a pillow between your legs. After reducing the severity of pain, return to normal operation and gradually, taking care not to overload the back. Try to deal with stress, which can exacerbate pain.

What can a doctor
The physician should determine the cause of back pain and rule out other, more serious diseases. Prescribe painkillers or muscle relaxants. Refer you to a neurologist, rheumatologist or orthopedist if necessary.
Preventive measures
Watch the bearing. Good posture greatly reduces the load on the spine.
Avoid heavy lifting. If you still need to lift heavy objects, be sure to bend your knees and try to keep your back straight.
During sedentary work, use a comfortable chair or a chair that supports your back.
Watch your weight. Completeness increases the load on the spine.
Do not overreach, if you need to get something from the high shelves, mezzanines, etc. Put a stool or stepladder.
Try to bend less.

Radiculitis

Sciatica - the defeat of the spinal cord of an inflammatory nature, a kind of neuritis.
General Information
The front part of the human spinal cord contains nerve cells responsible for movement, and back - for sensitivity. Accordingly, in front of him out front, or motor, roots, and the rear - rear, or sensitive. They go right or left side of the spinal canal through the holes, and then connected to each other, turning into a vertebral nerves. Vertebral nerves form a plexus and branch throughout the body.
When sciatica occurs defeat the anterior and posterior spine. And therefore suffer from motion and sensitivity. In accordance with the affected spinal cord, distinguish cervical, thoracic, sciatica.
Causes of sciatica
Inflammation of the spinal roots can develop as a result of the following reasons:

    
Malformations of the spine. This can be extra vertebrae, hemivertebrae underdeveloped, extra ribs, vertebrae nonunion parts together. All this leads to compression of roots and development of the inflammatory process.
    
Osteochondrosis - a disease in which there is a premature aging of the spine, the destruction of the intervertebral discs.
    
Spinal injuries and their consequences: a bruised spine fractures and subluxations of the vertebrae.
    
Hypothermia - most often it is not the direct cause of sciatica, a factor that provokes attacks.
    
Herniated discs. Especially if there is a displacement of an intervertebral disc side: in this case, it compresses the spinal cord.
    
Infections: influenza and colds caused by other viruses, syphilis, tuberculosis, and so on.
Most often, the first attack of sciatica occurs after hypothermia, transferred colds, exercise, weight lifting.
Symptoms of sciatica
The main manifestations of sciatica - pain, impaired sensitivity and muscle weakness in the affected spine. More specific manifestations depend on which part of the spine was amazed.
When lumbar sciatica, pain occurs in one of the three types of attacks:

    
Backache. This is a strong pain that crops up during hypothermia, weight lifting, heavy load. It is so strong that the patient often can not walk or move, frozen in position, which was accepted before.
    
Lumbar ischialgia - chronic back pain, which may be given in one or both legs. In this tense muscles waist, and the patient regularly takes a certain posture in which pain is not yet strong (usually leans towards). In the area of ​​the affected spine felt numb. Decreased muscle tone legs, they become weaker and may eventually shrink in size (atrophy).
Cervical sciatica manifested as pain in the neck, typically initially on one side only. It increases during any movement, sneezing and coughing. Neck muscles become tense, the patient tilts his head to the side to reduce pain. If cervical sciatica caused by herniated discs, the pain gradually spreads to the shoulder, arm, chest. It is rising in the night, so that people can not fall asleep for a long time.
Chest sciatica is manifested in the form of back pain, which can give a hand. Disturbed sensitivity and movement in the wrist, forearm, upper arm. Decreased muscle tone. On the hand may be swelling (it becomes thicker than on the healthy side), excessive sweating of the skin, numbness, tingling.
What can you do?
If you experience symptoms of sciatica is necessary as soon as possible address to the neurologist. There are many folk treatments, but none of them has 100% efficiency. It is necessary to establish the cause of the defeat of spinal roots and hold the right treatment. If you do not, then eventually violations will increase and lead to disability.
What can the doctor do?
Treatment of sciatica engaged neurologists, surgeons (if compression roots occurred as a result of surgical diseases). Appointed by the survey, which includes the following studies:

    
Radiography. It helps identify low back pain and other spinal pathology.
    
Radiography with the introduction of a contrast agent - myelography. Contrast that with a needle inserted, paints over the roots of the spinal cord and allows better to consider them.
    
Magnetic resonance imaging and computed tomography - more accurate studies in comparison with X-ray, which allow to obtain layered and three-dimensional images.
    
The study of cerebrospinal fluid. Appointed on the grounds.
Treatment of sciatica depends on its cause. All patients prescribed painkillers and anti-inflammatories, irritants and heat (heating pads, pepper patch, wearing a woolen shawl on the lumbar region). When severe pain of the affected area of ​​the spine cut away anesthetics. To restore nerve function used vitamins B, tools to improve blood flow.
When herniated discs and some other diseases, if, despite treatment, the pain persists, surgery is prescribed.
After treatment to prevent recurrence of sciatica appointed spa treatment.
Forecast
If treatment is initiated in a timely manner, the prognosis is favorable. Perhaps complete freedom from pain and restore all functions. If you already have a pronounced spinal cord lesions, the prognosis is serious, patients usually receive a disability, recovery does not occur.

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