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[1](https://rc.mc21.ru/articles/autizm/). Аномалии социального функционирования и особенностей поведения сохраняются на протяжении всей жизни [2](https://www.invitro.ru/library/chem-boleyut-nashi-deti/27983/).\n\n\n\n## Симптомы\nНекоторые проявления РАС: \n* **Нарушения социального взаимодействия**: трудности в установлении и поддержании зрительного контакта, эмоциональная отстранённость, отсутствие интереса к совместным играм и общению [1](https://rc.mc21.ru/articles/autizm/). \n* **Нарушения коммуникации**: задержка или полное отсутствие развития речи, стереотипная, повторяющаяся речь [1](https://rc.mc21.ru/articles/autizm/). \n* **Ограниченные интересы**: сильная привязанность к определённым предметам, действиям или темам, повторяющиеся ритуалы [6](https://www.smclinic-ryazan.ru/about/diseases/autizm/). \n* **Стереотипные повторяющиеся движения**: повторяющиеся движения руками (хлопки, взмахи), раскачивание тела, ходьба на цыпочках, манипуляции с предметами (вращение, выстраивание в ряд) [6](https://www.smclinic-ryazan.ru/about/diseases/autizm/). \n\nСпектр и выраженность симптомов варьируется у разных людей и меняется с возрастом [1](https://rc.mc21.ru/articles/autizm/).\n\n## Причины\nПричины РАС не полностью изучены, но предполагается, что патология имеет многофакторное происхождение [1](https://rc.mc21.ru/articles/autizm/)[10](https://www.neuro-ural.ru/patient/dictonary/ru/a/autizm-u-detej.html). Некоторые факторы: \n* **Генетические факторы** — риск рождения ребёнка с РАС повышается с возрастом родителей [2](https://www.invitro.ru/library/chem-boleyut-nashi-deti/27983/)[10](https://www.neuro-ural.ru/patient/dictonary/ru/a/autizm-u-detej.html). \n* **Факторы внешней среды** — могут негативно влиять на внутриутробное развитие мозга или нарушать функционирование генов у людей с наследственной предрасположенностью к РАС [10](https://www.neuro-ural.ru/patient/dictonary/ru/a/autizm-u-detej.html).\n\n## Диагностика\nДиагноз ставит детский психиатр или невролог на основе наблюдения за поведением и стандартизированных тестов [11](https://lit-baby.ru/blog/autizm-u-detey/). Некоторые методики: \n* **ADOS-2 (Autism Diagnostic Observation Schedule)** — специалист наблюдает за ребёнком в игровой ситуации, оценивает социальное взаимодействие, коммуникацию и стереотипное поведение [11](https://lit-baby.ru/blog/autizm-u-detey/). \n* **ADI-R (Autism Diagnostic Interview-Revised)** — глубокое структурированное интервью с родителями, о чём спрашивают развитие речи и социализации, поведенческие стереотипии [11](https://lit-baby.ru/blog/autizm-u-detey/). \n* **CARS (Childhood Autism Rating Scale)** — шкала оценки тяжести аутизма, оценивает отношение к людям, адаптацию к изменениям, зрительный контакт, речевые особенности [11](https://lit-baby.ru/blog/autizm-u-detey/). \n\nНи один тест не ставит диагноз самостоятельно — только комплексная оценка специалиста даёт точный результат [11](https://lit-baby.ru/blog/autizm-u-detey/).\n\n## Лечение\n**Полного излечения нет**, но ранняя коррекция улучшает прогноз [11](https://lit-baby.ru/blog/autizm-u-detey/). 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