Modern principles of treatment of post-infectious asthenic conditions in children. Causes of asthenia after influenza

(asthenic syndrome) - a gradually developing psychopathological disorder that accompanies many diseases of the body. Asthenia is manifested by fatigue, a decrease in mental and physical performance, sleep disturbances, increased irritability, or vice versa, lethargy, emotional instability, autonomic disorders. To identify asthenia allows a thorough questioning of the patient, the study of his psycho-emotional and mnestic sphere. A complete diagnostic examination is also necessary to identify the underlying disease that caused asthenia. Asthenia is treated by selecting the optimal working regime and a rational diet, using adaptogens, neuroprotectors and psychotropic drugs (neuroleptics, antidepressants).

General information

Asthenia is undoubtedly the most common syndrome in medicine. It accompanies many infections (SARS, influenza, food poisoning, viral hepatitis, tuberculosis, etc.), somatic diseases (acute and chronic gastritis, peptic ulcer of the 12th intestine, enterocolitis, pneumonia, arrhythmia, hypertension, glomerulonephritis, neurocirculatory dystonia, etc. .), psychopathological conditions, postpartum, post-traumatic and postoperative period. For this reason, asthenia is faced by specialists in almost any field: gastroenterology, cardiology, neurology. Asthenia may be the first sign of an incipient disease, accompany its height, or be observed during the period of convalescence.

Asthenia should be distinguished from ordinary fatigue, which occurs after excessive physical or mental stress, change of time zones or climate, non-compliance with the regime of work and rest. In contrast to physiological fatigue, asthenia develops gradually, persists for a long time (months and years), does not go away after a good rest and needs medical intervention.

Causes of asthenia

According to many authors, asthenia is based on overstrain and exhaustion of higher nervous activity. The immediate cause of asthenia may be insufficient intake of nutrients, excessive energy expenditure or metabolic disorders. Any factors leading to depletion of the body can potentiate the development of asthenia: acute and chronic diseases, intoxication, poor nutrition, mental disorders, mental and physical overload, chronic stress, etc.

Asthenia classification

Due to the occurrence in clinical practice, organic and functional asthenia is distinguished. Organic asthenia occurs in 45% of cases and is associated with the patient's chronic somatic diseases or progressive organic pathology. In neurology, organic asthenia accompanies infectious organic lesions of the brain (encephalitis, abscess, tumor), severe traumatic brain injury, demyelinating diseases (multiple encephalomyelitis, multiple sclerosis), vascular disorders (chronic cerebral ischemia, hemorrhagic and ischemic stroke), degenerative processes (Alzheimer's disease, Parkinson's disease, senile chorea). Functional asthenia accounts for 55% of cases and is a temporary reversible condition. Functional asthenia is also called reactive, because in fact it is a reaction of the body to a stressful situation, physical overwork or an acute illness.

According to the etiological factor, somatogenic, post-traumatic, post-natal, post-infectious asthenia are also distinguished.

According to the features of clinical manifestations, asthenia is divided into hyper- and hyposthenic forms. Hypersthenic asthenia is accompanied by increased sensory excitability, due to which the patient is irritable and does not tolerate loud sounds, noise, bright light. Hyposthenic asthenia, on the contrary, is characterized by a decrease in susceptibility to external stimuli, which leads to lethargy and drowsiness of the patient. Hypersthenic asthenia is a milder form and, with an increase in asthenic syndrome, it can turn into hyposthenic asthenia.

Depending on the duration of the existence of asthenic syndrome, asthenia is classified into acute and chronic. Acute asthenia is usually functional. It develops after severe stress, acute illness (bronchitis, pneumonia, pyelonephritis, gastritis) or infection (measles, influenza, rubella, infectious mononucleosis, dysentery). Chronic asthenia is characterized by a long course and is often organic. Chronic functional asthenia refers to chronic fatigue syndrome.

Separately, asthenia associated with the depletion of higher nervous activity is distinguished - neurasthenia.

