How to restore strength after orvi? Modern approaches to the treatment of post-infectious asthenia in children and adolescents. Asthenia after infectious diseases: what to do

The immune system loses a lot of strength and vitamins in the fight against viral diseases, which leads to depletion of the body. 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. vital energy. Cause similar 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, sluggish state 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 human body after the flu there are some changes:

• dysfunction of the nervous and immune systems;
• weak work respiratory tract who 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, a phenomenon is possible and asthenic syndrome characterized by profuse sweating, weakness, low temperature body up to 35.7-36.2 degrees.

To prevent complications from cardiovascular diseases or chronic fatigue syndrome, you need to eliminate all the consequences after SARS, going through 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;
• medications and vitamins.

Lifestyle change

After ARVI, many immediately plunge into hard work 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, you must include in the menu a large number of fresh fruits and vegetables, greens 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 pastries from whole grain flour and bran bread.

Recovery 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 effective method 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.

With absence allergic reactions on plants, you can recover with various infusions and decoctions, which contain a large amount of vitamin C. Raspberries, rose hips, lemon, 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

For recovery after SARS, replenishment of vitamins and strengthening of the nervous and immune systems as a basis medical process appoint:

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. useful components and vitamins. Most of all, such measures are typical for the child's body.

Titles

It is possible to judge that the patient has developed asthenia after the flu if he has fatigue, accompanied by excessive irritability, sleep disturbance, memory loss, performance and concentration. Neurologists say that this condition occurs when there is a metabolic disorder in the brain, which can occur after a variety of somatic diseases.

Causes of the disease

After this or that ailment, which deplete the internal organs of the patient, asthenia can occur. All sorts of infections can lead to this phenomenon, as well as mental, emotional, psychological and physical overload, a poorly organized daily routine, that is, work and rest, improper and irregular nutrition, and many other factors.

As a rule, asthenia, which appeared as a result of prolonged experiences, belongs to the category of neurasthenia. In addition, this violation occurs in initial period diseases of internal organs. In this case, asthenia either accompanies the central disease, or occurs after it ends.

This violation has many characteristic symptoms, in particular, this pain in the region of the heart, back, abdomen. In addition, the patient increases sweating, the heartbeat becomes rapid, the person is haunted by a feeling of fear, and sex drive decreases, weight also decreases, while sensitivity to sounds and light develops.

Why does such a phenomenon occur? As noted above, most often asthenia appears after infectious diseases, which are influenza or bronchitis. So, experts say that this deviation has two types, one of which is dominated by fatigue, while the other person becomes very irritable.

Most often, people suffer from the first type of asthenia. If you see a doctor with a constant feeling of fatigue, then the specialist will be able to make a correct diagnosis only if this symptom is also accompanied by headaches, dizziness, irritability, indigestion, that is, heartburn, belching, a feeling of heaviness in the stomach, loss of appetite .

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Features of the occurrence of asthenia

Asthenia has some of its own characteristics, and they depend on the disease that caused the violation. So if we are talking about the flu, then such patients develop nervousness, the person becomes excessively irritable, fussy, his temperature rises slightly, and his performance decreases. The so-called post-influenza deviation lasts for a rather long period, sometimes it reaches a month.

In addition, the fact that there are more and more cases of asthenia after the flu or the common cold is not encouraging. Experts explain this by the fact that patients, as a rule, already suffer some manifestations of this deviation even before the disease. Thus, asthenia carries fertile ground for the appearance of certain colds, due to which post-influenza asthenia occurs after.

In addition, the named ailment has a constant development. To begin with, a person feels a little tired, after which he is overcome by a breakdown. Then a person already begins to understand that he should take at least a short break, but he does not rest properly and forces himself to work, not completely recovering. In this case, the systematization of tasks causes certain difficulties, a person very often takes minor phenomena for the main ones.

Further, the situation only gets worse. Man begins to overcome more severe fatigue, after which comes the understanding that rest is simply necessary. However, in this case, it is very difficult for the patient to stop, and he continues to work in the same mode, that is, by inertia. As a result, asthenia syndrome has a progressive character. There is a feeling of apathy, and constant headaches make themselves felt, sleep is disturbed. After some time, all these symptoms soon lead to depression.

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What are the ways to overcome asthenia?

