Sergei Korsakoff. I ka hopena o ke kenekulia 19, ʻo kēia Lūkini neuropsychiatrist ka mea mua e wehewehe i ka hoʻonohonoho ʻole o ka hoʻomanaʻo i pili i ka maʻi e lawe i kona inoa. "ʻO ia ke ʻano hopena, ka mea ʻoi loa o nā maʻi noʻonoʻo i kū i ka waiʻona mau," i wehewehe ai ʻo Dr Michael Bazin, ke poʻo o ka ʻāpana hōʻalo ma ka Center hospitalier dʻAllauch. 

ʻO ke kumu kūpilikiʻi no nā maʻi ʻino he nui, nā maʻi maʻi maʻi: ʻaʻole maikaʻi ka waiʻona i ke olakino, a pēlā nō. ʻO ia ke kuleana no 200 mau maʻi a me nā ʻano maʻi like ʻole. ʻO ia kekahi o nā kumu nui e pale ʻia ai ka make: pili ia i ka make ʻana o 41.000 i kēlā me kēia makahiki.

Ma waena o nā mea āpau i hana ʻia, aia kekahi mea nāna e ʻehaʻeha: ka lolo. "ʻO ka waiʻona ka poma manawa no ka lolo," kanikau ʻo Dr. Bazin. "ʻO ia kekahi o nā kumu nui o ka dementia premature, ma mua o ka makahiki 65. Hoʻomaka ka ʻai mua, ʻoi aku ka nui o ka deterioration o ka lolo. Ua hōʻike ka barometer ola kino 2017 o ka Health Health Palani ʻoiai ʻo 13,5% o nā mākua ʻaʻole inu, 10% inu i kēlā me kēia lā.

"ʻO ka waiʻona ka mea kiʻekiʻe o ʻelua mau aniani i ka lā, ʻaʻole i kēlā me kēia lā", ʻo ia ka huaʻōlelo e hōʻuluʻulu ana i nā pae hoʻohālikelike hou i hoʻokumu ʻia e Public Health France a me ka National Cancer Institute. Ma ke ʻano he mea hoʻomanaʻo, he kīʻaha ʻalekohola maʻamau = 10cl o ka waina = 2,5cl o pastis = 10cl o ka champagne = 25cl o ka pia. ʻO nā wahine e hoʻolālā nei e hāpai, nā mea hāpai a hānai hānai paha, no kā lākou ʻāpana, hōʻole i nā mea ʻai. 

ʻO kēia maʻi neurological multifactorial, akā "ʻo ke kumu nui ka hemahema o ka huaʻai B1 (thiamine), kahi e hoʻokumu ai i ke koʻikoʻi neuronal. ʻO ka waiʻona wai paʻa loa ke kumu o ka haunaele i ka omo ʻana o kēia wikamina, kahi e pono ai ka lolo e hana pono. Eia nō naʻe, ʻaʻole synthesize ʻia e ke kino a pono e hāʻawi ʻia e ka meaʻai (ʻike ʻia i nā cereala, nā nati, nā pi maloʻo, nā ʻiʻo, a pēlā aku.).

Hoʻopili ʻia kahi māhele o ka lolo - ka pōʻai hoʻomanaʻo - ʻO kēia hemahema i ka hapanui o nā hihia ka hopena o ka waiʻona mau. ʻOi aku ka liʻiliʻi, ua hoʻonāukiuki ʻia e ka maʻi hānai nui, ke poʻo o ke poʻo, a i ʻole kahi hopena o Gayet-Wernicke encephalopathy, mālama ʻole ʻia a mālama lohi paha.

Amnesia Anterograde

"Nui nā pilikia hoʻomanaʻo. Ke kamaʻilio nei mākou e pili ana i ka amnesia anterograde. ʻAʻole hiki i ka mea maʻi ke hoʻomanaʻo i ka mea i hala i mau minuke i hala. Hiki iā ia ke hoʻomanaʻo i kāna wā i hala aku nei - ʻaʻole mau, akā pakele nā ​​hanana hou iā ia. "No ka uku ʻana i kēia hemahema hoʻomanaʻo nui, hana ʻo ia, ʻo ia ka mea e hana i nā moʻolelo. “

ʻIʻike wahaheʻe

ʻAe kēia i ka poʻe e kamaʻilio me nā mea aloha i kahi ala kūlike ʻole. "ʻO ka ʻike wahaheʻe kekahi hōʻailona o ka maʻi. Manaʻo ka mea hoʻomanawanui ua ʻike ʻo ia i kāna mea e kamaʻilio nei ”, ʻoiai inā ʻaʻole ʻo ia i ʻike hou iā ia. "ʻO nā maʻi Gait a me ke kaulike, disorientation i ka manawa a me kahi e hoʻopau ai i ke kiʻi olakino. “

Nā pilikia o ke ola

ʻAʻole ʻike hou ke kanaka ma hea lākou, a ʻaʻole ʻike hou i ka lā. ʻ disorderslelo pū ʻia nā maʻi maʻi. ʻO ka hope loa, "ʻaʻole ʻike ka poʻe maʻi i ko lākou kūlana. Kāhea ʻia kēia ʻo anosognosia. ʻO kēia hōʻailona pinepine i nā maʻi Alzheimer, ka mea "poina e hoʻopoina ana. Kaumaha loa ka paʻa lima, a paʻa mau.

“Hoʻokumu ʻia ia ma ka hoʻokolohua hoʻokolohua. Kākau ke kauka i ka hiki a ʻole ʻole o nā ʻōuli nui o Korsakoff:

• amnesia anterograde nui loa,
• ka hele wāwae a me ke kaulike,
• nā mea hana,
• a me ka ʻike wahaheʻe.

Ke kū nei i ka waiʻona, piha a paʻa loa, he mea nui ia. Lawe ʻia ka weaning i kahi hoʻokumu kūikawā. ʻO kekahi mau kikowaena hoʻomau a mālama hou (SSR) he neuro-addictology unit, he loea i kēia maʻi. ʻAʻohe lāʻau lapaʻau no ka maʻi ʻo Korsakoff. ʻAe ʻole ka abstinence iā mākou e ʻike i nā mea i nalowale, akā pale i ke ʻano o ka mea maʻi mai ka ʻino hou ʻana. Hele pū ʻia me kahi “huaʻai B1 refill. »Hiki ke hāʻawi i nā injection i ka intravenous a i ʻole intramuscularly. Lōʻihi pinepine ka mālama ʻana, ma kahi o kekahi mau mahina. I ka manawa like, paipai ʻia hoʻi e ʻike i kahi papaʻai kaulike.

"Ma ke kikowaena hōʻalo, ʻike mākou i nā mea maʻi ma mua o lākou i ke kahua o ka maʻi Korsakoff. Ke hiki mai i kēlā, ʻaʻole hiki ke hoʻihoʻi ʻia ka lolo. ʻAʻole hiki iā ʻoe ke hoʻihoʻi i ka mea i nalowale. Akā hiki nō ke kōkua i kēia mau maʻi e ukuhi iā lākou iho, e aʻo hou iā lākou iho i ka hele wāwae, e hoʻomaʻa - mahalo i ka hoʻomaʻamaʻa ʻoihana - ko lākou kaiapuni i kā lākou waiwai i koe. ”