Childhood schizophrenia: cov tsos mob thiab kev kho mob

Mental mob yog yeej ib txwm nyuaj rau teb rau kev kho mob thiab kuj yog ib tug paub tsis meej, txawm mus zaum. Txawm tias muaj ntau cov kev kho nyob rau hauv cov tshuaj, cov kab mob no tseem pom tau hais tias yuav nyuab mob uas muaj peev xwm tsis tau siab explored. Tej yam tshwm sim ntawm kev puas hlwb mob yuav tshwm sim thaum twg los tau muaj hnub nyoog. Feem ntau, lawv yog kuaj nyob rau hauv cov me nyuam, cov hluas thiab cov hluas. Ib qho ntawm feem ntau ailments ces yuav tsum nyob rau hauv hlwb kev xyaum, nws yog ntseeg schizophrenia.

Tu siab, nyob rau hauv cov kev phem ntawm ib tug ntev txoj kev tshawb no ntawm tus kab mob no, nws yog tseem tsis amenable mus piav. Tsis tsawg cov me nyuam hauv daim ntawv ntawm schizophrenia. Yuav kom tswj tau tus kab mob no, yam tsawg kawg yog ib kov, nws yog ib qho tseem ceeb rau kev tshawb nrhiav nws nyob rau hauv lub sij hawm thiab saib xyuas los ntawm tus kws kho mob rau ib tug lub neej.

Schizophrenia nyob rau hauv cov me nyuam: ib tug piav qhia ntawm lub pathology

Childhood schizophrenia yog suav tias yog nquag puas siab puas ntsws. Nyob rau nruab nrab, nws muaj feem xyuam txog 1% ntawm cov tub ntxhais cov neeg mob. Qhov no siab tshwm sim yog hais txog mus rau lub fact tias cov mob ntawm tus kab mob ua ntej mus rau lub kev loj hlob ntawm tus soj ntsuam daim duab yog tsis tau. Tsis tas li ntawd, ib tug yuav tsis xav tias qhov tshwm sim ntawm schizophrenia nyob rau hauv utero, tshwj xeeb - uas tsis muaj keeb kwm burdened los ntawm no pathology. Tej lub sij hawm dhau los, tus mob twb ua nyob rau hauv yuav luag txhua puas siab puas ntsws tsis meej, rau tam sim no lub xeev ntawm cov me nyuam. Tam sim no, muaj tseeb kev uas characterize tus kab mob no. Childhood schizophrenia yog hais txog mus rau mob hnyav puas siab puas ntsws pathologies yus mob thiab hnyav kawg. Lub loj heev ntawm cov tsos mob ntawm tus kab mob yog: .. Conduct disorder thiab xav, hloov nyob rau hauv lub siab lub ntsws tom qab, hallucinatory syndrome, catatonia, delusions, etc. Cov tsos mob ntawm thaum yau schizophrenia tej zaum yuav txawv. Ua ntej ntawm tag nrho cov nws nyob rau hauv daim ntawv ntawm pathology.

Cov ua rau schizophrenia nyob rau hauv cov me nyuam

ib tug ntau ntawm kev tshawb fawb ua hauj lwm tau nqa tawm, lub hom phiaj ntawm cov uas yog mus nrhiav tau tawm yog vim li cas muaj yog schizophrenia. Cov me nyuam hom ntawm tus kab mob yog tsis sib txawv heev los ntawm cov neeg laus hauv daim ntawv ntawm tus kab mob no. Txawm li cas los, nws muaj ib tug txom nyem raug vim thaum ntxov loj hlob. Nyob rau hauv kev phem ntawm lub tej hauj lwm zaum, nws twb tsis tau qhia hais tias yuav lub caij nyoog ua ntawm tus kab mob. Txawm li cas los, psychiatrists taw tes rau ib tug xov tooj ntawm lwm yam uas ua rau kom txoj kev pheej hmoo ntawm schizophrenia nyob rau hauv cov me nyuam. Cov muaj xws li:

1. Tsev neeg zaj keeb ntawm tus kab mob no. Nyob rau hauv Feem ntau, qhov xwm ntawm tus neeg mob cov neeg uas raug kev txom nyem los ntawm schizophrenia. Qhov uas yuav muaj kab mob tshwm sim nce tsis tau tsuas yog nyob rau hauv lub xub ntiag ntawm tus kab mob no los ntawm lawv niam lawv txiv, tab sis kuj cov lwm tus neeg hauv tsev neeg. Nws twb tau tshwm sim hais tias muaj yog ib tug tshwj xeeb noob lub luag hauj lwm rau txoj kev loj hlob ntawm schizophrenia.
2. Cov nyom zoo nyob rau hauv cov embryo nyob rau hauv lub sij hawm Qhia kabmob. By ua yam xws li medicaments, tshuaj, dej cawv, ionizing tawg, tshuaj. Tshwj xeeb yog txaus ntshai yog cov teebmeem nyob rau hauv thawj peb lub hlis uas cev xeeb tub. Tseeb, nyob rau hauv lub sij hawm no muaj ib tug bookmark ntawm poob siab system.
3. Lig cev xeeb tub. Conceiving ib tug me nyuam thaum muaj hnub nyoog 35 xyoo tsub kom kev pheej hmoo ntawm kev puas hlwb kev ntshawv siab nyob rau hauv lub fetus.
4. Mob mob nyob rau hauv cev xeeb tub cov poj niam.
5. Nyob twj ywm nyob rau hauv ib tug nyuab ntawm ib ncig. Nws yuav tsum tau nco ntsoov tias lub paj hlwb kev nyuaj siab thaum lub sij hawm tus me nyuam hnav, tsis yog rau lub xeev ntawm cev xeeb tub, tab sis kuj adversely muaj feem xyuam rau cov me nyuam hauv plab.

Txawm tias muaj tseeb hais tias lub caij nyoog ua tsis tau txiav txim siab, nws yog tsim nyog los noj ntsuas kom tshem tawm tag nrho cov uas muaj feem yuav yam.

Lub pathogenesis ntawm thaum yau schizophrenia

Muab hais tias lub etiological tau nrog cov neeg yog tsis ntsia, lub mechanism ntawm schizophrenia yog tsis paub hais tias, ib yam nkaus thiab. Muaj yog ib tug hypothesis, raws li uas tej zaum yuav tej piav qhia txog lub pathogenesis ntawm no puas siab puas ntsws tsis meej. Schizophrenia nyob rau hauv thaum yau muaj cov nram qab mechanisms ntawm txoj kev loj hlob:

1. Hypoxia hlwb hlwb thaum lub sij hawm maturation ntawm lub paj hlwb cov ntaub so ntswg. Qhov no paub licas hais ib tug hauv zos cov pa deficiency. Nyob rau hauv nws nws pom hais tias hypoxia underwent cortical qhov chaw ntawm lub cai hemisphere ntawm lub paj hlwb, lub thalamus, qhov kev kawm ntawm diagnostic cov txheej txheem nyob rau hauv cov neeg mob uas schizophrenia amygdala, sab nqaij daim tawv gyrus thiab prefrontal cheeb tsam.
2. Caj kev hloov. Feem ntau cov zaum ntseeg tias nyob rau hauv lub pathogenesis ntawm thaum yau schizophrenia ua si lub luag hauj lwm ntawm change pom tias nyob rau hauv lub luv luv caj npab ntawm chromosome 6. Nyob rau hauv tas li ntawd muaj yog cov ntaub ntawv thiab lwm yam kev ua txhaum ntawm lub caj code rau cov neeg mob. Txawm li cas los, cov no yog tsis txaus siab los ntawm loj-scale kev tshawb fawb.
3. Hloov ua si neurotransmitters. Yuav kom ib tug ntau dua raws li qhov no siv rau dopamine. Nws yog ntseeg hais tias cov kis ntawm impulses nyob rau hauv tus ntawm no substance nyob rau hauv cov neeg mob uas schizophrenia ceev. Nyob rau hauv tas li ntawd, cov uas tau txheeb xyuas lwm yam kev hloov. Piv txwv li, ib tug txo nyob rau hauv kev ua si ntawm glutamate receptors tshwm sim los ntawm siv tshuaj ( "Ketamine" yeeb tshuaj), ua rau txoj kev loj hlob ntawm schizophrenia cov tsos mob nyob rau hauv cov neeg noj qab.

