Autumn and spring are seasons that are difficult for a person who has chronic health problems in the pathogenesis. Traditionally, during these periods of the year, almost all existing sores make themselves felt, progress with renewed vigor and do not allow a person to live and work normally.

The organs of the digestive system are no exception. People suffering from gastritis, which is the most common among the current generation, consistently feel the disease during the off-season and experience its exacerbations. Let us consider why gastritis worsens in the spring, what symptoms does the seasonal intensification of the disease have, whether it is possible to prevent or minimize adverse effects on the body during these periods.

Grounds for exacerbation of gastritis

Gastritis is a common disease of the gastrointestinal tract, which qualifies as inflammation in the stomach of varying severity, depending on the origin and development of the disease, as well as provocative factors. Most often, the occurrence of chronic gastritis is a consequence of incorrect or incomplete treatment of the usual manifestation of the disease. People who already have it know that it was easier to prevent the disease in ontogenesis than when it developed into a chronic form and will worsen at any inopportune moment, periodically reminding of itself.

The primary sources of the appearance of the disease can be many factors that are divided into internal and external causes. Among the external ones, the most common are:

1. Irrational and unsystematic nutrition, frequent overeating or temporary starvation due to the lack of time for a full meal.
2. Strong stress on the body in physical and psychological terms.
3. Addictions that negatively affect the entire body, and primarily on the organs of the digestive system.

Internal reasons for the development of the disease may include unauthorized drug use for a long time, diseases of the immune and cardiovascular nature, or the development of harmful bacteria due to non-compliance with standard rules of personal hygiene.

Due to the presence of the above factors, a person develops painful symptoms in the stomach area, which signal the need to go to the doctor, the need for treatment and a revision of his lifestyle. In the initial stages, gastritis is not difficult to treat, the main thing is to follow the instructions recommended by the doctor and you can forget about the ailment forever. However, if this is not done, minor prerequisites for the development of the disease can transform into more serious problems, the treatment of which is not such an easy task.

Minor inflammation of the gastric mucosa, without the necessary treatment, penetrates into the deeper balls of the epidermis, the disease becomes chronic, and can also transform into an erosive or atrophic type, the cure of which is almost impossible, it is really only possible to stabilize the disease and bring it on. As a result, gastritis can worsen immediately if concomitant factors are present for this.

Why during the off-season?

As already mentioned, the disease can worsen at any time of the year, if there are accompanying indicators, however, the rise in exacerbations occurs to the maximum extent in the spring and autumn periods.

Seasonal exacerbation of gastritis is most often explained by the consequences of changeable and rainy weather, which is characteristic of the autumn and spring periods. The viciousness of weather conditions and a short day compared to night for many people cause blues, stress, bad mood and, as a result, all chronic diseases present in pathogenesis are aggravated. In addition, in the fall, most people radically change their diet, switch to the maximum extent to canned and salted foods, which are also stimulants of the intensification of diseases of the gastrointestinal tract.

Doctors often associate the spring exacerbation of gastritis with a lack of vitamins for the full functioning of the body, an increased consumption of fresh purchased vegetables, which are stuffed with various nitrates that negatively affect the human digestive system. And also old vegetables used for food in spring no longer contain those nutrients that were in them before, include coarse fiber and carcinogens that are stimulants of gastritis.

Another indicator for the development of gastritis is the debilitating diets that people, especially women, abuse in the spring to "squeeze" into their favorite jeans. For an already depleted organism, the rejection of nutritious and wholesome food is catastrophic, the body rebelles, showing off all the existing diseases. For the older generation, diets are unusual, however, most Orthodox people adhere to fasting in the spring, after which they try to catch up, thereby provoking an intensification of the disease.

It is worth noting that for a healthy person, the load on the body in spring and autumn is very large, the consequences can be various ailments, feeling unwell, lack of mood. People who have chronic illnesses are even more susceptible to poor health during the off-season, and poor nutrition and lack of preventive treatment further exacerbate the problem.