Clinical manifestations of asthenia

The symptom complex characteristic of asthenia includes 3 components: own clinical manifestations of asthenia; disorders associated with the underlying pathological condition; disorders caused by the psychological reaction of the patient to the disease. Manifestations of the asthenic syndrome itself are often absent or weakly expressed in the morning, appear and increase during the day. In the evening, asthenia reaches its maximum manifestation, which forces patients to rest without fail before continuing work or moving on to household chores.

Fatigue. The main complaint in asthenia is fatigue. Patients note that they get tired faster than before, and the feeling of fatigue does not disappear even after a long rest. If we are talking about physical labor, then there is a general weakness and unwillingness to do their usual work. In the case of intellectual labor, the situation is much more complicated. Patients complain of difficulty concentrating, memory impairment, decreased attentiveness and quick wits. They note difficulties in formulating their own thoughts and their verbal expression. Patients with asthenia often cannot concentrate on thinking about one specific problem, find it difficult to find words to express any idea, are absent-minded and somewhat slow in making decisions. In order to do the work that was feasible before, they are forced to take breaks, in order to solve the task they are trying to think about it not as a whole, but by breaking it into parts. However, this does not bring the desired results, increases the feeling of fatigue, increases anxiety and causes confidence in one's own intellectual failure.

Psycho-emotional disorders. A decrease in productivity in professional activities causes the emergence of negative psycho-emotional states associated with the patient's attitude to the problem that has arisen. At the same time, patients with asthenia become quick-tempered, tense, picky and irritable, quickly lose their temper. They have sharp mood swings, states of depression or anxiety, extremes in assessing what is happening (unreasonable pessimism or optimism). The aggravation of psycho-emotional disorders characteristic of asthenia can lead to the development of neurasthenia, depressive or hypochondriacal neurosis.

Autonomic disorders. Almost always, asthenia is accompanied by disorders of the autonomic nervous system. These include tachycardia, pulse lability, changes in blood pressure, chilliness or a feeling of heat in the body, generalized or local (palms, armpits or feet) hyperhidrosis, loss of appetite, constipation, pain along the intestines. With asthenia, headaches and a “heavy” head are possible. In men, there is often a decrease in potency.

Sleep disorders. Depending on the form, asthenia may be accompanied by various sleep disorders. Hypersthenic asthenia is characterized by difficulty falling asleep, restless and rich dreams, nocturnal awakenings, waking up early, and feeling overwhelmed after sleep. Some patients develop the feeling that they hardly sleep at night, although in reality this is not the case. Hyposthenic asthenia is characterized by the occurrence of daytime sleepiness. At the same time, problems with falling asleep and poor quality of night sleep persist.

Diagnosis of asthenia

Asthenia itself usually does not cause diagnostic difficulties for a doctor of any profile. In cases where asthenia is a consequence of stress, trauma, illness, or acts as a harbinger of pathological changes beginning in the body, its symptoms are pronounced. If asthenia occurs against the background of an existing disease, then its manifestations may fade into the background and be not so noticeable behind the symptoms of the underlying disease. In such cases, signs of asthenia can be identified by questioning the patient and detailing his complaints. Particular attention should be paid to questions about the patient's mood, sleep status, his attitude to work and other duties, as well as to his own condition. Not every patient with asthenia will be able to tell the doctor about his problems in the field of intellectual activity. Some patients tend to exaggerate existing disorders. In order to obtain an objective picture, along with a neurological examination, a neurologist needs to conduct a study of the patient's mnestic sphere, assess his emotional state and response to various external signals. In some cases, it is necessary to differentiate asthenia from hypochondriacal neurosis, hypersomnia, depressive neurosis.

Diagnosis of asthenic syndrome requires a mandatory examination of the patient for the underlying disease, which caused the development of asthenia. For this purpose, additional consultations of a gastroenterologist, cardiologist, gynecologist, pulmonologist, nephrologist, oncologist, ultrasound of the pelvic organs, etc. can be carried out.

Asthenia treatment

General recommendations for asthenia are reduced to the selection of the optimal mode of work and rest; refusal to contact with various harmful influences, including the use of alcohol; the introduction of health-improving physical activity into the daily routine; compliance with a fortified and appropriate diet for the underlying disease. The best option is a long vacation and a change of scenery: vacation, spa treatment, tourist trip, etc.

