Psychology and Psychiatry

IRR in children

VSD in children is a fairly common disorder characterized by regulatory dysfunction of the ganglion system, due to which there is a decrease in capillary tone, a failure in the performance of internal organs, metabolic abnormalities. Today, physicians are inclined to consider the violation in question as a borderline condition that separates illness and health. The children's vegetative system is not stable enough, therefore, for the occurrence of the described disturbance, very little is needed, for example, large loads in the school environment.

IRR in children and adolescents, mainly due to heredity. Most often, this condition is found in girls.

The reasons

The present disorder is not uncommon today. However, there are people to whom this term is unfamiliar, and vice versa, there are many people who know firsthand the manifestations of the described state from childhood.

Often parents are interested in the diagnosis of IRR in a child, what it is and how it manifests itself. Many moms and dads are frightened by these three strange letters in the crumbs card. They can not understand what a terrible disease overcame their child. However, do not panic. This condition is quite common today and can be successfully corrected. And therefore, first of all, it is necessary to find out the reason that provoked this deviation, and then outline a therapeutic strategy.

The formation of this deviation in children contributes to the severe course of gestation and the birth process: toxicosis, hypoxia, intrauterine infections, rapid or prolonged labor activity, encephalopathy.

Various psycho-traumatic conditions of existence, such as: confrontations in the family, school conflicts, pedagogical neglect of the crumbs, over-care, stressors, increased academic load, have a special significance in the development of the described violation. The factors contributing to the development of the disorder being analyzed can be various somatic ailments, endocrine pathologies, neuroinfections, infectious diseases, constitutional deviations, anemia.

The direct triggers of vegetative failure are often climatic conditions, adverse weather conditions, a harmful environmental situation, physical inactivity or excessive exercise, imbalance of microelements, irrational daily routine and nutrition, lack of sleep, and hormonal changes in the puberty period.

Manifestations of IRR in a child appear at the stages of active growth of the crumbs, when the functional load on the body is especially high along with the lability of the nervous system. The vegetative dysfunctions are accompanied by various somatic reactions and manifestations provoked by a deviation in the functioning of the parasympathetic system, caused by impaired production of corticosteroids, prostaglandins, polypeptides, and capillary receptor sensitivity disorder.

First of all, the IRR in children and adolescents is classified according to the prevailing etiological factor into psychogenic, dyshormonal, infectious-toxic, constitutional hereditary and dystonic of mixed nature.

In addition to these factors, the occurrence of the analyzed abnormalities also contribute to: head injuries, allergies and focal infections (chronic tonsillitis, pharyngitis, caries).


Since today the IRR in children and adolescents is not considered a disease, but is a borderline state, the following manifestations, which are indirect signs, can alert the parents, namely:

- tearfulness;

- frequent mood swings;

- fears;

- apathy;

- anxiety;

- loss of gaming interest;

- decrease in activity;

- causeless anxiety;

- dream disorder;

- dry dermis;

- secretory dysfunction of the sweat and sebaceous glands;

- acne;

- sharp periodic increase in temperature;

- dyspeptic disorder.

Signs of IRR in children are quite diverse in symptoms and treatment. Their severity and features of manifestation are due to the prevalence of sympathetic effects or parasympathetic reactions. The therapeutic strategy depends on the variation of the IRR in children.

VSD in children and adolescents is sympathotonic type, vagotonic and mixed. In order to determine the type of VSD in a child, first of all, changes in the functioning of the myocardium and capillaries are evaluated. From here allocate:

- cardiac form, characterized by the occurrence of arrhythmia, tachycardia or bradycardia. Subjective signs can be complaints of the crumbs of chest Algia, a feeling of cessation of heartbeat, lack of air;

- hypotensive form, characterized by a decrease in blood pressure, dizziness, muscle weakness, cooling of the limbs, blanching of the skin, a decrease in heart contractions;

- hypertensive form, manifested by an increase in blood pressure, intense head Algie, dizziness, redness of the dermis of the face, increased myocardial contractions, increased sweating;

- mixed form, in which it is difficult to isolate specific symptoms, since it can manifest itself with all the above phenomena.

In addition to changes in the functioning of the capillaries and myocardium, the IRR in a child is found in disorders of the psycho-emotional sphere, urinary, respiratory and digestive systems, and thermoregulation.

