We yu go si dɔktɔ, dɛn go chɛk yu bɔdi, tɔk to yu, ɛn sɔntɛnde dɛn go aks yu sɔm kwɛstyɔn dɛn fɔ chɛk yu ‘maynd’, nɔto so? Fɔ tɔk mɔ, na di we aw yu de tink. Sɔm pipul dɛn kin si dis strenj smɔl. "Wetin mek yu de aks mi dis kweshon? Yu tink se a kray?" Sɔntɛm yu go de wɔnda. Na dat wi de kol ‘Mental Status Exam’. Nɔ wɔri, dis nɔr siriɔs lɛk aw yu tink, i rili kɔmɔn. Lɛ wi si wetin dis rili min ɛn wetin mek i impɔtant.
Wetin na dis Mental Status Ɛgzam?
Fɔ tɔk am simpul wan, na we fɔ chɛk yu maynd ɛn yu bren, jɔs lɛk aw dɔktɔ go du fɔ chɛk yu bɔdi. Na fɔ gɛt rough aidia bɔt aw yu de lan ɛn ɔndastand di wɔl we de rawnd yu. Pan ɔl we na saykayatrist dɛn kin yuz am bɔku tɛm, ɛni dɔktɔ kin du dis tɛst.
We dɛn de du dis ɛgzamin, di dɔktɔ go mɔs pe atɛnshɔn pan dɛn tin ya bɔt yu:
- Yu jenɛral apia ɛn klin we yu klin
- Di we aw yu de biev ɛn di we aw yu bɔdi de muv
- Aw yu de si ɛn ɔndastand di wɔl we de rawnd yu (Perceptions) .
- Aw yu de sho aw yu de fil ɛn aw yu de fil (Mud ɛn afɛkt) .
- Yu kognitiv abiliti dɛm (Cognition). Dat min tin dɛn lɛk fɔ pe atɛnshɔn, fɔ mɛmba tin, fɔ ebul fɔ tink gud wan, ɛn fɔ ebul fɔ disayd fɔ du sɔntin.
Dis tɛst kin rili ɛp fɔ no bɔt mɛntɛl hεlth kɔndishɔn (lɛk skizofrenia ɔr wɔri ) ɛn bak sik dɛm wae gɛt fɔ du wit di nervɔs sistɛm (lɛk Alzaima ɔr Pakinsin sik) , ɛn fɔ wach if dɛn sik dɛn de kin chenj as tɛm de go.
Us kes dɛn kin du dis tɛst?
Bɔku tɛm, ɛni tɛm we yu go to dɔktɔ, ɔ we yu de du fɔl-ɔp apɔntinmɛnt, yu dɔktɔ kin du sɔm pat pan dis tɛst. Di infɔmeshɔn we dɛn go gɛt go ɛp dɛn fɔ disayd if yu nid ɛni ɔda tɛst ɛn us kayn tritmɛnt go fayn fɔ yu.
Bɔt i impɔtant fɔ mɛmba dis. Dis mental stetɔs ɛgzamin na sɔbjɛktiv asɛsmɛnt . Dat min se tu dɔktɔ dɛn kin kam fɔ no difrɛn tin bɔt di sem pɔsin. Dat na nɔmal tin.
Dɔn bak, sɔm ɔda tin dɛn de we kin afɛkt di rizɔlt fɔ dis tɛst. Di dɔktɔ go tek ɔl dɛn tin ya na kɔna.
- Yu kɔlchɔ: Sɔm kɔlchɔ dɛn kin sho aw pɔsin de fil difrɛn we.
- Yu yon langwej: I kin at fɔ ansa bikɔs ɔf langwej prɔblɛm.
- Di lɛvul we yu lan: Di lɛvul we yu lan kin afɛkt di ansa to sɔm kwɛstyɔn dɛn.
- Ɔda tin dɛn we de apin na do: Tin dɛn lɛk we yu nɔ de slip, angri, ɛn pen kin mek yu nɔ pe atɛnshɔn ɛn mɛmba.
So, dɔktɔ nɔ go ɛva tink se yu gɛt sik bay dis tɛst nɔmɔ. I go du dat bay we i go jɔyn bɔku ɔda tin dɛn we yu go gɛt. Dis inklud:
- Ditiɛl bɔt di mɛrɛsin we yu gɛt naw.
- Yu histri bɔt yu maynd sik dɛn we yu bin dɔn gɛt trade.
- Ditiɛl bɔt yu ɔda sik dɛm (pas mɛdikal histri).
- Ditiɛl dɛn bɔt aw fɔ yuz drɔgs ɔ rɔm.
- Yu soshal ɛn famili bakgrɔn.
- Jɛnɛral fyzikal ɛgzamin.
- Nyurolɔjik ɛgzam.
- Test ripɔt lɛk blɔd tɛst.
