Alzheimer ta cuta, na jijiyoyin zuciya, da matsalar rashin lafiya da kuma rashin lafiyar jiki na Lewy suna wakiltar nau'ikan nau'ikan nau'in nakasa[2]. A farkon matakan wadannan cututtukan ana iya lura dasu daban-daban na fahimi gyare-gyare. Misali, a cikin Alzheimer akwai rashi yawan ƙwaƙwalwar ƙwaƙwalwar ajiya, nakasasshen ƙwayar jijiya yawanci ana alaƙa da haɗu da hankali, ƙwanƙwasawa na gaba yana farawa da halayyar halayyar ko harshe yayin da ƙayyadaddun kayan jiki ke haifar da halaye da yawa ta hanyar canje-canje na gani. sarari.

Saboda haka muna iya tsammanin waɗannan daban-daban na fahimtar juna da da yawa sake tunani game da tuki. Ban da haka, mutane da yawa da ke fama da cutar dementia suna ci gaba da tuki[5]don haka ya zama tilas a cikin waɗannan halayen don samun ingantattun hanyoyin don kimanta ƙwarewar tuƙi.
A wannan batun, mun riga mun tattauna a cikin binciken da ya gabata game da kimantawar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa don iya tuki a ciki Cutar Alzheimer (duba kuma labarin namu) "Cutar Alzheimer da kwarewar tuki"), A cikinMCI (duba kuma labarin namu) "MCI da kwarewar tuki") Kuma a cikin Multi sclerosis (duba kuma labarin namu) "mahara sclerosis: fahimi rashi da kuma kwarewar tuki").

A cikin binciken guda biyu da muka ambata[3][1] malamai sun haɓaka ƙididdigar ƙwayar cuta wanda ke iya nuna bambance-bambance daidai, tsakanin mutanen da ke dauke da cutar ta MCI ko cutar ta Alzheimer, abubuwan da ke iya jagora daga waɗanda ba za su iya ba, kuma an yi hakan ta hanyar bayanan rarrabawa daga kimin kwakwalwa, hirar asibiti da gwaji na tuka tare da na'urar kwaikwayo.
Wannan lokacin a maimakon masu binciken[4] yanke shawarar gwada ingancin irin kimantawa guda ɗaya (ƙididdigar neuropsychological, tuki mai tuki da hirar asibiti) don gano batutuwa masu nau'in siyarwa. baAlzheimer waɗanda ba su iya tuki ba; musamman ya kasance game da mutane da jijiyoyin bugun jini, matsalar rashin lafiya e Lauyan jiki na dementia.


Binciken

Hakanan ga abin da ya faru a cikin binciken da ya gabata[1][3], kuma a wannan yanayin an gabatar da batutuwan kafin kimin kwakwalwa, hirar asibiti kuma gwada stuki tuki, kuma daga baya aka kimanta tare da gwajin tuki a hanya don yin hukunci idan sun dace da gaske, don haka kasancewa yana iya kwatanta tsinkayar da aka yi a baya tare da gwaji na algorithm (gwajin ƙwaƙwalwa + ganawar asibiti + na'urar kwaikwayo) hakika yana tsinkaye game da ikon tuki.

Sakamakon

Kasancewa ƙaramin samfurin (34), an bincika bayanan a duk duniya kuma duka ba zai yiwu a bincika su ta ɓangarorin ƙungiya ba (wato kowane nau'in waƙa). Idan aka kwatanta da binciken da ya gabata[1][3], a wannan karon sun fito a bayyane yake ƙasa da sakamakon ƙarfafawa[4]: haɗuwa da hanyoyin samun bayanai guda uku (gwaje-gwaje na neuropsychological + hirar asibiti + na'urar kwaikwayo) ba hasashen ainihin kwarewar tuƙi na abubuwan da aka haɗa ba, kazalika da sakamakon na'urar kwaikwayon tuki ko waɗanda suka fito daga tattaunawar asibiti; akasin haka, Sakamakon da aka samo daga kimantawa na neuropsychological sune kaɗai ke iya hango ikon yin tuƙi a hanya (a matakin da akafi girma sama da na abin da ya faru) na mutanen da wannan nau'in cutar wauta ya shafa, tare da daidaito kusan kashi 79%.

