Gwiritsani Ntchito ndi Kuwerengera Kuyezetsa kwa Mphaka wa ADAS

Zonse zokhudza matenda a Alzheimer's Scale-Scognitive Subscale

Matenda a Alzheimer's Assessment-Scognitive Subscale test ndi imodzi mwa mayesero omwe amagwiritsidwa ntchito mobwerezabwereza kuti azindikire kuzindikira mu maphunziro a kafukufuku ndi mayesero a chipatala kwa mankhwala atsopano ndi zina. Ndizomveka kwambiri kuposa Mini Mental State Exam , ndipo makamaka zimayankhula chinenero ndi kukumbukira . Chombo cha ADAS chiri ndi magawo 11 ndipo amatenga pafupifupi 30 minutes kuti awononge.

Chombo cha ADAS chinakhazikitsidwa ngati magawo awiri: chiwerengero chomwe chimayesa ntchito zamaganizo ndi zomwe zimayeza ntchito zosadziwika monga maganizo ndi khalidwe . Kafukufuku wamakono omwe amagwiritsira ntchito chida cha ADAS, chomwe ndi subscale chomwe chimayesa kuzindikira luntha.

Kodi Ndondomeko ya ADAS-Inayamba Liti?

ADAS idasindikizidwa koyamba mu 1984 ndi ofufuza omwe adawona kuti panalibenso njira yabwino yodziŵira kuchuluka kwa chidziwitso kapena kuchuluka kwa chidziwitso. Panali ziwerengero zina ndi mayesero omwe adatsimikiziridwa ngati akusowa kuzindikira, koma palibe amene adadziŵa momwe ntchitoyi iliri.

Kodi ndi mafunso ati omwe ADAS ali nawo?

Chiyambi cha ADAS-Cog chili ndi zinthu 11, kuphatikizapo:

1. Kumbukirani Mawu Task

Munthuyo amapatsidwa mwayi wokwanira kukumbukira mawu ambiri momwe angathere kuchokera pandandanda wa mawu khumi omwe adawonetsedwa. Izi zimayesa kukumbukira kanthawi kochepa .

2. Kutchula zinthu ndi zala

Zinthu zenizeni zikuwonetsedwa kwa munthu, monga duwa, pensulo ndi chisa, ndipo munthuyo akufunsidwa kuti aziwatcha. Kenako ayenera kutchula dzina la zala chilichonse, monga pinky, thumb, ndi zina. Izi zikufanana ndi mayeso a Boston Naming kuti amayesa kutchula mayina, ngakhale kuti BNT imagwiritsa ntchito zithunzi mmalo mwa zinthu zenizeni, kuti ayankhe yankho.

3. Kutsata Malamulo

Wopereka mayesero akufunsidwa kuti atsatire njira zosavuta koma nthawi zina zowonjezera, monga, "Pangani nkhonya" ndi "Ikani pensulo pamwamba pa khadi."

4. Kumanga Praxis

Ntchitoyi imaphatikizapo kusonyeza munthuyo maonekedwe osiyanasiyana osiyanasiyana, pang'onopang'ono movuta kwambiri monga kuphatikiza mabalamenti, ndikuwapempha kuti akoke. Maluso a Visuospatial amalephereka pamene chifufuzo cha dementia chikupitirira ndipo ntchitoyi ingathandize kuthana ndi luso limeneli.

5. Kukongola Praxis

Mu gawo ili, woyang'anira chiyeso amamufunsa munthuyo kuti adziyerekezere kuti wadzilembera kalata, kuzipukuta, kuziika pamatumba, kusindikiza chivundikirocho, kuzilembera ndi kuwonetsera komwe angayime sitampu.

6. Kuyanjana

Malingaliro a munthuyo akuyankhidwa pomufunsa dzina lake loyamba ndi lotsiriza, tsiku la sabata, tsiku, mwezi, chaka, nyengo, nthawi, tsiku ndi malo.

7. Kuzindikira Mawu Ntchito

M'gawo lino, wophunzirayo akufunsidwa kuwerenga ndi kuyesa kukumbukira mndandanda wa mawu khumi ndi awiri. Kenako amaperekedwa ndi mawu omwe pamodzi ndi mau ena ambiri ndikufunsa ngati mawu aliwonse omwe adawawona kale kapena ayi. Ntchitoyi ndi yofanana ndi yoyamba, kupatulapo kuti imayeza kuzindikira m'malo mokumbukira.

8. Kukumbukira Malangizo Oyesera

Kulingalira kwa munthu payekha kukumbukira malangizo popanda zikumbutso kapena ndi zochepa zokumbutsa zimayesedwa.

Chilankhulo Cholankhulidwa

Kukwanitsa kugwiritsa ntchito chinenero kuti adziwitse yekha kumayesedwa panthawi yonseyi.

10. Kumvetsetsa

Mphamvu ya munthu kumvetsetsa mawu ndi chinenero panthawi ya mayesero imayesedwa ndi woyang'anira mayeso.

11. Mawu-Kupeza Kuvuta

Pakati pa mayesero onse, woyang'anira mayeso amayesa luso lopeza mawu nthawi zonse zokambirana.

Kodi Vuto la ADAS likuyesa chiyani?

