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2014, vol. 20, br. 3-4, str. 105-111
Značaj pravovremenog dijagnostikovanja blagog kognitivnog oštećenja kod pacijenata u radu lekara opšte medicine
Dom zdravlja 'Dr Simo Milošević', Beograd

e-adresajelena_stanojevic2000@yahoo.com
Sažetak
Blago kognitivno oštećenje predstavlja stanje između zaboravljanja, očekivanog za godine i obrazovanje, i početnih oblika demencije. Značaj pravovremenog otkrivanja ovog oboljenja na nivou primarne zdravstvene zaštite je višestruk. Zadatak lekara opšte medicine je da korišćenjem standardnih kognitivnih testova izdiferencira pacijente koji imaju blago kognitivno oštećenje i uputi ih na dalje nivoe zdravstvene zaštite. Bitno je prepoznati ove pacijente na početnom stadijumu bolesti, da bi se terapijskim merama na njih moglo uticati dok bolest ne evoluira u demenciju. Etiologija poremećaja nije sasvim jasna. Pretpostavlja se da su mogući uzroci degenerativnog, vaskularnog, metaboličkog, traumatskog ili psihijatrijskog porekla. Dijagnoza se postavlja uzimanjem anamneze i heteroanamnestičkih podataka, baterijom neuropsiholoških testova i vizualizacionim metodima: nuklearnom magnetnom rezonancijom (NMR), pozitronskom emisionom tomografijom (Positron-Emission Tomography- PET), singl foton emisionom kompjuterskom tomografijom (SPECT), funkcionalnom nuklearnom magnetnom rezonancijom (fNMR) i MR spektrometrijom (MRS). Uz njih, određene rezultate može pružiti i kvantitativni elektroencefalogram (kEEG). Lečenje uključuje primenu nekoliko vrsta lekova, kao i kognitivnu rehabilitaciju. Pravi lek, koji bi osigurao da blago kognitivno oštećenje ne pređe u demenciju, još uvek ne postoji. Bez obzira na to, zbog starenja svetske populacije ovo je problem koji će morati u budućnosti da se rešava, te je uloga lekara na primarnom nivou zdravstvene zaštite od ključnog značaja.
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O članku

jezik rada: srpski
vrsta rada: članak
DOI: 10.5937/opmed1404105M
objavljen u SCIndeksu: 06.05.2015.

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