.


:




:

































 

 

 

 





: . . . . (3 )

:

1. , .

. :

, ,

( , , )

 

:

1. . ү ү қ ұң . General etiology of central nervous system diturbunces.( )

2. .

3. ( , , , ).

4. , . .

5. , , .

6. : , , , .

7. ( ).

8. , ,

9. , , , .

10. , .

 

:

, : , , .

 

1.

 
 
 

2. .


,
  . .
  . .
  . .
 
  .
  ( , ).
  , .
  , .

3. .

   
   
   
   
   
   

4. -

1

. . 59 , , , , . , , . , (). () . ( - ) ().

: () ; (), ; () ; () (); , () . 195/106 .., 1,5 , 90.


 

1. ?

2. ? ?

3. , , . ?

2

., 72 . . , (). , , , . : 190/100 ..., , . .

1. ? ?

2. .

3. , ?

3

., 20 , : , , , , , . : . , 10 . : , . , . ( ).

1) ?

2) , .

3) , ? ?

4

., 42 , , , , . , . , . , , , , . : 170/90 ..., 90 ., .

1. , ?

2. ?

 

1. ү үң Mechanisms of nervous

  頠 - 蠠 , , , , қғқ ққ, , , қ үң , ү үң қ қң ғ ү system protection: dura mater, leptomeninges (pia and arachnoid mater) astrocytes, oligodendrocytes and Schwann cells, microglial cells, blood brain barier, antisystems, high degree of reliability of nerve structures functioning
2. ࠠ ⠠ - , , 頠 , ұң ң ұ, ү ұ, қ ң, ң ұ Pathogenesis of neuron damage: damage to membranes and enzyme systems, disorders of energy supply, ionic imbalance, disorders of cell regulation
3. - , ⠠ , . - 堠 . ұң ұқүң, 𠠠 әң қ, ү堠 қң . ң ұ әң ұ Pathogenesis of Axon damage: destruction of microtubules and neurofilaments and contractile proteins, ATP deficiency, axon degeneration (demyelination of nerve fibers). Consequences: neuron dystrophy as well as tissues dystrophy
4. - -䠠 ғ ө ң ғ өң қ ғ Deficiency of inhibition, disinhibition syndrome: is impairment of inhibition control by overlying areas of CNS to underlying structers
5. - , 젠 әң ұ ө ә ұ ү құң ү қ, ұ ғ қ ү . Trophic disorders: termination of neural stimulation due to neuromediator secretion and function disorders. Damage to the trophy contour results in dystrophic processes.
6. - 頠 , 蠠 堠 ү, ң ү қ ә ө әү ғ Trophogens - are trophy factors, neuropeptides (endorphin, enkephalin), mediators, growth nerves factors, other growth

    factors.They enter tissues along axons and provide cell survival.
7. - , 𠠠 - қғ ү, ү құࠠ ұқ ө Pathotrophogens are substances which are produced by damaged neurons and impair the function of the innervatedstructures.
8. , ( ) ғ ү ң (ң ) Syndrome of deafferentation is deprivation of afferent impulsation, propagated to neurons. It is denervation of neuron.
9. , 頠 , ⠠ 젠 қ , ғ ү ү ө Syndrome of denervation is the complex of changes in postsynaptic neurons, organs and tissues due to loss of nervous influences on these structures
10. - , , . - 堠 , , . ң қ , 頠 қ ә ң . қ 񠠠 ғң , ң ғ, Қ . Damage to dendrites are damaged at ischemia, brain concussion, stress, are reduced at ageing, are absent at senile dementia. Consequences: infringement of integrative function, reduction of the area of synapse contacts, formation of GPAE
11.   , , 頠 Қ ү қ󠠠 ғ қ, ққ ө қ ә Generator of pathologically amplified excitation - is a group of hyperactive neurons producing intensive, uncontrolled stream of impulses.
12. - , 堠 ү қғ ә қғ ү қ ә ү қ ә ң ң Pathological system is the new organization that might involve the damaged and undamaged structures of CNS and have non-adaptable and direct pathogenic effects for

 

құ.

the organism

13. , ң құ, қ қ . ә ө ғ

Pain is an unpleasant sensation localized to a part of the body due to pathogenic factors and followed by significant changes in the body

14. -

ү қ ә ө ү.

