Neurocognitive kusagadzikana

Neurocognitive kusagadzikana izita rakajairika iro rinotsanangura kuderera kwepfungwa kushanda nekuda kwechirwere chekurapa kunze kwechirwere chepfungwa. Inowanzo shandiswa zvakafanana (asi zvisirizvo) ne dementia.

Zvinyorwa pazasi mamiriro akasanganisirwa neurocognitive kusagadzikana.

KURWADZWA KWEBRAIN KUKONZESWA NETRAUMA

• Kubuda ropa muuropi (intracerebral hemorrhage)
• Kubuda ropa munzvimbo yakatenderedza uropi (subarachnoid hemorrhage)
• Ropa rakavhara mukati mehenya rinokonzera kumanikidzwa pahuropi (subdural kana epidural hematoma)
• Mhedziso

KUFEMA DZIMWE

• Low oxygen mumuviri (hypoxia)
• Yepamusoro kabhoni dhayokisaidhi mumuviri (hypercapnia)

KUSANGANA KWEMAHARA

• Dementia nekuda kwekurohwa kwakawanda (multi-infarct dementia)
• Zvirwere zvemwoyo (endocarditis, myocarditis)
• Kurohwa
• Yenguva ischemic kurwisa (TIA)

ZVINOKOSHA ZVINOKOSHA

• Chirwere cheAlzheimer (chinonziwo senile dementia, Alzheimer mhando)
• Creutzfeldt-Jakob chirwere
• Kupararira chirwere cheLeby chemuviri
• Huntington chirwere
• Multiple sclerosis
• Kazhinji kumanikidzwa hydrocephalus
• Parkinson chirwere
• Sarudza chirwere

DEMENTIA KUNYANYA NEZVINOGONESESA METABOLIC

• Chirwere cheitsvo
• Chiropa chirwere
• Utachiona chirwere (hyperthyroidism kana hypothyroidism)
• Vitamin kushomeka (B1, B12, kana folate)

ZVINODZVIRIRA UYE ZVINODZIDZISWA NEDORO

• Doro rinorega nyika
• Kudhakwa kubva mukushandisa zvinodhaka kana doro
• Wernicke-Korsakoff syndrome (yakareba-nguva mhedzisiro yekushomeka kwe thiamine (vhitamini B1))
• Kurega kubva kumishonga (senge sedative-hypnotics uye corticosteroids)

ZVIRWERE

• Chero chero chinotanga kuitika (acute) kana chirwere chenguva refu (chisingaperi)
• Ropa chepfu (septicemia)
• Utachiona hwehuropi (encephalitis)
• Meningitis (hutachiona hwechigadziko cheuropi uye musana)
• Zvirwere zvePron, senge chirwere chemombe chinopenga
• Late-danho njovhera

Zvinetso zvecancer uye cancer kurapwa ne chemotherapy zvinogona zvakare kutungamira kune neurocognitive kusagadzikana.

Mimwe mamiriro ezvinhu anogona kutevedzera organic uropi chirwere anosanganisira:

• Kushungurudzika
• Neurosis
• Psychosis

Zviratidzo zvinogona kusiyana zvichienderana nechirwere. Kazhinji, organic brain syndrome inokonzeresa:

• Kusagadzikana
• Kuvhiringidzika
• Yenguva refu kurasikirwa kwehuropi basa (dementia)
• Yakakomba, pfupi-pfupi kurasikirwa kwehuropi basa (delirium)

Miedzo inoenderana nedambudziko, asi rinogona kusanganisira:

• Kuongororwa kweropa
• Electroencephalogram (EEG)
• Musoro CT scan
• Musoro MRI
• Lumbar puncture (musana tap)

Kurapa kunoenderana nemamiriro ezvinhu. Mamiriro mazhinji anorapwa kunyanya nekugadzirisa uye kuchengetedza kutsigira kubatsira munhu ane zviitiko zvakarasika nekuda kwenzvimbo dzinokanganiswa nehuropi.

Mishonga inogona kudikanwa kudzikisira hunhu hunogona kuitika pamwe nemamwe mamiriro.

Zvimwe zvinokanganisa ndezvenguva pfupi uye zvinodzoserwa. Asi mazhinji akareba-kureba kana kutonyanya kuwedzera nekufamba kwenguva.

Vanhu vane neurocognitive kusagadzikana vanowanzo kurasikirwa nekwaniso yekudyidzana nevamwe kana kushanda vega.

Fonera wako mupi wezvehutano kana:

• Wakaonekwa uine organic brain syndrome uye hauna chokwadi nezve iyo chaiyo kusagadzikana.
• Iwe une zviratidzo zveichi chiitiko.
• Wakaonekwa uine neurocognitive kusagadzikana uye zviratidzo zvako zvinowedzera.

Organic kusagadzikana kwepfungwa (OMS); Organic huropi chirwere

• Ubongo

Beck BJ, Tompkins KJ. Kushungurudzika kwepfungwa nekuda kweimwe mamiriro ekurapa. Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits. 21.

Fernandez-Robles C, Greenberg DB, Mutyairi WF. Psycho-oncology: Psychiatric co-morbidities uye kunetseka kwegomarara nekenza kurapwa. Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits.

Merrick ST, Jones S, Glesby MJ. Zviratidzo zveHIV / AIDS. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsama 366.