{"id":2241,"date":"2020-01-14T13:43:51","date_gmt":"2020-01-14T13:43:51","guid":{"rendered":"https:\/\/sizofrenija.lv\/sabiedribai\/?page_id=2241"},"modified":"2025-12-19T11:52:30","modified_gmt":"2025-12-19T10:52:30","slug":"funkcionesana","status":"publish","type":"page","link":"https:\/\/sizofrenija.lv\/sabiedribai\/arstesanas-merkis\/funkcionesana\/","title":{"rendered":"K\u0101 \u0161izofr\u0113nija ietekm\u0113 funkcion\u0113\u0161anas sp\u0113jas?"},"content":{"rendered":"\n<div class=\"wp-block-rea-hero-banner-rea-hero-banner-block rea-hero-banner-block front has-margin no-btn\"><div class=\"rea-hero-banner-block__image\" style=\"background-image: url(https:\/\/sizofrenija.lv\/sabiedribai\/wp-content\/uploads\/2019\/03\/wooden.png)\"><img decoding=\"async\" class=\"hero-banner-background\" alt=\"\" src=\"https:\/\/sizofrenija.lv\/sabiedribai\/wp-content\/uploads\/2019\/03\/wooden.png\"><\/div><div class=\"rea-hero-banner-block__content\"><div class=\"rea-hero-banner-block__content--wrapper\"><div class=\"text-wrapper\"><h1 class=\"hero-banner-title\">K\u0101 \u0161izofr\u0113nija ietekm\u0113 funkcion\u0113\u0161anas sp\u0113jas?<\/h1><p class=\"hero-banner-text\">Personaliz\u0113tas kl\u012bnisk\u0101s intervences, k\u0101 ar\u012b negat\u012bvo un kognit\u012bvo simptomu \u0101rst\u0113\u0161anas m\u0113r\u0137im j\u0101b\u016bt pacientu ar \u0161izofr\u0113niju funkcion\u0113\u0161anas sp\u0113ju uzlabojumam.<\/p><a class=\"button__primary button-text\" href=\"\"><\/a><p class=\"hero-banner-signed-out-text js-hide-dc-signed-in\"><\/p><\/div><div class=\"image-wrapper\"><img decoding=\"async\" class=\"hero-banner-image js-rea-parallax\" alt=\"\" src=\"https:\/\/sizofrenija.lv\/sabiedribai\/wp-content\/uploads\/2020\/04\/Functioning-fs8.png\"><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-paragraph-rea-paragraph-block rea-paragraph-block front\"><div class=\"rea-paragraph-block__content\"><p class=\"content-text\">\u0160izofr\u0113nijai ir rakstur\u012bga kognit\u012bv\u0101 disfunkcija, un pier\u0101d\u012bts, ka \u0161iem trauc\u0113jumiem ir svar\u012bga noz\u012bme slim\u012bbas funkcion\u0101laj\u0101 izn\u0101kum\u0101.<sup>1<\/sup> Funkcion\u0113\u0161anas sp\u0113jas nosaka dz\u012bves kvalit\u0101ti. \u0160izofr\u0113nijas gad\u012bjum\u0101 funkcion\u0101los trauc\u0113jumus liel\u0101koties rada negat\u012bvie un kognit\u012bvie simptomi. Tie var ietekm\u0113t gan soci\u0101lo funkcion\u0113\u0161anu, gan darba atmi\u0146u un sp\u0113ju r\u012bkoties. Izstr\u0101d\u0101jot jaun\u0101s z\u0101les, b\u016btu svar\u012bgi risin\u0101t \u0161o probl\u0113mu. Neskatoties uz pieejamajiem datiem, kas apliecina ieguvumu no kognit\u012bvo funkciju uzlabojo\u0161\u0101m intervenc\u0113m \u0161izofr\u0113nijas gad\u012bjum\u0101, virkne jaut\u0101jumu joproj\u0101m nav atrisin\u0101ti. Kognit\u012bv\u0101s rehabilit\u0101cijas efektivit\u0101tes izv\u0113rt\u0113\u0161ana ir p\u0113t\u012bjumu pamatuzdevums, jo \u0101rst\u0113\u0161anas efektivit\u0101te liel\u0101 m\u0113r\u0101 ir atkar\u012bga no atbilsto\u0161as pacientu atlases, ko nosaka saslim\u0161anas smaguma pak\u0101pe un \u0101rst\u0113\u0161anas metodes.