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At every time of the day there is a progressive parallelism. Tiganov A.S. (Ed.)<< Екзогенно-органічні психічні захворювання. Етіологія: чому розвивається ця хвороба

With a depressive form, attitudes develop, often from tricky and pragmatic to suicide (astonished at the new knowledge: Depressive syndromes), it is often spared to become glazeless, hypochondriacal madness of nigilistic. The circular form, first described by S. S. Korsakov, is opposed to the change of state of mind and depression. The hallucinatory-paranoid form develops as a development of the paranoid syndrome (marvel at the new star of knowledge) with overly auditory hallucinations and maddens. With a catatonic form, a stupor stupor (marvel at the new star of knowledge) with manifestations of mutism and negativity (wonder at the new star of knowledge: Catatonic syndrome). In the stage of marasmus, there is evidence of activity, familiarity, illnesses see inarticulate sounds, cannot stand and oversupply. At the tsіy stage of the stench to go out of the inter-competitive ailments.

Beyond the transition, they see a particularly malignant agitated form (galloping parallel) with the rapid deterioration and deterioration of the status according to the Amentive type and so the titles are stationary parallich, in which case it is

Atypical forms Progressive parallel є youthful and old-fashioned Progressive parallel, as well as Lisauer's parallel and taboparalych (marvel at the povniy zvіd knowledge). Yunatskiy Progressive parallel develops on the basis of congenital syphilis; Call to fix up at 10-15 years. In some cases, there are signs of a congenital syphilis, in some of the wines, in children who were considered healthy before. Most of the protests are in dementia form; local symptoms, for example, atrophy of healthy nerves, are not frequently observed. Old Progressive Parallich Vinikє in the age older than 60 years and is characterized, first for everything, by a trivial latent stage (up to 40 years). Клінічні, the picture is older than dementia (marvel at the new stars of knowledge) with swirling memory lines; Inodi falling ill against the type of Korsakov's syndrome (marvel at the povnyi zvіd knowledge).

Parallich Lisauer and tobacco paralysis are characterized by increasing incidence of perplexity. When Lissauer is parallel, there is a tendency to a local lesion of the brain, which is important for those times, when aphasia develops (marvel at the new sound of knowledge), agnozia (marvel at the new sound of knowledge), apraxia (wonder) Taboparalysis is a combination of symptoms of Progressive parallel and dorsal tabes (marvel at the povniy zvіd knowledge), whereby spinal lobes overwhelm the development of symptoms Progressive paralysis, evoke yogo dementia form.

Ethiology and pathogenesis. In 1913 rіk X. Noguchі didvіv syphilitic etiology Progressive parallіch, showing the bleed treponemes in the tissues of the brain.

The pathogenesis of implantations is insufficient. K. Levaditi at the forefront of caution, since Progressive Parallich has affected both of them, as well as infected with syphilis from one and the same dzherel, having hung up the suggestion about a particular neurotropic treponemia, however, not yet. It is possible, in pathogenesis, to play the role of impairing the reactivity of the organism (marvel at the new knowledge) with the sensitization of the tissue of the brain, as a result of which, in a number of vapors of treponemia, they penetrate into the tissue of the brain.

Pathological anatomy. Macroscopically, with Progressive parallel, the atrophy of zvivin in the brain and enlargement of the sores are indicated. The muka of the sheath of the brain has become clouded, grown from the speech brain; sposterіgaєtsya ependimatit (marvel at the new star of knowledge: Horioependimatit). microscopically appear ignition process in the myak_y obolonts_ of the brain and in the vessels, especially the others. Closely sudin is characterized by infiltration of plasma cells. In the tissue, the brain is spared to start measles in the connection with the rupture of nerve cells and fibers. In neuroglia, glucose fibers grow, and there are sticky and amoebaeous cells. Closely nerve cells appear bliditreponemi.

Diagnosis in the stage of repeated development of the ailment is not difficult. It is established on the basis of psychopathological, neurological manifestations and given laboratory tests. The growth of manifestations of total bewilderment due to the appearance of criticism, disarthritis, destruction of mental reactions (astonished at the new knowledge: Argyll Robertson's syndrome), the steel of serological indications - all in all, it is necessary to rob the diagnosis of progressive parallels. Wasserman's reaction in blood in most cases is positive (marvel at the new star of knowledge: Wasserman's reaction); in the cerebrospinal rіdina, as і bіlkovі reactions (Nonnі - Apelta, Pandі, Weichbrodt), is very positive (astonishingly the new knowledge: Coagulation probi, Cerebrospinal rіdina). The number of cell elements in cerebral spinal growth is not significant. Zagalny vmist library of edits. When staging the reaction of Lange (marvel at the new knowledge: Cerebrospinal ridina), it is indicated that the birth rate in the first 4-6 test tubes and the increase in the intensity of the level in the offensive (so the ranks of the parallel curve). The reaction of immobilization by treponem (marvel at the new knowledge: Nelson - Mayor reaction) and the reaction of immunofluorescence (marvel at the new knowledge) are very positive in the blood and in the cerebrospinal birth.

To carry out differential diagnostics with the syphilis of the brain (marvel at the new star of knowledge: Syphilis), in case of dementia, it should be lacunar in nature, with more or less protection from criticism, often with hallucinations; the curve of the reaction of Lange can be called a syphilic tooth. progressive parallel

differentiation with alcoholic pseudo-parallich (marvel at the new knowledge: Alcoholic encephalopathy) and old bewilderment (marvel at the new knowledge) on the basis of serological indications; with brain injuries (marvel at the new knowledge), especially the frontal part, according to neurological symptomatology and serological indicators. Pseudo-paralytic syndrome with swelling of the brain is supervised by moving the internal cranial grip (marvel at the new knowledge: Hypertensive syndrome). Psychosis sudinnogo genesis vіdrіznyayutsya od Progressive paralіch rozvitkom lacunar nedoumstva (be surprised Povny zvіd spoken: Atherosclerosis), not vlastivogo Progressive paralіch Nayavnіst paralіtichnogo nedoumstva dozvolyaє vіdmezhuvati circularly shape Progressive paralіch od manіakalno-depresivnogo psychosis (be surprised Povny zvіd knowledge) and galyutsinatorno-paranoid - from schizophrenia (marvel at the new star of knowledge).

