Simple schizophrenia
Introduction
Introduction to simple schizophrenia This type of simple schizophrenia is relatively rare. The onset of the disease is insidious and develops slowly, mostly in adolescence. Its clinical manifestations are mainly "negative symptoms" such as poor thinking, apathy of emotion, or depression of will. Early symptoms can be similar to neurasthenia symptoms, such as mental depression, inattention, dizziness, insomnia, etc., and then gradually appear withdrawn, lazy, lack of interest, apathy of emotion, and eccentric behavior, so that it can not adapt to social needs, but there is no delusion Hallucinations and other obvious "positive symptoms". When the condition is serious, mental weakness becomes increasingly obvious. The course of disease shall be at least 2 years. The prognosis of this type is poor. Basic knowledge Prevalence rate: 0.001% Susceptible population: no idiopathic population Mode of infection: non infectious Complications: anxiety
Cause
Etiology of simple schizophrenia
1. Genetic factors: clinical genetic research proves that genetic factors play a certain role in the occurrence of this disease. According to the investigation, the prevalence rate of close relatives of patients with this disease is several times higher than that of ordinary residents. The closer the blood relationship with the patient, the higher the incidence of schizophrenia. According to the research prediction of twins, the incidence of monozygotic twins with this disease is 4-6 times higher than that of twin twins, as is the case with foster children.
2. Endocrine factors: most of the disease occurs in the sexual maturity period before and after puberty, and some patients have acute onset after childbirth. In addition, the incidence of this disease is also high in the menopausal stage. The above clinical facts indicate that endocrine plays a certain role in the pathogenesis. The dysfunction of thyroid, gonad, adrenal cortex and pituitary gland has also been suspected by many scholars as the cause of this disease. However, the research on these aspects failed to draw a positive conclusion.
3. Pre illness personality characteristics: special pre illness personality characteristics, such as isolation, sensitivity, shyness, fancy, poor logical thinking, etc., lead to schizophrenia in 50%~60% of the patients. Domestic data analysis found that 40% of the patients were timid, hesitant, poor initiative, and strong dependence before illness. It was 7 times higher than the control group.
4. Environmental factors: The incidence of schizophrenia of the fetus infected by virus during pregnancy is significantly higher than that of the control group. The complications during pregnancy and perinatal period also increase the incidence of this disease.
5. Social psychological factors: The occurrence of this disease is mostly due to the difficulties encountered in childhood to adult life, and the contact with relatives with schizophrenia is the main factor causing the disease.
6. Radiation may lead to schizophrenia: German scientists have recently found that the radiation received by pregnant mothers when receiving medical X-ray radiation or when taking a long-distance plane will seriously damage the fetus in the uterus. These irradiated fetuses will be more likely to suffer from mental diseases in their later growth and development.
Prevention
Prevention of simple schizophrenia
Simplex is the most common type of schizophrenia among all types of incidence. It starts in youth (also very common in adolescents), shows negative symptoms, is difficult to find the disease in time, and has a poor prognosis. Therefore, this type can have a significant negative impact on a person's mental health and future development. Therefore, the problem of how to prevent simple schizophrenia is of great concern. Next, let's invite experts from Schizophrenia Health Network to introduce the effective prevention measures of the disease in detail.
1. Young people and adolescents are the main sufferers, so people at this age should know more about relevant knowledge. When there is a suspected disease in the body, they can detect it in time, so that they can find and treat it as early as possible.
2. The prevention of simple schizophrenia should start from the cause. The main cause of this type of schizophrenia is social psychological factors. Therefore, it is necessary to pay attention to the exercise of psychological quality at ordinary times. Family members should also avoid disputes and create a good family environment for their children.
3. The main manifestation of the simple type is negative diseases such as apathy and low will, which has a certain relationship with the patient's character. Therefore, young people and adolescents who are in their prime of life should take part in more social activities, more physical exercises, and enrich their daily life, which can also effectively avoid the occurrence of diseases.
4. The prognosis of simple type is poor, so patients should try to choose a good treatment method to completely cure schizophrenia and avoid recurrence after recovery, which is the most critical in prevention. Experts solemnly recommend the multifactor intervention therapy of traditional Chinese medicine, which is also the best way to treat this type of disease at present.
