Imajin se yu gɛt padi, sɔntɛm yu gɛt pɔsin na yu famili. I de drink smɔl tumɔs rɔm. Bɔt dis biɛn tɛm, i dɔn de fɔgɛt tin dɛn bɔku tɛm. I nɔ de mɛmba wetin i tɔk na mɔnin we i yɛri am na ivintɛm. I tan lɛk se i nɔ balans we i de waka, ɛn i de shek shek frɔm wan say to di ɔda say. Sɔntɛnde, yu kin wɔnda if i de kɔnshɛns. Yu dɔn si ɛni wan pan dɛn sayn ya? Dis nɔto simpul tin, i kin bi sayn fɔ wan siriɔs sik we de afɛkt wi bren. Tide wi de tɔk bɔt wan pan dɛn kayn sik ya , we na Wernicke-Korsakoff Syndrome .
Fɔ tɔk am simpul wan, wetin na Wernicke-Korsakoff Syndrome?
Dis na rili tu kɔndishɔn dɛn we dɛn jɔyn, pan ɔl we dɛn kɔl dɛn wan nem. Dɔktɔ dɛn kin si dis as tu kes dɛn we gɛt di sem sik.
1. Wernicke Encephalopathy: Dis na di fɔs tɛm we di sik kin bigin wantɛm wantɛm. I nid fɔ gɛt tritmɛnt kwik kwik wan.
2. Korsakoff Syndrome: Dis na di sεkכn stej fכ mεmכri we de apin as di sik de go bifo.
di men rizin fכ dis kכndyushכn na bikɔs wi bכdi nכ de gεt inof vaytam in B1 we na thiamine . Imajin se wi bren tan lɛk motoka in injin. Dis injin nid ɛnaji fɔ wok. Di bren de mek dis ɛnaji frɔm di shuga we wi de it. Bɔt fɔ chenj shuga to ɛnaji, wan kayn fiul we dɛn kɔl vaytamɛn B1 impɔtant. We di bɔdi nɔ gɛt vaytamɛn B1, di bren ɛn di nervɔs sistɛm nɔ kin ebul fɔ mek di ɛnaji we dɛn nid. Dɔn dɛn nɔ kin wok fayn atɔl.
Wetin na di sayn dɛm fɔ dis sik?
De sayn dɛm fɔ de tu pipul dɛm wae gɛt dis sik kin difrɛn smɔl. Lɛ wi brok am dis we fɔ ɔndastand am klia wan.
| Stej we di sik de | Di Kɔmɔn Simptom dɛn |
|---|---|
| Di fɔs stej: Wernicke Encephalopathy - di simptom dɛn kin bigin wantɛm wantɛm | |
| Balans ɛn muvmɛnt | Leg dɛn we de shek shek, we yu de shek frɔm wan say to di ɔda say we yu de waka, we yu de waka sloslo wit shɔt, wayd stɛp dɛn. Sɔntɛnde, yu kin nid pɔsin fɔ ɛp yu ivin fɔ grap. |
| Kɔnfyus | Disorientation, de luk blankly pan wetin de apin arawnd, ɛn slo fɔ ansa kwɛstyɔn. |
| Prɔblɛm dɛn we gɛt fɔ du wit di yay | Yu kin si tu tɛm, yu aylid dɛn kin drɔp, ɛn yu yay kin muv we yu nɔ kin kɔntrol. |
| Di simptom dɛm na di at ɛn di blɔd vesel dɛm | Bɔrku tɛm, yu kin gɛt diziz, yu at kin bit kwik pas aw yu kin bit, yu blɔd prɛshɔn kin shɔt we yu tinap, ɛn yu kin fil se yu wik. |
| Leta: Korsakoff Syndrome - Na di sayn dɛm wae kin afɛkt mɛmori | |
| Di mɛmori we yu nɔ ebul fɔ mɛmba | Dis na di men sayn we de sho se yu gɛt dis sik. Di mɛmori fɔ shɔt tɛm kin lɔs ɔlmost. Sɔntɛm yu nɔ go mɛmba udat yu bin de tɔk to ɔ wetin yu bin de tɔk bɔt sɔm minit bifo dis tɛm. Yu nɔ go ebul fɔ lan nyu tin dɛn ɔ mek nyu mɛmori dɛn. |
| Kɔnfabuleshɔn | Fɔ ful-ɔp di say dɛn we nɔ de na dɛn mɛmori, dɛn kin mek stori dɛn na dɛn maynd we dɛn nɔ ivin no. Dis nɔto lay, na we fɔ ful-ɔp dɛn gap dɛn de wit dɛn yon bren. |
| Ɔda tin dɛn we de apin | Fɔ lɔs ivin sɔm pan yu ol mɛmori dɛm, fɔ si ɔ yɛri tin dɛm wae nɔr rial (hallucinations), ɛn nɔr ebul fɔ ɔndastand wɔd dɛm fayn fayn wan. |
Di tin we impɔtant pas ɔl na, WernickeIf dɛn nɔ trit di fɔs stej fɔ ɛnsefalopathy kwik, i kin tɔn to Korsakoff syndrome, we na wan sik we at fɔ trit, we nɔ kin mɛmba.
Wetin na de tin wae kin mek pɔrsin gɛt dis sik? Udat dɛn de pan denja pas ɔlman?
As wi bin dɔn tɔk, di men tin we kin mek i gɛt vaytamɛn B1. Di big tin we kin mek pɔsin nɔ gɛt dis sik na we i de drink pasmak fɔ lɔng tɛm .
Alkol kin mek pɔsin nɔ gɛt bɛtɛ vaytamɛn B1 insay dɛn we ya:
- Alkol kin pwɛl di layn na di bɛlɛ ɛn di insay, we kin mek di bɔdi nɔ ebul fɔ tek vaytamɛn B1 frɔm it.
