Cabanga nje unomngane, mhlawumbe ilungu lomndeni. Uphuza utshwala obuningi kakhulu. Kodwa muva nje ubelokhu ekhohlwa izinto kakhulu. Akakhumbuli ukuthi uthini ekuseni lapho ekuzwa kusihlwa. Ubonakala engaphilile kahle lapho ehamba, enyakaza esuka kolunye uhlangothi eya kolunye. Ngezinye izikhathi uzibuza ukuthi uphapheme yini. Uke wazibona yini lezi zimpawu? Lokhu akuyona into elula, kungaba uphawu lwesimo esingathi sína esithinta ubuchopho bethu. Namuhla sikhuluma ngesinye isimo esinjalo , i-Wernicke-Korsakoff Syndrome .
Kalula nje, iyini i-Wernicke-Korsakoff Syndrome?
Empeleni lokhu kuyinhlanganisela yezimo ezimbili, yize zibizwa ngegama elilodwa. Odokotela babona lokhu njengezimo ezimbili zesifo esifanayo.
1. I-Wernicke Encephalopathy: Lokhu ukuqala kwalesi sifo ngokushesha. Kudinga ukwelashwa okusheshayo.
2. I-Korsakoff Syndrome: Lesi yisigaba sesibili sokulahlekelwa yinkumbulo okwenzeka njengoba lesi sifo siqhubeka.
Isizathu esiyinhloko salesi simo ukuthi umzimba wethu awutholi i-vitamin B1 eyanele, okuyi-thiamine . Cabanga ukuthi ubuchopho bethu bufana nenjini yemoto. Le njini idinga amandla ukuze isebenze. Ubuchopho benza la mandla kusuka kushukela esiwudlayo. Kodwa ukuze kuguqulwe ushukela ube amandla, uhlobo oluthile lwamafutha olubizwa ngokuthi i-vitamin B1 lubalulekile. Uma umzimba untula i-vitamin B1, ubuchopho kanye nesistimu yezinzwa azikwazi ukukhiqiza amandla eziwadingayo. Khona-ke ukusebenza kwazo kuyaphazamiseka ngokuphelele.
Ziyini izimpawu zalesi sifo?
Izimpawu zamacala amabili alesi sifo zihlukile kancane. Ake sichaze ngale ndlela ukuze sikuqonde kahle.
| Isigaba salesi sifo | Izimpawu Ezivamile |
|---|---|
| Isigaba sokuqala: I-Wernicke Encephalopathy - ukuqala kwezimpawu ngokuzumayo | |
| Ibhalansi kanye nokunyakaza | Imilenze ethuthumelayo, ukunyakazisa kusukela kolunye uhlangothi kuya kolunye lapho uhamba, ukuhamba kancane ngezinyathelo ezimfushane nezibanzi. Ngezinye izikhathi ungadinga usizo lothile ngisho ukuze uvuke. |
| Ukudideka | Ukudideka, ukubheka ngokunganaki okwenzekayo, kanye nokuphuza ukuphendula imibuzo. |
| Izinkinga zamehlo | Ukubona kabili, ukugoba kwamehlo, kanye nokunyakaza kwamehlo okungalawuleki. |
| Izimpawu zenhliziyo nemithambo yegazi | Ukozela njalo, isiyezi, ukushaya kwenhliziyo okusheshayo kunokuvamile, umfutho wegazi ophansi lapho usukuma, kanye nomuzwa wobuthakathaka. |
| Kamuva: I-Korsakoff Syndrome - Izimpawu ezithinta inkumbulo | |
| Ukulahlekelwa yinkumbulo | Lolu uphawu oluyinhloko. Inkumbulo yesikhathi esifushane cishe ilahlekile ngokuphelele. Ungase ungakhumbuli ukuthi ubukhuluma nobani noma ukuthi ubukhuluma ngani emizuzwini embalwa edlule. Ngeke ukwazi ukufunda izinto ezintsha noma ukwakha izinkumbulo ezintsha. |
| Ukuhlangana | Ukuze bagcwalise izikhala ezisenkumbulweni yabo, baqamba izindaba ezingqondweni zabo bengazi. Lokhu akulona ukuqamba amanga, kuyindlela yokugcwalisa lezo zikhala ngobuchopho babo. |
| Ezinye izici | Ukulahlekelwa ngisho nezinye zezinkumbulo zakho zakudala, ukubona noma ukuzwa izinto ezingezona ezangempela (ukungaboni kahle), kanye nokungakwazi ukuqonda amagama kahle. |
Into ebaluleke kakhulu ukuthi, uWernickeUma isigaba sokuqala se- encephalopathy singelashwa ngokushesha, singakhula sibe yi-Korsakoff syndrome, isimo esinzima ukwelapha, sokulahlekelwa inkumbulo.
Yiziphi izimbangela zalesi simo? Ubani osengozini enkulu?
Njengoba sixoxile ngaphambili, imbangela eyinhloko ukuntuleka kwe-vitamin B1. Isici esikhulu esibangela lokhu kuntuleka ukuphuza utshwala ngokweqile isikhathi eside .
Utshwala bubangela ukuntuleka kwe-vitamin B1 ngezindlela ezilandelayo:
- Utshwala bulimaza ulwelwesi lwesisu namathumbu, okunciphisa ikhono lomzimba lokumunca i-vitamin B1 ekudleni.
