Ukusetyenziswa ngokugqithiseleyo kotywala kunokuthintela kuphela impilo yesibindi. Kukho ubunzima obunzima bezifo ezifanayo, ezibizwa ngokuba yi-alcoholic encephalopathy kwaye zikhula ngokugqithiseleyo kwizigaba zokugqibela zokuxhomekeka. Le syndrome idibanisa ezimbini iimpawu ze-neurological and somatic.
Utywala obunobuncwane obunokwakheka kwengqondo
I-pathology ecatshangelwayo yinyani izifo ezininzi ezenzeka ngexesha elifanayo kwisakhelo sesifo esisodwa sekliniki, esingafumaneka kwimeko ephosakeleyo kwaye engapheliyo. Iquka ukuphazamiseka kweenkqubo zesifo, zokugaya kunye nokuzimela, imisebenzi ye-cardiovascular kunye nokukhubazeka okusebenzayo kwengqondo.
Ulwaphulo lokunxiliswa kotywala lubonwa kwi-2 (ekugqibeleni) okanye kwizigaba ezi-3 zokuxhomekeka, ixesha lokusetyenziswa kotywala kotywala luvela kwiminyaka engama-6 ukuya kwe-20, nangona kubasetyhini esi sifo sinokukhula phambili ngenxa yempawu zomzimba kunye nemvelaphi ye-hormonal. Kufuneka kuqatshelwe ukuba kwinqanaba lomngcipheko omkhulu kunabantu abasebenzisa izidakamizwa ezidakayo.
Ukunxiliswa kwexilongo - iimpawu
Isibonakaliso esibalulekileyo sesi sifo - ukuphulwa komzimba weenkqubo zokuxilongwa, okuyekelela ukuvelisa i-thiamine (i-vitamin B1), ukubonelela nge-carbohydrat balance. Ngenxa yoko, ingqondo ihlupheke ngenxa yokungabikho kwemithombo yamandla.
Iimpawu eziphambili zi:
- izibilini, ukuhlanza, ukutshaya, ukuvumba, isisu;
- ukuphulwa komzimba wamathumbu;
- ukulahleka kwesisindo esinamandla;
- ubuthathaka ngokubanzi ngokudibanisa neentlanzi;
- zixhala;
- ukuphazamiseka kokulala okuqhubekayo;
- intliziyo, i-arrhythmia;
- ukukhupha , ukuthuthumela , ukuziva ukungabi nomoya;
- ukudinwa;
- i-edema yengqondo;
- umonakalo wesibindi;
- ukwanda kwindleko yomzimba ukuya kuma-40 degrees;
- coma.
I-encephalopathy yonyango kunye neyodwa engapheliyo-unyango
Ngefomu elibi, elibizwa nangokuthi i-encephalopathy enempilo, iGaye-Wernicke, yimeko ephuthumayo yekliniki efuna ukunakekelwa kwezibhedlele ngokukhawuleza kwinqanaba lokunyamekela kakhulu, kuba lixela ukuba ngubani. Kwinkqubo yokonyango, okokuqala, kuyimfuneko ukufezekisa ukuzinzisa kweenkqubo zokuxilisa umzimba kwisigulane somzimba. Isicwangciso socwangciso lweyeza:
- amanani amakhulu amavithamini B, iiVithamini C kunye neP;
- ukwanda kwindleko yokusetyenziswa kwamanzi (umthamo wamanzi wansuku zonke kufuneka udlulele umthamo we-urine output);
- i-tranrenaltics, i-adrenalytics yokumisela imeko yengqondo nokulala.
Encephalopathy engapheliyo (i-Korsakov's psychosis) ixhomekeke kwixesha elide, unyango olunzulu, oluquka ukusetyenziswa kwe-hormone ye-glucocorticosteroid (i-hydrocortisone, i-prednisolone), unyango lwe-infusion kunye nokufakwa kwezidakamizwa ze-ethanol.
Utywala obunxilisayo - ukuhlaziya
Ekuqaleni isigulane siphendukela uncedo, kunokwenzeka ukuba ufumane kwakhona. Ukuba i-syndrome enemibuzo ayiphathwe nonke, isifo siza kubangela ukubola kunye nokufa (malunga ne-18% yazo zonke iimeko).
Enyanisweni, ukuxhomekeka kuxhomekeke kwisilinganiselo sokuxhomekeka kotywala, ifom, isigaba se-encephalopathy, kwaye ngamnye umntu ngamnye
Utywala obunxilisayo - iziphumo
Phakathi kwezona ziphumo ezibi kakhulu zifanelekile ukuphawula:
- ngqondweni;
- i-cerebral hemorrhage;
- ukukhubazeka (okupheleleyo okanye okukhethiweyo);
- i-neuritis, intshukumo yeendawo eziphantsi nephezulu;
- pneumonia ;
- i-coma kunye nesiphumo esibulalayo.