Patients with asthenia benefit from food rich in tryptophan (bananas, turkey meat, cheese, wholemeal bread), vitamin B (liver, eggs) and other vitamins (rose hips, black currants, sea buckthorn, kiwi, strawberries, citrus fruits, apples, raw vegetable salads and fresh fruit juices). A calm working environment and psychological comfort at home are important for patients with asthenia.

Drug treatment of asthenia in general medical practice is reduced to the appointment of adaptogens: ginseng, Rhodiola rosea, Schisandra chinensis, eleutherococcus, pantocrine. In the United States, the practice of treating asthenia with large doses of B vitamins has been adopted. However, this method of therapy is limited in its use by a high percentage of adverse allergic reactions. A number of authors believe that complex vitamin therapy is optimal, including not only vitamins of group B, but also C, PP, as well as microelements involved in their metabolism (zinc, magnesium, calcium). Often, nootropics and neuroprotectors (ginkgo biloba, piracetam, gamma-aminobutyric acid, cinnarizine + piracetam, picamelon, hopantenic acid) are used in the treatment of asthenia. However, their effectiveness in asthenia has not been definitively proven due to the lack of large studies in this area.

In many cases, asthenia requires symptomatic psychotropic treatment, which can only be selected by a narrow specialist: a neurologist, psychiatrist or psychotherapist. So, on an individual basis, with asthenia, antidepressants are prescribed - serotonin and dopamine reuptake inhibitors, antipsychotics (antipsychotics), procholinergic drugs (salbutiamine).

The success of the treatment of asthenia resulting from any disease largely depends on the effectiveness of the treatment of the latter. If it is possible to cure the underlying disease, then the symptoms of asthenia, as a rule, disappear or are significantly reduced. With a long-term remission of a chronic disease, the manifestations of asthenia accompanying it are also minimized.

The immune system loses a lot of strength and vitamins in the fight against viral diseases, which leads to depletion of the body. A similar phenomenon explains the dizziness and weakness after the flu. Experts say that with proper restoration of immunity after suffering ARVI, the body can recover within 2 weeks. If the condition does not improve, then you should consult a doctor. This situation can lead to severe complications and the attraction of a new virus attack.

Causes of dizziness and weakness after the flu

Weakness and loss of appetite almost often occur after the transfer of SARS. Even if the temperature has returned to normal, and there is no cough with a runny nose, then the person still feels a decline in vital energy. The reason for this condition is the loss by the body of many forces and vitamins to fight a viral disease.

Properly selected treatment of SARS usually eliminates all existing symptoms. However, it is not uncommon for patients to feel dizzy and weak after the flu.

With the disease, the appearance of pathogenic microflora is observed, which leads to the development of some pathological processes:

1. Intoxication. The vital activity of microorganisms releases toxins that penetrate into the human blood, causing dizziness and nausea. In this case, circling the head is considered a side effect of this type of pathology. After the flu, this situation intensifies, over time causing more complex complications that lead to intoxication of the body. The intoxication process causes a disruption in the functioning of body systems.
2. catarrhal. This process is characterized by inflammation of the nasopharyngeal mucosa and the respiratory system. Symptoms appear to disappear after 7 days, but complications may occur during this time. Often you can find hypotension, which enhances the force of circling the head.

Quite often, after the flu, a person experiences dizziness and weakness, also accompanied by apathy, nausea, lethargy and nervousness. As a rule, the patient assumes that they arose due to bad weather or fatigue. However, external signs do not affect this, since the ARVI is a factor in the occurrence of such effects.

In the human body after the flu, some changes occur:

• dysfunction of the nervous and immune systems;
• weak work of the respiratory tract, which have not yet recovered from the disease;
• gastrointestinal dysfunction due to the use of antiviral drugs;
• depletion of the body due to lack of vitamins.

It is worth considering the occurrence of asthenia after the transfer of SARS, which is characterized by all of the above pathological processes.

Symptoms of weakness after the flu

In children and adults after the transfer of SARS, the following symptoms occur:

• drowsiness;
• severe fatigue;
• irritability and nervousness;
• increased sweating;

After the flu, asthenic syndrome is also possible, characterized by profuse sweating, weakness, low body temperature up to 35.7-36.2 degrees.

