Qhov seem-organic Cns puas tsuaj: Ua thiab yuav tshwm

Cns - ib tug tswv regulator ntawm tag nrho kab mob. Tom qab tag nrho cov, nyob rau hauv lub cortical hlwb lug yog departments lub luag hauj lwm rau lub lag luam ntawm txhua qhov system. Vim lub hauv paus poob siab system kom lub cev tau hauj lwm ntawm tag nrho cov hauv nruab nrog cev, kev tswj ntawm qhov kev tso tawm ntawm cov tshuaj hormones, psycho-lub siab lub ntsws tshuav nyiaj li cas. Cov kev phiv influences tshwm sim organic puas hlwb lug. Feem ntau tus kab mob no muaj nyob rau hauv thawj xyoo ntawm ib tug me nyuam lub neej, tab sis nws yuav kuaj nyob rau hauv cov neeg laus cov pejxeem. Txawm tias muaj tseeb tias lub hauv paus poob siab system ncaj qha mus txog rau cov tub ceev xwm vim hais tias ntawm lub paj dab (axons), lub yeej ntawm lub kiav txhab yog txaus ntshai vim hais tias ntawm lub loj heev txim txawm tias thaum lub cev lub xeev ntawm tag nrho cov kev haumxeeb systems. Rau cov kev kho mob ntawm cov kab mob ntawm lub paj hlwb yuav tsum pib li thaum ntxov raws li ua tau, nyob rau hauv Feem ntau nws yog nyob rau ib lub sij hawm ntev - rau lub hlis los yog xyoo.

Hauj lwm ntawm residual-organic lesion ntawm lub hauv paus poob siab system

Raws li yog lub npe hu, lub hauv paus poob siab system yog ib tug hauj lwm ua ke system nyob rau hauv uas txhua txhua tus cov chav nyob muaj ib qho tseem ceeb muaj nuj nqi. Nyab tsis txawm ib tug me me rau thaj tsam ntawm lub paj hlwb yuav ua rau muaj kev cuam tshuam ntawm cov kab mob. Nyob rau hauv xyoo tsis ntev los, kev puas tsuaj rau lub paj hlwb cov ntaub so ntswg ntau cai nyob rau hauv xyuas cov neeg mob. Yuav kom ib tug ntau dua raws li qhov no tsuas yog siv rau cov me nyuam yug los. Nyob rau hauv xws li mob, tus mob yog teem "residual-organic Cns kev puas tsuaj nyob rau hauv cov me nyuam." Yuav ua li cas nws yog thiab seb tus kab mob no yog kho tau? Cov lus teb rau cov lus nug no thab txhua tus niam txiv. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias xws li ib tug mob yog ib tug collective lub sij hawm, uas tej zaum yuav muaj xws li ib tug xov tooj ntawm txawv pathologies. Xaiv cov tshuaj tiv thaiv thiab cov hauj lwm zoo nyob rau hauv lub loj heev ntawm qhov txhab thiab kev mob ntawm tus neeg mob. Tej zaum cov residual-organic Cns kev puas tsuaj nyob rau hauv cov neeg laus. Feem ntau cov pathology tshwm sim vim kev poob plig, inflammatory kab mob, intoxication. Lub sij hawm "residual-organic Cns kev puas tsuaj" yog hais txog tej residual los tom qab kev puas tsuaj rau neural lug. Forecast, raws li zoo raws li lub txim ntawm xws li ib tug kab mob nyob ntawm seb yuav ua li cas muaj mob loj hlwb muaj nuj nqi. Nyob rau hauv tas li ntawd, tseem ceeb heev yog muab rau cov tshuaj pleev mob thiab qhia kom paub txog tus txhaum qhov chaw. Tom qab tag nrho, txhua tus cov lug ntawm lub hlwb yuav tsum ua tau tej yam zog.

