Tlhahlobo ea MoCA e etsoa joang bakeng sa Dementia?
Tlhahlobo ea Cognitive Cognitive (MoCA) ke tlhahlobo e khutšoanyane ea lipotso tse 30 tse nkang metsotso e 10 ho qeta. E ile ea hatisoa ka 2005 ke sehlopha sa Univesithi ea McGill se sebetsang ka lilemo tse 'maloa litsing tsa kokelo tsa mehopolo Montreal. Mona re sheba seo MoCA e se kenyelletsang, kamoo se fumanoeng le ho hlalosoa kateng, le hore na se ka thusa joang ho khetholla 'dementia'.
E Hlahloba Eng?
Moca e hlahloba mefuta e fapaneng ea bokhoni ba ho nahanisisa, ho kenyelletswa boikutlo , ho hopola nako e khutšoanyane , mosebetsi o busang , bokhoni ba puo, tlhokomelo le bokhoni ba visuospatial .
Ho fapana le tlhahlobo ea " Mini-Mental State Exam" (MMSE), e leng mokhoa o mong o sebelisoang haholo oa ho hlahloba lefu la Alzheimer, MoCA e kenyeletsa tlhahlobo ea oache le teko ea mosebetsi o boima o tsejoang e le Trails B.
Ho balloa MoCA
Lintlha tse hlahang moca oa MoCA ho tloha ho zero ho ea ho 30, tse nang le lintlha tse 26 le tse phahameng li nkoa li tloaelehile. Lefapheng la pele la ho ithuta le thehiloeng Moca, litsamaiso tse tloaelehileng li na le lintlha tse lekaneng tsa 27,4, ha li bapisoa le 22.1 ho batho ba nang le Bokooa bo Bonolo ba Maikutlo (MCI) le ba 16.2 bathong ba nang le lefu la Alzheimer .
Ho senyeha ha marang-rang ke ka tsela e latelang:
- Litlhahiso tsa Visuospatial le Ts'ebetsong: 5 lintlha
- Pitso ea liphoofolo: lintlha tse 3
- Hlokomela: lintlha tse 6
- Puo: lintlha tse 3
- Ho latoloa: lintlha tse 2
- Hopola ho lieha (Khoeli e khutšoanyane): lintlha tse 5
- Boikutlo ba boikutlo: lintlha tse 6
- Lekala la thuto: ntlha e le 1 e kenngoa litekong tsa liteko-ha a na le lilemo tse 12 kapa tse seng kae tsa thuto ea sekolo
Tšebeliso ea MoCA
Moca ke tlhahlobo e bonolo, e khutšoanyane e thusang litsebi tsa bophelo bo botle hore li be le nako e potlakileng hore na motho o na le ts'ebetso e sa tloaelehang ea ho tseba hantle 'me a ka hloka ho hlahloba lefu la Alzheimer ka ho feletseng.
E ka 'na ea bolela esale pele hore' dementia 'e na le batho ba nang le bokooa ba maikutlo bo bonolo (MCI),' me kaha e lekoa bakeng sa tshebetso ea batsamaisi, e molemo ho batho ba nang le tse 26 kapa tse phahameng ho MMSE. Qetellong, ho 'nile ha bontšoa hore ho khetholla mathata a ho nahana ka batho ba nang le lefu la Parkinson .
Melemo e Akaretsang le Likotsi tsa MoCA
Melemo ea MoCA e kenyeletsa bokhutšoane, bonolo le ho tšepahala ho hlahloba lefu la Alzheimer.
Ho phaella moo, e lekanya karolo ea bohlokoa ea 'dementia' e sa lekanyetsoang ke MMSE, e leng tshebetso ea bolaoli. Ho bonahala eka e sebetsa hantle Parkingon's disease dementia , 'me ho fapana le MMSE, e lokolohile bakeng sa tšebeliso e se nang phaello.
Ka hloko, MoCA e fumaneha ka lipuo tse fetang 35, 'me ho boetse ho na le Phoso ea Testing ea MoCA e lumellang hore batho ba nang le bokooa ba se nang phihlelo ba hlahlobe ts'oaetso.
Bothata ba MoCA ke hore ho nka nako e teletsana ho feta MMSE ho fana ka ts'ebetsong, 'me joaloka litlhahlobo tse ling tse ngata, e lokela ho kopanngoa le lisebelisoa tse ling tse ngata le liteko bakeng sa ho tseba hantle le ho hlahloba lefu la' dementia '.
Lentsoe ho
Ho hlokomela seo MoCA e se kenyelletsang le hore na se fumanoe joang se ka u thusa ho utloisisa hantle liphello tsa hau ho uena kapa moratuoa oa hau. Hape, hopola hore MoCA, ha e ntse e thusa ho khetholla ho ameha ka maikutlo, e lokela ho kopanngoa le litekanyetso tse ling tse 'maloa tse entsoeng ke ngaka e le hore e hlahlobe ka botlalo lisebelisuoa tsa kelello le ho lemoha hore na ho na le lisosa life tsa ho lahleheloa ke mohopolo.
Lisebelisoa:
Tlhahlobo ea Cognitive ea Montreal. >> http://www.mocatest.org/wp-content/uploads/2015/tests-instructions/MoCA-Test-English_7_1.pdf.
Tlhahlobo ea Cognitive ea Montreal. 2015. Blind Test of MoCA. http://www.mocatest.org/
Nasreddine ZS, Phillips NA, le al. Tlhahlobo ea Cognitive Montreal, MoCA: Sesebelisoa se khutšoanyane sa ho hlahloba ho se utloisise hantle. J Am Geriatr Soc . 2005; 53: 695-699.
Smith T, Gildeh N, le al. Tlhahlobo ea Cognitive ea Montreal: e nepahetse ebile e sebetsa holima litsi tsa kliniki. Nka J Psychiatry . 2007; 52: 329-332.
Zadikoff C, Fox SH, et al. Papiso ea "Mini Mental State Exam" ho Tlhahlobo ea Tlhahlobo ea Matšoao ea Montreal bakeng sa ho khetholla ho se utloisisehe ha lefu la Parkinson. Mov Disord . 2008; 23: 297-299.