Uvavanyo lwe-MoCA lweDementia njani?
Uvavanyo loCognitive Cognitive (Moca) luvavanyo olunemibuzo engama-30 elithatha imizuzu eyi-10-12 ukugqiba. Yapapashwa ngo-2005 yiqela kwiYunivesithi yaseMcGill esebenza iminyaka emininzi kwimitholampilo yememori eMontreal. Nantsi ukujonga oko i-MoCA ifaka khona, indlela eyafumana ngayo kwaye isichazwa ngayo, kwaye ingaba inokukuncedisa njani ekufumaneni ingqondo ye-dementia.
Yintoni Eyayijonga?
I-MoCA ihlola iintlobo ezahlukeneyo zamakhono okuqonda, kubandakanywa ukuqhelaniswa , imemori yesikhashana , umsebenzi olawulayo , ubuchule beelwimi, ingqwalasela kunye nekhono lokubona i-visuospatial .
Ngokungafani ne- Mini-Intelligence State Exam (MMSE), enye indlela esetyenziswa ngokubanzi yokuhlola i-Alzheimer's disease, i-MoCA iquka ukuhlolwa kwe-clock kunye nokuvavanywa komsebenzi olawulayo obizwa ngokuba yiNdlela B.
Ukulandelwa kwe-MoCA
Amanqaku kwinqanaba le-MoCA ukususela kwi-zero ukuya kuma-30, ngamanqaku angama-26 nangaphezulu ajongwa ngokuqhelekileyo. Kwinqaku yokuqala yokufunda eyenza i-MoCA, ukulawula okuqhelekileyo kunamanqaku aphakathi kwama-27.4, xa kuthelekiswa no-22.1 kubantu abane-Impilo engathandekiyo (MCI) kunye no-16.2 kubantu abane- Alzheimer's disease .
Ukuphazamiseka kwamagosa kungolu hlobo lulandelayo:
- I-Visuospatial kunye noLawulo oluSebenzayo: amaqaku angama-5
- Ukubizwa Kwezilwanyana: amanqaku amathathu
- Ingqalelo: 6 amanqaku
- Ulwimi: amanqaku amathathu
- Ukuthintela: 2 amanqaku
- Ikhunjulwe Ukulibala (Imemori yexeshana): ama-5 amanqaku
- Isifundo soBomi: amaqondo angama-6
- Umgangatho weMfundo: I-1 iphuzu longezwa kumanqaku okufumana iimvavanyo ukuba uneminyaka engama-12 okanye ngaphantsi kwemfundo esemthethweni
Ukusetyenziswa kwe-MoCA
I-MoCA yinkqubo elula, elula eyanceda abaqeqeshi bezempilo ukuba banqume ngokukhawuleza ukuba umntu unomsebenzi ongaqhelekanga kunye kwaye unokufuna ukugqithiswa ngokuthe gqolo kwesifo se-Alzheimer's disease.
Kungenzeka ukuqikelela ukunyuka kwengqondo kubantu abanobuchule obunzima beCognitive (MCI), kwaye ngenxa yokuba kuvivinywa komsebenzi olawulayo, luncedo kubantu abanamaqela angama-26 okanye ngaphezulu kwi-MMSE. Ekugqibeleni, kuye kwaboniswa ukufumanisa iingxaki ezinengqiqo kubantu abanesifo sikaParkinson .
Iingenelelo ezipheleleyo kunye neziNzuzo ze-MoCA
Izinzuzo ze-MoCA ziquka ukukhawuleza, ukulula, kunye nokuthembeka njengolu vavanyo lokuhlola i-Alzheimer's disease.
Ukongezelela, lilinganisa icandelo elibalulekileyo lomqondo wokungabikho kwengqondo ongakhange ulinganiswe yi-MMSE, oko kukuthi umsebenzi olawulayo. Kubonakala ukuba isebenza kakuhle kwiCentinson yesifo sengqondo , kwaye ngokungafani ne-MMSE, ikhululekile ekusebenziseni inzuzo.
Ingqalelo, i-MoCA ifumaneka kwiilwimi ezingaphezu kwe-35, kwaye kukho i-Blank Test Test (VCA).
Ukungahambi kakuhle kwe-MoCA kukuba kuthatha ixesha elingaphaya kwe-MMSE ukulawula, kwaye njengamanye amaninzi okuhlola, kufuneka idibene kunye nezinye iimvavanyo kunye neemvavanyo ukuze zichane ngokuchanekileyo kwaye zihlolisise i-dementia.
ILizwi
Ukuqonda oko i-MoCA iquka kunye nendlela efunyenwe ngayo inokukunceda uqonde ngakumbi iziphumo zayo kuwe okanye wakho othandekayo. Khumbula kwakhona, ukuba i-MoCA, ngelixa iluncedo ekuboniseni ukukhathazeka kwengqondo, kufuneka idibaniswe nezinye iimvavanyo ezininzi ezenziwa ngugqirha ukuze kuhlolisiswe ngokupheleleyo ukusebenza kwengqondo kunye nokuchonga izizathu ezikhoyo zokulahleka kwememori.
Imithombo:
Uvavanyo lweCognitive Montreal. >> http://www.mocatest.org/wp-content/uploads/2015/tests-instructions/MoCA-Test-English_7_1.pdf.
Uvavanyo lweCognitive Montreal. 2015. I-Blank Test Blind. http://www.mocatest.org/
Nasreddine ZS, Phillips NA, et al. Uvavanyo lweCognitive Cognitive Montreal, i-MoCA: Isixhobo esicacisayo sokujonga ukukhubazeka okucokisekileyo. J Am Geriatr Soc . 2005; 53: 695-699.
USmith T, uGildeh N, et al. Uvavanyo lweCognitive yeMontreal: ukuqinisekiswa kunye nokusetyenziselwa kwimimori yeklinikhi yememori. Ngaba iJ Psychiatry . 2007; 52: 329-332.
Zadikoff C, Fox SH, et al. Uthelekiso lweMvavanyo ye-Mini mentally State kuya kuVavanyo lweCognitive yeMontreal ekuboniseni ukulahlekelwa kwengqondo kwi-disease ye-Parkinson. Disv Disord . 2008; 23: 297-299.