Likuvannya. Shown is a paratherapy (astonishment of a new knowledge) - an infectious therapy and a paragenic speech (astonishment of a new knowledge), as a rule, with antibiotic therapy. As early as 1845, V.F. The priority in the infectious therapy of psychosis is to be found by A.S. Rosenblum, who was mentally ill with the splinters of typhoid fever. In 1917, Rik Vidensky psychiatr Y. Wagner-Jauregg proponed the sickness of the sick Progressive parallich with the scraps of the painter. trimming method wider rospovsujennya; in the polyaga at the introduced to the sick child Progressive parallel blood, taken from the sick man by the tridenous painter. The incubation period is trivial 4 20 days, the first attack is like a tridenal painter, in general, as a rule, it is spared. After 10-12 attacks, they are stopped by taking chinin hydrochloride. Інф. To carry out therapy also, infecting ailments Progressive parallel European and African reversible typhus. The results of the therapy of a minor turn, are a bit handy, since the scraps of material, in the first place, are rejected as a result of an infection of the mischief, can be transported to great places. Somatically weaken the ailment and pinch Japanese squinting typhus - sodoku. In quiet cases, if the infection does not go out, and also with somatic contraindications, it is associated with pyrogenic speech (pyrogenal and інші).

To spend the 40s of the 20th century complex lykuvannya- pyrotherapy in conjunction with the introduction of antibiotics. At the same time on the course of treatment, you will receive 40,000,000 OD penitentiaries; Repeated courses of penicillin therapy should be carried out at intervals of up to 2 months before monitoring serological indicators. In a number of vipads, bicilin should be consumed in combination with bismuth preparations. In combination with antibiotic therapy, I recommend the use of infectious therapy (attachment of malaria), as the penetration of antibiotics into the tissue of the brain, and, moreover, the advancement of the body's forces. Інф. therapy is contraindicated in old patients, with marasmus, heart failure, aortic aneurysm, nirok sickness, reddish diabetics... Moreover, it was broken up by one penicilin. The decalka of schemes of treatment with penicillin is proponated;

Forecast. The triviality of overcoming the non-forged Progressive parallel from the cob to a lethal result in the middle is close to 2½ years. Yunatskiy Progressive parallel flow more (5-6 rockets), stationary parallel - up to 20 or more rockets. The agitated form will end with the death of the sick person through the kilka of the miscellaneous. In the case of an expansive form, trivial remissions are promoted. Remixes of love may be trivial. From the beginning of the 20th century Behind the tribute to a number of previous ones, remissions of more than 2 rocky appear to be persistent.

Prophylaxis of polyagus in a quick treatment of syphilis, as it should be carried out with specific and nonspecific methods for singing schemes (marvel at the new star of knowledge: Syphilis).

Social and forensic psychological significance. Only in one kind of vapadas (style of remission of a trip) can be allowed to turn sick to the point of great professionalism. In the case of a ship-psychiatric examination (marvel at the new star of knowledge) of the ailing one, in all types of vipadkah there will be an unjustness (wonder at the new star of knowledge). If only in case of illusion Progressive parallel to a stiff remission of triviality not less than 3 years of ailments can be condemned.

Are you categorically not vlashtovu prospect bezpovorotno to know the light? Do not bazhaєte finish yours living shlyakh at the sight of an ogid rotten organic mass devouring to rummage in them with grave chrobak? Do you want to live another life after turning into youth? Reinvent it all? Correct the pardons? Are you healthy? Proceed for the best:

Dane became ill with diffuse syphilitic meningoencephalitis, which can manifest itself as neurological and psychopathological disorders. The ailment ends in great bewilderment. The hour of development of a disease from the moment of infection with syphilis, you can become one of ten rocks, one progressive parallel can develop up to fifteen rocks. Yaksho lіkuvannya vіdsutnє, ailments end lethally. Pochatkova stage of becoming ill is characterized by neurosis-like stance, which is called pseudo. In addition, they show a depressive, maniacal character. A moody hallucinatory-paranoid camp, if the presence of a dull idea of ​​greatness and nigilistic hypochondriacal madder is present.

At the first place in the majority of vypadkiv such signs appear as a special sign. Lyudina becomes rude, unkempt, and also discourages her from pulling. Dementia manifestations are becoming frequent. Among the neurological symptoms are typical є dislocations of movi. For example, they scandalized MOV, disarthritis, that іnshe. With a progressive parallel in the daytime, the pupillary reaction to the inflow of light, while the reaction is saved to the adaptation and convergence. In some ailments, the asymmetric nasolabial folds are swollen, the individual's masquerade, the handwriting changes, and the tendon reflexes become unstable.

With progressive parallels, the value of ma early diagnosis, Only in all cases of a patient can be unique to the lethal result of an illness. On cob stages є pathognomical after a number of neurotic manifestations, such as head bill, Nadmіrna vtomlyuvanstvo, reduced efficiency, gratitude. There are also signs of intellectual incapacity, organic (sometimes rapidly growing) decrease in performance. It will become superfluous to the second forms of behavior, evidently earlier, to ruin moral attitudes and subtle emotions.

With progressive parallelism, positive reactions to syphilis appear, which is the main cause of this pathology. It has been established that one of the forms of syphilis in the brain is lured by the diagnosis of meningoencephalitis, if the tissue in the brain is affected by syphilic treponema, as well as the disorders appear in the membrane of the brain. The peculiarity is that progressive paralysis of the winery is far from being among all the patients who have been turned over to syphilis. In this vypadku, win start to develop in one - five ailments. The choloviks are in a larger world, up to a progressive paralych, they become ill more often in five times.