Exacerbation symptoms

Most often, people who are diagnosed with chronic gastritis know firsthand the symptoms of its exacerbation. Spring and autumn exacerbations are no different from the usual manifestation of the disease, except that they have an indicator of seasonality. The first signs of an aggravated ailment most often appear after eating or a strong nervous shock, which are the main provocateurs for the gastrointestinal tract against the background of unfavorable weather conditions and the unstable state of a person as a whole.

The main symptoms of exacerbated gastritis, with the appearance of which it is necessary to urgently consult a doctor and engage in rational treatment:

1. Appeared pain in the stomach area, which may have an acute or aching character with a tendency to increase.
2. Stool disorders that are characteristic of the disease, which can manifest as diarrhea and constipation.
3. Flatulence and stomach discomfort.
4. Unpleasant belching with possible heartburn.
5. Decreased appetite.
6. Weakness and aches in the body, complemented by general malaise and restless apprehensions for no apparent reason.
7. Attacks of nausea, sometimes accompanied by vomiting.

In addition, aggravated gastritis is sometimes accompanied by an increase in temperature, which indicates the presence of inflammatory processes in the body.

Doctors warn patients that the symptoms of exacerbation of gastritis are not always pronounced. Sometimes its manifestations may not be accompanied by sharp pains, have an episodic character and be characterized by minor discomfort for the patient after eating or in the presence of a feeling of hunger.

Even minor symptoms of the manifestation of the disease should be a reason to reconsider your lifestyle and take care of your health. Despite the insignificant external manifestation of the disease, inside the body the disease can progress and cause significant harm to the human stomach, which will further affect his health. If a person has the prerequisites for the development of the disease, he needs to listen very carefully to his body, and the slightest changes and symptoms should be the reason for the need for treatment. Chronic gastritis tends to quickly transform into the intestinal tract, with the defeat of the deep layers of the epidermis of the stomach and development into subsequent dangerous diseases of the digestive system.

Treatment and prevention

The treatment of gastritis, especially chronic gastritis, is a difficult task that requires endurance and willpower of the patient. The fact is that there is no universal pill, after taking which life will return to its usual course. One of the main provocateurs of the disease is food, which can relapse the disease at any time.

To begin with, as soon as the first symptoms of the disease appear, it is worth revising your diet, since gastritis must be treated with proper nutrition, which is considered the main component of the treatment of the disease. The exclusion of unhealthy foods from the habitual diet, the regime intake of food in small portions will immediately give positive prerequisites for recovery. With an exacerbation, it is worth observing more, which meets the requirements of doctors. The use of liquid food in a grated form from light foods is the main prescription for exacerbated gastritis.

In addition, pain can be relieved with the help of No-shpa or analgesics, and to improve digestion, doctors can prescribe Festal, Pancreatin, Gastal and other drugs. However, you should not prescribe medicines for yourself on your own, since not all drugs are suitable for different types of gastritis. Only a gastroenterologist will be able to choose the right treatment on the basis of a complete examination and tests.

And one more important point: the treatment of the disease is always more difficult than its prevention. Since seasonal exacerbations of the disease have specific causes, it is not so difficult to foresee and eradicate them to the maximum. In order for spring and autumn to pass without standard intensifications of the disease, you should carefully consider your diet throughout your life, and not only during periods of exacerbations, abandon addictions, try to avoid stress overvoltage. In the spring, it is important not to exhaust yourself with unjustified diets, and to introduce the first vegetables and fruits useful for the body into the diet little by little and with great care.

In the fall, doctors recommend paying more attention to your daily routine, as well as rational rest, so that weather conditions and climatic changes are as unnoticeable for the body as possible. Regular walks on the street, in parks, squares are useful, which can cheer you up even in the fall and heal from the blues, since this time of the year also has many of its charms.

Let's sum up

Seasonal exacerbations of gastritis are more the consequences of human inattention to their body than a special pattern. Patients stimulate an outbreak of illness in off-season periods, without paying due attention to personal health.

Awareness of the causes of the manifestation of exacerbations will help, with an appropriate approach, patients to avoid relapses of the disease, to stimulate their recovery. Adhere to proper nutrition and a healthy lifestyle, enjoy every day, despite the weather, avoid situations that are unpleasant for yourself - this way you can avoid many health problems.

