I-Wernicke-Korsakoff syndrome ichaphazela imemori, ukufunda kunye nezinye izakhono zokuqonda
Ukusela ngokweqile kwithuba leminyaka kunokukhokelela kwimeko eyaziwa ngokuba yi-dementia yotywala (echazwe ngokucacileyo njenge-disorder-disordered disorder disorder in DSM 5), engabangela iingxaki ngememori, ukufunda kunye nezinye izakhono zokuqonda.
Sibanzi
Utywala lunempembelelo ngqo kwiiseli zobuchopho, obangela ukugwetywa kakubi, ubunzima bokuthatha izigqibo kunye nokungabikho kokuqonda.
Iingxaki zesondlo ezihlala zihamba kunye nexesha elide lokusetyenziswa kakubi kotywala zingabangela enye into ebangeleyo, kuba ezinye iinkohlakalo zingonakaliswa yi-vitamin deficiencies.
Ukunyuka kwengqondo ngokweengxaki kufana nezinye iindlela kwi-Alzheimer's disease ekubeni ichaphazela imemori nokukwazi ukuqonda. Kwakhona, njenge-Alzheimer's, xa udala ukugula komnxila kukhula kunzima okanye akunakwenzeka ukuguqula.
I-Wernicke-Korsakoff Syndrome
Enye ye-syndromes yoxinzelelo lwengqondo yotywala iyaziwa ngokuba yi-Wernicke-Korsakoff syndrome, eyona nto iphazamiseka ezimbini ezinokuzimela ngokuzimeleyo okanye kunye kunye: U-Wernicke's encephalopathy kunye ne-Korsakoff psychosis.
I-psychosis korsakoff iyaqhubeka njengoko iimpawu zeWernicke ziqala ukuphazamisa okanye ukuyeka. I-Wernicke's encephalopathy ibangela umonakalo kwiindawo eziliqela zobuchopho, kuquka i-thalamus kunye ne-hypothalamus. I-psychosetic psychosis iziphumo xa ezi ndawo zengqondo echaphazelekayo kunye nememori zonakaliswa ngonaphakade.
Izizathu
Utywala ngokwawo alubangela i-Wernicke-Korsakoff syndrome ngokungathi i-atrophy yeeseli zeengqondo ezenzekayo ngokusweleka kwe-thiamine (i-vitamin B1). Abantu abanokusetyenziswa kakubi kotywala kotywala badla ukuba banesondlo esondlo kwimeko yokutya okubi.
Ukusilela kwe-Thiamine kuyaqhelekileyo phakathi kwezidakwa ezingasaphili, nto ingxaki kuba iiseliti zamathambo zidinga ukuba i-thiamine isebenze ngokufanelekileyo.
Ukungabi nako okungapheliyo kwe-vitamin B1 kungabonakalisa ngokusisigxina.
I-Thiamine isebenza kwingqondo ngokunceda iiseli zengqondo zivelise amandla kwishukela. Ukuba kukho ukusilela kwe-thiamine, iiseli zengqondo azivelisi amandla okwaneleyo ukusebenza ngokufanelekileyo.
Iziphumo kwiBrain
I-Wernicke's encephalopathy, ngamanye amaxesha kuthiwa yi-alcocelic encephalopathy, ibandakanya umonakalo kwiindawo ezininzi kwi-system central neervous system. Ikwaquka kwakhona iimpawu ezibangelwa ukuhoxiswa kotywala .
I-Korsakoff syndrome, okanye i-Korsakoff ye-psychosis, ibandakanya ukungaphumeleli kwememori kunye neengqondo / izakhono zokuqonda, ezifana nokuxazulula iingxaki okanye ukufunda, kunye neempawu ezininzi zomonakalo wenzwa. Uphawu oluphawulekayo lubonakaliso (ukuvelisa) apho umntu enza amaqela achaziweyo, akholwe ngamava okanye kwiimeko zokukhawulela iimpompo kwimemori. I-psychosis ye-Korsakoff ibandakanya umonakalo kwiindawo zeengqondo.
Abo banesifo sengqondo se-dementia banakho ukukwazi ukufunda izinto ezintsha, ngelixa ezininzi zazo zakhono zengqondo zisasebenza kakhulu. Kanye nokuhla kwezakhono zengqondo , ngamanye amaxesha utshintsho lomntu lubonakalayo.
Izimpawu kunye neMpawu
Ukudideka kungabonakalisa uphawu oludlulileyo lwe-dementia, kodwa oludideko luhamba kunye neengxaki zeememori ezicacileyo.
Abo banesifo sengqondo somzimba bangakhumbula ngemicimbi ecacileyo eyadlulayo kwiminyaka edlulileyo, kodwa abakwazi ukukhumbula iziganeko ezenzeka kwiminyana embalwa edlulileyo.
Olunye uphawu oluqala ukuxelela amabali afanayo okanye ukubuza imibuzo efanayo, ngokungazikhumbuli ukuba le mibuzo iphendulwe nje kwaye iphendulwa. Kwintetho, umntu unokuphinda aphinda ucezu olufanayo lwamaxesha angama-20, ehlala engazi kakuhle ukuba aphinda into efanayo ngokucacileyo.
