Ho ipolaea, Bophelo bo Lebeletseng le Phekolo ea Wernicke-Korsakoff Syndrome
Matšoao a Wernicke-Korsakoff (a boetse a bitsoa khama ea dementia) ke setho sa maemo a meriana a bakoang ke ho haella ha thiamine (vithamine B1). Ha motho a haelloa ke thiamine, boko ba hae ha bo khone ho sebetsana le tsoekere ho matla ao boko bo ka bo sebelisang ho sebetsa 'me a ka ba le matšoao a lefu la ' dementia , ho kenyeletsa ho ferekanngoa le ho lahleheloa ke mohopolo.
Matšoao a Wernicke-Korsakoff a ka ama nako ea bophelo le litlhoko tsa kalafo hang-hang.
Lefu la Wernicke-Korsakoff le na le Wernicke encephalopathy, e hlahang pele, ebe joale Korsakoff syndrome, e atisang ho hlahisa e le matšoao a Wernicke encephalopathy e tlaase.
Matšoao a Wernicke-Korsakoff a ka boela a bitsoa Korsakoff psychosis, ho sithabela ha Wernicke, ho lemalla joala ho tlōla, ho ba le bothata ba ho lemalla joala, tahi ea joala le lefu la Wernicke.
Matšoao
Wernicke Encephalopathy
Matšoao a ho fokotsa maikutlo a Wernicke a kenyeletsa tšohanyetso ea matla a kelello, pherekano, ho sisinyeha ha leoto, ho fokotseha, ho fokotseha ha mesifa, ho fetola mahlo le ho fetoha ha mahlo (ho akarelletsa ho tlohela mahlo a likoli, pono e habeli le ho tsamaea ka mahlo le ho feta) le matšoao a mang a ho tlosoa joala. Hangata matšoao a "Wernicke encephalopathy" a khetholloa ka bobeli, e leng "cerebellar" (ho leka-lekana le ho laola 'mele) le matšoao a ferekanyang.
Lefu la ho fokotsa lefu la Wernicke ke boemo bo hlokang tlhokomelo hang-hang ea meriana le kalafo e nepahetseng, e ka fetoloa .
Korsakoff Syndrome
Matšoao a lefu la Korsakoff e na le ho lahleheloa ke mohopolo (ho kenyeletsa matla a ho hopola lintho tsa khale tse hopola le bokhoni ba ho theha lintho tse ncha), likhopolo , le likhokahano (ho etsa litlaleho).
Korsakoff syndrome hangata ke boemo bo sa foleng bo tloaelehileng, empa eseng kamehla, bo latellanang le sepheo sa maikutlo a Wernicke's encephalopathy.
Ho ata
Ho thata ho tseba hore na mofuta o tloaelehileng oa Wernicke-Korsakoff syndrome ke eng, joalo ka ha lipatlisiso li bontša hore ha li fumanoe ka bongata. Phuputso e 'ngoe e bua ka tekanyo ea hoo e ka bang karolo ea 1-2 lekholong ea baahi bohle le karolo ea 12-14 lekholong ho ba sebelisang joala hampe. Leha ho le joalo, ho hlahlojoa ha eona hangata ho hlokomolohuoa joalokaha ho pakoa ke ho tsebahatsa ho hoholo ha boloetse bo botong ba bokooa ho feta bophelong.
Lisosa
Kotsi e tloaelehileng ka ho fetisisa bakeng sa lefu la Wermicke-Korsakoff ke tšebeliso e mpe ea joala, empa e ka boela ea bakoa ke AIDS, kankere, mafu a sa foleng, dialysis ea liphio, anorexia le ho se khonehe ha 'mele hore o amohele limatlafatsi tse tsoang lijong. Kotsi e boetse e eketseha ka mor'a opereishene ea bariatric bakeng sa botenya.
Tsejoa
E le hore u tsebe hore na ho na le bothata ba mofuta ofe oa Wernicke, lefu la thiamine maling a motho le lokela ho lekoa.
Ha ho na teko e le 'ngoe bakeng sa lefu la Wernicke-Korsakoff. Ho e-na le hoo, e fumanoa ka ho busa maemo a mang. Tlhahlobo e ka kenyelletsa tlhahlobo ea ts'ebetso, litlhahlobo tsa mali , le lisebelisoa tsa methapo ea ho hlahloba leihlo la mahlo, matla a mesifa le ts'ebelisano. Li-MRIs li ka boela tsa sebelisoa ho khetholla lisoe bokong tse ka hlahang ka lebaka la lefu lena.
Phekolo
Ho hloka bokooa ha Wernicke ho hloka phekolo ea hangata eo hangata e nang le tekanyo e phahameng ea thiamine e fanoang ka hare. Lipatlisiso tse ling li bontša hore ha motho a tšoeroe hampe ka Wermicke ka lebaka la tšebeliso e mpe ea lino tse tahang, motho eo a ka 'na a hloka tekanyo e phahameng ea thiamine ho feta ha e hlaha ho lisosa tse ling.
Kalafo e tsoelang pele bakeng sa lefu la Wernicke-Korsakoff e akarelletsa ho itokolla joala, phepo e lekaneng le vithamine supplementation.
Ho phatloha
Tlhaselo ea lefu la Wernicke-Korsakoff e fapane. Ka phekolo e nepahetseng, Alzheimer's Association e hakanya hore hoo e ka bang 25% ea batho ba tla fola, hoo e batlang e le halofo e tla ntlafala empa e se e tla boela e sebetse ka botlalo mme hoo e ka bang 25% e tla lula e le joalo.
Phetoho leha e le efe ea ts'ebetso e atisa ho hlaha lilemong tse peli tse qalang ka mor'a hore matšoao a qale. Tšepo ea bophelo e ka 'na ea lula e tloaelehile haeba motho a sa noe joala.
Tlhahiso ea lefu la Wernicke-Korsakoff le phahameng ha le bapisoa le la lefu la Alzheimer le mefuta e meng ea 'dementia' eo ho senyeha ha eona ho sa foleng le ho tsoelapele, ho sa tsotellehe boiteko ba phekolo.
Lisebelisoa:
Joala le Alcoholism. Moq. 44, No. 2, maq. 148-154, 2009. Korsakoff Syndrome: Lintho tsa Kliniki, Psychology le Phekolo. http://alcalc.oxfordjournals.org/content/44/2/148.full.pdf
Mokhatlo oa Alzheimer's. Korsakoff Syndrome Topic Sheet. http://www.alz.org/dementia/downloads/topicsheet_korsakoff.pdf
Mokhatlo oa Alzheimer's. Korsakoff's Syndrome ke Eng? May 2012. http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=98
Europe Journal of Neurology 2010,17: 1408-1418. EFNS tataiso ea ho hlahlojoa, ho phekola le ho thibela tšoaetso ea Wernicke encephalopathy. http://www.efns.org/fileadmin/user_upload/CME_articles/CME_article_2010_December.pdf
Mekhatlo ea Sechaba ea Bophelo.MedlinePlus. Mathata a Wernicke-Korsakoff. http://www.nlm.nih.gov/medlineplus/ency/article/000771.htm