Amnesic Syndrome yog ib qho kev puas siab puas ntsws uas suav nrog cov tsos mob ntawm cov ntaub so ntswg puas hlwb thiab nthuav tawm nrog cov yam ntxwv ntawm lub xeev ntawm amnesia nrog tsis muaj kev paub txog kev ua haujlwm.
Qhov no yog ib qho mob hnyav heev uas ua rau tib neeg tsis muaj kev sib raug zoo, cuam tshuam tsis kawg rau nws tus cwj pwm, nrog rau qhov tsis zoo, ua rau tus cwj pwm tsis zoo. Qhov no tsis yog ib qho kab mob tshwj xeeb, tab sis ib qho mob uas tshwm sim nrog ntau yam pathological tshwm sim. Tus kab mob no tsis yog xaiv raws li poj niam txiv neej, hnub nyoog, nws cuam tshuam rau lub neej ntawm tus kheej thiab nws tus kheej.
Kev piav qhia tus kab mob
Amnestic Syndrome (ICD F10.6) yog ib yam kab mob uas paub zoo tias yog mob nco tsis nco.
Nco yog ib yam tseem ceeb ntawm tib neeg txoj kev paub. Tsis tsuas yog kev kawm yog ua raws li kev ua haujlwm ntawm kev nco, tab sis kuj yog kev xav ntawm kev xav,uas yog tam sim no nyob rau hauv nco ntawm ntau yam, xim kev xav. Lub cim xeeb suav nrog ntau lub hlwb hauv cheeb tsam uas yog lub luag haujlwm rau qee yam haujlwm. Hauv qhov no, kev nco tsis zoo yog ib qho kev mob hnyav heev, tshem tawm tag nrho tsev neeg los ntawm txoj kev niaj hnub ntawm lub neej, tshem tawm qhov tseem ceeb tshaj plaws, nco txog ntawm ib tug neeg. Tsis nco qab yog nrog los ntawm kev ua haujlwm tsis zoo ntawm kev nco, thiab ib tus neeg txoj kev kawm tau ua tsis taus kiag li.
International classifier code
Amnestic syndrome yog tshwj xeeb los ntawm ICD, nws ib txhij hais txog ntau yam pathologies, vim nws tsuas yog ib feem ntawm cov kab mob sib txawv. Cov yam ntxwv feem ntau ntawm cov kev hloov pauv pathological uas nrog cov tsos mob zoo sib xws yog suav nrog hauv ntu F 00-09. Ntxiv nrog rau qhov tseeb tias tus mob no hais txog cov tsos mob ntawm ntau yam kab mob, ICD 10 muaj ib lub ntsiab lus cais uas qhia tias nws yog ib qho kev kuaj mob sib cais. Nws yog siv yog tias muaj cov keeb kwm tsis tshwm sim, uas yog, nws tsis tuaj yeem piav qhia cov tsos mob tam sim no rau lwm txoj hauv kev. Nyob rau tib lub sijhawm, nws tau qhia tias lub hauv paus ntawm tus mob tsis tau qhia meej, nws tsis yog provoked los ntawm cov tshuaj psychoactive, thiab nws tsis muaj cawv hauv paus. Tsis tas li ntawd, nws feem ntau qhia tau tias tus mob pib sai sai, vim qhov no tseem ceeb heev rau kev kuaj mob tom ntej.
Vim txoj kev loj hlob
Pathomorphological hloov pauv hauv amnestic syndrome yuav yog ib ntus lossis ntev thiab hloov mus ua kev puas tsuaj rau cov organic.hom. Feem ntau, kev ua txhaum cai pib nrog qhov nruab nrab ntawm lub hlwb, ntes xws li qhov chaw ntawm hippocampus raws li qhov pom tubercles. Foci ntawm pathology nyob rau hauv lub paj hlwb ntawm cov chaw no invariably cuam tshuam lub ntim thiab zoo ntawm kev nco. Muaj qhov ua txhaum ntawm cov txheej txheem ntawm kev nco qab cov ntaub ntawv, qee zaum muaj kev tsis meej pem hauv cov lus, duab, duab geometric.