Complication
Complications of simple schizophrenia complication Anxiety disorder
1. Schizophrenia complicated with tuberculosis: because schizophrenic patients have symptoms such as lazy life, withdrawal, inactive diet, loneliness and inactivity, which often lead to decreased nutritional status and poor body resistance, they are prone to tuberculosis, such as pulmonary tuberculosis and intestinal tuberculosis. The treatment of complicated pulmonary tuberculosis is to first invite psychiatrists and tuberculosis physicians to consult to see how serious the two diseases are. If the condition of schizophrenia has become stable, but the pulmonary tuberculosis is in the active period, you should go to the tuberculosis hospital for inpatient treatment, and the psychiatrist should provide specific programs for psychiatric treatment; If the opposite is true, you should go to a psychiatric hospital for treatment; If both diseases are serious, doctors from both departments should negotiate through consultation. When both diseases are serious, the treatment is very difficult, and there are great contradictions. For example, pulmonary tuberculosis needs full rest, while schizophrenic patients are often excited and restless, or are dominated by hallucinations and delusions and run around, which makes tuberculosis worsen; Severe pulmonary tuberculosis patients are physically weak, which limits the use of drugs for the treatment of psychosis. Therefore, such patients must be sent to the hospital in time and treated by experienced doctors. At present, the larger psychiatric hospitals in China have tuberculosis areas, which can treat such patients. Before the 1950s, the prevalence rate of tuberculosis in schizophrenic patients was very high. In the past 20 years, with the improvement of the level of psychiatry and the development of psychiatry, the prevalence rate of schizophrenia complicated with tuberculosis has declined year by year.
2. Schizophrenia complicated with liver disease: The more complete psychiatric hospitals have infectious disease areas for tuberculosis and hepatitis. When schizophrenia complicated with infectious hepatitis, they can be hospitalized in psychiatric hospitals. It should be pointed out that there is a great contradiction between schizophrenia and infectious hepatitis in treatment. Because all drugs used to treat schizophrenia are detoxified through the liver: liver function declines or fails in hepatitis_ On the basis of, drugs will further increase the liver burden and worsen liver function; If schizophrenia is not treated, the excitement and fighting of patients will also promote liver failure, so the advantages and disadvantages must be weighed during treatment.
3. Schizophrenia with heart disease: some antipsychotic drugs can increase gravity failure; Conversely, heart disease can greatly limit the treatment of schizophrenia. Therefore, the use of antipsychotic drugs depends on the cardiac function_ The treatment plan of should be formulated by experienced doctors.
The emergence of schizophrenia has brought some troubles to families and society. It entangles patients like a devil, making their health and even life seriously threatened. Therefore, getting rid of schizophrenia and regaining health has always been the most concerned problem for patients, It can help patients get out of the trouble of schizophrenia as soon as possible.
Symptom
Symptoms of simple schizophrenia common symptom Withdrawal behavior of indifferent children
Simple schizophrenia presents the characteristic "negative" symptoms of slowly developing residual schizophrenia, accompanied by significant personal behavior changes (manifested as significant loss of interest, laziness and social withdrawal). Therefore, once the above symptoms of simple schizophrenia occur, patients and their families must not arbitrarily determine that they have the disease, but should be diagnosed by professional doctors.
Examine
Examination of simple schizophrenia
Laboratory examinations required for this disease mainly include: nervous system examination, electroencephalogram examination, brain CT scan, magnetic resonance imaging (MRI) examination, mainly to exclude mental disorders caused by brain organic changes.
1. CT or MRI were used to find the brain injury sites that increase the susceptibility to schizophrenia.
2. Functional imaging techniques, such as PET, SPECT and fMRI, were used to observe the activity of local neurons, so as to establish the correlation between nervous system dysfunction and clinical characteristics of schizophrenia.
3. Through the molecular structure image of brain tissue, the essence of the pathological process of neuronal functional defect is clarified, such as using PET and SPECT to observe neurotransmitter receptors, or using MRS to detect neurochemical changes.
Diagnosis
Diagnosis and differentiation of simple schizophrenia
1. No obvious positive psychotic symptoms.
2. The disease starts insidiously, develops slowly, the course of disease is at least two years, and gradually tends to decline.
3. It is in line with the sixth symptom standard of the diagnostic criteria for schizophrenia, and its clinical manifestations are mainly negative symptoms such as poor thinking, apathy, lack of will, and social withdrawal.
