Xa usiya kugqirha, baya kuhlola umzimba wakho, bathethe nawe, kwaye ngamanye amaxesha bakubuze imibuzo ukuze bahlole 'ingqondo' yakho, akunjalo? Ngokuchanekileyo, imeko yakho yengqondo. Abanye abantu banokukufumanisa oku kungaqhelekanga. "Kutheni undibuza le mibuzo? Ucinga ukuba ndiyaphambana?" Usenokuba uzibuza. Yiloo nto siyibiza ngokuba yi-'Mental Status Exam'. Ungakhathazeki, oku akuyonto imbi njengoko ucinga, kuqhelekile kakhulu. Makhe sibone ukuba oku kuthetha ukuthini ngokwenene kwaye kutheni kubalulekile.
Yintoni le Ndlela Yovavanyo Lwengqondo?
Ngamafutshane, yindlela yokuhlola ingqondo nengqondo yakho, njengokuba ugqirha ebenokwenza uvavanyo lomzimba. Imalunga nokufumana ingcamango ecacileyo yokuba ufunda kwaye uqonda njani ihlabathi elikungqongileyo. Nangona isetyenziswa rhoqo ngoogqirha bengqondo, nawuphi na ugqirha angenza olu vavanyo.
Ngexesha lovavanyo, ugqirha uza kugxila kakhulu kwizinto ezilandelayo ngawe:
- Inkangeleko yakho ngokubanzi kunye nococeko
- Ukuziphatha kwakho kunye neentshukumo zomzimba wakho
- Indlela obona noqonda ngayo ihlabathi elikungqongileyo (Iimbono)
- Indlela obonakalisa ngayo iimvakalelo zakho (Imo kunye nefuthe)
- Izakhono zakho zokuqonda (Ukuqonda). Oko kuthetha izinto ezifana nokuqaphela, inkumbulo, amandla okuqiqa, kunye nokukwazi ukwenza izigqibo.
Olu vavanyo luluncedo kakhulu ekuxilongeni iimeko zempilo yengqondo (ezifana ne -schizophrenia okanye ixhala ) kunye nezifo ezinxulumene nenkqubo yemithambo-luvo (ezifana nesifo sika-Alzheimer okanye isifo sika-Parkinson) , nasekujongeni ukuba ezo meko ziyatshintsha na ngokuhamba kwexesha.
Kweziphi iimeko apho olu vavanyo lwenziwa khona?
Ngokwesiqhelo, nangaliphi na ixesha xa ubona ugqirha, okanye ngexesha lokulandela amadinga, ugqirha wakho angenza ezinye iinxalenye zolu vavanyo. Ulwazi abalufumanayo luya kubanceda bagqibe ukuba ufuna olunye uvavanyo kunye nohlobo lonyango olulungele wena.
Kodwa kubalulekile ukukhumbula oku. Olu vavanyo lwengqondo luvavanyo oluvela kumntu omnye . Oko kuthetha ukuba oogqirha ababini banokufikelela kwizigqibo ezahlukeneyo kumntu omnye. Yinto eqhelekileyo leyo.
Kwakhona, kukho nezinye izinto ezininzi ezinokuchaphazela iziphumo zolu vavanyo. Ugqirha uza kuziqwalasela zonke ezi zinto.
- Inkcubeko yakho: Ezinye iinkcubeko ziveza iimvakalelo ngendlela eyahlukileyo.
- Ulwimi lwakho lwenkobe: Kusenokuba nzima ukuluphendula ngenxa yengxaki yolwimi.
- Inqanaba lakho lemfundo: Inqanaba lakho lemfundo lisenokuchaphazela iimpendulo zemibuzo ethile.
- Ezinye izinto zangaphandle: Izinto ezifana nokungalali kakuhle, indlala, kunye nentlungu zinokuphazamisa ingqalelo yakho kunye nenkumbulo yakho.
Ngoko ke, ugqirha akasoze agqibe kwelokuba unesifo esisekelwe kolu vavanyo lodwa. Uza kwenza njalo ngokudibanisa ulwazi oluninzi oluvela kuwe. Oku kuquka:
- Iinkcukacha malunga nemeko yakho yempilo yangoku.
- Imbali yakho yezifo zengqondo zangaphambili.
- Iinkcukacha malunga nezinye izifo zakho (imbali yezonyango yangaphambili).
- Iinkcukacha malunga nokusetyenziswa kweziyobisi okanye utywala.
- Imvelaphi yakho yentlalo kunye neyosapho.
- Uvavanyo lomzimba ngokubanzi.
- Uvavanyo lwe-neurological.
