Mukapita kukaonana ndi dokotala, amakufufuzani thupi lanu, amalankhula nanu, ndipo nthawi zina amakufunsani mafunso kuti aone 'maganizo' anu, sichoncho? Mwachidule, maganizo anu. Anthu ena angaone izi ngati zachilendo pang'ono. "Chifukwa chiyani mukundifunsa mafunso awa? Mukuganiza kuti ndine wamisala?" Mwina mukudabwa. Ndicho chimene timachitcha 'Mental Status Exam'. Musadandaule, izi sizofunika kwambiri monga momwe mukuganizira, kwenikweni ndizofala kwambiri. Tiyeni tiwone tanthauzo lake komanso chifukwa chake ndizofunikira.
Kodi mayeso a Mental Status ndi otani?
Mwachidule, ndi njira yowunikira malingaliro ndi ubongo wanu, monga momwe dokotala angachitire pofufuza thupi. Ndikofunikira kudziwa bwino momwe mumaphunzirira ndikumvetsetsa dziko lozungulirani. Ngakhale kuti nthawi zambiri amagwiritsidwa ntchito ndi madokotala amisala, dokotala aliyense akhoza kuchita mayesowa.
Pa nthawi yoyezetsa iyi, dokotala adzayang'ana kwambiri zinthu zotsatirazi zokhudza inu:
- Maonekedwe anu onse ndi ukhondo wanu
- Khalidwe lanu ndi mayendedwe a thupi lanu
- Momwe mumaonera ndikumvetsetsa dziko lozungulirani (Maganizo)
- Momwe mumafotokozera momwe mukumvera komanso momwe mukumvera (Maganizo ndi momwe mukukhudzidwira)
- Luso lanu la kuzindikira (Kuzindikira). Izi zikutanthauza zinthu monga kusamala, kukumbukira, luso loganiza bwino, ndi luso lopanga zisankho.
Kuyezetsa kumeneku n'kothandiza kwambiri pozindikira matenda amisala (monga schizophrenia kapena nkhawa ) komanso matenda okhudzana ndi mitsempha (monga matenda a Alzheimer's kapena Parkinson's) , komanso poyang'anira ngati matendawo amasintha pakapita nthawi.
Kodi mayesowa amachitidwa nthawi ziti?
Kawirikawiri, nthawi iliyonse mukapita kwa dokotala, kapena panthawi yokumana ndi dokotala wotsatira, dokotala wanu amatha kuchita zina mwa mayesowa. Chidziwitso chomwe amapeza chidzawathandiza kusankha ngati mukufuna mayeso ena komanso mtundu wa chithandizo chomwe chili chabwino kwa inu.
Koma ndikofunikira kukumbukira izi. Kuwunika kwa mkhalidwe wamaganizo kumeneku ndi kuwunika kwaumwini . Izi zikutanthauza kuti madokotala awiri angafikire pamalingaliro osiyanasiyana pa munthu m'modzi. Ndizabwinobwino.
Komanso, pali zinthu zina zingapo zomwe zingakhudze zotsatira za mayesowa. Dokotala adzaganizira zonsezi.
- Chikhalidwe chanu: Zikhalidwe zina zimasonyeza malingaliro mosiyana.
- Chilankhulo chanu: Zingakhale zovuta kuyankha chifukwa cha vuto la chilankhulo.
- Mlingo wa maphunziro anu: Mlingo wa maphunziro anu ungakhudze mayankho a mafunso ena.
- Zinthu zina zakunja: Zinthu monga kusowa tulo, njala, ndi ululu zingasokoneze chidwi chanu ndi kukumbukira kwanu.
Choncho, dokotala sangaganize kuti muli ndi matenda potengera mayeso okha. Iye adzachita izi pophatikiza zambiri kuchokera kwa inu. Izi zikuphatikizapo:
- Tsatanetsatane wa matenda anu omwe alipo panopa.
- Mbiri yanu ya matenda amisala akale.
- Tsatanetsatane wa matenda ena omwe mwadwala (mbiri yakale ya matenda anu).
- Tsatanetsatane wokhudza kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa.
- Mbiri yanu ya chikhalidwe ndi banja lanu.
- Kuwunika thupi lonse.
- Kuyezetsa kwa mitsempha.
- Malipoti oyesa magazi monga kuyezetsa magazi.
Ndiye, kodi dokotala amafufuza chiyani kwenikweni pa mayeso awa?
