Kev Xam Pom

Zoo Siab

• Kev xeem kev txawj ntse yog dab tsi?
• Nws siv rau dab tsi?
• Vim li cas kuv thiaj yuav tsum muaj kev sim kev txawj ntse?
• Yuav muaj dab tsi tshwm sim thaum kev ntsuam xyuas teeb meem?
• Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev ntsuas teeb meem?
• Puas muaj kev pheej hmoo rau kev kuaj?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog kev sim ntsuas?
• Ua tim khawv

Kev xeem kev txawj ntse yog dab tsi?

Kev ntsuas kev xeem tshawb xyuas cov teeb meem nrog rau kev txawj ntse. Kev paub yog kev sib koom ua ke ntawm cov txheej txheem hauv koj lub hlwb uas koom nrog rau yuav luag txhua qhov ntawm koj lub neej. Nws suav nrog kev xav, cim xeeb, lus, txiav txim siab, thiab muaj peev xwm kawm yam tshiab. Qhov teeb meem nrog kev paub no yog hu ua kev txawj xav. Tus mob nws nyob ntawm qhov mob sib khuav mus rau mob hnyav.

Muaj ntau yam ua rau kev xav tsis zoo. Lawv suav nrog kev phiv tshuaj, tshuaj hlab ntsha tawg, kev nyuaj siab, thiab dementia. Dementia yog ib lo lus siv rau qhov kev ua haujlwm ntawm lub hlwb. Alzheimer's kab mob yog hom kev dementia ntau tshaj.

Cov kev sim uas paub yuav tsis pom tseeb tias yog vim li cas nws thiaj ua tsis taus. Tab sis kev sim yuav pab tau koj tus kws kho mob nrhiav pom yog tias koj xav tau kev ntsuam xyuas ntau ntxiv thiab / lossis nqis tes los daws qhov teeb meem.

Muaj ntau yam sib txawv ntawm cov kev ntsuas teeb meem. Cov kev ntsuam xyuas tshaj plaws yog:

• Montreal Kev Ntsuam Xyuas Kev Tshawb Fawb (MoCA)
• Kev Tshawb Xyuas Mini-Hlwb Lub Xeev (MMSE)
• Mini-Cog

Tag nrho peb qhov kev ntsuas ntsuas ntsuas lub hlwb los ntawm cov lus nug thiab / lossis cov haujlwm yooj yim.

Lwm lub npe: kev sojntsuam kev paub, Montreal Kev Ntsuam Xyuas Kev Ntsuas, MoCA xeem, Mini-Mental State Exam (MMSE), thiab Mini-Cog

Nws siv rau dab tsi?

Kev ntsuas teeb meem feem ntau yog siv los ntsuam xyuas qhov tsis pom kev me (MCI). Cov neeg mob MCI tuaj yeem pom cov kev hloov hauv lawv lub cim xeeb thiab lwm cov kev xav hauv lub hlwb. Cov kev hloov pauv tsis loj txaus uas cuam tshuam rau koj lub neej txhua hnub lossis kev ua si ib txwm muaj. Tab sis MCI tuaj yeem yog qhov phom sij txaus ntshai rau qhov ua kom puas loj ntxiv. Yog tias koj muaj MCI, koj tus kws kho mob yuav muab ntau qhov kev kuaj rau koj sijhawm kom kuaj xyuas qhov tsis zoo ntawm lub hlwb.

Vim li cas kuv thiaj yuav tsum muaj kev sim kev txawj ntse?

Tej zaum koj yuav xav tau kev sim ntsuas yog koj pom tias nws pom tias koj tsis txawj xav. Cov no suav nrog:

• Tsis nco qab teem caij thiab tej xwm txheej tseem ceeb
• Ploj khoom ntau zaus
• Muaj teeb meem los nrog cov lus uas koj ib txwm paub
• Poob koj lub tsheb ciav hlau ntawm kev xav hauv kev sib tham, yeeb yaj kiab, lossis phau ntawv
• Muaj kev txob taus ntau ntxiv thiab / lossis ntxhov siab

Koj tsev neeg lossis cov phooj ywg yuav hais kom sim yog tias lawv pom muaj cov tsos mob no.

Yuav muaj dab tsi tshwm sim thaum kev ntsuam xyuas teeb meem?

Muaj ntau yam sib txawv ntawm cov kev ntsuas teeb meem. Txhua yam suav nrog teb cov lus nug thiab / lossis ua cov haujlwm yooj yim. Lawv tau tsim los pab ntsuas cov kev ua haujlwm hauv lub hlwb, xws li nco, lus, thiab muaj peev xwm kom paub txog cov khoom. Cov kev sim siab sib txawv feem ntau yog:

• Montreal Kev Ntsuas Kev Ntsuas Kev Kawm (MoCA) kev xeem. Kev xeem 10-15 feeb uas suav nrog nco cov npe luv ntawm cov lus, paub tus duab ntawm ib tus tsiaj, thiab theej ib daim duab ntawm cov duab lossis cov khoom.
• Kev Tshawb Xyuas Mini-Mental Lub Xeev (MMSE). Qhov kev ntsuam xyuas 7-10 feeb uas suav cov npe hnub tam sim no, suav rov qab, thiab txheeb xyuas cov khoom txhua hnub zoo li tus cwj mem los yog saib.
• Mini-Cog. Ntsuas sijhawm li 3-5 feeb uas suav qhov rov qab txog peb-cov npe ntawm cov khoom thiab kos lub moos.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev ntsuas teeb meem?