A man is, first of all, a biological being and the vital activity of his body is subject to circadian rhythms. The change of day and night, seasons - affect the course of internal processes, including the mental activity of the human body.

Cyclicity of mental processes

The cyclical nature of the human psyche is observed not only in the norm, but also manifests itself in the form of an exacerbation of various endogenous diseases. With the onset of cold weather and the shortening of daylight hours in the autumn, the number of mental patients in hospitals increases. Mental illnesses are chronic in nature, with exacerbation phases in the autumn-spring period.

According to statistics, since the beginning of October, the number of patients in psychiatric clinics has increased by a quarter. People with increased emotionality more painfully perceive the transition from hot weather to cold and rainy weather, and a reduction in daylight hours. The autumn exacerbation of mental illness is also due to the fact that under the influence of sunlight, people produce serotonin (the hormone of pleasure), and when cloudy days come, the amount of serotonin decreases. Many people develop irritability, emotional instability. The bright colors of summer give way to gray shades, the heavy cloudy sky “crushes”, changes in atmospheric pressure and everyday rains lead to the fact that a person has a feeling of hopelessness, longing, anxiety for his future.

Autumn is a season of exacerbation not only of mental illness, but also of cardiovascular and gastrointestinal diseases. Fluctuations in atmospheric pressure affect the human vascular system and the neurovegetative regulation of internal organs and systems. In autumn, diseases such as depression, schizophrenia, affective psychoses, and epilepsy are aggravated.

Seasonal Relapse Clinic

In the autumn, not only the number of hospitalizations of patients with endogenous diseases increases, but doctors of the outpatient service also note an increase in the flow of patients. Some diseases that proceeded in a latent (latent) form, in the fall, mental disorders manifest themselves in full. The economic crisis, analysts' forecasts about the worsening of people's lives by the end of the year, and the risk of job loss and personal savings are causing a wave of mental disorders. Patients with neuroses and panic attacks feel worsening of their condition, and epileptic seizures become more frequent. Autumn "blues" is normal in all people, in mental patients, a depressive state can end in suicide.

Patients with depression and various types of psychoses can be dangerous in the autumn period of exacerbations not only for themselves, but also for others. Some patients have ideas that the whole family or society as a whole is in great danger. In psychiatry, there have been cases where mentally ill mothers could harm their child.

Autumn exacerbation of schizophrenia occurs more often in men. Their productive symptoms intensify - delusions and hallucinations. Considering that men consume alcohol more often and in large doses, the exacerbation of mental illness in them is more pronounced. By their biological nature, men are more aggressive and therefore the exacerbation of schizophrenia in the fall is associated with the commission of illegal acts, an increase in the number of head injuries.

Some schizophrenic patients complain to doctors in the autumn that they were attacked by other people's voices. Police officers note an increase in citizens' complaints about "UFO landing in the courtyard of a house" or "verbal contact with aliens." It is mentally ill men who become active participants in various demonstrations, revolutions and coups in the country.

Relapse prevention

An important role in the prevention of autumn exacerbations is played by the participation of loved ones and relatives in the life of a sick person. People with mental illness cannot adequately assess their condition, some patients stop taking medications, and men with schizophrenia are prone to alcoholism, which worsens the course of an endogenous disease. Relatives of the patient should refer him to inpatient or outpatient treatment when the first signs of deterioration of a chronic mental illness are detected.

Patients with depression, psychosis, neuroses are very often afraid to go to a psychiatrist, they try to cope with the symptoms and signs of the disease on their own. Many patients self-medicate, drink various medications that friends have recommended to them or they have read information on the Internet. The most important thing is to consult a specialist in a timely manner. Some patients require psychotherapeutic assistance rather than medication.

To prevent seasonal exacerbations of depression and psychosis, a person needs to observe a sleep and rest regimen, a balanced diet and take multivitamins. Moderate physical activity (running, swimming) and physiotherapy (relaxing baths, Charcot's shower) are recommended. You should refrain from psychostimulating drinks - tea and coffee. The psychotherapist must convince the patient that the depressed state is simply the result of the influence of natural factors on the human body.