In order for complications not to lead to cardiovascular diseases or chronic fatigue syndrome, it is necessary to eliminate all the consequences after SARS, undergoing a long healing process to restore immunity and vitamin reserves.

Some of the symptoms that should also alert a person are:

How to recover from the flu?

Recovering from the flu requires a lot of hard work. Of course, the most basic of them are balancing the complex of vitamins and good rest.

When fighting SARS, the immune system spends a lot of energy and vitamins, so you need to know how to quickly recover from the flu. It is important to do the rehabilitation of the body, focusing on three areas:

• lifestyle changes;
• vitamins and nutrition;
• medicines and vitamins.

Lifestyle change

After ARVI, many immediately plunge into the hard work of everyday life. However, the body is depleted of vitamins, and weakness can accompany a person constantly. And in order to restore the immune system, you only need to follow a few simple points:

Nutrition and vitamins

To recover and eliminate weakness after the flu, a proper diet plays a significant role. To restore the balance of vitamins and strengthen the state of the body, it is necessary to include in the menu a large number of fresh fruits and vegetables, herbs and foods with a high protein index:

• lean fish;
• vegetable oil;
• mushrooms;
• caviar;
• seeds or nuts.

Also useful for balancing the lack of vitamins and eliminating weakness, such products:

It is worth reducing the products on the flour composition, replacing them with whole grain flour baked goods and bran bread.

To restore the child's body after the transfer of the disease, the use of persimmon and kiwi, which contain a large amount of vitamins, will be useful. It is necessary to exclude rich soups from the child's menu, replacing them with chicken broths. Children will also benefit from making teas based on vitamins, which will help in eliminating weakness and replenishing the supply of vitamins. For example, a decoction of dried strawberry leaves with the addition of honey and lemon is an effective method of recovery after SARS.

An important criterion in rehabilitation is the use of a sufficient amount of fluid.

How to recover from the flu, if not by removing toxins from the body. Doctors recommend drinking a glass of non-carbonated water 30 minutes before a meal. Such activities are very important for children, because they dehydrate the body faster due to high temperatures.

In the absence of allergic reactions to plants, you can recover with various infusions and decoctions, which contain a large amount of vitamin C. Raspberries, rose hips, lemon, and ginseng are very good for this. With a mixture of honey, lemon and ginger, which can also be added to green, the balance of the vitamin will return to normal faster.

Medications

To recover from SARS, replenish vitamins and strengthen the nervous and immune systems, the basis of the treatment process is prescribed:

1. Nootropics - Cerebrolysin, Piracetam.
2. Antioxidants - Mexidol.
3. Antidepressants - Sertraline.
4. Adaptogens - Chinese magnolia vine, ginseng.
5. Amino acids - stimulol.
6. Vitamins A, E, B.
7. Magnesium and calcium.

If the flu was characterized by an increase in temperature and severe intoxication, children and adults need medication to cleanse the gastrointestinal tract. Usually, enterosorbents are used for this, the most effective of them are usually considered:

1. Enterosgel.
2. Polysorb.
3. Polyphepan.

Such medicines should be taken after the last meal, that is, before going to bed. Experts recommend not taking these drugs for more than 1-2 days, as they can reduce the degree of absorption of useful components and vitamins. Most of all, such measures are typical for the child's body.

Acute respiratory viral infection (ARVI) is the most common disease on the planet. It is characterized by general malaise, headache, fever and catarrhal symptoms (sore throat, cough, runny nose). Weakness after ARVI, the patient may feel another 2-3 weeks after the disappearance of the main symptoms of the disease. This is because the body has spent a huge amount of its resources to fight the virus and it needs some time to recover. However, the growing weakness after SARS, in combination with other symptoms, is a serious reason to see a doctor.

