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"name": "Устойчивые расстройства настроения [аффективные расстройства]",
"icd_name": "Устойчивые расстройства настроения [аффективные расстройства]",
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"slug": "f34_ustoychivye_rasstroystva_nastroeniya_affektivnye_rasstroystva",
"lead": "Нарушение здоровья, относящееся к группе расстройства настроения [аффективные расстройства]",
"description": "Аффективные эмоциональные расстройства включают в себя комплекс психических патологий, характеризующихся преимущественным изменением эмоциональной сферы, а также настроения или в сторону депрессии, или в сторону приподнятости. При этом часто меняется также уровень активности человека.\r\n",
"etiology": "<p>Существует три группы причин аффективных расстройств: </p>\r\n<ol>\r\n<li>Биологические причины, связанные с обменом веществ в головном мозге. </li>\r\n<li>Генетические. О высокой вероятности того, что в основе этой патологии лежат генные мутации, говорит то, что примерно у половины больных биполярным синдромом, хотя бы один родитель страдает расстройством настроения. </li>\r\n<li>Психосоциальные факторы. </li>\r\n</ol>",
"pathogenesis": "<p>Основной гипотезой патогенеза афферентных психозов в настоящее время (в частности ондогенной депрессии) является сератониновая. Согласно серотониновой гипотезе в основе заболевания лежит снижение уровня серотонина в различных отделах мозга, которые функционально связаны с эмоциональностью. При аффективных расстройствах снижается также функциональная активность белков – переносчиков серотонина через мембрану тромбоцита. </p>",
"diagnostics": "<p>Диагностика аффективных расстройств проводится психиатром. Она начинается с тщательного сбора анамнеза. Для углубленного изучения особенностей психической деятельности может быть назначено медико-психологическое обследование. Аффективная симптоматика может наблюдаться на фоне заболеваний: эндокринной системы (адреногенитального синдрома, гипотиреоза, тиреотоксикоза); нервной системы (эпилепсии, рассеянного склероза, опухолей головного мозга); психических расстройств (шизофрении, расстройств личности, деменции).</p>",
"treatment": "<p>При лечении аффективных расстройств используются нормотимики, антипсихотики и антидепрессанты. </p>\r\n<p>Нормотимические препараты обладают антиманиакальными свойствами и способны значительно смягчать выраженность очередной аффективной фазы или предотвращать её наступление. </p>\r\n<p>Антипсихотические препараты используются для купирования маниакальных состояний, состояний с психомоторным возбуждением, а также для лечения маний и депрессий с психотическими признаками (в виде галлюцинаций и бреда). </p>",
"prevention": "<p>Профилактика аффективных расстройств состоит из таких правил: </p>\r\n<ul>\r\n<li>отказ от вредных привычек; </li>\r\n<li>доверительные отношения в семье, особенно между родителями и детьми; </li>\r\n<li>прием лекарств, включающих нейромедиаторы — поможет избежать развития такой проблемы, как сезонное аффективное расстройство, но все медикаменты должны быть выписаны клиницистом; </li>\r\n<li>раннее выявление и комплексное лечение заболеваний, которые могут вызвать коморбидные нарушения; </li>\r\n<li>регулярное прохождение полного профилактического осмотра в медицинском учреждении, в том числе с посещением психиатра — даст возможность на ранних стадиях выявить органическое аффективное расстройство.</li>\r\n</ul>",
"clinical_picture": "<p>Дистимия — хроническое, умеренное нарушение настроения, когда человек жалуется на почти ежедневное плохое настроение на протяжении, по крайней мере, двух лет. Симптомы не такие тяжёлые, как при клинической депрессии, хотя люди с дистимией одновременно подвержены периодическим эпизодам клинической депрессии (иногда называемой «двойной депрессией») </p>\r\n<p>Циклотимия — это более мягкая форма биполярного расстройства, которая проявляется время от времени расстройством настроения и лёгким гипоманиакальным (либо повышенным настроением) периодом, без каких-либо более тяжёлых форм мании или депрессии. Часто характеризуется «симметричным» течением, то есть, правильным либо непрерывным чередованием противоположных эпизодов, либо сдвоенными эпизодами. </p>",
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