To eliminate such an unpleasant phenomenon, you need whole complex events. Speaking more specifically about them, then a person who is experiencing asthenia will have to stop taking alcoholic beverages and drinking strong brewed coffee. At the same time, you should regularly engage in physical exercises, which should not only exhaust you, but also bring a kind of pleasure. It is also necessary to take cold and hot shower, but it should be a pleasant temperature for the body and in no case irritate.

This procedure should be done before going to bed. Swimming is also great for this disease. In addition, doctors prescribe special drugs that improve brain nutrition. Great results will bring a good sleep.

Particular attention should be paid to nutrition. So, you need to take foods that improve brain function. This is a food that is rich in protein, namely meat products, legumes and soy products. Vitamins belonging to group B have the same properties. These are eggs and liver products. Tryptophan, which is also useful in this situation, is found in cheese, turkey, bananas and cereal bread.

If you eat food that is rich in the above vitamins and tryptophan, then a person quickly improves mood, as they affect the release of hormones such as serotonin, choline, methionine and norepinephrine. In addition, these substances are stimulants active work brain, while distraction and forgetfulness disappear and positive emotions are formed.

We should not forget about ascorbic acid, because it is she who is involved in energy metabolism. Therefore, there is a need for vitamin C after surgery or influenza. In order for a full-fledged energy metabolism to occur, you should eat foods containing iron, manganese, calcium or magnesium, as well as phosphorus and others. useful material.

Must be included in your diet following products such as currants, wild rose, various vegetables, sea buckthorn, kiwi and many others. It is necessary to remember about the vitamin-mineral complex. Moreover, doctors say that the treatment of asthenia is impossible without taking vitamin preparations. They can be obtained at home, just every meal should be enriched with fruit salads, which should include bananas, pears or apples, you should pamper yourself with low-fat yogurts and berry-based fruit drinks.

If after the flu there is indifference, constant fatigue, blood pressure decreases, then you should pay attention to adaptogens.

Even after recovery, a person sometimes experiences weakness, fatigue, decreased performance. This state of the body may indicate the development of asthenic syndrome.

Doctors believe the main cause of the disease in violation of metabolism in the human brain, which most often appears after he has suffered somatic diseases, such as the common flu.

Asthenia is considered to be the most common syndrome that can accompany many diseases, such as:

• infectious in nature - influenza, SARS, tuberculosis, hepatitis;
• associated with the gastrointestinal tract - gastritis, enterocolitis, pancreatitis, ulcer;
• related to the cardiovascular system - hypertension, arrhythmia, heart attack;
• neurological disorders;
• based on kidney dysfunction - pyelonephritis, glomerulonephritis;
• relating to respiratory system- bronchitis, pneumonia.

The following signs of the disease are distinguished:

• sleep disturbance;
• disorder of the autonomic system;
• excessive fatigue;
• irritability;
• decreased performance, memory;
• feeling of constant fatigue.

At the same time, a person feels better in the first half of the day, while by the evening the forces completely leave him. There is a previously unusual reaction to such stimuli as bright light and loud sounds.

Asthenia can be the first sign of the disease, and may appear after recovery.

The causes of postviral asthenia are as follows:

• weakened immune system;
• intoxication;
• lack of fluid;
• side effects of the drugs taken;
• avitaminosis.

Be careful, a weakened body is more susceptible to disease

When the virus enters a person, it attacks the respiratory and circulatory system. In this case, poisoning of the body is observed - intoxication, which has a particularly strong effect on nerve cells. The impact of toxins on the brain has consequences in the form of headaches, memory loss, sleep disturbances.

How to treat?

When identifying the first signs of the disease, you should consult a doctor. It is impossible to overcome the disease on your own. On the contrary, self-medication can aggravate the situation.

Small positive effect receive with: proper nutrition, taking vitamins and minerals, adjusting the daily routine, getting rid of bad habits.

How to get better faster

To quickly get out of this state, you need to eliminate the symptoms in ways that energize, bring pleasure, as well as moral satisfaction.