In the autumn period, it is recommended to be more outdoors, to walk (if the weather permits), to change the environment, to leave the house more often, not to lock on to yourself and on your thoughts, to go to visit or to the theater. Chatting with friends and acquaintances can help you distract yourself from negative thoughts. Some people run away from depressed autumn cities and buy a week-long trip to warm countries.

The doctor - psychotherapist should help the patient find a way to relax, switch to positive thoughts and active activity in the fall.

Rating:

Not a secret , that in winter many motorists prefer not to drive, leaving the car in garages and parking lots. Therefore, technical faults that appear sharply after long-term storage- quite frequent phenomenon... Don't forget: first, what every driver should do before hitting the road, - check , can his car drive on public roads (p... 2. 3. one . SDA).

For trips on a faulty car or a car that, due to certain shortcomings, faces a warning or a fine of 500 rubles (part 1 of article 12.5 of the Administrative Code of the Russian Federation) ... For example, it is forbidden to drive a car that has a leak in the hydraulic brake drive or crankcase ventilation system. However, a fine is the last thing to worry about, because your health and those of others are much more expensive.

Reckless

With warming, the number of reckless drivers on the streets of cities increases sharply- get them agile in winter restrain weather conditions. The result of racing without rules very often leads to terrible accidents.... It is clear that it is vital to observe the speed limit in the literal sense of the word... For all , who forgets about the established speed limits, there are corresponding fines. And especially stubborn ones can be punished again... It will not be superfluous to remember what's what.

Without light

Increasing the duration of the lightdays, improved weather conditions and visibility- all this leads to that in the spring, drivers often forget to turn on the dipped headlights during the day... Meanwhile during daylight hours, all moving vehicles must turn on the dipped beam headlights or daytime running lights (p.... 19 . five . ch. 19 SDA ). Otherwise, the offender will receive a warning or a fine of 500 rubles(Article 12.20 of the Code of Administrative Offenses of the Russian Federation).

Life is easier for those whose lighting equipment turns on automatically, but in machines without such a function, it is important to constantly monitor this moment. Safety largely depends on how quickly you can notice another car and make a maneuver, if necessary. This means that the risk of getting into an accident is reduced.

Breaking the distance

After a long winter, potholes, bumps and cracks appear on the roads. Temperature changes lead to the destruction of asphalt and the formation of many puddles, which often hide deep holes under them. The risk of losing control due to sudden maneuvers increases.

Therefore, in the spring it is especially important between your own and the vehicle in front (clause 9.10.Traffic rules), as well as the speed limit, paying close attention to road conditions (p. 10.1. SDA). Keeping a safe distance, the driver can safely make emergency braking, spotting, for example, a frozen puddle, and at the same time not damage either his or someone else's car. Anyone who forgets about this rule will be fined 1,500 rubles (part 1 of article 12.15 of the Administrative Code of the Russian Federation.

Dangerous dirt

Keeping your distance is important for the following reason. Due to the abundant melting of snow and mud on the roads, many drivers choose not to wash their cars until a stable plus and dry weather. Dirty brake lights on some cars in the spring is a common story. And dangerous: drivers in the back will not be able to avoid a collision if you suddenly brake sharply. So before you go on the road, it is extremely important to take care of the cleanliness of the lighting fixtures. For failure to comply with this requirement, there is a great risk of getting not only a warning or a fine of 500 rubles (part 1 of article 12.5. Of the Administrative Code of the Russian Federation), butand an impressive trunk and rear bumper dent. And that's if you're lucky.

By the way, license plates should also be kept clean. A warning or a fine of 500 rubles (part 1 of article 12.2 of the Administrative Code of the Russian Federation) awaits the driver.

Updating the wardrobe

From March of this year, drivers must carry a reflective vest, compliantGOST 12.4.281–2014. It is imperative to wear it while on the roadway or roadside, in case of forced stops or accidents, that happened outside settlements at night or in conditions of limited visibility(p. 2. 3. 4. ch. 2 SDA).

Since the norm is relatively new, not all motorists have managed tomake the necessaryshopping. And although there are no direct sanctions for a fashion show without a vest yet, there is a high probability of paying a fine in the following two cases.

