For the diagnosis it is the

For the diagnosis it is the extremely important to exclude other somatic and mental diseases. The bradycardia, a hypotension, a hypothermia, constipations, thermoregulation disturbance, a pilosis, a hypercarotenemia causing yellowness of palmar surfaces of a brush concern accessory signs, sometimes unsharply expressed and in serious cases an edema of the bottom parts of a body. For definition of character of endocrine disturbances toradol push at patients with a nervous anorexia numerous researches have been carried out. The amenorrhea is bound to depression of level of Oestradiolum, progesterone, and , and at mature women pulsing character of secretion ( 8-2) is lost. Such "regress" of secretion in a direction to observed in early the period is rather characteristic for this disease. Reaction of Gonadotropinums on LG-RG and even can be restored an ovulation by daily infusions LG-RG that specifies in depression of secretion of an endogenous rilizing-hormone. Level remains within norm or is sometimes raised, especially at serious disturbance of a food, and its paradoxical rising in reply to glucose introduction is often observed. At some patients secretion is stimulated . Level also remains within norm though its reaction on often is late. Maintenance 4 usually does not change, but concentration 3 is quite often lowered, and reversive - is raised. Hydrocortisone level in plasma, as a rule, is raised, and its daily fluctuations at 50 of patients are absent. Reaction to an insulinic hypoglycaemia, however, remains. The egestion 17-KS decreases, that reflects low secretion and Zinci sulfas .
Disturbances of secretion of Prolactinum are not described. Patients with a nervous anorexia at sharp cooling or an overheating do not have a shiver or other reactions, is referred - Disturbances of secretion of Gonadotropinums, late reaction on both changes of secretion and a hydrocortisone testify to subthalamic defect. Normalisation of secretion of hormones of a pituitary body after successful treatment of disease confirms representation that disturbances in the field of a hypothalamus is secondary in relation to reduction of mass of a body. However conservation of an amenorrhea at many even after full normalisation of mass of a body and disturbance of reaction of L of plasma on stimulation specify in a role still any factor, besides insufficiency of a food [65]. Questions of treatment of a nervous anorexia in many respects are beyond problems of this chapter and were recently in detail surveyed in other work [64]. The basic approach consists in restoration of an adequate food along with corresponding psychotherapeutic actions. In many cases effective there was a diet observance (liquid nutrition, in the treatment beginning containing 1200-1500 kcal a day with augmentation in a week to 3000 kcal a day). It is necessary to insist on reception of firm nutrition for maintenance of full value of a diet. Tried to apply many psychopharmacological agents (for example, cyproheptadine, neuroleptics, L-, antidepressants), but the limited efficiency and appreciable by-effects, apparently, do not justify baclofen withdrawal their use. Now the forecast concerning liquidation of a cachexia and short-term augmentation of mass of a body is more favorable, than was in the past. The mortality from starvation consequences (usually because of resistibility depression to an infection) makes 5 or less than [65]. At the majority of patients it is possible to restore mass of a body not less than to 90 from initial, however approximately only at 40 of patients the body mass remains a constant and ovulatory cycles are normalised. At 25 of patients maintenance of mass of a body is interfaced to smaller difficulties, but at them the amenorrhea very often remains. In the same percent of cases there is a relapse , there are symptoms of serious depression and the amenorrhea remains. Thermoregulation disturbances The thermoregulation represents integrated function of a hypothalamus in which realisation thermoreceptors and receptors of pyrogens area and a forward hypothalamus, a parcel from the receptors located in other departments TSNS and on periphery, and also not temperature factors participate, including wakefulness level, daily rhythms and a stage of a menstrual cycle. The definitive adjusting point depends not on local temperature in any certain site, and from a combination of plural influences. Mechanisms of a thermolysis regulated by a hypothalamus and consist in the emotional perception of temperature discomfort defining