<sup>2<\/sup><\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-paragraph-rea-paragraph-block rea-paragraph-block front\"><div class=\"rea-paragraph-block__content\"><p class=\"content-text\">\u0100rst\u0113jot pacientus ar \u0161izofr\u0113niju, ir k\u0101ds maz\u0101k apspriests terapeitiskais m\u0113r\u0137is: pacienta funkcion\u0113\u0161anas sp\u0113jas.<sup>1<\/sup><br>Tas sniedzas t\u0101l\u0101k par psihotisko epizo\u017eu skaita samazin\u0101\u0161anu, un bie\u017ei t\u0101 sasnieg\u0161ana nav tik m\u0113r\u0137tiec\u012bga, k\u0101 \u0101rst\u0113jot pozit\u012bvos simptomus.<br>Uzlabojot pacienta funkcion\u0101l\u0101s sp\u0113jas, uzlabojas vi\u0146a dz\u012bves kvalit\u0101te, kam ir tikpat liela noz\u012bme k\u0101 pozit\u012bvo simptomu \u0101rst\u0113\u0161anai. Multimod\u0101la pieeja \u0101rst\u0113\u0161an\u0101 ietver psihofarmakolo\u0123iju, psihosoci\u0101l\u0101s intervences, k\u0101 ar\u012b atbalstu dz\u012bvesvietas nodro\u0161in\u0101\u0161an\u0101 un finansi\u0101lu atbalstu iztikai.<sup>3<\/sup><br><br>Svar\u012bgi piem\u0113rot un personaliz\u0113t kl\u012bnisk\u0101s intervences (1.att\u0113ls). Individu\u0101l\u0101 un kop\u0113j\u0101 kl\u012bnisk\u0101 progresa izv\u0113rt\u0113\u0161ana un \u0101rst\u0113\u0161anas pieejas izmai\u0146u apsv\u0113r\u0161ana var pozit\u012bvi ietekm\u0113t pacienta l\u012bdzest\u012bbu z\u0101\u013cu lieto\u0161anai, terapeitisko efektivit\u0101ti un \u0101rst\u0113\u0161anas nep\u0101rtraukt\u012bbu.<sup>4<\/sup><br><br>Pieejamas vair\u0101kas terapeitiskas pieejas, kuru piem\u0113ro\u0161ana ir atkar\u012bga no konkr\u0113t\u0101 saslim\u0161anas gad\u012bjuma un t\u0101 smaguma pak\u0101pes.<\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-list-rea-list-block rea-list-block front\"><div class=\"rea-list-block__wrapper\"><div class=\"list-unordered list\"><p>Ak\u016btas psihotisk\u0101s epizodes<br>Ak\u016btas psihotisk\u0101s epizodes gad\u012bjum\u0101 svar\u012bg\u0101kais ir samazin\u0101t pozit\u012bvos simptomus. \u0160\u0101dos gad\u012bjumos k\u0101 pirm\u0101 izv\u0113le ir farmakoterapija, apsverot ar\u012b t\u0101s ietekmi uz funkcion\u0113\u0161anu. B\u016btiski izv\u0113l\u0113ties z\u0101les, kuras neizrais\u012bs sed\u0101ciju vai ar\u012b kuras pacientiem nerad\u012bs nepanesamas nev\u0113lamas blakuspar\u0101d\u012bbas. Piem\u0113ram, \u0101rst\u0113\u0161an\u0101 ir iesp\u0113jami \u201cjatrog\u0113nie\u201d faktori. Sed\u0101ciju dro\u0161\u0101k sasniegt ar benzodiazep\u012bniem, lietojot zem\u0101ko efekt\u012bvo devu, nevis ar antipsihotiskajiem medikamentiem. Antipsihotisk\u0101 medikamenta ar augstu sed\u0101ciju izv\u0113le \u0161aj\u0101 stadij\u0101 var trauc\u0113t t\u0101 izdal\u012b\u0161anos v\u0113l\u0101k\u0101 period\u0101. <sup>5<\/sup><\/p><p>Hroniskas psihotisk\u0101s epizodes<br>Neatkar\u012bgi no \u0161izofr\u0113nijas diagnozes veida, pozit\u012bvos simptomus \u0101rst\u0113 l\u012bdz\u012bgi. At\u0161\u0137irties var devas, \u0101rst\u0113\u0161anas pieeja un ilgums. Ja ak\u016btie psihotiskie simptomi neizpau\u017eas bie\u017ei, tad kl\u012bniskaj\u0101 ain\u0101 domin\u0113 negat\u012bvie un kognit\u012bvie simptomi. \u0160\u0101dos gad\u012bjumos piem\u0113rotas ir cita veida intervences. Piem\u0113ram, kognit\u012bvi biheivior\u0101l\u0101 terapija tiek rekomend\u0113ta k\u0101 pirm\u0101 izv\u0113le, \u0101rst\u0113jot vieglu l\u012bdz vid\u0113ji smagu depresiju un trauksmi.