SARS symptoms and weakness

A respiratory viral infection initially causes inflammation of the lining of the upper respiratory tract. In addition, to varying degrees, the patient has various symptoms of intoxication (headache, photophobia, chills, general weakness, sweating, fever). This disease is caused by pneumotropic viruses that enter the human body through the nasopharynx, that is, by airborne droplets. Children, especially preschoolers, get ARVI much more often than adults, due to the fact that the immune system completely completes its formation at the end of adolescence and has its own critical age intervals. For example, at the age of 3, a baby begins to attend kindergarten, contact with a huge number of viruses and bacteria expands, respectively, outbreaks of a viral infection in such a child can be observed up to 10-12 times a year.

The feeling of weakness in ARVI occurs due to the toxic effect of the virus on the human body. Weakness is manifested by the following symptoms:

• Fatigue and brokenness.
• Drowsiness.
• Apathy.
• Poor concentration.
• Irritability.
• Sweating.

There are several types of major viruses, according to the symptoms, which should be guided in prescribing treatment and recognizing the most likely complications (described in the table).

Types of virus	Distinguishing Symptoms	The most common complications that can occur with this disease
	Abrupt start. Body temperature rises to 39-40 ° C can last up to 7 days. Headache, aches. Severe sweating after taking antipyretics. Catarrhal phenomena occur on the second or third day of the disease	bronchitis; pneumonia; meningitis; sinusitis; otitis; myocarditis, endocarditis, pericarditis; pyelonephritis, glomerulonephritis; angina
parainfluenza		false croup in children from 3 to 7 years
adenovirus infection	There is a severe runny nose, sore throat, soreness and redness of the eyes, swollen lymph nodes. Sometimes there are skin rashes	conjunctivitis; sinusitis; angina
Respiratory syncial (RS) virus	Body temperature can rise to 39 ° C. First of all, there is a strong dry cough. Children are most susceptible to MS	pneumonia; bronchitis; false croup in young children

Causes of weakness after SARS

When the first symptoms of the disease occur, in the acute period, it is very important for the patient to observe bed rest. In addition, it is imperative to seek medical attention. All doctor's appointments will help to avoid consequences and alleviate the symptoms of the disease. Basically, doctors recommend drinking plenty of fluids, so that all the harmful substances produced by the virus, vitamins and antipyretics come out with sweat and urine. As well as medications, the action of which is aimed at combating catarrhal phenomena. If you neglect medical prescriptions for any course of SARS, it is possible to attach a bacterial infection and develop a strong increasing weakness in the body and all of the above complications. Also, with a high probability, exhaustion of the nervous system is possible, which can cause prolonged weakness, irritability, various sleep disorders, apathy, and depression.

Rotavirus

Separately, it should be noted rotavirus infection. This virus can enter the body through dirty hands, contaminated food and water. Also, the airborne route of its distribution is not excluded. This disease manifests itself with the following symptoms:

• Weakness.
• Increase in body temperature.
• Headache.
• Nausea, vomiting.
• Abdominal pain, bloating.
• Diarrhea is characterized by profuse and watery discharge without blood impurities.
• Runny nose.
• Sore throat.
• Cough.

In infants, in addition to all of the above symptoms, dehydration of the body can develop very quickly. This condition is characterized by the following manifestations:

• Reduced sweating.
• Dryness of the tongue.
• Crying without tears.
• Loss of consciousness.
• Seizures.
• Reduced skin turgor (its tone).

Important! Children under 3 years of age are most susceptible to rotavirus infection. It is she who is the most common cause of diarrhea, which can lead to dehydration, a life-threatening condition for the child. At the first signs of the disease, especially in babies under one year old, it is necessary to urgently seek medical help.

Treatment is prescribed by a doctor. Basically, it consists in taking sorbents (Activated charcoal), rehydration agents (Regidron) to restore electrolyte balance, strict adherence to the drinking regimen and diet.

Weakness after rotavirus in children and adults may be present for another 2-3 weeks. Prebiotics (Hilak forte, Laktrofiltrum), probiotics (Linex, Lactobacterin) and enzymes (Creon, Pancreatin) will be very effective during this period. All medications can be started only after consultation with the attending physician.

