Ingabe uke uzithole ucabanga ukuthi, “Kubukeka sengathi ngiyakhohlwa izinto kaningi muva nje”? Noma mhlawumbe unokukhathazeka okuqhubekayo ngenkumbulo yomzali wakho noma ugogo nomkhulu wakho? Igama elithi ‘ukuhlolwa kwengqondo’ selivame kakhulu kulezi zinsuku. Namuhla, ake sixoxe ngakho njengokungathi sixoxa nomngane—kalula nangokucacile—ukuze siqonde ukuthi lezi zivivinyo ziyini ngempela, ukuthi zingenzani, nokuthi yini ezingenakuyenza.
Kuyini Ngempela Ukuhlolwa Kokuqonda?
Kalula nje, lena yindlela yokukala ukusebenza kobuchopho bakho, ikakhulukazi indlela ocabanga ngayo, okhumbula ngayo, nogxila ngayo. Kodwa into ebaluleke kakhulu okufanele uyikhumbule ukuthi lokhu akusikho ukuhlolwa kokuxilonga; kuwukuhlolwa kokuhlola .
Cabanga ngakho njengokuhlolwa kwegazi okuvamile ongase ukwenze ngaphambi kokuhlola inkinga enkulu yezempilo. Akukwazi ukuqinisekisa ukuxilongwa ngo-100% ngokwako, kodwa kunikeza inkomba yokuthi ngabe kukhona yini ingozi eyengeziwe noma isidingo sophenyo olwengeziwe. Yilokho kanye okwenziwa yilolu vivinyo.
Lokhu kuhlolwa akubheki ngokuyinhloko i-dementia —isimo esibucayi esihilela ukulahlekelwa inkumbulo okukhulu—kodwa kunalokho kukhomba izingozi 'zokukhubazeka kokuqonda okuncane' (MCI) . I-MCI isho ukuthi ikhono lakho lokukhumbula noma lokucabanga libuthakathaka kancane kunelabanye abangontanga yakho. Akuwona wonke umuntu one-MCI oqhubeka nokuba ne-dementia, kodwa ingozi iphakeme.
Yiziphi Izivivinyo Ezivamile Zokuqonda?
Lezi zivivinyo zilula kakhulu futhi zingaqedwa ngemizuzu embalwa nje. Ake sibheke ezinye izivivinyo ezivame ukusetshenziswa ukuze sibone ukuthi zilula kangakanani.
| Igama Lokuhlolwa | Kuhilelani? | Isikhathi Esilinganiselwe |
|---|---|---|
| Ukuhlolwa Kokuqonda KwaseMontreal (MoCA) | Imisebenzi efana nokukhumbula uhlu olufushane lwamagama, ukuqamba izinto ezithombeni, nokukopisha izimo ezilula. | Cishe imizuzu eyi-15 |
| Ukuhlolwa Kwesimo Sengqondo Esincane (MMSE) | Ukubala emuva, ukuhlonza izinto ezisegumbini, nokusho isikhathi samanje, usuku, kanye nendawo. | Cishe imizuzu eyi-10 |
| I-Mini-Cog | Ukukhumbula amagama amathathu angahlobene ngemva kokulibaziseka okufushane nokudweba ubuso bewashi ukukhombisa isikhathi esithile. | Cishe imizuzu emi-3 |
Uma Umphumela Uphansi, Ingabe Lokho Kusho Ukuthi Nginesifo Sokuwohloka Komqondo?
Cha. Lutho neze. Lena yingxenye ekhathaza abantu abaningi, kodwa lokho akulona iqiniso.
Uma ukuhlolwa kokuhlolwa kubonisa ukukhathazeka okuthile, akusho ukuthi unesifo sokulahlekelwa yingqondo . Kusho ukuthi, 'Ake sibheke lokhu ngokujulile.'
Kufana nalapho udokotela wakho ethi, “Umfutho wegazi wakho uphakeme kancane, ake siwuqaphe bese senza ezinye izivivinyo ezimbalwa.” Ngokufanayo, lokhu kuhlolwa kunikeza udokotela wakho umhlahlandlela wokunquma ukuthi kudingeka yini ukuhlolwa okwengeziwe, okuningiliziwe.
Kuthiwani Uma Ngiphumelela Isivivinyo?
Lona ngumbuzo omuhle kakhulu. Uma wenza kahle esivivinyweni, akusho ukuthi umsulwa ngokuphelele kuzo zonke izinkinga, kodwa kuyaqinisekisa ukuthi amathuba ezimo ezifana ne-dementia aphansi kakhulu . Lokho kuyimpumuzo enkulu, akunjalo?