<sup>6<\/sup> \u0160\u0101dos gad\u012bjumos ieteicams ar\u012b vesel\u012bgs dz\u012bvesveids un regul\u0101ras fizisk\u0101s aktivit\u0101tes, jo ir pier\u0101d\u012bts, ka tas uzlabo smadze\u0146u funkcijas, atmi\u0146u, sp\u0113jas veikt vair\u0101kus uzdevumus vienlaic\u012bgi, pl\u0101not ikdienu, ka ar\u012b sekm\u0113 smadze\u0146u \u0161\u016bnu funkciju uzlabo\u0161anos un stiprina sp\u0113ju notur\u0113t uzman\u012bbu.<sup>7<\/sup> Visbeidzot, lai pacientam saglab\u0101tu remisiju, vi\u0146am svar\u012bgs ir ar\u012b finansi\u0101lais atbalsts un profesion\u0101l\u0101s karjeras iesp\u0113jas.<\/p><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-paragraph-rea-paragraph-block rea-paragraph-block front\"><div class=\"rea-paragraph-block__content\"><p class=\"content-text\">Lai ar\u012b \u0161\u0101du interven\u010du process ne vienm\u0113r tiek detaliz\u0113ti aprakst\u012bts, katram modelim ir individu\u0101ls m\u0113r\u0137u un uzdevumu kopums, k\u0101 ar\u012b \u0101rst\u0113\u0161anas sh\u0113ma. T\u0101s visas ir atz\u012btas par efekt\u012bv\u0101m, uzlabojot \u0161izofr\u0113nijas pacientu funkcion\u0113\u0161anas da\u017e\u0101dus aspektus. Tom\u0113r \u0161o interven\u010du ievie\u0161ana ikdienas kl\u012bniskaj\u0101 praks\u0113 ir apgr\u016btin\u0101ta, jo eso\u0161ajos apr\u016bpes centros nav pietiekami resursu, lai \u012bstenotu un izv\u0113rt\u0113tu individu\u0101li piel\u0101got\u0101s intervences, tr\u016bkst apr\u016bp\u0113t\u0101ju, k\u0101 ar\u012b vi\u0146i netiek pietiekami apm\u0101c\u012bti. Psihisk\u0101s vesel\u012bbas pakalpojumi netiek atbilsto\u0161i nov\u0113rt\u0113ti un atbalst\u012bti.<sup>8<\/sup><\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-illustration-rea-illustration-block rea-illustration-block front\"><img class=\"illustration-bg\" alt=\"\"><div class=\"rea-illustration-block__content\"><div class=\"rea-illustration-block__image image-wrapper\"><a href=\"https:\/\/sizofrenija.lv\/sabiedribai\/wp-content\/uploads\/2020\/12\/K23_01_1366px_LV.png\" rel=\"noopener noreferrer\" target=\"_blank\" class=\"\"><img decoding=\"async\" class=\"illustration center\" alt=\"\" src=\"https:\/\/sizofrenija.lv\/sabiedribai\/wp-content\/uploads\/2020\/12\/K23_01_1366px_LV.png\" style=\"max-width: 100%\"><img decoding=\"async\" class=\"rea-mobile illustration-mobile\" alt=\"\" src=\"https:\/\/sizofrenija.lv\/sabiedribai\/wp-content\/uploads\/2020\/12\/K23_01_1366px_LV.png\"><\/a><\/div><p class=\"rea-site__caption caption-text align-center\">1.att\u0113ls. Funkcion\u0113\u0161anas sp\u0113ju uzlabo\u0161ana pacientiem ar \u0161izofr\u0113niju<\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-paragraph-rea-paragraph-block rea-paragraph-block front\"><div class=\"rea-paragraph-block__content\"><p class=\"content-text\">Negat\u012bvo simptomu \u0101rst\u0113\u0161ana ir galvenais, kas j\u0101apsver, ja ir nepiecie\u0161ams uzlabot funkcion\u0113\u0161anas sp\u0113jas (1.att\u0113ls).<sup>3<\/sup> <a href=\"https:\/\/sizofrenija.lv\/sabiedribai\/izprast-sizofreniju\/simptomi\/\">Negat\u012bvie simptomi<\/a> skar l\u012bdz 26% pacientu ar \u0161izofr\u0113niju un pat l\u012bdz 58% pacientu ar \u0161izofr\u0113niju, kuri \u0101rst\u0113jas ambulatori. Negat\u012bvie simptomi slikt\u0101k padodas \u0101rst\u0113\u0161anai nek\u0101 pozit\u012bvie.