Ubuzima bwawe bwo mu mutwe bumeze bute? - Reka twige ku ikizamini cy'imiterere y'umubiri wawe!

Ese wigeze wumva ibyerekeye 'ikizamini cyo mu mutwe'? Muganga wawe ashobora kuba yarakohereje kugira ngo akorerwe ikizamini. Iki ni ikizamini cy'ingenzi cyane. Reka turebe icyo ari cyo n'uko bikorwa, mu buryo bworoshye.

Mu magambo make, iki kizamini cyo mu mutwe ni iki?

Tekereza nk'umuganga usuzuma umubiri wawe kugira ngo amenye indwara ('isuzuma ry'umubiri'), ibi ni bimwe, ariko iki gisuzuma ubuzima n'imikorere y'ubwonko bwawe . Ni ukuvuga ko abaganga basuzuma uburyo wiga ibintu neza kandi ukumva ibikukikije ('ubushobozi bwo mu mutwe'). Muri ibi, umuganga arakwitegereza, akakubaza ibibazo. Binyuze muri ibi, bagenzura ibintu bikurikira kuri wewe:

• Isura n'imiterere rusange.
• Imyitwarire n'ingendo.
• Uburyo bwo kubona ibintu (Imyumvire).
• Amarangamutima n'ingaruka.
• Ibikorwa by'ubwenge (`Ubwenge`) nko kwita ku bintu, kwibuka, ubushobozi bwo gutekereza, n'ubushobozi bwo gufata ibyemezo.

Nubwo ibi bishobora gusa nkaho ari "isuzuma ry'umubiri" rikorwa n'abaganga b'indwara zo mu mutwe, umuganga uwo ari we wese ashobora gukora iki kizamini. Iki "kizamini cy'imiterere yo mu mutwe" ni ingirakamaro cyane mu gusuzuma no gukurikirana indwara zitandukanye zo mu mutwe (nk'"Schizophrenia" cyangwa indwara zo guhangayika) n'indwara zo mu mitsi (nk'"indwara ya Alzheimer" cyangwa "indwara ya Parkinson").

Iki kizamini gikorwa saa ngahe?

Ubusanzwe, iyo ugiye kwa muganga, cyangwa ku buvuzi bukurikira, abaganga bashobora gukora iki "kizamini cyo mu mutwe." Ibisubizo bizabafasha gusobanukirwa ibindi bizamini ukeneye n'ubwoko bw'ubuvuzi bukwiye.

Ariko ikintu kimwe ugomba kwibuka ni uko iki 'kizamini cyo mu mutwe' ari ' isuzumabumenyi' rishobora gutandukana bitewe n'umuntu ku wundi . Ibyo bivuze ko, ndetse no ku muntu umwe, abaganga batandukanye bashobora gufata imyanzuro itandukanye. Nanone, ubuhanga bw'umuganga nabwo burabigiraho ingaruka.

Abaganga bagerageza gusuzuma ibintu byinshi iyo bakora iki kizamini, kuko ibi bintu bishobora kugira ingaruka ku mikorere y'ikizamini cyawe:

• Umuco wawe.
• Ururimi rwawe kavukire.
• Urwego rwawe rw'uburezi n'ubushobozi bwo gusoma.
• Ibindi bihe bihangayikisha nko kubura ibitotsi, inzara, ububabare.

Nanone, abaganga ntibashingira gusa ku bisubizo by'iki 'kizamini cyo mu mutwe' . Banita ku bindi bintu byinshi. Urugero:

• Ibisobanuro birambuye ku buzima bwawe ubu.
• Amateka yawe y'ubuzima bwo mu mutwe.
• Amateka yawe y'ubuvuzi ya kera.
• Amateka y'ikoreshwa ry'ibiyobyabwenge.
• Imibereho myiza.
• Isuzuma ry'umubiri.
• Isuzuma ry'imitsi.
• Ibisubizo by'ibipimo nk'ibipimo by'amaraso.

Iki kizamini kirimo iki?

Abaganga bakoresha isuzuma n'ibibazo mu "Ikizamini cy'imiterere yo mu mutwe." Binyuze muri ubu buryo, bapima ibintu bitandukanye by'ubushobozi bwawe bwo mu mutwe. Ibi bishobora kugabanywamo ibyiciro byinshi by'ingenzi.

