Monday, March 12, 2007
Women Depression
Depression in the women "female nature" or special predisposition to the disease? The unhealthy state, which is manifested by characteristic symptoms, is called depression. Depression in no way is the manifestation of the weakness of nature. This is the serious disease, which is accompanied by the disturbances of all mental and even solid (sleep, appetite, the weight of body and others.) the functions of man. Loss or reduction in the volitional qualities - one of the symptoms of depressive disease. Therefore one ought not to advise person, who suffers depression, "to take itself in the hands" - it will not be able to overcome disease without the medical aid. Depression substantially is reflected in the fitness for work, the studies, the social life, the interrelations with others, including close ones. Is there a connection of depression with the feminine sex? To doctors it is well known that the women suffer the depression of more frequent than men. This fact is reliably confirmed by the results of numerous large epidemiological studies in the different countries, including in Russia. The frequency of depressions in women is 2-3 times higher than in men. In contemporary medicine feminine sex relates to the number of factors, which predispose to the development of depression. With which is connected the predisposition of women to the depression? Depression in many respects is connected with the changes in the hormonal background, which occur in the female organism at childbearing age. The so-called reproductive (genital) cycle passes a number of stages, beginning from the appearance of monthly and concluding by their disappearance: menstrual cycle, pregnancy, kinds, preclimacteric and climacteric periods. On each of these stages in the composition and quantity of hormones occur the significant changes, which are accompanied by physiological changes in all functions of female organism, including mental sphere. Therefore such changes in the hormonal background are connected with an increase in the risk of the development of depression. How is manifested depression in women? As has already been spoken, the risk of depression rises for each of the stages of reproductive cycle. In clinical medicine the different versions (syndromes) of the depressions, characteristic for each of the stages of reproductive cycle, are separated, premenstrual syndrome, depressive syndrome of pregnant females, syndrome of "melancholy of parturients", postpartum depressions and depressions in the preclimacteric and climacteric periods. The manifestations of depression can be different. Depressive mood can be manifested by the depression, depression and apathy as well as increased irritability, tearfulness, anxiety, feeling of internal stress. A change in the mood is usually accompanied by reduction in the activity, by feeling of the loss of energy, increased by fatigue, by the absent-mindedness of attention. Depressions in women are frequently accompanied by the diverse somatical disturbances: by changes in the sleep (insomnia or the increased sleepiness), the appetite (reduction in the appetite or its increase). Can appear the discomfort of stress and a feeling of pain in the mammary glands, headaches, pain in the joints and the muscles, the pain into the heart and the periodic sensations of palpitation, weakness in of tele-, the fluctuation arterial pressure, etc. The duration of the depressions, connected with the reproductive cycle, can be different. Premenstrual depressive syndrome usually short-term, approximately 2 weeks (1 week to even 1 week after menses), but has the relapsing nature with the corresponding to menstrual cycle monthly aggravations. Postpartum depressions and depressions of climacteric period can be more protracted and continue on several weeks and even months. How it is possible to treat depression? Depression - curable disease. With the condition for the correct selecting of the corresponding medicine and its dose the most complete possible deliverance from the symptoms of depression. The treatment of depression is conducted only with the aid of the special medicines, which are called antidepressants. Doctor must prescribe the treatment of depression only. It is necessary to remember that in each person the depression has its special features, connected both with the degree of gravity of disease, and with his clinical manifestations. The correct selection of the means of treatment in each specific case requires the estimation of many special features of the state of patient. Correct to reveal, to estimate and qualify such special features can only doctor. On no account should be come running to the councils of close ones or familiar either selected the means of treatment independently, on the basis of the fact that one or other preparation or another helped someone, whom you know. This rule it is necessary to soblyudat', especially if a change in the mood is accompanied by the expressed changes in the general health, by the disturbances of solid functions and by pains, which is most characteristic for the depressions, connected with the reproductive cycle. In such cases only the doctor can correctly estimate nature of symptoms, determine the real state of internal organs and select the medicine, which will be not only effective, but also safe. Categorically one should not independently assume antidepressants during the pregnancy and breast feedings. Today there is a large quantity of antidepressants. All contemporary preparations of this class are effective and safe means. However, each of the preparations has their distinctive special features, connected both with the therapeutic action, and the methods of its method, dosing. The treatment of depression requires time. One ought not to await complete recovery already during the first days of the method of preparation. It is necessary to remember that all contemporary antidepressants begin to affect depression not earlier than 1 -2 weeks after the beginning of treatment. The selection of the necessary dose of preparation also is accomplished during this period. The cancellation of antidepressant, just as its designation, must be carried out only by doctor. Even after the complete disappearance of all symptoms of depression it is necessary to continue the method of antidepressant during the specific period of time. This is connected with the fact that the risk of the aggravation of depression in the case of the premature cancellation of therapy is very high - to 60-80%. Moreover, aggravation of depression, connected with the premature curtailment of treatment, as a rule, it more complexly yields to therapy. The duration of this additional period of the treatment, whose purpose - preventive maintenance aggravation, determines only doctor on the basis of the specific features of each patient. You remember that even if you decide to end treatment ahead of time, which determined the doctor, it is necessary compulsorily to confer with it.
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