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Дата публикации: 13.06.2018
Дата проверки статьи: 05.11.2018
Апраксия — заболевание, которое характеризуется нарушением осуществления сложных действий при наличии желания и возможности к их выполнению. Проблема заключается в практическом этапе. Нарушения координации и слабости мышечных тканей нет. Болезнь прогрессирует при поражении доли или коры головного мозга. Чаще обнаруживается случайно в ходе профилактического осмотра.
Характеризуется следующей симптоматикой:
Спровоцировать поражение больших полушарий могут следующие факторы:
Заболевание имеет только вторичный характер, возникает при другом недуге.
В неврологии выделяют несколько форм заболевания:
Пациент не в состоянии осуществить действие по просьбе доктора, при этом больной понимает, что от него требуется. Человек либо не может приспособиться к размерам объекта, с которым требуется работать, либо не может выполнить ряд последовательных действий. Характеризуется нарушением почерка. Больной не может настучать пальцами или предметом простой ритм.
Характеризуется нарушением контроля над выполненными действиями. В процессе выполнения появляются ненужные движения. Больной не может показать доктору, как заварить чай. Однако пациент сможет повторить алгоритм за другим человеком или выполнить действие автоматически. Больной не в состоянии ухаживать за собой. Прогрессирование идеаторной апраксии объясняется поражение лобных долей мозга.
Характеризуется отсутствием у больного чувства объема. Отмечается нарушение ориентации в пространстве. Пациент не может собрать целое из элементов, например, сложить ромб из спичек. Однако больной может совершать другие действия по просьбе врача, копировать его движения. Прогрессирует при поражении теменных долей. Больному трудно найти место для письма на чистой бумаге. Возможно нарушение почерка.
Характеризуется нарушением походки, больной часто спотыкается. При этом нарушения моторных функций нет. Развивается при поражении лобных долей.
У больного отмечают расстройство речевого аппарата, пациенту трудно издавать некоторые звуки. Человек не может выполнить простые движения при помощи мышечных тканей ротовой полости, например высунуть язык.
Больному трудно писать любые буквы, часто получается зеркальное отображение.
Характеризуется самопроизвольным движением верхней конечности. Пораженная рука не подчиняется больному, может нанести вред человеку.
У пациента отмечается потеря автоматических навыков. Любые действия происходят медленно и неуверенно. Больному требуется контролировать совершение бытовых мелочей. Характеризуется поражением премоторной зоны.
Больной может планировать двигательную активность, однако отмечается утрата пространственных представлений. Например пациент надевает штаны задом наперед.
Характеризуется трудностями в повторении действий за другим человеком. Сопровождается поражением теменных долей.
Больной не может совершить двигательные акты по просьбе другого человека, при этом в состоянии выполнить его в одиночестве.
Больному труднее запоминать новые движения. При совершении заученных действий возможны паузы и ошибки.
Симптоматика обладает спецификой. Для постановки диагноза достаточно одного приема у врача. Для определения разновидности заболевания требуется дополнительное обследование. Врач собирает собирает анамнез, проводит неврологический осмотр, исследуется двигательная функция пациента. Выясняется время возникновения синдрома, выраженность признаков. Для определения пораженного отдела назначают компьютерную томографию, МРТ, ультразвуковое исследование. При необходимости пациента направляют на консультацию к специалисту другого профиля, например при апраксии речи назначают прием у логопеда. В сети клиник ЦМРТ используют следующие методы диагностики:
Если вам стало сложно ориентироваться в пространстве и выполнять привычные последовательные движения, обращайтесь к неврологу. Врач подберет лечение сам, при необходимости привлечет другого профильного специалиста, например, онколога или хирурга.
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Методик для устранения данного синдрома не создано. Курс лечения направлен на устранение причины возникновения патологии. Избавиться от боли помогают медикаментозные средства. Лекарства назначают для стимуляции кровотока мозга. Пациента направляют на курсы массажа, физиотерапевтические процедуры, занятия с логопедом, курсы лечебной физической культуры. В сети клиник ЦМРТ используют следующие методы лечения:
Главное последствие апраксии — сложности в адаптации к обществу. Возможна утрата способности самообслуживания.
Специфической профилактики не разработано, существуют общие рекомендации, снижающие риск развития болезни:
Точность диагностики и качественное обслуживание — главные приоритеты нашей работы. Мы ценим каждый отзыв, который оставляют нам наши пациенты.
Панина Валентина Викторовна
Актриса, заслуженная артистка РСФСР
Узнала о вас в интернете — нужно срочно сделать МРТ.
И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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Сергей Шнуров
Российский рок-музыкант, киноактёр, телеведущий и художник.
Ц. М. Р. Т. «Петроградский» спасибо!
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Спасибо огромное за такое хорошее, професиональное обслуживание в вашей клинике. Приятно, комфортно! Прекрасные люди, прекрасные условия.
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Русанова
Хочу поблагодарить сотрудников за внимательное и доброжелательное отношение. Хорошо, что такая клиника есть хотя бы у Вас.
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Все очень грамотно, очень вежливое обслуживание. Буду рекомендовать эту клинику друзьям. Успехов!!!
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Кузнецов В.А.
Очень отзывчивый администратор. Вежливая, культурная, добрая.
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Храброва В.Е.
Выражаю большую признательность администратору Кристине и Ринату Чубарову за внимательное и доброжелательное отношение при проведении обследования желаю, чтобы было больше такого персонала, что в наши дни редкость.
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Выражаю огромную благодарность Екатерине Корневой за терпение, профессионализм, доброту и фантастическое отношение к пациентам.
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Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.
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