Ua rau residual-organic hlwb puas tsuaj nyob rau hauv cov me nyuam

Qhov seem-organic Cns kab mob nyob rau hauv cov me nyuam yog feem ntau thiaj paub hais tias. Ua rau neurological mob tej zaum yuav tshwm sim tom qab tus me nyuam yug ntawm tus me nyuam, raws li tau zoo raws li thaum lub sij hawm cev xeeb tub. Nyob rau hauv tej rooj plaub, central lub paj hlwb puas tsuaj tshwm sim raws li ib tug tshwm sim ntawm teeb meem ntawm kev yug menyuam. Lub ntsiab mechanisms ntawm residual-organic lesion yog kev poob plig thiab hypoxia. Faib ib tug xov tooj ntawm lwm yam uas ntxias ua txhaum ntawm poob siab system ntawm ib tug me nyuam. Cov lawv:

1. Caj predisposition. Yog hais tias cov niam txiv muaj tej psycho-lub siab lub ntsws hloov, txoj kev pheej hmoo ntawm kev loj hlob ntawm tus me nyuam yuav tsub kom. Piv txwv tej zaum yuav muaj xws li xws pathologies xws li schizophrenia, neurosis, qaug dab peg.
2. Chromosomal txawv txav. Yog vim li cas rau lawv tshwm sim yog tsis paub. Kev tsim kho ntawm lub DNA yog txuam nrog ib puag ncig yam tseem ceeb, kev nyuaj siab. Vim hais tias chromosomal txawv txav tshwm sim pathologies li Down syndrome, Shershevskii-Turner syndrome, Patau thiab t. D.
3. Raug rau lub cev thiab tshuaj yam nyob rau fetus. Qhov no yog hais txog unfavorable tej yam kev mob, ionizing tawg, siv cov narcotics thiab tshuaj yeeb.
4. Kis kab thiab inflammatory kab mob nyob rau hauv lub paj hlwb bookmark embryo cov ntaub so ntswg.
5. Toxemia ntawm cev xeeb tub. Tshwj xeeb yog txaus ntshai lig gestosis (ntej thiab eclampsia) yog rau cov mob ntawm lub fetus.
6. Kev ua txhaum ntawm placental kev, hlau tsis muaj peev xwm anemia. Cov tej yam kev mob ua rau me nyuam hauv plab ischemia.
7. Obstructed zog (qaug zog uterine contractions, nqaim mog, abruptio tsev me nyuam).

Qhov seem-organic lesion ntawm lub hauv paus poob siab system nyob rau hauv cov me nyuam muaj peev xwm tsim tsis tsuas nyob rau hauv lub perinatal lub sij hawm, tab sis tom qab nws. Cov uas keev ua yog lub taub hau raug mob nyob rau ntawm ib thaum ntxov lub hnub nyoog. Tsis tas li ntawd, txoj kev pheej hmoo yam xws li tau txais cov tshuaj nrog teratogenic los, thiab tshuaj thaum lub sij hawm pub niam mis lub sij hawm.

Cov tshwm sim ntawm residual-organic hlwb puas tsuaj rau cov neeg laus

Nyob rau hauv adulthood, lub cim ntawm residual-organic lesion yog tsawg heev, tab sis yog lawv yog tam sim no nyob rau hauv ib co neeg mob. Feem ntau qhov ua rau ntawm tej lub sijhawm uas nws yog kev raug mob nyob rau hauv thaum ntxov thaum yau. Nyob rau tib lub Neuro-puas siab puas ntsws tsis meej yog ib tug ntev-lub sij hawm tshwm. Qhov seem-organic hlwb puas tsuaj tshwm sim rau cov nram qab yog vim li cas:

1. Traumatic kab mob. Txawm li cas los thaum twg cov kev puas tsuaj tshwm sim Cns nyob twj ywm tseg (residual) cov tsos mob. Feem ntau suspects muaj xws li mob taub hau, convulsions, puas siab puas ntsws.
2. Mob tom qab phais. Qhov no yog tshwj xeeb tshaj yog muaj tseeb ntawm lub paj hlwb hlav uas raug muab tshem tawm los ntawm lub capture ntawm lub nyob ib sab neural cov ntaub so ntswg.
3. Txais ntawm cov tshuaj. Nyob rau ntau yam ntawm tshuaj residual-organic lesion ntawm cov tsos mob tej zaum yuav txawv. Feem ntau cov feem ntau loj heev kev ua txhaum cai thaum lub sij hawm mob thawj coj ntawm opiates, cannabinoids, hluavtaws tshuaj.
4. Mob alcoholism.