- Iingxelo zovavanyo ezifana novavanyo lwegazi.
Ngoko ke, yintoni kanye kanye ekhangelwa ngugqirha kolu vavanyo?
Olu vavanyo lunokwahlulwa lube ziinxalenye ezimbini. Eyokuqala lulwazi oluza kufumaneka ngugqirha ngokukujonga. Eyesibini lulwazi aza kulufumana ngokukubuza imibuzo.
Izinto abazibonayo
Ugqirha uza kukujonga ukususela oko ungena kwigumbi. Musa ukucinga ukuba oku ngumsebenzi womcuphi, oku kukufumana umfanekiso ocacileyo wemeko yakho.
| Icandelo lokubeka iliso | Kalula nje, ujonge ntoni? |
|---|---|
| Inkangeleko | Izinto ezifana nempahla yakho, ucoceko, inkangeleko ehambelana nobudala bakho, nokuba kukho na ukwenzakala okanye amanxeba abonakalayo. |
| Ukuziphatha | Baza kubona ukuba usebenzisana kangakanani na, nokuba ukhathazekile okanye awukhululekanga, nokuba uziphatha ngendlela eqhelekileyo esibhedlele. |
| Umsebenzi weemoto | Ezinye izifo zengqondo nezemithambo-luvo zinokubangela iintshukumo ezingaqhelekanga, ezinje ngokungcangcazela, ukusebenza kakhulu, kunye nokuqina. |
| Intetho | Banika ingqalelo kwizinto ezifana nobungakanani, isantya, isigqi, kunye nomthamo welizwi lakho. Bakwakhangela intetho engacacanga ( i-dysarthria ). |
| Ukubonakaliswa kweemvakalelo (Impembelelo) | Bajonga izinto ezingachazwanga ngamazwi, njengembonakalo yobuso bakho kunye neempawu zomzimba. Bajonga indlela ojongeka ngayo, nokuba wonwabile, ulusizi, okanye uxhalabile. Bajonga nokuba oko ukuthethayo ukuziva (imo) kunye noko ukubonayo ebusweni bakho (kuchaphazeleka) kuyahambelana na. |
| Inkqubo yokucinga | Ijonga indlela iingcinga zakho ezicwangcisiweyo neziqhubekayo ngayo. Iingcinga zabanye abantu zinokubonakala ngathi ziyatsiba ukusuka kwenye indawo ukuya kwenye (ukuhamba kweengcinga). Oku kukunika umbono wendlela ocinga ngayo. |
Imibuzo abayibuzayo nezinto abazijongayo
Ukongeza ekujongeni, ugqirha uza kubuza imibuzo ethe ngqo ukuze afunde ngakumbi ngendlela osebenza ngayo ingqondo yakho.
- Imvakalelo: Ukuzama ukulinganisa iimvakalelo zakho ngokubuza umbuzo olula ofana nothi "Uziva njani?"
- Oko ukucingayo: Ukubuza ngento esengqondweni yakho, ingakumbi iingcinga zokuzilimaza (iingcinga zokuzibulala) , iingcinga zokuzilimaza abanye, kunye neengcinga ozikholelwayo nangona ziphikisana neenkolelo zakho .
- Imbono: Ibuza ngento oyibonayo ngeemvakalelo zakho ezintlanu (amehlo, iindlebe, impumlo, ulwimi, ulusu). Oku kujonga ikakhulu ukuba uyaziva okanye uyazibona izinto ezingekhoyo (imibono) .
- Ingqiqo: Oku kulinganisa ukuba unolwazi olungakanani ngawe, indlela oziphatha ngayo, nendlela osebenza ngayo kuluntu.
- Isigwebo:Ivavanya amandla akho okwenza izigqibo ezilungileyo. Umzekelo, ungabuzwa umbuzo ofana nothi, "Ubungenza ntoni ukuba ububona imvulophu enedilesi ngelixa uhamba esitalatweni?" Indlela oziphatha ngayo ngaphambili, njengokuba uthatha amayeza akho njengoko uyalelwe, nayo inokuchaphazela oku.
Ngokukodwa, ubuchule bakho bokuqonda (ukuqonda) buyavavanywa.
Le yinxalenye ebaluleke kakhulu yovavanyo. Ikunceda ufumane umbono ocacileyo wendlela ingqondo yakho esebenza ngayo.
- Ukuphaphama: Indlela oqaphela ngayo. Umzekelo, nokuba uvukile kwaye usabela kakuhle, okanye ulele okanye ukhothile.
