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},
"code": "F25",
"name": "Шизоаффективные расстройства",
"icd_name": "Шизоаффективные расстройства",
"gender": 0,
"age_min": 10,
"age_max": 94,
"cause": [
3
],
"periodicity": 1,
"slug": "f25_shizoaffektivnye_rasstroystva",
"lead": "Нарушение здоровья, относящееся к группе шизофрения, шизотипические состояния и бредовые расстройства",
"description": " \r\n\r\nШизоаффективное расстройство – это биполярное расстройство психики, которое отличает сочетание двух отклонений, а именно аффективного расстройства и шизофрении. ",
"etiology": "<p>В развитии заболевания имеет значение генетический фактор. У пациентов с данной патологией довольно часто можно обнаружить родственников как с шизофренией, так и с биполярным аффективным расстройством; </p>\r\n<p>Среди больных шизоаффективным расстройством преобладают одинокие люди, чьи близкие живут далеко и не оказывают им поддержку; </p>\r\n<p>Нередко присутствует связь между злоупотреблением спиртными напитками, употреблением психоактивных веществ и развитием шизоидных отклонений, что при этом первично, а что вторично — пока изучается. Также существует мнение о близости данного вида расстройств к эпилепсии. </p>\r\n<p>Довольно часто приступы болезни возникают под действием влияния извне, когда удается установить связь между психотравмирующей ситуацией и обострением болезни. </p>",
"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=\"SCXW85501203\" /> </p>",
"diagnostics": "<p>Диагноз шизоаффективное расстройство ставится при условии наличия в одном эпизоде: Не менее двух характерных признаков депрессивного эпизода: </p>\r\n<ul>\r\n<li>сниженная способность к вниманию и сосредоточению; </li>\r\n<li>снижение самооценки и уверенности; </li>\r\n<li>навязчивые идеи уничижения и виновности; </li>\r\n<li>пессимизм и мрачность по отношению к своему будущему; </li>\r\n<li>нарушения сна и аппетита; </li>\r\n<li>самоповреждение и попытки суицида </li>\r\n</ul>\r\n<p>Не менее одного-двух типичных признаков шизофрении: </p>\r\n<ul>\r\n<li>вкладывание или отнятие мыслей, их трансляция или вещание (эхо мыслей); </li>\r\n<li>бред влияния, воздействия, восприятия или пассивности, который относится к действиям, мыслям, телу (в том числе отдельным его частям); </li>\r\n<li>слуховые галлюцинации (комментирующие или осуждающие голоса, обсуждающие или осуждающие его поведение), другие виды галлюцинаций, например, «разговаривающие» части тела; </li>\r\n<li>стойкие бредовые идеи, которые не характерны для данной культуры, религиозной принадлежности и имеют невозможный и неадекватный характер. Отождествление себя с историческими, политическими или религиозными деятелями, наличие сверхспособностей (общение с инопланетянами, управление погодой). </li>\r\n</ul>",
"treatment": "<p>Для лечения шизоаффективного 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>\r\n<p> </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>В большинстве случаев шизоаффективному приступу предшествует психическая травма. </p>\r\n<p>Для общей клинической картины патологии характерно наличие признаков, общих для аффективного расстройства и шизофрении. Эти симптомы включают: </p>\r\n<ul>\r\n<li>повышенную возбудимость, которая на фоне агрессивности приводит к нервному срыву; </li>\r\n<li>нарушения сна - повышенная сонливость или бессонница; </li>\r\n<li>пониженный уровень аппетита; </li>\r\n<li>быструю утомляемость и физическую усталость, даже при незначительных нагрузках; </li>\r\n<li>потерю интереса к происходящему вокруг и к интересовавшим ранее занятиям; </li>\r\n<li>развитие комплекса вины, неполноценности, которые с течением времени переходят в чувство глубокой безнадежности; мысли о смерти; </li>\r\n<li>затуманенность умственной деятельности, интеллекта; </li>\r\n<li>невозможность сконцентрироваться на каком-либо процессе; </li>\r\n<li>стремление к определенному виду деятельности, обычно – сексуального характера; </li>\r\n<li>изменение темпа речи в сторону ускорения при определенных обстоятельствах; </li>\r\n<li>в период обострений – опасное поведение в социуме; </li>\r\n<li>устойчивую тенденцию к снижению мыслительного труда, интеллекта, проявляющуюся по типу классического слабоумия; </li>\r\n<li>бредовые идеи и высказывания; </li>\r\n<li>слуховые галлюцинации, возникновение которых связано с повышенными эмоциональными переживаниями или переутомлением; </li>\r\n<li>периодическое странное, нелогичное, некорректное поведение, сопровождающееся монотонным бредом; </li>\r\n<li>нелогичные эмоции– смех на похоронах. </li>\r\n</ul>",
"image": null,
"image_alt": null,
"standard_type": 3,
"danger": 1,
"published": 2,
"parent": null,
"block_rubric": 55,
"standards": [
5120
]
}
]
}