MENTAL ILLNESS : PRESENILNY (PREDTECHENSKII) PSYCHOSIS (PSYCHOSIS PRAESENILIS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
The disease is associated with autointoxication aging processes of the body, accompanied by perturbations in the body, in particular, changes in the functions of the endocrine glands.
When involutional melancholia, according to Pavlov, a slowdown in the formation of new cortical connections, is dominated by the processes of excitation and broken processes active braking, resulting in the observed pronounced phase disorder, General pathological inertia cortical processes, as well as a sharp violation of the second signal system.
The course varies in different forms. When involutional melancholia possible steady improvement; paranoid form characterized by a dull, chronic course.
From arteriosclerosis is characterized by the absence of focal symptoms, senile psychosis, in addition to age, less severe personality changes, not so sharp degradation. Involutional melancholia differs from manic-depressive psychosis by the presence of anxiety, fear, and a General degradation of the psyche, reflected in an absurd delusion. Hypochondriacal complaints, fed by somatic disorder of the order, leading to feelings of fear and motor restlessness. Next, there is more sharp than in manic-depressive psychosis, the influence of exogenous, situational and domestic factors. There is a physical decrepitude. From schizophrenia involution paranoid has no splitting of the psyche, of autism.
Treatment for drug, protivorahiticheskimi and endocrine drugs, stimulating and bracing means. The presence of anxiety, anxiety and movement often leads to physical exhaustion. Where there is a vascular disorder, along with the above treatment, to give iodine (best Lugol solution); in endocrine disorders - organic preparations. Great attention should be paid to the physical condition of the patient, to care about his diet. Upon excitation, delirium, severe depression, thoughts of suicide should be placed in the hospital. Useful occupational therapy. With raising and General condition of the body plays an important role in the treatment of vitamins, especially vitamin C.
When presenilny depression, along with drug gonads, it is recommended subcutaneously miol at 1.0, and insulin; start with a 4 - 20 units on an empty stomach subcutaneously every 2 - 3 hours sugar 50,0, in severe hypoglycemia sugar 100,0 give in a few days. Preferably the subsequent injection of large doses of glucose. To avoid more profound hypoglycemia, which may worsen the patient's condition.
Of physiotherapeutic measures - General irradiation with ultraviolet rays increasing doses.
When prolonged depression - convulsive therapy (Schizophrenia (see).
Of physiotherapeutic measures:
When presenilnyh paranoide, along with the above, convulsive therapy (Schizophrenia (see).