Saadaalinta, Rajeynta Nolosha iyo Daaweynta Wernicke-Korsakoff Syndrome
Wernicke-Korsakoff syndrome (oo sidoo kale loo yaqaanno 'dementia') ayaa ah arrin xaalado nafsadeed oo ka dhalata thiamin (vitamin B1) yaraanta. Marka qof uu kufilan yahay thiamine, maskaxkiisu wuu ka yareyn karaa inuu sonkortu ku shaqeeyo tamar oo maskaxdu u adeegsan karto inay shaqeyso oo uu yeesho calaamadaha xanuunka 'dementia' , oo ay ka mid yihiin wareer iyo xasuusin la'aan.
Cudurka Wernicke-Korsakoff wuxuu saameyn ku yeelan karaa nolosha -ka oo u baahan daaweyn degdeg ah.
Cudurka Wernicke-Korsakoff wuxuu ka kooban yahay Wernicke encephalopathy, oo horay u soo baxa, kadibna Korsakoff syndrome, oo inta badan soo bandhigta astaamaha astaamaha Wernicke encephalopathy.
Wernicke-Korsakoff syndrome ayaa sidoo kale loo gudbin karaa Korsakoff psychosis, Wernicke's encephalopathy, encephalopathy khamriga, encephalopathy - khamriga, waallida iyo cudurka Wernicke.
Astaamaha
Wernicke Encephalopathy
Calaamadaha Wernicke encephalopathy waxaa ka mid ah xaalad degdeg ah oo awoodda maskaxeed hoos u dhacday, jahawareerka, lugaha lugaha, jahawareerka, isuduwida muruqyada oo hoos u dhaca, isbedelka aragga iyo isha (oo ay ku jiraan isha indhaha, indhaha labadaba iyo dib udhac aan caadi ahayn iyo calaamadaha kale ee khamriga looga baxo. Astaamaha 'encephalopathy' waxaa badanaa lagu tilmaamaa sida saddexda indhood (indhaha), cerebellar (dheelitirka iyo xakameynta jidhka) iyo astaamaha jahawareerka.
Wernicke encephalopathy waa xaalad u baahan daaweyn dhakhso ah iyo daaweyn haboon, ayaa noqon karta mid laga beddeli karo .
Korsakoff Syndrome
Calaamadaha cudurka Korsakoff wuxuu ka kooban yahay xasuusta xusuusta (oo ay ku jirto awoodda dib u soo celinta xusuusta hore iyo awoodda ay u leedahay inay sameyso kuwa cusub), muuqaalka , iyo qarsoodi (samaynta sheekooyinka).
Korsakoff syndrome caadi ahaan waa xaalad joogto ah oo caadiyan ah, laakiin had iyo jeer ma ahan, waxay ku xigtaa qaybta 'encephalopathy' ee Wernicke.
Maqnaanshaha
Way adag tahay in la ogaado sida loo yaqaan 'Wernicke-Korsakoff syndrome', sababtoo ah cilmi-baaris ayaa muujinaysa in si weyn looga-bogsiiyey. Mid ka mid ah daraasadda ayaa qeexaysa qiimaha boqolkiiba 1-2 ee dadweynaha guud iyo 12-14 boqolkiiba kuwa isticmaala khamriga. Si kastaba ha ahaatee, cilad-celinteeda ayaa si joogta ah u seegtay sida lagu caddaynayo aqoonsi sare oo ah xanuunka dhimirka ee maskaxda oo ka badan nolosha.
Sababaha
Halista ugu badan ee Wermicke-Korsakoff syndrome waa khamriga, laakiin waxa kale oo ay kicin kartaa AIDS-ka, kansarka, infekshanka joogtada ah, sambabada sambabada, anorexia iyo awood la'aanta jidhka si ay u nuugto nafaqooyinka cuntada. Khatarta ayaa sidoo kale kordhay ka dib qalliinka bariatric loogu talagalay cayilka.
Ciladeynta
Si loo baadho Wernicke encephalopathy, heerarka thiamine ee dhiiga qofka waa in la baaraa.
Ma jiraan wax tijaabo ah oo loogu talagalay cudurka Wernicke-Korsakoff syndrome. Taa bedelkeeda, waxaa lagu ogaadaa iyada oo lagu xukumo xaalado kale. Qiimeynta waxaa ku jiri kara qiimeyn garasho, tijaabooyinka dhiigga , iyo baaritaanka neerfaha si loo qiimeeyo dhaqdhaqaaqa isha, xoojinta muruqyada iyo isuduwidda. MRIs waxaa sidoo kale loo isticmaali karaa in lagu aqoonsado jirooyinka maskaxda ee laga yaabo in ay ku dhacdo cudurkan.
Daaweynta
Wernicke encephalopathy waxay u baahan tahay daaweyn degdeg ah kaas oo badanaa ka kooban qiyaaso badan oo thiamine ah oo la siiyay xidid. Cilmi-baarisyada qaarkood waxay muujinayaan in markii Wermicke encephalopathy ay sabab u tahay isticmaalka khamriga, qofka ayaa laga yaabaa inuu u baahdo qiyaas ka sareeya thiamine ka badan marka uu ka soo baxo sababaha kale.
Daaweynta joogtada ah ee loo yaqaan 'Wernicke-Korsakoff syndrome' waxaa ka mid ah ka-dhaafitaanka khamriga, nafaqo ku filan iyo nafaqo yar.
Saadaasha
Saadaalinta cudurka Wernicke-Korsakoff syndrome waa kala duwantahay. Daaweyn ku habboon, Ururka Alzheimers ayaa qiyaasaya in qiyaastii 25% dadku ay soo kabanayaan, qiyaas ahaan nus ayaa hagaajin doona laakiin aan si buuxda dib u helin shaqeyn buuxda iyo qiyaastii 25% waxay ku sii jirayaan isla sidaas.
Horumarka waxqabadka badanaa wuxuu dhacaa labadii sano ee ugu horreysay ka dib markii astaamuhu bilaabmeen. Waayeelku wuxuu noqon karaa mid caadi ah haddii uusan qofku cabin aalkolo.
Saadaasha cudurka Wernicke-Korsakoff syndrome waa ka sarreeyaa marka la barbar dhigo cudurka Alzheimers iyo noocyada kale ee waallida oo hoos u dhac ku yimaada oo sii socdo, inkastoo isku dayga daaweynta.
Ilaha:
Khamriga iyo Khamriga. Vol. 44, Lambar 2, pp. 148-154, 2009. Korsakoff Syndrome: Qeybaha Klinikada, Cilmi-nafsiga iyo Daaweynta. http://alcalc.oxfordjournals.org/content/44/2/148.full.pdf
Ururka Alzheimers. Xaashida Mawduuca Korsakoff Syndrome. http://www.alz.org/dementia/downloads/topicsheet_korsakoff.pdf
Bulshada Alzheimers. Waa maxay Korsakoff's Syndrome? May 2012. http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=98
Joornaalka Yurub ee Neurology 2010,17: 1408-1418. Tilmaamaha EFNS ee loogu talagalay baadhista, daaweynta iyo kahortagga Wernicke encephalopathy. http://www.efns.org/fileadmin/user_upload/CME_articles/CME_article_2010_December.pdf
Machadyada Qaranka ee Caafimaadka. Wernicke-Korsakoff syndrome. http://www.nlm.nih.gov/medlineplus/ency/article/000771.htm