自闭症谱系障碍的胃肠道紊乱及其可能的发展机制

D. V. Ivanova, Иванова Дарья Викторовна, A. Ziganshin, Зиганшин Айрат Усманович
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引用次数: 1

摘要

本文介绍了目前的文献涵盖一般信息,以及临床和实验研究自闭症谱系障碍的分析。自闭症是一种复杂的精神障碍。越来越多的文献表明,自闭症谱系障碍与自主神经系统功能障碍有关,特别是那些影响胃肠道和膀胱的神经系统功能障碍。此外,还有营养、新陈代谢、免疫和内分泌系统以及微生物群方面的问题。在过去的40年里,自闭症的患病率显著上升。随着越来越多的自闭症儿童长大成人,在整个生活中了解这种情况是至关重要的。尽管许多研究都集中在了解诊断和治疗如何帮助儿童,但很少有人关注成年自闭症患者以及初级保健小组如何更好地帮助这些人。尽管在确定影响自闭症谱系障碍发展的因素方面取得了重大进展,但该疾病的病因仍不确定。在这方面,科学家们正试图获得啮齿动物的自闭症模型,以继续进一步的研究。基于临床和实验研究的数据,提出了嘌呤能系统在自闭症谱系障碍发病机制中可能起作用的假设。结果令人鼓舞,但还需要进一步的研究。因此,躯体障碍会加重自闭症的主要症状,影响沟通和行为功能。在这方面,进一步的研究是必要的,包括在自闭症谱系障碍的啮齿动物模型中,以有助于确定该障碍的可能原因。
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Disorders of the gastrointestinal tract and possible mechanisms of their development in autism spectrum disorders
The article presents an analysis of current literature covering general information, as well as clinical and experimental research on autism spectrum disorder. Autism is a complex mental disorder. A growing body of literature suggests the association of autism spectrum disorder with dysfunction of the autonomic nervous system, especially those affecting the gastrointestinal tract and bladder. In addition, there are problems with nutrition, meta­bolism, immune and endocrine systems, and microbiota. Prevalence of autism has increased significantly over the past 40 years. As more and more children with autism become adults, understanding this condition throughout life is of paramount importance. Although many research has focused on understanding how diagnosis and treatment can help little children, few are focused on adults with autism and how primary care groups can better help these ­people. Despite significant progress toward identifying the factors influencing the development of autism spectrum disorder, the etiology of the disease remains uncertain. In this regard, scientists are trying to obtain models of autism in rodents to continue further research. Based on the data obtained during clinical and experimental ­researches, a hypothesis about the possible role of the purinergic system in the pathogenesis of autism spectrum disorder is consi­dered. The results are encouraging, but further research is required. Thus, somatic disorders can worsen the main symptoms of autism, which affect communication and behavior functioning. In this regard, further research is ne­cessary, including in a rodent model of autism spectrum disorder to contribute to identifying the possible causes of the disorder.
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