Qhov ua rau kev loj hlob ntawm tus kab mob tuaj yeem yog pathologies uas cuam tshuam rau lub hlwb, NS.
Tom qab mob stroke
Kev tsim ntawm cov organic amnesic syndrome tshwm sim tawm tsam keeb kwm ntawm qee cov kab mob vascular, piv txwv li, mob stroke. Nws kuj tuaj yeem tsim los ntawm kev puas tsuaj rau lub hlwb. Ntau yam kab mob ntawm lub paj hlwb cortex, cov teeb meem dawb, paj hlwb, cov hlab ntsha tuaj yeem ua rau lub cev tsis muaj zog, ua rau amnestic tsis ua haujlwm, uas yog qhov pib ntawm kev loj hlob ntawm amnestic syndrome. Hematomas thiab hemorrhages ntawm ntau qhov chaw thiab keeb kwm tuaj yeem ua rau muaj qhov sib xws. Kev puas tsuaj loj heev rau cov ntaub so ntswg hlwb, provoked los ntawm carbon monoxide lom, xaus tsis zoo.
Temporal lobe lesions, piv txwv li, qaug dab peg, kuj muaj peev xwm nqa tau tus mob amnesic hauv lawv cov qauv. Qhov ua rau txoj kev loj hlob ntawm pathology tuaj yeem ua rau mob qog noj ntshav. Nws loj hlob sai tshaj plaws tiv thaiv keeb kwm yav dhau ntawm kev puas tsuaj rau phab ntsa ventricular.
Alzheimer's disease thiab lwm yam kev mob dementia, xws li dementia-type atherosclerosis, Lewy dementia, Creutzfelt-Jakob pathology, feem ntau dhau los ua hauv paus.
Tsis tas li, kev mob tshwm sim tom qab, uas tshwm sim thaum qee qhov chaw ntawm lub hlwb raug nyem, tuaj yeem ua rau muaj tus mob amnestic. Tsis tas li ntawd, muaj qhov tsis txaus ntseeg tsis tu ncua (muaj lub ntiaj teb, tab sis dhau tus cwj pwm), kev loj hlob, piv txwv li, tom qab kev tawm tsam ischemic.
Ntau tus kab mob no tawm tsam keeb kwm ntawm tuberculous meningitis nrog exudates thiab granulomatosis, generalized herpes-type encephalitis, Wernicke's pathology.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Ib qho ua rau muaj tus mob amnestic yog cawv. Feem ntau nws yog nrog los ntawm palimsests - lub sij hawm luv luv nco lapses nyob rau hauv lub xeev ntawm intoxication. Tsis tas li ntawd, tus mob no tuaj yeem tshwm sim nyob rau hauv cov ntaub ntawv loj ntawm cov kab mob somatovegetative nrog rau lub hlwb puas tsuaj loj, muaj zog tiv thaiv kab mob. Amnestic syndrome nyob rau hauv keeb kwm ntawm cawv dependence tshwm sim feem ntau vim tsis muaj cov vitamins B, vim cawv yog ib tug haib antagonist ntawm cov ntsiab lus.
Korsakoff syndrome
Tseem muaj ntau yam xws li Korsakov's syndrome. Qhov no yog ib qho teeb meem uas tshwm sim thaum muaj kev puas tsuaj rau lub hlwb. Nyob rau hauv qhov tseeb, nws cov hauv paus ntsiab lus zoo ib yam li cov amnestic syndrome, tab sis qhov teeb meem nws tus kheej muaj cov yam ntxwv tshwj xeeb. Qee qhov xwm txheej, qhov kev piav qhia no tshwm sim vim muaj kev puas siab puas ntsws thiab kev cuam tshuam ntawm pathological. Tus kab mob no kuj muaj nyob rau hauv cov qauv ntawm cov tsos mob complex ntawm cov neeg mob hysteroid, tab sis cov pathology tsis yogyog ib yam thiab yog tus cwj pwm los ntawm qhov tsos ntawm pseudo-dementia.
