Ṭhian i nei tih han ngaihtuah teh, chhungte pawh ni se. Tlemte chuan zu a in nasa lutuk a. Mahse tun hnaiah thil a theihnghilh nasa hle. Zing lama a thusawi chu tlai lama a hriat chuan a hrechhuak lo. A kal lai chuan off balance ang maiin a lang a, a sir lehlamah a inthlak kual thin. A chang chuan a conscious em tih i ngaihtuah thin. Heng symptoms te hi i hmu tawh em? Hei hi thil awlsam a ni lova, kan thluak tibuaitu natna khirh tak chhinchhiahna a ni thei. Vawiin hian chutiang dinhmun pakhat , Wernicke-Korsakoff Syndrome chungchang kan sawi dawn a ni.
A awlsam zawngin, Wernicke-Korsakoff Syndrome hi eng nge ni?
Hei hi a takah chuan condition pahnih inzawmkhawm a ni a, hming pakhata koh ni mah se. Hei hi Doctor-te chuan natna pakhat vei pahnih angin an ngai a.
1. Wernicke Encephalopathy: Hei hi natna lo awm hmasa ber, rang taka lo awm thin a ni. Enkawl vat a ngai a ni.
2. Korsakoff Syndrome: Hei hi natna a zual zel a, hriatrengna hlohna stage hnihna a ni.
Hetiang dinhmun kan neih chhan ber chu kan taksain vitamin B1 a dawng tlem vang a ni a , chu chu thiamine a ni . Kan thluak hi motor engine ang maiin han ngaihtuah teh. He engine hian hna a thawh theih nan chakna a mamawh a ni. Thluak hian kan ei tur sugar atang hian he chakna hi a siam chhuak thin. Mahse sugar chu energy-a chantir tur chuan fuel chi khat vitamin B1 an tih hi a pawimawh hle. Taksain vitamin B1 a tlakchham chuan thluak leh nervous system-in an mamawh chakna a siam chhuak thei lo. Tichuan an hnathawh a tichhe vek a ni.
He natna lan chhuah dan engte nge ni?
He natna vei pahnihte symptoms hi a inang lo deuh hlek a. Fiah taka hriatthiam theih nan i then hran ang u.
| Natna Stage a ni | A lan chhuah dan tlangpui |
|---|---|
| A tir lamah: Wernicke Encephalopathy - a natna lan chhuah nghal vat | |
| Balance leh movement te | Ke nghing, kal laiin a sir lehlamah inher, step tawi leh zau tak tak hmanga kal zawi zawi. A châng chuan tho tûr pawhin mi ṭanpuina i mamawh mai thei. |
| Rilru tibuai | Disorientation, a chhehvela thil thlengte chu blank takin en reng a, zawhna chhanna pawh a slow hle. |
| Mit lama harsatna nei | Double vision, mitmeng tla, leh mit chetna thunun loh. |
| Thinlung leh thisen kalna kawng chhinchhiahna | Mutthilh fo, luak chhuak, thinlung natna pangngai aia rang zawk, ding chhuah ruala thisen sang hniam, leh chak lohna hriatna. |
| A hnuah: Korsakoff Syndrome - Hriatrengna tichhe thei symptoms | |
| Hriatrengna hloh | Hei hi a symptom ber a ni. Hun rei lote chhunga hriatrengna chu a bo vek tawh mai. Minute tlemte kalta khan tute nge i biak tih leh eng thil nge i sawi tih i hre lo mai thei. Thil thar i zir thei lo vang a, hriatrengna thar i siam thei lo vang. |
| Confabulation tih a ni | An hriatrengna hmun ruak luah khat turin an rilruah thawnthu an siam a, an hriat loh pawh a ni. Hei hi dawt a ni lo va, chutiang hmun ruak chu anmahni thluak hmanga tihpun dan a ni. |
| Thil dang pawh a awm | I hriatrengna hlui thenkhat pawh hloh, thil tak tak ni lo (hallucinations) hmuh emaw hriat emaw, thumal hriatthiam loh te. |
A pawimawh ber chu, Wernicke hi a niEncephalopathy natna hmasa ber chu enkawl vat a nih loh chuan Korsakoff syndrome, enkawl harsa tak, hriatrengna hloh thei dinhmunah a lo chang thei a ni.
Hetiang dinhmun hi engte nge ni? Tu nge hlauhawm ber?
Kan sawi tawh ang khan a chhan ber chu vitamin B1 tlakchham vang a ni. Hetiang tlakchhamna thlentu lian ber chu hun rei tak chhunga zu in tam lutuk hi a ni .
Zu hian vitamin B1 tlakchhamna a thlen a, a hnuaia mi ang hian:
- Zu hian pum leh intestines lining a tichhe a, chu chuan taksain ei tur atanga vitamin B1 a lakluh theihna a ti tlem a ni.