Ibyo muganga yarebye

Hari ibintu bimwe na bimwe muganga wawe ashobora gusuzuma vuba akwitegereje. Muri byo harimo:

• Isura: Muganga azareba ibintu nk'isuku yawe, niba isura yawe ihuye n'imyaka yawe, ndetse niba hari ibikomere cyangwa inkovu bigaragara.
• Imyitwarire: Bareba ibintu nko kugira stress, ubufatanye bwawe, niba uri mu kaga, nibindi. Bareba kandi impamvu uri mu bitaro ndetse niba uri kwitwara uko ubyiteze mu bihe nk'ibi.
• Imikorere y'imitsi/ingendo: Hari indwara zimwe na zimwe zo mu mutwe, mu mikurire y'ubwonko, no mu mitsi zishobora gutera ingendo zidasanzwe. Urugero, gukora cyane, guhinda umushyitsi, gutitira, gukomera, na Parkinsonism.
• Imvugo: Mu gihe cyose cy'ikizamini, muganga azareba ingano y'amagambo yawe n'uburyo ushyira hamwe amagambo yawe. Azareba kandi umuvuduko, injyana, ingano, n'ijwi ryawe. Bashobora kandi gusuzuma niba ufite ikibazo cyo kuvuga, nko gusohora amagambo mu buryo butunguranye (dysarthria).
• Ingaruka: Muganga azabona ibimenyetso byawe bitari amagambo. Ashobora gukoresha amagambo nka ibyishimo, agahinda, kurakara, kwiheba, guhangayika, cyangwa kwishima. Azareba kandi niba amarangamutima yawe ahuye n'amarangamutima yawe.
• Uburyo bwo gutekereza: Muganga azareba uburyo ibitekerezo byawe biteguye. Bavuga ko uburyo busanzwe bwo gutekereza ari uburyo butaziguye kandi bufite intego. Niba uburyo bwo gutekereza butari bwiza, gutekereza kwawe gushobora kuba mu mimerere runaka . Ushobora kutabona ishusho yose. Cyangwa ushobora kuba urimo guhura n'icyo bamwe bita "gukurikirana ibitekerezo."

Ibibazo byo kukubaza

Abaganga babaza ibibazo bitaziguye kugira ngo bapime bimwe mu bintu bigize ubushobozi bwawe bwo mu mutwe. Muri ibi bibazo, bashobora gusuzuma:

• Amarangamutima: Muganga akubaza uko umerewe maze akandika igisubizo cyawe.
• Icyo utekereza: Icyo utekereza (urugero, icyo utekereza ku kintu runakaUmuganga azagusuzuma akumva ibyo uvuga kandi akakubaza ibibazo bitaziguye. By’umwihariko, azasuzuma ibitekerezo byo kwiyahura, ibitekerezo byo kwica abandi, n’ibitekerezo byo kwibeshya.
• Uko ubona isi ikukikije: Muganga azabaza ibintu wumva (wumva, wumva, ubona, uhumura, ukoraho) mu bidukikije. Abasaba ibi cyane cyane kugira ngo barebe niba ufite ibyo ubona.
• Ubushishozi: Ibi byerekeza ku buryo wiyumvamo n'uko ukora mu isi ikukikije . Muganga asuzuma ibi akumva kandi akakubaza ibibazo. Bazavuga ko ubushishozi bwawe ari bwiza, bukwiye, bufite aho bugarukira, cyangwa bubi. Bazasobanura kandi niba bugenda bubi cyangwa bwiza kurusha uko bwari buri mbere.
• Icyemezo: Ibi bivuga ubushobozi bwawe bwo gufata ibyemezo byiza. Abaganga basuzuma ibi bakubaza uko umeze mu bihe bimwe na bimwe. Bishingiye kandi ku mateka yawe - urugero, niba ufata imiti yawe ku gihe.

Gusuzuma ubwenge bwawe

Igice cy'ingenzi cy'ikizamini cy'imiterere yo mu mutwe ni isuzuma ry'ubushobozi bwo gutekereza (`cognition`). Iki cyiciro cy'`cognition` gikomeje kugabanywamo ibice byinshi:

• Kuba maso: Uru ni rwo rwego rw'ubwenge ufite. Urugero, ushobora kuba uri maso kandi usubiza ibintu mu buryo, uri mu mimerere yo kudasobanukirwa neza (`stupor`), cyangwa uri mu mimerere yo 'koma'.
• Icyerekezo: Ibi bivuga ko uzi neza imimerere urimo n'ibikukikije. Muganga ashobora kukubaza niba uzi izina ryawe, aho uherereye (harimo n'umujyi, leta), n'itariki.
• Kwita ku byo utekereza no kwita ku byo utekereza: Abaganga bazabona uburyo witaye ku bibazo bakubajije. Bashobora kandi kugusaba gukora imirimo yo gusuzuma neza uko utekereza. Urugero, bashobora kugusaba gukoma amashyi igihe cyose wumvise inyuguti runaka ku rutonde rw'inyuguti zidasanzwe.
• Ukwibuka: Muganga ashobora gupima ubwoko butandukanye bw'ukwibuka. Muri ubwo buryo harimo kwibuka ako kanya, kwibuka vuba aha, no kwibuka igihe kirekire. Urugero, bashobora kugusaba gusubiramo ikintu bavuze. Bashobora kandi kukubaza ibintu nk'amashuri yisumbuye wize n'aho wavukiye.
• Gutekereza mu buryo burambuye: Ibi bisuzuma ubushobozi bwawe bwo kumva ibisobanuro n'ibitekerezo. Urugero, muganga ashobora kugusaba gusobanura ibintu bibiri bihuriyeho, cyangwa imvugo ihuriweho.