1. Get enough sleep. At the same time, the brain rests, and the body gains strength. If you cannot fall asleep, special drugs prescribed by the doctor will come to the rescue.
2. Eat varied. Preference should be given to protein foods that improve brain function. And this, in turn, leads to improved memory and the formation of positive emotions.
3. Test light, non-exhausting physical activity, swim.
4. Take vitamins. It is better that the body receives nutrients directly from food.
5. Avoid alcohol and strong coffee so as not to additionally excite the nervous system.
6. Practice hardening. A contrast shower is very useful.
7. Take adaptogens such as ginseng, leuzea. They are able to relieve fatigue and normalize blood pressure.
8. Strictly follow the daily routine: Get up on time and go to bed on time.
9. Take herbal teas from: valerian, hops, geraniums.

If not asthenic syndrome, then what?

The disease can develop not only after SARS

A recovered person may not feel well after an illness, not only with asthenic syndrome. Similar Symptoms observed in pathologies such as: lack of vitamins in the body, sluggish infections, nervous inflammation. Chronic fatigue can occur as a response of the body to constant stress and lack of necessary rest.
Complications of diseases are more dangerous than the diseases themselves, therefore, in case of suspicious symptoms, it is necessary to consult a specialist.

After pneumonia

Asthenic syndrome may occur as a residual phenomenon after pneumonia as a result of malfunctions. nervous system.

In order to quickly get rid of asthenia in this case, you need to do the following:

• after the end of the course of antibiotics, start taking vitamins;
• include in your daily diet as many vegetables and fruits as possible;
• you should wait with going to work, after an acute period, observing a sparing regimen;
• worth spending more time on fresh air leisurely strolling in the parks.

If weakness and fatigue persist for a long period after the illness, you should consult a doctor. Unpleasant symptoms may indicate development.

You may also be interested

Speaking of acute respiratory viral infections (ARVI), attention is usually paid to the first signs of a cold, including fever, chills, itchy nose, cough and headache. But it is important to remember that even after you have managed to cope with a cold, you may feel weak and unwell.

This condition is called asthenic syndrome and can last up to 4 weeks after you have recovered. Despite the complete disappearance of typical "cold" symptoms, people do not feel healthy due to asthenia. They may feel tired, reduced performance, increased irritability, suffer from insomnia, or, conversely, experience an increased need for sleep. In this state, it is impossible to work fully or properly rest.

Asthenia is of two types:

• Primary (functional) - occurs and proceeds as a separate disease;
• Secondary (symptomatic) - is a manifestation of infectious, endocrine or hematological diseases.

Primary or functional asthenia is independent disease often stipulated by the constitution. The asthenic body type is characterized by low weight, high growth, elongated limbs, and often chronic diseases specific to this type.

Additionally, it is worth mentioning “reactive asthenia” - a protective reaction of the body that develops against the background of constant exposure to conditionally pathogenic factors, including shift work, frequent air travel followed by “jet lag”, the period of exams for students and competitions for professional athletes.

Secondary asthenia is often also called organic or somatogenic. It accompanies infectious, cardiopulmonary, endocrine-metabolic, neurological, mental and hematological diseases. Asthenia here becomes one of the symptoms of the disease, and disappears as soon as the body manages to cope with the disease.

Asthenic syndrome of the second type is quite common in respiratory viral infections. It can be caused by general intoxication of the body, increased loads for immune and cardiovascular system, a decrease in energy potential.

How to cure asthenia with a cold

For colds, flu (and other diseases accompanied by the development of asthenia), it is necessary to take not only drugs that fight the underlying disease, but also drugs that have anti-asthenic effects.

It is not always possible to prevent the development of asthenia. The fact is that there are practically no fast-acting anti-asthenic drugs - the effect of taking most drugs with a proven anti-asthenic effect develops gradually. Herbal preparations (based on lemongrass, aralia, zamaniha) have a general tonic effect on the body, but do not directly affect the manifestations of asthenia.

A possible direction for the correction of asthenia may be the use of biologically active substances, allowing to balance the energy production in the cell in accordance with its energy needs. One of these substances is succinic acid, which has an antioxidant effect and fights the formation of free radicals.

For the treatment of colds, as a rule, combined remedies are used, but they, most often, relieve only symptoms (fever, runny nose, headache) and do not contain components that could affect symptoms such as weakness and general fatigue.