- Alkol de ridyus di liva in ebul fɔ kip vaytamɛn B1 bak.
- Bɔrku pipul dɛm wae gɛt adikshɔn to rɔm nɔr kin it bɛtɛ it, na dat mek dɛn nɔr kin gɛt inof vaytamɛn B1.
Apat frɔm rɔm , dis sik kin apin bak bikɔs ɔf ɔda rizin dɛn.
- Siriv malnutrishɔn.
- Sɔm sik dɛn we pɔsin kin gɛt we i de mɛn pipul dɛn. Fɔ ɛgzampul, kansa, AIDS, ɔ bad bad sik dɛn we kin afɛkt di wan ol bɔdi.
- Disɔda fɔ it lɛk anorexia.
- Sivεr kidni sik (dεn sik pipul ya kin lכs vaytam in bikoz dεn de pan dayalaysis).
- Kimotɛrapi tritmɛnt fɔ kansa.
- Fɔ vɔmit fɔ lɔng tɛm.
- Ɔpreshɔn fɔ lɔs yu wet (gastric bypass ɔpreshɔn).
Udat dɛn de pan denja mɔ?
- I kin apin smɔl pan man dɛn pas uman dɛn.
- I kin apin mɔ pan pipul dɛm wae ol bitwin 45-65 ia.
- Di risk kin pasmak pan pipul dɛm wae nɔr gɛt os, ol pipul dɛm wae de liv dɛn wan, ɛn pipul dɛm wae gɛt siriɔs maynd sik, bikɔs dɛn grup ya kin gɛt rɔm ɔr nɔr kin it fayn.
Aw dɔktɔ kin fɛn dis?
Bɔrku tɛm, yu dɔktɔ go no dis sik bay wae yu de si yu sik, yu wɛl bɔdi istri (especially wae yu de drink rɔm), ɛn wae yu dɔn du yu bɔdi ɛgzam. Dɛn go du tɛst bak fɔ no ɔda tin dɛn we kin mek pɔsin gɛt di sem kayn sik (lɛk bren tumbu ɔ strok).
Na sɔm tɛst dɛn we yu kin du:
- Blɔd tɛst: Chɛk di lɛvɛl we thiamine de na di blɔd ɛn aw di liva ɛn kidni de wok.
- Bren skan (imaging scans): Mek shɔ se no ɔda prɔblɛm nɔ de.
- Ay tɛst: Chɛk aw yu yay de muv.
- Wan mental hεlth chεk: Tεst mεmכri εn tinkin abiliti.
- Nεv sistεm tεst dεm: Chεk bεlε εn di we aw yu de waka.
Aw dɛn kin trit am?
di fכs εn imכtant tin fכ trit dis sik na fכ gi vaytam in B1 bak na di bכdi . dis dεn kin du am na כspitul sεtin, bay we dεn de gi hכy dכz fכ vaytam in B1 intravenכs (IV) insay wan vein na di an, as salin sכlushכn. Dis kin tek sɔm mɔnt.
Afta dat, di tin we impɔtant pas ɔl na fɔ lɛf fɔ drink rɔm kpatakpata. If yu drink rɔm bak, yu sik kin kam bak. I impɔtant bak fɔ it tin dɛn we balans ɛn we gɛt fayn fayn tin dɛn fɔ it.
If i nɔ izi fɔ yu fɔ waka, yu go nid fɔ aks fɔ ɛp frɔm fizik tritmɛnt fɔ mek yu ebul fɔ muv bak.
Wetin na di kɔmplikeshɔn ɛn di pɔtnɛshɛl fɔ mek i wɛl pan dis?
Dis na sɔntin we wi ɔl nid fɔ no. Wae di Korsakoff syndrome dɔn go bifo to di sɛkɔn stej, i nɔ kin pɔsibul fɔ rivɛns di mɛmori lɔs we kin apin. If i rili bad, i kin mek yu bren pwɛl fɔ ɔltɛm, ɛn i kin mek yu nɔ ebul fɔ mɛmba tin ɛn i nɔ kin ebul fɔ waka fɔ ɔl yu layf.
Bɔt gud nyus de. Di chans fɔ mek yu wɛl dipen ɔl pan aw yu bigin tritmɛnt kwik kwik wan. If yu bigin tritmɛnt jɔs lɛk aw di sik dɔn sho, yu kin mek yu wɛl ful wan. Bɔt i kin tek te to wan ia. Bɔku tɛm, kɔnfyushɔn na di las sayn fɔ sɔlv.
Mɛsej we dɛn kin kɛr go na os
- Wernicke-Korsakoff Syndrome na wan siriɔs bren disɔda wae kin kam wae pɔrsin nɔr gɛt vaytamɛn B1 (thiamine). Di men tin we kin mek i gɛt rɔm na we i de drink pasmak.
- Kɔnfyushɔn na yu maynd, i nɔ kin izi fɔ waka, yu yay kin gɛt prɔblɛm, ɛn yu nɔ kin mɛmba bad bad wan na di men sayn dɛm.
- If yu ɔ pɔsin we yu sabi, mɔ pɔsin we de drink rɔm, de sho dɛn kayn sik ya, go to dɔktɔ wantɛm wantɛm ɛn nɔ de te.
- Di tritmɛnt inklud fɔ tek bɔku vaytamɛn B1 ɛn fɔ lɛf fɔ drink rɔm kpatakpata .
- I pɔsibul fɔ mek yu wɛl if dɛn bigin fɔ trit yu kwik, bɔt if yu de delay, dat kin mek yu bren pwɛl fɔ ɔltɛm.
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