Mea Kākau: Janice Evans
Lā O Ka Hana: 25 Iulai 2021
HōʻAno Hou I Ka Lā: 16 Nowemapa 2024
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Your Doctor Is Wrong About Aging
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He aha ka hoʻāʻo ʻike?

Nānā hoʻāʻo cognitive no nā pilikia me ka noʻonoʻo. Hoʻomaopopo ka ʻike ʻana i nā kaʻina hana i kou lolo e pili kokoke ana i kēlā me kēia ʻano o kou ola. Aia pū me ka noʻonoʻo, ka hoʻomanaʻo, ka ʻōlelo, ka hoʻokolokolo, a me ka hiki ke aʻo i nā mea hou. Kāhea ʻia kahi pilikia me ka ʻike. Kūlana ke ʻano mai ke akahai a i ʻole koʻikoʻi.

Nui nā kumu o ka hōʻino noʻonoʻo. Hoʻopili lākou i nā hopena o nā lāʻau lapaʻau, nā maʻi o ke kīʻaha koko, ke kaumaha, a me nā dementia. ʻO Dementia kahi manawa i hoʻohana ʻia no ka lilo nui o ka hana noʻonoʻo. ʻO ka maʻi Alzheimer ka ʻano maʻamau o ka dementia.

ʻAʻole hiki i ka hoʻāʻo ʻana ke hōʻike i ke kumu kikoʻī o ka hōʻino ʻia. Akā hiki i ka hoʻāʻo ʻana ke kōkua i kāu mea lawelawe e ʻike inā makemake ʻoe i nā hoʻokolohua hou a / a i ʻole lawe i nā ʻanuʻu e hoʻoponopono ai i ka pilikia.

Aia nā ʻano like ʻole o nā hoʻāʻo ʻike. ʻO nā hōʻoia maʻamau ka:

  • Ka Hopena Kognitive Montreal (MoCA)
  • Hōʻikeʻike Mele Mini-Mental (MMSE)
  • Mini-Cog

E ana nā hoʻāʻo ʻekolu i nā hana noʻonoʻo ma o ka papa o nā nīnau a me / a i ʻole nā ​​hana maʻalahi.


Nā inoa ʻē aʻe: ka noʻonoʻo ʻike, Montreal Cognitive Assessment, MoCA hōʻike, Mini-Mental State Exam (MMSE), a me Mini-Cog

No ke aha ia e hoʻohana ai?

Hoʻohana pinepine ʻia ka hoʻāʻo ʻana i ka ʻike i ka kānana no ka hōʻino noʻonoʻo haʻahaʻa (MCI). E ʻike paha ka poʻe me MCI i nā loli i ko lākou hoʻomanaʻo a me nā hana noʻonoʻo ʻē aʻe. ʻAʻole lawa ka nui o nā loli e loaʻa ka hopena nui i kou ola i kēlā me kēia lā a i ʻole nā ​​hana maʻamau. Akā ʻo MCI hiki ke lilo i mea pilikia no ka hōʻino nui aʻe. Inā loaʻa iā ʻoe ka MCI, hāʻawi paha kāu mea hāʻawi iā ʻoe i kekahi mau hoʻokolohua i ka manawa e nānā ai no ka emi o ka hana noʻonoʻo.

No ke aha wau e pono ai i ka hoʻāʻo ʻike?

Pono paha ʻoe e hoʻāʻo i ka ʻike inā hōʻike ʻoe i nā hōʻailona o ka hōʻino ʻike. Pākuʻi ʻia kēia mau mea:

  • Ke poina nei i nā kau a me nā hanana nui
  • Lilo pinepine i nā mea
  • Ke loaʻa nei ka pilikia i ka ʻōlelo ʻana i ʻike maʻamau
  • Ke nalowale nei i kou manaʻo ma ke kamaʻilio ʻana, nā kiʻi ʻoniʻoni, a i ʻole nā ​​puke
  • Hoʻonui i ka huhū a me / a i ʻole ka hopohopo

Hōʻike paha kou ʻohana a mau hoaaloha paha i ka hoʻāʻo inā ʻike lākou i kekahi o kēia mau ʻōuli.