Nyob rau hauv tej rooj plaub, residual-organic lesion ntawm lub hauv paus poob siab system yog cai tom qab ib qho inflammatory tus kab mob. Cov no muaj xws meningitis, ntau hom ntawm encephalitis (kab mob, zuam, post-txhaj tshuaj tiv thaiv).

Lub mechanism ntawm kev loj hlob ntawm Cns

Qhov seem Cns yeej ib txwm tshwm sim los ntawm kev phiv yam tseem ceeb uas preceded ua ntej lawm. Nyob rau hauv Feem ntau, lub hauv paus ntawm lub pathogenesis ntawm cov tsos mob no yog ib tug cerebral ischemia. Nyob rau hauv cov me nyuam, nws muaj txawm nyob rau hauv utero. Vim tsis txaus ntshav mov rau lub tsho me nyuam fetus tau txais txaus oxygen. Raws li ib tug tshwm sim, tawg tag nrho txoj kev loj hlob ntawm cov hlab ntaub so ntswg, tshwm sim fetopathy. Ib tug tseem ceeb ischemia ua rau intrauterine txoj kev loj hlob ruamqauj, me nyuam yug ntawm ib tug me nyuam ua ntej lawm gestational hnub nyoog. Cov tsos mob ntawm cerebral hypoxia tej zaum yuav tshwm sim nyob rau hauv thawj hnub thiab lub hlis ntawm lub neej. Qhov seem-organic lesion ntawm lub hauv paus poob siab system rau cov neeg laus feem ntau muaj raws li ib tug tshwm sim ntawm kev puas kis tau ua. Tej zaum cov pathogenesis ntawm neurological mob txuam nrog metabolic (hormonal) ntshawv siab.

Syndromes nyob rau hauv residual-organic lesion ntawm lub hauv paus poob siab system

Nyob rau hauv kev kawm txoj tib neeg lub hlwb thiab Psychiatry qhia ob peb yam loj syndromes uas yuav tshwm sim ntawm nws tus kheej (nyob rau hauv lub keeb kwm yav dhau lub hlwb tus kab mob), thiab kev raws li ib residual Cns. Nyob rau hauv tej rooj plaub, ib tug ua ke ntawm ob qho tib si. Paub qhov txawv cov nram qab no cov tsos mob ntawm residual-organic lesion:

1. Tserebrastenicheskom syndrome. Nws ces yog xam tau tias yog qaug zog, cov neeg pluag kev loj hlob ntawm cov kev kawm, kev tsis muaj zog, tearfulness, mus ob peb vas kev hloov.
2. Neurosis syndrome. Nws yog tsiag ntawv los ntawm txoj kev loj hlob ntawm phobias, enuresis (uncontrolled tso zis thaum hmo ntuj), lub cev muaj zog excitation (lub suab qw).
3. hyperactivity thiab xim tshaj tsis meej. Nws tshwm sim nyob rau hauv cov tub ntxhais thiab nruab nrab lub tsev kawm ntawv uas muaj hnub nyoog.
4. Encephalopathy. Lub ntsiab ces - qhov no yog pw tsaug zog ntxaug, tsis nco, rau siab ntso. Nyob rau hauv loj heev zaum, ib tug focal neurological cov tsos mob, qaug dab peg.
5. Psychopathy. Nws yus muaj los ntawm kev tsis mloog lus, aggression. Nyob rau hauv adulthood - lability ntawm mus ob peb vas, hysterical tshua, anti-kev coj cwj pwm.

Feem ntau cov feem ntau, lub hlwb hypoxia ua rau diffuse cov tsos mob, syndromes teev tseg thaum ua ke nrog txhua lwm yam, tsis xav qhia. Lub predominance ntawm focal mob tsis tshua cai.