The middle age of people, who are suffering with progressive parallel, start in between thirty-five and fifty rockets. With such a rank, one should be able to start developing new developments in ten - fifteen years. A point of view in this vypadku є ear of sickness on syphilis. About the spiritual nature of the progressive parallels of the patient, one can understand if they go through the therapy in the psychiatric hospital. The nature of the disease was established either during the maintenance, or at the time of the hospitalization in the first medical bag from the drive. Practically, an analysis on the Wasserman reaction is carried out in case of regularity.

In case of a positive result, the patient should undergo a consultation with a venereologist. Specialist in the beginning of the stage of becoming ill, revealing the appearance of mental disorders, and ailments to undergo treatment at the psychiatr. There are drops, if the patient appears at the doctor in a call with him, that he is close to the wrong behavior, mental health. As a rule, the ailment itself is not considered critical. Even more often, having learned about their diagnosis, the patients appear wondering, or to prevent the fact that they were sick on syphilis in the past. So buvah, if people do not nadayut significant weak symptoms of ailments, for in their hour they have not completed the course of treatment.

lykuvannyaprogressive parallel

For the development of a progressive parallel, specific therapy is used, as it is a whole course of antibiotics, as it is combined with biokhinol. Earlier, for the treatment of sickness, such a method was used, such as the scrapping of tridenous painter, which increases the temperature of the tree, and the death of treponemi, which is the cause of syphilis. The progressive parallich is successful in using penicilin. It is recommended to carry out a quick repetition of courses, to sail at a sick man's death.

We will expand it by the method of treatment є pyroterapy. When a painter is treated, a painter is introduced internally or an inner roof, which is taken from a sick painter, without going through a painter. In the whole vipad Incubation period to become from chotiroh days, in some cases, it will last up to twenty days. Such a course of treatment of the transmission of approximately ten attacks, and further to be carried out by the treatment of painters. One day the blood was introduced, so to avenge the malar plasmodia, the attack is not victorious, but only one is provoked to electrify the area of ​​the spleen.

After the therapy was carried out in the back room, the camp of the sick is spared through the month. One of the few reasons to prevent the repeated scraps of painters, as the first one did not give the required results. In our days, with a lot of drugs, they recognize pyrogenal, sulfozin. Slide to mean that the results of the treatment are not the same, and it is quite enough to lie down in the same stage of ailment. All in all, it’s obvious that the beating up to the liquor on the early terms will give you the best forecast. The therapy is also used adequately. At the same time, in our days the children, who are suffering from progressive parallels, pass active and like, the result in the importance of weak-mindedness is not necessarily viscous.

Progressive parallel is a psychoorganic illness of syphilic genesis due to the backward symptoms of organic psychosis and natural somatic manifestations, as if you would like to see the result of a rocky result without being caught.

symptoms

Yak і with dorsal dryness, with progressive parallel, there is a reflex numbness of the brain (symptom of Ardzhil-Robertson): at the same time, we do not react to light, but rather react mildly and poorly, in that hour I tend to react to the present. Zinitsi are often unsettled, abnormally wide, or universities, often in the wrong form. The guards are also mentally reactive (on bil, mentally stressed); However, the whole problem does not overwhelm the regular connection neither from the reflexive nerves of the child, nor from the stage of ailments. Reshta reflexes are not characterized by changes.

With simple forms of progressive paralysis, if the control of the great brain is weak, the reflexes naturally move; in forms accelerated by dorsal tabes, to interrupt peripheral-spinal reflex arc, Reflexi vidsutnі, on lower kintsivkakh every time.

Naybilsh throw themselves in the eye of the coordination of the greetings, for the most important signs are given in the thin rucks necessary for the movement. Okremi sounds are disgustingly set up, a number of sounds that follow one by one, "grease" at once, ailments are stuck on the single voices, skipping deyak sounds and warehouses, repeating or rearranging ("sputtering in warehouses"), often calling ... Do you know i psychotic: Lack of importance, weakness of sleepiness, amnestic appearances to slow down and dovilnuyu mova, and the repetition of other people's words. The voice (especially at the remaining stages) becomes three-tone, monotonous; until the end of the day, the sickness is growing old, a little light-hearted. In bagatech vipads, there is a decrease in the tone of the mimic muscles, the nasolabial folds are smoothed (on one side it is often more lower on the other), and there are more subtle tiny ruffs.

All the prices are for a person who is sick and without eyes, for which it is possible to learn a paralysis. It is possible to reach early to bachiti smikuvannya okremih meazovyh bunches on the face. Mova hangs uncomfortably, and smiles about the music bundles.

Similarly, move to wake up and handwriting. Krim of the great and unreasonable tremmy, the domineering organic exercise the brain, in the handwriting of paralytics, are spared those who do not go tudi rows, kudi treba, literi of a different size; to replace arcs to go kuti і the like; the onslaught of the pen is nervous. It’s hard to come to grips with mental difficulties: omissions, repetition, alteration of letters, warehouses and words, misleading, incorrect corrections, syntactic notes, the lack of suggestions does not appear on the ear; in kіntsі kіntsіv, go absolutely unsettled dwarfs.

Rozlad go to grow old for a little while, as long as the development of psychosis did not overwhelm the back pain due to their symptoms. The leg should be placed non-verbally, then in front, then backwards, then sideways out demanding mission... The move becomes wrong, cunning; the legs are powerlessly spread out widely and spasmodically until they are dead. It’s not easy to pause, but everything just "hangs out" now to the left, now to the right. At the last stages of the disease, you can’t walk.

All the musculature stepped forward to come to the camp of spastic paralysis, the ailment became absolutely feverless. Improve and smooth muscles; kovtannya to slow down and become unhappy, the intestines can not spit it together; to promote the non-triviality of kalu and sich, often staying in parallel sectional mikhura.

The blood is so positive that Wasserman's reaction is positive, the spinal cord riddles may be. The vice of birth is often made; In the sum of the abundant amount of amonium hydrochloric acid, there is a lot of water in the presence of globules; At the same time, it is especially characteristic for the diagnosis of progressive paralysis to invade the knowledge of plasma cells.

