Khawuthelekelele unomhlobo, mhlawumbi ilungu losapho. Usela utywala obuninzi kakhulu. Kodwa kutshanje ebesoloko elibala izinto kakhulu. Akakhumbuli into ayithethileyo kusasa xa eva oko ngokuhlwa. Ubonakala ngathi akakwazi ukuzibamba xa ehamba, eshukuma esuka kwelinye icala ukuya kwelinye. Ngamanye amaxesha uzibuza ukuba ingaba uphilile engqondweni. Ngaba ukhe wazibona ezi mpawu? Oku akuyonto ilula, kunokuba luphawu lwesifo esinzulu esichaphazela ingqondo yethu. Namhlanje sithetha ngesinye sezifo ezinjalo , iWernicke-Korsakoff Syndrome .
Ngamafutshane, yintoni iWernicke-Korsakoff Syndrome?
Oku kukudibanisa iimeko ezimbini, nangona zibizwa ngegama elinye. Oogqirha babona oku njengeemeko ezimbini zesifo esifanayo.
1. I-Wernicke Encephalopathy: Le yindlela yokuqala yokuqalisa kwesi sifo ngequbuliso. Ifuna unyango olukhawulezileyo.
2. I-Korsakoff Syndrome: Eli linqanaba lesibini lokulahlekelwa yinkumbulo okwenzeka njengoko isifo siqhubeka.
Eyona nto iphambili kule meko kukuba umzimba wethu awufumani i-vitamin B1 eyaneleyo, eyi-thiamine . Khawuthelekelele ukuba ingqondo yethu ifana nenjini yemoto. Le injini ifuna amandla ukuze isebenze. Ingqondo yenza la mandla kwiswekile esiyityayo. Kodwa ukuguqula iswekile ibe ngamandla, uhlobo oluthile lwamafutha olubizwa ngokuba yi-vitamin B1 lubalulekile. Xa umzimba ungenayo i-vitamin B1, ingqondo kunye nenkqubo yemithambo-luvo azikwazi ukuvelisa amandla eziwadingayo. Emva koko ukusebenza kwazo kuyaphazamiseka ngokupheleleyo.
Zithini iimpawu zesi sifo?
Iimpawu zezi meko zimbini zesi sifo zahlukile kancinci. Masiyihlalutye ngolu hlobo ukuze siyiqonde kakuhle.
| Inqanaba lesi sifo | Iimpawu Eziqhelekileyo |
|---|---|
| Inqanaba lokuqala: I-Wernicke Encephalopathy - ukuqala kweempawu ngequbuliso | |
| Ukulinganisela kunye nokuhamba | Imilenze eqhaqhazelayo, ukushukuma ukusuka kwelinye icala ukuya kwelinye xa uhamba, ukuhamba kancinci ngamanyathelo amafutshane nabanzi. Ngamanye amaxesha unokufuna uncedo lomntu nokuba ukuze uphakame. |
| Ukudideka | Ukudideka, ukujonga nje into eyenzekayo kufutshane, kunye nokucotha ukuphendula imibuzo. |
| Iingxaki zamehlo | Ukubona kabini, ukugoba kwamehlo, kunye neentshukumo zamehlo ezingalawulekiyo. |
| Iimpawu zentliziyo kunye nemithambo yegazi | Ukozela rhoqo, isiyezi, ukubetha kwentliziyo ngokukhawuleza kunesiqhelo, uxinzelelo lwegazi oluphantsi xa umi, kunye nokuziva ubuthathaka. |
| Kamva: I-Korsakoff Syndrome - Iimpawu ezichaphazela inkumbulo | |
| Ukulahleka kwenkumbulo | Olu luphawu oluphambili. Inkumbulo yexesha elifutshane iphantse yalahleka ngokupheleleyo. Usenokungakhumbuli ukuba ubuthetha nabani okanye ubuthetha ngantoni kwimizuzu embalwa edlulileyo. Awuyi kukwazi ukufunda izinto ezintsha okanye ukwenza iinkumbulo ezintsha. |
| Ukudibana | Ukuze bazalise izikhewu ezikwinkumbulo yabo, bazenzela amabali engqondweni yabo bengazi nokuba bathini. Oku akuxoki, yindlela yokuzalisa ezo zikhewu ngeengqondo zabo. |
| Ezinye iimpawu | Ukulahlekelwa zizinto ozikhumbulayo zakudala, ukubona okanye ukuva izinto ezingezizo zokwenyani (imibono), nokungakwazi ukuqonda amagama kakuhle. |
Eyona nto ibalulekileyo kukuba, uWernickeUkuba inqanaba lokuqala le- encephalopathy alinyangwa ngokukhawuleza, linokuba yi-Korsakoff syndrome, imeko enzima ukunyangwa, yokulahlekelwa yinkumbulo.
Zithini izizathu zale meko? Ngubani osengozini enkulu?
Njengoko besitshilo ngaphambili, unobangela oyintloko kukunqongophala kwevithamini B1. Eyona nto ibangela ukunqongophala koku kusela utywala kakhulu ixesha elide .
Utywala bubangela ukunqongophala kwevithamini B1 ngezi ndlela zilandelayo:
- Utywala bonakalisa ulwelo lwesisu namathumbu, nto leyo enciphisa amandla omzimba okufunxa i-vitamin B1 ekutyeni.