Kuyezetsa uku kungagawidwe m'magawo awiri. Choyamba ndi chidziwitso chomwe dokotala angapeze pokuyang'anirani, china ndi chidziwitso chomwe angapeze pokufunsani mafunso.
Zinthu zomwe amaona
Dokotala adzakhala akuyang'anirani kuyambira nthawi yomwe mulowa m'chipinda. Musaganize kuti ntchito ya wofufuza milandu ndi ya apolisi, iyi ndi ntchito yoti mudziwe bwino za momwe mulili.
| Gawo lowunikira | Mwachidule, mukuyang'ana chiyani? |
|---|---|
| Maonekedwe | Zinthu monga zovala zanu, ukhondo, mawonekedwe oyenera msinkhu wanu, komanso ngati pali mabala kapena mabala ooneka. |
| Khalidwe | Adzaona momwe mukuchitira zinthu mogwirizana, kaya muli ndi mantha kapena simukumva bwino, komanso ngati mukuchita zinthu bwino kuchipatala. |
| Zochita zamagalimoto | Matenda ena amisala ndi mitsempha angayambitse kusuntha kosazolowereka, monga kunjenjemera, kuchita zinthu mopitirira muyeso, komanso kuuma. |
| Kulankhula | Amasamala zinthu monga kuchuluka, liwiro, kayimbidwe, ndi kuchuluka kwa mawu anu. Amafunanso kulankhula mosasamala ( dysarthria ). |
| Kuwonetsa malingaliro (Chikondi) | Amaona zinthu zomwe sizimafotokozedwa m'mawu, monga nkhope yanu ndi manja anu. Amaona momwe mumaonekera, kaya muli okondwa, achisoni, kapena akuda nkhawa. Amaonanso ngati zomwe mukunena zikukukhudzani (momwe mukumvera) ndi zomwe mukuona pankhope panu (momwe mukukhudzira). |
| Ndondomeko ya kuganiza | Imayang'ana momwe malingaliro anu alili okhazikika komanso opitilira. Maganizo a anthu ena angawoneke ngati akudumphadumpha kuchokera pamalo ena kupita kwina (kuuluka kwa malingaliro). Izi zimakupatsani lingaliro la momwe mumaganizira. |
Mafunso omwe amafunsa ndi zinthu zomwe amafufuza
Kuwonjezera pa kuyang'anitsitsa, dokotala adzafunsa mafunso mwachindunji kuti adziwe zambiri zokhudza momwe maganizo anu amagwirira ntchito.
- Maganizo: Kuyesa kuyeza momwe mukumvera mwa kufunsa funso losavuta monga "Mukumva bwanji?"
- Zimene mukuganiza: Amakufunsani zomwe zili m'maganizo mwanu, makamaka maganizo odzivulaza (maganizo odzipha) , maganizo ovulaza ena, ndi malingaliro onyenga omwe mumakhala nawo ngakhale kuti akusemphana ndi zikhulupiriro zanu .
- Kuzindikira: Kufunsa zomwe mumazindikira kudzera m'maubongo anu asanu (maso, makutu, mphuno, lilime, khungu). Izi makamaka zimayang'ana ngati mukumva kapena kuona zinthu zomwe sizilipo (zilombo zooneka ngati zilombo) .
- Kuzindikira: Izi zimayesa kuchuluka kwa kumvetsetsa kwanu za inu nokha, khalidwe lanu, komanso momwe mumagwirira ntchito m'gulu.
- Chiweruzo:Zimayesa luso lanu lopanga zisankho zabwino. Mwachitsanzo, mungafunsidwe funso monga, "Mungatani ngati mutaona envelopu yokhala ndi adilesi pamene mukuyenda mumsewu?" Khalidwe lanu lakale, monga ngati mumamwa mankhwala anu monga momwe mwalangizidwira, lingakhudzenso izi.
Makamaka, luso lanu la kuzindikira (Kuzindikira) limayesedwa.
Iyi ndi gawo lofunika kwambiri pa mayesowa. Zimakuthandizani kumvetsetsa bwino momwe ubongo wanu umagwirira ntchito.
- Kukhala Chenjero: Kudziwa bwino zinthu. Mwachitsanzo, kaya muli maso mokwanira komanso mukuyankha, kapena muli mu tulo kapena muli chikomokere.
- Kufotokozera: Apa ndi pamene mwina mwamvapo mafunso akuti "Ndani? Kuti? Liti?". Dokotala adzakufunsani dzina lanu, komwe muli (chipatala, mzinda), ndi tsiku lanu.