Pererakhovani somatic symptoms need to be considered the main symptoms of progressive paralysis, protests in the surroundings, if even worse, the stench may be even weakly swirling. Neither in the sense of the hour, nor in the sense of intensity, the stench does not overwhelm in any singing relationship with the changes of the psyche, and it can occur before, and after them. Often it is possible to ascertain the coordination in the leaves of a sick person, which overwhelmed the disease. The pupillary range can be found to be quite rocky before the manifestation of ailments, but it can be found and out of sight.

The most common somatic symptoms are paralytic seizures. The stench is similar to that, as you become susceptible to being susceptible to gross damage to the brain: good, albeit not hungry, the stench comes rapt, the likelihood of being consumed, and when it comes to the test, it is a localized, partly junk

The triviality of attacks can be counted in a few seconds and decilcom days, often the evidence is turned around until the court rushes.

The order of the attacks, which are characteristic of the gross damage to the brain, are prone to simplicity, non-obtrusiveness, epileptiform and apoplectiform attacks. I will remain silent because I have hemisphere and monoplegia, which is spastic in nature.

Rozlad of thermal centers pulls rapid temperature adjustments, which last for several days.

In addition to the lack of knowledge of the stocks, there are also other trophies. In the last stages, it is important to eliminate the bedsore, the reason for which is not only in parallel and unresponsiveness, but in damaged trophies.

Vaga tila is in the thickest fallowness of ailments: euphoric ailments are well fed until death.

At the last stage of ailment, insanity develops.

The appetite is sometimes overwhelming, then low, in the absence of the basic mood of the sick. Often there is a lack of gluttony, especially with manic forms in the stage of bewilderment.

Sleep at the stage of awakening, in the quiet stages until the moment of great bewilderment is normal, in the last stage of ailment to spend the nights restlessly. Sleepiness tends to grow older.

Often, it’s a matter of feeling: on the cob, with manic forms, to move, to a wide range of potential, and then to pull.

With progressive parallel, similar to the dorsal tabes healthy nerve However, the Yaka, however, is functionally submissive to great numbers, that is, E. Zir, stretching out his misery, is either better or more beautiful; On the other hand, there is a slap in the bloodstream. Not such ridkisnі and parallіchі (great transient) surroundings, the head rank in the cob stage.

Often, there are sensory symptoms in the presence of headaches, migraines, and paresthesias of any kind. Especially in the cob stage of the stench, it is often the case that the picture of ailments is taken into account, and this is interpreted as neuritis and rheumatism. It is important for diagnostics to often develop a discord of painful sensitivity (hypalgesia or analgesia), to be surrounded by shkiro.

from dodatkovyh mental symptoms it is necessary in relation to the endogenous mood of the manic and melancholy type; stench often dominates the picture of ailments.

Hallucinations (even more rumors and good times) do not play great roles, there are more roles in opposition to them, and it is only a little deceived to be on the first plane.

Beginning of looming ideas even further; chill the stench of being in a tight ring with changes in the affective sphere. In the fight against paranoid stanіv, tsі idei do not fіkuyut so; especially in the maniac forms of the stench to the great stinks in the fallowness due to the mood and the stage of bewilderment; the more ailments you have to deal with them, the more ailing you have to deal with: a sick person has 20 horses, as you can imagine, which is not enough, for another hundred, two, etc. it is easy for a parallels to find any kind of new ideas and ideas. : varto power up yogo, nevzhe vin na to the service not having any rank, but immediately becoming a general. The lighthouse ideas of paralytics are blind and clear, and very clear (neurotic overdrive).

In some cases, gross intermediate symptoms, of any kind of parallel cerebral type (especially often the presence of unequal innervations in the area of ​​exposure, especially of the lower hemorrhages), aphasic and practical problems, etc. At larger stages, there are symptoms of subtlety: moaning, gnashing with teeth, іnshі vessels, bolsh-mensh coordinated ruci.

Perebig ailments

Progressive parallich without any kind of treatment, as a rule, by stretching out decisive rockets to death. The ailment may be susceptible to creep in action, it should be borne to quiet vipadks, if the host will attack the ailment with a rapt, obviously for navkolishnykh.

Already rock_v 10 before the vibration of ailments it is possible to determine the condition and the pupillary changes, and the change in character; often the rocks are spared only one neurasthenic symptoms, for which there is a danger of becoming ill.

Progressive parallich, once it manifests itself, it is possible to give remisies, and moreover, it doesn’t smell like a smell (with simple dementia forms, it doesn’t bother).

Cherguvannya oremikh symptoms do not comply with the law. In the case of periodicals, i.e., if the ailment is not yet diagnosed, the most part of the pupillary symptoms, the disorder of the handwriting and character. An ailment may debut with a neurasthenic symptom, a paralytic seizure, or a somatic one, I know so well as a severe psychotic syndrome (malignant or deafness). For larger stages, it is important to establish what the rules are, it is possible to say that the breakdown in the case of severe dementia can easily take on the nature of intertwining.

The most common early symptoms can be attributed to pupillary dislocation, loss of colonic reflexes (with slow back dryness), agility, fears, overpowering admiration, or being overwhelmed by weakness, lack of volition, double in the eyes, periodically difficulty moving, sleep disorder and especially neurasthenic syndrome.

Vykhіdna stadіya in different forms buvє bіlsh-mensh is the same; difference only in the area of ​​the affective sphere (more of the era) and in manifestation, for example, in the context of the heretical standards.

Death in indefatigable vipadam insisted on visnazhennya. The parallels of the chafing and bedsores give rise to any kind of infection; parallichnyh kovtalny and dikhalnye mu'yazov veda to pneumonia or asphyxia. A paralytic seizure may itself end in death. Deyakі ailments become a victim of merciless vipadkіv through their feverishness, both rukhova and psychic; in depressive vipadkah, rarely in simple, ailments inodі end with suicide of the ailing one.

anatomical data

With progressive paralysis of the nerves of the brain cells, and often of the spinal cord. Raztashuvannya ganglionic clines along the ranks and verses will collapse. Clitini and fibers grow in number and grow. Already, with a surface increase, it is possible at the stage to increase the number and especially the increase of the number of elements in the development of the process, such as in case of senile forms. Mitosis is not frequently observed in the gluten cells. Colonies of other measles vesicles in the brain (and their organs) are infiltrated with round cells, which may cause the nature of the plasmatic cells to be relatively small. Remains vvazhayutsya characteristic of a progressive paralychu, so as the stench is not spared for what kind of ailments, but sleepy, as we do not develop. It is often possible to clearly bachit new capillaries.

