ВЛИЯНИЕ ОТДАЛЕННЫХ ПОСЛЕДСТВИЙ ЧЕРНОБЫЛЬСКОЙ АВАРИИ НА ПСИХИЧЕСКУЮ СФЕРУ ЛИКВИДАТОРОВ И ИХ ТЕРАПИЯ

  • Е. Г. Королева УО "Гродненский государственный медицинский университет"
Ключевые слова: последствия, эмоции, органические, когнитивные, сосудистые расстройства, терапия

Аннотация

В лекции рассматривается влияние отдаленных последствий Чернобыльской аварии на психическое состояние ликвидаторов и населения пораженных регионов, а также приводятся возможные терапевтические подходы в помощь практикующим врачам. Исследование психического здоровья ликвидаторов выявило, что для этих пациентов характерны мягкие недементные формы психоорганического синдрома, вызванные сочетанием различных факторов, приведших к ранней цереброваскулярной патологии, а также аффективная патология.

Литература

Babosov EM. Chernobylskaja tragedija v ee socialnyh izmerenijah. Minsk: Pravo i jekonomika; 1996. 151 p. (Russian).

Pitkevich VA, Ivanov VK, Tsyb AF, Maksyutov MA, Matyash VA, Shchukina NV. Dozimetricheskie dannye Rossijskogo gosudarstvennogo mediko- ozimetricheskogo registra dlja likvidatorov [Dosimetric data of the All-Russia Medical and Dosimetric State Registry for emergency workers]. Radiacija i risk [Radiation and Risk]. 1995;(2). Specialnyj vypusk. Available from: https://cyberleninka.ru/article/n/dozimetricheskie-dannye- rossiyskogo-gosudarstvennogo-mediko-dozimetricheskogo-registra-dlya-likvidatorov. (accessed 20.11.2017). (Russian).

Krasnov VN, Reznik AM, Kohanov VP. Psihicheskie i psihosomaticheskie rasstrojstva u uchastnikov likvidacii posledstvij katastrofy na Chernobylskoj atomnoj jelektrostancii. Moscow: Zashhita; 2003. 108 p. (Russian).

Aleksandrovskij JuA. Psihonevrologicheskie rasstrojstva pri avarii na Chernobylskoj AJeS [Mental disorders in Chernobyl atomic powerplant accident]. In: Romanenko AE [et al.], eds. Medicinskie aspekty avarii na Chernobylskoj atomnoj jelektrostancii [Medical aspects of Chernobyl atomic powerplant accident]; Proccedings Scientific conference, 1988 May 11-13; Kiev. Kiev: Zdorovya, 1988. p. 171-177. (Russian).

Njagu AI, Noshhenko AG, Loganovskij KN. Otdalennye posledstvija psihogennogo i radiacionnogo faktorov avarii na Chernobylskoj AJeS na funkcionalnoe sostojanie golovnogo mozga cheloveka [Late consequences of Chernobyl accident psychogenic and radiation factors influence on human brain function]. Zhurnal nevropatologii i psihiatrii im. CC Korsakova. [SS Korsakov Journal of Neurology and Psychiatry]. 1992;92(4):72-77. (Russian).

Malygin VL, Cygankov BD. Psihicheskie narusheniya radiacionnogo geneza (klinika, patofiziologiya, terapiya) [Mental disorders of radiation genesis (Clinical course, pathophysiology, therapy]. Tula; 2000. 231 p. (Russian).

Voloshin PV. K voprosu o patogeneze cerebrovaskuljarnyh narushenij u lic, podvergshihsja radiacionnomu vozdejstviju v rezultate likvidacii avarii na Chernobylskoj AJeS. Ukraїnskij vіsnik psihonevrologії. 1996;1:3-8.(Ukrainian).

Njagu AI. Socialno-psihologicheskoe sostojanie postradavshih vsledstvie Chernobylskoj katastrofy v Ukraine. Mezhdunarodnyj zhurnal radiacionnoj mediciny [International Journal of Radiation Medicine]. 2002;4(1/4):279-288. (Russian).

Bronskij VI. Rezultaty psihosomaticheskogo skrininga naselenija, postradavshego ot Chernobylskoj katastrofy: (socialno-psihologicheskij fenomen «samoselov» kak variant adaptacii) [The results of psychosomatic screening of the population affected by the Chernobyl disaster (sociopsychological phenomenon of coming back as a variant of adjustment]. Socialnaja i klinicheskaja psihiatrija [Russian Society of Psychiatrists]. 1998;8(1):51-54. (Russian).