Yiziphi Izinyathelo Ezilandelayo?
Uma ukuhlolwa kokuqala kukhombisa noma yiziphi izinkinga, udokotela wakho angakuthumela ukuze uthole ukuhlolwa okuphelele kokuxilonga. Lokhu kungathatha ihora elilodwa kuya kwamathathu ukuqeda. Lokhu akuyona into evamile kuwo wonke umuntu; ngokuvamile kugcinelwe abantu—ngokuvamile asebekhulile—abanezimpawu ezicacile zokuqonda noma amalungu omndeni aveze ukukhathazeka kwabo.
Phakathi nalokhu kuhlolwa, udokotela wakho cishe uzobuza ngezinto eziningana:
- Imithi oyithathayo (eminye imithi yokungezwani komzimba, ama-antihistamine, noma izinsiza zokulala zingathinta inkumbulo).
- Ezinye izimo zempilo ( njengokucindezeleka noma i-Multiple Sclerosis ).
- Amaphethini akho okulala (ingabe uthola ubuthongo obuhle?).
- Udokotela ngeke akhulume nawe nje kuphela; cishe uzobuza amalungu omndeni wakho ukuthi aqaphele noma yiziphi izinguquko ekuziphatheni kwakho noma enkumbulweni yakho.
Ukuhlolwa okulandelayo kuyinkimbinkimbi kakhulu. Kungase kuhilele ukukhumbula uhlu lwamagama, ukuphendula imibuzo enzima, noma ukwenza imisebenzi ekhethekile, konke okusiza ekutholeni isithombe esicacile semisebenzi ehlukene yobuchopho.
Kuthiwani Ngezivivinyo Zokuzenzela Ongazenza Ekhaya?
Yebo, kunezivivinyo ezitholakala ku-inthanethi, njenge-SAGE (Self-Administered Gerocognitive Exam). Abadali balezi zivivinyo bavame ukuncoma ukuzilanda, ukuziqeda, nokuyisa imiphumela ngqo kudokotela wakho.
Into ebaluleke kakhulu lapha ukuthi ungalokothi uthathe isivivinyo esiku-inthanethi, uhumushe imiphumela ngokwakho, bese ufinyelela eziphethweni ngokushesha. Lokho kungaba yingozi. Uma wenza isivivinyo esinjalo, siyise kudokotela wakho. Yibo kuphela abangakwazi ukuhlaziya imiphumela kahle futhi banikeze iseluleko sezokwelapha. Ukuhlolwa okwenziwe ngaphandle kokuqashwa kochwepheshe akunikezi inani elincane lezokwelapha.
Okokugcina, uma wena noma othandekayo wakho ninokungabaza okuncane noma ukukhathazeka ngenkumbulo yakho, ungakushayi indiva. Ngaphandle kokwesaba, bona udokotela ukuze kwenziwe ukuhlolwa okufanele. Esikhathini esiningi, lezi zinkinga zingase zibe yingxenye evamile yokuguga, okukunikeza ukuthula kwengqondo. Uma kunenkinga yangempela, ukuyikhomba kusenesikhathi kubalulekile ekunakekelweni nasekuphathweni okuphumelelayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwengqondo akuzona amathuluzi okuxilonga; kumane nje kuwukuhlolwa kokuqala kokuhlola ukuze kubonakale ukuthi kudingeka yini ukuhlolwa okwengeziwe.
- Uma wena noma ilungu lomndeni linenkinga yokukhumbula, ungazinaki—bonana nodokotela wakho.
- Umphumela ophansi ekuhlolweni kokuhlolwa akusho ukuthi unesifo sokulahlekelwa yingqondo; kusho ukuthi kudingeka uphenyo olwengeziwe.
- Ukubeka phambili ukulala kahle, ukuphatha izimo ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme , kanye nokuxoxa ngayo yonke imithi nodokotela wakho kubalulekile empilweni yobuchopho.
- Ungalokothi uzame ukuzihlola ngokusekelwe emiphumeleni yokuhlolwa kwe-inthanethi. Hlala ufuna iseluleko sochwepheshe bezokwelapha.
Ukuhlolwa Kokuqonda, Inkumbulo, I-Dementia, Impilo Yobuchopho, Ukukhubazeka Okuncane Kokuqonda, Ukuguga