- Zu hian liver-in vitamin B1 a khawlkhawm theihna a ti tlem bawk.
- Zu ruihhlo ngawlvei tam tak chuan ei leh in inthlau tak an ei lo va, hei vang hian vitamin B1 an dawng tlem hle.
Zu bakah hian he natna hi chhan dang vang pawh a awm thei bawk.
- Ei leh in lama harsatna nasa tak.
- Damdawi lam dinhmun thenkhat. Entirnan, cancer, AIDS, a nih loh leh natna khirh tak tak, taksa pum pui tichhe thei.
- Ei leh in lama harsatna nei, anorexia ang chi.
- Kidney natna na tak (heng damlote hian dialysis an tih avangin vitamin an hloh thei).
- Cancer natna damdawi chemotherapy hmanga enkawl a ni.
- Hun rei tak chhunga luak chhuak.
- Rihna tihtlem surgery (gastric bypass surgery) tih a ni.
Tu nge hlauhawm zawk?
- Hmeichhia aiin mipaah tlem a tam zawk.
- Kum 45-65 inkar ah a awm tam ber.
- He hlauhawmna hi chenna nei lo, kum upa lam, mahni chauha awm, leh rilru lam natna khirh tak nei te zingah a sang zawk a, heng pawlte hi zu in emaw, ei leh in lama harsatna nei emaw an tam zawk avangin.
Engtin nge doctor hian hei hi a hmuh theih?
I doctor chuan he natna hi i natna lan chhuah dan, i hriselna chanchin (a bik takin zu i hman dan), leh taksa enfiahna a\angin a hmuchhuak tlangpui ang. Tin, chutiang bawka natna dang (brain tumor emaw stroke emaw ang chi) thlen thei dinhmun dang pawh paih chhuah tumin test an kalpui bawk ang.
Test i tih theih thenkhat chu hetiang hi a ni:
- Thisen test: Thisen a thiamine level leh liver leh kidney hnathawh dan enfiah thin.
- Brain scans (imaging scans): Harsatna dang a awm loh nan enfiah thin ang che.
- Mit test: Mit che vel enfiah thin.
- A mental health check: Hriatrengna leh ngaihtuahna thiamna test.
- Nervous system test: Balance leh gait pattern enfiah thin.
Engtin nge enkawl a nih?
He natna enkawlna atana hmalakna hmasa ber leh pawimawh ber chu taksaah vitamin B1 dah let leh hi a ni . Hei hi damdawi inah tih a ni a, kut chhunga vein pakhatah vitamin B1 dose sang tak intravenous (IV) pek a ni a, saline solution angin. Hei hian thla engemaw zat a daih thei.
Chumi hnuah chuan a pawimawh ber chu zu in hi bansan vek a ni. Zu i in leh chuan i natna lan chhuah dan chu a lo let leh thei a ni. Tin, ei leh in inthlau tak, chaw tha tak ei a pawimawh bawk.
Kea kal harsatna i neih chuan i kal theihna tur siam that nan physical therapy tanpuina i dil a ngai mai thei.
Hei hian eng harsatna leh dam leh theihna tur nge a neih?
Hei hi kan hriat vek a ngai a ni. Korsakoff syndrome chu stage hnihnaah a lo kal tawh chuan hriatrengna hloh lo awm chu tihdanglam theih a ni lo tlangpui. A nasat chuan thluak a tichhe reng thei a, hriatrengna leh kea kal harsatna chu dam chhung a daih thei a ni.
Mahse, chanchin lawmawm a awm. I dam theihna chance chu enkawlna i tan thuai danah a innghat vek a ni. Symptoms a lan veleh enkawlna i tan chuan i dam kim thei a ni. Mahse kum khat vel a daih thei. Confusion hi symptom reh hnuhnun ber a ni tlangpui.
Take-Home Thuchah a ni
- Wernicke-Korsakoff Syndrome hi thluaka natna khirh tak, vitamin B1 (thiamine) tlakchham vang a ni. A chhan ber chu zu in tam lutuk vang a ni.
- Rilru buai, kal harsa, mit lama harsatna, leh hriatrengna hloh nasa lutuk te hi a lan chhuah ber a ni.
- Nangmah emaw, i hriat mi emaw, a bik takin zu hmang mi emaw chuan heng natna lan chhuah dan hi a lantir a nih chuan doctor pan nghal vat rawh.
- Enkawlna atan hian vitamin B1 tam tak ei leh zu in tihtawp vek a ni .
- Enkawl tan hma chuan dam leh theih a ni a, mahse tihkhawtlai hian thluak a tichhe vek thei.
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