Guskova AK, Nadezhina NM, Barabanova AV, Baranov AE, Gusev IA, Protasova TG, Boguslavskij VB, Pokrovskaja VN. Ostrye jeffekty obluchenija pri avarii na Chernobylskoj AJeS: neposredstvennye ishody zabolevanii i rezultaty lechenija. In: Romanenko AE [et al.], eds. Medicinskie aspekty avarii na Chernobylskoj atomnoj jelektrostancii [Medical aspects of Chernobyl atomic powerplant accident]; Proccedings Scientific conference, 1988 May 11-13; Kiev. Kiev: Zdorovya, 1988. p. 143-153. (Russian).

Morozov AM, Kryzhanovskaja LA. Klinika, dinamika i lechenie pogranichnyh psihicheskih rasstrojstv u likvidatorov avarii na Chernobylskoj AJeS. Kiev: Chernobylinterinform; 1998. 330 p. (Russian).

Timchenko OI, Linchak OV, Procjuk OV, Polka EA, Benedichuk JuV, Marinich AV. Vrozhdennye poroki razvitija na territorijah, zagrjaznennyh radionuklidami vsledstvie avarii na ChAJeS. Radiacionnaja biologija. Radiojekologija [Radiation biology. Radioecology]. 2014;54(5):507-521. (Russian).

Zhavoronkova LA, Belostockij AP, Holodova NB, Kupcova SV, Snegireva IP, Kulikov MA, Oknina LB. Narushenija vysshih psihicheskih funkcij i kognitivnyh sluhovyh vyzvannyh potencialov u likvidatorov Chernobylskoj avarii [Higher mental functions and cognitive auditory event-related potentials impairment in liquidators of Chernobyl accident]. Zhurnal nevrologii i psihiatrii imeni SS Korsakova [SS Korsakov Journal of Neurology and Psychiatry]. 2012;112(5):62-69. (Russian).

Sushko VO, Shvaiko LI, Bazyka KD. Analіz faktorіv riziku hronichnogo obstruktivnogo zahvorjuvannja legen v uchasnikiv lіkvіdacії naslidkіv avarії na ChAES [Analysis of risk factors for chronic obstructive pulmonary disease in clean,up workers of the Chornobyl accident]. In: Problemi radіacіjnoї medicini ta radіobіologії [Problems of Radiation Medicine and Radiobiology]; Zbіrnik naukovih prac. Київ: DIA; 2014; 19:345-351. (Ukrainian).

Holodova NB, Zhavoronkova LA, Ryzhov BN. Kompleksnye patogeneticheskie shemy lechenija sosudistyh discirkuljatornyh rasstrojstv v otdalennye sroki posle obluchenija v malyh dozah. Radiacionnaja biologija. Radiojekologija [Radiation biology. Radioecology]. 2013;53(5):525-535. (Russian).

Oradovskaja IV, Pashhenkova LG, Feoktistov VV, Nikonova MF, Vikulov GH, Bozheskaja NV, Smirnova NN. Jepidemiologicheskij analiz monitoringa immunnogo statusa u likvidatorov posledstvij avarii na Chernobylskoj AJeS dlja rannego vyjavlenija grupp riska i diagnostiki onkologicheskih zabolevanij. Radiacionnaja biologija. Radiojekologija [Radiation biology. Radioecology]. 2011;51(1):101-116. (Russian).

Oradovskaja IV, Nikonova MF, Vikulov GH, Bozheskaja NV, Smirnova NN. Jepidemiologicheskij analiz monitoringa immunnogo statusa u likvidatorov posledstvij avarii na Chernobylskoj AJeS dlja rannego vyjavlenija grupp riska i diagnostiki onkologicheskih zabolevanij. Radiacionnaja biologija. Radiojekologija [Radiation biology. Radioecology]. 2011;51(1):117-133. (Russian).

Dinets A, Hulchiy M, Sofiadis A, Ghaderi M, Höög A, Larsson C, Zedenius J. Clinical, genetic, and immunohistochemical characterization of 70 Ukrainian adult cases with post-Chornobyl papillary thyroid carcinoma. European Journal of Endocrinology. 2012;166(6):1049-1060. doi: 10.1530/EJE-12-0144.

Koibuchi H, Omoto K, Fukushima N, Toyotsuji T, Taniguchi N, Kawano M. Coexistence of Papillary Thyroid Cancer and Hashimoto Thyroiditis in Children. Report of 3 Cases. Journal of Ultrasound in Medicine. 2014;33(7):1299-1303. doi: 10.7863/ultra.33.7.1299.

