CNS yog lub luag haujlwm tseem ceeb ntawm tag nrho cov kab mob. Tseeb, nyob rau hauv lub cortical qauv ntawm lub paj hlwb muaj departments lub luag hauj lwm rau kev ua hauj lwm ntawm txhua lub cev. Ua tsaug rau lub hauv paus paj hlwb, kev ua haujlwm ib txwm ntawm tag nrho cov kabmob hauv nruab nrog cev, kev tswj hwm ntawm cov tshuaj hormones, thiab kev sib npaug ntawm kev puas siab puas ntsws. Raws li kev cuam tshuam ntawm qhov tsis zoo, kev puas tsuaj rau cov qauv ntawm lub hlwb tshwm sim. Feem ntau, pathologies loj hlob hauv thawj xyoo ntawm tus menyuam lub neej, tab sis kuj tuaj yeem kuaj pom hauv cov neeg laus. Txawm tias muaj tseeb hais tias lub hauv nruab nrab lub paj hlwb yog ncaj qha mus rau lub nruab nrog cev vim lub paj hlwb (axons), kev puas tsuaj rau lub cortex yog txaus ntshai vim hais tias ntawm kev loj hlob ntawm loj txim tshwm sim txawm nyob rau hauv ib txwm lub xeev ntawm tag nrho cov functional systems. Kev kho mob ntawm cov kab mob hauv lub hlwb yuav tsum tau pib sai li sai tau, feem ntau nws ua tau ntev - ntau lub hlis lossis xyoo.
Kev piav qhia ntawm qhov seem ntawm cov organic lesion ntawm CNS
HowNws paub tias lub hauv paus paj hlwb yog ib qho kev sib koom tes zoo uas txhua qhov kev sib txuas ua haujlwm tseem ceeb. Yog li ntawd, kev puas tsuaj rau ib feem me me ntawm lub hlwb tuaj yeem ua rau muaj kev cuam tshuam hauv kev ua haujlwm ntawm lub cev. Nyob rau hauv xyoo tas los no, kev puas tsuaj rau cov paj hlwb tau nce zuj zus pom hauv cov neeg mob menyuam yaus. Rau qhov ntau dua, qhov no tsuas yog siv rau cov menyuam yug los xwb. Nyob rau hauv cov xwm txheej zoo li no, kev kuaj mob ntawm "cov organic lesion ntawm lub hauv paus paj hlwb hauv cov menyuam yaus" yog tsim. Nws yog dab tsi thiab tus kab mob no kho tau? Cov lus teb rau cov lus nug no txhawj xeeb txhua tus niam txiv. Nws yuav tsum nco ntsoov tias qhov kev kuaj mob no yog ib lub tswv yim sib sau ua ke, uas tuaj yeem suav nrog ntau yam pathologies. Kev xaiv cov kev ntsuas kho mob thiab lawv cov kev ua tau zoo nyob ntawm seb qhov kev puas tsuaj thiab qhov dav dav ntawm tus neeg mob. Qee zaum residual-organic CNS puas tshwm sim rau cov neeg laus. Feem ntau, pathology tshwm sim los ntawm kev raug mob, kab mob inflammatory, intoxication. Lub tswv yim ntawm "cov seem-organic lesion ntawm lub hauv paus paj hlwb" implies ib qho residual teebmeem tom qab kev puas tsuaj rau lub paj hlwb. Qhov kev kwv yees, nrog rau qhov tshwm sim ntawm xws li pathology, nyob ntawm seb lub hlwb puas ua haujlwm hnyav npaum li cas. Tsis tas li ntawd, qhov tseem ceeb tseem ceeb yog txuas nrog rau kev kuaj mob thiab kev txheeb xyuas qhov chaw raug mob. Tom qab tag nrho, txhua lub hlwb cov qauv yuav tsum ua qee yam haujlwm.
