Sergei Korsakoff. A ƙarshen karni na 19, wannan ƙwararriyar ƙwararriyar ƙwayar cuta ta Rasha ita ce ta farko da ta bayyana ɓarkewar ƙwaƙwalwa da ke da alaƙa da ciwon da zai ɗauki sunansa. "Wannan ita ce sifar ƙarshe, mafi muni na rikicewar hankali da aka gamu da shi a cikin shaye -shaye na yau da kullun," in ji Dr Michael Bazin, shugaban sashin shaye -shaye a asibitin dillalla na Cibiyar. 

Matsalar haɗari ga yawancin cututtukan daji, cututtukan zuciya da jijiyoyin jini: barasa ba shi da suna mai kyau a cikin lafiya, kuma daidai ne. Yana da alhakin cututtuka sama da 200 da cututtuka daban -daban. Yana daya daga cikin manyan abubuwan da ke hana mutuwa: ana danganta mutuwar 41.000 a shekara.

Daga cikin duk lalacewar da yake haifarwa, akwai gabobin da ke shan wahala musamman: ƙwaƙwalwa. “Alcoholism shine lokacin tashin hankali ga kwakwalwa,” in ji Dr. Bazin. “Yana daya daga cikin manyan abubuwan da ke haifar da saurin kamuwa da cutar dementia, kafin shekaru 65. Fara amfani da farko, mafi girma lalacewar kwakwalwa. Barometer na lafiya na 2017 na Kiwon Lafiyar Jama'a na Faransa ya nuna cewa yayin da 13,5% na manya ba su taɓa sha ba, kashi 10% suna sha kowace rana.

"Barasa shine mafi girman tabarau biyu a rana, kuma ba kowace rana ba", irin wannan shine taken taken takaita sabbin alamomin amfani da Lafiya ta Jama'a Faransa da Cibiyar Ciwon daji ta Kasa suka kafa. Don tunatarwa, madaidaicin gilashin giya = 10cl na giya = 2,5cl na pastis = 10cl na shampen = 25cl na giya. Matan da ke shirin yin juna biyu, masu juna biyu ko masu shayarwa dole ne, a nasu bangaren, su guji kowane amfani. 

Wannan cuta ta jijiyoyin jiki tana da yawa, amma “babban abin da ke haifar da shi shine karancin bitamin B1 (thiamine), wanda ke haifar da damuwa na jijiyoyin jiki. Shaye -shaye na yau da kullun musamman yana haifar da tashin hankali a cikin shan wannan bitamin, wanda kwakwalwa ke buƙatar aiki da kyau. Koyaya, ba a haɗa shi da jiki ba kuma dole ne a samar da shi ta abinci (ana samun sa a cikin hatsi, goro, busasshen wake, nama, da sauransu).

Duk wani yanki na kwakwalwa - da'irar ƙwaƙwalwa - ta shafi. Wannan rashi shine a mafi yawan lokuta sakamakon shan giya na yau da kullun. Ƙari da yawa, rashin abinci mai gina jiki ne ya haifar da shi, rauni na kai, ko kuma ci gaba da cutar Gayet-Wernicke encephalopathy, ba a bi da shi ba ko kuma an yi masa latti.

Anterograde amnesia

“Akwai manyan matsalolin ƙwaƙwalwa. Muna magana ne game da anterograde amnesia. Mai haƙuri ba zai iya tuna abin da ya faru mintuna kaɗan da suka gabata ba. Zai iya tunawa da abin da ya gabata - ba koyaushe ba, amma abubuwan da suka faru kwanan nan sun tsere masa gaba ɗaya. “Don rama wannan babban raunin ƙwaƙwalwar ajiya, zai ƙera, wato ƙirƙira labarai. "

Gane ƙarya

Wannan yana ba mutane damar yin taɗi da ƙaunatattu ta hanyar da ta dace. “Gane ƙarya wata alama ce ta rashin lafiya. Mai haƙuri yana tunanin ya san wanda yake magana da shi ”, koda bai taɓa ganinsa ba. “Gait da daidaituwa, rashin daidaituwa cikin lokaci da sararin samaniya sun kammala hoton asibiti. "

Ciwon yanayi

Mutum gaba ɗaya bai san inda suke ba, kuma bai san kwanan wata ba. Hakanan an ambaci rikicewar yanayi. A ƙarshe, “marasa lafiya ba su san halin da suke ciki ba. Wannan ake kira anosognosia. Wannan alamar tana da yawa a cikin marasa lafiyar Alzheimer, waɗanda “suka manta cewa suna mantawa. Nakasasshen yana da nauyi, kuma na dindindin.

“Ya dogara ne akan gwajin asibiti. Likita ya lura da kasancewar ko a'a manyan alamun Korsakoff:

• amnesia mai tsananin anterograde,
• rikicewar tafiya da daidaitawa,
• littattafan,
• da gane karya.

Tsayar da giya, cikakke kuma tabbatacce, ba shakka yana da mahimmanci. Ya kamata a aiwatar da yaye a wani wuri na musamman. Wasu cibiyoyin Kulawa da Ci gaba (SSR) suna da sashin neuro-addictology, ƙwararre kan wannan cuta. Babu maganin cutar Korsakoff. Abstinence rashin alheri ba ya ƙyale mu mu sami abin da aka rasa, amma yana hana yanayin majinyaci ya ƙara lalacewa. Yana tare da “cikewar bitamin B1. »Ana iya ba da allurar ta cikin huhu ko ta intramuscularly. Maganin yana da tsawo, fiye da watanni da yawa. A lokaci guda, ana kuma ba da shawarar samun daidaitaccen abinci.

"A cikin cibiyar jaraba, muna ganin marasa lafiya kafin su kasance a matakin cutar Korsakoff. Idan ya zo ga hakan, lalacewar kwakwalwa baya juyawa. Ba za ku iya mayar da abin da aka rasa ba. Amma har yanzu yana yiwuwa a taimaka wa waɗannan marasa lafiya don yaye kansu, don sake ilmantar da kansu cikin tafiya, daidaitawa-godiya ga aikin sana'a-muhallin su ga sauran albarkatun su. ”