Cov soj ntsuam daim duab nyob rau hauv Cns

Feem ntau cov feem ntau, cov tsos mob ntawm residual-organic lesion ntawm lub hauv paus poob siab system tshwm sim tej lub sij hawm tom qab raug tus kab mob rau cov nyom yam tseem ceeb. Thaum perinatal hypoxia, me nyuam hauv plab kev txawv txav tej zaum yuav pom nyob rau hauv thawj lub hlis ntawm lub neej. Nyob ntawm seb raws li ntawm kev puas tsuaj nram qab no cov tsos mob tej zaum yuav tshwm sim:

1. Me kev puas tsuaj rau lub paj hlwb cov ntaub so ntswg: tearfulness, tsis pw tsaug zog, nco tsis tau. Thaum lub tsev kawm ntawv uas muaj hnub nyoog, tus me nyuam tej zaum yuav muaj xim tshaj hyperactivity tsis meej, ib tug ib txwm mus hysterical, phobias.
2. Cns kev puas tsuaj yog ib sim tsos mob xws li qhov quaj, rejection ntawm lub mis, convulsive teeb meem, enuresis.
3. Nyob rau hauv loj heev zaum, ib tug focal neurological cov tsos mob. Lawv muaj xws li nqaij tsis muaj zog, paresis thiab tuag tes tuag taw ntawm nqua, ncua lub cev thiab kev puas hlwb txoj kev loj hlob, generalized convulsions, thiab hais txog. D.

Qhov seem-organic Cns kab mob: code raws li ICD-10

Raws li nrog rau tag nrho cov kab mob, impaired neuropsychological kev loj hlob muaj ib tug meej code xov tooj nyob rau hauv lub thoob ntiaj teb kev faib ntawm cov kab mob. Nws yog to taub lub vastness ntawm lub tswvyim ntawm "residual-organic Cns kab mob." Code (ICD-10) nyob rau hauv no pathology - G96.9. Qhov no cipher thiaj paub tias yog "puas lub hauv paus poob siab system , unspecified". Nyob rau hauv ntau cov kev mob ntawm code nyob rau hauv ICD-10 kev hloov mus rau tej yam nosology.

Qhov seem-organic Cns kab mob: kho mob ntawm tus kab mob

Kev kho mob ntawm residual-organic lesion yog aimed ntawm strengthening lub paj hlwb, kev ncaj ncees ntawm tib neeg lub neej. Nws yog ib qho tseem ceeb kom nkag siab txog hais tias cov closer tus neeg mob yuav tsum muaj lub siab ntev. Nrog rau txoj cai mus kom ze kev kho mob muaj peev xwm ho los txhim kho lub raug ntawm tus kab mob. Raws li ib tug yeeb tshuaj kho siv nootropic, sedatives, antipsychotics, tranquilizers thiab stimulants. Yuav kom txhim kho cerebral ncig, kws dlaws "Piracetam," "Kurantil" "Cere". Tsis tas li ntawd qhia physiotherapy, massage, Bio-acoustic kho ntawm lub paj hlwb.

Yuav ua li cas tej zaum yuav lub txim ntawm residual-organic lesion?

Qhov yuav tshwm ntawm residual-organic lesion ntawm lub hauv paus poob siab system nyob rau hauv lub qhov kawg ntawm tus kab mob thiab kev kho mob mus kom ze. Thaum mob-txhais kev ntshawv siab yuav ua ib tug tag nrho rov qab. Loj Cns kev pheej hmoo ntawm kev tsim tej yam kev mob xws li cerebral edema, spasm ntawm cov pa nqaij, kev puas tsuaj rau lub plawv center. Kom tsis txhob zoo li no teeb meem, koj yuav tsum tsis tu ncua saib xyuas ntawm tus neeg mob.

Disability ntawm residual-organic lesion

Kev kho mob yuav tsum tau pib kom sai li sai raws li ib tug mob yog teem - "residual-organic Cns kab mob." Disability nyob rau hauv tus kab mob no yog tsis ib txwm muab. Thaum qhia irregularities thiab tsis muaj kev miv nyuas siv zug ntawm kev kho mob teem muaj ntau yog mob. Feem ntau cov feem ntau, qhov no "post-traumatic lub hlwb tus kab mob", "qaug dab peg", thiab hais txog. D. Nyob rau hauv lub heev ntawm tus mob muab 2 los yog 3 kev tsis taus.

Kev tiv thaiv ntawm residual-organic lesion ntawm lub hauv paus poob siab system

Kom tsis txhob residual-organic lesion ntawm lub hauv paus poob siab system, koj yuav tsum tau pom los ntawm ib tug kws kho mob thaum lub sij hawm cev xeeb tub. Yog hais tias tej deviations yuav tsum nrhiav kev pab kho mob. Tsis tas li ntawd nws yog tsim nyog los caiv los ntawm kev noj tshuaj muaj yees.