Of particular interest in this sense may cause Influnet - a drug to combat the symptoms of flu and colds. It contains paracetamol (350mg), phenylephrine hydrochloride (5mg), ascorbic acid (300mg) and rutoside (20mg) to help manage the main symptoms of the common cold. But besides them, the composition includes succinic acid at a dose of 120 mg.

Succinic acid promotes the activation of energy processes in the cell, and also enhances the effect active components composition, has an antitoxic effect. The presence of succinic acid in the preparation and the increased content of vitamin C in the drug helps to activate metabolic processes in the body. Thanks to this, it was possible to reduce the dosages of paracetamol and phenylephrine without losing their effectiveness.

Influnet is available in a variety of dosage forms, allowing you to choose the one that feels most comfortable to you. Sachet powder (lime, cranberry or wild berry flavor and aroma) must be dissolved in a glass of hot water and stirred thoroughly before use. It is available in packs of 10 sachets for the duration of the disease, and 5 sachets to try and evaluate the result. As for Influnet capsules, they can be taken even in the "field" conditions - before an interview for a dream job or a meeting for which you have been preparing all week.

THERE ARE CONTRAINDICATIONS, CONSULT WITH A SPECIALIST BEFORE USE!

The main cause of asthenia in this case is the flu. How can this syndrome be overcome?

judge the appearance given state possible only if the following symptoms are present:

• fatigue.
• Excessive irritability.
• Sleep disturbance.
• Decreased memory, concentration and performance.

Neurologists note main reason the occurrence of this disease in violation of metabolism in the brain, which is observed after various somatic diseases.

Headache, fatigue and increased fatigue are observed in a person after suffering the flu. Fatigue becomes not only physical, but also neuropsychic. These symptoms appear without any exertion, and fatigue does not go away even after proper rest or sleep.

Violation of protein metabolism also affects the work of the central nervous system. Ammonia levels rise, causing transmission activity to decrease nerve impulses and the regulation of energy metabolism is disturbed.

Causes of asthenia

Asthenia may be preceded by many factors. Depletion of organs after various ailments is quite normal, which provokes asthenia. The main causes of asthenic syndrome are:

• Infectious diseases.
• Physical exercise.
• Mental stress.
• Emotional loads.
• Mental loads.
• The wrong mode of the day, that is, a combination of rest and work.
• Irregular and improper nutrition.

Neurasthenia is called an ailment that arose as a result of strong emotional experiences. This violation can occur before the manifestation of another disease of the body. It either accompanies a central disease, or occurs after a person has been ill.

Asthenia may manifest itself in various symptoms, which largely depends on the causes of its occurrence. The main symptoms by which it can be identified are:

1. Pain in the back, heart, abdomen.
2. Frequent heartbeat.
3. Increased sweating.
4. Decreased sex drive.
5. Increased sense of fear.
6. Sensitivity to light and sound.
7. Weight loss.

Common causes of asthenia are infectious diseases, which include bronchitis or influenza. Depending on the individual characteristics, asthenia may predominate either in a state of irritability or in a state of rapid fatigue.

Often, asthenia is accompanied by increased fatigue. It can be eliminated with the help of a doctor who will first conduct a diagnosis to identify concomitant signs:

• Headache.
• Irritability.
• Dizziness.
• Digestive disorders: heartburn, belching, feeling of heaviness in the stomach, loss of appetite.

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Features of the development of asthenia

Each asthenic syndrome is accompanied by its own developmental features. It all depends on the factors that caused asthenia. If we talk about the flu, then a person with asthenic syndrome becomes irritable, fussy, his temperature rises slightly, and his capacity decreases. Post-influenza asthenia lasts for a long time, sometimes up to a month.

There is a tendency to increase asthenic conditions after flu or colds. Experts explain this by the fact that before the onset of these diseases, people experience asthenic syndrome, caused, for example, by nervous experiences or physical overwork. Thus, asthenia contributes to the occurrence of influenza, colds and other diseases, and then manifests itself again, but after recovery.

Asthenia is the main ailment of modern man. This is due to the way of life that everyone is forced to lead if they want to succeed, achieve something and become successful person. The individual is constantly in working condition, not allowing himself to fully relax and even recover.