- Kusamala ndi kuganizira: Izi zimayesa nthawi yomwe mungathe kuyang'ana pa chinthu chimodzi. Mwachitsanzo, mungafunsidwe kuchotsa 7 kuchokera pa 100. Kapena mungafunsidwe kuwomba m'manja mukamva chilembo 'A' mukamva zilembo zingapo.
- Kukumbukira: Kumayesa magawo osiyanasiyana a kukumbukira.
- Kukumbukira nthawi yomweyo: Mawu atatu amanenedwa ndipo amapemphedwa kuti abwerezedwe nthawi yomweyo.
- Kukumbukira kwaposachedwa: Pambuyo pa mphindi zochepa, mawu atatu omwe mudanena kale amamvekanso.
- Kukumbukira kwa nthawi yayitali: Kukufunsani za zinthu zakale, monga komwe munabadwira komanso komwe munapita kusukulu.
- Kuganiza mwachidule: Izi zimayesa luso lanu lomvetsa matanthauzo ndi mfundo zobisika. Mwachitsanzo, mungafunse kuti, "Kodi kusiyana pakati pa apulo ndi lalanje ndi kotani?" Kapena mungafunse kuti, "Kodi tanthauzo la fanizoli ndi lotani, 'Ginger ali ngati tsabola wa tsabola.'"
Ngati zotsatira zake sizili zachilendo, nchiyani chimachitika pambuyo pake?
Ngati dokotala apeza kuti pali vuto linalake panthawi yoyezetsa, sadzanena nthawi yomweyo kuti muli ndi matenda. Choyamba, adzakufunsani mafunso ambiri. Mwachitsanzo, ngati mukuvutika kuganizira bwino, angafunse kuti, "Kodi mwakhala masiku angati osagona bwino?" Izi zitha kukhala chifukwa cha chinthu chosavuta monga kusowa tulo.
Kenako, mungauzidwe kuti muchite mayeso ena kuti mudziwe ngati pali chifukwa chakuthupi cha zizindikiro zanu.
| Mayeso otheka | Mukuona chiyani pamenepa? |
|---|---|
| Kuyesa shuga m'magazi | Kuchuluka kwa shuga m'magazi (Hyperglycemia) kapena kutsika (Hypoglycemia) kungakhudze magwiridwe antchito a ubongo. |
| Kuyesa kwa magazi kwa urea nitrogen (BUN) | Uremia, vuto lomwe limachitika impso zikalephera kugwira ntchito bwino, lingayambitse kutopa kwambiri komanso kusokonezeka maganizo. |
| Kusanthula mkodzo | Matenda a mkodzo (UTI) angayambitse kusintha kwa maganizo ndi khalidwe, makamaka kwa okalamba. |
| Kuyesa kwa mahomoni a chithokomiro | Chithokomiro chogwira ntchito mopitirira muyeso (Hyperthyroidism) chingayambitse nkhawa, pomwe chithokomiro chogwira ntchito mopitirira muyeso (Hypothyroidism) chingayambitse kuvutika maganizo. |
Nthawi zina, mayeso ovuta kwambiri angafunike.
- Mayeso ojambulira ubongo monga PET scan kapena brain MRI .
- Mayeso a EEG (Electroencephalogram) (omwe amayesa ntchito yamagetsi ya ubongo).
- Kufufuza madzi a msana (cerebrospinal fluid).
Pambuyo pa zonsezi, dokotala wanu adzakufotokozerani zotsatira za mayesowo ndipo adzasankha nanu chochita kenako.
Uthenga Wopita Nawo Kunyumba
- Kuyezetsa matenda amisala ndi mayeso okhazikika omwe amafufuza thupi lanu komanso maganizo anu. Sikoyenera kuopa.
- Izi zithandiza dokotala kumvetsetsa bwino vuto lanu.
- Kuyesa kumeneku ndi gawo laling'ono chabe la njira yonse yodziwira matenda. Sikudzatsimikizira ngati muli ndi matenda.
- Ngati pali vuto lililonse mu zotsatira zake, pali mayeso ena kuti apeze chifukwa chenicheni.
- Ngati muli ndi mafunso okhudza mayesowa kapena zotsatira zake, ndi anuMusazengereze kufunsa dokotala . Iye alipo kuti akuthandizeni.











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