Utywala Dementia: Yintoni i-Wernicke-Korsakoff Syndrome?

Isalathiso, Ukulindela Ubomi kunye nokunyangwa kwe-Wernicke-Korsakoff Syndrome

I-Wernicke-Korsakoff syndrome (ebizwa ngokuba yi-dementia yotywala) yimiqathango yeengxaki ze-neuroloki ezibangelwa ukulahleka kwe- thiamine (vitamin B1). Xa umntu engenawo umthamo we-thiamine, ingqondo yakhe ayinakukwazi ukwenza ushukela kumandla engqondweni angayisebenzisa ukuze ahlakulele iimpawu zesifo sengqondo , kuquka ukudideka nokulahlekelwa kwememori.

I-Wernicke-Korsakoff syndrome inokuchaphazela ixesha lokuphila kunye neemfuno zonyango olukhawulezileyo.

I-Wernicke-Korsakoff syndrome iqukethe i-Wernicke encephalopathy, eqala kuqala, kwaye emva koko i-Korsakoff syndrome, edla ngokubonisa ukuba iimpawu ze-Wernicke encephalopathy ziyaxhaswa.

I-Wernicke-Korsakoff syndrome inokuthi ibizwa ngokuba yi-Korsakoff ye-psychosis, i-Wernicke's encephalopathy, i-encephalopathy yobunxila, inxinxathela-inxilisayo, ingqondo yokuphuza utywala kunye nesifo sikaWernicke.

Iimpawu

• Wernicke Encephalopathy

Izibonakaliso ze-Wernicke encephalopathy ziquka isiqhelo esicatshulwayo sokuncipha kwengqondo, ukudideka, ukuxubha komlenze, ukuphazamiseka, ukunciphisa imisipha, ukubonakala kunye nokuguquka kwamehlo (kubandakanya ukunyuka kweenkophe, ukujonga ngokuphindaphindiweyo kunye nokuphuma kwamehlo) kunye nezinye iimpawu zokulahlwa kotywala. Izibonakaliso ze-Wernicke encephalopathy zihlala zihlulwe njengezinto ezintathu (iso), i-cerebellar (ukulinganisela kunye nokulawula umzimba) kunye neempawu zokudideka.

I-Wernicke encephalopathy yimeko efuna unyango lwangoko unyango kunye nokunyangwa okufanelekileyo, lunokuguqulwa .

• Korsakoff Syndrome

Iimpawu ze-Korsakoff syndrome ziquka ukulahleka kweememori (kuquka ukukwazi ukufumana iinkumbulo ezindala kunye nokukwazi ukwenza izinto ezintsha), ukucinga kunye nokudibanisa (ukwakha amabali).

I-Korsakoff syndrome ngokuqhelekileyo isifo esingapheliyo, kodwa asikho ngaso sonke isikhathi, silandela isiqhelo se-Wernicke's encephalopathy.

Ukukhula

Kunzima ukwazi ukuba i-Wernicke-Korsakoff syndrome efana kangakanani, njengoko uphando lubonisa ukuba luxilongwe kakhulu. Uphononongo olulodwa lubonisa izinga malunga ne-1-2 epesenti yabantu bonke kunye neepesenti ezingama-12-14 kulabo basebenzisa kakubi utywala. Nangona kunjalo, ukuxilongwa kwayo kudlalwa ngokugqithisileyo njengoko kubonakaliswe ukuphazamiseka okuphezulu kwesifo esibuchosheni bombongo kunokuba bubomi.

Izizathu

Umngcipheko oqhelekileyo we-Wermicke-Korsakoff syndrome ukusetyenziswa kakubi kotywala, kodwa kunokubangelwa yi-AIDS, umhlaza, ukusuleleka kweengxaki ezingapheliyo, i-kidney dialysis, i-anorexia kunye nokungakwazi komzimba ukufumana izondlo ekudleni. Umngcipheko ukwandiswa emva kokuhlinzwa ngokugqithiseleyo.

Ukuxilongwa

Ukuze uhlolisise i-Wernicke encephalopathy, amazinga e-thiamine egazini lomntu kufuneka ahlolwe.

Akukho vavanyo lwe-Wernicke-Korsakoff syndrome. Endaweni yoko, ifunyaniswa ngokulawula ezinye iimeko. Ukuvavanya kungabandakanya ukuhlolwa kwengqondo, ukuhlolwa kwegazi kunye nokuhlolwa kweengqondo ukuhlola ukuhamba kwamehlo, amandla omzimba kunye nokulungelelanisa. I-MRIs ingasetyenziselwa ukuchonga izilonda kwingqondo engaphuhliswa ngenxa yesifo.

Unyango

I-Wernicke encephalopathy idinga unyango olusisiseko oluqhelekileyo luqukethe amanqanaba aphezulu e-thiamine anikezwe ngaphakathi. Olunye uphando lubonisa ukuba xa i-Wermicke encephalopathy ingenxa yokusetyenziswa kakubi kotywala, umntu unokufuna umlinganiselo ophezulu we-thiamine kunokuba uvela kwezinye izizathu.

Ukwelashwa okuqhubekayo kwi-Wernicke-Korsakoff syndrome kubandakanya ukungabikho kotywala, ukutya okwaneleyo kunye ne-vitamin supplementation.

Prognosis

Ukugxekwa kwe-Wernicke-Korsakoff syndrome iyahluka. Ngonyango olufanelekileyo, i-Alzheimer's Association iqikelela ukuba malunga nama-25% abantu baya kuphucula, malunga nesiqingatha kuya kuphucula kodwa ngokungeke kuphinde kusebenze ngokugcwele kwaye malunga ne-25% iya kuhlala ifana nayo.

Naluphi uphuculo ekusebenzeni ngokuqhelekileyo lwenzeka kwiminyaka emibili yokuqala emva kokuba iimpawu ziqale. Ukulindela ubomi kunokuhlala kuqhelekileyo ukuba umntu akaphuzanga utshwala.

Ukugxekwa kwe-Wernicke-Korsakoff syndrome iphakamileyo xa kuthelekiswa nesifo sesifo se-Alzheimer kunye nezinye iintlobo zengqondo yokunciphisa ukulahleka komzimba .

_Imithombo:

_{Utywala kunye noTywala. Vol. 44, No. 2, iphe. 148-154, 2009. I-Korsakoff Syndrome: Iinkalo zeeKlinikhi, i-Psychology kunye neNyango. 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}

_{Society of Alzheimers. Yintoni i-Korsakoff's Syndrome? Meyi 2012. http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=98}

_{I-European Journal ye-Neurology 2010,17: 1408-1418. Izikhokelo ze-EFNS zokuxilongwa, unyango kunye nokukhusela i-Wernicke encephalopathy. http://www.efns.org/fileadmin/user_upload/CME_articles/CME_article_2010_December.pdf}

_{Amaziko eZiko lezeMpilo. I-Wernicke-Korsakoff syndrome. http://www.nlm.nih.gov/medlineplus/ency/article/000771.htm}