How to overcome weakness after SARS

During illness, in order to avoid the development of weakness after SARS as much as possible, it is very important to follow some nutritional recommendations. For example, such as:

• Eat fresh fruits and vegetables. They contain a large amount of essential vitamins. Onions, garlic are natural antimicrobial agents that effectively cope with viruses, especially at the initial stage of the disease.
• The main food should be taken in small portions, about 5-6 times a day.
• Include in your diet lean meat of chicken, veal, turkey, not rich broths, stewed vegetables, cereals cooked in water.
• Exclude sweets, dairy products, smoked meats. Also, salty, fatty, fried foods.
• Drink warm tea, which can be prepared in the following way: take 300 milliliters of cooled boiled water - 40 ° C, add a slice of lemon, a teaspoon of chopped ginger, a tablespoon of grated currants and a teaspoon of honey.
• The volume of fluid in an adult, depending on his weight, should be approximately 2 liters per day.
• Do not use only acidified fortified teas. They should be alternated with warm mineral hydrocarbonate water without gas (Borjomi, Luzhanskaya, Polyana Kvasova). The doctor will tell you the rules for taking water.

Also, in order to quickly overcome weakness after viral diseases, it is necessary to walk more often in the fresh air, observe the daily routine and cancel hard physical training if they were present before the onset of the disease until the body is fully restored.

In modern conditions, the child experiences a lot of stress. A tense curriculum at school, a high degree of workload, conflicts in the family and in the team lead to persistent nervous strain, the consequence of which is the development of an asthenic state.

This condition is increasingly being diagnosed not only in the adult population, as it used to be, but also in children.

Among the reasons for the development of asthenic syndrome in children can be attributed not only increased fatigue, chronic fatigue, but also frequent infectious diseases accompanied by a persistent decrease in immunity, deterioration in the general well-being of the child.

And this is not surprising, because in such a situation the baby experiences great nervous tension, increased anxiety. Therefore, parents need to take care not only of the emotional, but also of the physical health of the crumbs.

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Features of the disease

Literally, this name can be translated as weakness and impotence. And this very accurately reflects the essence of the disease.

In the asthenic state, the child feels depressed, overwhelmed, the child develops apathy towards the world around him.

In addition, the baby is disturbed sleep and wakefulness, which further complicates the situation. Lack of healthy long sleep negatively affects his condition in the daytime.

Most often the disease develops in children of primary school age. This is due to a sharp change in the daily routine, activities. In school, especially in elementary school, the child is subject to increased demands regarding academic performance and behavior, which was not the case before.

During the lesson, the kid should not only limit himself in movement, but also activate mental activity in order to remember the educational material. For a short break the baby does not have time to fully rest and when he gets home, he has to do his homework.

This daily routine contributes to the development of stress, chronic fatigue. In addition, parents try to use the baby's free time as productively as possible, giving it to various sections and circles.

Of course, this contributes to intellectual development, but in the end can provoke the development of an asthenic condition. And this is expressed not only in emotional, but also in physical exhaustion.

The pathogenesis of the disease involves a violation of nervous activity in the cells of the brain, in violation of nerve connections.

This contributes to the development of anxiety, a state of depression and apathy. Over time, such unpleasant processes are observed in the child's body as violation of cellular nutrition, decreased muscle tone, weakness and gradual atrophy.

Varieties of asthenia

In children, temporary manifestations of asthenia are not uncommon. For example, the symptoms of the disease may occur in the morning, or in the spring.

Reasons for development

Provoking factors include:

Clinical manifestations depending on age

Today, the symptoms of the disease can be observed in children of various age groups. Are not an exception even the youngest children. The clinical manifestations of the disease also depend on the age of the child.

Infants under one year old

Infants suffering from asthenia often cry, fall asleep worse, experience constant fatigue during communication with parents, games, being on the hands. Signs of asthenia in young children are:

1. The child is often naughty, crying for a long time, even if he is full and healthy.
2. The baby does not fall asleep well when he is rocked, but becomes calmer when he is alone in the room.
3. Frightened by sounds, even fairly quiet ones.
4. Gets tired of interacting with people quickly.

Toddlers up to 7 years old

As you get older, the symptoms of asthenia become more and more pronounced in the child.. He is irritable, often tired, afraid of the company of strangers. In addition, more specific symptoms may appear:

1. Fear of bright light.
2. Intolerance to certain odors, with prolonged contact with which the child may experience pulling pains in the muscles.
3. Headache during noise, loud sound.