Koj tsis tas yuav muaj kev npaj tshwj xeeb rau qhov kev ntsuas teeb meem zoo.

Puas muaj kev pheej hmoo rau kev kuaj?

Nws tsis muaj kev pheej hmoo yog tias muaj kev ntsuas kev txawj ntse.

Cov txiaj ntsig li cas?

Yog tias koj cov ntawv kuaj tsis tau li cas, nws txhais tau tias koj muaj qee yam teeb meem nrog lub cim xeeb lossis lwm yam kev xav. Tab sis nws yuav tsis kuaj xyuas qhov ua rau. Koj tus kws kho mob yuav xav kuaj ntxiv kom paub seb yog vim li cas. Qee hom kev paub kev puas hlwb yog los ntawm kev kho mob kho mob. Cov no suav nrog:

• Mob qog noj ntshav
• Sab sij huam tshuaj
• Vitamin raug qias tsis txaus

Hauv cov rooj plaub no, teeb meem kev paub yuav txhim kho lossis meej meej tom qab kho tas.

Lwm hom kev paub kev puas hlwb tsis tuaj yeem kho. Tab sis cov tshuaj thiab cov kev noj qab nyob zoo rau lub neej pauv tau yuav ua rau muaj kev xav qeeb qeeb hauv qee kis. Kev txheeb xyuas kab mob dementia kuj tseem tuaj yeem pab cov neeg mob thiab lawv tsev neeg npaj rau kev noj qab haus huv yav tom ntej.

Yog tias koj muaj lus nug lossis muaj kev txhawj xeeb txog koj cov txiaj ntsig, tham nrog koj tus kws kho mob.

Puas muaj lwm yam ntxiv uas kuv xav paub txog kev sim ntsuas?

MoCA qhov ntsuas feem ntau zoo dua yog nrhiav pom qhov tsis pom kev tsis meej. Lub MMSE zoo dua ntawm kev tshawb nrhiav cov teeb meem txawj ntse hnyav dua. Mini-Cog yog feem ntau siv vim hais tias nws nrawm nrawm, siv tau yooj yim, thiab muaj ntau yam siv. Koj tus kws kho mob yuav ua ib los yog ntau qhov kev ntsuas no, nyob ntawm koj tus mob.

