Aw yu maynd gɛt wɛlbɔdi? - Lɛ wi lan bɔt di Mental Status Ɛgzam!

Yu don eva yehri boht 'Mental Status Exam'? Yu dɔktɔ go dɔn rifer yu fɔ wan. Dis na tɛst we rili impɔtant. Lɛ wi tek wan luk pan wetin i bi ɛn aw dɛn kin du am, insay wan simpul we.

Fɔ tɔk am simpul wan, wetin na dis Mental Status Ɛgzam?

Tink bɔt am lɛk aw dɔktɔ de chɛk yu bɔdi fɔ fɛn sik (a `physical examination`), dis na di sem, bɔt dis wan de luk pan di wɛlbɔdi ɛn aw yu maynd de wok . Dat min se, dכkta dεm de ases aw yu de lan tin dεm εn כndastand di tin dεm we de arawnd yu (`mental kapasiti`). Insay dis, di dɔktɔ de wach yu, aks yu kwɛstyɔn dɛn. Tru dis, dɛn kin chɛk dɛn tin ya bɔt yu:

• Di we aw pɔsin de luk ɛn di we aw i de biev.
• Di we aw pɔsin de biev ɛn di we aw i de muv.
• Aw fɔ si tin (Perceptions).
• Mud ɛn afɛkt.
• Intelektual aktiviti (`Cognition`) lεk atεnshכn, mεmכri, rizin, εn di disizhכn abiliti.

Pan ɔl we dis kin tan lɛk ``fizikal ɛgzamin`` we saykayatrist dɛn kin du, ɛni dɔktɔ kin rili du dis tɛst. Dis ``Mɛntal Status Ɛgzam`` na big ɛp fɔ no ɛn wach difrɛn mental wɛlbɔdi kɔndishɔn dɛm (lɛk ``Schizophrenia`` ɔ anxiety disorders) ɛn nyurolɔjik sik dɛm (lɛk ``Alzheimer's disease`` ɔ ``Parkinson's disease``).

Us tɛm dɛn kin du dis tɛst?

Bɔku tɛm, we yu go si dɔktɔ, ɔ fɔ fala tritmɛnt, i go mɔs bi se dɔktɔ dɛn go du dis ``Mɛntal Status Ɛgzam.'' Di rizɔlt go ɛp dɛn fɔ ɔndastand us ɔda tɛst yu nid ɛn us kayn tritmɛnt dɛn we fit.

Bɔt wan tin fɔ mɛmba na dat dis `Mɛntal Status Ɛgzam` na `sɔbjɛktiv asɛsmɛnt` we kin difrɛn frɔm wan pɔsin to ɔda pɔsin . Dat min se ivin fɔ di sem pɔsin, difrɛn dɔktɔ dɛn kin kam fɔ no difrɛn tin dɛn. Dɔn bak, di dɔktɔ in ɛkspɛriɛns kin afɛkt dis bak.

Dɔktɔ dɛn kin tray fɔ tink bɔt bɔku tin dɛn we dɛn de du dis tɛst, bikɔs dɛn tin ya kin afɛkt di we aw yu de du yu tɛst:

• Yu kɔlchɔ.
• Yu yon langwej.
• Yu lɛvɛl fɔ lan buk ɛn yu ebul fɔ rid.
• Ɔda tin dɛm wae kin mek yu strɛs lɛk wae yu nɔr de slip, angri, pen.

Dɔn bak, dɔktɔ dɛn nɔ kin jɔs bays di diagnosis pan di rizɔlt fɔ dis `Mɛntal Status Ɛgzam` . Dɛn kin tink bak bɔt bɔku ɔda tin dɛn. Fɔ ɛgzampul:

• Ditiɛl dɛn bɔt di mɛrɛsin we yu gɛt naw.
• Yu fɔs mɛntɛl hεlth histri.
• Yu past mɛdikal istri.
• Istri bɔt aw fɔ yuz drɔgs.
• Soshal bakgrɔn.
• Fɔ ɛgzam fɔ yu bɔdi.
• Nyurolɔjik ɛgzam.
• Test rizulyt lɛk blɔd tɛst.

Wetin dis tɛst inklud?

Dɔktɔ dɛn kin yuz ɔl tu di ɔbshɔbishɔn ɛn kwɛshɔn na ``Mɛntal Status Ɛgzam.'' Tru dis prɔses, dɛn kin tɛst difrɛn aspek dɛm fɔ yu mental abiliti. Wi kin sheb dɛn tin ya to sɔm men kategori dɛn.