He aha ka hana i ka wā o kahi hoʻokolohua ʻike?

Aia nā ʻano like ʻole o nā hoʻāʻo ʻike. Pili kēlā me kēia i ka pane ʻana i nā nīnau a me / a i ʻole ka hana ʻana i nā hana maʻalahi. Hoʻonohonoho ʻia lākou e kōkua i ke ana ʻana i nā hana noʻonoʻo, e like me ka hoʻomanaʻo, ka ʻōlelo, a me ka hiki ke ʻike i nā mea. ʻO nā ʻano maʻamau o nā hoʻāʻo:

  • Hōʻike Hōʻikeʻike Montreal Cognitive (MoCA). Hōʻike 10-15 mau minuke e komo pū ana me ka hoʻopaʻanaʻau ʻana i kahi papa inoa pōkole o nā huaʻōlelo, e hōʻike ana i kahi kiʻi o kahi holoholona, ​​a me ke kope ʻana i kahi kaha kiʻi o ke kinona a mea paha.
  • Hōʻikeʻike Mele Mini-Mental (MMSE). ʻO kahi hoʻāʻo 7-10 mau minuke e pili ana i ka inoa ʻana i ka lā e kū nei, e helu ana i hope, a me ka ʻike ʻana i nā mea o kēlā me kēia lā e like me ka penikala a wati paha.
  • Mini-Cog. ʻO kahi hoʻāʻo 3-5 mau minuke e hoʻopili ana i ka hoʻomanaʻo ʻana i kahi papa inoa ʻekolu mau huaʻōlelo a me ke kahakaha ʻana i ka uaki.

E pono paha wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo ʻike?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no kahi hoʻokolohua ʻike.


Aia kekahi mau pilikia i ka hoʻāʻo ʻana?

ʻAʻohe makaʻu i ka hoʻāʻo ʻana i ka ʻike.

He aha ke ʻano o nā hopena?

Inā ʻaʻole maʻamau kāu mau hopena hōʻike, ʻo ia hoʻi he pilikia kāu me ka hoʻomanaʻo a me nā hana noʻonoʻo ʻē aʻe. Akā ʻaʻole ia e hōʻoia i ke kumu. Pono paha kāu kauka olakino e hana i nā hoʻokolohua hou aku e ʻike ai i ke kumu. Hoʻokumu ʻia kekahi ʻano o ka hōʻino ʻike ma muli o nā kūlana olakino hiki ke mālama ʻia. Pākuʻi ʻia kēia mau mea:

  • Maʻi thyroid
  • Nā hopena o nā lāʻau
  • Nā hemahema o ka wikamina

I kēia mau hihia, hoʻomaikaʻi a hoʻomaʻemaʻe paha nā pilikia o ka ʻike ma hope o ka mālama ʻana.

ʻAʻole hiki ke hoʻōla ʻia i nā ʻano ʻano ʻino o ka noʻonoʻo. Akā ʻo nā lāʻau lapaʻau a me nā loli nohona olakino hiki ke kōkua i ka hoʻolōʻihi i ka noʻonoʻo i kekahi mau hihia. ʻO kahi hōʻailona o ka dementia hiki ke kōkua i nā mea maʻi a me ko lākou mau ʻohana e hoʻomākaukau no nā pono olakino e hiki mai ana.

Inā he nīnau kāu a hopohopo paha e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka hoʻāʻo ʻike?

ʻOi aku ka maikaʻi o ka hoʻāʻo MoCA ma ka loaʻa ʻana o ka nāwaliwali o ka noʻonoʻo haʻahaʻa. ʻOi aku ka maikaʻi o ka MMSE i ka loaʻa ʻana o nā pilikia koʻikoʻi koʻikoʻi hou aʻe. Hoʻohana pinepine ʻia ka Mini-Cog no ka mea wikiwiki, hoʻohana maʻalahi ia, a loaʻa ākea. Hiki i kāu mea mālama olakino ke hana i hoʻokahi a ʻoi paha o kēia mau hoʻokolohua, kaukaʻi ʻia i kou ʻano.