Nociceptive system of transmission signal system is perception of the the and pain
15. , 򠠠

ү - 򳠠 ү құ қ қ, ә ү.

Antinociceptive system - is the system controlling the activities of pain system, prevents and liquidates pathological pain

             

.:

1. : . / .. .. .. - .: -, 2013 2, .-528-593

2. .. : : .: -, 2008. . 456-470

3. .. 2010, 581-659-

4. V.Kumar, A. Abbas, J. C. Aster. Pathologic basis of disease/Elsevier.- 2015.- Ch.24

5. // . .. : . .., 2006. .241-254.

6. : : . . ... : ʳ, 2004. . 131-135.

7. .. ., .. . .-.: -, 2008. .32-51

8. . . , . .. .- : 2011 761-767, 771-775, 788-789, 795-796, 829-830, 849, 873.

 

6.1.7. ( )

./ .. .. . -, 2007. -. 447-465

 

2. . , . .

. :


1. , , ,

. :

, ,

( , , )

. :

1. . . , , , , .

2. . , , , .

3. . Ққ ң ә . Etiology and pathogenesis of epilepsy. )

4. .

5. ,

 

. :

, : , - , .

 

1.

 
 
,  
( , , , , )  
 
( , )  
( )  

 

2. -

1

., 12 , , . , - . 1-2 .


 

. : . . . , . , , , , . . . . .

1. ?

2. .

3. .

4. , .

 

2

5 , , . : : , , , , , 390. .

, 30 . , , .

1. ?

2. .

3. -

4. .

 

3

., 53 , , - . , , . . . , - - .

1. , .

2. ?

3. ?

 

- 堠 қғң қ Paralysis is complete loss of movements
- , , қғң ү, ғ, ң ө Paresis is decreased amplitude, speed, strength of voluntary movements
- - қғ - Ataxia is disturbances of

ңң ұ movement coordination
- ( ) қ қң Monoplegia is paralysis of one extremity (leg or hand)
- қң қң Paraplegia is paralysis of two hands or two legs
- - ң ң өң Hemiplegia is paralysis of a half of the body (right or left)
қ қң Tetraplegia is paralysis of two hands and two legs
- , , , , , , қ, ә堠 қ ққ, құ ә䳻, , қғ Athetosis - is slow, distal, writhing, involuntary movements with a propensity to affect the arms and hands.
- , , (, ). әү (қ- қ, ә ) ұқ ң , , Chorea - is rapid, semipurposeful, graceful, dancelike, nonpatterned involuntary movements involving distal or proximal muscle groups
- 堠 , 󠠠 () ұқң ұқ ң әү қ ә򳠠 Tics is brief, repeated, stereotyped muscle contractions that are often suppressible
- ij ң ң өң қ Tremor - is rhythmic oscillation of a body part due to intermittent muscle contractions. (cerebellum and inferior olives have been implicated as possible sites of a "tremor pacemaker")
( ) , ғқ ( ә ) ө ң қғ. Nystagmus - involuntary rhythmic two-phase (with a fast and slow phases) movement of the eyeballs
- - - қ қ қ ү қ ү BBB - the blood-brain barrier physiological barrier between the circulatory system and the

. . . ү񳠠 ғ қ қ. -қ қ . - ң қ ң қ. central nervous system. BBB has all vertebrates. The main function of the BBB - maintaining homeostasis of the brain.
򠠠 . ң үқ қғң қ Meningitis - usually involve inflammation of the pia mater.
ұқ ұ Neuroinfections This is the
, , common name of infectious
, ңқұқ diseases that are caused by
, қ bacteria, viruses, fungi or
, 蠠 ә ұқ protozoa and are characterized
қғң by a predominant localization
젠 Ɩ of the pathogen infection in the
CNS
ұқ  
ң  
  .  