Di Tin dɛn we Dɔktɔ De Si

Sɔm tin dɛn de we yu dɔktɔ kin no kwik kwik wan bay we i de wach yu. Dɛn tin ya na:

• Aw yu luk: Di dɔktɔ go notis tin dɛn lɛk aw yu klin, if yu luk gri wit di ej we yu dɔn tɔk bɔt, ɛn if ɛni wund ɔ skata de we yu kin si.
• Bihayvya: Dɛn kin luk tin dɛm lɛk aw yu strɛs, aw yu de wok togɛda, if yu de pan ɛni diskɔmfɔt, ɛn ɔda tin dɛm Dɛn kin luk bak pan di rizin we mek yu de na ɔspitul ɛn if yu de biev lɛk aw dɛn bin de ɛkspɛkt pan tin lɛk dis.
• di mכtalman aktiviti / muvmεnt dεm: sכm mental, nyurodivεlכpmεnt, εn nyurolכjik kכndishכn dεm kin mek di muvmεnt dεm we nכ nכmal. Fɔ ɛgzampul, we pɔsin kin du tin pasmak, we i kin shek, we i kin gɛt tik, we i kin gɛt rigid, ɛn we i kin gɛt Pakinson.
• Tɔk: Insay di tɛm we dɛn de du di tɛst, di dɔktɔ go notis aw yu de tɔk ɛn aw yu put yu wɔd dɛn togɛda. Dɛn go luk bak di spid, ritm, vɔlyum, ɛn tɔyn we yu vɔys de tɔk. Dɛn kin asɛs bak if yu gɛt ɛni prɔblɛm fɔ tɔk, lɛk fɔ tɔk smɔl smɔl (dysarthria).
• Affect: Di dɔktɔ go observ yu nonverbal cues. Dɛn kin yuz wɔd dɛn lɛk gladi, sɔri, vɛks, pwɛl hat, wɔri, ɔ gladi at. Dɛn go luk bak if di we aw yu de fil de mach di we aw yu de fil.
• Di we aw yu de tink: Di dɔktɔ go wach aw yu de tink ɔganayz. Dɛn kin tɔk bɔt wan nɔmal we aw pɔsin kin tink se i kin bi dairekt ɛn i kin gɛt rizin. If yu nɔ de tink ɔltɛm, yu kin tink bɔt sɔntin we yu de tink bɔt na wan patikyula tin. Sɔntɛm yu nɔ go si di wan ol pikchɔ. Ɔ yu kin de ɛkspiriɛns wetin sɔm pipul dɛn kin kɔl ``flight of ideas.''

Kwɛstyɔn dɛn fɔ aks yu

Dɔktɔ dɛn kin aks dairekt kwɛstyɔn dɛn fɔ tɛst sɔm tin dɛn we yu kin tink bɔt. Wit dis kweshon dem, dem kin ases:

• Di we aw yu de fil: Di dɔktɔ aks yu aw yu de fil ɛn notis yu ansa.
• Wetin yu de tink: Wetin yu de tink (fɔ ɛgzampul, wetin yu de tink bɔt wan patikyula tinDi dɔktɔ go asɛs yu bay we i de lisin to yu ɛn aks yu dairekt kwɛstyɔn dɛn. Mɔtalman, dɛn go chɛk fɔ si if dɛn de tink bɔt fɔ kil dɛnsɛf, dɛn de tink bɔt fɔ kil ɔda pipul dɛn, ɛn fɔ si if dɛn de tink bɔt fɔ kil dɛnsɛf.
• Aw yu de si di wɔl we de arawnd yu: Di dɔktɔ go aks bɔt di tin dɛn we yu de fil (yeri, fil, si, smɛl, tɔch) na di say we yu de. Dɛn kin aks dis mɔ fɔ si if yu de gɛt hallucinations.
• Insayt: Dis de tɔk bɔt aw yu ɔndastand yusɛf ɛn aw yu de wok na di wɔl we de arawnd yu . Di dɔktɔ kin chɛk dis bay we i de lisin to yu ɛn aks kwɛstyɔn dɛn. Dɛn go tɔk bɔt yu sɛns as gud, fayn, smɔl, ɔ po. Dɛn go tɔk bak if i de wɔs ɔ i de bɛtɛ pas aw i bin de bifo.
• Jɔjmɛnt: Dis min se yu ebul fɔ disayd fɔ du gud tin. Dɔktɔ dɛn kin chɛk dis bay we dɛn kin aks yu aw yu kin du pan sɔm tin dɛn. I kin bi bak pan yu histri — fɔ ɛgzampul, if yu tek yu mɛrɛsin dɛn di rayt tɛm.

Asɛs yu kɔgnishɔn

wan imכtant pat pan di Mental Status Egzam na di asesmεnt fכ di kכgnitiv abiliti dεm (`kכgnishכn`). Dis `kɔgnishɔn` kategori de divayd mɔ to sɔm sɛkshɔn dɛm:

• Alertness: Dis na di level of consciousness wae yu get. fכ egzampl, yu kin wek εn rεspכns, yu kin si sεmi-kכnsεns (`stupor`), כ yu kin de na `koma`.
• Oriɛnteshɔn: Dis de tɔk bɔt aw yu no di tin ɛn di say we yu de.Di dɔktɔ kin aks yu if yu no yu nem, usay yu de (inklud siti, stet), ɛn di de.
• Atɛnshɔn ɛn kɔnsɛntreshɔn: Dɔktɔ dɛn go wach aw yu de pe atɛnshɔn to di kwɛstyɔn dɛn we dɛn de aks yu. Dɛn kin aks yu bak fɔ du wok dɛn fɔ tɛst yu maynd dairekt wan. Fɔ ɛgzampul, dɛn kin aks yu fɔ klap yu an ɛvri tɛm we yu yɛri wan patikyula lɛta frɔm wan list we gɛt lɛta dɛn we dɛn nɔ rayt.
• Mɛmori: Di ​​dɔktɔ kin tɛst difrɛn kayn mɛmori. Dɛn tin ya na fɔ mɛmba wantɛm wantɛm, fɔ mɛmba tin dɛn we yu jɔs mɛmba, ɛn fɔ mɛmba fɔ lɔng tɛm. Fɔ ɛgzampul, dɛn kin aks yu fɔ ripit sɔntin we dɛn tɔk. Dɛn kin aks yu bak tin dɛn lɛk us ay skul yu go ɛn usay dɛn bɔn yu.
• Abstrakt rizin: Dis de asɛs yu ebul fɔ ɔndastand minin ɛn kɔnsɛpt. Fɔ ɛgzampul, di dɔktɔ kin aks yu fɔ ɛksplen wetin tu tin dɛn gɛt we fiba, ɔ wan wɔd we kɔmɔn.

Wetin di rizɔlt fɔ dis tɛst se?

Afta di ɛgzam, di dɔktɔ go rivyu yu not dɛn bɔt wetin dɛn si ɛn aw yu ansa dɛn kwɛstyɔn dɛn. Dɔn, we dɛn tek ɔl dɛn tin ya we dɛn si ɛn ansa dɛn togɛda, dɛn kin ebul fɔ no if dɛn de sho se dɛn gɛt wan patikyula prɔblɛm.

Imajin, if yu gɛt prɔblɛm fɔ kɔmplit ivin tu intɛlektual ɔ bihayvya wok, i kin sho se yu gɛt diagnosis lɛk `Mild Cognitive Impairment` ɔ `(Dementia)`.

If yu se yu de gɛt hallucinations, e kin sho se yu gɛt maynd sik lɛk manic episode of bipolar disorder, wan sik lɛk schizophrenia, ɔr nyurolɔjik kɔndishɔn lɛk Parkinson’s disease.

Dɛn tɛst ya kin ɛp dɔktɔ dɛn bak fɔ wach aw di nyurolɔjik kɔndishɔn dɛn de divɛlɔp.

Bɔku tɛm, dɔktɔ dɛn kin ad dɛn not dɛn ya to yu mɛdikal rɛkɔd.

Wetin fɔ du nɛks if di rizɔlt nɔ nɔmal?

If di rizɔlt fɔ dis ``Mɛntal Status Ɛgzam`` nɔr nɔrmal, yu dɔktɔ kin aks mɔr kwɛstyɔn fɔ lan mɔr bɔt yu mɛdikal ɛn mɛntɛl hεlth histri. Fɔ ɛgzampul, if yu nɔ slip fayn fɔ tri dez, i kin ɛksplen wetin mek i nɔ kin izi fɔ yu fɔ pe atɛnshɔn ɛn fɔ mek yu tink di rayt we.

Yu dɔktɔ kin ɔda bak fɔ mek dɛn du tɛst na lɛbɔtri fɔ si if na wan sik we de mek yu gɛt di sik. Dɛn tɛst ya kin bi:

• Blɔd glukɔs tɛst: If yu gɛt ay (haypa glycemia) ɔ smɔl (haypoglycemia) shuga na yu blɔd kin afɛkt yu maynd.
• Blɔd yuria naytrɔjen (BUN) tɛst: Yuremia kin mek yu taya ɛn kɔnfyus yu maynd.
• Urinalysis: Urinary tract infection (UTI) kin mek yu maynd ɛn bihayvya chenj.
• Tayrɔyd ɔmon tɛst: Tayrɔyd we gɛt bɔku tayroyd kin mek yu wɔri, bɔt we yu gɛt haypa tayroyd kin mek yu gɛt pwɛl hat.

Sɔntɛnde, dɛn kin ɔda ɔda tɛst dɛn bak, lɛk:

• imej tεst dεm lεk `(PET skan)` כ `(Brein MRI)`.
• Ilektroɛnsɛfalogram (EEG) tɛst.
• Sεribrospεnal fכluid analisis.

Yu dɔktɔ go ɛksplen to yu di tɛst rizɔlt, dɔn yu ɛn in go disayd togɛda wetin fɔ du nɛks.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Dis ``Mɛntal Status Ɛgzam`` na wan rili impɔtant tin we dɔktɔ dɛn kin yuz fɔ asɛs yu maynd kapasiti, dat na, yu sɛns, yu mud, bihayvya, ɛn di we aw yu de si tin. Dɛn tɛst ya kin sho yu ɛni mental ɔ nyurolɔjik kɔndishɔn we yu go gɛt.Bɔt i go mɔs bi se yu go nid fɔ du mɔ tɛst fɔ no if yu gɛt di sik. If yu gɛt ɛni kwɛstyɔn bɔt di rizɔlt fɔ wan `Mɛntal Status Ɛgzam`, nɔ shek fɔ aks. Yu dɔktɔ de de fɔ ɛp yu.

` Mental Status Exam, Mental Health, Intelektual Abiliti, Mud, Bihayvya, Nyurolɔjik Sik