Nā kūmole

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  3. ʻAhahui Alzheimer [Pūnaewele]. ʻO Kikako: ʻAhahui Alzheimer; c2018. He aha ia Dementia ?; [i helu ʻia 2018 Nov 18]; [ma kahi o 4 pale]. Loaʻa mai: https://www.alz.org/alzheimers-dementia/what-is-dementia
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  5. Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana [Pūnaewele]. Atlanta: Ke Keʻena ʻOihana Ola a me nā Lawelawe Pono ʻAmelika; Initiative Brain Ola; [hōʻano 2017 2017 Jan 31; i helu ʻia 2018 Nov 18]; [ma kahi o 3 pale]. Loaʻa mai: https://www.cdc.gov/aging/healthybrain/index.htm
  6. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2018. Ka hoʻohaʻahaʻa noʻonoʻo ʻoluʻolu (MCI): Diagnosis and treatment; 2018 Aug 23 [helu ʻia 2018 Nov 18]; [ma kahi o 4 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/mild-cognitive-impairment/diagnosis-treatment/drc-20354583
  7. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2018. Ka hoʻohaʻahaʻa noʻonoʻo ʻoluʻolu (MCI): Nā ʻōuli a me nā kumu; 2018 Aug 23 [helu ʻia 2018 Nov 18]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/mild-cognitive-impairment/symptoms-causes/syc-20354578
  8. Merck Manual Mea Kūʻai Manuahi [Pūnaewele]. Kenilworth (NJ): Merck & Co. Inc.; c2018. Nānā Neurological; [i helu ʻia 2018 Nov 18]; [ma kahi o 2 pale]. Loaʻa mai: https://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorder/diagnosis-of-brain,-spinal-cord,-and-nerve-disorder/neurologic-examination
  9. Merck Manual Professional Version [Pūnaewele]. Kenilworth (NJ): Merck & Co. Inc.; c2018. Pehea e loiloi ai i ke kūlana noʻonoʻo; [i helu ʻia 2018 Nov 18]; [ma kahi o 2 pale]. Loaʻa mai: https://www.merckmanuals.com/professional/neurologic-disorder/neurologic-examination/how-to-assess-mental-status
  10. Lapaʻau ʻo Michigan: Ke Kulanui o Michigan [Pūnaewele]. Ann Arbor (MI): Nā Regents o ke Kulanui o Michigan; c1995–2018. Ka hoʻohaʻahaʻa ʻike haʻahaʻa; [i helu ʻia 2018 Nov 18]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uofmhealth.org/brain-neurological-conditions//mild-cognitive-impairment
  11. National Institute on Aging [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Ke nānā nei i ka hōʻino ʻana o ka ʻike ma nā mea maʻi kahiko; [i helu ʻia 2018 Nov 18]; [ma kahi o 2 pale]. Loaʻa mai: https://www.nia.nih.gov/health/assessing-cognitive-impairment-older-patients
  12. National Institute on Aging [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; He aha ka maʻi ʻo Alzheimer ?; [i helu ʻia 2018 Nov 18]; [ma kahi o 2 pale]. Loaʻa mai: https://www.nia.nih.gov/health/what-alzheimers-disease
  13. National Institute on Aging [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; He aha ka hōʻino ʻike ʻike haʻahaʻa ?; [i helu ʻia 2018 Nov 18]; [ma kahi o 2 pale]. Loaʻa mai: https://www.nia.nih.gov/health/what-mild-cognitive-impairment
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  16. U .S. ʻOihana Kuhina Nui [Pūnaewele]. Wakinekona D.C .: U.S. Department of Veterans Affairs; ʻO Parkinson's Disease Research, Education and Clinical Center: Montreal Cognitive Assessment (MoCA); 2004 Nov 12 [helu ʻia 2018 Nov 18]; [ma kahi o 3 pale]. Loaʻa mai: https://www.parkinsons.va.gov/consortium/moca.asp
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ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.

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