KoMCA Inotarisa Sei Dhementia?
Chirongwa cheMontreal Cognitive Assessment (MoCA) chiitiko chemashure makumi matatu nemakumi matatu (30-test test) chinotora kumativi gumi nemaminitsi gumi kuti apedze. Yakabudiswa muna 2005 neboka kuYunivhesiti yeMcGill kushanda kwemakore anoverengeka pamakliniki ekurangarira muMontreal. Hezvino tarisa pane izvo Moca inosanganisira, kuti yakawana sei uye inotsanangurwa, uye kuti inogona kubatsira sei pakutsvaga demoenti.
Chii Chinoongorora?
I-MoCA inoongorora maitiro akasiyana-siyana ehutano hwekuziva, kusanganisira kutarisa , kurangarira kwenguva pfupi , hutungamiri hwehutano , unyanzvi hwemutauro, kutarisa uye kuonekwa kwepisospatial .
Kusiyana neMini-Mental State Exam (MMSE), imwe nzira yakashandiswa zvikuru yekuongorora chirwere cheAlzheimer, MoCA inosanganisira kuongorora maawa uye kuedzwa kwehutambo hunozivikanwa seTrails B.
Kugovera kweMoCA
Zvikamu zveMoCA zvinotangira kubva ku zero kusvika kune makumi matatu, uye zvikamu zve 26 nepamusoro zvinowanzoonekwa zvakajairika. Muchikamu chekutanga chekudzidza chichigadzira MoCA, hutano hwemazuva ose hwakanga huine chikamu chepakati pe 27.4, zvichienzaniswa ne 22.1 mune vanhu vane Unyanzvi Hwakadzikama Hwemweya (MCI) uye 16.2 kuvanhu vane chirwere cheAlzheimer .
Kuparara kwezvikwata kwakafanana neizvi:
- Visuospatial uye Basa Rokushanda: 5 nhaurwa
- Zita Rinoti: 3 nha
- Cherechedza: 6 pfungwa
- Mutauro: 3 mapeji
- Abstraction: 2 points
- Kumbomira Kuyeuka (Mhedziso Yenguva Pfupi): 5 points
- Mhemberero: 6 nhovo
- Dzidzo yeZvidzo: 1 pfungwa inowedzerwa muhope-tester kana akave nemakore gumi nemaviri kana zvishoma zvekudzidzisa
Kushandisa kweMCA
I-MoCA iyi inoratidzika nyore, inopfupika iyo inobatsira vadzidzisi vehutano vachiona nokukurumidza kana munhu ane chimiro chisina kujairika chekuziva uye angada kunyanya kuongororwa kuongororwa kweAlzheimer's disease.
Iyo inogona kufanotaura kuti dementia inowanikwa nevanhu vane Unyanzvi Hwakadzikama Hwepfungwa (MCI), uye nokuti inosangana nehutungamiri hwebasa, inobatsira kune vanhu vane makore makumi maviri nemaviri kana kupfuura paMMSE. Pakupedzisira, yakaratidzwa kuti inzwisise zvinetso zvepfungwa kune vanhu vane chirwere chePasinson .
Kubatsira Zvizere Uye Kukanganiswa kweMCA
Zvakanakira MoCA zvinosanganisira kupfupika kwayo, nyore, uye kuvimbika sekuongorora kuongorora kweAlzheimer's disease.
Mukuwedzera, iyo inotarisa chikamu chinokosha chekushaya pfungwa kwemunhu kusinganzwisisi neMMSE, iyo yekuita basa. Zvinoratidzika kushanda zvakanaka muPalinson's disease dementia , uye kusiyana neMMSE, hazvina kushandiswa kwekusashandisa mari.
Nhoroondo, iyoMCA inowanikwa mumitauro inopfuura 35, uye kunewo MoCA Test Blind inobvumira kuongororwa kweruzivo rwevaya vasina kuonekwa.
Kukanganisa kweMoca ndeyokuti zvinotora nguva shoma kupfuura MMSE kuti ipe, uye sezvimwe zvizhinji zvekuongorora, inofanira kunge yakabatanidzwa nemamwe akawanda ekuongorora uye kuongororwa kuti inzwisise uye iongorore demoenti.
Shoko kubva
Kuziva izvo Moca inosanganisira uye kuti yakawana sei inogona kukubatsira iwe kuti unzwisise zviri nani migumisiro yako iwe kana mudiwa wako. Yeuka, zvakare, kuti iyoMCA, iyo inobatsira pakutsanangura zvinetso zvekufungisisa, inofanira kubatanidzwa nedzimwe dzakawanda dzinoongororwa zvakaitwa nachiremba kuitira kuti zviongorore zvakakwana kushanda kwepfungwa uye kuziva kuti zvinokonzera kukanganisa kurasikirwa.
Sources:
Montreal Cognitive Assessment. >> http://www.mocatest.org/wp-content/uploads/2015/tests-instructions/MoCA-Test-English_7_1.pdf.
Montreal Cognitive Assessment. 2015. MoCA Test Blind. http://www.mocatest.org/
Nasreddine ZS, Phillips NA, et al. Chirongwa cheMontreal Cognitive Assessment, MoCA: Chidimbu chekuongorora zvinyorwa zvekupererwa kwepfungwa. J Am Geriatr Soc . 2005; 53: 695-699.
Smith T, Gildeh N, et al. Chirongwa cheMontreal Cognitive Assessment: kuvimbika uye kushandiswa mumakiriniki ekurangarira. Can J Psychiatry . 2007; 52: 329-332.
Zadikoff C, Fox SH, et al. Kuenzanisa kweMini Mental State Exam kuMontreal Cognitive Assessment pakuziva kukanganisa kwepfungwa muPasinson's disease. Mov Disord . 2008; 23: 297-299.