Asthenia does not go away on its own, it constantly develops if you do not deal with its elimination. First, a person feels tired, then he feels a breakdown. Finally, now there are thoughts that it's time to relax. However, even this does not happen, because a person does not allow himself to sleep for a long time and gain strength. As soon as the state of health has improved, the person believes that he has already recovered. He again starts work, not completely getting rid of asthenia. The main factors are perceived as secondary, which allows the disease to calmly and gradually develop.

Untreated asthenia and strenuous work lead to even more fatigue. Here a person is already really thinking about rest. However, if he allows inertia to take over, then he begins to work through force. Now asthenia is gaining momentum, it is becoming progressive.

Soon there is apathy, which is accompanied by headaches. There is no more strength and energy, a person works forcedly, through willpower. All this leads to depression.

What are the ways to overcome asthenia?

Talking about asthenia, by and large it refers to tension, fatigue, fatigue and weakness. These symptoms can be alleviated different ways, which give energy, pleasure, moral satisfaction, peace or relaxation. What are the ways to overcome asthenia?

Let's consider some of them:

1. Exclude alcoholic drinks and strong coffee. These drinks stimulate the nervous system.
2. Engage in physical exercises that do not exhaust, but bring pleasure.
3. Take a contrast shower, especially before bed.
4. Swim, not necessarily in a big rhythm. The main thing is to enjoy the process.
5. Sleep fully. It helps the brain to be more satiated useful elements. Special medications that a doctor can prescribe will also help here.
6. Eat well. The work of the brain improves protein foods: legumes, meat, soy. Liver products and eggs (vitamin B), cheese, turkey, banana, cereal bread (they contain tryptophan). These products contribute to the production of special hormones: methionine, choline, serotonin, norepinephrine. These food substances help brain activity, which contributes to the rapid elimination of forgetfulness and absent-mindedness. Positive emotions are formed.
7. Consume vitamin C. Ascorbic acid becomes important during the period after recovery from an illness. There are many vitamins in food. Iron, magnesium, manganese, phosphorus, calcium and other elements should also be added here.
8. Accept vitamin complexes. There is no need to talk about the benefits of a particular group of vitamins. You should eat foods that fill the body with various vitamins. These are: vegetables, currants, sea buckthorn, wild rose, bananas, kiwi, pears, apples. From them you can make low-fat yogurts, salads, fruit drinks.
9. Take adaptogens. They become useful if after the flu there is constant fatigue, indifference, and blood pressure decreases. Adaptogens include leuzea, ginseng, pantocrine, which are added to your favorite drinks, but not to alcoholic ones.
10. Make decoctions of herbs. If insomnia develops after the flu, then before going to bed you should use decoctions of herbs: hops, geranium, valerian. If there is no desire to make a decoction, then you can apply on the pillow essential oil lavender, oregano, etc. Another method for insomnia can be watering the feet cold water before bedtime.
11. Observe the regime of going to bed and getting up. If you always go to bed and wake up at the same time, then the body will get used to the regimen and will feel good at the time when you need to wake up.

If necessary, before going to bed, you should take a shower at a pleasant temperature for yourself.

You should rest more often, especially after recovering from the flu or another illness. At other times, you should not overload yourself with excessive work so as not to reduce immunity and defensive forces body, making it weak before infections.

Forecast

Asthenia, or in other words - weakness, is always felt after an illness. Depending on the gravity and the duration of the illness, a person also recovers strength for a long time. The prognosis is comforting if a person allows himself to recover, gain strength, rest after an illness that can be compared with work.

Asthenia does not affect life expectancy. It affects the general well-being of a person and the strength of his immune system. If a person does not give himself proper rest, does not restore strength and does not calm his nervous system, then his immunity becomes weak. And this is fertile ground for the penetration of viruses and bacteria to provoke a new disease.

It is not surprising that people after one illness quickly fall ill again. It is generally accepted that immunity is "hardened" after the fight against the first infection. In fact, he is exhausted, since he directed all his strength and resources to recovery.

Asthenia after infectious diseases: what to do?

In acute respiratory viral infections (ARVI), catarrhal symptoms are often replaced by asthenic condition, which is characterized by weakness, adynamia, complete indifference to the environment and loved ones. Asthenic syndrome may be due to various diseases, including occur after respiratory infections. The significance of asthenia after ARVI for clinical practice is confirmed by the fact that in International classification diseases of the 10th revision, the G93.3 syndrome is separately highlighted - fatigue syndrome after a viral infection. Appeal about asthenic symptom high and reaches 64%. Availability asthenic disorders in children, it contributes to a deterioration in the quality of life, difficulties in adaptation in preschool and school institutions, learning disorders, decreased communicative activity, problems in interpersonal interactions and tension in family relationships.

