Kodi MIS (Memory Impairment Screen) ndi chiyani?

Kodi Chiwongolero cha Kukhumudwa N'chiyani?

MIS ndi chida chachidule chowonetsera kukumbukira. Kawirikawiri amagwiritsidwa ntchito ngati kuyesedwa koyambirira, pamodzi ndi zida zina zowunikira, kuti azindikire kuvomereza kwa wina yemwe akuwoneka kuti akuwonetsa vuto linalake lomwe angathe kuganiza ndi kukumbukira.

• Mitundu Yokumbukira imene Aliyense Ali nayo

MIS ndi imodzi mwa zipangizo zitatu zomwe zimalimbikitsidwa kuti zigwiritsidwe ntchito mu Medicare Year Wellness kuyendera ndi Alzheimer's Association.

Zina ziwirizo ndi GPCOG ndi Mini-Cog .

Kodi Zikuphatikiza Chiyani MIS?

Ngati "Maude" akupatsidwa MIS, adzafunsidwa kuchita ntchito zotsatirazi:

1. Mawu anayi omwe amawamasulira kwambiri (mazenera 24 kapena akuluakulu) amawonetsedwa kwa Maude ndipo amafunsidwa kuti awerenge chinthu chilichonse mokweza. Mwachitsanzo, mawu anayi angakhale ochezera, saucer, telegram ndi Red Cross.
2. Maude amapatsidwa gawo ndipo amafunsidwa kuti afotokoze kuti ndi liti lomwe limagwirizana ndi gululo. Mwachitsanzo, gulu la "masewera" limaperekedwa ndipo ayenera kudziwa kuti mawu akuti "checkers" akugwirizana ndi gawolo. Pambuyo pomaliza ntchitoyi m'mawu onse anayi pamapepala, mapepala achotsedwa pamaso ndipo Maude akuuzidwa kuti ayenera kukumbukira mawu awa maminiti pang'ono.
3. Kenaka, Mayi akufunsidwa kuti achite ntchito imene imamulepheretsa kuchoka m'mawu anayi omwe adangophunzira, monga kuwerengera 20 kutsogolo ndi kumbuyo kapena kuwerengera kumbuyo kwa zisanu ndi ziwiri kuyambira pa 100.

1. Atatha ntchitoyi, Maude akufunsidwa kukumbukira mawu anaiwo. Amapatsidwa masekondi asanu ndikumbukira mawu onsewa. Izi zimatchedwa gawo lachikumbutso laulere la mayesero chifukwa akufunsidwa kukumbukira mawu koma osapereka zizindikiro zilizonse zoti achite.
2. Ngati masekondi opitirira 10 apita popanda mawu akumbukira, Maude amapatsidwa chizindikiritso cha gulu lililonse ndipo amafunsidwa kukumbukira mawuwo. Mwachitsanzo, woyang'anira mayesero adzanena kuti chimodzi mwa zinthuzo chinali masewera ndipo izi zingayambitse Maude kukumbukira mawu akuti "checkers." Ichi ndi gawo lokumbukira chikho cha mayesero.

Kodi MIS Ikulingalira Motani?

Kwa mawu onse amakumbukiridwa popanda zizindikiro (kukumbukira kwaulere), Maude adzalandira mfundo ziwiri. Pa mawu alionse omwe amakumbukiridwa ndi chidziwitso cha gulu, Maude adzalandira mfundo imodzi.

Maphunziro a 5-8 amasonyeza kuti palibe chidziwitso, koma maperesenti a 4 kapena pansipa amatha kuwonongeka kotheka.

Kodi MIS Amadziŵa Zotani Kuti Azindikire Demoenti?

MIS yasonyezedwa kuti ili yothandiza kwambiri pozindikira kuwonongeka kwa chidziwitso ndi mtengo wotsika kuposa momwe Mini Mental State Exam imachitira. (The MIS ndi lovomerezedwa ndi Albert Einstein College of Medicine koma ntchito yachipatala ndi yaulere.)

