What kind of diagnosis for 06.8. Organic emotionally labile disorder

Supportive care includes analgesia, hydration, and bed rest. Penicillin V is considered the drug of choice in the treatment of tonsillopharyngitis caused by group A hemolytic streptococcus; dose is 250 mg orally 2 times daily for 10 days for overweight patients< 27 кг и 500 мг при массе тела >27 kg. If a liquid form is required, Amoxicillin is effective and more palatable. If compliance is a problem, a single intramuscular injection of benzathine penicillin at a dose of 1.2 million units (600,000 units for children weighing 27 kg) is effective. Other oral medications include macrolides for patients allergic to penicillin, 1st generation cephalosporins and clindamycin.
  Treatment begins immediately or is delayed until culture results are available. If treatment is started hypothetically, it should be stopped when negative results crops. Repeated throat cultures are not usually performed. They are used in patients with frequent relapses of tonsillopharyngitis caused by group A hemolytic streptococcus or in close household or school contacts with pharyngitis.
  Tonsillectomy is considered when tonsillitis due to group A hemolytic streptococcus occurs frequently (> 6 episodes per year, > 4 episodes per year for 2 years, > 3 episodes per year for 3 years), or when tonsillitis is severe and persistent. acute infection despite antibiotic therapy. Other indications for tonsillectomy include obstructive sleep apnea, recurrent peritonsillar abscess, and suspected cancer.
  Various effective surgical methods used to perform tonsillectomy, including electrocautery, microdebrider with single-stage high-frequency ablation and sharp dissection. Major intraoperative or postoperative bleeding occurs in less than 2% of patients, usually within 24 hours after surgery or 7 days after the eschar has peeled off. Patients with bleeding should be taken to hospital. If bleeding continues on arrival, patients are usually assessed in the operating room and hemostasis is performed. If the thrombus is in the tonsillar fossa, patients are observed for 24 hours. Postoperative intravenous rehydration therapy is required in 3% of patients, and possibly in even fewer patients with optimal preoperative care. infusion therapy, preoperative administration of antibiotics, analgesics and glucocorticoids. Postoperative obstruction respiratory tract most often occurs in children under 2 years of age with a previous obstructive sleep apnea and in patients with morbid obesity, neurological diseases, craniofacial pathology and with severe preoperative obstructive sleep apnea. In adults, complications occur much more often and are usually more severe.

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Organic emotionally labile disorder is a mental disorder that occurs after complications of pregnancy or childbirth, severe infection or organic brain disease (trauma, tumor, stroke). Characteristic pronounced emotional incontinence And lability (instability, rapid change) of a person’s mood.

The diagnosis and treatment of this disorder should be carried out jointly by a psychiatrist (or psychotherapist) and a neurologist.

The disorder is also called asthenic (from the Greek asthenia - weakness, impotence). In addition to constant and severe mood swings, patients are characterized by general weakness, fatigue, headache, dizziness. A person may get tired after 2-3 hours of work, cannot stand a full day of work, and several times a day there is a need to lie down to rest.

According to international classification diseases ICD-10 is coded as F06.68 - “Organic emotionally labile asthenic disorder due to mixed diseases.” To his most common reasons include:

• head injury
• pregnancy and childbirth of the mother, which occurred with complications (toxicosis, threat of miscarriage, eclampsia)
• severe condition of the child after birth (for example, the baby was given mechanical ventilation), severe illnesses/infections of early childhood
• vascular diseases of the brain (atherosclerosis, hypertension, violations cerebral circulation- strokes)
• epilepsy
• brain tumors
• HIV infection
• neurosyphilis and other neuroinfections, encephalitis (inflammation in the brain)
• intoxication with drugs, alcohol
• consequences of anesthesia

Symptoms of organic asthenic disorder

People with the disorder are characterized by tearfulness, emotional irascibility, frequent and severe mood swings, and a storm of emotions, often over a minor issue. All reactions are spontaneous (occur without a serious reason or reason) and uncontrollable.

A person reacts painfully even to minor events; emotions, as a rule, are negative (anger, irritation, resentment).

He perceives troubles as “the end of the world”, constantly having outbursts of anger and irritability towards loved ones and surrounding people.

Diagnosis of organic emotionally labile disorder - examination by a psychiatrist and neurologist. Additionally, the attending physician may prescribe a pathopsychological examination, blood tests and instrumental methods(EEG, CT, MRI).

A person complains of regular and strong headache, dizziness, decreased or blurred vision, increased blood pressure, tinnitus. These complaints indicate a brain disease that has led to an organic emotionally labile disorder. They interfere with a person’s life and work, and because of them he goes to the doctor.

Hypersensitivity is characteristic - pain sensitivity in response to a weak touch on the skin, excessive auditory or light sensitivity, when sounds of normal intensity are perceived as very loud (up to the development pain syndrome), and sunlight causes severe lacrimation and pain in the eyes.

General weakness, fatigue, decreased performance, a feeling of powerlessness - all these are integral companions of organic asthenic disorder.

Organic emotionally labile asthenic disorder in children occurs due to severe pregnancy of the mother (toxicosis, threatened miscarriage, eclampsia), complications during childbirth or serious illnesses early childhood.

An experienced psychiatrist can make a diagnosis during the first examination. The main manifestations of asthenic disorder include excessive moodiness, frequent tearfulness, disobedience, irritability, inability to concentrate for a long time. Such children may develop sudden lethargy and lack of initiative. It is necessary to differentiate an emotionally labile disorder from character traits and age-related changes.

The prognosis for adults and children is favorable if the recommendations of the attending physician are followed.

Treatment of organic emotionally labile personality disorder

Treatment must be comprehensive and strictly individual. With the correct diagnosis and adequate treatment, the symptoms of asthenic disorder may weaken or go away completely.

Organic emotionally labile asthenic disorder is treated with medicinal and non-medicinal methods. The following groups of pharmaceuticals are classified as medications:

• vaso-vegetotropic- normalize the functioning of the autonomic nervous system
• nootropics- improve metabolic processes in brain tissue
• sedatives- have a calming effect by balancing the processes of excitation and inhibition of the nervous system
• neuroleptics- relieve excitement
• antidepressants- relieve anxiety, normalize mood

Non-drug methods include:

1. Individual psychotherapy— a psychiatrist-psychotherapist teaches a person to control behavior and relax. Helps you set priorities (achieve success at work, live in love and harmony with loved ones) and stick to them.
2. biofeedback therapy — modern method treatment mental disorders. The specialist uses sensors and a computer to measure physiological indicators - breathing rate, heart rate, blood pressure level. As soon as a person managed to bring these indicators back to normal (following the specialist’s instructions), the computer reports success. The patient memorizes relaxation skills and can then use them in emotionally stressful situations to gain self-control.

Diagnosis F06.6 Organic emotionally labile asthenic disorder often goes untreated - those around him and the person himself believe that he has a “severe character.” But this is wrong. Symptoms of the disorder can be relieved with modern drugs And non-drug methods and return to a full life.