6.1.6.:

1. : . / .. .. .. - .: -, 2013 2, .-528-593

2. .. : : .: -, 2008. . 456-470

3. .. 2010, 596-625-

4. V.Kumar, A. Abbas, J. C. Aster. Pathologic basis of disease/Elsevier. - 2015.- Ch.24

5. // . .. : . .., 2006. .241-254.

6. : : . . ... : ʳ, 2004. . 131-135.

7. . . , . .. .- : 2011 761-767, 771-775, 788-789, 795-796, 829-830, 849,

 

6.2.7.

( , ) . / .. .. . -, 2007. -. 447-465


 

1

., 72 . . , (). , , , . : 190/100 ..., , . .

1 . ?   20     15   10   0
2 , , 20   15 10     0
3 30   25 20   0
4 , ? ࠠ ? 15   10 5 0
5 1. 2. , 3. 1. 2. , 1. 2. 3. 1. 2. , 3.

 

    15 10 5 0

2

., 20 , : , , , , , . : . , 10 . : , . , . ( ).

 

1 ? 15   10 5 0
2 , 30   25 15     0
3 , ? 20   15 10   0
4 ? 20   15 10     0
5 1. 2. , 3. 1. 2. , 1. 2. 3. 1. 2. , 3.
    15 10 5 0

 

 

3

. , , , - . : , 380 , 170/90 .., 105 ., 18 ., , .

 

1 ? ?   20     15   10   0
2 , 30   25 20     0
3 ? 20   15 10   0
4 ? 15   10 5     0
5 1. 2. , 3.     15 1. 2. ,   10 1. 2. 3.   5 1. 2. , 3. 0

 

4

., 12 , , . , - . - 1-2 . . : . . . , . , , , , . . . . .

 

1 Π ?   15     10   5   0
2 30   25 20     0
3 20   15 10   0
4 , 20   15 10     0
5 1. 2. , 3.     15 1. 2. ,   10 1. 2. 3.   5 1. 2. , 3. 0

 

 

5

., 38 , , . . , .

1 ?   15     10   5   0
2 ? 20   15 10     0
3 , 30   25 20   0
4 , , 20   15 10 0
5 1. 2. , 3.     15 1. 2. ,   10 1. 2. 3.   5 1. 2. , 3. 0

 

 

6

, 33 , " ". . . , . ( I ) ( ) . ( ). .

 

1 ? 15   10 5     0
2 蠠 . 30   25 15   0
3 ? .   20     15   10   0
4 20   15 10   0
5 1. 2. , 3. 1. 2. , 1. 2. 3. 1. 2. , 3.

 

      15   10   5 0

 

 

7

. 50 , , , , - .

 

1 ? 20   15 10     0
2 頠 ?   20     15   10     0
3 25   20 15 0
4 ? 20   15 10 0
5 1. 2. , 3. 1. 2. , 1. 2. 3. 1. 2. , 3.

 

    15 10 5 0

 

8

. 20, ( ).

 

1 ? 20   15 10     0
2 ( ) 20   15 10     0
3 ꠠ ? 25   20 15     0
4 20   15 10     0
5 1. 2. , 3.     15 1. 2. ,     10 1. 2. 3.     5 1. 2. , 3. 0

 

 

9

.

- . .

 

1 ? 20   15 10 0
2 25   20 15     0
3 20   15 10     0
4 20   15 10     0
5 1. 2. , 3. 1. 2. , 1. 2. 3. 1. 2. , 3.

 

      15   10   5   0

 

 

10

.

 

1 , 25   20 15     0
2 , 堠 20   15 10     0
3 20   15 10     0
4 20   15 10     0
5 1. 2. , 3.     15 1. 2. ,     10 1. 2. 3.     5 1. 2. , 3. 0

 

11.

5 , , . : : , , , , , 390. .

, 30 . , , .

 

1   20   15 10 0
2 25   20 15     0
3 - 25   20 15     0
4 15   10 5     0
5 1. 2. , 1. 2. , 1. 2. 3. 1. 2. ,

 

    3.     15     10     5 3. 0

 

-2. .





:


: 2018-10-18; !; : 465 |


:

:

, .
==> ...

1736 - | 1577 -


© 2015-2024 lektsii.org - -

: 0.163 .