- Utywala bukwanciphisa amandla esibindi okugcina i-vitamin B1.
- Abantu abaninzi abaxhomekeke kutywala abatyi ukutya okunesondlo, yiyo loo nto bengafumani i-vitamin B1 eyaneleyo.
Ukongeza kutywala , le meko inokubakho nangenxa yezinye izizathu.
- Ukungondleki kakuhle.
- Iimeko ezithile zempilo. Umzekelo, umhlaza, i-AIDS, okanye usulelo olunzima oluchaphazela umzimba uphela.
- Iingxaki zokutya ezifana ne-anorexia.
- Isifo sezintso esibi kakhulu (aba baguli banokulahlekelwa ziivithamini kuba bekwi-dialysis).
- Unyango lwe-chemotherapy lomhlaza.
- Ukuhlanza ixesha elide.
- Utyando lokunciphisa umzimba (utyando lwesisu).
Ngubani osengozini enkulu?
- Ixhaphake kancinci kumadoda kunakwabasetyhini.
- Ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-45-65 ubudala.
- Umngcipheko uphezulu phakathi kwabantu abangenamakhaya, abantu abadala abahlala bodwa, kunye nabantu abanesifo sengqondo esiqatha, njengoko la maqela enamathuba amaninzi okusebenzisa utywala okanye ukungondleki kakuhle.
Ugqirha uyifumana njani le nto?
Ugqirha wakho uya kufumanisa esi sifo ngokweempawu zakho, imbali yakho yempilo (ingakumbi ukusebenzisa utywala), kunye novavanyo lomzimba. Baza kwenza novavanyo lokuthintela ezinye iimeko ezinokubangela iimpawu ezifanayo (ezifana nomhlaza wobuchopho okanye istroke).
Nazi ezinye iimvavanyo onokuzenza:
- Uvavanyo lwegazi: Jonga inqanaba le-thiamine egazini kunye nendlela esebenza ngayo isibindi kunye nezintso.
- Ukuskena ingqondo (ukuskena imifanekiso): Qinisekisa ukuba akukho ngxaki zimbi.
- Uvavanyo lwamehlo: Jonga iintshukumo zamehlo.
- Ukuhlolwa kwempilo yengqondo: Vavanya inkumbulo kunye nobuchule bokucinga.
- Uvavanyo lwenkqubo yemithambo-luvo: Jonga ibhalansi kunye nendlela yokuhamba.
Iphathwa njani?
Inyathelo lokuqala nelibaluleke kakhulu ekunyangeni esi sifo kukubuyisela i-vitamin B1 emzimbeni . Oku kwenziwa esibhedlele, ngokunika iidosi eziphezulu ze-vitamin B1 ngemithambo yegazi (IV) emthanjeni osengalweni, njengesicombululo se-saline. Oku kungathatha iinyanga ezininzi.
Emva koko, eyona nto ibalulekileyo kukuyeka ukusela utywala ngokupheleleyo. Ukuba usela utywala kwakhona, iimpawu zakho zingabuya. Kubalulekile nokutya ukutya okunesondlo nokufanelekileyo.
Ukuba unengxaki yokuhamba, unokufuna uncedo lonyango lomzimba ukuze ubuyisele ukuhamba kwakho.
Zithini iingxaki kunye namathuba okubuyela kwimeko yesiqhelo koku?
Le yinto sonke ekufuneka siyazi. Xa iKorsakoff syndrome ifikelele kwinqanaba lesibini, kudla ngokungabi lula ukuyiguqula inkumbulo eyenzekayo. Kwiimeko ezinzima, inokubangela umonakalo osisigxina engqondweni, kunye nobunzima bokukhumbula nokuhamba ubomi bonke.
Kodwa kukho iindaba ezimnandi. Amathuba akho okuchacha axhomekeke ngokupheleleyo ekubeni uqala unyango ngokukhawuleza kangakanani. Ukuba uqala unyango kwangoko nje ukuba iimpawu zibonakale, ungachacha ngokupheleleyo. Kodwa kungathatha unyaka. Ukudideka kudla ngokuba luphawu lokugqibela olusombululekayo.
Umyalezo Wokuya Ekhaya
- I-Wernicke-Korsakoff Syndrome sisifo sengqondo esibi esibangelwa kukunqongophala kwe-vitamin B1 (thiamine). Isizathu esiphambili kukusebenzisa utywala kakhulu.
- Ukudideka kwengqondo, ubunzima bokuhamba, iingxaki zamehlo, kunye nokulahlekelwa yinkumbulo enkulu zezona mpawu ziphambili.
- Ukuba wena okanye umntu omaziyo, ingakumbi umntu osebenzisa utywala, ubonakalisa ezi mpawu, bonana nogqirha ngokukhawuleza ngaphandle kokulibazisa.
- Unyango luquka iidosi eziphezulu zevithamini B1 kunye nokuyeka ngokupheleleyo ukusela utywala .
- Ukuchacha kunokwenzeka ukuba unyango luqalwe kwangethuba, kodwa ukulibaziseka kunokubangela umonakalo ongapheliyo engqondweni.
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