Amnestic syndrome yog qhov muaj ntau hauv cov qauv ntawm ntau yam kab mob.
Symptomatics
Xws li cov kab mob organic yog tsim nrog cov kab mob organic ntawm NS. Nyob rau hauv cov ntaub ntawv no, tsis muaj fixation amnesia, nyob rau hauv uas tsis nco qab txuas mus rau cov xwm txheej ntawm ib tug ntws xwm.
Yog tias muaj qhov tshwm sim pathological tshwm sim tawm tsam keeb kwm ntawm TBI, feem ntau feem ntau muaj kev tsim ntawm retrograde amnesia. Hauv qhov no, tus neeg mob tsis nco qab cov xwm txheej ua ntej kev raug mob. Qee zaum, cov xwm txheej tshwm sim tom qab kev puas siab puas ntsws poob ntawm kev nco. Hauv qhov no, anterograde amnesia yog tsim.
Nrog Korsakov's syndrome, cov tsos mob zoo heev tau pom. Nws yog ob hom - tsim khoom thiab tsis tsim khoom. Thaum ntsuas lub xeev ntawm tus neeg mob dementia, cov tsos mob zoo nkauj lossis amnestic yuav raug kuaj pom. Ib qho xwm txheej zoo sib xws tshwm sim nrog kev raug mob hnyav thiab tawm tsam keeb kwm ntawm kev mob ntshav qab zib. Qee lub sij hawm tom qab raug mob, qhov kev raug mob ntawm lub xeev stunning hloov mus rau classic amnestic syndrome. Korsakov's syndrome yog tus cwj pwm los ntawm cov khoom xws li kev cuam tshuam ntawm spatio-temporal orientation, nco tsis xws luag, fixative amnesia. Txawm li cas los xij, autopsychic orientation yog khaws cia tag nrho, tshwj xeeb tshaj yog thaum pib ntawm kev loj hlob ntawm tus mob. Cov ntaub ntawv zoo li no yog qhov tob heev, thiab nws tau khaws cia rau hauv lub cim xeeb ntev. Nrog Korsakoff's syndrome, nws yog ua taucov tsos ntawm confabulations - ib tug zoo heev hloov rau cov txheej xwm uas yog tsim kiag li poob nthav. Cov dab neeg zoo li no tsis muaj lub hauv paus tiag tiag. Ib tug neeg uas tau nyob hauv tsev kho mob ib hlis tuaj yeem hais tias nws tau ya mus rau qhov chaw nag hmo. Tsis tas li ntawd, pseudo-reminiscences tau pom thaum tus neeg mob pib hloov cov xwm txheej ploj nrog cov uas tau tshwm sim yav dhau los.
Dementias qee zaum nrog cov tsos mob xws li cryptomnesia, uas tshwm sim nws tus kheej hauv kev hloov cov xwm txheej ploj nrog cov neeg mob ib zaug nyeem (lossis pom). Qhov ntawd yog, ib tug neeg pib tshaj tawm cov dab neeg uas nws tau nyeem raws li cov xwm txheej ntawm nws lub neej.
Cov yam ntxwv tshwj xeeb ntawm tus mob ntawm keeb kwm ntawm kev haus dej cawv
Hauv kev haus dej cawv, amnesic syndrome muaj cov tsos mob zoo ib yam li Korsakov, tab sis muaj cov yam ntxwv tshwj xeeb. Cov tsos mob tseem ceeb ntawm vitamin B tsis muaj peev xwm yog polyneuropathy (tshwj xeeb los ntawm kev puas tsuaj rau lub peripheral NS), delusions ntawm kev khib thiab lwm yam tsos mob ntawm cawv.
