Kodi thanzi lanu la maganizo lili bwanji? - Tiyeni tiphunzire za mayeso a Mental Status!

Kodi mudamvapo za 'Mental Status Exam'? Dokotala wanu mwina adakutumizani kuti mukayesedwe. Iyi ndi mayeso ofunikira kwambiri. Tiyeni tiwone zomwe zimachitika komanso momwe zimachitikira, m'njira yosavuta.

Mwachidule, kodi mayeso a Mental Status ndi chiyani?

Taganizirani ngati dokotala akuyesa thupi lanu kuti apeze matenda ('kuyesedwa thupi'), izi ndi zomwezo, koma izi zikuyang'ana thanzi ndi momwe maganizo anu amagwirira ntchito . Izi zikutanthauza kuti, madokotala amayesa momwe mumaphunzirira zinthu komanso kumvetsetsa zomwe zikukuzungulirani ('maganizo anu'). Mu izi, dokotala amakuyang'anirani, amakufunsani mafunso. Kudzera mu izi, amafufuza zinthu zotsatirazi zokhudza inu:

• Maonekedwe ndi khalidwe la munthu.
• Khalidwe ndi mayendedwe.
• Momwe mungazindikire zinthu (Kuzindikira).
• Maganizo ndi kukhudzidwa.
• Zochita zanzeru ('Kuzindikira') monga kusamala, kukumbukira, luso loganiza bwino, ndi luso lopanga zisankho.

Ngakhale izi zingawoneke ngati "kuyesedwa thupi" kochitidwa ndi madokotala amisala, dokotala aliyense akhoza kuchita mayesowa. "Kuyesedwa kwa Mkhalidwe wa Maganizo" kumeneku ndi kothandiza kwambiri pozindikira ndikuwunika matenda osiyanasiyana amisala (monga "Schizophrenia" kapena matenda a nkhawa) ndi matenda amitsempha (monga "matenda a Alzheimer's" kapena "matenda a Parkinson's").

Kodi mayeso awa amachitika nthawi yanji?

Kawirikawiri, mukapita kukaonana ndi dokotala, kapena kukalandira chithandizo china, madokotala mwina amachita "Mayeso a Mkhalidwe wa Maganizo." Zotsatira zake zidzawathandiza kumvetsetsa mayeso ena omwe mukufuna komanso mitundu ya chithandizo yoyenera.

Koma chinthu chimodzi choyenera kukumbukira ndichakuti 'Mayeso a Mkhalidwe Wamaganizo' awa ndi ' kuwunika kwaumwini' komwe kumatha kusiyana kuchokera kwa munthu ndi munthu . Izi zikutanthauza kuti, ngakhale kwa munthu yemweyo, madokotala osiyanasiyana amatha kupeza malingaliro osiyanasiyana. Komanso, ukatswiri wa dokotalayo umakhudzanso izi.

Madokotala amayesa kuganizira zinthu zingapo akamachita mayesowa, chifukwa zinthuzi zingakhudze momwe mayeso anu amagwirira ntchito:

• Chikhalidwe chanu.
• Chilankhulo chanu chachibadwidwe.
• Mlingo wanu wa maphunziro ndi luso lanu lowerenga.
• Zinthu zina zovutitsa maganizo monga kusowa tulo, njala, ululu.

Komanso, madokotala samangoganizira za matenda potengera zotsatira za 'Mental Status Exam' iyi . Amaganiziranso zinthu zina zambiri. Mwachitsanzo:

• Tsatanetsatane wa matenda anu omwe muli nawo panopa.
• Mbiri yanu yakale ya thanzi la maganizo.
• Mbiri yanu yakale ya zamankhwala.
• Mbiri ya kugwiritsa ntchito mankhwala osokoneza bongo.
• Mbiri ya anthu.
• Kuyezetsa thupi.
• Kuyezetsa kwa mitsempha.
• Zotsatira za mayeso monga kuyezetsa magazi.

Kodi mayesowa akuphatikizapo chiyani?

Madokotala amagwiritsa ntchito kuyang'anitsitsa ndi kufunsa mafunso mu "Mayeso a Mkhalidwe wa Maganizo." Kudzera mu njirayi, amayesa mbali zosiyanasiyana za luso lanu la maganizo. Izi zitha kugawidwa m'magulu akuluakulu angapo.

