Mowa Wosokoneza Bongo: Kodi Wernicke-Korsakoff Syndrome N'chiyani?

Kutsegula, Kuyembekezera Moyo ndi Chithandizo cha Wernicke-Korsakoff Syndrome

Matenda a Wernicke-Korsakoff (omwe amatchedwanso mowa wa maganizo oledzeretsa) ndi amodzi omwe amachokera ku thiamine (vitamini B1). Ngati wina alibe vuto la thiamine, ubongo wake sungathe kupanga shuga mu mphamvu zimene ubongo ungagwiritse ntchito kuti athe kugwira ntchito ndipo akhoza kukhala ndi zizindikiro za matenda a maganizo , kuphatikizapo kusokonezeka ndi kukumbukira kukumbukira.

Matenda a Wernicke-Korsakoff angakhudze momwe moyo ulili komanso zosowa zowonongeka.

Matenda a Wernicke-Korsakoff ali ndi Wernicke encephalopathy, omwe amapanga choyamba, kenako matenda a Korsakoff, omwe nthawi zambiri amasonyeza ngati zizindikiro za matenda a Wernicke encephalopathy akuthandizira.

Matenda a Wernicke-Korsakoff angathenso kutchedwa Korsakoff psychosis, kuvutika kwa Wernicke, kuledzeretsa kwauchidakwa, kuperewera kwa mowa, mowa, mowa mwauchidakwa komanso matenda a Wernicke.

Zizindikiro

• Wernicke Encephalopathy

Zizindikiro za matenda a ubongo wa Wernicke zimaphatikizapo chidziwitso cha kuchepa kwa malingaliro, kusokonezeka, kusokonezeka kwa mwendo, kudodometsa, kuchepa kwa minofu, kugwedezeka kwa maso, masomphenya ndi maso (kuphatikizapo mazira, kutuluka m'maso komanso kusuntha kwa diso) ndi zizindikiro zina za kuchotsa mowa. Zizindikiro za Wernicke zomwe zimapangitsa kuti thupi likhale ndi matendawa limakhala ngati diso (diso), cerebellar (kuchepetsa thupi ndi kulamulira) komanso zizindikiro zosokonezeka.

Wernicke encephalopathy ndi chikhalidwe chomwe chimafuna kuchipatala mwamsanga ndi chithandizo choyenera, chikhoza kusinthidwa .

• Korsakoff Syndrome

Zizindikiro za matenda a Korsakoff zimaphatikizapo kukumbukira kukumbukira (kuphatikizapo kuthetsa kukumbukira zakale ndikutha kupanga mawonekedwe atsopanowo), kulumikizana , ndi kugwirizana (kupanga nkhani).

Matenda a Korsakoff nthawi zambiri amakhala ovuta kwambiri koma nthawi zonse amatsatira zochitika za Wernicke.

Kukula

Ziri zovuta kudziwa momwe matenda a Wernicke-Korsakoff wamba amachitira, monga momwe kafukufuku amasonyezera kuti ndizosamvetsetseka kwambiri. Kafukufuku wina amasonyeza kuti pafupifupi pafupifupi 1-2 peresenti ya anthu ambiri ndi 12-14 peresenti kwa omwe amamwa mowa mopitirira muyeso. Komabe, kafukufuku wake nthawi zambiri amasowa monga zikuwonetseredwa ndi chidziwitso chapamwamba cha matendawa m'maganizo a ubongo kusiyana ndi moyo.

Zimayambitsa

Matenda owopsa kwambiri a matenda a Wermicke-Korsakoff ndi kumwa mowa mopitirira muyeso, koma akhoza kuyambitsidwa ndi AIDS, khansara, matenda osapatsirana, dialysis ya impso, anorexia ndi kusatheka kwa thupi kutenga zakudya za zakudya. Vutoli likuwonjezeredwa pambuyo pa opaleshoni ya boreat kuti ukhale wonenepa kwambiri.

Kudziwa

Kuti apeze matenda a Wernicke, matenda a thiamine m'magazi a munthu ayenera kuyesedwa.

Palibe mayeso amodzi kwa matenda a Wernicke-Korsakoff. M'malo mwake, amapezeka ndi kulamulira zina. Kufufuza kungaphatikizepo kuyesa kulingalira, kuyezetsa magazi , ndi kuwonetsetsa kwa ubongo kuti azindikire kayendetsedwe ka diso, mphamvu ya minofu ndi kugwirizana. MRIs angagwiritsirenso ntchito kuti adziwe zilonda za ubongo zomwe zingayambe chifukwa cha matendawa.

Chithandizo

Kuchuluka kwa matenda a Wernicke kumafuna nthawi yomweyo mankhwala omwe nthawi zambiri amakhala ndi mlingo waukulu wa thiamine woperekedwa mwachangu. Kafukufuku wina amasonyeza kuti pamene Wermicke akudwala mowa chifukwa chomwa mowa mopitirira muyeso, munthuyo angafunike mlingo wapamwamba wa thiamine kusiyana ndi pamene umachokera ku zifukwa zina.

Chithandizo chochuluka cha matenda a Wernicke-Korsakoff chimaphatikizapo kupeŵa kumwa mowa, chakudya chokwanira komanso vitamini supplementation.

Kuthamangitsani

Maganizo a matenda a Wernicke-Korsakoff ndi osiyanasiyana. Ndi mankhwala oyenera, Alzheimer's Association ikuyesa kuti pafupifupi 25 peresenti ya anthu adzachira, pafupifupi theka lidzasintha koma osati kudzagwiranso ntchito mokwanira ndipo pafupifupi 25% adzakhalabe mofanana.

Kukula kulikonse kuntchito kumachitika mkati mwa zaka ziwiri zoyambirira zizindikiro zitayamba. Chiyembekezo cha moyo chingakhalebe chachilendo ngati munthuyo samamwa mowa.

Maganizo a matenda a Wernicke-Korsakoff ndi opambana poyerekeza ndi a matenda a Alzheimer ndi mitundu ina ya dementia yomwe kuchepa kwachilendo ndi kosalekeza, ngakhale kuyesayesa.

_Zotsatira:

_{Mowa & Alcoholism. Vol. 44, No. 2, pp. 148-154, 2009. Korsakoff Syndrome: Madokotala, Psychology ndi Chithandizo. http://alcalc.oxfordjournals.org/content/44/2/148.full.pdf}

_{Alzheimer's Association. Korsakoff Syndrome Mutu Wolemba. http://www.alz.org/dementia/downloads/topicsheet_korsakoff.pdf}

_{Alzheimer's Society. Kodi Korsakoff's Syndrome N'chiyani? May 2012. http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=98}

_{European Journal of Neurology 2010,17: 1408-1418. Zotsatira za EFNS zowunikira, chithandizo ndi kupewa Wernicke matenda ovuta. http://www.efns.org/fileadmin/user_upload/CME_articles/CME_article_2010_December.pdf}

_{Ma Institutes of Health.MedlinePlus. Matenda a Wernicke-Korsakoff. http://www.nlm.nih.gov/medlineplus/ency/article/000771.htm}