1. If, having an accident outside the settlement, the driver, leaving the salon of his car, goes out on the road and does not put on a vest, then this may fall under Part 1 of Article 12. 27. Administrative Code of the Russian Federation “Failure by the driver to fulfill the obligations stipulated by the SDA, due to Road accident, of which he is a participant. " For this violation there is a fine - 1000 rubles.
2. Logically speaking, a driver who enters the road or shoulder turns into a pedestrian. At least in terms of his status, he falls under the definition of a pedestrian, since “this is a person who is outside a vehicle on the road or on a pedestrian or bicycle path and does not work for them”. It is known that pedestrians outside settlements are required to carry objects with reflective elements and ensure the visibility of these objects by vehicle drivers. (Clause 4.1, Chapter 4 of the SDA). And for violation of this requirement, a warning or a fine of 500 rubles is provided (part 1 of article 12. 29. Administrative Code of the Russian Federation).

However, updating the wardrobe is important not so much because of possible fines, how much again for security reasons.

No helmetand right

. Some of them often neglect basic safety precautions.. You don't need to look far for examples- the Internet is replete with videos with such reckless drivers in the lead roles... Clear , that such driving is dangerous for the offenders themselves, and for others... therefore before starting the engine, all lovers of motorcycles or mopedsmust put on and fasten motorcycle helmets and themselves, and passengers. Otherwise, violators will be fined- 1000 rubles (Art. 12. 6. Administrative Code of the Russian Federation).

And, of course, do not forget to take with you the rights of the corresponding category: "A" - motorcycles; "M" - mopeds and light ATVs. Riding without a license will cost more - from 5,000 to 15,000 rubles(Part 1 of Art. 12.7 of the Code of Administrative Offenses of the Russian Federation).

Didn't give way

Due to the multitude of cyclists, it is also important to remain vigilant in the spring season., who might suddenly get in your way. These road users take advantage of, therefore it is important to give way to them. For failure to comply with this requirement, the driver will have to pay a fine.in the amount of 1,500 to 2,500 rubles (Art... 12 . eighteen . Administrative Code of the Russian Federation).

However, this street is not a one-way street, since it is established for the cyclists themselves.responsibilityfor traffic violationin the form of a fine of 800 rubles (part 2 of article 12. 29 . Administrative Code of the Russian Federation). We are talking about non-compliance with all traffic rules, directly related to cyclists, including Ch. 24. And if the driver of a two-wheelerviolating traffic rules, in addition, it will turn out to be drunk, then the amount of the fine will jump to the mark from 1000 to 1500 rubles (part 3 of Art.12

Any gastroenterologist knows that in the spring and autumn the number of patients under his office increases dramatically. Why? Yes, because gastritis (inflammation of the stomach lining) is very fond of the off-season. How can we resist their onslaught?

What is gastritis?

Gastritis is an inflammation of the stomach lining. As a result of gastritis, the digestion and assimilation of food is disrupted. Symptoms of this disease can be acute, or they can make themselves felt only with minor hints (heaviness in the stomach, bloating, discomfort in the left hypochondrium). The most striking symptoms of gastritis:

pain in the epigastric region

bloating

• decreased appetite

  bad taste in the mouth

  irregular bowel movements (constipation, diarrhea).

Why do gastritis get worse in the off-season?

Spring and autumn are transitional periods between summer and winter. In the off-season, the regime of the day changes (the day becomes shorter, the night is longer), the nature of the diet (there are fewer fresh fruits and vegetables in the diet, preference is given to meat, cereals, pickles). Colds begin to intensify, depleting the immune system, as a result, existing chronic diseases are exacerbated. Affects the state of health and emotional depression, characteristic of the fall. Whether we like it or not, reducing daylight hours has a depressing effect on our mood, but practice shows that the emotional sphere is very closely related to the state of the gastrointestinal tract. So, a person living in a state of chronic stress, the chances of earning gastritis are much higher than those who are philosophical about any problem. This is because during stress, a large amount of adrenaline, a hormone that causes vasoconstriction, is released into the bloodstream. As a result, the blood supply to the gastrointestinal tract deteriorates, the nutrition of the cells of the gastric mucosa is impaired, some of them atrophy and die, forming zones of inflammation, that is, gastritis. If this condition is not treated, over time, defects, erosion and ulceration appear on the mucous membrane.

