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УДК 616.728.3-007.24-053.089.89
Kozimzhonova I.F.
Agranovsky M.L.
Muminov R.K.
Karimov A.Kh.
Azimova G.A. department of Psychiatry and Addiction Andijan State Medical Institute
THE PREVALENCE OF MENTAL DISEASES IN CHILDREN WITH LONG-TERM MARRIAGE
Annotation: In recent years, researchers have increasingly focused on hereditary diseases in children and their impact on child mortality rates. Some of the authors, studying hereditary diseases, focused on the role of related marriages.
In Uzbekistan, where the child population is about half the total population and there is a high birth rate, and as a result, a short interval between births and anemia is frequent, there are frequent related marriages - the problem of mental disorders in young children is the most urgent.
Key words: closely related marriage, heredity, wounded age, psyche, diseases.
Relevance. In recent years, researchers increasingly began to pay attention to hereditary diseases in children and their impact on child mortality rates. Some of the authors, studying hereditary diseases, focused on the role of related marriages.
In Uzbekistan, where the child population is about half the total population and there is a high birth rate, and as a result, a short interval between births and anemia is frequent, there are frequent related marriages - the problem of mental disorders in young children is the most urgent.
Purpose of the survey. 1. To study the prevalence and peculiarities of clinical diseases in children with closely related marriages.
2. To study the prevalence of mental illness among children born from related marriages.
3. To determine the degree of severity of mental disorders in children born from related marriages and related marriages with hereditary complications.
4. Develop recommendations on medical genetic counseling among the young population of the Republic of Uzbekistan, which plans to create a family.
Materials and methods of the study: To solve the tasks, we conducted a survey of 50 children with A to DPSA records.
Results of the study: All the patients in Andijan were taken, of them families with a burdened family relationship were selected, and a related marriage with a mental burden. After examining these families, 50 children were identified
who were registered with the AOPPD who had mental disorders in the form of mental retardation, oligophrenia, the presence of convulsive seizures, mood swings, changes in behavior, and children with organic brain damage.
General characteristics of the examined patients
Age Boys Girls Total
Abs % Abs % Abs %
1 - 5 years 1 2 % 1 2 % 2 4 %
6 - 10 years 10 20 % 11 22 % 21 42 %
11 - 15 years 8 16 % 11 22 % 19 38 %
16 - 18 years 5 10 % 3 6 % 8 16 %
TOTAL 24 48 % 26 52 % 50 100 %
The greatest number of children falls to the age of 6-10 years, of which boys-9 (20%) are girls 11 (22%).
In the second place children with mental disorders aged 11-15 years, among them girls - 11 (22%), boys - 8 (16%).
8 sick children aged 16-18 years. Of these, 5 (10%) are boys, 3 (6%) are girls. And the smallest number of identified mentally ill children refers to the age from 1 to 5 years, this is 1 (2%) a boy, 1 (2%) a girl.
Thus, from the contents of the table it can be seen that the manifestations of mental disorders are more extended to the age of 6-15 years. This is 40 (80%) patients, of which boys -18 (36%), girls - 22 (44%).
Children with similar mental disorders were taken to the control group, but the parents of these children were not in a related marriage and did not have a mentally burdened heredity, this group was selected on the basis of a 10% representative sample by the random number method (Table 2)
Of the 43 examined, the control group included children whose parents are healthy, are not married, without hereditary complications of mental illness. This group was divided by age and sex.
The largest number of children falls to the age of 6-10 years 18 (41.8%) children, of which boys - 8 (18.6%), girls - 10 (23.2%).
Children with mental disorders of 11-15 years are on the second place, of them boys - 7 (16.3%), girls - 9 (21.0%), teenagers of 16-18 years make up 3 group, of which boys - 4 (9 , 3%), girls-3 (7%) total 7 (16.3%)
And the smallest number of mentally ill children refers to the age from 1 to 1 year to 5 years, this is 1 (2%) a boy, 1 (2%) a girl.
Thus, from this table it can be seen that the manifestations of mental disorders are more extended to the age of 6-15 years. This 34 (79%) patients, of them boys - 15 (34.9%), girls - 19 (44.2%)
When examining children for nosology in thematic patients in the presence of related marriages and hereditary complications, the following diseases were identified.
On the first place of oligophrenia, in the second place children with organic lesion of the central nervous system and in third place children with a diagnosis of epilepsy.
Analysis of these data shows that the largest number falls on oligophrenia -26 (74.3%) of all children surveyed, 16 of them girls (45.7%), boys - 10 (28.5%). With an organic lesion of the central nervous system, 5 (14.3%) children were identified, with boys 4 (11.5%) girls 1 (2.8%). In third place patients with epilepsy, only 4 (11.5%) children, of them boys 4 (11.5%)
When examining children in related marriages with hereditary complications, the following diseases were identified: at 1 place of oligophrenia, children with organic lesion of the central nervous system and in 3rd place children diagnosed with epilepsy were in 2nd place.
When analyzing these data, one can see that the largest proportion falls on oligophrenia - 34 (68%) of all children surveyed, of them girls - 21 (42%) boys -13 (26%)
10 (20%) children were diagnosed with organic CNS lesions, among them boys - 7 (14%), girls - 3 (6%).
In third place there is more with epilepsy, there are only 6 children (12%), of them boys - 4 (8%), girls - 2 (4%)
In the analysis of mental disorders by nosology in thematic patients in the presence of related marriages without hereditary complications, the following diseases were identified. The largest number of children with a diagnosis of oligophrenia, a total of 8 (53.4%) children, including boys - 3 (20%) girls - 5 (33.4%).
Children with organic lesions of the central nervous system (5) (33.3%) are in 2nd place, of them boys - 3 (20%) girls - 2 (13.3%)
In third place children with epilepsy, only 2 (13.3%) children, of whom boys - no; girls - 2 (13.3%)
Thus, from this table it can be seen that oligophrenia is the largest number in the examination of children, 8 (53.4%) cases. Of these boys - 3 (20%) girls - 5 (33.4%)
In the control group, the children surveyed were distributed according to the following nosologies. A total of 43 patients, of them boys - 20 (46.5%), girls - 23 (53.5%).
In the first place, children with a diagnosis of oligophrenia, children with organic lesions of the central nervous system are on the second place and children with epilepsy are on the third place.
From these data it can be seen that the greatest proportion falls on oligophrenia - 30 (69.7%), of all the children surveyed, of them girls - 18 (4/8%), boys - 12 (27.9%). With the diagnosis of organic lesion of the central nervous system, 7 (16.3) children were found, where boys - 5 (11.6%), and girls - 2 (4.7%).
In third place patients with epilepsy, only 6 (14%), of them boys - 3 (7%) girls - 3 (7%).
During the examination, 50 children with mental disorders were identified, among them boys - 24 (48%) and girls - 26 (52%) under the age of 18. This group was divided by age and sex: from 1 to 5 years, boys make up - 1 (2%), girls 1 (2%). Total - 2 (4%) from 6 to 10 years, boys make up 10 (20%), girls 11 (22%)
In total - 21 (42%) from 11 to 15 years old boys make up 8 (16%), girls 11 (22%). A total of 19 (38%) from 16 to 18 years old boys make up 5 (10%), girls 3 (6%).
The data of the nosology is encrypted by ICD-10 "Clinical Manual of the Model for the Diagnosis and Treatment of Mental and Behavioral Disorders".
Conclusions: 1. The combination of hereditary burdens and closely related marriages among parents significantly increase the risk of developing mental disorders in children.
2. Developed in these children's mental disorders are more severe clinical manifestations, greater progression of the course and, consequently, a worse prognosis.
Sources used:
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