<sup>9<\/sup> Turkl\u0101t tikai da\u017eiem antipsihotiskajiem medikamentiem ir pier\u0101d\u012bta efektivit\u0101te negat\u012bvo simptomu \u0101rst\u0113\u0161an\u0101.<sup>10<\/sup> \u0160\u012b iemesla d\u0113\u013c negat\u012bvo simptomu efekt\u012bvas \u0101rst\u0113\u0161anas ierobe\u017eot\u0101s iesp\u0113jas ir neatrisin\u0101ta medic\u012bniska probl\u0113ma, it \u012bpa\u0161i, ja \u0146em v\u0113r\u0101, cik noz\u012bm\u012bgi \u0101rst\u0113\u0161anas <a href=\"https:\/\/sizofrenija.lv\/sabiedribai\/izprast-sizofreniju\/simptomi\/\">rezult\u0101tu<\/a> ietekm\u0113 tie\u0161i negat\u012bvo simptomu mazin\u0101\u0161ana.<sup>9<\/sup> Svar\u012bgi ir negat\u012bvos simptomus atpaz\u012bt, saprast un uzs\u0101kt \u0101rst\u0113\u0161anu, jo agr\u012bna intervence \u013coti ietekm\u0113 kop\u0113j\u0101s funkcion\u0113\u0161anas sp\u0113jas un, attiec\u012bgi, ar\u012b dz\u012bves kvalit\u0101ti.<sup>8<\/sup><br><br>L\u012bdz\u0101s negat\u012bvajiem simptomiem ir v\u0113l simptomu grupa, kurai nav apstiprin\u0101ta m\u0113r\u0137tiec\u012bga \u0101rst\u0113\u0161ana: tie ir kognit\u012bvie simptomi. Tie ar\u012b ir saist\u012bti ar kop\u0113j\u0101m funkcion\u0113\u0161anas sp\u0113j\u0101m un ir neatrisin\u0101ta medic\u012bniska probl\u0113ma.<sup>11,12<\/sup> Kognit\u012bv\u0101 simptomatolo\u0123ija ietver pav\u0101jin\u0101tas sp\u0113jas r\u012bkoties, it \u012bpa\u0161i pie\u0146emt l\u0113mumus un apstr\u0101d\u0101t inform\u0101ciju, uzman\u012bbas defic\u012btu un pav\u0101jin\u0101tu darba atmi\u0146u.<sup>13<\/sup> \u0160ie simptomi ietekm\u0113 pacientu ikdienas dz\u012bvi un funkcion\u0113\u0161anu. Kognit\u012bvo simptomu izp\u0113te ir iev\u0113rojami att\u012bst\u012bjusies p\u0113d\u0113j\u0101s desmitgades laik\u0101. Neskatoties uz to, jaun\u0101ko z\u0101\u013cu iedarb\u012bba un \u0101rst\u0113\u0161anas pieejas nav pietiekami efekt\u012bvas, lai sasniegtu uzlabojumus pacientiem tie\u0161i \u0161aj\u0101 simptomu grup\u0101. Veiksm\u012bgi pilotprojekti, kuros p\u0113t\u012bta iedarb\u012bba uz kognit\u012bvajiem simptomiem, diem\u017e\u0113l nebija rezultat\u012bvi liela m\u0113roga p\u0113t\u012bjumos. Tas noz\u012bm\u0113, ka \u0161aj\u0101 jaut\u0101jum\u0101 pla\u0161i p\u0113t\u012bjumi joproj\u0101m ir b\u016btiski svar\u012bgi.<sup>14<\/sup><br><br>M\u016bsdien\u0101s z\u0101\u013cu lieto\u0161anas galvenais terapeitiskais uzdevums ir uzlabot kop\u0113j\u0101s pacienta funkcion\u0113\u0161anas sp\u0113jas, tom\u0113r pagaid\u0101m noz\u012bm\u012bg\u0101kie kl\u012bniskie uzlabojumi ir nov\u0113rojami tikai pozit\u012bvo simptomu \u0101rst\u0113\u0161an\u0101. M\u016bsdien\u0101s \u0101rst\u0113\u0161anas izv\u0113l\u0113m j\u0101ietver ar\u012b negat\u012bvo un kognit\u012bvo simptomu \u0101rst\u0113\u0161anu, \u0101rstniecisk\u0101s pieejas j\u0101p\u0101rskata pietiekami bie\u017ei un regul\u0101ri, k\u0101 ar\u012b j\u0101piel\u0101go katra pacienta vajadz\u012bb\u0101m un v\u0113lm\u0113m.