Ibisubizo by'iki kizamini bivuga iki?

Nyuma yo gupimwa, muganga azasuzuma inyandiko zawe ku byo yabonye n'uko wasubije ibibazo bye. Hanyuma, bafatanyije ibi byose n'ibisubizo, bashobora gusuzuma niba bigaragaza ikibazo runaka.

Tekereza, niba ufite ingorane zo kurangiza imirimo ibiri yo mu mutwe cyangwa imyitwarire, bishobora kugaragaza indwara nka 'Mild Cognitive Impairment' cyangwa '(Dementia)'.

Niba uvuga ko urimo kubona ibintu nk'ibintu bitagaragara, bishobora kugaragaza indwara yo mu mutwe nk'indwara yo mu mutwe iterwa n'indwara ya bipolar, indwara nka schizophrenia, cyangwa indwara y'imitsi nk'indwara ya Parkinson.

Ibi bizamini binafasha abaganga gukurikirana iterambere ry'indwara z'imitsi.

Abaganga bakunze gushyira izi nyandiko ku nyandiko zawe z'ubuvuzi.

Ni iki cyakorwa nyuma y'aho ibisubizo bitameze neza?

Niba ibisubizo by'iki "Mental Status Exam" bidakunze kugaragara, muganga wawe ashobora kukubaza ibibazo byinshi kugira ngo amenye byinshi ku bijyanye n'ubuzima bwawe n'amateka yawe y'ubuzima bwo mu mutwe. Urugero, niba umaze iminsi itatu udasinzira neza, bishobora gusobanura impamvu bikugora kwibanda ku bintu no gukomeza gutekereza neza.

Muganga wawe ashobora kandi gutegeka ko hakorwa ibizamini byo muri laboratwari kugira ngo arebe niba hari ikibazo cy’umubiri gitera ibimenyetso byawe. Ibi bizamini bishobora kuba birimo:

• Gupima isukari mu maraso: Isukari nyinshi mu maraso (hyperglycemia) cyangwa nkeya (hypoglycemia) zishobora kugira ingaruka ku bushobozi bwawe bwo gutekereza.
• Ikizamini cya azote ya urea mu maraso (BUN): Uremia ishobora gutera umunaniro no kujijinganya mu mutwe.
• Isesengura ry'inkari: Indwara y'inkari (UTI) ishobora gutera impinduka mu mutwe no mu myitwarire.
• Ikizamini cya hormone ya tiroyide: Hyperthyroidism ishobora gutera imihangayiko, mu gihe hypothyroidism ishobora gutera kwiheba.

Hari ubwo bashobora no gutumiza ibindi bizamini, nko:

• Ibizamini byo gufata amashusho nka `(PET scan)` cyangwa `(Brain MRI)`.
• Ikizamini cya Electroencephalogram (EEG).
• Isesengura ry'amazi yo mu bwonko.

Muganga wawe azagusobanurira ibyavuye mu isuzuma, hanyuma wowe na we mugafata umwanzuro hamwe icyo gukora nyuma.

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Iki "kizamini cy'imiterere y'umubiri" ni igikoresho cy'ingenzi cyane abaganga bakoresha mu gusuzuma ubushobozi bwawe bwo mu mutwe, ni ukuvuga ubwenge bwawe, uko wiyumva, imyitwarire yawe, n'uburyo ubona ibintu. Ibi bizamini bishobora kukwereka indwara iyo ari yo yose yo mu mutwe cyangwa iyo mu bwonko ushobora kuba ufite.Ariko, birashoboka ko uzakenera gukora ibindi bipimo kugira ngo wemeze ko wanduye. Niba ufite ikibazo ku bisubizo bya `Mental Status Exam`, ntutindiganye kumubaza. Muganga wawe arahari kugira ngo agufashe.

Isuzuma ry'imiterere yo mu mutwe , Ubuzima bwo mu mutwe, Ubushobozi bwo mu mutwe, Amarangamutima, Imyitwarire, Indwara zo mu bwonko