Wernicke-Korsakoff syndrome inokanganisa nheyo, kudzidza, uye mamwe unyanzvi hwokuziva
Kunyanyisa kunwa kwemakore akawanda kunogona kutungamirira kumamiriro ezvinhu anozivikanwa sewaini demoenti (inotsanangurwa zvakajeka sewaini-inokonzerwa neurocognitive disorder mu DSM 5), iyo inogona kukonzera matambudziko nekuyeuka, kudzidza, nekumwe unyanzvi hwekuziva.
Overview
Doro rinokonzera zvizere masero europi, zvichikonzera kusaruramisira, kuoma kuita zvisarudzo, nekushaya kunzwisisa.
Zvinetso zvekudya zvinowanzoperekedzwa kwenguva yakareba yekudhakwa zvinodhaka zvinogona kuva chimwe chinhu chinokonzera, sezvo zvikamu zveuropi zvingave zvichikuvadzwa nehutachiona hwehutachiona.
Kunwa dorozi kwakafanana nenzira dzakasiyana-siyana kune chirwere cheAlzheimer pakuti chinokanganisa chiyeuchidzo uye kukwanisa kunzwisisa. Uyewo, kufanana neAlzheimer's, kana dambudziko rekushaya dambudziko rinowedzera zvakaoma kana kuti hazvibviri kuchinja.
Wernicke-Korsakoff Syndrome
Imwe ye syndromes yekudhakwa kwekudhakwa inozivikanwa saWernicke-Korsakoff syndrome, iyo inonyanya kushungurudzika kunogona kuitika zvakasununguka kana pamwe chete: Wernicke's encephalopathy naKorsakoff psychosis.
Korsakoff psychosis inowanzoitika sezvo zviratidzo zveWernicke zvinotanga kukurira kana kumira. Wernicke's encephalopathy inokonzera kukanganisa munzvimbo dzakasiyana dzeuropi, kusanganisira thalamus uye hypothalamus. Korsakoff psychosis inoguma apo zvikamu izvi zveuropi zvakabatanidzwa nekuyeuka zvakaparadzwa zvachose.
Zvinokonzera
Doro pachayo haisi kukonzera Wernicke-Korsakoff syndrome zvakadai sekurohwa kwemasero europi anowanikwa nehuamine inoshaikwa (vitamini B1). Vanhu vane doro rakawandisa vanoshandisa zvinetso zvinowanzova nekushaya kukwana kwezvokudya kubva pane kudya kwakashata.
Kutapukira kweiyamine kwakajairika kune vanodhakwa, vane dambudziko nokuti masero emagetsi anoshandisa thiamine kuti iite zvakanaka.
Kushaikwa kwema vitamini B1 kusingaperi kunogona kuvakuvadza zvachose.
Thiamine inoshanda muuropi nekubatsira masero europi zvichibudisa simba kubva kune shuga. Kana pane kushayikwa kwe thiamine, masero europi haapi simba rakakwana kuti riite zvakanaka.
Migumisiro paBongo
Wernicke's encephalopathy, dzimwe nguva inonzi kudhakwa kwekudhakwa, inosanganisira kukanganisa kune nzvimbo dzakawanda munharaunda yenheyo yepamusoro. Inogonawo kusanganisira zviratidzo zvinokonzerwa nekunwa doro .
Korsakoff syndrome, kana Korsakoff psychosis, inosanganisira kuora mwoyo kwepfungwa nekuchenjera / njere yekuziva, sekugadzirisa matambudziko kana kudzidza, pamwechete nemararamiro akawanda emhirizhonga. Chiratidzo chinonyanya kusiyanisa ndechekugadzirisa (kugadzira) apo munhu anoita nhoroondo dzakadzama, dzinotendwa pamusoro pezviitiko kana mamiriro ezvinhu okuvhara zvipfeko mukurangarira. Korsakoff psychosis inosanganisira kukanganisa kunzvimbo dzeuropi.
Avo vane chirwere chekushaya mungozi vanogona kunge vasina mano mashoma okudzidza zvinhu zvitsva, nepo vazhinji vevamwe mano avo ekufunga vachiri kushanda zvikuru. Pamwe nekuderera kweunyanzvi hwekuziva , dzimwe nguva hunoonekwa hunhu hunoitika.
Zviratidzo nezviratidzo
Kuvhiringidzika kunogona kuva chiratidzo chakanyanya kuoneka chekutanga chekuora mwoyo, asi kuvhiringidzika uku kunowiriranawo nematambudziko anokanganwa.
Vaya vane chirwere chekushaya mungozi vanoyeuka zvakadzama zviitiko zvakaitika makore apfuura, asi havagoni kuyeuka zviitiko zvakaitika mumaminitsi mashomanana adarika.
Chimwe chiratidzo chokutanga chirikuudza nyaya dzakafanana kana kubvunza mibvunzo yakafanana nguva nenguva, pasina chiyeuchidzo chokuti mibvunzo ichangobva kubvunzwa uye yakapindurwa. Mukukurukurirana, mumwe munhu anogona kudzokorora chikamu chimwechete chemashoko makumi maviri, achigara asinganyatsozivi kuti vari kudzokorora chinhu chimwe chete mumatauriro akazara.