Amnestic Syndrome (ICD 10 F10.6) tsis tshua muaj tshwm sim tom qab kev kho electroconvulsive. Feem ntau, cov kev mob no yog ib ntus, tab sis lawv deplete tus neeg mob heev. Kev nco rov qab los ntawm lub sijhawm, tab sis qee zaum, cov ntsiab lus ntawm kev poob yuav nyob twj ywm.
Txhob lo lus nco nco
Ib qho ntawm cov tsos mob ntawm amnesic syndrome yog dysmnestic disorder, uas muaj nyob rau hauv lub tsis muaj zog ntawm kev hais lus nco. Tus neeg mob pib tsis nco qab kev xav, kev ua, npe, tab sis ua ntejua kom tsis nco qab tsis tshwm sim. Cov neeg mob nkag siab txog lawv qhov tsis xws luag thiab ua lawv qhov zoo tshaj plaws los them rau nws los ntawm kev pib phau ntawv sau thiab sau tag nrho cov ntaub ntawv kom nco.
Kev kho mob ntawm amnestic syndrome
Tam sim no, muaj ntau yam kev ntsuam xyuas uas tso cai rau koj los ntsuas kev paub txog kev ua haujlwm thiab, raws li, txheeb xyuas qhov tshwm sim ntawm tus mob. Pathology therapy yog sau nyob ntawm qhov kev xeem.
Amnestic syndrome tiv thaiv keeb kwm ntawm dementia tsis tuaj yeem nres, uas yog, nws yuav tsis tuaj yeem rov qab tus neeg mob mus rau lub xeev dhau los. Txawm li cas los xij, kev siv cov tshuaj tuaj yeem nres qhov kev txhim kho ntawm qhov tsis sib haum xeeb ntawm qib kuaj pom. Txoj hauv kev no tso cai rau koj tswj tus neeg mob tus mob ntawm qib txaus. Tsis tas li ntawd, cov kws txawj pom zoo kom siv cov tshuaj uas inhibit cov txheej txheem ntawm anabolism hauv tib neeg lub cev: Bilobil, Memantine, Mema.
Pathogenetic kho rau amnesic syndrome uas tsim tawm tsam keeb kwm ntawm Alzheimer's kab mob kuj muaj. Cholinesterase inhibitors tuaj yeem txhim kho kev noj qab haus huv ntawm tus neeg mob thiab cuam tshuam rau nws tus mob.
Amnestic syndrome vim kev quav dej quav cawv qhia txog kev tshem tawm cov tshuaj lom thiab kho cov tshuaj vitamin.
Muaj txiaj ntsig zoo yog cov txheej txheem uas tiv thaiv kev nce qib ntawm dementia. Post-stroke Syndrome cuam tshuam nrog kev siv ntau ntawm cov tshuaj psychotropic thiab neuroprotective.
Yog tias tus neeg mob muaj cov tsos mob ntawm kev puas siab puas ntsws nrog rau cov organic amnestic syndrome, hauv kev kho mobNws tau pom cov tshuaj neuroleptic hauv koob tshuaj tsawg: Rispolept, Aminazin, Tizercin, Triftazin, Truxal.
Nyob rau hauv lub xub ntiag ntawm kev paub tsis meej, tshuaj nootropic yog siv rau kev kho mob, uas pab txoj kev xav. Tsis tas li ntawd, lawv muaj peev xwm txhawb nqa lub cev, lub hlwb kev ua si, kho qhov tsis zoo ntawm qee cov tshuaj tiv thaiv kab mob. Cov tshuaj nrov tshaj plaws yog Phenibut, Glycine, Pantothenic acid, Pantogam, Pirinthol.
Kev paub txog kev txawj ntse yog qhov muaj txiaj ntsig zoo rau cov neeg mob amnestic syndrome, nws tso cai rau koj khaws lub peev xwm kev txawj ntse ntawm theem pib. Tsis tas li ntawd, cov neeg mob uas muaj kev ntxhov siab xav tau kev txhawb nqa los ntawm cov txheeb ze thiab kev siv tshuaj sedatives.
