Chii Chiri Kuora Kwekuyeuka Screen?
I-MIS isho chidimbu chekuongorora kuongorora. Inowanzoshandiswa sepakutanga kuedzwa, pamwe chete nezvimwe zvishandiso zvekuongorora, kuongorora kugona kweumwe munhu anenge achiita seanoratidza kuora kwekugona kuitika mukukwanisa kwavo kwekufunga nekuyeuka.
I-MIS ndeimwe yezvinhu zvitatu zvakakurudzirwa kuti zvishandiswe muMedare Annual Wellness Visit neAlzheimer's Association.
Mamwe maviri ndiwo GPCOG uye Mini-Cog .
Ndezvipi Zvinosanganisira MIS Zvine?
Kana "Maude" ichipiwa MIS, achakumbirwa kuita mabasa anotevera:
- Mune mazwi mashoma ekudhindwa (maita 24 kana makuru) anonzwiwa kuna Maude uye anokumbirwa kuverenga chinhu chimwe nechimwe. Semuenzaniso, mazwi mana anogona kunge ari checkers, saucer, teregiramu uye Red Cross.
- Maude anobva apiwa chikamu uye akakumbira kuziva kuti shoko ripi rinopindirana nechikamu ichocho. Somuenzaniso, chikamu che "mitambo" inopiwa uye inofanira kukwanisa kuziva kuti shoko rokuti "checkers" rinoenderana nechechi. Mushure mokunge tapedzisa basa iri nemashoko ose mana pamapepa, pepa racho rinobviswa kubva pakuona uye Maude anoudzwa kuti achafanira kuyeuka mazwi aya mumaminitsi mashomanana.
- Zvadaro, Madue anokumbirwa kuita basa rinomuparadzanisa kubva kumashoko mana aakangodzidza, zvakadai sokuverenga kusvika kumashure makumi maviri nemaviri mberi kana kumashure kana kuverenga shure kumashure manomwe kubva pa100.
- Pashure pokupedzisa basa iri rinoparadza, Maude anokumbirwa kuyeuka mazwi mana. Anopiwa makore masere kuti ayeuke rimwe nerimwe remashoko. Izvi zvinonzi chikamu chekuyeuka pasina chekuongorora nokuti ari kukumbirwa kuyeuka mazwi asi kwete kupa chero zvinyorwa zvokuita.
- Kana maawa masere anopfuura apfuura asina mazwi akayeuka, Maude anobva apiwa chikwata chechikamu chezwi rimwe nerimwe ndokukumbira kuyeuka shoko. Semuenzaniso, mutungamiri wekuedza achati chimwe chezvinhu chaiva mutambo uye izvi zvingaita kuti Maude ayeuke shoko rokuti "checkers." Uyu ndiwo chikamu chekuyeuka kwekateji chemuedzo.
MIS Inotora Sei?
Pamusoro pezwi rimwe nerimwe rinorangarirwa pasina zvinyorwa (kusarangarira pachena), Maude achawana pfungwa mbiri. Nezwi rimwe nerimwe rinorangarirwa ne-categorical clue, Maude achagamuchira imwe pfungwa.
Nhamba ye5-8 inoratidza kusagadzikana kwepfungwa, asi zvikamu zvina kana zvitanhatu zvinoratidza kukanganisa kunokonzera kukanganisa.
MIS Inoshanda Zvakadini Kuziva Dhementia?
I-MIS inoratidzirwa kuti inobudirira pakuziva kusagadzikana kwepfungwa uye zvisingadhuri zvakanyanya kudarika Mini Mental State Exam. (MIS inokwidziridzwa neAlbert Einstein College of Medicine asi kushandiswa kwechipatara kune rusununguko.)
Ndezvipi Zvimwe Zvimwe Zvishandiso Zvishandiswa Kuchengetedza Dhementia?
Ndezvipi Zvakanaka uye Zvokudya zveMIS?
Pros
- I-MIS haifaniri kukwanisa kunyora, saka inosarudzo yakanaka kana motokari basa risina simba.
- Inopfupika, inoda maminitsi mana kutonga.
- Kushanda paMIS hakuratidzi zvishoma kubva kumatunhu ehurumende. (Mumwe munhu akaenda kuchikoro achishandisa girasi rekutanga anofanira kunge achigona kuita pamwe chete nemunhu ane dzidzo yekoroji.)
- I-MIS inoramba yakarurama apo inoshandiswa mumitauro yakasiyana-siyana uye mumitauro yakasiyana.
- Icho hachidi kuti udzidziswe zvakakwana kuti utungamirire.
- Panewo kuongorora kweMIS-T iyo inoshandiswa yeMIS iyo inogona kutarisirwa pamusoro pefoni. Kutsvakurudza kwakaratidza kuti MIS-T inoshanda pakuona kusagadzikana kwepfungwa.
Cons
- Kuchenjerera kumwe neMIS ndechokuti haigone kushandiswa nevanhu vasingakwanisi kuverenga, zvichida nekuda kwekuona kuora mwoyo kana nekuda kwekusaverenga nekunyora.
- Hazviongorori hutungamiri hukuru , izvo zvinogona kuva chiratidzo chekutanga mune mamwe marudzi ehutano hwemangara dzinosanganisira vascular dementia uye frontotemporal dementia .
- Hazviongorori maonero e-visuospatial , ayo anogonawo kuchinjwa nekuora mwoyo.
Kuongorora Dhementia
Yeuka kuti MIS inoshandiswa kuongorora, kwete tsanangudzo yekujekesa. Kuipa kwehutano pamusoro peMIS kunoratidza kuti pangave nechikonzero chekufunganya, asi kuongorora kwakazara chiremba kunofanirwa kuongorora cognition uye pakupedzisira kuongorora demoentia.
Ramba uchiyeuka kuti kune zvimwe zvikonzero zvekuyeuka kwepfungwa zvinogona kunge zvishoma nezvishoma zvinoshandiswa nekurapa kwakakodzera, zvakadai sekushaiwa kwevhitamini B12 , kupindira kwemishonga , kubvisa uye kushandiswa kwemazuva ano hydrocephalus .
Sources:
Alzheimer's Association. Albert Einstein College of Medicine. Memory Impairment Screen. http://www.alz.org/documents_custom/mis.pdf
Alzheimer's & Dementia 9 (2013) 141-150. Hurukuro yeAlzheimer's Association yekushandura kuonekwa kwekusagadzikana kwepfungwa panguva yeMedare Annual Wellness Visit mune imwe nzvimbo yekuchengeta kuchengetedza. http://www.alzheimersanddementia.com/article/S1552-5260(12)02501-0/abstract
BMC Neurology. 2011, 11 : 92. Kubudirira uye mari yepototest mukutemwa kwemagumisiro uye kugadzirisa kukanganisa kuora mwoyo. http://www.biomedcentral.com/1471-2377/11/92
Nyaya yeAmerican Geriatric Society. 2003 Oct; 51 (10): 1382-90. Kuongorora kuora mwoyo kwemafoni kuburikidza nefoni kuburikidza nekuyeuka kwepfungwa screen. http://www.ncbi.nlm.nih.gov/pubmed/14511157
Neurology. 1999 Jan 15; 52 (2): 231-8. Kuongorora kuora mwoyo kwemhemberero nekuyeuka kwepfungwa screen. http://www.neurology.org/content/52/2/231.short