Wednesday, November 11, 2015

Therapy for Postural Tachycardia Syndrome (PoTS) in Malaysia

What is PoTS?

  • Postural          position of the body
  • Tachycardia   increased heart rate
  • Syndrome     a combination of symptoms

Postural tachycardia syndrome is an abnormality of the functioning of the autonomic (involuntary) nervous system. To be diagnosed with PoTS, an individual must experience a group of symptoms in the upright position (usually standing) that are relieved by lying down. A persistent increase in heart rate of 30 beats per minute (40 bpm if under 19 years of age) should be recorded within ten minutes of standing. Blood pressure (BP) does not always drop in PoTS.
Patients can be very disabled by their symptoms.  Fortunately, for many patients, symptoms will improve with a combination of life style changes and medication.  However some will have problems over many years.
Many health care professionals do not know that PoTS exists and so may not think of the diagnosis.  If you think you may have this condition, it may help to take a printout of information from this website to your appointment.

The Postural Tachycardia Syndrome (PoTS) is an abnormality of the autonomic nervous system (sometimes called ‘dysautonomia’). The autonomic nervous system (ANS) is in charge of all bodily functions that we don’t have to think about, such as:
  • Heart rate and blood pressure regulation
  • Digestion
  • Bladder control
  • Sweating
  • Stress response
The sympathetic nervous system is part of the autonomic nervous system. It produces the ‘fight or flight’ or ‘stress’ response. When activated, a chemical called norepinephrine is released. Amongst other things, this causes an increase in heart rate and blood pressure.

Treatment for PoTs  in Malaysia?
The Autonomic Nervous System has two branches, the Sympathetic and the Parasympathetic, which regulate the involuntary processes of the body, the viscera, and sense organs, glands and blood vessels. In evolutionary terms it is older than the CNS and its anatomical circuitry is broadly dispersed, creating a general response, quite unlike the highly specific pathways and response of the CNS. This generalised, widely distributed structure enables it to mediate overall changes in state; it is part of the limbic system which has also been known as the mammalian or emotional brain.

When a person looks at the world, he or she is confronted with an overwhelming amount of sensory information—sights, sounds, smells, and so on. After being processed in the brain's sensory areas, the information is relayed to the amygdala, which acts as a portal to the emotion-regulating limbic system. Using input from the individual's stored knowledge, the amygdala determines how the person should respond emotionally—for example, with fear (at the sight of a burglar), lust (on seeing a lover) or indifference (when facing something trivial). Messages cascade from the amygdala to the rest of the limbic system and eventually reach the autonomic nervous system, which prepares the body for action. If the person is confronting a burglar, for example, his heart rate will rise and his body will sweat to dissipate the heat from muscular exertion. The autonomic arousal, in turn, feeds back into the brain, amplifying the emotional response. Over time, the amygdala creates a salience landscape, a map that details the emotional significance of everything in the individual's environment.

Recent brain research indicates that it is possible to talk to the amygdala, a key part of the brain that deals with certain emotions. The inner mind is concerned with emotion, imagination and memory as well as the autonomic nervous system which automatically controls our internal organs. By talking to the amygdala, an experienced clinical hypnotherapist can relax the autonomic nervous system shutting down, or curtailing the trigger that sets off secretion of the adrenal and pituitary glands. This gives the body an opportunity to rebuild its immune system in many chronic illnesses. 
By using the technique of neuro-hypnotherapy Malaysia, we can peek into the brain region which associated with the regulation of amygdala now. It is safe, painless, non-invasive and no side effect.

"The mind is like an onion. The outer layer, or conscious mind, deals with intelligence, reality, and logic. The inner mind is concerned with emotion, imagination, and memory, as well as the autonomic nervous system which automatically controls our internal organs (i.e., how we breathe, send oxygen to our blood cells, or walk without using the conscious mind.) The internal mind is on autopilot, reacting to the dictates of the pleasure principle. It seeks pleasure and avoids pain" (Warren, 2003, pp. 175-6).
It is these characteristics that make hypnosis a highly effective therapeutic tool in dealing with a wide spectrum of mental and physical disorders. When a clinical hypnotherapist is doing hypnosis, the amygdala is turned down. The clinical hypnotherapist can actually relax the autonomic nervous system, shutting down the usual "fight, flight, or freeze" response and curtailing the trigger that sets off secretion of the pituitary and adrenal glands. This gives the body a chance to build up its immune system and reduce trauma (Frank and Mooney, 2002) in many chronic illnesses (i.e., irritable syndrome, bulimia, cancer, high blood pressure, and Parkinson's disease.) Even the Wall Street Journal (Friedman, 2003) has documented how hypnosis has entered the mainstream and is using trance states for fractures, cancer, and burns and speeding recovery time.


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