Utshwala Dementia: Iyiphi i-Wernicke-Korsakoff Syndrome?

Ukubikezela, Ukulindela Ukuphila Nokunakekelwa kwe-Wernicke-Korsakoff Syndrome

I-Wernicke-Korsakoff syndrome (ebizwa nangokuthi i-dementia yotshwala) iqoqo lezinkinga ze-neurological ezibangelwa ukuntuleka kwe- thiamine (vitamin B1). Uma umuntu engakwazi ukuphefumula, ubuchopho bakhe abukwazi ukucubungula ushukela emandleni engqondo ongawasebenzisa ukuze asebenze futhi angase ahlakulele izimpawu zokugula komqondo , kuhlanganise nokudideka nokulahlekelwa inkumbulo.

I-Wernicke-Korsakoff syndrome ingathinta impilo-isikhathi futhi idinga ukwelashwa ngokushesha.

I-Wernicke-Korsakoff syndrome iqukethe i-Wernicke encephalopathy, eqala kuqala, bese i-Korsakoff syndrome, evame ukuveza njengoba izimpawu ze-Wernicke encephalopathy zixhaswa.

I-Wernicke-Korsakoff syndrome ingase ibizwe ngokuthi yi-Korsakoff psychosis, ukucindezeleka kuka-Wernicke, ukucindezeleka ngokweqile, ukukhathazeka ngokweqile - utshwala, isifo sengqondo sokuphuza utshwala nesifo sikaWernicke.

Izimpawu

• I-Wernicke Encephalopathy

Izimpawu ze-Wernicke encephalopathy zihlanganisa isiqephu esiphuthumayo sokuncipha kwengqondo, ukudideka, ukuzamazama komlenze, ukuphazamisa, ukunciphisa imisipha yomzimba, ukuguqulwa kwamehlo nokuguqulwa kwamehlo (kufaka phakathi ijwabu lezinyosi, umbono ophindwe kabili nokuhamba okungajwayelekile) kanye nezinye izimpawu zokuphuza utshwala. Izibonakaliso ze-Wernicke encephalopathy zivame ukuhlukaniswa njengezinhlobonhlobo (iso), i-cerebellar (ibhalansi nokulawula komzimba) nezimpawu zokudideka.

Ukukhubazeka kwe-Wernicke yisimo esidinga ukunakekelwa ngokushesha kanye nokwelashwa okufanele, kungabuyekezwa.

• Korsakoff Syndrome

Izimpawu ze-Korsakoff syndrome zihlanganisa ukulahlekelwa kwememori (kubandakanya ikhono lokuthola izinkumbulo ezindala kanye nekhono lokwenza okusha), ukucabangela , nokuhlanganiswa (ukwakha izindaba).

I-Korsakoff syndrome ivame ukugula okungapheli ukuthi ngokuvamile, kodwa hhayi njalo, kulandela isiqephu se-encephalopathy ye-Wernicke.

Ukuvama

Kunzima ukwazi ukuthi i-Wernicke-Korsakoff syndrome ejwayelekile kangakanani, njengoba ucwaningo lubonisa ukuthi luhlolwe kakhulu. Ucwaningo olulodwa luchaza isilinganiso sokuthi ngamaphesenti angu-1-2 abantu abaningi kanye namaphesenti angu-12-14 kulabo abahlukumeza utshwala. Kodwa-ke, ukuxilongwa kwalo kuphuthelwa njalo njengoba kuboniswa ukuhlonza okuphakeme kwesifo esibucayi emzimbeni ongaphezu kokuphila.

Izimbangela

Ingozi ejwayelekile kakhulu ye-Wermicke-Korsakoff syndrome ukuhlukumeza ngokweqile, kodwa kungase kubangelwe yi-AIDS, umdlavuza, izifo ezingapheliyo, i-kidney dialysis, i-anorexia kanye nokuntuleka komzimba ukuthola imithi ekudleni. Ingozi nayo yanda emva kokuhlinzwa kwe-bariatric yokukhuluphala.

Ukuxilongwa

Ukuze uhlolisise i-Wernicke encephalopathy, amazinga e-thiamine egazini lomuntu kufanele ahlolwe.

Akukho ukuhlolwa okulodwa ku-Wernicke-Korsakoff syndrome. Esikhundleni salokho, itholakala ngokubheka ezinye izimo. Ukuhlola kungabandakanya ukuhlolwa kwengqondo, ukuhlolwa kwegazi , nokuhlolwa kwamagciwane ukuze kuhlolwe ukuhamba kwamehlo, amandla omzimba nokusebenzisana. I-MRIs ingasetshenziselwa ukukhomba izilonda ebuchosheni obungase bukhule ngenxa yesifo.

Ukwelapha

I-Wernicke encephalopathy idinga ukwelashwa okusheshayo okuvame ukuqukethe ukulinganisa okuphezulu kwe-thiamine enikezwe ngaphakathi. Olunye ucwaningo lubonisa ukuthi uma i-Wermicke encephalopathy ingenxa yokusebenzisa kabi utshwala, lo muntu angadinga isilinganiso esiphezulu se-thiamine kunaleso sikhathi esivela kwezinye izimbangela.

Ukwelashwa okuqhubekayo kwe-Wernicke-Korsakoff syndrome kuhlanganisa ukuyeka ukuphuza utshwala, ukondleka okwanele kanye ne-vitamin supplementation.

Isibikezelo

Isibikezelo se-Wernicke-Korsakoff syndrome sihlukile. Ngokunakekelwa okufanele, i-Alzheimer's Association ilinganisa ukuthi abantu abangaba ngu-25% bazophuluka, cishe ingxenye izoba ngcono kodwa ingabuyiselwa ngokugcwele ngokugcwele futhi cishe u-25% uzohlala ngokufanayo.

Noma yikuphi ukuthuthukiswa ekusebenzeni ngokuvamile kwenzeka eminyakeni emibili yokuqala ngemuva kokuba izimpawu ziqale. Isikhathi sokuphila singase sihlale sijwayelekile uma umuntu engaphuzi utshwala.

Ukuchazwa kwe-Wernicke-Korsakoff syndrome kuphakeme uma kuqhathaniswa nesifo so-Alzheimer kanye nezinye izinhlobo zokuwohloka komqondo okuncipha kwazo okuqhubekayo nokuqhubekayo, naphezu kwemizamo yokwelapha.

_Imithombo:

_{Utshwala & Utshwala. I-Vol. 44, No. 2, iphe. 148-154, 2009. I-Korsakoff Syndrome: Izimo zeMitholampilo, Psychology and Treatment. http://alcalc.oxfordjournals.org/content/44/2/148.full.pdf}

_{I-Alzheimer's Association. Iphepha le-Korsakoff Syndrome. http://www.alz.org/dementia/downloads/topicsheet_korsakoff.pdf}

_{I-Alzheimer's Society. Kuyini i-Korsakoff's Syndrome? May 2012. http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=98}

_{I-European Journal of Neurology 2010,17: 1408-1418. Imikhombandlela ye-EFNS yokuxilongwa, ukwelashwa nokuvimbela ukuxilongwa kwe-Wernicke encephalopathy. http://www.efns.org/fileadmin/user_upload/CME_articles/CME_article_2010_December.pdf}

_{Ama-Institutes kaZwelonke wezeMpilo.MedlinePlus. I-Wernicke-Korsakoff syndrome. http://www.nlm.nih.gov/medlineplus/ency/article/000771.htm}