<sup>15<\/sup> Ide\u0101las b\u016btu t\u0101das antipsihotisk\u0101s z\u0101les, kuras efekt\u012bvi \u0101rst\u0113tu visas simptomu grupas, uzlabotu soci\u0101lo funkcion\u0113\u0161anu un nov\u0113rstu t\u0101l\u0101ku kognit\u012bvo trauc\u0113jumu att\u012bst\u012bbu. Veiksm\u012bga \u0101rst\u0113\u0161anas pl\u0101na galvenajam indikatoram ir j\u0101b\u016bt paman\u0101miem uzlabojumiem kop\u0113j\u0101 funkcion\u0113\u0161an\u0101, kas nodro\u0161ina dz\u012bves kvalit\u0101tes uzlabo\u0161anos.<sup>16<\/sup><\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-references-rea-references-block rea-references-block front\"><div class=\"rea-references-block__references\"><p class=\"references-title\">Atsauces<\/p><ol class=\"references-list\"><li>Bowie et al. Am. J. Psychiatry. 2006; 163 (3): 418\u2013425<\/li><li>Medalia and Richardson. Schizophr. Bull. 2005; 31 (4): 942\u2013953<\/li><li>Haller CS. F1000Prime Reports 2014;6:57<\/li><li>NICE Psychosis and schizophrenia in adults: prevention and management 2014<\/li><li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1839209\/pdf\/bmj-334-7595-cr-00686.pdf\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1839209\/pdf\/bmj-334-7595-cr-00686.pdf<\/a><\/li><li><a href=\"https:\/\/www.nasmhpd.org\/sites\/default\/files\/DH-CBTp_Fact_Sheet.pdf\">https:\/\/www.nasmhpd.org\/sites\/default\/files\/DH-CBTp_Fact_Sheet.pdf<\/a>  Cognitive Behavioral Therapy for Psychosis (CBTp): Fact Sheet, Hardy K, Stanford University Department of Psychiatry and Behavioral Health<\/li><li>EPA Report(27th European Congress of Psychiatry) 2019<\/li><li>Chien et al. Neuropsychiatric Disease and Treatment. 2013; 9: 1463\u20131481<\/li><li>Chue P, Lalonde JK. Neuropsychiatr Dis Treat. 2014 May 8;10:777-89. doi: 10.2147\/NDT.S43404. Review<\/li><li>Krause, M., Zhu, Y., Huhn, M. et al. Eur Arch Psychiatry Clin Neurosci (2018) 268: 625<\/li><li>Carbon M. CNS Spectr 2014;Suppl 1:38-52<\/li><li>Buchanan RW. Schizophr Bull 2007;33: 1013\u20131022<\/li><li>National Institute of Mental Health. Schizophrenia. 2009<\/li><li>Goff DC. Pharmacol Biochem Behav 2011;99(2):245\u2013253<\/li><li>Carbon M, Correll CU. Dialogues Clin Neurosci. 2014 Dec;16(4):505-24.  Review. PubMed PMID: 25733955; PubMed Central PMCID: PMC4336920.<\/li><li>Sommi, 2017 (<a href=\"https:\/\/www.medscape.org\/viewarticle\/463775\">https:\/\/www.medscape.org\/viewarticle\/463775<\/a>)  <\/li><\/ol><\/div><\/div>\n\n\n\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":2426,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-fullwidth.php","meta":{"_acf_changed":false,"rea_page_title_signed_in_meta_block_field":"K\u0101 \u0161izofr\u0113nija ietekm\u0113 funkcion\u0113\u0161anas sp\u0113jas?","rea_page_title_signed_out_meta_block_field":"K\u0101 \u0161izofr\u0113nija ietekm\u0113 funkcion\u0113\u0161anas sp\u0113jas?","rea_page_description_signed_in_meta_block_field":"\u0160izofr\u0113nijas gad\u012bjum\u0101 funkcion\u0101los trauc\u0113jumus liel\u0101koties rada negat\u012bvie un kognit\u012bvie simptomi. Funkcion\u0113\u0161anas sp\u0113jas nosaka dz\u012bves kvalit\u0101ti.","rea_page_description_signed_out_meta_block_field":"\u0160izofr\u0113nijas gad\u012bjum\u0101 funkcion\u0101los trauc\u0113jumus liel\u0101koties rada negat\u012bvie un kognit\u012bvie simptomi. 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