Fahimtaccen, Zuwan Rayuwa da Jiyya na Ciwo na Wernicke-Korsakoff
Ciwon Wernicke-Korsakoff (wanda ake kira ciwon shan barasa) wani tsari ne na yanayin neuro wanda ya haifar da rashi daga bitamin B1. Lokacin da wani ya raunana a cikin kwakwalwa, kwakwalwarsa ba ta da ikon aiwatar da sukari a cikin makamashi wanda kwakwalwa zai iya amfani dashi don aiki kuma zai iya ci gaba da bayyanar cututtukan lalata , ciki har da rikicewa da ƙwaƙwalwar ajiyar ƙwaƙwalwa.
Cutar Wernicke-Korsakoff zai iya shafar lafiyar rayuwa kuma yana buƙatar gaggawa.
Cutar Wernicke-Korsakoff tana kunshe ne da ƙwayar cutar Wernicke, wadda ta fara tasowa, sa'an nan kuma ciwon Korsakoff, wanda sau da yawa ya nuna a matsayin alamar wariyar cutar Wernicke suna tallafawa.
Har ila yau ana iya kiran ciwo na Wernicke-Korsakoff a matsayin Korsakoff psychosis, kwakwalwar Wernicke, cututtukan giya, cututtuka - giya, shan barasa da cutar Wernicke.
Cutar cututtuka
Wernicke Ƙin yarda
Magungunan cututtuka na Wernicke sun hada da ragowar ƙwarewar hankali, rikicewa, ƙazantawar hanzari, damuwa, rage ƙwayar tsoka, hangen nesa da ido (ciki har da fadin ido na ido, hangen nesa biyu da mawuyacin dawowa da ido) da kuma sauran alamu na maye gurbin giya. Ana nuna nau'o'in bayyanar cututtukan Wernicke a matsayin ƙuƙwalwar ƙwayar ido (ido), masassara (ma'auni da kula da jiki) da kuma rikicewar bayyanar cututtuka.
Harsashin wernicke shine yanayin da ke buƙatar kulawa da gaggawa tare da magani mai dacewa, zai iya zama mai yiwuwa .
Korsakoff Ciwo
Hanyoyin cututtuka na ciwon Korsakoff sun ƙunshi ƙwaƙwalwar ƙwaƙwalwar ajiyar (ciki har da ƙwarewar dawo da tsohuwar tunawa da kuma iyawar samar da sababbin), hallucinations , da confabulation (yin labarun).
Korsakoff ciwonci shine yawancin yanayin da yake da kullum, amma ba koyaushe ba, ya biyo bayan wani ɓangaren maganin kwakwalwar Wernicke.
Tsarin jima'i
Yana da wuya a san yadda ciwon Wernicke-Korsakoff na yau da kullum yake, kamar yadda bincike ya nuna cewa yana da mahimmancin rashin lafiya. Ɗaya daga cikin nazarin bincike shine kashi 1-2 cikin dari na yawan jama'a da kuma kashi 12-14 bisa dari a cikin wadanda suke cin barasa. Duk da haka, ana gane yawan ganewar asalinsa kamar yadda aka gane ta hanyar ganewar ƙwayar cuta a kwakwalwa autopsies fiye da rayuwa.
Dalilin
Babban hadarin na Wermicke-Korsakoff shine maye gurbin shan barasa, amma cutar AIDS, ciwon daji, ciwo na kullum, cututtukan koda, anorexia da rashin karfin jikin su na iya shawo kan abinci. Har ila yau, haɗarin yana ƙarawa bayan aikin tiyata don kiba.
Sanin asali
Don gano asirin Wernicke na kwakwalwa, dole ne a jarraba matakan jini a cikin jini.
Babu gwaji don cutar ciwon Wernicke-Korsakoff. Maimakon haka, an gano shi ta hanyar yin hukunci akan wasu yanayi. Bincike na iya haɗawa da nazarin ƙwaƙwalwa, gwaje-gwaje na jini , da kuma nazarin neuro don kimanta motsin ido, ƙarfin tsoka da daidaituwa. Hakanan za'a iya amfani da MRI don gano lalacewar da ke cikin kwakwalwa wanda zai iya samuwa saboda cutar.
Jiyya
Wutar daji na wernicke na bukatar maganin gaggawa wanda yawanci ya ƙunshi babban asalin thiamine da aka ba da intravenously. Wasu bincike sun nuna cewa lokacin da cutar Wermicke ta haifar da rashin amfani da barasa, mutum zai iya buƙatar safiyar magunguna fiye da lokacin da ya taso daga wasu dalilai.
Kulawa na ci gaba da ciwo na Wernicke-Korsakoff ya hada da kaucewa daga barasa, isasshen abinci mai gina jiki da kuma kariyar bitamin.
Faɗakarwa
Mahimmancin maganin ciwo na Wernicke-Korsakoff ya bambanta. Tare da maganin da ya dace, kungiyar Alzheimer ta kiyasta cewa kimanin kashi 25 cikin dari na mutane zasu warke, kimanin rabi zasu inganta amma ba za su sami cikakkiyar aiki ba kuma kimanin kashi 25% zasu kasance game da wannan.
Duk wani cigaba a aiki yana faruwa a cikin shekaru biyu bayan an fara fara bayyanar cututtuka. Zuwan rai zai iya kasancewa al'ada idan mutum bai sha giya ba.
Sanarwar ƙwayar cutar Wernicke-Korsakoff ta fi dacewa idan aka kwatanta da irin cutar Alzheimer da sauran nau'in nakasar da suka rage yawan ci gaba, duk da ƙoƙarin magani.
Sources:
Alcohol & Alcoholism. Vol. 44, No. 2, pp. 148-154, 2009. Ciwo na Korsakoff: Harkokin Bincike, Ilimin Kimiyya da Jiyya. http://alcalc.oxfordjournals.org/content/44/2/148.full.pdf
Alzheimer's Association. Kantakoff Syndrome Topic Sheet. http://www.alz.org/dementia/downloads/topicsheet_korsakoff.pdf
Alzheimer's Society. Mene ne Ciwo na Korsakoff? Mayu 2012. http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=98
Labari na Labaran Labaran Labaran Labaran Zamani 2010.17: 1408-1418. Ka'idojin EFNS don ganewar asali, farfadowa da rigakafin Wernicke encephalopathy. http://www.efns.org/fileadmin/user_upload/CME_articles/CME_article_2010_Dabo.pdf
Cibiyoyin Kula da Lafiya na Duniya: MedlinePlus. Wernicke-Korsakoff ciwo. http://www.nlm.nih.gov/medlineplus/ency/article/000771.htm