Nws yog ntseeg hais tias cov pathogenesis ntawm tus kab mob yog raws li nyob rau hauv ib tug ua ke ntawm ob peb yam tseem ceeb. Txawm li cas los, rau tsim ib tug ncaj qha kev txuas ntawm cov kev puas tsuaj rau neurons, qhov kev hloov kuj tsis tau raug kho kom haum xeeb kev ua si thiab kev tshuaj ntsuam genetic kev tshawb xav.

Schizophrenia nyob rau hauv cov me nyuam

Cov me nyuam schizophrenia, raws li ib tug neeg laus, yuav tshwm sim tau nyob rau hauv ntau yam ntaub ntawv. Pathology hom yuav tsum tau raws li nyob rau hauv cov kev soj ntsuam kom paub txog tus kab mob no. Feem ntau, cov ntaub ntawv ntawm tus kab mob no tshwm sim nyob rau hauv cov me nyuam:

1. Disorganized schizophrenia. Qhov no soj ntsuam variant yog pom tias yuav ua tau lub feem ntau unfavorable. Nws lub ntsiab manifestation - hebephrenic syndrome. Nws yog yus muaj los ntawm senseless excitement, affectation, negativism thiab tsis lom zem kab mob. Cov me nyuam txom nyem los ntawm daim ntawv no ntawm schizophrenia, tsis amenable mus kawm ntawv thiab kev kawm. Cov thawj cov cim qhia ntawm tus kab mob tshwm sim nyob rau hauv 10-14 xyoo.
2. Tej yam yooj yim schizophrenia. Qhov no daim ntawv tej zaum yuav tsim nyob rau txhua hnub nyoog. Nyob rau hauv tej rooj plaub, cov thawj tsos mob pom nyob rau hauv high school xyoo. Qhov no yog qhov mob: "me nyuam tseem yau schizophrenia". Xws li ib tug xaiv yog ib pathology tsiag ntawv los ntawm kev qhaj ntawv ntawm zoo cov tsos mob (hallucinations, delusions). Cov yam ntxwv ntawm tus paub txog tus kab mob - yog apatiko-abulicheskimi syndrome thiab disinhibition reflexes (cus, bulimia).
3. Catatonic schizophrenia. Tus kab mob no yog pom tias yuav tau phem. Nws tshwm sim nyob rau hauv 1-3% ntawm cov neeg mob. Qhov tshwj xeeb nta ntawm no embodiment muaj xws li schizophrenia: mutism, negativism, disinhibition txheej thaum ub reflexes, luam tus cwj pwm (echopraxia). Yam ntxwv tej yam tshwm sim yog: tus neeg mob li ib txwm hwj tau lub cev, muaj zog nqaij laus, catatonic excitement thiab stupor.

Lwm daim ntawv ntawm tus kab mob no yog ib tug paranoid schizophrenic. Nws yog tsiag ntawv los ntawm txoj kev loj hlob ntawm persecutory delusions, overvalued tswv yim, psychic automatism (Kandinsky-Clerambault syndrome). Feem ntau cov ces ntawm tus kab mob tshwm sim nyob rau hauv cov neeg laus (25-40 xyoo). Txawm li cas los, txoj kev loj hlob ntawm daim ntawv no ntawm tus kab mob nyob rau hauv cov me nyuam yog tsis tau.

