Sergei Korsakoff. Kumapeto kwa zaka za m'ma 19, katswiri wa zamaganizo wa ku Russia ameneyu anali woyamba kufotokoza kusokonekera kwa kukumbukira komwe kumayenderana ndi matenda omwe adzatchulidwe ndi dzina lake. Dr Michael Bazin, wamkulu wa chigawo choledzera ku Center hospitaler d'Allauch akufotokoza kuti: "Ndilo vuto, lomwe ndi vuto lalikulu kwambiri lachidziwitso lomwe munthu amakumana nalo chifukwa cha uchidakwa wambiri. 

Chiwopsezo cha khansa zambiri, matenda amtima: mowa ulibe mbiri yabwino paumoyo, ndipo moyenerera. Zimayambitsa matenda opitilira 200 ndi matenda osiyanasiyana. Ichi ndi chimodzi mwazifukwa zazikulu zomwe zingapewedwe za imfa: akuti 41.000 amafa pachaka.

Pakati pa zowonongeka zonse zomwe zimayambitsa, pali chiwalo chimodzi chomwe chimavutika kwambiri: ubongo. Dr. Bazin anadandaula motero Dr. “Ndi chimodzi mwa zifukwa zazikulu zimene zimachititsa kuti munthu asamafike msinkhu wa zaka 65. Kumwa msanga kumayamba, m’pamenenso ubongo umawonongeka kwambiri. Kafukufuku wa 2017 wa Public Health France adawonetsa kuti ngakhale 13,5% ya akuluakulu samamwa, 10% amamwa tsiku lililonse.

"Mowa umaposa magalasi awiri patsiku, osati tsiku lililonse", ndiye mawu ofotokozera mwachidule zomwe zimakhazikitsidwa ndi Public Health France ndi National Cancer Institute. Monga chikumbutso, kapu ya mowa = 10cl ya vinyo = 2,5cl ya pastis = 10cl ya champagne = 25cl ya mowa. Amayi omwe akukonzekera kutenga pakati, omwe ali ndi pakati kapena akuyamwitsa, nawonso, apewe kumwa kulikonse. 

Vuto la minyewa limeneli lili ndi zinthu zambiri, koma “choyambitsa chachikulu ndicho kuchepa kwa vitamini B1 (thiamine), komwe kumayambitsa kupsyinjika kwa minyewa. Kuledzera kwanthawi zonse kumayambitsa kusokoneza mayamwidwe a vitaminiyi, omwe ubongo umafunika kuti ugwire bwino ntchito. Komabe, sichimapangidwa ndi thupi ndipo chiyenera kuperekedwa ndi chakudya (chimapezeka mumbewu, mtedza, nyemba zouma, nyama, etc.).

Chigawo chonse cha ubongo - dera lokumbukira - limakhudzidwa. Kuperewera kumeneku nthawi zambiri kumakhala chotsatira cha uchidakwa wokhazikika. Nthawi zambiri, zimayamba chifukwa cha kusowa kwa zakudya m'thupi, kupwetekedwa mutu, kapena kutsata kwa Gayet-Wernicke encephalopathy, osathandizidwa kapena kuthandizidwa mochedwa kwambiri.

Anterograde amnesia

“Pali mavuto aakulu a kukumbukira. Tikulankhula za anterograde amnesia. Wodwalayo sangathe kukumbukira zomwe zinachitika mphindi zingapo m'mbuyomo. Amatha kukumbukira zakale zake - osati nthawi zonse, koma zochitika zaposachedwa zimamuthawa. "Kuti alipirire vuto lalikulu la kukumbukira uku, adzalemba, ndiko kunena kuti, kupeka nkhani. “

Kuzindikira zabodza

Zimenezi zimathandiza kuti anthu azicheza ndi okondedwa awo m’njira yooneka ngati yosasinthasintha. “Kuzindikira zabodza ndi chizindikiro china cha matenda. Wodwalayo akuganiza kuti akudziwa yemwe akulankhula naye ”, ngakhale sanamuwonepo. "Kusokonekera kwa gait ndi kusanja, kusokonezeka mu nthawi ndi malo kumamaliza chithunzi chachipatala. “

Matenda a maganizo

Munthu nthawi zambiri sakudziwa kumene iwo ali, ndipo sakudziwanso tsiku. Kusokonezeka maganizo kumatchulidwanso. Pomaliza, “odwalawo sadziwa za vuto lawo. Izi zimatchedwa anosognosia. Chizindikirochi chimapezeka kawirikawiri kwa odwala matenda a Alzheimer, omwe "amayiwala kuti akuiwala. Chilemacho ndi cholemera kwambiri, komanso chokhazikika.

“Zachokera pakuwunika kwachipatala. Dokotala amawona kukhalapo kapena ayi kwa zizindikiro zazikulu za Korsakoff:

• anterograde amnesia kwambiri,
• kuyenda ndi kusayenda bwino,
• za fabulations,
• ndi kuzindikira zabodza.

Kusiya mowa, kwathunthu komanso motsimikizika, ndikofunikira. Kuyamwitsa kuyenera kuchitidwa m'malo apadera. Malo ena a Continuing Care and Rehabilitation (SSR) ali ndi gawo la neuro-addictology, okhazikika pazovutazi. Palibe mankhwala a Korsakoff syndrome. Kudziletsa mwatsoka sikutilola kupeza zomwe zatayika, koma kumalepheretsa mkhalidwe wa wodwalayo kuti uwonongeke kwambiri. Zimaphatikizidwa ndi "vitamini B1 kuwonjezeredwa. »Majekeseni amatha kuperekedwa kudzera m'mitsempha kapena intramuscularly. Mankhwalawa nthawi zambiri amakhala otalika, miyezi ingapo. Panthawi imodzimodziyo, tikulimbikitsidwanso kupeza zakudya zopatsa thanzi.

"Pamalo oledzera, timawona odwala asanafike pamlingo wa Korsakoff syndrome. Zikafika pamenepo, kuwonongeka kwa ubongo sikungatheke. Simungathe kubwezeretsa zomwe zinatayika. Koma n'zothekabe kuthandiza odwalawa kuti azisiya kuyamwa, kudziphunzitsanso kuyenda, kusintha - chifukwa cha chithandizo cha ntchito - chilengedwe chawo kuzinthu zawo zotsalira. ”