Tserebrastenicheskom syndrome: ua, cov tsos mob, kev kho mob

Tserebrastenicheskom syndrome yog ib tug nonspecific neurological syndrome yus poob rau hauv kev kawm, ua txhaum cai ntawm cov xim thiab nco, qaug zog, thiab mob taub hau, muaj zog havzoov ntawm poob siab system thiab ntau yam vegetative cov tsos mob. Nyob rau hauv tas li ntawd, muaj yog ib qho kev nce nyob rau hauv pw tsaug zog ntev thiab txo wake lub sij hawm, tus neeg mob lub siab ntsws lability, thiab nyob tsis tswm. Tserebrastenicheskom syndrome nyob rau hauv cov me nyuam yog feem ntau nrog los ntawm nce innate reflexes, tshwm sim Moro reflex thiab autonomic ntshawv siab.

Lub ntsiab ua rau ntawm cov syndrome yog pathological tserebrastenicheskom thaum lub sij hawm cev xeeb tub thiab tom qab tau me nyuam, uas tshwm sim los ntawm kev ua txhaum cai ntawm cov pa mov mus rau lub hlwb me nyuam. Tsis tas li ntawd mus rau lwm cov pathological tej yam kev mob provoking txoj kev loj hlob ntawm no syndrome muaj xws li tshuaj thaum lub sij hawm cev xeeb tub, intrauterine kab mob, prematurity, intracranial hemorrhage, sepsis, hemolytic kab mob, mob ntsws dej.

Kom txog rau thaum nyuam qhuav, me nyuam mos mob tserebrastenicheskom syndrome tsis tau ciaj sia, tab sis tam sim no ua tsaug rau txoj kev loj hlob ntawm cov neeg txawj neonatal pab nyob rau hauv perinatal lub neej no nqi tsis yeem ho. Thiab as a consequence, nce nyob rau hauv tus naj npawb ntawm cov me nyuam uas muaj tej yam kev kawm tsis tau thiab kev loj hlob kev ntshawv siab, raws li ib tug tshwm sim ntawm nyob deb pathology neonatal lub sij hawm, yug menyuam thiab cev xeeb tub. Tib yam vim li nws pom tserebrastenicheskom syndrome nyob rau hauv cov neeg laus.

Heev feem ntau tserebrastenicheskom syndrome muaj nyob rau hauv cov me nyuam ntawm tsev kawm ntawv thiab pre-lub tsev kawm ntawv uas muaj hnub nyoog, leej twg raug kev txom nyem ib tug mob taub hau los yog lub hlwb raug mob, meningitis, encephalitis, thiab cov tuam kab mob nrog tshuaj lom lub hlwb cov ntaub so ntswg. Nyob rau hauv tas li ntawd, tus kab mob no muaj peev xwm tsim nyob rau hauv feem ntau ntawm cov me nyuam uas tau mus ncua kev phais, thiab thawb rau nws txoj kev loj hlob yog anemic, lub plawv thiab histotoxic hypoxia.

Lub ntsiab kev soj ntsuam kom paub txog cov syndrome tserebrastenicheskom:

- "chim siab tsis muaj zog";

- nkees, tag nrho passivity, qeeb zog thiab xav;

- qaug zog thiab qaug, txawm nrog me kev puas hlwb kev nyuaj siab;

- tsawg tom qab ob peb vas;

- mob taub hau tiv thaiv lub keeb kwm ntawm qaug zog;

- kiv taub hau thiab xeev siab;

- cov neeg pluag siab tev taus ntawm tshav kub thiab tsis muaj cua, cia li hloov nyob rau hauv atmospheric siab hloov.

Raws li tus yam ntxwv ces kev uas ntxiv zog tom qab txhaj tshuaj tiv thaiv, kev nyuaj siab, nyob rau hauv tus ntawm intercurrent cov kab mob thiab kev raug mob. Nws yog ntseeg hais tias post-traumatic lub encephalasthenia feem ntau cov yam ntxwv txob taus, ntxhov siab vim, affective explosiveness, thiab npau taws me ntsis rau muaj teeb ci thiab cov suab, thiab rau postinfectious - moodiness, mus ob peb vas viav vias, tearfulness thiab ib tug kev xav ntawm dissatisfaction.

Xyaum qhia tau hais tias cov kev kho mob ntawm xws mob raws li ib tug tserebrastenicheskom syndrome yuav tsum tau pib tam sim ntawd tom qab thawj zaug soj ntsuam cov tsos mob ntawm tus kab mob. Kev kho mob nyob ntawm yuav ua li cas qhia tau mob los ntawm ntau yam zog, nws yuav tsum tau feem ntau raws kev coj kom lub stimulation thiab kho tshiab ntawm tej hauj lwm ntawm lub hauv paus ntxawg mechanisms. Tib universally lees txoj kev kho mob ntawm no tsis meej tsis muaj nyob tsis tau. Feem ntau, kev kho mob yog symptomatic thiab yog raws li nyob rau hauv kev kawm txawj thiab kev xav ntawm tus kws kho mob. Piv txwv li, yog hais tias tus neeg mob qaug dab peg yuav tsa los ntawm cov tshuaj xws li diphenyl, phenobarbital, Depakine thiab finlepsin. Yuav kom tsim kho lub metabolic dab nyob rau hauv lub hlwb cov ntaub so ntswg qhia tau hais tias amino acids, nootropic tshuaj thiab adaptogens. Nyob rau hauv cov kev kho mob ntawm hypertensive syndrome siv diakarb, nyob rau hauv lub xub ntiag ntawm hypotonia - Neostigmine thiab nyob rau hauv lub syndrome ntawm nqaij tawg - dibazol thiab Mydocalmum. Cerebral ntshav ndlwg zoo los ntawm antispasmodics: dibasol, aminophylline, pentoxifylline thiab cinnarizine.