Dothi la ADAS-limathandiza kuthandizira kuzindikira ndi kusiyanitsa pakati pa chidziwitso chodziŵika bwino ndi kusokonezeka kwa chidziwitso.

Ndizothandiza kwambiri kuti mudziwe kukula kwa chidziwitso ndipo zingathandizire kuti ndiyeso yanji la matenda a Alzheimer's , lomwe likuchokera ku mayankho ake. Nkhumba ya ADAS imagwiritsidwa ntchito m'mayesero a kachipatala chifukwa imatha kudziwa kuwonjezereka kwapadera kapena kuchepa pakugwira ntchito.

Kodi Nkhumba ya ADAS Ikulongosola Motani?

Woyang'anira mayeso akuwonjezera mfundo za zolakwika pa ntchito iliyonse ya ADAS-Cog kwa mphambu yonse. Kukula kwakukulu kumakhala kovuta kwambiri.

Malingaliro apadera a munthu yemwe alibe Alzheimer's kapena mtundu wina wa dementia ndi zisanu, malinga ndi kafukufuku wopangidwa mu 2004 ndipo anafalitsidwa mu nyuzipepala ya Alzheimer's Disease and Associated Disorders .

Mosiyana ndi zimenezi, kafukufuku amene anaphatikizapo anthu oposa 1,000 anafotokoza kuti 31.2 anali aphungu ambiri pa phunziroli kwa omwe adapezeka kuti ali ndi matenda a Alzheimer kapena matenda osadziwika bwino.

Kodi ADAS-Cog Iliyendetsedwa Bwanji?

Mwachikhalidwe, chida cha ADAS chaperekedwa ndi pepala ndi pensulo; Komabe, palinso makanema omwe awonetsedwa ngati ofanana ndi mapepala ndi mapepala.

Kodi Nkhumba ya ADAS ikugwira ntchito motani poyesa kuganizira ntchito?

Chombo cha ADAS ndi cholondola, posiyanitsa anthu omwe ali ndi chidziwitso chodziwika bwino kuchokera kwa iwo omwe ali ndi vuto lolephera kuzindikira, komanso pozindikira kukula kwa chidziwitso pakati pa anthu.

Komabe, kafukufuku wina wapeza kuti ADAS-Cog mwina sangakhale yovuta kuti nthawi zonse ione kufooka kwachinsinsi.

Mavesi ena a ADAS-Cog

Chombo cha ADAS chamasuliridwa m'zilankhulo zina zingapo, zina zomwe zayesedwa kuti zikhale zogwirizana ndi chinenero ndi chikhalidwe.

Palinso njira ina ya ADAS-Cog yomwe imasintha momwe mayeso amapezera. Amatchedwa ADAS-CogIRT, kumene "IRT" ndi chidule cha "chiphunzitso cha chinthu choyankhidwa." Bukuli limagwiritsa ntchito mayeso omwewo koma limawoneka mosiyana, ndi cholinga chodziwika bwino kwa kuvutika kwa chidziwitso chofatsa.

Mawu ochokera

Nkhumba ya ADAS ingakhale yankho lothandiza pofufuza ngati dementia ilipo, komanso momwe ikuyendera. Sizodabwitsa kukhala ndi nkhawa ngati inu kapena wokondedwa wanu mukuyesedwa, koma kumbukirani kuti cholinga chake ndi kuthandiza kuzindikira ndikuyesera kuthana ndi mavuto omwe angakhale nawo.

Zotsatira:

Matenda a Alzheimer's and Disorders Disorders. 2004 Oct-Dec; 18 (4): 236-40. Matenda a Alzheimer's Assessment-Scogitive subscale: chiwerengero cha normative kwa akuluakulu olamulira akuluakulu.

Journal Journal of Psychiatry, Nov 1984; 141 (11); 1356-1364. Zotsatira zatsopano za matenda a Alzheimer's. http://www.ncbi.nlm.nih.gov/pubmed/6496779

Kafukufuku wamakono wa Alzheimer. Vesi 8, Nambala 3, May 2011, masamba 323-328 (6). Kulinganiza kwachikhalidwe cha Malamulo Ovomerezeka ndi Ovomerezeka a Matenda a Alzheimer's Assessment Scale - Chidziwitso Chokhazikika (ADASCog).

Dementia ndi Matenda Odzidzidzidwa Odzidzimutsa. 2009; 28: 63-69. Kodi ADAS-Mbegu ndi Zomwe Zimapindula Zimapangitsa Bwanji Kuzindikira Maganizo pa Matenda a Alzheimer's? http://agingandcognition.tamu.edu/files/2012/01/Benge_2009.pdf

Journal of Disease's Alzheimer's. 2008 November; 15 (3): 461-464. Kukonza ndi Kuwerengera Kusintha kwa Dothi la ADAS. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727511/

> Verma N, Beretvas SN, Pascual B, Masdeu JC, Markey MK, Matenda a Alzheimer's Initiative Neuroimaging. Njira zatsopano zowonongeka za matenda a Alzheimers's Assessment-Scogitive subscale (ADAS-Cog) m'mayesero a zachipatala. Kafukufuku wa Alzheimer & Therapy . 2015; 7: 64. lembani: 10.1186 / s13195-015-0151-0.