Chiedza chekuvhara maawa ndicho chinhu chakashandiswa kuratidza vanhu zviratidzo zvematambudziko emagetsi, akadai seAlzheimer uye mamwe dhementia . Inowanzoshandiswa mukubatana nedzimwewo, kuongororwa kwakaongororwa zvakanyanya , asi kunyange kana zvichishandiswa pachako, zvinogona kupa ruzivo runobatsira muhutano hwemunhu.
Maitiro ekuedzwa kweClock-Drawing Is Administered
Chiremba (kazhinji chiremba, chiremba wepfungwa, kana vashandi vehutano) anopa munhu wacho kuongororwa papepa rine denderedzwa risati yatorwa pairi uye anokumbira kuti atore nhamba paawa.
Anobva amuudza kuti atange maoko kuti aratidze nguva chaiyo. Kune dzimwe nguva dzakasiyana-siyana apo vanhu vanotungamirira izvi vanogona kushandisa, asi vazhinji vanosarudza maminitsi gumi mushure me11.
Imwe nzira ndeyokupa munhu wacho chigamba chisina chinhu uye kumubvunza kuti atore hovha inoratidza nguva yenguva gumi pashure pe 11. Vamwe vanachiremba vanoitawo nemaune kusiya shoko rokuti "maoko" munzira dzavo kuti varege kupa muedzo chinyorwa chezvinhu zvinoda kuiswa mumifananidzo.
Test Scoring
Iko kune dzakawanda nenzira 15 dzakasiyana dzekukwanisa kuongorora iyi. Zvimwe zvakajeka uye zvinosanganisira kupa zvikwereti zvekubatanidzwa kwenhamba imwe neimwe, kunyatsorongedzwa nhamba, maawa maviri eawa, kutora nguva yakakodzera, uye imwe neimwe yenhamba yakarurama inowanikwa mumakumbo mana. Vose sevashanu, gumi, kana 20 mapepa zvinogona kubatanidzwa kune dzimwe nzira dzakasiyana dzekutsvaga.
Zvisinei, chidzidzo chakabudiswa muDenmark Medical Journal chinotsanangura tsvakurudzo iyo yakaenzanisa nhanu nzira dzakajairika dzekutora muedzo.
Mhedziso yavo? Nzira yakanakisisa yekuongororwa yakapa mitsara yakave yakarurama seye nzira dzakaoma dzakawanda dzekuongorora.
Iyi nzira yakarongeka yekutsvaga ndeyekupa imwe pfungwa kana basa racho rakapedzwa zvakanaka uye zero mapepa kana awa yakanga isati yapera. IAlzheimer's Association inokurudzirawo nzira iyi iri nyore yekuongorora, pakugumisa kuti nguva yakatarwa (kana kuti chikwata cheimwe pfungwa) inoratidza kusavapo kwemaonero evanhu , nepo awa rinenge risina kukwana rinokonzera kupfuurira mberi.
Dambudziko Rinokosha Zvikanganiso
Kutsvakurudza kuwedzera kwakaratidza zvikamu zvitanhatu mumuedzo uyu zvaive zvakakosha pakuona zvakajeka matambudziko mu cognition. Izvi zvakarondedzerwa sezvikanganiso zvakakosha-kutora maawa uye zvakasanganisira nguva isina kunaka, kwete maoko, nhamba dzisina kuwanikwa, nhamba dzekubatsiridzira, kudzokorora , nekuramba. Ava vanotsvakurudza vakagumisa kuti izvi zvikanganiso zvitanhatu zvaive zvaiitika pakuziva chirwere chemaitiro chinotarisana nenguva yekuongorora kweawa. Cherechedza kuti kungoramba kupedza muedzo kungaratidza dambudziko.
Makomborero eOckck-Drawing Test
- Chigadzirwa chekutsvaga: Iyi nzira yakakurumidza kuvhara munhu kuti inogona kuora mwoyo. Inowanzoda miniti chete kana maviri kuti ipedzwe.
- Zviri nyore kutungamirira: Hazvirevi kudzidziswa kwakakura kutonga.
- Zvakanyatsorambidzwa: Uyu muedzo uri nyore kupedzisa kupfuura MMSE kune vanhu vane hanya kwenguva refu.
- Kusununguka: Kusiyana nedzimwe tsananguro dzekufungidzira dzinoda kuti utenge kopi yekuongorora uye kuisa zvishandiso, kuedza kwekudhika kweawa kunokwanisa kupedzerwa nemutengo wepape nepeni.
- Ive inobatsira munyika dzichiri kusimukira: Nemhaka yekudhura kwakaderera uye zvishoma kudzidziswa, iyi miedzo inogona kushandiswa munyika dzisina zvigadziriswa.
- Kuchengetedza kwa delirium : Muedzo uyu wakashandiswawo kuvarwere vari muchipatara kuti vaongorore zviratidzo zve delirium. Dhiriyumu inowanzoerekana yowedzera muhutano hwemumwe munhu. Iyo inogona kutevera kushandiswa kweanesthesia nokuda kwekuvhiyiwa, somuenzaniso, uyewo kunokonzerwa nehutachiona kana kurwara.