Getty Images / Fotobank

What to do?

Eliminate the main irritants of the gastric mucosa from your diet: spirits, coffee and soda.

Do not get carried away with spicy seasonings, pickles, marinades, food that is too hot or cold.

Give up chips, fast food, quick soups.

Avoid foods rich in coarse fiber (raw cabbage, apples, carrots).

Get rid of the habit of smoking, especially on an empty stomach. Nicotine and other constituents of tobacco smoke damage the mucous membrane and slow down the processes of its regeneration.

Stop taking medications uncontrollably. Even a regular aspirin pill can harm your stomach.

Chew food more thoroughly.

Forget about diets, especially strict and unbalanced ones, because any experiments with nutrition can lead to a deficiency of protein, vitamins and microelements, without which normal regeneration of the gastric mucosa is impossible.

Twice a year (in spring and autumn), undergo a course of treatment with mineral waters, preferably at balneological resorts (Khmelnik, Irpen, Pushcha-Voditsa, Nemirov, Mirgorod, Truskavets, Morshin, Shklo, Yalta, Feodosia, Odessa, Saki, Svalyava, Mukachevo).

Feeling unwell, it is worth switching to a dietary diet that includes boiled and stewed vegetables, fish, lean meat, liquid cereals, all kinds of soups, fruits with a low fiber content - bananas, overripe pears, baked apples without peels, plums, peaches, seedless grapes.

It is possible that the cause of the development of gastritis was not a genetic predisposition or an improper lifestyle, but a tiny, but very aggressive microbe Helicobacter pylori. Having settled in the outlet of the stomach, this microbe actively multiplies and releases a toxin that provokes the appearance of gastritis, erosions and ulcers. That is why, at the very first symptoms of gastritis, it is important not to self-medicate, but to be examined by a gastroenterologist.

Our consultant is Larisa Kovalenko, a gastroenterologist at the Institute of Gerontology of the Academy of Medical Sciences of Ukraine.

In the early spring morning, 30-year-old Andrei could not sleep. Outside the window, dawn barely dawned, the birds were trying their voices on the chant. Andrey thought that not only he was probably awake now, but also his new friend Maxim, a work colleague.

In general, they communicated only once, and then not for long. We exchanged a couple of phrases about English classes. But Andrei believed that this was a strong friendship. At work, he had access to information about colleagues, and from there he learned Maxim's address. Just in case - what if they decide to see each other.

That night Andrey thought that the time had just come. At dawn, he left the house, taking with him a couple of bottles of beer. The sleepy comrade, having learned what was the reason for the visit, only covered Andrey with obscenities and began to threaten that he would call the police if he didn’t get out.

Maxim did not know that Andrei suffers from schizotypal personality disorder. In this case, the person is being treated by a psychiatrist, but is capable and can work. The difference between people with this disorder is somewhat eccentric thinking and behavior.

The peculiarity of Andrey's thinking is manifested in the fact that everyone around him seems incredibly friendly. He believes that everyone wants to communicate with him, and as much as possible, - explained Denis Kozhevnikov. - Andrey does not perceive anyone from a critical point of view and trusts everyone.

Such a person does not realize that his behavior violates other people's boundaries. Andrei sincerely believed that since he was not sleeping, then his colleague was also not sleeping and would be glad to see him.

Schizotypal disorder comes in many forms - not just so friendly.

The symptoms of this disorder are often called aggressiveness, a tendency to social isolation, says Kozhevnikov. - The form of the disorder depends, among other things, on the environment in which the patient was brought up.

According to the psychotherapist, if a child with such a feature was rarely taken to visit or public places (for example, the family was shy), then, probably, in adulthood he will withdraw into himself and avoid communication.

Andrei's family tried to bring him to the people, so he is so actively drawn to communication, sees the world in a good light, - explained Kozhevnikov.

Spring mood

Mental illnesses and disorders are cyclical. Among them are schizophrenia, depression, manic-depressive psychosis. Exacerbations usually occur in spring and autumn. However, some scientists note that people are also often uneasy in winter. And life seems best in summer.