Emotional failures are observed in mood swings, apathy, chronic fatigue, anxiety, anxiety, anorexia of appetite, depressive moods, isolation.

Respiratory disorders are detected by dyspnea that occurs during rest, difficulty breathing.

Changes in the functioning of the digestive system are expressed by painful sensations of various localization, often caused by nervous tension, vomiting, changes in stool, and lack of appetite.

Nighttime incontinence or insufficient emptying of the bladder are expressed disruptions in the functioning of the urinary system. The disorder of thermoregulation is manifested by an unreasonable rise in temperature during the day, chills, or a drop in temperature at night.

A characteristic feature of the symptoms of the IRR in children can be considered the inconstancy of manifestations and complaints. Vegetative attacks can occur sporadically or appear daily on the background of stressful effects, changes in the weather, as a result of physical exertion, but at the same time the state of health remains the same.


Today disputes between doctors about the diagnosis of the IRR in a child that this is a serious problem or a borderline that is easily amenable to correction do not cease. The majority of modern pediatricians are convinced of the presence of signs of the described violation in almost 70% of the children's population. Such signs are referred to as complex symptoms, indicating functional impairments that occur in individual systems of the body and are due to malfunctions in the ganglion system. In other words, in many children of our time, vital activity is somewhat reduced due to deviations in the activity of the organism.

The danger of the analyzed state lies in the likelihood of the development of such illnesses as hypertension, asthma, and ulcers. Therefore, when detecting the above symptoms in a child, refer to professional medicine.

VSD in children, symptoms and treatment are interrelated. Since the choice of therapeutic tactics due to the nature of the disorder. Therefore, any therapy should begin with an adequate diagnosis.

Due to the huge variety of complaints and signs, the IRR in children is diagnosed by excluding the presence of other organic pathologies and infectious diseases that occur with similar symptoms.

In addition to consulting a pediatrician, it is often necessary to conduct a full examination by a cardiologist, a neuropathologist, an endocrinologist, and a gastroenterologist. Also, there will be no extra and appeal to a psychologist.

In the diagnostic study, special attention is paid to the examination of the myocardium, capillaries, and the nervous system. For these purposes, laboratory methods and instrumental methods of diagnosis are used, namely: electrocardiogram, Holter monitoring, electroencephalography, orthostatic and pharmacological tests are performed in order to evaluate the vegetative reactivity.

When choosing a therapeutic strategy for the correction of the state of the IRR in children, non-pharmacological treatment methods are preferable. Pharmacopoeial products are usually prescribed exclusively for symptomatically severe forms of the disease. First of all, non-pharmacological treatment is focused on improving the quality of the existence of the crumbs. Therefore, pediatricians recommend that, in the first turn, the child regulates the daily routine, evenly distribute the load, time for rest and study, pay attention to the quality of sleep and time of departure to the Morpheus kingdom. Also, parents should try to minimize, and it is better to completely eliminate the effects of stressors. In addition, it will be useful to encourage the child to adequate physical exertion, walks, non-traumatic sports activities.

In addition to the above, the child’s nutrition should be balanced and, above all, reduce the consumption or completely eliminate spicy or overly salty foods, smoked meats, tonic drinks. Diet should be enriched with microelements, vitamins. In addition, meals should be regular.

To normalize the state of mind, the emotional sphere will not damage the auto-training and methods of psychological correction. Physiotherapy procedures are also effective ways to improve well-being and eliminate unpleasant symptoms. Such procedures include: electrophoresis, acupuncture, electrosleep, balneotherapy (circular shower, iodide-bromine, pine baths), massage, phytotherapy and aromatherapy.

If non-pharmacological treatment is ineffective, then you should proceed to pharmacopoeial medicine. Among the drugs of sedative action preference is given to herbal remedies, for example, Sedavit, valerian tinctures. The prescription of nootropics (Piracetam, Fezam, Cortexin) and multivitamin complexes is practiced.

With severe symptoms of the IRR in a child, and if there is no other way out, the indications, given the age limit, are prescribed: antiarrhythmic drugs, antidepressants, drugs that reduce blood pressure, and tranquilizers.

Treatment of the described condition is long, complex and individually selected. When choosing a therapeutic tactic, many factors should be taken into account, such as: age category, features and form of the disease, severity of symptoms, duration of the course.