When we talk about asthenia after ARVI, we are talking about reactive asthenia, which occurs in initially healthy individuals as a result of stress adaptation under stress, as well as in the period of convalescence. The most susceptible to asthenic reactions are children with reduced adaptive capabilities of the body. The causes of asthenic syndrome are very diverse. Along with asthenia due to physiological and psycho-emotional causes, asthenia associated with convalescence after infectious diseases, injuries and operations is distinguished.

The leading pathogenetic mechanism of asthenia is associated with dysfunction of the reticular formation, which regulates the activity of the cortex and subcortical structures and is the "energy center" of the central nervous system (CNS), which is responsible for active wakefulness. Other mechanisms for the development of asthenia are autointoxication by metabolic products, dysregulation of the production and use of energy resources at the cellular level. Metabolic disorders that occur with asthenia lead to hypoxia, acidosis, followed by a violation of the processes of formation and use of energy.

Post-infectious asthenovegetative disorders can have both somatic manifestations (impaired thermoregulation, respiratory, vestibular, cardiovascular, gastrointestinal disorders) and emotional-behavioral disorders (fatigue, emotional lability, hyperesthesia, sleep disorders). It is important to remember that the clinical manifestations of asthenovegetative syndrome can be a "mask" for the debut of organic pathology. Treatment of asthenia in to a large extent depends on the factors that caused it and clinical manifestations. There are 3 main directions in the treatment strategy:

1. etiopathogenetic therapy;
2. non-specific general strengthening, immunocorrective therapy;
3. symptomatic therapy.

An important component of the treatment of asthenia is the observance of the daily regimen, exposure to fresh air, physical exercise, balanced diet.

Considering the leading role of dysfunction of the reticular formation in the development of asthenia, the neurospecific protein S100, isolated from nervous tissue. This protein is synthesized and localized exclusively in CNS cells and is extremely important for their normal functioning, since it performs neurotrophic functions, regulates calcium homeostasis in CNS cells, and is involved in the regulation of synaptic transmission. It has been experimentally established that the release-active forms of antibodies to the S100 protein have sufficient a wide range psychotropic, neurotropic and vegetomodulating activity.

Due to the fact that Tenoten contains antibodies to the S100 protein in a release-active form, it modifies it functional activity the S 100 protein itself.

The study of the dynamics of asthenovegetative manifestations after infectious diseases in children against the background of Tenoten (E.V. Mikhailov, Saratov State Medical University) showed that the drug eliminates the manifestations of asthenia, improves autonomic homeostasis, reduces anxiety in children, improves mood, facilitates learning processes and stabilizes general condition (Fig. 1).

Dynamics of asthenovegetative manifestations after infectious diseases against the background of Tenoten for children (E.V. Mikhailov, Saratov State Medical University)

In a comparative randomized study led by M.Yu. Galaktionova on the basis of the Krasnoyarsk State medical university 60 children and adolescents aged 11 to 15 years with a clinically and instrumentally confirmed diagnosis of "vegetative dysfunction syndrome" of a permanent paroxysmal course were included. The main group received Tenoten 1 tablet 3 times a day, the comparison group received a course of traditional basic treatment, including nootropic and vegetotropic drugs, sedatives and in some cases - neuroleptics. The results are presented in fig. 2.

Dynamics of symptoms in children while taking the drug Tenoten for children (M.Yu. Galaktionova, Krasnoyarsk State Medical University)

At the end of the course of treatment, the majority of examined patients in both groups showed a decrease in the number and intensity of asthenoneurotic complaints, a decrease in the severity of pain syndrome (headaches, cardialgia, abdominal pain). At the same time, in 80% of patients of the main group, positive dynamics was observed already by the end of the 2nd week from the start of treatment (on the 10–14th day). Improvement in the psycho-emotional background, the disappearance of anxiety, a significant increase in working capacity, concentration of attention and normalization of sleep were noted by the 14–17th day in 73.3% of the patients of the main group, which indicated nootropic effect Tenoten's actions. At the same time, the dynamics of the described clinical symptoms in patients of the comparison group was noted only in 43.3% of cases at the time of discharge from the hospital.

