Neurocognitive teeb meem no

Neurocognitive kev tsis sib haum yog cov lus dav dav uas piav qhia tias lub hlwb tsis tshua zoo vim muaj kev kho mob dua li lwm tus mob hlwb. Nws yog feem ntau siv cov lus zoo ib yam (tab sis tsis yog) nrog dementia.

Cov npe hauv qab no yog cov xwm txheej cuam tshuam nrog mob neurocognitive.

Lub cev muaj zog ua los ntawm TRAUMA

• Los ntshav rau hauv lub hlwb (intracerebral hemorrhage)
• Los ntshav rau qhov chaw nyob ib ncig ntawm lub hlwb (subarachnoid hemorrhage)
• Cov ntshav txhaws sab hauv pob txha taub hau ua rau lub siab ntawm cov ntshav (ntu los yog epidural hematoma)
• Tsoo

COV LUS COG COG

• Cov pa oxygen tsawg hauv lub cev (hypoxia)
• Muaj carbon dioxide ntau nyob rau hauv lub cev (hypercapnia)

CARDIOVASCULAR CEEB TSHEEJ

• Dementia vim muaj ntau txoj hlab ntaws (muaj ntau yam kab mob sib kis)
• Kab mob hauv lub plawv (endocarditis, myocarditis)
• Mob stroke
• Nres kev ischemic nres (TIA)

TXHEEJ TXHEEM KEV CAI

• Alzheimer disease (tseem hu ua senile dementia, Alzheimer type)
• Creutzfeldt-Jakob kab mob
• Diffuse Lewy lub cev mob
• Kab mob Huntington
• Ntau yam sclerosis
• Siab lub cev hydrocephalus
• Kab mob Parkinson
• Xaiv kab mob

DEMENTIA HNUB RAU TUS QAUV METABOLIC

• Mob raum
• Mob siab
• Mob qog (hyperthyroidism lossis hypothyroidism)
• Vitamin tsis zoo (B1, B12, lossis folate)

DRUG THIAB ALCOHOL-RELATED COV KEV COJ

• Cawv kev tshem tawm lub xeev
• Intoxication los ntawm kev siv tshuaj yeeb los yog dej caw
• Wernicke-Korsakoff syndrome (muaj kev cuam tshuam lub sij hawm ntev ntawm tsis muaj peev xwm thiamine (vitamin B1))
• Thim los ntawm cov tshuaj (xws li sedative-hypnotics thiab corticosteroids)

KEV PAB CUAM

• Tus mob cia li chiv mob sai sai (mob) lossis ntev (mob)
• Muaj ntshav lom (septicemia)
• Kab mob hlwb (encephalitis)
• Meningitis (kab mob kis rau lub paj hlwb thiab tus txha caj qaum)
• Prion mob, xws li mob nyuj vwm
• Qib-theem syphilis

Teeb meem ntawm kev mob qog noj ntshav thiab kev kho mob qog ntshav nrog kev siv tshuaj kho mob kuj tseem tuaj yeem ua rau cov leeg puas hlwb.

Lwm yam mob uas yuav qog cov hlwb ua haujlwm xws li:

• Kev Nyuaj Siab
• Neurosis
• Kev mob hlwb

Cov tsos mob tuaj yeem sib txawv raws li tus kab mob. Feem ntau, cov organic paj hlwb ua rau:

• Kev ntxhov siab
• Tsis meej pem
• Ntev li ploj mus ntawm lub hlwb muaj nuj nqi (dementia)
• Kev mob hnyav, luv luv lub hlwb ua haujlwm (delirium)

Kev ntsuam xyuas nyob ntawm qhov kev puas tsuaj, tab sis yuav suav nrog:

• Kuaj ntshav
• Electroencephalogram (EEG)
• Lub taub hau CT scan
• Lub taub hau MRI
• Xaus caj pas (txha caj qaum)

Kev kho yog nyob ntawm qhov mob hauv qab. Ntau yam mob raug kho feem ntau nrog kev kho kom rov zoo thiab txhawb kev saib xyuas kom pab tus neeg nrog kev ua ub ua no ploj vim thaj chaw uas muaj kev cuam tshuam ntawm lub hlwb.

Cov tshuaj noj tuaj yeem xav tau txhawm rau txo cov kev coj tus cwj pwm uas tuaj yeem tshwm sim nrog qee qhov xwm txheej.

Qee qhov tsis zoo yog lub sijhawm luv luv thiab thim rov qab. Tab sis ntau tus neeg mus sij hawm ntev los yog mob heev rau lub sijhawm.

Cov neeg muaj kev puas hlwb feem ntau tsis muaj peev xwm cuam tshuam nrog lwm tus lossis ua haujlwm ntawm lawv tus kheej.

Hu koj tus kws kho mob yog hais tias:

• Koj tau txheeb pom muaj kab mob organic paj hlwb thiab koj tsis paub meej txog tus mob tsis meej.
• Koj muaj cov tsos mob ntawm tus mob no.
• Koj tau soj ntsuam mus rau txoj kev puas siab puas ntsws neurocognitive thiab koj tus mob haj yam mob ntxiv.

Organic puas siab ntsws (OMS); Organic hlwb mob

• Lub Hlwb

Beck BJ, Tompkins KJ. Puas siab ntsws vim muaj lwm yam mob. Hauv: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Tsev Kho Mob Chaw Kho Mob Chaw Kho Mob Puas Siab NtswsCov. 2nd ed. Philadelphia, PA: Elsevier; 2016: chap 21.

Fernandez-Robles C, Greenberg DB, Pirl WF. Psycho-oncology: Kev puas siab puas sib xws-mob hlwb thiab cov teeb meem kev kho mob cancer thiab mob cancer. Hauv: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Tsev Kho Mob Chaw Kho Mob Chaw Kho Mob Puas Siab NtswsCov. 2nd ed. Philadelphia, PA: Elsevier; 2016: chap 56.

Merrick ST, Jones S, Glesby MJ. Cov kab ke ntawm HIV / AIDS. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 366.