Sergei Korsakoff. Ekupheleni kwekhulu le-19, lo dokotela wezifo zengqondo waseRussia waba ngowokuqala ukuchaza ukuhlakazeka kwenkumbulo okuhlobene nesifo esizobizwa ngegama lakhe. “Kuyisifo esibulalayo, ukuphazamiseka kwengqondo okubi kakhulu okutholakala ebudakweni obungapheli,” kuchaza uDkt Michael Bazin, inhloko yophiko lokulutheka e-Center hospitaler d'Allauch. 

Isici esiyingozi semidlavuza eminingi, izifo zenhliziyo nemithambo yegazi: utshwala abunalo idumela elihle empilweni, futhi kufanele. Ibhekene nezifo ezingaphezu kuka-200 nezifo ezihlukahlukene. Ingenye yezimbangela eziyinhloko zokufa ezingagwemeka: kuthiwa kufa kwabantu abangama-41.000 ngonyaka.

Phakathi kwawo wonke umonakalo owubangelayo, kunesitho esisodwa esihlupheka kakhulu: ubuchopho. “Ukuphuza ngokweqile kuyibhomu lesikhathi ebuchosheni,” kukhala uDkt. Bazin. “Kungenye yezimbangela eziyinhloko zokuwohloka komqondo ngaphambi kwesikhathi, ngaphambi kokuba uhlanganise iminyaka engu-65. Uma uphuza kuqala, kulapho ubuchopho buwohloka nakakhulu. I-barometer yezempilo ka-2017 yePublic Health France iveze ukuthi ngenkathi u-13,5% wabantu abadala bengaphuzi, u-10% uphuza nsuku zonke.

"Utshwala bungaphezu kwezingilazi ezimbili ngosuku, hhayi nsuku zonke", lesi siqubulo esifingqa izilinganiso ezintsha zokusetshenziswa ezisungulwe yiPublic Health France kanye neNational Cancer Institute. Njengesikhumbuzo, ingilazi evamile yotshwala = 10cl yewayini = 2,5cl ye-pasti = 10cl ye-champagne = 25cl kabhiya. Abesifazane abahlela ukukhulelwa, abakhulelwe noma abancelisa ibele kufanele, ngakolunye uhlangothi, bagweme noma yikuphi ukudla. 

Lokhu kuphazamiseka kwemizwa kunezici eziningi, kodwa “isizathu esiyinhloko siwukuntuleka kukavithamini B1 (thiamine), okudala ukucindezeleka kwezinzwa. Ukuphuza ngokweqile ikakhulukazi kubangela ukuphazamiseka ekumunceni kwaleli vithamini, okudingeka ubuchopho busebenze kahle. Kodwa-ke, akwenziwanga ngumzimba futhi kufanele kuhlinzekwe ngokudla (kutholakala okusanhlamvu, amantongomane, ubhontshisi omisiwe, inyama, njll.).

Isifunda sonke sobuchopho - isifunda senkumbulo - siyathinteka. Lokhu kushoda ezimweni eziningi kuwumphumela wotshwala obungapheli. Okungavamile kakhulu, kwakubangelwa ukungondleki okubi kakhulu, ukuhlukumezeka ekhanda, noma ukulandelana kwe-Gayet-Wernicke encephalopathy, engelashiwe noma yelashwa sekwephuze kakhulu.

I-Anterograde amnesia

“Kunezinkinga ezinkulu zenkumbulo. Sikhuluma nge-amnesia ye-anterograde. Isiguli asikwazi ukukhumbula okwenzekile emizuzwini embalwa ngaphambili. Angakwazi ukukhumbula isikhathi sakhe esidlule - hhayi njalo, kodwa izenzakalo zakamuva zimbalekela ngokuphelele. “Ukunxephezela lokhu kusilela kwenkumbulo okukhulu, uzoqamba amanga, okusho ukusungula izindaba. “

Ukuqashelwa okungamanga

Lokhu kuvumela abantu ukuthi baxoxe nabathandekayo ngendlela ebonakala ingaguquki. “Ukuqashelwa amanga kungolunye uphawu lokugula. Isiguli sicabanga ukuthi siyazi ukuthi sikhuluma nobani ”, noma ngabe singakaze simbone. “Ukuphazamiseka kokuhamba nokulinganisela, ukudideka ngesikhathi nendawo kuqeda isithombe somtholampilo. “

Izinkinga zemizwelo

Umuntu ngokuvamile akasazi ukuthi ukuphi, futhi akasazi nosuku. Kubuye kukhulunywe nokuphazamiseka kwemizwa. Ekugcineni, “iziguli azisazi isimo sazo. Lokhu kubizwa ngokuthi i-anosognosia. Lolu phawu luvamile ezigulini ze-Alzheimer, “ezikhohlwayo ukuthi ziyakhohlwa. Ukukhubazeka kusinda kakhulu, futhi unomphela.

“Kusekelwe ekuhlolweni komtholampilo. Udokotela uphawula ukuba khona noma cha kwezimpawu eziyinhloko ze-Korsakoff:

• i-anterograde amnesia enzima,
• ukuphazamiseka kokuhamba nokulinganisela,
• imibukiso,
• nokuqashelwa okungamanga.

Ukuyeka utshwala, okuphelele nokucacile, kubalulekile. Ukulumula kufanele kwenziwe endaweni ekhethekile. Ezinye izikhungo ze-Continuing Care and Rehabilitation (SSR) zineyunithi ye-neuro-addictology, egxile kulesi sifo. Alikho ikhambi le-Korsakoff syndrome. Ukuzithiba ngeshwa akusivumeli ukuthi sithole okulahlekile, kodwa kuvimbela isimo sesiguli ekubeni sibi nakakhulu. Ihambisana “nokugcwaliswa kabusha kwe-vitamin B1. »Imijovo inganikezwa nge-intramuscularly noma nge-intramuscularly. Ukwelashwa kuvame ukude, kunezinyanga ezimbalwa. Ngesikhathi esifanayo, kunconywa futhi ukuthola ukudla okulinganiselayo.

“Esikhungweni sokulutha, sibona iziguli ngaphambi kokuba zibe sezingeni le-Korsakoff syndrome. Uma kufikwa kulokho, ukulimala kwengqondo akunakulungiseka. Awukwazi ukubuyisela okulahlekile. Kodwa kusengenzeka ukusiza lezi ziguli ukuthi zizilumule, ziphinde zizifundise ukuhamba, ukuzivumelanisa nezimo - ngenxa yokwelashwa komsebenzi - indawo yazo ezinsizeni zazo ezisele. ”