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THE SIGNIFICANCE OF CHRONIC TENSION-TYPE HEADACHES
IN 21ST CENTURY NEUROLOGICAL PRACTICE
Hotamov Bekzod Farhodovich
Bukhara Innovative Education and Medical University.
Head of the Department of Clinical and Preclinical Sciences
Annotation.
A number of scientific studies are underway to establish
effective methods of prevention and treatment of psychovegetic changes and
postural disorders in primary forms of headaches on a global scale.
Multidisciplinary research in different countries shows that changes in the
immune system and vegetative system in tension headaches are manifested in
different ways in dynamics, as well as with a specific symptomocomplex.
Keywords:
headache, headache in tension, psychovegetative changes,
neuropsychological, anxiety. Osteoarthritis (OA), especially DOA of the knee
joint, is the most common form of osteoarthritis, leading to significant disability
of patients worldwide.
Over the past 25 years, the global burden of neurological diseases has
increased due to population growth and increased life expectancy. Tension-type
headache is the most common neurological disorder, and it is estimated that 1.5
billion people worldwide suffer from it. According to various authors, the
prevalence of tension-type headache ranges from 20.6% to 78%. The chronic form
of headache is considered a long-lasting condition that leads to patient
maladaptation compared to the episodic form.[ 1 ] Chronic tension-type headache
accounts for 0.5% to 4.8%, occurs predominantly in women, and requires
qualified medical care.
According to the World Health Organization, at least one headache attack is
observed annually in two-thirds of the population aged 18 to 65, while chronic
headaches occur in 2–3% of the population. Episodic headaches are not
considered a major medical or social problem; however, chronic tension-type
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headaches significantly impair a patient's daily functioning and quality of life. .[ 2
]They are often accompanied by comorbid disorders such as depression, sleep
disturbances, and somatoform disorders. The difficulty in selecting effective
treatment elevates chronic tension-type headache and migraine to the level of
complex socio-medical problems. .[ 3,4 ]
It is well known that any pain syndrome is accompanied by psycho-
vegetative disturbances. Therefore, worldwide research is being conducted to
develop effective methods for the prevention and treatment of psycho-vegetative
changes and postural disorders in primary forms of headache. Multidisciplinary
studies conducted in various countries have shown that, in tension-type
headaches, changes in the immune and autonomic nervous systems manifest
differently over time and are associated with a specific symptom complex. .[ 5,6 ]
Taking this into account, it is of particular importance to improve the differential
diagnosis of clinical-neurological, neuropsychological, psycho-vegetative,
postural, neurophysiological, and neuroimaging changes observed in patients with
frequent episodic and chronic types of tension-type headache.[ 7 ]It is also crucial
to enhance early diagnosis, propose etiopathogenetically-based treatment and
prevention methods, and develop approaches to assess treatment effectiveness. In
our country, purposeful and practical measures are being implemented to reform
the healthcare system and align it with international standards. This includes
developing effective methods for the early diagnosis and comprehensive treatment
of patients with tension-type headache, as well as establishing thorough and
accurate clinical approaches.[ 8 ]
Conclusion.
In conclusion, the global burden of neurological diseases,
particularly tension-type headaches, has increased significantly over the past 25
years due to population growth and increased life expectancy. Tension-type
headache is one of the most common neurological disorders, with an estimated 1.5
billion people worldwide affected. Chronic forms of tension-type headache, which
occur predominantly in women, require qualified medical care and significantly
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impair daily functioning and quality of life. These headaches are often
accompanied by comorbid conditions, including depression, sleep disturbances,
and somatoform disorders, making them complex socio-medical problems.
REFERENCES
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поводу обострения. Интегративные тенденции в медицине и образовании, 1,
16-18.
2. Farkhodovich, H. B., & Tajiyevna, X. D. (2023). Psychovegetative
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3. Khodzhieva, D. T., & Farhodovich, K. B. (2023). neurovisual and
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