Ua rau cov khoom seem hauv lub hlwb puas hauv cov menyuam yaus
Residual organic lesionCNS hauv cov menyuam yaus raug kuaj pom ntau zaus. Ua rau muaj kev puas siab puas ntsws tuaj yeem tshwm sim ob qho tib si tom qab yug menyuam thiab thaum cev xeeb tub. Qee zaum, kev puas tsuaj rau lub hauv nruab nrab lub paj hlwb tshwm sim vim muaj teeb meem ntawm kev yug menyuam. Lub ntsiab mechanisms rau kev loj hlob ntawm residual organic puas tsuaj yog raug mob thiab hypoxia. Muaj ntau ntau yam uas provoke ib tug ua txhaum ntawm lub paj hlwb nyob rau hauv ib tug me nyuam. Ntawm lawv:
- YGenetic predisposition. Yog hais tias cov niam txiv muaj ib qho kev puas siab puas ntsws sib txawv, ces qhov kev pheej hmoo ntawm kev loj hlob ntawm tus me nyuam yuav nce. Piv txwv yog pathologies xws li schizophrenia, neurosis, qaug dab peg.
- Chromosomal abnormalities. Lub laj thawj rau lawv qhov tshwm sim tsis paub. Kev tsim kho DNA tsis raug cuam tshuam nrog kev cuam tshuam ib puag ncig, kev ntxhov siab. Vim muaj kab mob chromosomal, pathologies xws li Down's disease, Shershevsky-Turner syndrome, Patau, thiab lwm yam.
- Qhov cuam tshuam ntawm lub cev thiab tshuaj lom neeg ntawm tus menyuam hauv plab. Qhov no yog hais txog qhov xwm txheej tsis zoo, ionizing hluav taws xob, kev siv tshuaj yeeb thiab tshuaj.
- Kab mob kis tau thiab mob thaum lub sij hawm tso cov paj hlwb ntawm lub embryo.
- Toxicosis ntawm cev xeeb tub. Tshwj xeeb tshaj yog txaus ntshai rau tus me nyuam hauv plab yog lig gestosis (pre- thiab eclampsia).
- Impaired placental circulation, iron deficiency anemia. Cov xwm txheej no ua rau fetal ischemia.
- Kev ua haujlwm nyuaj (tsis muaj zog uterine contractions, nqaim pelvis, placental abruption).
Residual Organickev puas tsuaj rau lub hauv paus paj hlwb hauv cov menyuam yaus tuaj yeem tsim tsis tau tsuas yog nyob rau hauv lub sijhawm perinatal, tab sis kuj tom qab nws. Feem ntau ua rau mob taub hau thaum muaj hnub nyoog ntxov. Tsis tas li, muaj feem cuam tshuam nrog kev noj tshuaj uas muaj cov nyhuv teratogenic thiab cov tshuaj narcotic thaum pub niam mis.
tshwm sim ntawm residual organic hlwb puas hauv cov neeg laus
Nyob rau hauv cov neeg laus, cov tsos mob ntawm residual organic puas tau pom tsawg dua, txawm li cas los xij, lawv muaj nyob rau hauv qee cov neeg mob. Feem ntau qhov ua rau muaj qhov tshwm sim no yog kev raug mob tau txais thaum yau. Nyob rau tib lub sijhawm, neuropsychic deviations yog qhov tshwm sim ntev. Kev puas tsuaj rau lub paj hlwb residual tshwm sim rau cov laj thawj hauv qab no:
- mob ntshav qab zib. Txawm hais tias thaum twg CNS puas tshwm sim, cov tsos mob seem (residual) tseem nyob. Feem ntau cov no muaj xws li mob taub hau, convulsions, puas hlwb.
- Mob tom qab phais. Qhov no yog qhov tseeb tshwj xeeb tshaj yog rau cov qog hlwb, uas raug tshem tawm nrog kev ntes cov paj hlwb nyob ze.
- Siv tshuaj. Nyob ntawm seb hom tshuaj, cov tsos mob ntawm residual organic puas yuav txawv. Feem ntau, kev ua txhaum cai loj tau pom nrog kev siv sijhawm ntev ntawm opiates, cannabinoids, tshuaj hluavtaws.
- kev haus dej haus cawv.
Qee zaum, cov khoom seem ntawm cov organic puas tsuaj rau lub hauv paus paj hlwb raug pom tom qabkis kab mob inflammatory. Cov no muaj xws li mob meningitis, ntau yam kab mob encephalitis (kab mob, zuam-borne, tom qab txhaj tshuaj tiv thaiv).
