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当心“情绪性腹泻”的困扰
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Topic: 当心“情绪性腹泻”的困扰 (Read 129 times)
Joanmamami
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当心“情绪性腹泻”的困扰
June 30, 2017, 09:20:12 AM
#1
原标题:当心“情绪性腹泻”的困扰
王正莲
临床资料表明,警察、教师、医生、运动员等职业的人在面临重要任务或比赛之前,都有可能出现情绪性腹泻;普通人也会因为失恋、家庭纠纷、工作压力等不良因素引起情绪性腹泻。
情绪性腹泻是一种以腹泻为主要症状的肠道神经官能症,是由于情绪焦虑、精神过度紧张、思想压力过大等所诱发的一种功能性腹泻。紧张或焦虑可以导致高级神经系统的功能发生障碍,使大脑皮层下的植物神经中枢功能紊乱和活动异常,从而使胃肠道的功能发生紊乱,
由此产生腹泻。
情绪性腹泻主要有以下几个特点:
1.多在思想压力过大或精神紧张时发生,与精神受刺激或情绪激动有密切关系。
2.症状可以持续数月,也可以仅发作数小时。引起情绪焦虑的因素去除后,腹泻症状会很快消失。
3.主要症状就是腹泻,一般每天不超过10次,大便可为水样便,或带有黏液,但不会有脓血;也可同时伴有肠鸣、腹胀、阵发性腹痛等症状。
4.病人常同时伴有神经衰弱的表现,
如头痛、头晕、失眠、心悸、胸闷等,且对自己的病情疑虑重重。
5.大便常规镜检无红细胞、白细胞;细菌培养无致病菌生长;钡剂灌肠检查可见肠蠕动增快,但肠黏膜纹理正常;肠镜检查可见肠黏膜充血水肿、黏液分泌增多等非特异性变化。概而言之,辅助检查不会有器质性病变的表现。
情绪性腹泻应以自我调节治疗为主:1.对病情要有正确的认识,切不可把腹泻当成一种思想负担,以免形成恶性循环,加重腹泻病情。
2.保持乐观的心情和生活态度,经常欣赏一些轻松欢快的音乐或电视节目,松弛自己的紧张情绪。
3.培养科学的生活习惯,建立合理的作息制度,注意劳逸结合,保证每天8小时充足睡眠,适当参加一些体育锻炼和体力劳动,以增强身体素质。
4.养成良好的饮食习惯,以清淡易消化为原则,避免刺激性食物及味道过浓的调味品。
5.请专业心理医生进行心理辅导,效果会更加理想。
虽然一般情况下不主张使用药物来控制情绪性腹泻,但如果症状严重,影响了工作和学习,也可以配合一些药物进行治疗。调节植物神经功能可以服用谷维素或刺五加;睡眠不佳、情绪烦躁者可以在每晚睡前服用安定或舒乐安定,亦可用苯巴比妥;若大便次数过多,可口服复方苯乙哌啶或易蒙停;如果有脱水表现,需要进行输液治疗。另外,中医和针灸治疗也有一定的效果。
kingkate
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Re: 当心“情绪性腹泻”的困扰
June 30, 2017, 09:23:27 AM
#2
注意调节心情啊!
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