Macroscopically, it means a change in the brain, in neglected droplets of the vag it can reach up to 1000 grams, the surface is irregular due to the process of wrinkling, sounding, furrows of expansion. There was a discoloration of a bruised colora and it shrinks when it develops, as only the atrophy is NOT masked by a bulge in the brain.

Nowhere so often does not it happen hemorrhagic, Yak with progressive parallel; hard moss shell often grown with a skull.

V spinal cord Secondary degeneration is also spared, since the brain is damaged, and besides, in the new one it is often the first time that the changes occur, which are in the brain.

In the peripheral nervous systems In some cases, chronic degeneration is promoted. The aorta of a healthy syphilic change. The first organ, especially the oven, does not become normal. It means that syphilis and their inheritance (behind the vignette of pernicious manifestations) manifest themselves in paralytic paralytics very rarely.

Differential diagnosis

Differential diagnosis of a manic progressive parallel and manic attack of manic-depressive psychosis is based on the manifestation of somatic symptoms, on the inconsistency between the steps of breakdown and colossal headlessness on absurdities. Maniacal ailment shvidshe yak bi pamper, naming people not by names; a paralytic to use in his fiction.

The first attack of the ailment in grown up vimag of great care when assessing, if there are mild parallel symptoms; it's dumb, tomorrow there will be a stench. Every time, the haze of ideas may have a clear turn in the manic form of progressive parallel.

By the same principles of need for keruvatis differential diagnostics melancholy attacks.

It is not easy to recognize the progressive parallel of schizophrenia, especially since it is not meaningful, it’s a state of mindlessness with a wicked, snakey mind, a camp, where it’s a mess, ale without being forgotten specific. One should try to avoid catatonic signs (it’s important to accurately analyze at such a sick person), by no means proving catatonic signs, more proving the sensibility of the call Anamnesis can often get more confused, since it is a lot of paralysis and in a healthy state of being psychopaths. In cich vipadkakh, the role of the game is played by those who are willing to bring (or categorically simple), but in the ailing singing moment, the paralytic character is marked.

For evidence of the epilepsy, only mothers in uvaz are required characteristic features both ailments; Protest, if epileptic seizures appear in the middle of the day, the stench does not have a singing character either in the opposite direction; in such vipadkas the diagnosis for a day is lost.

I will look at the schliness of paralytics before ekstsesiv, even more importantly, in some form of progressive paralysis of alcoholic forms. Korsakov's ailment, being an organic psychosis, has a number of psychic symptoms of extravaginal symptoms with progressive parallels; It is necessary to note that neuritis does not occur, but it is clearly visible.

It is easy to think of the poohlin to the brain for good reasons; The protest means that there is a lot of growth, infiltrating gliomas, which clinically give a picture of a simple form of progressive parallel with ice obliterated symptoms.

From the other organic psychoses, progressive parallel to the appearance of somatic symptoms (including the warehouse of the spinal cord); Protest, if it’s not, it is possible, without great risk, to put the diagnosis of progressive paralysis on the side of one deprived of the paralytic madder.

We are very important to the staff є the establishment of clear boundaries and progressive parallels and neurasthenia.

All information about the diagnosis drive is the development of special reactions of blood and spinal cord type. Naybilsha view of such є Wasserman reaction (RW).

lykuvannya

The main way to lіkuvannya progressive parallel є penіtsіllіnotherapy. In half of the diseases, trivial remissions develop, protests in the sickly developing chronic expansive conditions, psychotic options for the defect, stationary dementia.

In case of intolerance to penicilin, such an antibiotic such as erithromicin in the combination of bioquinol and bismoverol is stagnant.

It is highly recommended to admire the video on this ailment

The information presented in this statute is intended solely for knowledge and cannot be substituted for professional advice and qualified medical assistance. At the smallest age, about the presence of of this affliction Obov'yazkovo consult a doctor!

I will cut yak saplings, sudin, and speeches to the brain (parenchyma).

Klіnіchno progressive parallіch is characterized by a growing mental breakdown (bewilderment) and extreme somatic viscera of ailing (marasmus). The main key symptom of progressive paralysis, Otzhe, is bewilderment. However, the first signs of ailments can appear even more uncomfortable, at first glance, the most common symptoms of the nervous system. At the end of the day. From the moment of infection with syphilis, before the appearance of progressive paralysis, take place in the middle from 8 to 15 years. Ailments are progressive parallel to not all ailments on syphilis, but only from 3 to 5%; Bowls of cholovіki at vіtsі grow from 35 to 50 rockіv. The development of neurosyphilis with the weakness of the nervous system and the presence of additional factors, which leads to weakness (trauma, alcoholism). The number of vipadkiv ailments progressive parallel in our land dropped sharply in connection with the significant speedy ailments to syphilis.

