I-Mini-Cog yinkqubo yokuhlola okukhawulezayo yesifo se-Alzheimer esithatha imizuzu emithathu ukulawula. Ngokungafani nezinye iimvavanyo ezidumile ze-Alzheimer ezilinganisa iinkalo ezininzi zokuqonda, ezifana ne- MMSE kunye ne- MoCA , i-Mini-Cog imilinganiselo emibini kuphela: ukukhumbula kwexesha elifutshane kunye nomzobo wewashi (apho umntu ebamba iinombolo kunye neengalo ziboniswe ngexesha elithile iwashi lephepha).
Nangona kunjalo, i-Mini-Cog ichanile ngokuchanekileyo ekuqikeleleni ukuba umntu unomdementi . Njengoko uvavanyo lokuhlola, kunjalo, akufanele kuthathe indawo yokufumana i- diagnostic full .
I-Mini-Cog yaphuhliswa nguDkt. Soo Borson, ugqirha ogxininisekile kwimpikiswano yememori.
Lawulo
Ulawulo lwe-Mini-Cog lulula kakhulu. Okokuqala, umntu uyacelwa ukuba aphinda amagama amathathu angabandakanyekanga, apho iimvavanyo zikhumbula ngokukhawuleza. Emva koko, ucelwa ukuba enze uvavanyo lokujonga umzuzu. Uvavanyo lokutshilwa kwexesha livavanya iimeko ezininzi, kodwa ukukwazi ukukhenketha ukusebenza okulawulayo kunceda kakhulu ekufumaneni ukuphazamiseka kwengqondo. Ekugqibeleni, umntu ucelwa ukuba akhumbule amagama amathathu, ukuvavanya imemori yabo emva komsebenzi ophazamisayo wokwenza iwashi.
Ukulinganisa
Ukulingana kwe-Mini-Cog kulula. Umntu ufumaneke ukuba unomdemokhrasi xa akhumbuli namnye amagama amathathu, okanye ukuba akhumbula elinye okanye amabini amagama amathathu aze athathe iwashi elingavumelekanga.
Ngokufanayo, umntu uthathwa ngokungenakwenzeka ukuba abe nomqondo wokugula komzimba ukuba akhumbule onke amagama amathathu okanye ukuba akhumbula elinye okanye amabini amagama amathathu kodwa athathe iwashi eliqhelekileyo.
Izikhokelo zamanqaku ezisemthethweni zilandelayo:
- Elinye iphuzu linikezelwa ngalinye la magama amathathu awakhunjulwa ngokuchanekileyo emva kokuqhuba uvavanyo lokushiya iwashi.
- Iwashi elichanekileyo elichanekileyo lifanelekile amaphuzu amabini.
Kwinqanaba eli-5, inani le-zero, enye okanye ezimbini kubonisa inkxalabo ekusebenzeni kwengqondo. Olunye uphando lubonisa ukuba lo vavanyo lungahle lulahleke abantu abathile abanokukhubazeka kwengqondo. Ukuba ngabalawuli beemvavanyo banqwenela ukwandisa uvavanyo lokuvavanya ukuphazamiseka kwengqondo, kuyacetyiswa ukuba i-cutoff inganyuswa ukuba ibandakanye amanqaku emithathu njengokuba nayo ingabonakalisa inkxalabo.
Benzisa
Ngokungafani ne-MMSE, ukubaluleka kokuxilongwa kwe-Mini-Cog ayikhompembelelo kumgangatho wezemfundo okanye kwizakhono zolwimi. Ukuqonda nokucaca kwe-Mini-Cog, iipropati eziphambili zabo zonke iimvavanyo zokuhlola, zihle kakhulu. Ubuninzi bubhekiselele ekuchanekeni kokuvavanya ekuboneni abantu abanesifo (oko kukuthi, abantu abane-test ye-Alzheimer njengendlela efanelekileyo). Ukuchaneka kubhekiselele ekusebenzeni kovavanyo lokuqaphela abantu abangenayo isifo (oko kukuthi, abantu abangenalo vavanyo lwezifo njengengendawo).
I-Mini-Cog iye yaboniswa ukuba iyakunceda ekuqikeleleni nokuchonga abantu abane- delirium , imeko enzima yokudideka. I-Delirium isoloko ikhula emva kwe-anesthesia yokuhlinzwa okanye isifo njengosulelo lwe- urinary tract .
Iingenelo ezipheleleyo kunye neziNzuzo
Izinzuzo ze-Mini-Cog zininzi: zikhawuleza, zilula, ziphezulu nakwi-MMSE ekuqikelelweni komqondo. Kuye kwaboniswa ukuba iphumelele ekuboneni ukukhubazeka okucokisekileyo kwengqondo , imeko edlalwa ngamanye amaxesha, kodwa kungekho rhoqo, iqhubela kwisifo se-Alzheimer.
Kukho neenguqu ezahlukeneyo ze-Mini-Cog ekuvumela ukuba ukhethe kwiiseti eziliqela zamagama amathathu ukuvavanya ukukhumbula. Oku kunokuthintela ukuphinda ukuvavanywa ukususelwa kulawulo oluphambi kovavanyo.
Ngokungafani ne-MMSE echaphazela umrhumo ngamnye ngexesha lovavanyo lisetyenzisiweyo, i-Mini-Cog iyimvavanyo yokukhululeka engasetyenziswa ngaphandle kwemvume yokuvavanywa ngabanye.
I-disadvantage kukuba i-score of test drawing clock iyingozi kwiinguqulelo ezahlukeneyo. Ukongeza, i-Mini-Cog ayikwazi ukusetyenziswa nabantu abaneempawu ezibonakalayo okanye ubunzima bokubamba okanye ukusebenzisa ipeni okanye ipensela.
Ekugqibeleni, ngelixa i-Mini-Cog isebenza ngokufanelekileyo ekuboneni ukuphazamiseka kwengqondo, ayinakunika indlela yokulinganisa ukuqhubela phambili okanye ubukhulu beengqondo.
ILizwi
Uvavanyo lwama-Mini-Cog lungasetyenziswa njengendlela emfutshane kunye nokulula yokuhlola i-dementia. Nangona iziphumo zayo aziyi kudala ukuxilongwa ngokucacileyo, kunokukunceda ekuboneni ingxaki.
Khumbula ukuba kukho izizathu ezininzi zokulahlekelwa kweememori, kwaye ukufumana uvavanyo olupheleleyo ngugqirha kunokunceda ukufumanisa izizathu ezinokuthi ziguquke iingxaki zengqondo, kunye nokuvumela unyango olwangaphambili ukuba ikhona ingqondo.
Imithombo:
I-Alzheimer's Association. I-Mini-Cog: Imiyalelo yokuLawula & Ukubeka.
I-Borson S, i-Scanlan J, i-Brush M, kunye ne-Mini-Cog: 'imilinganiselo ebalulekileyo' yokubonwa kwengqondo kweengqondo ezininzi kwiilwimi ezininzi. Int J Geriatr Psychiatry. 2000; 15: 1021-1027.
> Velayudhan L, Ryu SH, Raczek M, et al. Ukuphononongwa kweemvavanyo ezincinci ezigulane kwizigulane ezineengxaki zokugula ngengqondo. 2014; 26 (8).