Sergei Korsakoff. Pakupera kwezana ramakore rechi19, uyu murapi weRussia murapi ndiye akatanga kurondedzera kusarongeka kwendangariro kwakabatana nehurwere huchava nezita rake. "Ndiyo fomu yekupedzisira, yakanyanya kukanganisika kwekunzwisisa kwakasangana nedoro risingaperi," anotsanangura Dr Michael Bazin, mukuru weanopindwa muropa neCentre hospitaler d'Allauch. 

Njodzi chinhu chekenza zhinji, hosha yemoyo: doro harina mukurumbira wakanaka muhutano, uye ndizvo chaizvo. Iyo inokonzeresa zvinopfuura mazana maviri ezvirwere uye zvakasiyana siyana zvirwere. Icho chimwe chezvinhu zvikuru zvinodzivirirwa zvikonzero zverufu: zvinonzi zvinofa 200 kufa pagore.

Pakati pekukuvara kwese kwarinokonzera, pane nhengo imwechete inonyanya kutambura: uropi. "Kudhakwa ibhomba yenguva yeuropi," anochema kudaro Dr. Bazin. “Ndicho chimwe chezvikonzero zvikuru zvekukanganisa pfungwa nguva isati yakwana, asati asvitsa makore makumi matanhatu nemashanu. Kudya kwekutanga kunotanga, ndiko kukura kwehuropi zvakanyanya. Iyo 65 barometer yehutano yePublic Health France yakaratidza kuti nepo 2017% yevakuru vasingambonwa, 13,5% vanonwa mazuva ese.

"Doro rinokwana magirazi maviri pazuva, uye kwete mazuva ese", yakadaro sirogani inopfupisa mabhenji matsva ekushandisa akasimbiswa nePublic Health France neNational Cancer Institute. Sechiyeuchidzo, girazi rakazara redoro = 10cl yewaini = 2,5cl ye pastis = 10cl ye champagne = 25cl yedoro. Vakadzi vari kuronga kuve nepamuviri, vane nhumbu kana kuyamwisa vanofanirwa, kune yavo chikamu, kurega chero kunwa. 

Ichi chirwere chetsinga chakasiyana-siyana, asi "chikonzero chikuru kushomeka kwevhitamini B1 (thiamine), iyo inogadzira kushushikana kwepfungwa. Kugara uchinwa doro zvakanyanya kunokonzera kukanganisa mukumwa kwevhitamini iyi, iyo uropi inoda kushanda nemazvo. Nekudaro, haina kugadzirwa nemuviri uye inofanira kupihwa nechikafu (inowanikwa muzviyo, nzungu, bhinzi dzakaomeswa, nyama, nezvimwewo).

Nharaunda yese yeuropi - memory memory - inobatwa. Uku kushomeka kuri mune dzakawanda zviitiko mhedzisiro yekugara uchidhakwa. Zvimwe zvisingawanzoitika, zvakakonzerwa nekushaya kudya kwakakwana, kushushikana kwemusoro, kana kuteedzana kweGayet-Wernicke encephalopathy, isina kurapwa kana kurapwa kunonoka.

Anterograde amnesia

“Kune matambudziko makuru ekurangarira. Tiri kutaura nezve anterograde amnesia. Murwere haakwanise kurangarira zvakaitika maminetsi mashoma apfuura. Anogona kurangarira zvakapfuura zvakapfuura - kwete nguva dzose, asi zviitiko zvechangobva kuitika zvinomutiza zvachose. “Kubhadhara kukosheswa kwendangariro uku, achazvishongedza, ndiko kuti, nyaya dzekugadzira. "

Kuzivikanwa kwenhema

Izvi zvinobvumira vanhu kuti vataure nevanodiwa nenzira inoita seyakaenderana. “Kuzivikanwa kwenhema chimwe chiratidzo chehurwere. Murwere anofunga kuti anoziva waari kutaura naye ”, kunyangwe asina kana kumbomuona. "Gait uye kusagadzikana kusagadzikana, kusagadzikana panguva nenzvimbo kunopedzisa iyo kiriniki mufananidzo. "

Matambudziko epfungwa

Munhu wacho kazhinji haachazivi kwavari, uye haachazivi musi wacho. Matambudziko emanzwiro anotaurwa zvakare. Pakupedzisira, “varwere havazivi mamiriro avo. Izvi zvinonzi anosognosia. Ichi chiratidzo chinowanzoitika kune varwere veAlzheimer, avo "vanokanganwa kuti vari kukanganwa. Kuremara kwacho kunorema, uye kusingaperi.

"Zvinoenderana nekuongororwa kwekiriniki. Chiremba anocherekedza kuvapo kana kwete kweakanyanya zviratidzo eKorsakoff:

• yakaoma anterograde amnesia,
• kufamba uye kuenzanisa kusagadzikana,
• iyo micheka,
• uye kuziva kwenhema.

Kumisa doro, kuzere uye kusimbisa, kuri chokwadi kwakakosha. Kurumura kunofanirwa kuitirwa munzvimbo yakasarudzika. Dzimwe Kuenderera Kuchengeta uye Rehabilitation (SSR) nzvimbo dzine neuro-addictology unit, inonyanya kugadzirisa dambudziko iri. Iko hakuna mushonga weKorsakoff syndrome. Kuzvidzivirira zvinosuruvarisa hakubvumiri isu kuti tiwane izvo zvakarasika, asi kunodzivirira mamiriro emurwere kubva pakuwedzera kunyanyisa. Inoperekedzwa ne "vitamini B1 yekuzadza. »Majekiseni anokwanisa kupihwa mukati mekubaya kana mukati meshungu. Mushonga unowanzo kuve wakareba, pamusoro pemwedzi yakati wandei. Panguva imwecheteyo, zvinokurudzirwawo kuti uwane kudya kwakaringana.

“Munzvimbo yekupindwa muropa, tinoona varwere vasati vava padanho reKorsakoff syndrome. Kana zvasvika pane izvo, kukuvara kwehuropi hakuchinjiki. Iwe haugone kudzorera zvakarasika. Asi zvichiri kugona kubatsira varwere ava kuti vazvimise pachezvazvo, kuzvidzidzisazve mukufamba, kuchinjika - nekuda kwekurapwa kwebasa - nharaunda yavo kune zvavo zvakasara zviwanikwa. ”