Zowonera za Dokotala

Pali zinthu zina zomwe dokotala wanu angadziwe mwachangu pokuyang'anirani. Izi zikuphatikizapo:

• Mawonekedwe: Dokotala adzaona zinthu monga ukhondo wanu, kaya mawonekedwe anu akufanana ndi zaka zomwe mwatchula, komanso ngati pali mabala kapena zipsera zomwe zimawoneka.
• Khalidwe: Amaona zinthu monga momwe mukuvutikira, momwe mumagwirizanirana ndi ena, ngati muli ndi vuto lililonse, ndi zina zotero. Amaonanso chifukwa chomwe muli kuchipatala komanso ngati mukuchita zomwe mukuyembekezera mu mkhalidwe ngati uwu.
• Kusuntha kwa thupi: Matenda ena amisala, kukula kwa mitsempha, komanso mitsempha angayambitse kusuntha kosazolowereka. Mwachitsanzo, kusuntha kwambiri, kunjenjemera, kugwedezeka, kuuma, ndi Parkinsonism.
• Kulankhula: Pa nthawi yonse yoyezetsa, dokotala adzaona kuchuluka kwa mawu omwe mukulankhula komanso momwe mukuwagwiritsira ntchito. Adzayang'ananso liwiro, kamvekedwe, kuchuluka kwa mawu, ndi kamvekedwe ka mawu anu. Angawonenso ngati muli ndi vuto lililonse lolankhula, monga kusalankhula bwino (dysarthria).
• Zokhudza: Dokotala adzaona zizindikiro zanu zosalankhula. Angagwiritse ntchito mawu monga chisangalalo, chisoni, kukhumudwa, kukhumudwa, nkhawa, kapena kusangalala. Adzayang'ananso ngati momwe mukumvera zikugwirizana ndi momwe mukumvera.
• Njira Yoganizira: Dokotala adzaona momwe malingaliro anu amakonzedwera. Amanena kuti njira yoganizira yachibadwa ndi yolunjika komanso yothandiza. Ngati njira yanu yoganizira si yokhazikika, kuganiza kwanu kungakhale kovuta . Simungaone chithunzi chonse. Kapena mwina mukukumana ndi zomwe ena amatcha "kuthamanga kwa malingaliro."

Mafunso oti mufunse

Madokotala amafunsa mafunso mwachindunji kuti ayesere mbali zina za luso lanu la maganizo. Ndi mafunso awa, amatha kuwunika:

• Maganizo: Dokotala amakufunsani momwe mukumvera ndipo amalemba yankho lanu.
• Zimene mukuganiza: Zimene mukuganiza (monga, zimene mukuganiza zokhudza chinthu chinaDokotala adzakuyesani pokumvetserani ndikukufunsani mafunso mwachindunji. Makamaka, adzayesa malingaliro odzipha, malingaliro opha ena, ndi malingaliro olakwika.
• Momwe mumaonera dziko lozungulirani: Dokotala adzakufunsani za zinthu zomwe mumamva (kumva, kumva, kuona, kununkhiza, kukhudza) m'malo omwe muli. Amafunsa makamaka izi kuti aone ngati mukuona zinthu zoti simukuziona.
• Kuzindikira: Izi zikutanthauza momwe mumadziwira nokha komanso momwe mumagwirira ntchito m'dziko lozungulirani . Dokotala amawunika izi pokumvetserani ndikukufunsani mafunso. Adzafotokoza kuti kuzindikira kwanu ndi kwabwino, kolungama, kocheperako, kapena koipa. Adzafotokozanso ngati kukuipiraipira kapena kuli bwino kuposa kale.
• Chiweruzo: Izi zikutanthauza luso lanu lopanga zisankho zabwino. Madokotala amawunika izi pokufunsani momwe mumachitira pazochitika zina. Zimatengeranso mbiri yanu - mwachitsanzo, ngati mumamwa mankhwala anu panthawi yake.

Kuyesa kuzindikira kwanu

Gawo lofunika kwambiri la Mayeso a Mkhalidwe wa Maganizo ndi kuwunika luso la kuzindikira ('kuzindikira'). Gulu la 'kuzindikira' ili lagawidwanso m'magawo angapo:

• Kukhala Chenjero: Umu ndi momwe mukumvera. Mwachitsanzo, mungakhale maso komanso mukuyankha, mutakhala ndi chikumbumtima chochepa (`stupor`), kapena mutakhala ndi chikomokere.
• Kudziwa bwino zomwe zikuchitika: Izi zikutanthauza kudziwa bwino zomwe zikuchitika komanso zomwe zikuchitika. Dokotala angakufunseni ngati mukudziwa dzina lanu, komwe muli (kuphatikizapo mzinda, boma), komanso tsiku lomwe mwakumana ndi dokotala.
• Kusamala ndi kuganizira mozama: Madokotala adzaona momwe mumamvera bwino mafunso omwe amakufunsani. Angakuuzeninso kuti muchite ntchito zoyesa mwachindunji kuganizira kwanu. Mwachitsanzo, angakuuzeni kuti muwombere m'manja nthawi iliyonse mukamva chilembo china kuchokera pamndandanda wa zilembo zosasankhidwa.
• Kukumbukira: Dokotala angayese mitundu yosiyanasiyana ya kukumbukira. Izi zikuphatikizapo kukumbukira komwe kwachitika nthawi yomweyo, kukumbukira kwaposachedwa, ndi kukumbukira kwa nthawi yayitali. Mwachitsanzo, angakufunseni kuti mubwereze zomwe adanena. Angakufunsaninso zinthu monga sukulu ya sekondale yomwe mudapitako komanso komwe mudabadwira.
• Kuganiza mwachidule: Izi zimayesa luso lanu lomvetsa matanthauzo ndi mfundo. Mwachitsanzo, dokotala angakufunseni kuti mufotokoze zomwe zinthu ziwiri zimafanana, kapena mwambi wamba.

Kodi zotsatira za mayesowa zikuti chiyani?

Pambuyo pa mayeso, dokotala adzayang'ananso zomwe mwalemba zokhudza zomwe adawona komanso momwe mudayankhira mafunso awo. Kenako, potenga zonse zomwe mwawona ndi mayankho pamodzi, amatha kuwona ngati zikusonyeza vuto linalake.

Tangoganizirani, ngati mukuvutika kuchita ntchito ziwiri zamaganizo kapena zamakhalidwe, izi zitha kusonyeza matenda monga `Mild Cognitive Impairment` kapena `(Dementia)`.

Ngati mukunena kuti mukuona zinthu zoti simukuzidziwa, zingasonyeze kuti muli ndi matenda amisala monga matenda amisala otchedwa bipolar disorder, matenda monga schizophrenia, kapena matenda amitsempha monga matenda a Parkinson.

Mayeso amenewa amathandizanso madokotala kuyang'anira kukula kwa matenda amitsempha.

Madokotala nthawi zambiri amawonjezera zolemba izi ku mbiri yanu ya zachipatala.

Chotsatira ndi chiyani ngati zotsatira zake sizili bwino?

Ngati zotsatira za ``Mental Status Exam`` iyi ndi zachilendo, dokotala wanu angakufunseni mafunso ambiri kuti mudziwe zambiri zokhudza mbiri yanu ya zamankhwala ndi matenda amisala. Mwachitsanzo, ngati simunagone bwino kwa masiku atatu, izi zingakuthandizeni kumvetsa chifukwa chake mukuvutika kuganizira bwino komanso kuganizira bwino.

Dokotala wanu angafunenso kuyitanitsa mayeso a labotale kuti aone ngati vuto linalake lakuthupi likuyambitsa zizindikiro zanu. Mayesowa angaphatikizepo:

• Kuyezetsa shuga m'magazi: Kuchuluka kwa shuga m'magazi (hyperglycemia) kapena kutsika (hypoglycemia) kungakhudze luso lanu la maganizo.
• Kuyesa kwa urea nitrogen m'magazi (BUN): Uremia ingayambitse kutopa ndi kusokonezeka maganizo.
• Kusanthula mkodzo: Matenda a mkodzo (UTI) angayambitse kusintha kwa maganizo ndi khalidwe.
• Kuyesa mahomoni a chithokomiro: Hyperthyroidism ingayambitse nkhawa, pomwe hypothyroidism ingayambitse kuvutika maganizo.

Nthawi zina, amathanso kuyitanitsa mayeso ena, monga:

• Mayeso ojambula zithunzi monga `(PET scan)` kapena `(Brain MRI)`.
• Mayeso a Electroencephalogram (EEG).
• Kusanthula kwa madzi a m'mimba.

Dokotala wanu adzakufotokozerani zotsatira za mayeso, kenako inu ndi iye mudzasankha pamodzi choti muchite kenako.

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

"Kuyesa kwa Mkhalidwe wa Maganizo" kumeneku ndi chida chofunikira kwambiri chomwe madokotala amagwiritsa ntchito poyesa mphamvu zanu zamaganizo, kutanthauza nzeru zanu, momwe mumamvera, khalidwe lanu, ndi momwe mumaonera zinthu. Mayesowa angakuwonetseni matenda aliwonse amisala kapena amitsempha omwe mungakhale nawo.Komabe, mwina mungafunike kupimidwanso kuti mutsimikizire kuti muli ndi matenda. Ngati muli ndi mafunso okhudza zotsatira za `Mental Status Exam`, musazengereze kufunsa. Dokotala wanu alipo kuti akuthandizeni.

Kuyezetsa Mkhalidwe wa Maganizo , Thanzi la Maganizo, Luso la Luntha, Maganizo, Khalidwe, Matenda a Mitsempha