In the spring, patients experience exacerbations, because daylight hours become longer, a person's hormonal system is activated, biorhythms change, - explains psychotherapist Artur Garaganov. - A patient with a mental disorder cannot understand his new sensations. This worries him.

Psychiatrist Andrei Berezantsev says that the fatigue that has accumulated over the winter and the deficiency of nutrients in the body still affects.

As before Life, usually in February the number of suicides begins to grow in Russia, and in May-June - to decline. These are the data of Rosstat. This is another confirmation that spring, despite the sun and blooming flowers, can be a very difficult period.

An exacerbation can manifest itself in completely different ways. It can be an outburst of friendliness, like Andrei's, or, conversely, aggression.

For example, you stepped on the foot of such a person on the street, and he fell into a rage, - said psychiatrist Andrei Berezantsev. - Or, after an accident, such a person will jump out of the car and pounce on the offender with his fists.

In my practice, there was a patient who had been undergoing treatment for schizophrenia for many years, ”said psychiatrist Erken Imanbaev. - He already gave positive symptoms. We discharged him, he felt good.

With the onset of spring, the patient experienced an exacerbation. He found where the head of the psychiatric dispensary department lives, came to her home and stabbed her husband with a knife (he, fortunately, survived). The patient was again hospitalized as a socially dangerous patient. He was no longer discharged, so that nothing like this would happen again.

This man began to have a schizophrenic delirium, in which the manager somehow ended up, - explains Erken Imanbaev. - The man decided to take revenge on the husband of our colleague.

How to survive in a crazy world

A person with a mental disorder can only be recognized by a psychiatrist. But there are signs that are characteristic of many patients.

Such a person is often nervous, with a walking gaze, he can fiddle with something in his hands, move from place to place in the metro, - notes Denis Kozhevnikov. - It's better to move away from him, you can even go to another carriage.

The most obvious signal is antisocial behavior, says Artur Garaganov. - Often, patients try to provoke others to conflict. For example, they will spread their belongings all over the bench in the subway, put a hamburger on the hood of someone else's car, like on their own table. They can suddenly unbutton their clothes, throw off their pants. Everything in order to enter into communication, to cause a reaction.

According to Erken Imanbaev, the most important thing is not to enter into conversation with an inadequate person and not to contact at all.

If you see that the person is aggressive, step back, call the police, an ambulance. You yourself do not need to call him to order, - explains Imanbaev. “Recently I saw a passer-by on the street decide to teach an obviously sick person the rules of behavior. He took a stone and hit the "teacher".

The specialist emphasized that if the patient is in a state of passion, he will not go to jail, even for murder.

One patient was in a state of passion, he killed his mother, - recalls Imanbaev. - According to the doctors, he was not aware of what he was doing. This patient will now be treated for life in a psychiatric dispensary.

And you will be cured

Seasonal exacerbation applies not only to people diagnosed with a medical record. As psychiatrists joke, there are no absolutely healthy, there are only under-examined.

Student Ivan was preparing for the spring session. Sleepless nights with endless cramming and general overwork cost the stubborn young man dearly. Ivan began to notice with concern that those around him did not treat him the way they used to. It seemed to the student that behind his back people were whispering and discussing his person. Further, his own life began to seem to him an action-packed film. Ivan was sure that listening devices were installed in electrical outlets, and, accordingly, he was being followed.

One night Ivan suddenly felt an extraordinary surge of strength. The young man was enlightened that he has the ability to decide the fate of the universe. Inspired by new opportunities, the guy ran out of the house. At the same time, the "superman" completely forgot his clothes at home. Ivan ran around in what his mother gave birth, until he was detained and sent to a psychiatric hospital.

Against the background of accumulated fatigue, lack of sleep and overwork, the young man developed an acute psychotic state, in other words, an acute psychosis, the psychiatrist explains. - Acute conditions usually quickly stop, 2-3 weeks of treatment is enough for a person to come to their senses.

In the story of the naked superman, no one was hurt, not even himself. Several years have passed since then, the former student feels well, but so that this does not happen again, he continues to go to a psychiatrist. He does not have any disease - he just knows that due to overwork his psyche can again weaken.