Ukuphazamiseka kwengqondo

Isifo se-Neurocognitive disorder ligama eliqhelekileyo elichaza ukwehla kokusebenza kwengqondo ngenxa yesifo esithile ngaphandle kwesifo sengqondo. Ihlala isetyenziswa ngokufanayo (kodwa ngokungachanekanga) nesifo sengqondo esixhalabisayo.

Uluhlu olungezantsi ziimeko ezinxulumene nokuphazamiseka kwengqondo.

UKWENZAKALA KWEBRAIN OKWENZEKA NGENXAKI

• Ukopha ebuchotsheni (ukuphuma kwegazi ngaphakathi kwi-intracerebral hemorrhage)
• Ukopha kwindawo ejikeleze ingqondo (ukopha okungaphantsi)
• Igazi elixineneyo ngaphakathi kolukhakhayi lubangela uxinzelelo kwingqondo (subdural or epidural hematoma)
• Ingxubusho

IIMEKO ZOKUPHEFUMLA

• Ioksijini ephantsi emzimbeni (hypoxia)
• Inqanaba le-carbon dioxide ephezulu emzimbeni (hypercapnia)

IZIPHUMO ZE-CARDIOVASCULAR

• Isifo sengqondo esixhalabisayo ngenxa yemivumbo emininzi (isifo sengqondo esixhalabisayo esiphindaphindayo)
• Usulelo lwentliziyo (i-endocarditis, i-myocarditis)
• Ukubetha
• Ukuhlaselwa kweschemic okwethutyana (TIA)

IINGXAKI EZIQHELEKILEYO

• Isifo se-Alzheimer (esibizwa ngokuba sisifo sengqondo esixhalabisayo, uhlobo lwe-Alzheimer)
• Isifo seCreutzfeldt-Jakob
• Ukusasaza isifo seLewy
• Isifo seHuntington
• Isifo sokugubhuka
• Uxinzelelo oluqhelekileyo lwehydrocephalus
• Isifo seParkinson
• Khetha isifo

I-DEMENTIA NGENXA YONYAKA WEZIBONELELO

• Isifo sezintso
• Isifo sesibindi
• Isifo se-thyroid (hyperthyroidism okanye hypothyroidism)
• Ukunqongophala kweVitamin (B1, B12, okanye ifolate)

IZIYOBISI NEMIQATHANGO EHAMBA UTYWALA

• Isimo sokurhoxisa utywala
• Ukunxila kukusebenzisa iziyobisi okanye ukusetyenziswa kotywala
• Isifo seWernicke-Korsakoff (isiphumo sexesha elide lokusilela kwe-thiamine (ivithamini B1)
• Ukurhoxa kwiziyobisi (ezinje nge-sedative-hypnotics kunye ne-corticosteroids)

AMAGALELO

• Nakuphi na ukuqala ngesiquphe (acute) okanye ixesha elide (esingapheliyo) usulelo
• Ityhefu yegazi (septicemia)
• Usulelo lobuchopho (encephalitis)
• I-Meningitis (usulelo kumngxunya wobuchopho kunye nentambo yomqolo)
• Usulelo lwe-Prion, njengesifo seenkomo eziphambeneyo
• Igcushuwa emva kwexesha

Iingxaki zomhlaza kunye nonyango lomhlaza kunye ne-chemotherapy zinokukhokelela kukuphazamiseka kwengqondo.

Ezinye iimeko ezinokulingisa isifo sengqondo se-organic zibandakanya:

• Uxinzelelo
• Neurosis
• Ingqondo

Iimpawu zingahluka ngokusekelwe kwesi sifo. Ngokubanzi, isifo sengqondo sobuchwephesha sibangela:

• Ukuphazamiseka
• Ukudideka
• Ukuphulukana nexesha elide nokusebenza kwengqondo (isifo sengqondo esixhalabisayo)
• Okubi, ukulahleka kwexesha elifutshane lokusebenza kwengqondo (delirium)

Uvavanyo luxhomekeke kwisifo, kodwa sinokubandakanya:

• Uvavanyo lwegazi
• I-Electroencephalogram (i-EEG)
• Ukuskena iNtloko ye-CT
• Intloko ye-MRI
• Ukugqobhoza iLumbar (impompo yomqolo)

Unyango luxhomekeke kwimeko engaphantsi. Iimeko ezininzi ziphathwa ikakhulu ngokulungiswa kunye nenkxaso yenkxaso ukunceda umntu ngezinto ezilahlekileyo ngenxa yeendawo apho kuchaphazela khona ukusebenza kwengqondo.

Amayeza anokufuneka ukunciphisa iindlela zokuziphatha ezigwenxa ezinokubakho kwezinye zeemeko.

Ezinye iingxaki zexesha elifutshane kwaye zinokubuyiselwa umva. Kodwa ezininzi zihlala ixesha elide okanye ziba mandundu ngokuhamba kwexesha.

Abantu abanesifo se-neurocognitive badla ngokuphulukana nokukwazi ukunxibelelana nabanye okanye ukusebenza bodwa.

Fowunela umboneleli wakho wezempilo ukuba:

• Ufumaniswe ukuba une-organic brain syndrome kwaye awuqinisekanga malunga ngqo nesifo.
• Unempawu zale meko.
• Ufumaniswe ukuba une-neurocognitive disorder kwaye iimpawu zakho ziya zisiba mbi.

Ukuphazamiseka kwengqondo ngokwasemzimbeni (i-OMS); Ingqondo yengqondo

• Ingqondo

U-Beck BJ, uTompkins KJ. Ukuphazamiseka kwengqondo ngenxa yenye imeko yonyango. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ii-eds. Isibhedlele saseMassachusetts Jikelele esiBanzi seNyango yoNyango. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2016: isahluko 21.

UFernandez-Robles C, uGreenberg DB, uPirl WF. I-Psycho-oncology: Ukunyangwa kwengqondo kunye nokunyanga komhlaza kunye nonyango lomhlaza. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ii-eds. Isibhedlele saseMassachusetts Jikelele esiBanzi seNyango yoNyango. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2016: isahluko 56.

UMerrick ST, uJones S, uGlesby MJ. Ukubonakaliswa kwenkqubo ye-HIV / AIDS. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 366.