- Utshwala buphinde bunciphise ikhono lesibindi lokugcina i-vitamin B1.
- Abantu abaningi abalutha utshwala abadli ukudla okunempilo, yingakho bengatholi i-vitamin B1 eyanele.
Ngaphezu kotshwala , lesi simo singase senzeke nangenxa yezinye izizathu.
- Ukungondleki kahle okukhulu.
- Izimo ezithile zezokwelapha. Isibonelo, umdlavuza, ingculaza, noma izifo ezingathi sína ezithinta umzimba wonke.
- Izinkinga zokudla ezifana ne-anorexia.
- Isifo sezinso esibi kakhulu (laba ziguli bangase balahlekelwe amavithamini ngoba besebenzisa i-dialysis).
- Ukwelashwa ngamakhemikhali okwelapha umdlavuza.
- Ukuhlanza isikhathi eside.
- Ukuhlinzwa kokunciphisa isisindo (ukuhlinzwa kwesisu).
Ubani osengozini enkulu?
- Kuvame kakhulu kwabesilisa kunabesifazane.
- Ngokuvamile kwenzeka kubantu abaneminyaka ephakathi kuka-45 no-65.
- Ingozi iphezulu kubantu abangenamakhaya, abantu asebekhulile abahlala bodwa, kanye nabantu abanesifo sengqondo esibi kakhulu, njengoba la maqembu enamathuba amaningi okusebenzisa utshwala noma ukungondleki kahle.
Udokotela ukuthola kanjani lokhu?
Udokotela wakho uvame ukuxilonga lesi simo ngokusekelwe ezimpawu zakho, umlando wakho wezempilo (ikakhulukazi ukusebenzisa utshwala), kanye nokuhlolwa ngokomzimba. Uzophinde enze izivivinyo ukuze akhiphe ezinye izimo ezingabangela izimpawu ezifanayo (njengesimila sobuchopho noma isifo sohlangothi).
Nazi ezinye izivivinyo ongazihlola:
- Ukuhlolwa kwegazi: Hlola izinga le-thiamine egazini nokuthi isibindi nezinso zisebenza kanjani.
- Ukuskena kobuchopho (ukuskena kwezithombe): Qiniseka ukuthi azikho ezinye izinkinga.
- Ukuhlolwa kwamehlo: Hlola ukunyakaza kwamehlo.
- Ukuhlolwa kwempilo yengqondo: Hlola inkumbulo kanye nekhono lokucabanga.
- Ukuhlolwa kwesistimu yezinzwa: Hlola ibhalansi kanye nephethini yokuhamba.
Iphathwa kanjani?
Isinyathelo sokuqala nesibaluleke kakhulu ekwelapheni lesi sifo ukubuyisela i-vitamin B1 emzimbeni . Lokhu kwenziwa esibhedlela, ngokunikeza imithamo ephezulu ye-vitamin B1 ngemithambo yegazi (IV) emthanjeni engalweni, njengesixazululo sikasawoti. Lokhu kungathatha izinyanga eziningana.
Ngemva kwalokho, into ebaluleke kakhulu ukuyeka ukuphuza utshwala ngokuphelele. Uma uphinda uphuza utshwala, izimpawu zakho zingase zibuye. Kubalulekile futhi ukudla ukudla okunempilo nokulinganiselayo.
Uma unenkinga yokuhamba, kungadingeka ufune usizo lokwelashwa ngokomzimba ukuze ubuyisele ukuhamba kwakho.
Yiziphi izinkinga kanye namathuba okululama kwalokhu?
Lokhu kuyinto sonke okudingeka siyazi. Uma i-Korsakoff syndrome isifinyelele esigabeni sesibili, ngokuvamile akunakwenzeka ukubuyisela emuva ukulahlekelwa yinkumbulo okwenzekayo. Ezimweni ezimbi kakhulu, kungabangela ukulimala kobuchopho okungapheli, kanye nobunzima bokukhumbula nokuhamba obuhlala impilo yonke.
Kodwa kunezindaba ezinhle. Amathuba akho okululama ancike ngokuphelele ekutheni uqala ngokushesha kangakanani ukwelashwa. Uma uqala ukwelashwa ngokushesha nje lapho izimpawu zivela, ungalulama ngokuphelele. Kodwa kungathatha isikhathi esingafika onyakeni. Ukudideka ngokuvamile kuyisibonakaliso sokugcina esixazululekayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Wernicke-Korsakoff Syndrome iyisifo sobuchopho esibi esibangelwa ukuntuleka kwe-vitamin B1 (thiamine). Imbangela eyinhloko ukuphuza utshwala ngokweqile.
- Ukudideka kwengqondo, ubunzima bokuhamba, izinkinga zamehlo, kanye nokulahlekelwa inkumbulo okukhulu yizimpawu eziyinhloko.
- Uma wena noma othile omaziyo, ikakhulukazi umuntu osebenzisa utshwala, ekhombisa lezi zimpawu, bona udokotela ngokushesha ngaphandle kokulibala.
- Ukwelashwa kuhlanganisa imithamo ephezulu yevithamini B1 kanye nokuyeka ngokuphelele ukuphuza utshwala .
- Ukululama kungenzeka uma ukwelashwa kuqalwe kusenesikhathi, kodwa ukubambezeleka kungabangela ukulimala kobuchopho unomphela.
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