CNS lesion txoj kev loj hlob mechanism
Kev puas tsuaj rau lub hauv nruab nrab lub paj hlwb ib txwm tshwm sim los ntawm qhov tsis zoo uas ua ntej dhau los. Feem ntau, lub hauv paus ntawm pathogenesis ntawm cov tsos mob no yog cerebral ischemia. Hauv cov menyuam yaus, nws tshwm sim thaum lub sijhawm yug menyuam hauv plab. Vim cov ntshav tsis txaus rau lub cev, tus me nyuam hauv plab tau txais oxygen me ntsis. Yog li ntawd, tag nrho txoj kev loj hlob ntawm lub paj hlwb raug cuam tshuam, fetopathy tshwm sim. Qhov tseem ceeb ischemia ua rau intrauterine loj hlob retardation, yug me nyuam ua ntej lub hnub nyoog gestational. Cov tsos mob ntawm cerebral hypoxia tuaj yeem tshwm sim hauv thawj hnub thiab lub hlis ntawm lub neej. Residual-organic kev puas tsuaj rau lub hauv paus paj hlwb hauv cov neeg laus feem ntau tshwm sim vim kev raug mob thiab kis kab mob. Qee lub sij hawm cov kab mob ntawm cov paj hlwb cuam tshuam nrog cov kab mob metabolic (hormonal).
Syndromes nrog residual organic CNS puas
Hauv neurology thiab kev puas siab puas ntsws, muaj ntau yam mob tseem ceeb uas tuaj yeem tshwm sim ntawm nws tus kheej (tawm tsam keeb kwm ntawm kab mob hlwb) thiab suav tias yog qhov seem ntawm CNS lesion. Qee zaum, muaj kev sib xyaw ua ke ntawm lawv. Cov cim hauv qab no ntawm kev puas tsuaj ntawm cov organic seem yog qhov txawv:
- YCerebrosthenic syndrome. Nws manifestationsnce qaug zog, tsis txaus siab ntawm lub tsev kawm ntawv cov ntaub ntawv kawm, kev qaug zog, kua muag, hloov mus ob peb vas.
- Neurosis-zoo li syndrome. Nws yog tus cwj pwm los ntawm kev loj hlob ntawm phobias, enuresis (tsis tswj cov zis thaum hmo ntuj), lub cev muaj zog agitation (tics).
- Astention deficit hyperactivity disorder. Nws raug pom nyob rau hauv cov menyuam yaus hnub nyoog pib thiab theem nrab.
- Encephalopathy. Qhov tshwm sim tseem ceeb yog kev pw tsaug zog, tsis nco qab, ua siab ntev. Hauv qhov xwm txheej hnyav, muaj cov tsos mob ntawm lub paj hlwb, convulsions.
- Psychopathies. Tus cwj pwm los ntawm kev tsis mloog lus, aggressiveness. Nyob rau hauv neeg laus - mus ob peb vas lability, hysterical tshua, antisocial cwj pwm.
Feem ntau, cerebral hypoxia ua rau cov tsos mob sib txawv, thaum cov tsos mob tau sau tseg ua ke nrog ib leeg, tsis hais ntau. Qhov tseem ceeb ntawm cov tsos mob focal tsis tshua pom.
daim duab kho mob hauv CNS qhov mob
Feem ntau, cov tsos mob ntawm cov organic puas tsuaj rau hauv nruab nrab paj hlwb tshwm sim qee lub sij hawm tom qab raug rau qhov tsis zoo. Nrog perinatal fetal hypoxia, kev ua txhaum cai tuaj yeem pom nyob rau hauv thawj lub hlis ntawm lub neej. Nyob ntawm seb qhov mob ntawm qhov txhab, cov tsos mob hauv qab no tuaj yeem pom:
- me ntsis kev puas tsuaj rau cov paj hlwb: kua muag, pw tsis tsaug zog, nco tsis tau. Thaum muaj hnub nyoog kawm ntawv, tus me nyuam yuav ntsib kev tsis txaus siab hyperactivity disorder, nyiamhysterical states, phobias.