The excess of the progressive parallel can be divided into three periods:

    first period on the cob symptoms of ailments swirl in the backward neurasthenic scargs (the period of pre-paralytic neurasthenia). Drasticity, disrespect, forgetfulness, sleeplessness, decrease in patronage, slanderousness appear. On the basis of acute neurasthenia (as a form of neurosis, I see the nervous system), the symptoms of such an insignificant reason and an apparent illness pass without a trace, symptoms of pre-paralitic neurasthenia. Already on the very cob, symptoms are spontaneous, which indicate an organic lesion of the brain, which does not occur with acute neurasthenia (div. Rozdil neurosis). With a pre-existing nervous system, anisocoria, a symptom of Ardzhill-Robertson, a smoothed nasolabial folds, an increase, a decrease or an unevenness of tendon reflexes appear. An important and early neurological symptom of progressive paralysis, dysarthria, spitting on actions that are folded for Vimov and phrases. So, for example, ailments cannot be vividly, loosely vimoviti the marshmallow: "Syrovatka for sour milk", "Sewn kovpak, that is not in Kolpakovski, you need to perekolpakyh", "In the yard grass, on grass firewood." The same early symptom is the disorder of the letter: the handwriting is old, the ailment is missing letters, the warehouse is absent; so, for example, replace the words "rozpodility" by writing "distribute" or "distribute". the explicitness of the descriptions neurological symptomsє the head of differential familiarity and identification of early forms of progressive parallel. Recognition of neurasthenic scarg due to the significant symptoms on the side of the nervous system gives all the evidence for the clinical diagnosis of progressive parallel and the innocent direction of the sick person in the psychiatric drug for addiction. The triviality of the first period is small, approximately from a few months to 2 3 months.

    other period, Period of repeated development of symptoms of ailments. In the whole period on the first plan, all the symptoms of the same outrageous bewilderment will appear: ailments are drawn into the health critically assesses their stance, and you are healthy. The mood is overly complacent. Ailments are euphoric, lively, zd_ysnyu vchinki, lack of eyesight, which are often animals, I respect the others. Ailments become erotic, make a light sound, become marnotty, spend a lot of money on the purchase of unnecessary speeches; So, one of our paciєnt on the same day for the entire remuneration of 700 rubles, having bought a carcass of meat and on a touch, on a podil of loved ones, delivering it to home. In the whole period, the symptoms of physical visibility are gradually observed.

    third period period of rozpadu (marasmus). The dementia of the reach of the extreme steps: the ailment is inevitable as it is inappropriate sounds; Mimovolі vіdіlа I chop and feces as a result of parallіch sfіnkterіv. Physical performance is even more risky. Shkіra with trophic decay, with decubitus ulcers, such as infiltrated infiltrations. Pidshkirna klitkovina mayzhe znnikla. Shkіra tight knots, as they become even thinner, in which case fractures occur.

Described is the picture of the maddenedness of the vimagus to the staff of a brute, even dibilivogo shutting up to the ailing and especially relatable to the sight. So, in our country, the number of symptoms in syphilis has significantly changed, then in terms of progressive parallel (tim more launched form progressive parallichu) in the psychiatric lectures became the best organizers of prophylaxis and treatment. In a vicious, third, period of ailment, it is most often seen as sepsis. Even more often in the whole period of ailments epileptiform seizures are more likely to occur, as they are also the cause of death. In some cases of epileptiform seizures, they appear on the very cob of progressive parallels and lie down on the development of ailments, if the symptoms are not too widespread. With a stretch of progressive paralysis, the mother may have a small brain mass with further hemiplegia, paresis, for those on the side of parallels with arteriosclerosis, shortness is characteristic, since the deterioration is insignificant here. Rukhs in paralized pictures can be brought up quickly (through a few days, days).

The redevelopment of the key picture of the progressive parallel is brought up to another period of the ailment (the period of the redevelopment of the ailment).

The development of the main key forms of the progressive parallel:

    Manical, or expansive, form characterized by a pidvischeny, complacent attitude (eiforia), on the smallest ailments, the gluttonless madder is great (it’s a pity to say, that is a millionarder, he has all stocks of light gold, he has all of gold), etc. In the case of behaviorless wines, "giving away" to all the inexhaustible riches, often cynical, erotic. Vvazhaє to ourselves healthy and grants to transfer from psychiatric lіkarna.

    depressive form we will be able to adapt to the mood, on the smallest ailments, I will catch the hypochondriacal madder (there is no shlunk, it will fall right into the slough, etc.).

    Dement form characterized by growing bewilderment at the decrease in building, critically assessing the knowledge, seeing the correct judgment, thinking about it sickly camp... Mood, unaffected by the severity of becoming, I will sell it to you, good-natured, good-natured.

    tabetic form characterized by some symptoms of progressive paralysis with dorsal tabes. The qia form is developed by acting, by a plinth.

    agitated form to be seen as a quick, galloping evil interruption, with a sharp collapse of anxiety, with a confusion of evidence and a quick breakdown of the psyche. Tsya is usually a ridiculous form of progressive paralysis to end in death.

As a result of the described forms of progressive paralysis, as a result of syphilis, the form of juvenile progressive parallels develops, as a result of the syphilis. Protect the type of dementia form. Pathologic changes in the brain with progressive parallel are produced to the point of turbidity, angering of the membranes to the brain, to atrophy of the brain cells from the bend of the nerve cells (the brain in the frontal lobes), to dropsy in the brain.

progressive parallel is a piznishe syphilithic lesion of the brain. If, with syphilis, the brain is primarily affected by the vertebral column, then with a progressive paralysis of the brain, the brain (parenchyma) is dominated. If you get sick, it will be repaired in 10-15 years after infection with syphilis, ale or earlier. The droplets and larger ears are more likely to occur - after 20 years or more after infection.

With a progressive parallel ailment, you can raise individuals from 35 to 50 years, and from some children and children. In cich vipadkah, infection with syphilis occurs internally in utero or by way. People get sick often. Progressive parallel develops in a small number of all ailments with syphilis. The development of an affliction is taken with a high level of energy, as a result of weakness on the central nervous system (alcohol, brain injury). It also means that a progressive parallel is often found among quiet individuals, which lacked syphilisia, or were NOT completely caught up. A number of types of diseases are affected by progressive parallels. Tse є persh for all the result of a successful fight against syphilis.

The main thing in the classic picture of ailments is the growing bewilderment. The excess of the progressive parallel was taken by the department into three stages:

  1. neurasthenic
  2. bewilderment (twisting key manifestations)
  3. insanity

It is cleverly rosted at the stage, and it is necessary to accumulate in the class of this symptomatology.

neurasthenic stage... Tse pochatkova stage of progressive paralychu, the knowledge of which velmi is important for quick diagnostics and lіkuvannya.

