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"code": "F21",
"name": "Шизотипическое расстройство",
"icd_name": "Шизотипическое расстройство",
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"lead": "Нарушение здоровья, относящееся к группе шизофрения, шизотипические состояния и бредовые расстройства",
"description": "Шизотипическим считается расстройство, в симптоматике которого проявляются мыслительная, поведенческая, эмоциональная и социальная аномалии, характерные для шизофрении, но отличные от нее своим менее выраженным характером. ",
"etiology": "<p>К предполагаемым причинам причинам шизотипического расстройства относятся: </p>\r\n<ul>\r\n<li>Наследственная предрасположенность, провоцирующая повышенную активность дофамина; </li>\r\n<li>Нехватка внимания в детском возрасте; </li>\r\n<li>Частые стрессовые ситуации; </li>\r\n<li>Патология беременности. </li>\r\n</ul>",
"pathogenesis": "<p>У таких больных нарушается обмен веществ в головном мозге, что является причиной нарушений. Между клетками мозга теряется старая «правильная» цепочка передачи информации, и сообщения между нейронами происходит совершенно в хаотичном порядке. Это и вызывает всю последующую симптоматику. Запустить болезнь в действие может плохое и негативное социальное окружение, резкие изменения в жизни человека, стрессы, замкнутость от социума на длительное время или же тяжелые вирусные инфекции, которыми переболел человек. <br class=\"SCXW224023875\" /> </p>",
"diagnostics": "<p>Критерии постановки диагноза шизотипического расстройства по МКБ-10: </p>\r\n<ul>\r\n<li>Эмоциональная холодность, отрешенность. </li>\r\n<li>Эксцентричность, странность поведения. </li>\r\n<li>Плохой контакт с другими людьми. </li>\r\n<li>Странные убеждения или магическое мышление, влияющие на поведение и несовместимые с субкультуральными нормами. </li>\r\n<li>Подозрительность или параноидные идеи. </li>\r\n<li>Навязчивые размышления, часто с сексуальным или агрессивным содержанием. </li>\r\n<li>Необычные феномены восприятия, включая соматосенсорные (телесные) или другие иллюзии, деперсонализация или дереализация. </li>\r\n<li>Обстоятельное, детализированное или стереотипное мышление, проявляющееся странной, вычурной речью. </li>\r\n<li>Эпизоды с иллюзиями, слуховыми или другими галлюцинациями, бредоподобными идеями. </li>\r\n</ul>\r\n<p>На протяжении минимум двух лет должны обнаруживаться хотя бы 4 признака из вышеперечисленных. </p>",
"treatment": "<p>Для лечения шизотипического расстройства назначают следующие лекарственные препараты: </p>\r\n<p>Успокоительные средства </p>\r\n<p>Нейролептики назначаются, чтобы подавить психотические симптомы, такие как бред, галлюцинации и паранойя. К нейролептикам относятся такие препараты как клозапин, рисперидон и оланзапин. </p>\r\n<p>Стабилизаторы настроения </p>\r\n<p>Стабилизаторы настроения назначаются при шизоаффективном расстройстве биполярного типа. Они помогают держать под контролем аффективную сторону заболевания, смягчая периоды мании и депрессии, характерные для биполярного расстройства. Наиболее распространёными стабилизаторами настроения являются препараты лития. </p>\r\n<p>Антидепрессанты </p>\r\n<p>При шизоаффективном расстройстве депрессивного типа назначаются антидепрессанты. Они помогают побороть чувство безнадёжности, печали, нормализуют сон и улучшают концентрацию внимания. Наиболее часто назначаются циталопрам, флуоксетин и эсциталопрам. </p>\r\n<p>Из немедикаментозной терапии часто применяются следующие методы </p>\r\n<p>Психотерапия </p>\r\n<p>Выстраивание доверительных отношений с врачом в ходе психотерапии помогает пациенту лучше понять свою болезнь и с большей уверенностью смотреть в будущее. Сеансы психотерапии учат пациента ставить реальные жизненные цели, решать проблемы и выстраивать взаимоотношения. Пациент может быть обучен новым поведенческим стратегиям, которые будут способствовать более эффективному общению дома и на работе. </p>\r\n<p>Семейная или групповая терапия </p>\r\n<p>Лечение может быть более эффективным, если люди, страдающие шизоаффективным расстройством, будут иметь возможность обсудить свою жизнь и проблемы с людьми, страдающими таким же заболеванием. Появление группы поддержки также может уменьшить социальную изоляцию больных и обеспечить постоянный контроль за ними. </p>",
"prevention": "<p>Специфических методов профилактики нет, так как это заболевание не имеет чёткой этиологии. Снизить риск его развития можно, если вести правильный образ жизни не только в физиологическом, но и психологическом понимании. При первых же проявлениях вышеописанной клинической картины следует обращаться за консультацией к психиатру. </p>",
"clinical_picture": "<p>Пациенты с имеющиеическим расстройством личности отличаются бессвязной манерой разговоров, не имеющей логического начала и конца. Для них характерно общаться обрывками фраз, перескакивать с одной темы на другую или же повторять одно и тоже по несколько раз. Слыша такую речь, окружающие с трудом ее воспринимают или не понимают вовсе, что такой больной хочет сказать. </p>\r\n<p>Коммуникативные навыки с внешним миром возможны только с теми людьми, которые знают о заболевании и смогли адаптироваться к странному поведению. Незнакомые и чужие могут вызвать у больных агрессию, гнев, приступ паники, раздражительность. </p>\r\n<p>При шизотипическом расстройстве личности наблюдается общение с невидимыми людьми. Чаще всего пациенты разговаривают сами с собой или с воображаемыми персонажами. Последние могут быть как реальными, так и выдуманными. Такие периоды общения характеризуются открытостью со стороны больного. Он может плакать, кричать, пытаться что-то доказать несуществующему рядом человеку; может делиться всеми своими переживаниями и страхами, которые связаны с чем-то, что человек пережил далеко в прошлом, в юности или детстве. Это может быть все, что угодно: изнасилование, издевательства, насмешки со стороны взрослых и детей и т. д. </p>\r\n<p>Для людей с шизотипическим расстройством характерно отчуждение от социума и постоянное, нескрываемое желание быть одним. Сам же человек с таким заболеванием не считает себя одиноким. </p>\r\n<p>Постоянное изменение в настроении также является одним из симптомов заболевания. Вспышки гнева безо всяких на то причин, ярость, плач, бросание рядом стоящих предметов обихода — все это характерно для людей с шизотипическим расстройством. </p>\r\n<p>Навязчивость идей вплоть до параноидального синдрома на фоне постоянного беспокойства и подозрительности ко всему происходящему вокруг. </p>\r\n<p> </p>",
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