Psichikos sutrikimų simptomai, sergant Alzheimerio liga

J. Vegytė, R. Podėnė, E. Dlugauskas, A. Vaitkevičius
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Abstract

Alzheimer’s disease is one of the most common neurodegenerative diseases among older people that manifests as deterioration of cognitive functions, impaired daily activities, and progressive degeneration of cerebral cortex neurons. Even up to 90% of Alzheimer’s patients develop neuropsychiatric symptoms at different stages of the disease. In some cases, neuropsychiatric symptoms appear earlier than cognitive symptoms. Neuropsychiatric symptoms worsen everyday activities, quality of life, and ability to socialise of people with Alzheimer's disease, making the diagnosis and treatment of these symptoms increasingly important. Evaluation of both cognitive and neuropsychiatric symptoms together with differentiation from primary psychiatric disorders is crucial for the correct diagnosis of Alzheimer’s disease. Furthermore, neuropsychiatric symptoms can be considered as risk factors for the development of Alzheimer’s disease. Treatment is recommended with combined pharmacological and non-pharmacological measures. Despite the large number of studies, the pathogenesis of the neuropsychiatric symptoms has not been studied in depth, therefore the treatments provided are not always effective. It is recommended that neuropsychiatric symptoms should be treated through a combined approach using pharmacological and non-pharmacological measures.
阿尔茨海默病的精神障碍症状
阿尔茨海默病是老年人中最常见的神经退行性疾病之一,表现为认知功能退化、日常活动能力受损以及大脑皮层神经元进行性退化。甚至高达 90% 的阿尔茨海默病患者会在疾病的不同阶段出现神经精神症状。在某些情况下,神经精神症状比认知症状出现得更早。神经精神症状会恶化阿尔茨海默病患者的日常活动、生活质量和社交能力,因此诊断和治疗这些症状变得越来越重要。对认知症状和神经精神症状进行评估,并与原发性精神障碍进行鉴别,对于正确诊断阿尔茨海默病至关重要。此外,神经精神症状可被视为阿尔茨海默病发病的危险因素。建议采用药物治疗和非药物治疗相结合的方法进行治疗。尽管进行了大量研究,但对神经精神症状的发病机理研究并不深入,因此所提供的治疗并不总是有效的。建议采用药物和非药物措施相结合的方法治疗神经精神症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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