I-Mini-Cog iyisimo sokuhlola okusheshayo sesifo se-Alzheimer esithatha imizuzu emithathu kuphela ukuphatha. Ngokungafani nezinye izivivinyo ezithandwayo ze-Alzheimer ukuthi zikala izici eziningana zokuqwashisa, njenge- MMSE ne- MoCA , izinyathelo ezincane ezimbili zokukhumbula: ukukhumbula okwesikhashana kanye nomdwebo wewashi (lapho umuntu edonsela khona izinombolo nezikhali zikhonjiswe ngesikhathi esithile iwashi lephepha).
Naphezu kwalokho, i-Mini-Cog inembile kakhulu ekubikezeni ukuthi ngabe umuntu unesifo sengqondo se-dementia . Njengesivivinyo sokuhlola, noma kunjalo, akufanele sithathe indawo yokuhlola okuphelele.
I-Mini-Cog yasungulwa nguDkt. Soo Borson, udokotela ogxile ekuhluphekeni kwenkumbulo.
Ukuphatha
Ukuphathwa kwe-Mini-Cog kulula kakhulu. Okokuqala, lo muntu uceliwe ukuba aphinde amagama amathathu angaphambisani, ahlola ngokushesha ukukhumbula. Khona-ke, ucelwa ukuba enze ukuhlolwa kwe-clock clock. Ukuhlolwa komdwebo wewashi kuhlola izici eziningi, kepha ikhono layo lokubuka ukusebenza okuphezulu liwusizo ngokukhethekile ekuboneni ukugula komqondo. Okokugcina, lo muntu ucelwa ukuba akhumbule amagama amathathu, ahlole imemori yawo emva komsebenzi ophazamisayo wokudweba iwashi.
Ukulinganisa
Ukufakwa kwe-Mini-Cog kulula futhi. Umuntu uthola ithuba lokuba nomqondo wokugula komqondo uma engawakhumbuli namunye amagama amathathu, noma uma ekhumbula eyodwa noma amabili kulawa magama amathathu bese udweba iwashi elingavamile.
Ngokufanayo, umuntu uthola amathuba okuba abe nokuwohloka komqondo uma ekhumbula wonke amagama amathathu noma uma ekhumbula eyodwa noma amabili kulawa magama amathathu kodwa udwebe iwashi evamile.
Izikhombisi-ndlela zokubheka izinombolo ezisemthethweni zilandelayo:
- Iphuzu elilodwa linikezwa ngamagama amathathu awakhulunywa ngokufanele ngemva kokuhlola ukudweba kwewashi.
- Iwashi elidwetshiwe kahle lifanele amaphuzu amabili.
Ngaphandle kwamaphuzu amahlanu, amaphuzu we-zero, eyodwa noma amabili ibonisa ukukhathazeka ekusebenzeni kokuqonda. Olunye ucwaningo lubonisa ukuthi lesi sivivinyo singase siphuthelwe abanye abantu abanokukhubazeka kwengqondo. Uma abaphathi bokuhlola befisa ukwandisa ukuzwela kokuhlolwa kokubona ukucindezeleka komqondo, kunconywa ukuthi i-cutoff inganyuswa ukuze ihlanganise amaphuzu amathathu njengoba nayo ingabonisa ukukhathazeka.
Ukusebenzisa
Ngokungafani ne-MMSE, inani lokuxilonga le-Mini-Cog alithonywanga izinga lezemfundo noma amakhono olimi. Ukuzwela nokucaciswa kwe-Mini-Cog, izakhi eziyinhloko zazo zonke izivivinyo zokuhlola, zihle kakhulu. Ukuzwela kubhekisela ngokunemba kokuhlola ekuboneni abantu abanesifo (ie, abantu abane-Alzheimer's test). Okucacile kubhekisela ekuphumeleleni kokuhlola ekuboneni abantu abangenalo isifo (okungukuthi, abantu abangenaso ukuhlolwa kwesifo njengamabi).
I-Mini-Cog nayo iboniswe ukuthi iyasiza ekubikezeni nasekukhoneni abantu abane- delirium , isimo esibi sokudideka okukhulu. I-Delirium ivame ukukhula ngemva kokuhlinzwa kwe-anesthesia noma ukutheleleka njengokutheleleka kwamagciwane .
Izinzuzo Zonke Nokungalungi
Izinzuzo ze-mini-Cog ziningi: Kuyashesha, kulula, futhi iphakeme ngisho naku-MMSE ekubikezeleni ukuwohloka komqondo. Kuye kwaboniswa ukuthi iphumelele ekuboneni ukukhubazeka okungenangqondo , isimo esithile, kodwa hhayi ngaso sonke isikhathi, siqhubeka nesifo se-Alzheimer's.
Kukhona izinguqulo ezihlukile ze-Mini-Cog okuvumela ukuthi ukhethe kusuka kumaqoqo amaningana wamagama amathathu ukuhlola ukukhumbula. Lokhu kungavimbela ukuhlolwa okuphindaphindiwe ekubeni kuthinteke ukuphathwa kwangaphambili kokuhlolwa.
Ngokungafani ne-MMSE ehlanganisa imali njalo uma kuhlolwa ukusetshenziswa, i-Mini-Cog iyisivivinyo samahhala esingasetshenziswa ngaphandle kwemvume yokuhlolwa ngabanye.
Ukungahambi kahle ukuthi amagoli wokuhlolwa kwewashi clock ayengozini ekuchazeni okuhlukile. Ukwengeza, i-Mini-Cog ayikwazi ukusetshenziswa nabantu abanokukhubazeka okubukwayo noma ubunzima ngokubamba noma ukusebenzisa ipeni noma ipensela.
Okokugcina, ngenkathi i-Mini-Cog isebenza ngokuphumelelayo ekuboneni ukuhlushwa kwe-dementia, ayihlinzeki indlela yokukala ukuthuthuka noma ubukhulu be-dementia.
Izwi kusuka
Ukuhlolwa kwe-Mini-Cog kungasetshenziswa njengesilingo esifushane sokuhlolwa kwesifo sokuwohloka komqondo. Yize imiphumela yayo ingenzi ukuxilongwa okuqondile, kungasiza ekuboneni inkinga engenzeka.
Khumbula ukuthi kunezizathu eziningi zokulahlekelwa inkumbulo, nokuthola ukuhlolwa okuphelele ngudokotela kungasiza ekuboneni izimbangela ezingase ziguquke ezinkingeni zengqondo, kanye nokuvumela ukwelashwa kwangaphambili uma kukhona ukukhubazeka komqondo.
Imithombo:
I-Alzheimer's Association. I-Mini-Cog: Imiyalo Yokuphatha & Ukulinganisa.
I-Borson S, i-Scanlan J, i-Brush M, et al.I-Mini-Cog: 'isisindo esibalulekile' sokuhlola ukuwohloka komqondo kubantu abadala asebekhulile. Int J Geriatr Psychiatry. 2000; 15: 1021-1027.
> Velayudhan L, Ryu SH, Raczek M, et al. Ukubukeza kwezivivinyo ezincane zokucatshangelwa iziguli ezinezinkinga zokungaboni kahle komqondo. 2014; 26 (8).