Tangoganizirani muli ndi mnzanu, mwina wachibale. Amamwa mowa wambiri pang'ono. Koma posachedwapa wakhala akuiwala zinthu kwambiri. Sakumbukira zomwe ananena m'mawa akamamva madzulo. Amaoneka ngati sakuyenda bwino akamayenda, akugwedezeka kuchokera mbali imodzi kupita mbali ina. Nthawi zina mumadabwa ngati ali ndi chidziwitso. Kodi mwawonapo zizindikiro izi? Ichi si chinthu chophweka, chikhoza kukhala chizindikiro cha matenda aakulu omwe amakhudza ubongo wathu. Lero tikulankhula za vuto limodzi lotere , Wernicke-Korsakoff Syndrome .
Mwachidule, kodi Wernicke-Korsakoff Syndrome ndi chiyani?
Izi kwenikweni ndi kuphatikiza kwa matenda awiri, ngakhale amatchedwa ndi dzina limodzi. Madokotala amaona izi ngati milandu iwiri ya matenda omwewo.
1. Wernicke Encephalopathy: Uku ndi kuyamba koyambirira kwa matendawa mwadzidzidzi. Kumafuna chithandizo chadzidzidzi.
2. Korsakoff Syndrome: Iyi ndi gawo lachiwiri la kulephera kukumbukira komwe kumachitika pamene matendawa akupita patsogolo.
Chifukwa chachikulu cha vutoli ndichakuti thupi lathu sililandira vitamini B1 yokwanira, yomwe ndi thiamine . Tangoganizani kuti ubongo wathu uli ngati injini ya galimoto. Injini iyi imafuna mphamvu kuti igwire ntchito. Ubongo umapanga mphamvu imeneyi kuchokera ku shuga yomwe timadya. Koma kuti shuga asinthe kukhala mphamvu, mtundu wa mafuta wotchedwa vitamini B1 ndi wofunikira. Thupi likasowa vitamini B1, ubongo ndi mitsempha sizingathe kupanga mphamvu zomwe zimafunikira. Kenako ntchito yawo imasokonekera kwathunthu.
Kodi zizindikiro za matendawa ndi ziti?
Zizindikiro za matenda awiriwa zimasiyana pang'ono. Tiyeni tifotokoze mwachidule motere kuti timvetse bwino.
| Gawo la matendawa | Zizindikiro Zodziwika |
|---|---|
| Gawo loyambirira: Wernicke Encephalopathy - zizindikiro zoyamba mwadzidzidzi | |
| Kulinganiza ndi kuyenda | Miyendo yonjenjemera, kugwedezeka kuchokera mbali imodzi kupita mbali imodzi mukuyenda, kuyenda pang'onopang'ono ndi masitepe afupi komanso otakata. Nthawi zina mungafunike thandizo la wina kuti mudzuke. |
| Chisokonezo | Kusokonezeka maganizo, kuyang'ana mopanda chidwi zomwe zikuchitika, komanso kuchedwa kuyankha mafunso. |
| Mavuto a maso | Kuona zinthu ziwiri, zikope zopindika, ndi mayendedwe osalamulirika a maso. |
| Zizindikiro za mtima ndi mitsempha yamagazi | Kugona tulo pafupipafupi, chizungulire, kugunda kwa mtima mofulumira kuposa mwachizolowezi, kuthamanga kwa magazi pang'ono munthu akaimirira, komanso kumva kufooka. |
| Pambuyo pake: Korsakoff Syndrome - Zizindikiro zomwe zimakhudza kukumbukira | |
| Kutaya kukumbukira | Ichi ndiye chizindikiro chachikulu. Kukumbukira kwakanthawi kochepa kumatayika kwathunthu. Simungakumbukire amene munkalankhula naye kapena zomwe munkalankhula mphindi zingapo zapitazo. Simudzatha kuphunzira zinthu zatsopano kapena kupanga zokumbukira zatsopano. |
| Kukangana | Kuti adzaze mipata yomwe ili m'maganizo mwawo, amangopanga nkhani m'maganizo mwawo osazindikira. Izi si bodza, ndi njira yodzazira mipata imeneyo ndi ubongo wawo. |
| Zina mwazinthu | Kutaya ngakhale zina mwa zokumbukira zanu zakale, kuwona kapena kumva zinthu zomwe si zenizeni (zilombo zolota), komanso kusatha kumvetsetsa mawu bwino. |
Chofunika kwambiri ndi chakuti, WernickeNgati matenda a encephalopathy sakuchiritsidwa msanga, amatha kukhala Korsakoff syndrome, vuto lovuta kuchiza, komanso losakumbukira.
Kodi ndi zinthu ziti zomwe zimayambitsa vutoli? Ndani ali pachiwopsezo chachikulu?
Monga tafotokozera kale, chifukwa chachikulu ndi kusowa kwa vitamini B1. Chinthu chachikulu chomwe chimayambitsa kusowa kumeneku ndi kumwa mowa mopitirira muyeso kwa nthawi yayitali .
Mowa umayambitsa kusowa kwa vitamini B1 m'njira zotsatirazi:
- Mowa umawononga mkati mwa m'mimba ndi m'matumbo, zomwe zimachepetsa mphamvu ya thupi yoyamwa vitamini B1 kuchokera muzakudya.