Ua tim khawv

1. Alzheimer's Association [Is Taws Nem]. Chicago: Koom Haum Alzheimer; c2018. Kev Tsis Hnov Me Ntsis (MCI); [hais 2018 2018 18; [txog 4 ntxaij]. Muaj los ntawm: https://www.alz.org/alzheimers-dementia/what-is-dementia/related_conditions/mild-cognitive-impairment
2. Alzheimer's Association [Is Taws Nem]. Chicago: Koom Haum Alzheimer; c2018. Alzheimer yog dab tsi ?; [hais 2018 2018 18; [txog 3 ntxaij]. Muaj los ntawm: https://www.alz.org/alzheimers-dementia/what-is-alzheimers
3. Alzheimer's Association [Is Taws Nem]. Chicago: Koom Haum Alzheimer; c2018. Dementia Yog Dab Tsi ?; [hais 2018 2018 18; [txog 4 ntxaij]. Muaj los ntawm: https://www.alz.org/alzheimers-dementia/what-is-dementia
4. Cov Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob [Is Taws Nem]. Atlanta: U.S.Department of Health thiab Pabcuam Tib Neeg; Qhov Kev Pom Tsis Pom: Hu rau Tes Haujlwm, Tam Sim No!; 2011 Feb [hais 2018 2018 18; [txog 3 ntxaij]. Muaj los ntawm: https://www.cdc.gov/aging/pdf/cognitive_impairment/cogimp_poilicy_final.pdf
5. Cov Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob [Is Taws Nem]. Atlanta: Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kev Noj Qab Haus Huv Lub Hlwb Pib; [kho tshiab 2017 Jan 31; hais 2018 Nov 18]; [txog 3 ntxaij]. Muaj los ntawm: https://www.cdc.gov/aging/healthybrain/index.htm
6. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2018. Kev tsis meej pem (MCI): Kev kuaj thiab kho mob me; 2018 Lub Yim Hli 23 [qhia txog 2018 Nov 18]; [txog 4 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/mild-cognitive-impairment/diagnosis-treatment/drc-20354583
7. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2018. Cov teeb meem me me ntawm kev txawj ntse (MCI): Cov tsos mob thiab ua rau; 2018 Lub Yim Hli 23 [qhia txog 2018 Nov 18]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/mild-cognitive-impairment/symcepts-causes/syc-20354578
8. Merck Los Ntawm Cov Neeg Siv Khoom Siv [Internet]. Kenilworth (NJ): Merck & Co. Inc .; c2018. Kev Kuaj Mob Neurological; [hais 2018 2018 18; [txog 2 ntxaij]. Muaj los ntawm: https://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorders/diagnosis-of-brain ,-spinal-cord ,-and-nerve-disorders/neurologic-examination
9. Merck Los Ntawm Txhais Tes Txuj Ci [Internet]. Kenilworth (NJ): Merck & Co. Inc .; c2018. Kev Soj Ntsuam Kev Puas Hlwb; [hais 2018 2018 18; [txog 2 ntxaij]. Muaj los ntawm: https://www.merckmanuals.com/professional/neurologic-disorders/neurologic-examination/how-to-assess-mental-status
10. Michigan Cov Tshuaj: University of Michigan [Internet]. Ann Arbor (MI): Regents ntawm University of Michigan; c1995–2018. Me Me Khib Nyiam Kev Kawm; [hais 2018 2018 18; [txog 5 ntxaij]. Muaj los ntawm: https://www.uofmhealth.org/brain-neurological-conditions//mild-cognitive-impairment
11. Koom haum National ntawm kev laus [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kev Soj Ntsuam rau Kev Puas Hlwb Hauv Cov Neeg Laus Dua; [hais 2018 2018 18; [txog 2 ntxaij]. Muaj los ntawm: https://www.nia.nih.gov/health/assessing-cognitive-impairment-older-patients
12. Koom haum National ntawm kev laus [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Alzheimer's Tus Kab Mob Yog Dab Tsi ?; [hais 2018 2018 18; [txog 2 ntxaij]. Muaj los ntawm: https://www.nia.nih.gov/health/what-alzheimers-disease
13. Koom haum National ntawm kev laus [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Dab Tsi Tseem Me Me Lub Cev Puas Hlwb ?; [hais 2018 2018 18; [txog 2 ntxaij]. Muaj los ntawm: https://www.nia.nih.gov/health/what-mild-cognitive-impairment
14. Norris DR, Clark MS, Shipley S. Kev Tshuaj Ntsuam Xyuas Kev Puas Hlwb Am Nkaub Tus Kws Kho Mob [Internet]. 2016 Oct 15 [raug nplua 2018 Nov 18]; 94 (8):; 635–41. Muaj los ntawm: https://www.aafp.org/afp/2016/1015/p635.html
15. Tshuaj Kho Mob niaj hnub no [Hauv Is Taws Nem]. Lub Caij Nplooj Hlav Nroog (PA): Great Valley Publishing; c2018. MMSE vs. MoCA: Yam Koj Yuav Tsum Tau Paub; [hais 2018 2018 18; [txog 2 ntxaij]; Muaj los ntawm: http://www.todaysgeriatricmedicine.com/news/ex_012511_01.shtml
16. U .S. Feem Haujlwm Saib Xyuas Qub Tub Rog [Internet]. Washington D.C :: US Department of Veterans Affairs; Parkinson's Kev Tshawb Nrhiav Kab Mob, Kev Kawm thiab Cov Chaw Kho Mob: Montreal Kev Ntsuam Xyuas Kev Ntsuam Xyuas (MoCA); 2004 Nov 12 [raug nplua 2018 Nov 18]; [txog 3 ntxaij]. Muaj los ntawm: https://www.parkinsons.va.gov/consortium/moca.asp
17. Teb Chaws Asmeskas Kev Pabcuam Tiv Thaiv Kev Ua Haujlwm [Is Taws Nem]. Rockville (MD): Tebchaws Asmeskas Pabcuam Tiv Thaiv Kev Ua Haujlwm; Kev soj ntsuam rau Kev Ntshaw Kev Txawj Ntse rau Cov Neeg Loj Dua; [hais 2018 2018 18; [txog 3 ntxaij]. Muaj los ntawm: https://www.uspreventiveservicestaskforce.org/Home/GetFile/1/482/dementes/pdf
18. Xueyan L, Jie D, Shasha Z, Wangen L, Haimei L. Sib piv cov nqi ntawm Mini-Cog thiab MMSE kuaj hauv cov ntaub ntawv qhia sai sai ntawm cov neeg mob Suav tawm ntawm qhov tsis pom kev me me. Tshuaj Kho [Internet]. 2018 Jun [hais tawm 2018 Nov 18]; 97 (22): e10966. Muaj los ntawm: https://journals.lww.com/md-journal/Fulltext/2018/06010/Comparison_of_the_value_of_Mini_Cog_and_MMSE.74.aspx

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.