Prognosis, Upenyu Hwakatarisira uye Kurapwa kweWernicke-Korsakoff Syndrome
Wernicke-Korsakoff syndrome (inonziwo doro redamidha) ndiyo yakagadzirwa nemagariro evanhu anokonzerwa newaini (vitamini B1). Kana mumwe munhu asina kukwana muchechi, uropi hwake hahukwanise kushandura shuga muhutano hunogona kushandisa huropi kuti hushandise uye anogona kukudziridza zviratidzo zvekuora mwoyo , kusanganisira kuora mwoyo uye kurasikirwa mupfungwa.
Wernicke-Korsakoff syndrome inogona kukanganisa hupenyu-kutarisira uye zvinoda kurapwa nokukurumidza.
Wernicke-Korsakoff syndrome inosanganisira Wernicke encephalopathy, iyo inotanga kutanga, uye ipapo Korsakoff syndrome, iyo inowanzoratidza sezviratidzo zveWernicke encephalopathy iri kubatsira.
Wernicke-Korsakoff syndrome inogonawo kutumidzwa seKorsakoff psychosis, inonzi Ecephalopathy, inodhakwa incelolopathy, encephalopathy - doro, doro rekushaya dambudziko uye chirwere cheWernicke.
Zviratidzo
Wernicke Encephalopathy
Zviratidzo zveWernicke encephalopathy zvinosanganisira chiitiko chisinganzwisisiki chokuderera kwemafungiro, kudengenyeka, kudengenyeka kwemakumbo, kudengenyeka, kuderera kwemaviri kushamwaridzana, kuonekwa uye kuchinja kweziso (kusanganisira maodid drooping, kuonekwa kaviri uye kusina kusimba mberi nekubuda kwemaziso) uye zvimwe zviratidzo zvekutsvaira doro. Zviratidzo zveWernicke encephalopathy zvinowanzorongwa sechitatu cheziso (eye), cerebellar (kuenzanisa uye kutarisa muviri) uye zviratidzo zvekuvhiringidzika.
Wernicke encephalopathy ndiyo mamiriro ezvinhu anoda kurapwa nokukurumidza uye nekurapa kwakakodzera, inogona kuchinjwa .
Korsakoff Syndrome
Zviratidzo zveKorsakoff syndrome zvinosanganisira kurasikirwa nekuyeuka (kusanganisira kukwanisa kugadziridza zviyeuchidzo zvekare uye kukwanisa kugadzira zvitsva), kukanganisa , nekugadzirisa (kugadzira nyaya).
Korsakoff syndrome inowanzova chirwere chisingaperi chisingaiti, asi kwete nguva dzose, chinotevera chiitiko cheWernicke's encephalopathy.
Kuwanda
Zvakaoma kuziva kuti Wernicke-Korsakoff syndrome yakawanda sei, sezvo tsvakurudzo inoratidza kuti inonyanya kuongororwa. Chimwe chidzidzo chinoratidzira chiyero seanenge 1-2 mazana evanhu vakawanda uye 12-14 muzana kune avo vanoshandisa doro zvisina kufanira. Zvisinei, kuongororwa kwaro kunowanzosiyiwa sezvinoratidzwa nepamusoro pakuzivikanwa kwechirwere chiri muuropi autopsies kupfuura muupenyu.
Zvinokonzera
Dambudziko rinowanzoitika kune Wermicke-Korsakoff syndrome inodhaka zvisina kunaka, asi rinogonawo kukonzerwa neAIDS, kenza, zvirwere zvisingaperi, hosha dialysis, anorexia uye kusakwanisa kwemuviri kunotora michero kubva kune zvokudya. Dambudziko racho rinowedzerawo pashure pokuvhiyiwa kwevanaatric nokuda kwekuneta.
Kuziva
Kuti uwane hutano hweWernicke encephalopathy, thiamine mazinga muropa romunhu anofanira kuongororwa.
Hakuchina kuedzwa kweWernicke-Korsakoff syndrome. Panzvimbo pacho, inowanikwa hutachiona humwe mamiriro ezvinhu. Kuongororwa kunogona kusanganisira kuongororwa kwepfungwa, kuongororwa kweropa , uye kuongorora maitiro ekuongorora kutarisa kwemaziso, simba remasimba nekubatana. MRIs inogonawo kushandiswa kuzivisa zvipembenene muuropi zvinogona kukura sechikonzero chechirwere.
Kurapa
Wernicke encephalopathy inoda kurapwa nokukurumidza iyo inowanzobatwa nehuwandu hwakanyanya hwe thiamine inopiwa mukati. Imwe tsvakurudzo inoratidza kuti kana Wermicke encephalopathy inokonzerwa nekudhakwa zvisina kunaka, munhu wacho angada kuwedzerwa dhijine yepamusoro pane iyo inobva pane zvimwe zvinokonzera.
Kurapa kuripo kweWernicke-Korsakoff syndrome kunosanganisira kurega kunwa doro, kudya kwakakwana uye vitamini supplementation.
Prognosis
Kufananidzira kweWernicke-Korsakoff syndrome kwakasiyana. Nekurapa kwakakodzera, Alzheimer's Association inofungidzira kuti vanenge 25% yevanhu vachabva vadzoka, inenge hafu ichavandudza asi isingazogadziri zvakakwana zvekushanda uye 25% ichasara yakafanana.
Chero humwe huri nani huri nani huripo hunoitika mukati memakore maviri ekutanga mushure mokunge zviratidzo zvatanga. Upenyu huripo hunogona kugara huripo kana munhu wacho asinganwa doro.
Kufananidzira kweWernicke-Korsakoff syndrome kwakakosha kana ichienzaniswa neyechirwere cheAlzheimer uye mamwe maitiro ehutano hwemangara ayo kusagadzikana kusingaperi uye kufambira mberi, pasinei nekuedza kwekurapa.
Sources:
Doro & Alcoholism. Vol. 44, Nha. 2, pp. 148-154, 2009. Korsakoff Syndrome: Clinical Aspects, Psychology and Treatment. http://alcalc.oxfordjournals.org/content/44/2/148.full.pdf
Alzheimer's Association. Korsakoff Syndrome Topic Sheet. http://www.alz.org/dementia/downloads/topicsheet_korsakoff.pdf
Alzheimer's Society. Chii Chinonzi Korsakoff's Syndrome? May 2012. http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=98
European Journal Neurology 2010,17: 1408-1418. EFNS mirayiridzo yekuongororwa, therapy uye kudzivirira kweWernicke encephalopathy. http://www.efns.org/fileadmin/user_upload/CME_articles/CME_article_2010_December.pdf
National Institutes of Health.MedlinePlus. Wernicke-Korsakoff syndrome. http://www.nlm.nih.gov/medlineplus/ency/article/000771.htm