So, wetin rili di dɔktɔ de luk fɔ pan dis tɛst?
Wi kin sheb dis ɛgzam to tu pat. Wan pan dɛn na di infɔmeshɔn we di dɔktɔ go gɛt we i de wach yu. Di ɔda wan na di infɔmeshɔn we i go gɛt bay we i aks yu kwɛstyɔn dɛn.
Tin dɛn we dɛn kin wach
Di dɔktɔ go de wach yu frɔm di tɛm we yu go insay di rum. Nɔ tink se dis na ditektiv in wok, dis na fɔ gɛt klia pikchɔ bɔt yu kɔndishɔn.
| Sɛkshɔn fɔ monitar | Fɔ tɔk am simpul wan, wetin yu de luk? |
|---|---|
| Aw a luk | Tin dɛn lɛk aw yu wɛr klos, aw yu klin, aw yu luk lɛk aw yu ol, ɛn if ɛnitin de we yu wund ɔ skata we yu kin si. |
| Biev | Dɛn go si aw yu de wok togɛda, if yu de fred ɔ yu nɔ de fil fayn, ɛn if yu de biev nɔmal wan na ɔspitul. |
| Motor aktiviti | Sɔm sik dɛm wae de kam pan pɔrsin in maynd ɛn nyurolɔjik kin mek pɔrsin nɔr de muv fayn fayn wan, lɛk wae pɔrsin kin shek, wae pɔrsin kin du pasmak, ɛn wae pɔrsin kin tranga. |
| Tɔk | Dɛn kin pe atɛnshɔn to tin dɛn lɛk aw yu vɔys de bɔku, aw yu de spid, aw yu de tɔk, ɛn aw yu de tɔk. Dɛn kin luk bak fɔ di tɔk we dɛn nɔ de tɔk fayn ( dysarthria ). |
| Fɔ sho aw pɔsin de fil (Affect) . | Dɛn kin luk tin dɛn we nɔ de sho wit wɔd, lɛk aw yu de sho yu fes ɛn aw yu de mek yu an. Dɛn kin luk aw yu luk, if yu gladi, yu at pwɛl, ɔ yu de wɔri. Dɛn kin luk bak if wetin yu se yu de fil (mud) ɛn wetin yu si na yu fes (afɛkt) de mach. |
| Di we aw pɔsin kin tink | I de luk aw yu tinkin de sistamat ɛn kɔntinyu. Sɔm pipul dɛn kin tan lɛk se dɛn de jomp frɔm wan ples to ɔda ples (flight of ideas). Dis kin mek yu no aw yu de tink. |
Kwɛstyɔn dɛn we dɛn kin aks ɛn tin dɛn we dɛn kin chɛk
Apat frɔm we yu de wach, di dɔktɔ go aks yu dairekt kwɛstyɔn dɛn fɔ no mɔ bɔt aw yu maynd de wok.
- Mud: Tray fɔ gaj yu mud bay we yu aks wan simpul kwɛstyɔn lɛk "Aw yu de fil?"
- Wetin yu de tink: Aks bɔt wetin de na yu maynd, mɔ di tin dɛn we yu de tink bɔt fɔ du bad to yusɛf (di tink bɔt fɔ kil yusɛf) , di tin dɛn we yu de tink bɔt fɔ du bad to ɔda pipul dɛn, ɛn di tin dɛn we yu de tink bɔt we yu de kip tranga wan pan ɔl we dɛn nɔ gri wit wetin yu biliv .
- Pεrsεpshכn: I de aks bכt wetin yu de si tru yu fayv sεns dεm (ay, yes, nos, tכng, skin). Dis kin men wan fɔ luk if yu yɛri ɔ si tin dɛm wae nɔr de (hallucinations) .
- Insayt: Dis de mɛzhɔ aw yu ɔndastand yusɛf, aw yu de biev, ɛn aw yu de wok na sosayti.
- Jɔjmɛnt:I de tɛst yu ebul fɔ disayd fɔ du gud tin dɛn. Fɔ ɛgzampul, dɛn kin aks yu kwɛstyɔn lɛk, "Wetin yu go du if yu si ɛnvilɔp we gɛt adrɛs pan am we yu de waka na strit?" Di we aw yu bin de biev trade, lɛk if yu de tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am, kin afɛkt dis bak.
Speshal, dεn de tεst yu kכgnitiv abiliti dεm (Cognition).
Dis na wan pat we rili impɔtant pan di tɛst. I de ɛp yu fɔ no klia wan aw yu bren de wok.
- Alɛrtness: Aw yu de kɔnshɛns. Fɔ ɛgzampul, ilɛksɛf yu wek gud gud wan ɛn yu de ansa, ɔ yu de stɔp ɔ yu de na kɔma.
