Sergei Korsakoff. Thaum kawg ntawm lub xyoo pua puv 19, tus kws kho mob Lavxias teb sab neuropsychiatrist no yog thawj tus piav qhia txog kev tsis sib haum xeeb ntawm kev nco txog kev sib txuas nrog tus mob uas yuav dais nws lub npe. "Nws yog daim ntawv davhlau ya nyob twg, qhov hnyav tshaj plaws ntawm kev paub tsis meej uas tau ntsib hauv kev haus dej cawv ntev," piav qhia Dr Michael Bazin, tus thawj coj ntawm pawg neeg quav yeeb quav tshuaj ntawm Center hospitalier d'Allauch. 

Kev pheej hmoo rau ntau yam mob qog noj ntshav, kab mob plawv: cawv tsis muaj lub koob npe zoo hauv kev noj qab haus huv, thiab yog li ntawd. Nws yog lub luag haujlwm rau ntau tshaj 200 kab mob thiab ntau yam mob. Nws yog ib qho tseem ceeb tiv thaiv kev tuag: nws raug ntaus nqi 41.000 tus neeg tuag hauv ib xyoos.

Ntawm txhua qhov kev puas tsuaj nws ua rau, muaj ib lub cev uas raug kev txom nyem tshwj xeeb: lub hlwb. "Kev haus dej cawv yog lub sijhawm foob pob rau lub hlwb," yws Dr. Bazin. "Nws yog ib qho ntawm cov laj thawj tseem ceeb ntawm kev dementia ntxov ntxov, ua ntej hnub nyoog 65 xyoos. Kev noj haus ua ntej pib, qhov loj dua ntawm lub hlwb. Lub 2017 kev noj qab haus huv barometer ntawm Public Health France tau qhia tias thaum 13,5% ntawm cov neeg laus tsis haus, 10% haus txhua hnub.

"Cawv yog qhov siab tshaj plaws ntawm ob khob ib hnub, thiab tsis yog txhua hnub", xws li cov lus hais qhia txog cov qauv kev noj haus tshiab tsim los ntawm Public Health France thiab National Cancer Institute. Raws li kev ceeb toom, tus qauv iav cawv = 10cl ntawm cawv = 2,5cl ntawm pastis = 10cl ntawm champagne = 25cl ntawm npias. Cov poj niam uas tab tom npaj cev xeeb tub, cev xeeb tub lossis pub niam mis, yuav tsum tsis txhob noj txhua yam. 

Cov kab mob neurological no yog multifactorial, tab sis "qhov laj thawj tseem ceeb yog qhov tsis muaj vitamin B1 (thiamine), uas ua rau muaj kev ntxhov siab neuronal. Kev haus dej cawv ntev ntev ua rau muaj kev cuam tshuam rau kev nqus ntawm cov vitamin no, uas lub hlwb xav tau kev ua haujlwm zoo. Txawm li cas los xij, nws tsis yog tsim los ntawm lub cev thiab yuav tsum tau muab los ntawm cov khoom noj (nws muaj nyob rau hauv cereals, txiv ntseej, taum qhuav, nqaij, thiab lwm yam).

Tag nrho cheeb tsam ntawm lub hlwb - lub cim xeeb Circuit Court - cuam tshuam. Qhov kev tsis txaus no feem ntau yog qhov tshwm sim ntawm kev haus cawv ntev ntev. Tsis tshua muaj, nws tau tshwm sim los ntawm kev noj zaub mov tsis zoo, lub taub hau raug mob, lossis qhov tshwm sim rau Gayet-Wernicke encephalopathy, tsis kho lossis kho lig dhau lawm.

Anterograde mob tsis nco qab

“Muaj teeb meem nco loj. Peb tab tom tham txog anterograde amnesia. Tus neeg mob tsis nco qab tias muaj dab tsi tshwm sim ob peb feeb dhau los. Nws tuaj yeem nco txog nws yav dhau los nyob deb - tsis yog ib txwm, tab sis cov xwm txheej tsis ntev los no tau khiav tawm ntawm nws. "Yuav kom them rov qab rau qhov kev nco loj loj no, nws yuav nthuav dav, uas yog hais txog kev tsim cov dab neeg. “

Kev lees paub cuav

Qhov no tso cai rau tib neeg sib tham nrog cov neeg hlub hauv txoj kev zoo li zoo ib yam. “Kev lees paub cuav yog lwm qhov cim ntawm kev mob. Tus neeg mob xav tias nws paub leej twg nws tham nrog ”, txawm tias nws tsis tau pom nws. "Gait thiab balance disorders, disorientation nyob rau hauv lub sij hawm thiab qhov chaw ua kom tiav daim duab kho mob. “

Mood ntshawv siab

Tus neeg feem ntau tsis paub tias lawv nyob qhov twg, thiab tsis paub hnub. Cov kev xav tsis zoo kuj tau hais txog. Thaum kawg, "cov neeg mob tsis paub txog lawv tus mob. Qhov no hu ua anosognosia. Cov tsos mob no feem ntau tshwm sim hauv cov neeg mob Alzheimer, uas "tsis nco qab tias lawv tsis nco qab. Cov kev tsis taus yog hnyav heev, thiab mus tas li.

“Nws yog nyob ntawm kev kuaj mob. Tus kws kho mob sau tseg qhov muaj lossis tsis yog cov tsos mob tseem ceeb ntawm Korsakoff:

• mob hnyav anterograde amnesia,
• taug kev thiab tsis sib haum xeeb,
• cov fabulations,
• thiab kev lees paub cuav.

Tsis txhob haus cawv, ua kom tiav thiab meej, yog qhov tseem ceeb. Kev tshem tawm yuav tsum tau ua nyob rau hauv ib qho chaw tshwj xeeb. Qee lub chaw saib xyuas txuas ntxiv thiab rov kho dua tshiab (SSR) muaj chav kho mob neuro-addictology, tshwj xeeb hauv qhov teeb meem no. Tsis muaj kev kho rau Korsakoff syndrome. Hmoov tsis zoo tsis tso cai rau peb nrhiav tau dab tsi tau ploj lawm, tab sis tiv thaiv tus neeg mob kom tsis txhob deteriorate mus ntxiv. Nws yog nrog los ntawm "vitamin B1 refill. » Kev txhaj tshuaj tuaj yeem muab tso rau hauv cov leeg lossis intramuscularly. Kev kho mob feem ntau ntev, ntau lub hlis. Tib lub sijhawm, nws tseem pom zoo kom nrhiav kev noj zaub mov kom zoo.

"Hauv qhov chaw tiv thaiv, peb pom cov neeg mob ua ntej lawv nyob rau theem ntawm Korsakoff syndrome. Thaum nws los txog ntawd, lub hlwb puas yog irreversible. Koj tsis tuaj yeem rov qab tau yam uas tau ploj lawm. Tab sis tseem muaj peev xwm pab tau cov neeg mob no kom tsis txhob noj lawv tus kheej, rov qhia lawv tus kheej hauv kev taug kev, hloov pauv - ua tsaug rau txoj haujlwm kho mob - lawv ib puag ncig rau lawv cov peev txheej ntxiv. ”