Cov me nyuam nrog schizophrenia: cov tsos mob thiab cov tsos mob ntawm tus mob

Soj ntsuam ces ntawm tus kab mob yuav tshwm sim nyob rau ntawm ib thaum ntxov muaj hnub nyoog thiab nyob rau hauv cov tub ntxhais hluas. Nws yog ntseeg hais tias mus txog rau 5 xyoos, cov pathology yog yuav luag tsis yooj yim sua kom paub tias. Txawm li cas los, nyob rau hauv lub xyoo tom ntej yuav tsis tau kuaj tam sim ntawd, "thaum yau schizophrenia". Cov tsos mob ntawm tus kab mob no yuav tsum tau saib xyuas rau ib tug ntev lub sij hawm. Tsuas yog tom qab hais tias yog muaj ob peb yam tshwm sim ntawm tus kab mob mob: "schizophrenia", cim tias seb thaum nws zoo lawm. Cov tsos mob ntawm tus kab mob muaj xws li:

1. Apatiko-abulicheskimi syndrome. Nws yog qhia nyob rau hauv extinction ntawm kev txaus siab nyob rau hauv niaj hnub ua (lub tsev kawm ntawv, haujlwm, kev ua si), laziness, indifference mus rau lub tswv yim ntawm cov niam txiv.
2. Hallucinatory syndrome. Nyob rau hauv tas li ntawd mus rau lub hnyav rho tawm, tus me nyuam yuav tham ib leeg, mus nqa tawm ib co kev uas ua kom hais lub hav zoov ntawm lub tuam txhab (ua si nrog ib tug xav txog tej yam cov phooj ywg, swearing, kev lom zem, thiab hais txog. D.).
3. Disorganized syndrome.
4. Catatonia. Nyob rau hauv daim ntawv no ntawm tus kab mob-kev cov tsos mob muaj cai xws li uterine hwj tau lub cev, "cov huab cua cushion cov tsos mob" - thaum tshem cov yob ntawm qab lub caj dab thiab taub hau, tus neeg mob txoj hauj lwm yog tsis tau hloov. Hais tias yog, nws tseem nyob rau hauv tib txoj hauj lwm.

Tej yam tshwm sim ntawm thaum ntxov schizophrenia kuj muaj xws li: ib qho kev unmotivated tus me nyuam quaj, yelping, mus ob peb vas kev hloov, unwillingness sib txuas lus, thiab lwm yam ...

Nta ntawm pathology nyob rau hauv cov tub ntxhais hluas

Cov tsos mob ntawm thaum yau schizophrenia nyob rau hauv cov tub ntxhais hluas yog sib txawv dog dig. Nyob rau hauv tas li ntawd mus rau cov tsos mob, cov neeg mob cai disinhibition ntawm tej yam yooj yim reflexes (nce qab los noj mov, kev sib deev kev txhawj xeeb) yuav tshwm sim delusions pseudohallucinations. Hluas feem ntau ua unmanageable, tsis kam mus sib txuas lus nrog cov niam txiv, ua antisocial ua. Cov neeg mob yuav tsis muaj lawm tuaj koom lub tsev kawm ntawv, qhia indifference rau tam sim no cov txheej xwm, muaj yog ib tug teeb meem ntawm kev xav.

Yuav ua li cas yog cov tsos mob ntawm tus tsi txawj has lug thaum lub sij hawm thaum yau schizophrenia?

Nyuam qhuav pib, tsi txawj has lug mas suav hais tias ib tug ntawm cov kev rau schizophrenia nyob rau hauv thaum yau. Tam sim no, qhov no tsis meej yog faib raws li ib tug nyias muaj nyias ib tus kab mob. Autism yog hu ua ib tug ua txhaum ntawm ib tug me nyuam lub peev xwm rau kev sis raug zoo. Nyob rau hauv tas li ntawd, cov pathology yog tsiag ntawv los ntawm havzoov los yog tsis muaj kev xav tom qab thiab hais lus tshua ntawm tej ib chig. Cov me nyuam schizophrenia feem ntau nrog los ntawm cov tsos mob ntawm tsi txawj has lug. Txawm li cas los, nws tsis yog lub tsuas manifestation ntawm tus kab mob thiab yog yus muaj los ntawm cov uas tsis muaj heev.