- Uqhelaniso: Le yindawo apho mhlawumbi ukhe weva khona imibuzo ethi "Ngubani? Phi? Nini?". Ugqirha uza kukubuza igama lakho, indawo ohlala kuyo (isibhedlele, isixeko), kunye nomhla.
- Ingqalelo kunye nokugxila: Oku kuvavanya ixesha onokugxila ngalo kwinto enye. Umzekelo, unokucelwa ukuba uthabathe u-7 kwi-100. Okanye unokucelwa ukuba uqhwabe izandla xa usiva unobumba u-'A' xa usiva oonobumba abambalwa.
- Inkumbulo: Ivavanya iindawo ezahlukeneyo zenkumbulo.
- Ukukhumbula kwangoko: Kuthethwa amagama amathathu aze acelwe ukuba aphindwe ngoko nangoko.
- Inkumbulo yamva nje: Emva kwemizuzu embalwa, amazwi amathathu owawathethayo ngaphambili ayavakala kwakhona.
- Inkumbulo yexesha elide: Ikubuza ngeenkcukacha zakudala, njengokuba wazalelwa phi kwaye waya phi esikolweni.
- Ukuqiqa okungabonakaliyo: Oku kuvavanya ubuchule bakho bokuqonda iintsingiselo kunye neengcamango ezifihlakeleyo. Umzekelo, ungabuza, "Yintoni umahluko phakathi kweapile neorenji?" Okanye ungabuza, "Ithetha ukuthini le ngcamango, 'Ijinja ifana nepepile yetshili.'"
Ukuba iziphumo aziqhelekanga, kuza kwenzeka ntoni emva koko?
Ukuba ugqirha ufumanisa into engaqhelekanga ngexesha lovavanyo, akayi kuthi kwangoko unesifo. Okokuqala, uza kukubuza eminye imibuzo. Umzekelo, ukuba unengxaki yokuzikisa ingqondo, unokubuza athi, "Zingaphi iintsuku ongalalanga kakuhle?" Oku kusenokubangelwa yinto elula njengokungalali kakuhle.
Emva koko, ungayalelwa ukuba wenze uvavanyo oluthile ukuze kufunyaniswe ukuba kukho unobangela weempawu zakho.
| Uvavanyo olunokwenzeka | Ubona ntoni kuloo nto? |
|---|---|
| Uvavanyo lweglucose egazini | Amanqanaba eswekile egazini aphezulu (i-Hyperglycemia) okanye aphantsi (i-Hypoglycemia) anokuchaphazela ukusebenza kwengqondo. |
| Uvavanyo lwe-urea nitrogen egazini (BUN) | I-uremia, imeko eyenzeka xa izintso zingasebenzi kakuhle, inokubangela ukudinwa okukhulu kunye nokudideka kwengqondo. |
| Uhlalutyo lomchamo | Usulelo lwendlela yomchamo (UTI) lunokubangela utshintsho engqondweni nakwindlela yokuziphatha, ingakumbi kubantu abadala. |
| Uvavanyo lwehomoni ye-thyroid | I-thyroid gland esebenza kakhulu (i-Hyperthyroidism) inokubangela ixhala, ngelixa i-thyroid gland engasebenzi kakuhle (i-Hypothyroidism) inokubangela ukudakumba. |
Kwezinye iimeko, kunokufuneka uvavanyo oluntsonkothileyo ngakumbi.
- Uvavanyo lwemifanekiso yobuchopho olufana ne -PET scan okanye i-brain MRI .
- Uvavanyo lwe-EEG (i-Electroencephalogram) (olulinganisa umsebenzi wombane wengqondo).
- Uvavanyo lolwelo lomqolo (ulwelo lobuchopho).
Emva kwako konke oku, ugqirha wakho uza kukuchazela iziphumo zovavanyo aze agqibe nawe ngento omawuyenze ngokulandelayo.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwengqondo luvavanyo oluqhelekileyo oluhlola umzimba wakho kunye nengqondo yakho. Asinto yokoyika.
- Oku kuya kuvumela ugqirha ukuba ayiqonde ngcono imeko yakho.
- Olu vavanyo luyinxalenye encinci nje kuphela yenkqubo yonke yokuxilonga. Aluyi kuqinisekisa ukuba unesifo na.
- Ukuba kukho into engaqhelekanga kwiziphumo, kuya kufuneka kwenziwe ezinye iimvavanyo ukuze kufunyanwe unobangela ochanekileyo.
- Ukuba unemibuzo malunga nolu vavanyo okanye iziphumo zalo, nguweUngaze ungathandabuzi ukubuza ugqirha . Ukhona ukukunceda.
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