- Orientation: Dis na di pat we yu go mɔs dɔn yɛri di "Udat? Usay? Ustɛm?" kwɛstyɔn dɛn. Di dɔktɔ go aks yu yu nem, usay yu de (ɔspitul, siti), ɛn di de we yu de.
- Atɛnshɔn ɛn kɔnsɛntreshɔn: Dis kin tɛst aw lɔng yu kin pe atɛnshɔn pan wan tin. Fɔ ɛgzampul, dɛn kin aks yu fɔ pul 7 pan 100. Ɔ dɛn kin aks yu fɔ klap yu an we yu yɛri di lɛta ‘A’ we yu yɛri sɔm lɛta dɛn.
- Mɛmori: I de tɛst difrɛn pat dɛn na di mɛmori.
- Mɛmba wantɛm wantɛm: Dɛn kin tɔk tri wɔd dɛn ɛn aks fɔ ripit dɛn wantɛm wantɛm.
- Mɛmori we yu jɔs mɛmba: Afta sɔm minit, yu kin yɛri di tri wɔd dɛn we yu bin dɔn tɔk trade.
- Mɛmori fɔ lɔng tɛm: I de aks yu bɔt ol tin dɛn, lɛk usay dɛn bɔn yu ɛn usay yu go skul.
- Abstrakt rizin: Dis de tɛst yu ebul fɔ ɔndastand minin ɛn kɔnsɛpt dɛn we ayd. Fɔ ɛgzampul, yu kin aks se, "Wetin difrɛn bitwin apul ɛn ɔrɛnj?" Ɔ yu kin aks se, "Wetin na di minin fɔ di mɛtafɔ, 'Jinja tan lɛk chili pepa.'"
If di tin dɛn we kin apin nɔ kin fayn, wetin kin apin afta dat?
If di dɔktɔ si sɔntin we nɔ fayn we dɛn de du di ɛgzam, i nɔ go se wantɛm wantɛm se yu gɛt sik. Fɔs, i go aks yu mɔ kwɛstyɔn dɛn. Fɔ ɛgzampul, if i nɔ izi fɔ yu fɔ pe atɛnshɔn, i kin aks yu se, “Ɔmɔs dez yu nɔ slip fayn?” Dis kin bi bikɔs ɔf sɔntin we simpul lɛk we pɔsin nɔ de slip.
Dɔn, dɛn kin tɛl yu fɔ du sɔm tɛst fɔ no if natin de fɔ yu bɔdi.
| Wan tɛst we pɔsin kin du | Wetin yu si pan dat? |
|---|---|
| Blɔd glukɔs tɛst | di hεy (Hyperglycemia) כ lכw (Hypoglycemia) bכdi shuga lεvεl kin afekt di mεntal pεrformεns. |
| Blɔd yuria naytrɔjen (BUN) tɛst | Yuremia, na wan sik we kin apin we di kidni dɛn nɔ de wok fayn, kin mek yu taya pasmak ɛn yu maynd kɔnfyus. |
| Urinalysis we dɛn kin du | Urinary tract infection (UTI) kin mek yu maynd ɛn bihayvya chenj, mɔ pan di ol pipul dɛm. |
| Tɛst fɔ di tayroyd ɔmon | Wan tayroyd gland we de wok pasmak (Hyperthyroidism) kin mek yu wɔri, ɛn wan tayroyd gland we nɔ de wok fayn (Hypothyroidism) kin mek yu gɛt pwɛl hat. |
Sɔntɛnde, dɛn kin nid fɔ du mɔ kɔmpleks tɛst dɛn.
- Bren imej tɛst lɛk PET skan ɔ bren MRI .
- EEG (Electroencephalogram) test (we de mכsu di ilektrikal aktiviti na di bren).
- egzamin fכ di spεnal fכluid (sεribrospεnal fכluid).
Afta ɔl dis, yu dɔktɔ go ɛksplen to yu di rizɔlt fɔ di tɛst ɛn disayd wit yu wetin fɔ du nɛks.
Mɛsej we dɛn kin kɛr go na os
- Di ɛgzam fɔ yu maynd na tɛst we yu kin du ɔltɛm we de chɛk yu bɔdi ɛn yu maynd bak. Na natin fɔ fred.
- Dis go mek di dɔktɔ ɔndastand yu sik fayn fayn wan.
- Dis tεst na כnli wan sכm pat pan di כl diagnostik prכsεs. I nɔ go ɛva sho if yu gɛt sik.
- If ɛnitin de we nɔ fayn na di rizɔlt, dɛn kin du ɔda tɛst fɔ no di rayt tin we mek i apin.
- If yu gɛt ɛni kwɛstyɔn bɔt dis tɛst ɔ in rizɔlt, na yuNɔ ɛva shem fɔ aks di dɔktɔ . I de de fɔ ɛp yu.
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