Teenagers

The main sign of the development of an asthenic condition in adolescence is considered increased irritability and fatigue. There is a deterioration in behavior, a teenager argues with parents, friends for any reason, becomes more aggressive and conflict.

Even simple everyday situations cause acute bouts of anger, an inadequate reaction. There is also a decrease in school performance, impaired attention.

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Which doctor should I contact?

First of all, it is necessary to establish the cause that caused disorders of this kind. To do this, you need to show the child to the doctor - therapist. So, if the cause of asthenia is an infection, it must be eliminated.

In some cases, to normalize the condition, you just need to adjust the daily routine, give your child more time to relax and doing things you love.

If, after 2-3 months, the situation does not improve, you will have to show the child to a psychologist, and then, possibly, to a neurologist, if it is established that there are neurological disorders.

Treatment

How to treat childhood asthenia? The asthenic condition cannot be ignored: ordinary, at first glance, fatigue, can cause serious consequences for the child's body up to dangerous neurological and physical disorders.

Treatment is carried out with the help of special medications, however, the normalization of the child's lifestyle and daily routine remains an important factor.

Medical therapy

The child is prescribed pharmacological preparations of the following groups:

• adaptogens- drugs that increase activity, vigor (ginseng extract, magnolia vine);
• nootropics that improve brain activity (Nootropil, Aminalon);
• sedatives, relieving anxiety, irritability (Novo-passit);
• antidepressants, tranquilizers that help eliminate strong nervous tension. Assign in especially severe cases;
• antipsychotics- drugs for the treatment of acute manifestations of psychosis;
• vitamin complexes contributing to the strengthening of the body as a whole.

Lifestyle Correction

To eliminate and prevent the symptoms of an asthenic condition, it is necessary to establish the correct daily routine, normalize the diet. Recommended:

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Non-drug approach

These therapies include:

1. Use soothing herbal infusions(you can use valerian root, motherwort, chamomile).
2. Psychotherapy of various directions (it is necessary both to improve the general emotional state of the child, and to eliminate individual mental disorders, the causes of asthenia).
3. Physiotherapy, including physiotherapy exercises, relaxing or, conversely, tonic massage, water therapy (for example, Charcot's douche), acupuncture, aromatherapy.

Parents should carefully monitor the condition of the child, pay attention even to such, at first glance, minor signs as fatigue, irritability.

Otherwise, the development of serious nervous disorders is possible. It is important to consider that in the early stages of development of asthenia, the disease is easily treated, you just need not to miss the moment and show the child to a specialist in time.

A clinical psychologist will talk about asthenic syndrome in this video:

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Outbreaks of influenza and acute respiratory viral infection(SARS) in winter is far from uncommon. According to doctors, people who have had the disease experience post-infectious asthenia, manifested in weakness, lethargy, sleep disturbances, a slight increase in temperature. Asthenia after influenza can last for a fairly long period (1-2 months), significantly reducing a person’s ability to work, interfering with his active life, which distinguishes it from physical fatigue. According to doctors, cases asthenia after influenza or colds have increased significantly, and this is due to the fact that many patients already had some deviations before the disease, and the symptoms asthenia after influenza simply acquire a more pronounced form, while tending to further development. Having been ill with the flu, many try not to slow down their usual working pace, do not devote enough time to rest, which in the future can not only increase the feeling physical fatigue, but also lead to a decline in strength and development apathy, headaches, insomnia. Therefore, after curing the main symptoms of the flu, you need to think about how.

Physical fatigue or asthenia?

Asthenia can develop at the very beginning of the disease, but most often this trouble overtakes when the disease caused by viral infection, is in the final stage, when the body is especially weakened.

Many people experience high levels when they start working. physical fatigue during the day and fatigue. They cause irritability and sleep disturbance, which is often attributed to a failed day or emotional stress . However, all these manifestations are closely related to the previous viral infection who acquire symptoms post-infectious asthenia. Asthenia after influenza has a significant difference from physical fatigue. Post-infectious asthenia is protracted and does not leave even after a full night's sleep and rest, therefore, it requires treatment, since the main causes of development asthenia after influenza associated with metabolic acidosis and tissue hypoxia. Another factor viral infection and development post-infectious asthenia is a violation of protein metabolism, leading to an increase in the level of ammonia in the blood, which contributes to dysfunction of the central nervous system, complicates the transmission of nerve impulses and the regulation of energy metabolism.