Selmansberger M, Kaiser JC, Hess J, Güthlin D, Likhtarev I, Shpak V, Tronko M, Brenner A, Abend M, Blettner M, Unger K, Jacob P, Zitzelsberger H. Dose-dependent expression of CLIP2 in post-Chernobyl papillary thyroid carcinomas. Carcinogenesis. 2015;36(7):748-756. doi: 10.1093/carcin/bgv043.

Likhtarov I, Kovgan L, Masiuk S, Chepurny M, Ivanova O, Gerasymenko V, Boyko Z, Voillequé P, Antipkin Y, Lutsenko S, Oleynik V, Kravchenko V, Tronko M. Estimating thyroid masses for children, infants, and fetuses in Ukraine exposed to (131)I from the Chernobyl accident. Health Physics. 2013;104(1):78-86. doi: 10.1097/HP.0b013e31826e188e.

Leeman-Neill RJ, Brenner AV, Little MP, Bogdanova TI, Hatch M, Zurnadzy LY, Mabuchi K, Tronko MD, Nikiforov YE. RET/PTC and PAX8/PPARy chromosomal rearrangements in post-Chernobyl thyroid cancer and their association with iodine-131 radiation dose and other characteristics. Cancer. 2013;119(10):1792-1799. doi: 10.1002/cncr.27893.

Gluzman DF, Sklyarenko LM, Zavelevich MP, Koval SV, Ivanivska TS, Rodionova NK. Overview on association of different types of leukemias with radiation exposure. Experimental oncology. 2015;37(2):89-93.

Likhtarov I, Thomas G, Kovgan L, Masiuk S, Chepurny M, Ivanova O, Gerasymenko V, Tronko M, Bogdanova T, Bouville A. Reconstruction of individual thyroid doses to the Ukrainian subjects enrolled in the Chernobyl Tissue Bank. Radiation Protection Dosimetry. 2013;156(4):407-423. doi: 10.1093/rpd/ nct096.

Suzuki K, Mitsutake N, Saenko V, Yamashita S. Radiation signatures in childhood thyroid cancers after the Chernobyl accident: possible roles of radiation in carcinogenesis. Cancer Science. 2015;106(2):127-133. doi: 10.1111/cas. 12583.

Santoro M, Carlomagno F. Oncogenic rearrangements driving ionizing radiation-associated human cancer. The Journal of Clinical Investigation. 2013;123(11):4566-4568. doi: 10.1172/JCI72725.

Saenko, V, Ivanov V, Tsyb A, Bogdanova T, Tronko M, Demidchik Yu, Yamashita S. The Chernobyl accident and its consequences. Clinical Oncology. 2011;23(4):234-243. doi: 10.1016/j.clon.2011.01.502.

LiVolsi VA, Abrosimov AA, Bogdanova T, Fadda G, Hunt JL, Ito M, Rosai J, Thomas GA, Williams ED. The Chernobyl thyroid cancer experience: pathology. Clinical Oncology. 2011;23(4):261-267. doi: 10.1016/j.clon. 2011.01.160.

Zablotska LB, Ron E, Rozhko AV, Hatch M, Polyanskaya ON, Brenner AV, Lubin J, Romanov GN, McConnell RJ, O’Kane P, Evseenko VV, Drozdovitch VV, Luckyanov N, Minenko VF, Bouville A, Masyakin VB. Thyroid cancer risk in Belarus among children and adolescents exposed to radioiodine after the Chornobyl accident. British Journal of Cancer. 2011;104(1):181-187. doi: 10.1038/ sj.bjc.6605967.

Guarino V, Castellonea MD, Avillaa E, Melillo M. Thyroid cancer and inflammation. Molecular and Cellular Endocrinology. 2010;321(1):94-102. doi: 10.1016/j.mce.2009.10.003.




Загрузок PDF: 247
Опубликован
2018-03-03
Как цитировать
1.
Королева ЕГ. ВЛИЯНИЕ ОТДАЛЕННЫХ ПОСЛЕДСТВИЙ ЧЕРНОБЫЛЬСКОЙ АВАРИИ НА ПСИХИЧЕСКУЮ СФЕРУ ЛИКВИДАТОРОВ И ИХ ТЕРАПИЯ. Журнал ГрГМУ (Journal GrSMU) [Интернет]. 3 март 2018 г. [цитируется по 18 апрель 2024 г.];16(1):77-3. доступно на: http://journal-grsmu.by/index.php/ojs/article/view/2222