- Kev puas tsuaj CNS muaj qhov tshwm sim xws li kev quaj tsis tu ncua, kev tsis lees paub lub mis, convulsions, enuresis.
- Thaum mob hnyav, pom cov tsos mob ntawm lub paj hlwb. Nws suav nrog cov leeg tsis muaj zog, paresis thiab tuag tes tuag taw, ncua kev loj hlob ntawm lub cev thiab lub hlwb, convulsions, thiab lwm yam.
Residual organic lesion ntawm CNS: ICD-10 code
Zoo li txhua yam pathologies, kev ua txhaum ntawm kev txhim kho neuropsychic muaj qee txoj cai hauv kev faib tawm thoob ntiaj teb ntawm cov kab mob. Nws yog ib qho tsim nyog nkag siab txog qhov loj ntawm lub tswv yim ntawm "qhov seem-organic lesion ntawm lub hauv paus paj hlwb." Tus lej (ICD-10) rau cov kab mob no yog G96.9. Txoj cai no txhais tau hais tias qhov kev kuaj mob "qhov txhab ntawm lub hauv nruab nrab paj hlwb, tsis hais txog". Hauv cov xwm txheej tshwj xeeb, ICD-10 code raug hloov mus rau qhov tshwj xeeb nosology.
Residual-organic lesion ntawm CNS: kev kho mob ntawm pathology
Kev kho cov khoom seem ntawm cov organic puas yog txhawm rau ntxiv dag zog rau lub paj hlwb, kev kho kom rov zoo ntawm tus neeg hauv zej zog. Nws yog ib qho tseem ceeb kom nkag siab tias tus neeg mob cov txheeb ze yuav tsum ua siab ntev. Nrog rau txoj hauv kev zoo, kev kho mob tuaj yeem txhim kho qhov kev cia siab ntawm tus kab mob. Nootropic, sedative tshuaj, antipsychotics, tranquilizers thiab psychostimulants yog siv raws li tshuaj kho. Txhawm rau txhim kho cerebral ncig, kev daws teeb meem "Piracetam", "Curantil", "Cerebrolysin" raug sau tseg. Kev kho mob physiotherapy, zaws, bioacoustickho hlwb.
Yuav ua li cas yog qhov tshwm sim ntawm residual organic puas?
Qhov tshwm sim ntawm qhov seem ntawm cov organic puas tsuaj rau lub hauv paus paj hlwb nyob ntawm seb tus kab mob thiab txoj hauv kev kho. Nrog kev mob me me, kev rov zoo tuaj yeem ua tiav. Kev puas tsuaj loj rau lub hauv paus paj hlwb yog qhov txaus ntshai rau kev txhim kho ntawm cov xwm txheej xws li cerebral edema, spasm ntawm cov leeg ua pa, thiab kev puas tsuaj rau lub plawv plawv. Txhawm rau zam qhov teeb meem no, kev saib xyuas tus neeg mob tas li yog qhov tsim nyog.
Kev tsis taus nyob rau hauv cov kab mob residual organic
Kev kho yuav tsum tau pib sai li sai tau raws li qhov kev kuaj mob tsim nyog - "cov kab mob seem-organic ntawm CNS". Kev tsis taus ntawm tus kab mob no tsis yog ib txwm muab. Nrog rau kev ua txhaum loj heev thiab tsis muaj txiaj ntsig ntawm kev kho mob, kev kuaj pom tseeb dua raug tsim. Feem ntau nws yog "mob hlwb tom qab mob", "mob vwm", thiab lwm yam. Nyob ntawm qhov mob hnyav, 2 lossis 3 pawg neeg xiam oob qhab raug xaiv.
Tiv thaiv cov kab mob seem ntawm CNS
Txhawm rau kom tsis txhob muaj cov organic puas tsuaj rau lub hauv paus paj hlwb, nws yuav tsum tau saib xyuas los ntawm kws kho mob thaum cev xeeb tub. Yog tias muaj kev sib txawv, kev kho mob yuav tsum tau nrhiav. Koj yuav tsum tsis txhob noj tshuaj, coj cwj pwm phem.