In sick people, sleep will collapse, there is a change in urgency, stupidity, tactlessness, decrease in interest to robots, repairing primitive pulls. At the tsіy stage іnodі there is a decrease in activity, the energy behind the character people become mlyav, passive. Throughout the entire period of illness, you can play with your own robots, especially if you are awkward. Ale with the development of ailments to the ailment is more and more important than the age of virіshuvati vinikayuchі in front of him zavdannya. Chim dal yde ya zhvoryuvannya, the larger world changes the specialness of the sick, the growth is a picture of organic bewilderment.

stage of bewilderment... At the stage of the disease, it is not easy for ailments to be blindfolded, as they indicate the manifestation of bewilderment. Ailments can be dear to the dear gifts of little-known people, and at the same hour, absolutely stop talking about your loved ones. In some cases, the turbo turns around in unnecessary purchases. So, one ailment in all his spares having bought a few boxes of consumer cologne and brought them to a gift of the squad. The young man, having cut off his salary, went to the shops and bought the heads for the primus. Kupuvav win until quiet feast, leave without vitraising our pennies. The doers have a cunningness to the point of stealing, or even zingy at the manifestation of bewilderment, villainy is also of a bezel-less nature: ailments can be seen in everybody's eyes, like riches.

The memory and the keenness will continue to decrease more and more, and even before that, a human being, with all the light, can’t make an awkward arithmetic problem. Among the ailing people, the assessment of their own camp is critical. Because the stench cannot be found in the master's apartment, it can cease to recognize the old and the familiar. On a whole lot of organic bewilderment, there are additional symptoms - lighthouse, depression, anxiety. There is a significant increase in quiet symptoms and the development of a progressive parade.

The most important place in the classical picture of an expansive form (classic) is a loan of greatness and wealth. Especially madder є yogo lack of gusliness. Behavior in the edge to overwhelm people with illnesses. So, for example, the ailment stating about those who win wagons of gold, and at the same hour, recovered to collect surplus of gold. ad. The ailments are referred to as eiforia. The stench of everyone is happy, turbotless. Such ailments are not easy to wear with their own special costumes, they hang on the chest of girls, papyrtsi, they declare, there are signs of indication. One of the ailments, having made himself a great commander, іnshiy, in the past, behind the fachom engineer, all those who feel sick singing, wіn mother-heroine. Pokazova onset is the history of the ailment.

In quiet people, if on the first plane in the picture there are ailments є dementia, which is like being good-natured, talking about the demential form of progressive paralysis.

at depressive form the mood of the ailing will be driven. If they are sick, they have rotted the madder, declare that they all have rotted internal organizations The stench is dead. It’s not easy to call yourself, to call yourself unauthorized people, to sing, but the stench has ruined the whole family, but through them all the guineas are lost. The depressive form is developed rather seldom.

In the classic picture of an agitated form, it is overwhelmed. The ailment should be very important. Smells pidhoplyuyutsya, namagayutsya kudis bigti. Seeing a blizzard in oneself, screaming a set of phrases, in the middle one can catch ideas of greatness. From the beginning, as a rule, it’s not overwhelming to think about it. Qia form є most evil.

With all forms of progressive paralysis, as it is not like a sick person, it is psychic and physical degradation, as it can come to the border - marasmus.

stage of marasmus... As soon as the stage is insisting, then the ailments will consume the most simple tips, after the extreme weariness and weak stench, the whole hour of sniffing on the ski slope, becoming unwieldy, paresis and parallels occur slowly. As a result of a tricky transfer to a bed and in cases of trophic damage, they develop contractures, bedsores, it is easy to find fractures, cysts. Dementia is attainable at such a level that ailments cannot name their own: just take everything in your mouth that you put it in your hands. At the whole stage of ailments, you should be encouraged to go out of insults or illnesses, as it is easy for them to diagnose.

neurological symptoms... To finish early sign progressive parallel to the distribution of movi. For an hour we can talk about sickness, it is possible to note how important it is to learn folding words, squashes.

Zinitsi not sound, not the same size. The reaction to light, as a rule, is on the day, the reaction to convergence and accommodation is saved. I also call it the Argyll-Robertson symptom. Appointments Mayut great value for a quick development of progressive paralysis. With progressive parallelism, the change of sensitiveness is promoted in the bik її of lowering. That ailment does not help, podryapin, sad, handwriting changes, letters and rows become irregular.

serological reactions... Wasserman's reaction with pre-existing spinal cord and blood, which is usually positive. It is of great importance for the diagnosis of progressive parallelism of the reaction with coloidal gold (reaction of Lange). In spinal cord ridges, they grow up instead of a bottle and form elements.

Pathological anatomy... Progressive parallel is characteristic, pathological picture. On the side, the shell of the brain is meant to be raised, primed to the speech of the brain. If the membranes emerge from the brain, then at the same time they see the little pieces of cerebral speech. Sudden sclerosis. Yaksho marvel at the surface of the brain, the beastє on myself, I respect the zvivin; furrows expanded. The little ones to the brain are also widened, which indicates the appearance of internal dropsy. Vaga brain changes. With microscopic pre-diagnosed brain, there is a specific chronic diffuse leptomeningitis encephalitis.

Ethiology... Nutrition about the progressive paralysis of syphilis until the ear of the 20th century has become spirited. The irregularity of syphilis and progressive parallel became obvious because of the fact that it happened, when Wasserman's progressive parallel reaction was positive.

Residual nutrition about the connection of the progressive parallel with the syphilis was shown by the Japanese vcheny Nogushi (1913) of the child spirochete in the brain.

prophylaxis... So, as a progressive parallel to syphilitic ailments, it is natural, that prevention put syphilis and yogo lekvidatsiya in the retinal treatment of cob forms.

lykuvannya... One specific treatment with progressive parallel does not give a bazhany therapeutic effect. Progressive parallel non-violent illnesses until quietly, as long as the method of infectious therapy is not used.

The priority is in the development of the method of likuvannya to be likened to our spyvitchiznik odeskiy likar A.S. Rosenblum.