• Kodi Zida Zina Zimagwiritsidwa Ntchito Kuti Zichitikire Chiwerewere?

Kodi Kupindula ndi Kutaya kwa MIS ndi Chiyani?

Zotsatira

• MIS safuna kuti alembe, choncho ndi bwino kusankha ngati ntchito yamagetsi ikulephera.
• Ndizofupikitsa, zofuna pafupi mphindi zinayi kuti zitheke.
• Kuchita pa MIS kumasonyeza zotsatira zochepa kuchokera pa msinkhu wa maphunziro. (Wina amene wapita kusukulu kupyolera m'kalasi ya 6 ayenera kuchita chimodzimodzi ndi wina yemwe ali ndi koleji.)
• MIS imakhala yolondola pamene ikugwiritsidwa ntchito mmakondomu ambiri komanso m'zinenero zosiyanasiyana.
• Sichikufuna maphunziro ochuluka kuti apereke.
• Palinso kuyezetsa kwa MIS-T komwe kuli malemba a MIS omwe angaperekedwe pa telefoni. Kafukufuku wasonyeza kuti MIS-T ikugwira ntchito pozindikira kuwonongeka kwa chidziwitso.

Wotsutsa

• Chenjezo ndi MIS ndiloti silingagwiritsidwe ntchito ndi anthu omwe sangathe kuwerenga, kaya chifukwa cha kuwonongeka kwa maso kapena chifukwa chosadziwa kuwerenga.
• Sitiyesa kugwiritsira ntchito ntchito yogwira ntchito , yomwe ingakhale chizindikiro choyambirira mwa mitundu ina ya dementia kuphatikizapo matenda a dementia ndi dementia ya frontotemporal .
• Sitiyesa mphamvu ya visuospatial , yomwe ingasokonezedwe ndi matenda a maganizo.

Kuzindikira Dementia

Kumbukirani kuti MIS ndi chida chowonetsera, osati chida chodziwikiratu. Zovuta zochitika pa MIS zimasonyeza kuti pangakhale chifukwa chodera nkhawa, koma kuunika kwachidwi kwathunthu ndikofunikira kuti tiyese kuzindikira ndikuzindikira kuti munthu ali ndi matenda a maganizo.

Kumbukirani kuti pali zifukwa zina zomwe zimayambitsa vuto la kukumbukira kukumbukira zomwe zingasinthidwe pang'ono ndi mankhwala oyenera monga vitamini B12 , kuyanjanitsa mankhwala , kukhudzidwa ndi mphamvu ya hydrocephalus .

_Zotsatira:

_{Alzheimer's Association. Albert Einstein College of Medicine. Sewero la Memory Memory. http://www.alz.org/documents_custom/mis.pdf}

_{Alzheimer's & Dementia 9 (2013) 141-150. Malingaliro a Alzheimer's Association kuti athandizidwe kuti azindikire kuwonongeka kwa chidziwitso pakati pa Medicare Year Wellness Kukuchezerani ku malo oyang'anira chisamaliro. http://www.alzheimersanddementia.com/article/S1552-5260(12)02501-0/basi}

_{BMC Neurology. 2011, 11 : 92. Kuchita bwino ndi ndalama zomwe zimakhala zovuta kwambiri kuwonetsa maganizo. http://www.biomedcentral.com/1471-2377/11/92}

_{Journal ya American Geriatric Society. 2003 Oct; 51 (10): 1382-90. Kuwunika kwa chifuwa cha malingaliro pa telefoni pogwiritsa ntchito chithunzi cha kuwonongeka kwa kukumbukira. http://www.ncbi.nlm.nih.gov/pubmed/14511157}

_{Neurology. 1999 Jan 15; 52 (2): 231-8. Kuwunika kwa chifuwa cha maganizo ndi vuto la kukumbukira kukumbukira. http://www.neurology.org/content/52/2/231.short}