Kuziva Matambudziko Anoshanda Anotungamirira
Chimwe chimwe chinhu chinobatsira zvikuru ichi, sezvo chakabudiswa muCanada Medical Journal Association , ndechekuti inogona kuona zvinetso mukushanda kwehutano kunyange kana mumwe munhu akanyatsoona nezveMMSE , chinhu chinowanzoonekwa chekuongorora. Basa rinotungamirira rinogona kunge risina kunaka zvisati zvaitika zvinetso zvekuyeuka , uye kuziva izvi kare kunobvumira kutanga kurapwa.
Semuenzaniso, baba vako vaigona kuita zvakanaka paMMSE, izvo zvingaratidza kuti chiyeuchidzo chake chichiri chisina kunyatsogadzikana, mutauro wake uye ruzivo rwekuverenga hunoramba huchishanda, uye kutarisa kwake kunoramba kwakashata.
Iwe, zvisinei, ungaona kuti zvisarudzo zvake hazviiti nguva dzose. Anokwanisa kukwanisa kupfekedzwa, asi asingagoni kugona kuti anofanira kupfeka jira rinodziya kunze kana kunotonhora kunze.
Kakawanda, nhengo dzemhuri ndezokutanga kusafungidzira kuora mwoyo kwekuziva nokuti vachaona uchapupu hwehurombo hwakashata huchishanda, asi kuongororwa kweMMSE muhofisi yechiremba hakukwanise kubata izvi. Kuita maawa ekutsvaga kweawa ndiyo imwe nzira yekuziva vanhu avo vanogona kunge vachiona zviratidzo zvokutanga zvekuora mwoyo, zvakadai sokuderera kwekutonga kushanda , asi zvingasave kuratidza kukanganiswa kwepfungwa zvakare.
Sei izvi zvichibatsira? Mishonga inowanikwa panguva ino yekurapa chirwere cheAlzheimer inowanzobudirira kare pane chirwere chirwere. Zvinoratidzika kuti vanogona kuchengetedza kushanda kwezvino kwechinguva chiduku. Saka kana tikakwanisa kuona kuora mwoyo mukati mezvikamu zvadzo zvekare, tinogona kuzvibata pakutanga uye tichida kuwedzera nguva yekuti munhu anoshanda zvakanaka.
Kururamisa Mukuona Chirwere cheAlzheimer kana chimwe Chirwere Chekuita
Tsvakurudzo dzinoverengeka dzekutsvakurudza dzinoratidza kuti kuedza uku inzira yakanakisisa yokuratidza kushaya njere. Migumisiro yaro yakanyatsoraridzana nemamwe maitiro ehutano hwepfungwa uye nehupo hwehumwe hwehutachiona. Uyewo, sezvakataurwa pamusoro apa, zvinoratidzika kuva nekwanisi yekuona zvinetso nehutungamiri hunoita kuti mamwe maedzo angafirwa.
Kunyange zvazvo kuedza kwekuvhara kweawa kunowanzobudirira pakuziva kusanzwisisa kwepfungwa, hakusi kubvumirana munharaunda yekutsvakurudza kuti inogona kuramba ichinyatsoona kusagadzikana kwepfungwa kana kuti kubatsira kusiyanisa pakati pemhando dzakasiyana dzeudementia (dzakadai seAlzheimer's disease uye vascular dementia ).
Kukosha kweUtsvaga Kuongorora
Kana iwe uchifungidzira kuti munhu waunoda angave ari kuratidza zviratidzo zveAlzheimer kana kuti humwe hutano hwemazuva ano, zvakakosha kutsvaga kuongororwa nechiremba anokwanisa. Vanogona kushanda kuti vatonge zvimwe zvinogona kuchinja zvinokonzera kukanganisa kwema demaa, zvakadai sehutamende B12 uye huwandu hwemhepo inokonzera hydrocephalus , pamwe nekusarudza chirongwa chakarurama chekuongorora uye chirongwa chekurapa .
> Sources:
> Alzheimer's Association. Kuchenjerera Kuongorora. http://www.alz.org/professionals_and_researchers_14306.asp
> Aprahamian, I., Martinelli, JE, Liberalesso Neri, A., Sanches Yassuda, M. Dementia & Neuropsychologia 2009 June; 3 (2): 74-80. The Clock Drawing Test: Review of Its Accuracy in Screening for Dementia.
> Aprahamian I, Martinelli JE, Neri AL, Sanches Yassuda, M. International Psychogeriatrics Kururamisa kweAvha Yokuenzanisa Kuenzanisa Kuenzaniswa Neyekuyera Kuongorora Kuedzwa Kwezvirwere zveAlzheimer: Zvibereko Kubva Kuchidzidzo cheBrazilian Vakwegura neHeterogeneous Educational Backgrounds.
> Juby, A., Tench, S., uye Baker, V. Canadian Medical Journal Association. Kukosha kweClock Kuratidza Mukuziva Kukurukurirana Kukurukurwa Kwevanhu Muvanhu Vanowanzoita Mini-Mental State Examination Score.
> Lessig, M., Scanlan J., Nazemi, H., uye Borson, S. International Psychogeriatrics. Nguva Inotaurira: Inonyanya Kuvhara-Kurapa Zvikanganiso zveDementia Screening.