He aha te Mataaratanga Hukaaro o te Aromahara?
Ko te MIS he taputapu tirotiro poto hei aromatawai i te mahara. He maha tonu te whakamahi hei whakamatautau tuatahi, me etahi atu taputapu whakamatautau, hei aromatawai i te hinengaro o te tangata e ahua ana ki te whakaatu i etahi raruraru kaore i te kaha ki te whakaaro me te whakamahara.
Ko te MIS tetahi o nga taputapu e toru e whakaarohia ana mo te whakamahinga o te Aroha Hauora Motuhake a te Alzheimer's Association.
Ko era atu e rua ko te GPCOG me te Mini-Cog .
He aha nga mea kei roto i te MIS?
Mena kei te hoatu "Maude" te MIS, ka tonoa ia ki te mahi i nga mahi e whai ake nei:
- E wha nga kupu i roto i te pepa nui (24 nga momotuhi, nui atu ranei) ka whakaaturia ki Maude, ka kiihia ki a ia kia nui te korero i ia mea. Hei tauira, ko nga kupu e wha he kaitautoko, he tira, he waea me te Cross Whero.
- Ka hoatu a Maude he kāwai, ka tukuna kia tautuhia te kupu e hāngai ana ki taua kāwai. Hei tauira, ko te waahanga o nga "takaro" e whakaratohia ana, me kaha ki te tautuhi ko te kupu "kaitohu" e rite ana ki taua waahanga. I muri i te whakaoti i tenei mahi mo nga kupu e wha i runga i te pepa, ka tangohia te pepa mai i te kitenga, ka korerotia ki a Maude ka mahara ia ki enei kupu i roto i etahi meneti.
- I muri mai, ka tonohia a Madue ki te mahi i tetahi mahi e wehewehe ana ia ia i nga kupu e wha i akohia e ia, penei me te tatau i te 20 ki mua me te hokinga atu ki muri ranei ki te tatau i nga whitu e timata ana ki te 100.
- I muri i te whakaoti i tenei mahi whakamataku, ka uihia a Maude ki te whakamahara i nga kupu e wha. Ka hoatu ki a ia i te iti rawa 5 hēkona hei mahara i ia kupu. Ka huaina tenei ko te waahanga whakamahara kore utu o te whakamatautau no te mea e kii ana ia kia mahara ki nga kupu engari kaore i hoatu he tohu ki a ia.
- Mena kua neke atu i te 10 hēkona kaore he kupu i whakamaharatia, ka hoatu ki a Maude te tohu tohu mo ia kupu ka ui ki te whakamahara i te kupu. Hei tauira, ka korero te kaiwhakahaere whakamatautau ko tetahi o nga mea he taakaro, a ka awhina pea a Maude ki te mahara ki te kupu "kaitohu." Koinei te wāhanga whakamahara o te whakamatautau.
Nahea te MIS i tohua?
Mo nga kupu ka whakamaharatia, kaore he tohu (whakamahara kore utu), ka whiwhi a Maude i nga take e rua. Mo nga kupu ka whakamaharatia ki te tohu whaimana, ka riro a Maude tetahi tohu.
Ko te tohu o te 5-8 e whakaatu ana i te korenga o te hinengaro, i te mea ko te tohu o te 4, o raro iho ranei te tohu ki te mate kino.
He pehea te pai o te Mahi MIS ki te Tautuhi i te Waerenga?
Kua whakaatuhia te MIS kia pai ake ai te tautuhi i te mate kino me te iti rawa atu i te tauira Miihini Miihini Motuhake. (Ko te MIS ko te mana pupuri a te Albert Einstein College of Medicine engari he kore noa te whakamahi haumanu.)
He aha etahi atu taputapu e Whakamahia ana ki te Mata mo te Whakaweti?
He aha nga Paa me nga Rangatira o te MIS?
Tuhinga
- Kaore e hiahiatia ana e te MIS te kaha ki te tuhi, na he pai te whiriwhiri mehemea kua kore te mahi motuka.
- He poto, e wha meneti hei whakahaere.
- Ko te mahi i runga i te MIS e whakaatu iti ana i te taumata mātauranga. (Ko te tangata i haere ki te kura ma te kura 6 ka taea ki te mahi pera me te tangata e ako ana i te koroni.)
- Kei te noho tika te MIS ki te whakamahi i nga taiao ahurea maha, me nga reo rereke.
- Kaore e hiahiatia he whakangungu nui hei whakahaere.
- Kei reira hoki he tirotiro MIS-T, he putanga o te MIS e taea te whakahaere i runga i te waea. Kua whakaatuhia e te rangahau he whai hua te MIS-T ki te kite i te mate kino.
Tuhinga
- Ko tetahi o nga korero mo te MIS ko te kore e taea te whakamahi me nga tangata e kore e taea te korero, mehemea kaore he painga o te tirohanga, kaore hoki i te tuhituhi.
- Kaore i te aromatawai i te mahi a te kaiwhakahaere , he tohu wawe tenei i roto i etahi ahuatanga o te rementia, tae atu ki te dementia vascular me te dementia frontotemporal .
- Kaore i te aromatawai i te kaha o te tangata , ka taea hoki e te raruraru.
Te tautuhi i te Whakaaturanga
Kia mahara ko te MIS he taputapu tirotiro, ehara i te taputapu whakamatautau. Ko te ngoikore o te mahi i runga i te MIS e whakaatu ana he take tera e raru ai, engari he tika te aromatawai rata hei aromatawai i te hinengaro me te whakamatautau i te matemate.
Kia maumahara tera etahi take o te kino o te mahara kaore e taea te whakahoki i etahi waahanga me te maimoatanga e tika ana, penei me te ngoikoretanga o te huaora B12 , te whakawhitinga o te rongoā , te taraiwa me te teitei o te hydrocephalus .
Kaupapa:
Alzheimer's Association. Albert Einstein College of Medicine. Te Mataara Haumahara o te Mata. http://www.alz.org/documents_custom/mis.pdf
Alzheimer & Dementia 9 (2013) 141-150. Ko nga whakaritenga a te Alzheimer's Association mo te whakahaere i te kitenga o te mate kino kaore i te wa e tirotirohia ana e te Medicare Annual Wellness Visit i roto i te taiao tiaki matua. http://www.alzheimersanddementia.com/article/S1552-5260(12)02501-0/abstract
BMC Neurology. 2011, 11 : 92. Te whai hua me nga utu mo te whakahuatanga i te waahi me te tirotiro i te mate kino. http://www.biomedcentral.com/1471-2377/11/92
Journal of the American Geriatric Society. 2003 Oketopa; 51 (10): 1382-90. Ko te tirotiro i te taatai ma te waea ma te whakamahi i te mata o te haumaru mahara. http://www.ncbi.nlm.nih.gov/pubmed/14511157
Neurology. 1999 Maehe 15; 52 (2): 231-8. Ko te tirotiro mo te tahumahu me te mataharahara o te mahara. http://www.neurology.org/content/52/2/231