Ukuhlolwa kwe-MoCA ku-Dementia kanjani?
I-Montreal Cognitive Assessment (MoCA) wuhlolo olufushane lwama-30 oluthatha cishe imizuzu 10-12 ukuqedela. Yanyatheliswa ngo-2005 yiqembu e-McGill University esebenza iminyaka eminingana emitholampilo yememori eMontreal. Nakhu ukubheka ukuthi i-MoCA ihlanganisa yini, ukuthi ihlolwe kanjani futhi ichazwa kanjani, nokuthi ingasiza kanjani ekuboneni ukuhlushwa kwengqondo.
Yini Eyayihlola?
I-MoCA ihlola izinhlobo ezahlukene zamakhono okuqonda, kufaka phakathi ukuma , imemori yesikhashana , umsebenzi ophezulu , amakhono olimi, ukunakekelwa kanye nekhono lokubona i-visuospatial .
Ngokungafani ne- Mini-Mental State Exam (MMSE), enye indlela esetshenziswa kakhulu yokuhlola isifo se-Alzheimer's, i-MoCA ihlanganisa ukuhlolwa kwe- clock-test kanye nokuhlolwa komsebenzi ophezulu owaziwa ngokuthi Imigwaqo B.
Ukulinganisa kwe-MoCA
Amanothi ku-range ye-MoCA kusuka ku-zero kuya ku-30, enezibalo ezingu-26 nangaphezulu ezibhekwa njengejwayelekile. Esikhathini sokuqala kwedatha yokutadisha eyakha i-MoCA, ukulawula okuvamile kuvamile amaphesenti angu-27.4, uma kuqhathaniswa no-22.1 kubantu abane-Impairment Cognitive (MCI) kanye no-16.2 kubantu abane- Alzheimer's disease .
Ukuphazamiseka kwamaphuzu kufana nalokhu:
- I-Visuospatial ne-Executive Operation: amaphuzu angu-5
- Ukubiza Kwezilwane: amaphuzu amathathu
- Ukunakwa: amaphuzu ayisithupha
- Ulimi: amaphuzu amathathu
- Abstraction: amaphuzu amabili
- Ukukhumbula okudelelwe (iMemori yesikhashana esifushane): amaphuzu angu-5
- Isifundo: amaphuzu ayisithupha
- Izinga lemfundo: iphuzu eli-1 lengezwe kumaphuzu wokuhlola uma uneminyaka engu-12 noma ngaphansi kwemfundo ehlelekile
Ukusetshenziswa kwe-MoCA
I-MoCA iyivivinyo elilula, elifushane elisiza ochwepheshe bezempilo ukuthi banqume ngokushesha ukuthi umuntu unomsebenzi ongavamile wokuqonda futhi angadinga ukubhekwa ngokucophelela kwesifo se-Alzheimer's.
Kungenzeka ukubikezela ukuwohloka komqondo kubantu abanokukhubazeka okucabangela okuncane (MCI), futhi ngoba kuvivinya umsebenzi wokuphatha, kuyasiza kubantu abanama-26 noma ngaphezulu ku-MMSE. Okokugcina, kuye kwaboniswa ukukhomba izinkinga zokucatshangelwa kubantu abanesifo sikaPasinson .
Izinzuzo Zonke Nokungalungi kwe-MoCA
Izinzuzo ze-MoCA zihlanganisa ubufushane, ukulula, nokuthembeka njengokuhlola kokuhlolwa kwesifo se-Alzheimer.
Ngaphezu kwalokho, lilinganisa isici esibalulekile senkinga yokuwohloka komqondo engalinganiswanga yi-MMSE, okuwukuthi umsebenzi ophezulu. Kubonakala sengathi isebenza kahle ekuguleni komqondo ka-Parkinson , futhi ngokungafani ne-MMSE, ayikhululekile ekusetshenzisweni okungenzi inzuzo.
Inothi, i-MoCA itholakale ngezilimi ezingaphezu kuka-35, futhi kukhona ne-MoCA Test Blind evumela ukuhlolwa kokucabangela kulabo abangaboni kahle.
Ukungahambi kahle kwe-MoCA ukuthi kuthatha isikhashana kunokuba i-MMSE iqondise, futhi njengamanye ama-screenings amaningi, kufanele ihlanganiswe namanye ama-screenings amaningi nezivivinyo ukuze kubonwe ngokunembile futhi kuhlolwe ukugula komqondo.
Izwi kusuka
Ukuqaphela ukuthi i-MoCA ihlanganisa kanjani nokuthi izuzwe kanjani ingakusiza ukuthi uqondisise kangcono imiphumela yakho kuwe noma othandekayo wakho. Khumbula futhi ukuthi i-MoCA, ngenkathi iwusizo ekuboneni ukukhathazeka kwengqondo, kufanele ihlangane nezinye izivivinyo eziningana ezenziwa udokotela ukuze zihlolisise ngokugcwele ukusebenza kwengqondo futhi zibone izimbangela zokulahleka kwenkumbulo.
Imithombo:
Ukuhlola okuCognitive eMontreal. >> http://www.mocatest.org/wp-content/uploads/2015/tests-instructions/MoCA-Test-English_7_1.pdf.
Ukuhlola okuCognitive eMontreal. 2015. Izimpumputhe Zokuhlola ze-MoCA. http://www.mocatest.org/
I-Nasreddine ZS, uPhillips NA, et al. I-Montreal Cognitive Assessment, i-MoCA: Ithuluzi elifushane lokuhlola lokukhubazeka okuncane. J Am Geriatr Soc . 2005; 53: 695-699.
USmith T, uGildeh N, et al. Ukuhlolwa kweCognitive yeMontreal: ukuqinisekiswa nokusetshenziswa komsebenzi emtholampilo wokukhumbula imemori. Can J Psychiatry . 2007; 52: 329-332.
I-Zadikoff C, u-Fox SH, et al. Ukuqhathaniswa kwe-Mini Mental State Exam kuya ku-Assessment Montognitive Assessment yaseMontreal ekutholeni ukulahlekelwa kwengqondo ekuguleni kukaPasinson. I-Disv Disord . 2008; 23: 297-299.