In the 70s of the last century, having turned respect for those who are mentally ill, including those with progressive parallics, ailments with recurrent typhus, they repaired the oduzhuvati, specially becoming to infect such ailments with rotational typhus. Because of this principle, Wagner-Jaurreg became so ill with the scraps of the tridenous painter. For the sake of being victorious, I have been infected with squishy typhus.

In the Danish hour of the greatest expansion, there is a method of painting the painter. The sick person infects 5-7 ml of blood, introduced into the pediatric cell, to take revenge on the malar plasmodium.

After 8-10 days, the sick person will have to start painting. In the middle sick person, let him endure 9-10 attacks. Instead of attacking painters, they stop hininpi (aka Akrihin, Bigumal), for which specific therapy is carried out.

The efficiency of the treatment is based on the fact that it is possible to get the treatment right away. Chim before the bullet was scrapped malar, or typhus, typhus efficacy.

It doesn’t fit, if it’s getting sick, it’s turning on the wheel, the robot. IMEKO give you respect that a good therapeutic result for this type of therapy will not only increase the temperature (the methods of hyperthermia do not give such a therapeutic effect), but those immunobiological ones will not be affected by the temperature. contaminated infectious diseases.

A positive therapeutic effect is promoted to navigate in quiet conditions, if the meanings of infectious diseases persist without a change in temperature.

overlooked... Naybіlshі difficult representa look behind the destructive and physically weakening of the ailments. If the ailments are afraid to catch the slaughter and the need to carry out catheterization, then it will come with great protection. It is necessary to remember about the decrease in sensitivity among the ailing by progressive parallels and about those who even easily develop infections in them. It is necessary to keep a close eye on the team, since bed sores did not occur in bedridden ailments.

It is important for him to wipe shkirni pokrivi, Camphor alcohol and ailments in purity.

When you look after them, you can’t forget, but in the bagatokh they turn around trophic winks, which sometimes appear as a chime of cysts. If we are not worried about being sick, the hour of turning into a sled can lead to fractures: it is especially easy to find broken ribs. If the course of painting is assigned, then it is necessary to strictly follow the temperature and camp of the heart-vessel system, to carry out all the visits that require serious illness in case of infectious disease.

When the ailments were coming, mothers went to uvaz, so it’s not difficult for them to work and can eat in the larynx.

One of the first types of insane Progressive parallel describing J. Eskirol '. In 1822, A. Beil saw a progressive parallich as self-inflicted illness, being cared for, but when a new one is diagnosed as a mental breakdown, as well as a neurological disorder, connected with chronic to heat pavutinous membrane of the brain. Beil’s hardened shot was zaprechennya on the side of deyakyh prelіdnikіv. The first time in the 50s and the 19th century is a progressive parallel to the knowledge of self-imposed illnesses.

Progressive parallich of the guard is close to 5% of all ailments on syphilis (marvel at the povnyi zvіd knowledge), moreover, females ailments are signi fi cantly older, nіzh cholovіki. Get infected with the disease in 10-15 or more times after the infection. In such a rank, as vrahuvati, the period of the greatest activity status falls by 20-35 years, while the ailing ones are most often 35-50 years old. When infected with syphilis in the middle of a week (45-60 years) of prompts, you will be called short.

Klinichna picture. Progressive parallel - the importance of being impaired to all organisms, and the most important manifestation of this is the destruction of the psyche. The main syndrome is progredient total bewilderment (marvel at the new star of knowledge): rude intelligence, it’s too early to recognize the problem of sujen, criticism and especially self-criticism. Every day there is evidence of ailments, memory drops sharply, confabulations occur (marvel at the new star of knowledge: Confabulez). Show bewilderment to respond to the sound of often being discouraged from ejaculation (marvel at the new star of knowledge: Psycho-organic syndrome). Neurological symptomatology of a polyagaє in the distribution of mov, the first for everything in the broken articulation - dysarthria (marvel at the new star of knowledge). Mova becomes obscure, faked, especially when there are more words, ailments skipping or rearranging the warehouses, not promoting the end of the words. The handwriting is awkward, because of the letters and folds. The timbre of the voice changes, it becomes deaf. The person of the ailment is non-viral, masquerade, so as to break down the innervations of the disclosures, vinikak Blepharoptosis (marvel at the new star of knowledge: Ptosis). Tendon reflexes are often predicted and nervous, behind the blame of Taboparalych (marvel at the new star of knowledge). At the connection with the distribution of sphinkters, ailments do not quench and slaughter feces. As a result of vasomotor and trophic breakdowns, there are swellings, lameness of cysts, atrophy of muscles, bedsores.

On the basis of psychopathological manifestations, there are some stages of illness: latent (from infection with syphilis before showing Progressive parallax), the stage of cob manifestations, the stage of secondary development of ailments and the stage of marasmus. At the latent stage, there may be headaches, confusion, obscurity, in a number of cases, there are characteristic changes in the cerebrospinal birth (marvel at the new knowledge). The stage of cob manifestations is characterized by increased stomachache, drastic, weak-spirited. I want to skary on the lack of strength and decrease in performance, I want the smell to smell like a robot in the world of viconuvati. Previously, such countries, through the apparent similarity with neurotic symptomatology, were incorrectly called pre-paralytic neurasthenia. In some cases, in the stage of cob manifestations, depressive and looming problems are more susceptible - anxiety depression with hypochondriacal depressions, anxiety-agitated depression, haze ideas of jealousy; in the world of the growth of symptoms of bewilderment and endoforming, there is a problem. It’s too early to see a weakened memory. Okremі vchinki inform about the failure of criticism. The sphere of sipping is awakened, ailments become unkempt, erotic. An increase in the number of changes to talk about the transition of ailments to the stage of re-development, which manifests itself in different clinical forms. Expansive, or even classic, the form (previously widely expanded) is often developed in choloviks. It is characterized by the manifestation of maniacal excitement with the manifestation of anger, grandiose madmen of greatness (marvel at the povny zvid knowledge: Delirium). The demential form is caused by growing bewilderment on aphids.

 


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