Ngokuphawulekayo, ngexesha elifanayo banokubonakala bephethe iikhono zabo , bekwazi ukuqiqa kakuhle, bathathe iinqununu ezichanekileyo, bathethe amaqhinga, okanye badlale imidlalo efuna izakhono zengqondo, ezifana ne-chess okanye amakhadi.
Iimpawu ze-Wernicke encephalopathy ziquka:
- Ukudideka kunye nokulahlekelwa kwengqondo
- Ukulahlekelwa koxilongo
- Ukunyuka kwamehlo okungaqhelekanga (ukuhamba kunye nokuhamba)
- Umbono ombini
- Ikhosidi
- Utywala utywala
Iimpawu ze-Korsakoff syndrome:
- Ukungakwazi ukwenza imemori emitsha
- Ukulahlekelwa kwememori (ngamanye amaxesha anzima)
- Ukwenza amabali (ukudibanisa)
- Hallucinations
U vavanya
Ukuhlolwa kwemisipha / i-muscular system ingabonakalisa umonakalo kwiinkqubo ezininzi zeembilini zomonakalo eziwonakaliswe yintlungu yokudakwa, kuquka:
- Ukunyakaza kwamehlo okungavamile
- Iingcamango eziphantsi okanye ezingavamile
- Ukushayela ngokukhawuleza (intliziyo yenani)
- Uxinzelelo lwegazi oluphantsi
- Iqondo lobushushu obuphantsi
- Ubuthakathaka obuthathaka kunye ne-atrophy
- Iingxaki ngokuhamba (gait) kunye nokulungelelaniswa
Umntu onomdemokhali otywalayo unokubonakala engenakondliwa kakuhle. Ezi zilandelayo zivavanyo zingasetyenziselwa ukujonga izinga lomntu wesondlo:
- I-album ye-albin (isondlo jikelele)
- Amanqanaba eSerum vitamin B1
- Umsebenzi weTrketolase kwiiseli ezibomvu zegazi
Ukongezelela, i-enzyme yesibindi ingaba phezulu kubantu abanomdla wokusetyenziswa kakubi kotywala.
Unyango
Uphulo lwangokokuqala luphambili ekuphatheni ngempumelelo ukunyuka kwengqondo kotywala. Ukuba ubanjwe ngokukhawuleza kwaye umonakalo kwengqondo kunye neentsholongwane zibuhlungu, izigulana zingabonisa ukuphuculwa okukhulu ngokuyeka utywala nokuphucula ukutya kwazo.
Nangona kunjalo, ukuba umntu uye wafumanisa ukuba une-Wernicke-Korsakoff syndrome, akukho ngokwenene unyango oluya kubuyiselwa ngokupheleleyo yonke imisebenzi yabo yokuqonda. Iinjongo zonyango zivame ukujoliswa ekulawuleni iimpawu kunye nokukhusela ingqondo ekungabikho kombi. I-Vitamin B1 ivame ukulawulwa ukuzama ukuphucula:
- Ukudideka okanye i-delirium
- Ubunzima nombono kunye nokunyuka kwamehlo
- Ukungabikho kwemisipha yokubambisana
Nangona kunjalo, unyango lwe-vitamin B1 ludla ngokuphucula ukulahlekelwa kwememori kunye nengqiqo eyenzekayo nge-psychosaff psychosis.
Enyanisweni, unyango lwengqondo yokunxiliswa kotywala luquka ukuyeka ukusetyenziswa kotywala. Ukuyeka ukusela kuyakukhusela ukulahlekelwa okongeziweyo kwengqondo kunye nokulimala kwiisondlo. Kwakhona, ukuphucula ukutya kwesigulane kunokunceda, kodwa ayifaki indawo yokuyeka ukusela utywala ekuthintela ukunyuka kwengqondo okudakayo.
Iingxaki ezinokwenzeka
Ngelishwa, ngokutsho kweeNational Institutes of Health, izigulane ze-Wernicke-Korsakoff ze-syndrome zihlala ziba neengxaki ezinzulu, kuquka:
- Utywala utywala
- Unzima kunye nentsebenziswano yoluntu
- Ukulimala okubangelwa ukuwa
- Utywala obunxilisayo obunaphakade
- Ukulahlekelwa ngonaphakade kwezakhono zokucinga
- Ukulahleka kweememori
- Ubomi obufutshane
Thintelo
Ngenxa yokuba i-Wernicke-Korsakoff syndrome isoloko ifunyenwe kwizidakwa ezinxilisayo, ukuyeka okanye ukulinganisela ukusetyenziswa kotywala yindlela efanelekileyo yokukhusela imeko ekuphuhliseni. Nangona kunjalo, kukho ezinye iingozi zokuphuhlisa imeko, kubandakanywa:
- Anorexia
- Ukutya ukutya okuninzi
- Ukuzila
- Nxuwa
- Isisindo sokulahlekelwa ngumzimba
- Ukuhlanza okungalawulwayo
- AIDS
- Dialysis yeentso
- Usulelo olusuleleko
- Igciwane eliye lasasazeka kuwo wonke umzimba
Imithombo:
I-Alzheimer's Association. "Korsakoff Syndrome." I-Alzheimer & Dementia 2016
ILayibrari yeSizwe ka-US yamayeza. "I-Wernicke-Korsakoff syndrome." I-Encyclopedia yezoLimo ihlaziywa ngoFebruwari 2016