In the study by A.P. Rachin, while taking Tenoten, there was an improvement in concentration and productivity of attention compared to the control group.

As an antioxidant agent for asthenic syndrome, it is possible course application Coenzyme Q10 - a vitamin-like substance that is directly involved in the synthesis of adenosine triphosphate, antioxidant protection and promotes the restoration of other antioxidants (vitamin E). It is important to remember that omega-3 polyunsaturated fatty acids have a significant neurometabolic effect. fatty acid, the main food source of which are fish and some plant products.

Thus, only program treatment of asthenovegetative syndrome, including minimization of risk factors, correction autonomic dysfunction, immune imbalance (for frequently ill children) and rehabilitation of foci of infection will make it possible to cope with this pathological condition and prevent its development in the future.

Treatment of asthenia after influenza

Symptoms of postviral asthenia

The very word "asthenia" literally means "weakness". Asthenia may have various reasons. Asthenic syndrome after the flu is a violation of well-being, provoked by the activity of the virus. The more severe the disease, the more pronounced its manifestations.

Usually, asthenia after the flu is accompanied by the following symptoms:

• lethargy;
• irritability, mood swings;
• apathy (unwillingness to do anything);
• fast fatiguability;
• sleep disturbance;
• recurrent headaches;
• dizziness;
• loss of appetite;
• constipation;
• deterioration of the skin and hair.

Often people attribute this condition to fatigue, hypovitaminosis, a bad day, etc. But if you recently had the flu, this is probably the reason.

Causes of asthenia after influenza

The main reasons for the development of post-viral asthenia:

• consequences of intoxication;
• side effects of drugs;
• fluid loss;
• lack of vitamins;
• weakening of the immune system by a viral infection.

Once in the body, the virus disrupts many biochemical processes. Changes affect first the respiratory organs, then the circulatory system (for example, the influenza virus is able to reduce the rate of blood clotting). Particles of viruses, their metabolic products, destroyed epithelial cells, etc. cause intoxication, i.e., poisoning of the body. Especially strongly intoxication affects the work of the nervous system.

With severe intoxication, convulsions, hallucinations, vomiting in acute period illness.

The effects of toxins on the brain are felt long time after the victory of the body over the virus. That is why the head may hurt, the quality of sleep, the ability to concentrate, etc., may deteriorate.

Side effects of the drugs used also contribute to the development of asthenia. For example, high doses of interferon are known to have toxic effect. Abuse of antipyretic drugs adversely affects circulatory system, liver and kidneys. If antibiotics have been used to combat complications of the flu, recovery period there is a risk of developing dysbacteriosis.

What to do?

How can you help your body recover from an infection? In most cases, it is enough to adjust the daily routine, diet, and some habits. It is necessary to ensure the intake of vitamins and nutrients with food, you can also take tableted vitamin-mineral complexes. However, in some cases, asthenia is so severe that it requires medical attention and special treatment.

Good Habits

To begin with, let's look at healthy habits that will help restore the balance of power and overcome the exhaustion of the body without resorting to medication.

First of all, it's food. Food should contain a large amount of vitamins, and at the same time, be easy on the intestines. The diet should include foods such as:

• fresh vegetables and fruits;
• lean meat and fish;
• dairy products;
• a variety of drinks - juices, teas with herbs and fruits, mineral waters;
• greenery;
• cereal porridge.

Not less than important role plays the mode of the day.

It is necessary to highlight enough hours for sleep and rest. Sleep in a ventilated room with a comfortable temperature. It's good to take a walk before bed.

To improve mood and speed up metabolism, there is nothing better than physical activity. Priority should be given aerobic exercise. This is gymnastics, running, swimming. Even an ordinary walk on foot will positively affect brain function, gastrointestinal tract and the vascular system.

medical treatment

In severe cases, asthenia after influenza requires treatment. Almost all patients with similar symptoms are prescribed vitamins, minerals, as well as biologically active additives- extracts of ginseng, eleutherococcus, magnolia vine. Echinacea tincture has an immunostimulating effect. Patients with dysbacteriosis are prescribed a course of lactobacilli. With a decrease in memory, anxiety, mood swings, sedatives are prescribed, for example, Glycine. Apart from medications physiotherapy procedures are applied.