Mob ntawm schizophrenia nyob rau hauv cov me nyuam

Mob "schizophrenia" yog tsis ib qho yooj yim, raws li tus kab mob no yuav muab ib tug ntau yam ntawm cov tsos mob yam ntxwv ntawm lwm yam kev puas hlwb kev ntshawv siab. Phau Ntawv Qhia pathology undulating kawm (kev hloov ntawm exacerbations thiab remissions). Kuaj raws li kev soj ntsuam thiab tshwj xeeb puas siab puas ntsws kev ntsuam xyuas. Nws yog ib qho tseem ceeb los mus tshem tawm qhov teeb meem los rau tus me nyuam lub cev (toxic tshuaj lom, tshuaj).

Yuav ua li cas los kho thaum yau schizophrenia?

Kev kho mob ntawm thaum yau schizophrenia yog aimed ntawm ua lub caij ntawm txoj kev zam txim, kev kho mob ntawm cov teeb meem loj puas hawv syndromes. Tshuaj siv los ntawm cov pab pawg neeg ntawm neuroleptics (tshuaj "Eglonil", "thioridazine") thiab nootropics. Tag nrho cov neeg mob tso tawm kom pom hlwb, raws li zoo raws li tiv thaiv pw tsev kho mob thiab soj ntsuam rau yam tsawg 2 lub sij hawm ib xyoos. Yuav ua li cas yog kom tsis txhob hallucinatory syndrome muab tshuaj "Haloperidol" thiab "Triftazin".

Cov raug rau schizophrenia nyob rau hauv cov me nyuam

Paaj raug yuav ua tau nyob rau hauv ib tug yooj yim hauv daim ntawv ntawm schizophrenia. Cov tsos mob yog unobtrusive, txo lub zaus ntawm exacerbations. Txawm li cas los, tag nrho rov qab tshwm sim tsis tshua. Thaum catatonic thiab gebefrenicheskoy tsim ib tug pluag raug. Cov me nyuam txom nyem los ntawm cov kev xaiv pathology, yuav tsum tu, lawv muab rau cov pab pawg neeg 1 ua tsis taus.

Yuav ua li cas kom coj nrog ib tug me nyuam txom nyem los ntawm schizophrenia

Sib txuas lus nrog ib tug me nyuam txom nyem los ntawm schizophrenia, nws yog ib qhov nyuaj, tshwj xeeb tshaj yog nyob rau hauv lub sij hawm ntawm mob pathology. Txawm tias muaj lub siab xav pab, nws yog ib nqi nco ntsoov hais tias koj yuav ntxias tsis tsim nyog tus cwj pwm, aggression, los yog nyob rau hauv tsis tooj - txawm ntau dua kev rho tawm. Yog li ntawd, nws yog ntshaw tsis txhob liam rau tus me nyuam, thiab tsis txhob qhia rau nws hais tias nws yog neeg muaj mob. Tiv tauj nrog cov me nyuam yuav tsum yog tib yam li nrog cov neeg noj qab, kom lawv tsis txhob xav tias kev tsis sib haum. Thaum lub sij hawm ib tug exacerbation nws yog pom zoo kom hospitalize tus me nyuam mus rau lub tsev kho mob.

Kev tiv thaiv ntawm schizophrenia nyob rau hauv cov me nyuam

Tiv thaiv thaum yau schizophrenia yog tsis tau, txawm li cas los nws yog tsim nyog los ua puas tsav puas yam rau ib tug noj qab nyob zoo tus me nyuam. Ua li no, koj yuav tsum tsis txhob stressful lub sijhawm thiab kev phiv tej teebmeem. Nyob rau hauv lub xub ntiag ntawm tus kab mob nyob rau hauv cov txheeb ze yuav tsum tau kuaj los ntawm ib tug psychologist thiab geneticist ob txij nkawm ua ntej tus me nyuam conception.