- Mowa umachepetsanso mphamvu ya chiwindi yosungira vitamini B1.
- Anthu ambiri omwe ali ndi vuto la kumwa mowa sadya zakudya zopatsa thanzi, ndichifukwa chake sapeza vitamini B1 wokwanira.
Kuwonjezera pa mowa , vutoli likhoza kuchitikanso chifukwa cha zifukwa zina.
- Kusowa zakudya m'thupi kwambiri.
- Matenda ena. Mwachitsanzo, khansa, Edzi, kapena matenda oopsa omwe amakhudza thupi lonse.
- Matenda a kudya monga anorexia.
- Matenda aakulu a impso (odwalawa angataye mavitamini chifukwa ali pa dialysis).
- Chithandizo cha khansa cha chemotherapy.
- Kusanza kwa nthawi yayitali.
- Opaleshoni yochepetsa thupi (opaleshoni ya m'mimba).
Ndani amene ali pachiwopsezo chachikulu?
- Kawirikawiri mwa amuna kuposa akazi.
- Kawirikawiri amapezeka mwa anthu azaka zapakati pa 45-65.
- Chiwopsezochi chili chachikulu pakati pa anthu opanda pokhala, okalamba omwe amakhala okha, komanso anthu omwe ali ndi matenda amisala oopsa, chifukwa maguluwa ali ndi mwayi womwa mowa kapena kuperewera kwa zakudya m'thupi.
Kodi dokotala amapeza bwanji izi?
Dokotala wanu nthawi zambiri amazindikira vutoli kutengera zizindikiro zanu, mbiri yanu yaumoyo (makamaka kumwa mowa), komanso kuyezetsa thupi. Adzachitanso mayeso kuti apeze matenda ena omwe angayambitse zizindikiro zofanana (monga chotupa cha muubongo kapena sitiroko).
Nazi mayeso ena omwe mungachite:
- Kuyezetsa magazi: Yang'anani kuchuluka kwa thiamine m'magazi ndi momwe chiwindi ndi impso zikugwirira ntchito.
- Kujambula zithunzi za ubongo (kujambula zithunzi): Onetsetsani kuti palibe mavuto ena.
- Kuyesa maso: Kuyang'ana mayendedwe a maso.
- Kuwunika thanzi la maganizo: Yesani kukumbukira ndi luso loganiza.
- Mayeso a mitsempha: Yang'anani bwino komanso momwe munthu amayendera.
Kodi chimachiritsidwa bwanji?
Gawo loyamba komanso lofunika kwambiri pochiza matendawa ndikubwezeretsa vitamini B1 m'thupi . Izi zimachitika kuchipatala, popereka mlingo waukulu wa vitamini B1 m'mitsempha (IV) m'mitsempha yomwe ili m'manja, ngati madzi amchere. Izi zingatenge miyezi ingapo.
Pambuyo pake, chofunika kwambiri ndikusiya kumwa mowa kotheratu. Ngati mumwanso mowa, zizindikiro zanu zingabwererenso. Ndikofunikanso kudya zakudya zopatsa thanzi komanso zopatsa thanzi.
Ngati mukuvutika kuyenda, mungafunike kufunafuna thandizo la physiotherapy kuti mubwezeretse kuyenda kwanu.
Kodi mavuto ndi kuthekera kochira ndi chiyani?
Ichi ndi chinthu chomwe tonsefe tiyenera kudziwa. Matenda a Korsakoff akafika pagawo lachiwiri, nthawi zambiri sizingatheke kusintha kutayika kwa kukumbukira komwe kumachitika. Pa milandu yoopsa, amatha kuwononga ubongo kwamuyaya, ndipo mavuto okumbukira ndi kuyenda amakhalapo kwa moyo wonse.
Koma pali nkhani yabwino. Mwayi wanu wochira umadalira kwambiri momwe mumayambira chithandizo mwachangu. Ngati muyamba kulandira chithandizo mwamsanga zizindikiro zikaonekera, mutha kuchira kwathunthu. Koma zingatenge chaka chimodzi. Kusokonezeka nthawi zambiri ndi chizindikiro chomaliza chomwe chimatha.
Uthenga Wopita Nawo Kunyumba
- Matenda a Wernicke-Korsakoff ndi matenda aakulu a muubongo omwe amayamba chifukwa cha kusowa kwa vitamini B1 (thiamine). Chifukwa chachikulu ndi kumwa mowa mopitirira muyeso.
- Kusokonezeka maganizo, kuvutika kuyenda, mavuto a maso, ndi kuiwala kwambiri ndi zizindikiro zazikulu.
- Ngati inuyo kapena munthu amene mumamudziwa, makamaka amene amamwa mowa, akusonyeza zizindikiro zimenezi, pitani kwa dokotala nthawi yomweyo.
- Chithandizochi chimaphatikizapo kuchuluka kwa vitamini B1 komanso kusiya kumwa mowa kwathunthu .
- Kuchira n'kotheka ngati chithandizo chayamba msanga, koma kuchedwa kungayambitse kuwonongeka kwa ubongo kosatha.
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