Similar symptoms

Feeling unwell after a viral infection can speak not only about asthenic syndrome. Similar symptoms may indicate pathologies such as:

• hypovitaminosis - lack of vitamins, more often observed in winter and early spring;
• sluggish infection that arose as a complication of SARS;
• neuroinfection - inflammation of the nervous tissue caused by the entry of a virus or bacteria into the spinal cord or brain; accompanied elevated temperature, headaches, dizziness;
• chronic fatigue is the result constant stress at work or at home, lack of proper rest, etc.

Since many of the complications viral infections more dangerous than primary disease, if suspicious symptoms appear, it is better to consult a doctor, especially if you have recently had a severe acute respiratory infection.

Asthenia

Asthenia (asthenic syndrome) is 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).

Asthenia

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 12p. intestines, 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, surgery, traumatology, psychiatry. 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.

Reasons for the development 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 nutrients, excessive expenditure of energy or disorder of metabolic processes. Any factors leading to the depletion of the body can potentiate the development of asthenia: acute and chronic diseases, intoxications, poor nutrition, mental disorders, mental and physical overload, chronic stress, etc.

Asthenia classification

Due to the occurrence in clinical practice allocated organic and functional asthenia. 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 injuries, demyelinating diseases (disseminated encephalomyelitis, multiple sclerosis), vascular disorders (chronic ischemia brain, 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 the body's reaction to a stressful situation, physical fatigue or an acute illness.

By etiological factor isolated somatogenic, post-traumatic, postpartum, post-infectious asthenia.

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 more mild 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, transferred acute illness(bronchitis, pneumonia, pyelonephritis, gastritis) or infections (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 due to psychological reaction patient for disease. Manifestations of the asthenic syndrome itself are often absent or weakly expressed in the morning, appear and increase during the day. IN evening time asthenia reaches its maximum manifestation, which forces patients to without fail take a rest 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 it's about physical labor, then it is observed 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 wit. 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. Decrease in productivity in professional activity 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.

Vegetative disorders. Almost always, asthenia is accompanied by disorders of the autonomic nervous system. These include tachycardia, pulse lability, 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 night sleep.

Diagnosis of asthenia

Asthenia itself usually does not cause diagnostic difficulties for a doctor of any profile. In cases where asthenia is the result of stress, trauma, disease, or acts as a harbinger of those beginning in the body pathological changes, its symptoms are pronounced. If asthenia occurs against the background 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 their problems in the field of intellectual activity. Some patients tend to exaggerate existing disorders. To get an objective picture, the neurologist, along with neurological examination it is necessary to conduct a study of the mnestic sphere of the patient, evaluate his emotional condition and response to various external signals. In some cases, it is necessary to differentiate asthenia from hypochondriacal neurosis, hypersomnia, and 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, traumatologist, endocrinologist, infectious disease specialist and other narrow specialists can be carried out. Mandatory surrender clinical analyzes: blood and urine tests, coprograms, blood sugar determination, biochemical analysis of blood and urine. Diagnosis of infectious diseases is carried out by bacteriological research and PCR diagnostics. Prescribed according to indications instrumental methods examinations: ultrasound of the abdominal organs, gastroscopy, duodenal sounding, ECG, ultrasound of the heart, fluorography or radiography of the lungs, ultrasound of the kidneys, MRI of the brain, ultrasound of the pelvic organs, etc.

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 rest 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). Importance for patients with asthenia has a calm working environment and psychological comfort at home.

Drug treatment of asthenia in general medical practice is reduced to the appointment of adaptogens: ginseng, Rhodiola rosea, Chinese magnolia vine, 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, in the treatment of asthenia, nootropics and neuroprotectors are used (ginkgo biloba, piracetam, gamma-aminobutyric acid, cinnarizine + piracetam, picamelon, hopantenic acid). However, their effectiveness in asthenia has not been definitively proven due to the lack of major studies in this area.

In many cases, asthenia requires symptomatic psychotropic treatment, which can only pick narrow specialist: neurologist, psychiatrist or psychotherapist. Thus, antidepressants are prescribed individually for asthenia - 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.

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