Zvinotoshamisa, panguva imwe chete vanogona kuita sevanokwana zvikwaniso zvavo , vakakwanisa kugadzirisa zvakanaka, kutora zvakaderedzwa zvakakodzera, kuita zvinyengeri, kana kutamba mitambo inoda unyanzvi hwepfungwa, dzakadai chess kana makadhi.
Zviratidzo zveWernicke encephalopathy zvinosanganisira:
- Kushungurudzika uye kurasikirwa kwepfungwa
- Kurasikirwa kwemasisitiri kuwirirana
- Kubvisa maziso maziso (kumashure uye kumashure)
- Chiono chechipiri
- Eyelid drooping
- Doro rekusiya
Zviratidzo zveKorsakoff syndrome:
- Kusakwanisa kuumba zvirangariro zvitsva
- Kurasikirwa kwekuyeuka (dzimwe nguva kwakaoma)
- Kugadzira nyaya (kugadzikana)
- Hallucinations
Kuedzwa
Kuongororwa kwehutano / muscular system kunogona kuratidza kukanganisa kune dzakawanda dzenhengo dzenhengo dzomuviri dzakakanganiswa nedoro rekushaya dambudziko, kusanganisira:
- Abnormal eye kufamba
- Kupera kana kusagadzikana mafungiro
- Kukurumidza kutsva (mwoyo wekutsvaga)
- Low blood pressure
- Kupisa kwemuviri kwakadzika
- Utachiona husina simba uye inrophy
- Matambudziko nekufamba (gait) nekubatana
Munhu ane dambudziko rekushaya dambudziko rekudhakwa anogonawo kuonekwa asina kunyanya kudya. Iyi miedzo inotevera inogona kushandiswa kutarisa utano hwemunhu:
- Serum albumin (chikafu chakakwana)
- Serum vitamini B1 mazinga
- Basa reTransketolase mumasero matsvuku eropa
Uyezve, zvirwere zvechiropa zvinogona kunge zvakakwirira kune vanhu vane nhoroondo yekugara kwenguva refu kudhakwa.
Kurapa
Kurapa kwokutanga ndiyo chinhu chinokosha pakurapa zvinodhaka zvinodhaka. Kana akabatwa nekukurumidza zvakakwana uye kukanganisa kwouropi uye nemitsipa kune unyoro, varwere vanogona kuratidza huri nani kuburikidza nekurega doro nekuvandudza kudya kwavo.
Zvisinei, kana mumwe munhu akaonekwa kuti ane Wernicke-Korsakoff syndrome, hakusi iko kwekurapa iyo ichadzorera zvakakwana zvose zvekuziva kwavo. Zvinangwa zvekurapa zvinowanzotarisirwa kugadzirisa zviratidzo uye kudzivirira dambudziko rekushaya mungozi kubva pakuwedzera. Vitamini B1 inowanzotarisirwa kuedza kuvandudza:
- Kuvhiringidzika kana kukonzera
- Matambudziko ane maonero uye kufamba kweziso
- Kusava nemisimba kuwirirana
Zvisinei, vitamini B1 kurapwa kashoma kusimbisa kurasikirwa kwechirangaridzo uye njere dzinoitika neKorsakoff psychosis.
Zvechokwadi, kurapwa kwechirwere chekudhakwa kunosanganisira kurega kunwa doro. Kurega kunwa kunodzivirira kurasikirwa kwakawanda kweuropi kushanda nekukuvadza kumitsipa. Uyewo, kuvandudza kudya kwevarwere kunogona kubatsira, asi hazviiti chinzvimbo chekunwa doro mukudzivirira huwandu hwehutano hwemweya.
Zvimwe Zvimwe Zvinetso
Zvinosuruvarisa, maererano neNational Institutes of Health, Wernicke-Korsakoff syndrome varwere vanowanzova nezvinetso zvakakomba, kusanganisira:
- Doro rekusiya
- Dambudziko nekukurukurirana kwevanhu
- Kukuvadzwa kunokonzerwa nokuwa
- Unogara wakadhakwa neuropathy
- Kurasikirwa kwese kweunyanzvi hwokufunga
- Kurasikirwa kwekusingaperi kwepfungwa
- Yakaderedzwa upenyu hurefu
Kudzivirira
Nokuti Wernicke-Korsakoff syndrome inonyanya kuwanika kune vanodhakwa zvisingaperi, kusiya kana kuenzanisa kunwa doro ndiyo nzira yakanakisisa yekudzivirira mamiriro acho kubva pakukura. Zvisinei, pane zvimwe zviitiko zvinokonzera kukwidziridza mamiriro acho, kusanganisira:
- Anorexia
- Kudya-kwakanyanyisa kudya
- Kutsanya
- Nzara
- Kurasikirwa nekurasikirwa kwekureruka
- Kurutsa kusingadzorwi
- AIDS
- Kidyo dialysis
- Utachiona husingaperi
- Kanzera yakapararira mumuviri wose
Sources:
Alzheimer's Association. "Korsakoff Syndrome." Alzheimer's & Dementia 2016
US National Library of Medicine. "Wernicke-Korsakoff syndrome." Medical Encyclopedia Yakapedzwa muna February 2016