Manifestation of post-infectious asthenia

For post-infectious asthenia the most typical complaints from patients are high mental and physical fatigue, and with an increase in load, the appearance of an unmotivated feeling of fatigue and even loss of strength, the occurrence of unreasonable anxiety and nervous tension , difficulty concentrating. Along with physiological manifestations asthenia after influenza expressed by emotional instability, a tendency to increased tearfulness, resentment, excessive capriciousness and increased impressionability, there may be a feeling of internal nervousness. characteristic feature asthenia after influenza is a sleep disorder. As a rule, patients experience difficulty falling asleep, difficulty relaxing and waking up in the morning, which results in a feeling of morning fatigue, decreased appetite and potency. At post-infectious asthenia often there are symptoms such as excessive sweating, heart rhythm disturbances, feeling of lack of air , lowering the tolerance threshold from various external stimuli (light, sound, weather changes, etc.), which is typical for asthenic syndrome. All these factors, of course, significantly affect everyday life, can provoke a change in behavior.

The nature of asthenia after influenza

Asthenia after influenza can be both hyperasthenic in nature, which occurs at the onset of the disease, and is expressed in increased irritability, lack of concentration, a feeling of "internal" discomfort, and a hyposthenic character, which occurs after severe forms viral infection, and manifested by drowsiness, decreased activity, muscle weakness, rare bouts of irritability.

In addition, the main features post-infectious asthenia may be accompanied by emotional instability, vegetative(excessive sweating, dizziness, increased heart rate) or functional disorders of the organs, a complete lack of a sense of vivacity that does not pass during the day.

Asthenia after influenza recovery

To recuperate after the flu it is necessary to choose an adequate therapy, combined with a properly organized regime of work and rest. good prevention asthenia after influenza is outdoor activities, hiking in the fresh air, sports, water treatments (contrast shower, swimming pool, baths with sea salt, coniferous or herbal decoctions that have a sedative effect). Various techniques have a beneficial effect on the functioning of the nervous system relaxation(relaxation). It is also important to monitor nutrition, which should be balanced, containing a sufficient amount of vitamins and minerals.

Eliminate alcoholic beverages, strong black tea and coffee from the diet, raspberry, blackcurrant or cranberry juice (from freshly frozen berries), decoction will bring you great benefits hawthorn or wild rose, which have a general strengthening effect, containing a significant amount of vitamin C, which is involved in energy metabolism.

Recovery of energy metabolism after viral infections

To restore energy metabolism in the body after viral infections, he needs macronutrients such as calcium, magnesium, iron, manganese, phosphorus. which will provide proper nutrition and vitamin complexes. vitamins Apitonus P- your assistant to fight asthenia after influenza, contain natural bee products (royal jelly and pollen), the action of which is enhanced by an antioxidant complex ( dihydroquercetin , vitamin C and vitamin E), normalizing redox reactions in the body.

To recuperate after the flu, it is necessary to restore sleep, the disturbance of which causes post-infectious asthenia. Here you will be helped sedatives medicinal herbs: valerian officinalis , motherwort, St. John's wort, blooming Sally(fireweed), sage, pharmaceutical camomile , oregano.

Preparations based on sedative medicinal herbs Valerian P, Motherwort P, St. John's wort P and Ivan-chai P, allowing you to restore healthy sleep and eliminate the development astheno-depressive syndrome , which can lead to asthenia after influenza. These herbal preparations contain vitamin C, enhancing the effect of medicinal raw materials and contributing to the removal of toxins from the body.

Sedative herbs for post-infectious asthenia

To eliminate post-infectious asthenia collections of sedative herbs are more effective, providing a faster and longer sedative effect. Biologically active complex Nervo-Vit, awarded the title of one of 100 the best goods 2012, based on cyanosis blue which speeds up the treatment postinfectious asthenia, eliminate