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"lead": "Роговичный (корнеальный) рефлекс — это реакция, в ходе которой смыкается глазная щель. Если он ослаблен или отсутствует, это может говорить об органических поражениях лицевого или тройничного нерва, стволовой части головного мозга, а также может указывать на наличие заболеваний роговицыСлабая или нулевая реакция роговицы на внешнее воздействие может быть обусловлена множеством заболеваний и аномальных состояний организма. Невозможно поставить диагноз только по результату одного этого теста, но он является важной основой для дополнительного неврологического обследования. Как правило, после исследования, в зависимости от результатов, можно предполагать следующие патологии:\r\n\r\nПри отсутствии реакции специалист может поставить предварительный диагноз – деформация варолиевого моста. Варолиев мост – это один из отделов головного мозга, который относится (вместе с мозжечком) к заднему мозгу. Его функция состоит в том, чтобы передавать информацию из спинного мозга в головной. Он управляет лицевым и тройничным нервами.\r\nПри снижении рефлекса в сторону органов слуха можно предполагать наличие невриномы слухового нерва. Это доброкачественная опухоль, которая проявляется снижением слуха в одной из половин лица, болезненными ощущениями и нарушением функции глотания. Опухоль удаляют хирургически или при помощи радиотерапии. Иногда невринома требует лишь наблюдения.\r\nНеобязательно нарушение реакции роговицы на прикосновение является результатом внутренних патологий. Корнеальный рефлекс может быть снижен или вовсе пропасть и в том случае, если пациент в больших количествах принимает лекарства, которые обладают очень мощным седативным свойствам. К таким средствам относятся бензодиазепины, барбитураты, некоторые нейролептики и антидепрессанты, а также алкоголь. Также на рефлекс могут влиять противорвотные средств и анальгетики.\r\nПри черепно-мозговой травме врач может выявить как оживление, так и угнетение реакции. В первом случае наблюдаются улучшения и возможен скорый выход из комы, второй случай более тяжёлым: обыкновенно угнетение наблюдается при переломе височной кости.",
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"lead": "Диплопия (нем. Diplopie, англ. Diplopia), широко известная также как двойное зрение (нем. Doppelbilder, англ. double vision), — одновременное представление двух изображений одного объекта, которые могут быть смещены по горизонтали, вертикали, диагонали (то есть по вертикали и горизонтали одновременно) или повёрнуты относительно друг друга[1]. Это, как правило, результат нарушения функции глазодвигательных мышц (нем. Augenmuskeln, англ. extraocular muscles, EOM), когда оба глаза по-прежнему функционируют, но они не могут сходиться к нужному целевому объекту[1]. Проблемы с EOM могут быть из-за механических проблем, нарушений нервно-мышечного соединения, нарушений в черепных нервах (III, IV, и VI), которые стимулируют мышцы, а иногда и нарушения, вовлекающие супрануклеарные глазодвигательные пути или заглатывание токсинов[2].\r\n\r\nДиплопия может быть одним из первых признаков системного заболевания[en], в частности мышечного или неврологического процесса[3], и это может нарушить баланс движения и/или способность чтения у человека[1][4].",
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},
"code": "C83",
"name": "Диффузная неходжкинская лимфома",
"icd_name": "Диффузная неходжкинская лимфома",
"gender": 0,
"age_min": 50,
"age_max": 65,
"cause": [
3,
0
],
"periodicity": 1,
"slug": "c83_diffuznaya_nehodzhkinskaya_limfoma",
"lead": "это раковое заболевание, которое влияет на клетки лимфоцитов в лимфатической системе. ",
"description": "Неходжкинская лимфома – целая группа из более чем 30 родственных заболеваний, не имеющих характеристик ходжкинской болезни. Лимфома – разновидность рака, поражающего лимфатическую систему, состоящую из лимфатических узлов (небольшие закрытые скопления лимфоцитов), объединенных системой мелких сосудов.",
"etiology": "<p>Этиология происхождения неходжкинской лимфомы неизвестна. Считается, что причина заключается в проникновении вирусной инфекции в организм человека или вследствие подавления иммунной системы, особенно после пересадки органов. Вирус Эпштейн-Барра вероятно вызывает лимфому Буркетта, одну из разновидностей неходжкинской лимфомы.</p>",
"pathogenesis": "",
"diagnostics": "<p>Для постановки правильного диагноза необходимо пройти осмотр онколога, сдать общий и биохимический анализы крови, общий анализ мочи, анализ крови на антитела к вирусам гепатита В и С.</p>\r\n<p>Также делают ультразвуковое исследование лимфатических узлов, комплексное ультразвуковое исследование внутренних органов, рентгенографию легких, пункцию лимфатических узлов, пункцию костного мозга.</p>",
"treatment": "<p>Для лечения неходжкинских лимфом используют химиотерапию, лучевую терапию и трансплантацию стволовых клеток. Также может применяться и выжидательная тактика. Химиотерапия – это воздействие на организм сильнодействующих препаратов с высоким уровнем токсичности. Делают это для того, чтобы уничтожить раковые клетки, однако при лечении страдают и здоровые клетки. Обычно курс лечения состоит из четырех различных препаратов. Лечение проводится циклами.</p>\r\n<p>Лучевая терапия применяется, если заболевание локализовано в одной области тела. Излучение направляется только на пораженный орган, остальные органы пациента надежно защищаются специальным экраном. Однако для лечения лимфом этот метод используется редко, так как лимфомы быстро метастазируют.</p>\r\n<p>Трансплантацию стволовых клеток проводят, если лимфомы устойчивы к терапии или при рецидивах заболевания.</p>",
"prevention": "",
"clinical_picture": "<p>К основным симптомам неходжкинской лимфомы относятся:</p>\r\n<ul>\r\n<li><a href=\"/symptom/uvelichenie_limfaticheskih_uzlov/\" title=\"Перейти на страницу симптома Увеличение лимфатических узлов\">Увеличение лимфоузлов</a>. Распространенным ранним симптомом заболевания считается безболезненное увеличение одного или более лимфоузлов в одной области тела – в большинстве случаев возле шеи, в подмышечной области или в паху.</li>\r\n<li>Другие симптомы. К второстепенным симптомам неходжкинской лимфомы относится <a href=\"/symptom/anormalnaya_poterya_vesa/\" title=\"Перейти на страницу симптома Анормальная потеря веса\">потеря веса</a>, <a href=\"/symptom/utomlyaemost/\" title=\"Перейти на страницу симптома Утомляемость\">усталость</a>, ночная <a href=\"/symptom/potlivost/\" title=\"Перейти на страницу симптома потливость\">потливость</a>, анемия, <a href=\"/symptom/vysokaya_temperatura_38-42/\" title=\"Перейти на страницу симптома Высокая температура 38-42° \">лихорадка</a>, <a href=\"/symptom/zud/\" title=\"Перейти на страницу симптома Зуд\">зуд</a> по всему телу. Такие симптомы могут появиться, если опухоль развивается вне лимфатической системы, например, в желудке или легких.</li>\r\n</ul>",
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5099,
5381,
5387,
5388
]
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}
]
}