Kodayake marubutan samfurin sun kasa tantance tsinkayen kowane ɗayan hotuna na asibiti guda uku (saboda ƙarancin samfurin samfurin), sun yanke shawarar nazarin ƙididdigar abubuwan da suka fi dacewa a cikin gwaje-gwaje na mutum, ya rarraba su ta nau'in siyarwar:

  • A cikin rukunin tare da nakasa na jijiyoyin jiki, an sami mafi girman wasan kwaikwayon a cikin gwaje-gwajen neuropsychological kuma a cikin tambayoyin asibiti.
  • Maƙasudin lalatawar jiki na Lewy sune waɗanda suka nuna kyakkyawan sakamako a cikin gwaje-gwajen neuropsychological.
  • Mutanen da ke da fitina a gaba sune waɗanda suka bayyana kansu a matsayin masu iya tuƙi fiye da waɗanda ke cikin ƙungiyoyi biyu (kodayake kashi 33% daga cikinsu sun dace).

karshe

Fiye da rabin abubuwan da ke cikin binciken an gano cewa basu dace da gwajin titi ba, yana ba da shawara cewa nau'ikan nau'ikan nau'ikan XNUMX na nakasa da aka yi la’akari da su a cikin wannan bincike (na jijiyoyin jiki, gawar Lewy da gaban-ɗora) sune abubuwan haɗari ga tuki marasa lafiya.
A gefe guda, wannan binciken ya kuma nuna cewa wasu daga cikin mutanen da ke da fitinar gaban-kansa da kuma wainar sutturar jiki na jiki na iya tuki sosai.

Duk wannan ya sa haɓaka hanyoyin da ba su da tsada, saurin gaske da ingantattun hanyoyin bincike wajibi ne don rarrabe mutane tare da isasshen ƙarfin ikon da ke ba da izini, aƙalla na ɗan lokaci, don isasshen abin hawa a hanya. Ya kamata a lura, duk da haka, algorithm guda ɗaya na "bincike" na iya haifar da sakamako daban-daban dangane da nau'ikan abubuwan da suka shawo kansa: idan a cikin binciken farko mun yi magana game da[3] saitin dabarun kimantawa ya kasance tsinkaye sosai game da karfin tuki a cikin mutane da ke fama da cutar Alzheimer (daidaito ta 97% ta haɗuwa da ƙididdigar neuropsychological, hirar asibiti da na'urar siminti; daidaito 95% kawai a cikin ƙididdigar neuropsychological) da kuma a cikin bincike na biyu.[1] tsarin guda ɗaya ya haifar da sakamakon da aka yarda (92% daidaitaccen daidaito; 86% daidaito tare da na'urar tuki; kawai; 82% tare da ƙimar neuropsychological kadai), a cikin binciken na ƙarshe[4] Sakamakon binciken ya yi ƙasa kaɗan (daidaito na 79% don ƙididdigar neuropsychological kaɗai).

Gaba ɗaya, waɗannan sakamakon suna nuna cewa mai yiwuwa hanyoyin tantance ƙwarewar da ake buƙata don tuki mai lafiya na iya bambanta ƙwarai dangane da cutar da darasin ya gabatar da etiology a bayan sa. Daukar ma'anar kayan aikin bincike da aka yi amfani da su a cikin binciken da aka bayyana a wannan labarin[4] marubutan sun bayyana abubuwan da za su iya sa sakamakon ya zama abin dogaro:

  • Tattaunawar asibiti (a wannan yanayin da Clinical Lalacewa Rating) na iya samun iyaka amfani a wannan mahallin saboda awarenessarancin sani wanda galibi yana bayyanawa mutane masu fama da cutar hauka game da cututtukan su, wayar da kai wanda wani lokacin kamar ba a rasa koda a cikin danginsu.
  • Sigogi da aka yi amfani da su a cikin na'urar tuki suna iya zama ba wakili ba na dukkan mawuyacin halin da mai cutar rashin hankali zai iya fuskanta a cikin zirga-zirgar mota ta gaske. Bugu da kari, wadannan sigogi na iya samun ma’anoni na gaba dangane da nau’in cutar da aka yi la’akari da shi (jinkirin tuƙi zai iya nuna matsala a cikin matsalar jijiyoyin bugun gini kuma, akasin haka, zai iya zama alama ce ta kame kai a cikin wajan matsalar gaban kansa).
  • Bayar da bayanan martaba daban-daban wadanda suka saba da nau'ikan nau'ikan nau'ikan nau'ikan ciki uku (alal misali, jinkirin fahimta, canjin halayyar ko yanayin rashin gani) wanda aka yi la’akari da wannan binciken, yana iya zama da amfani a yi amfani da gwaje-gwaje dabam.
  • Hakanan, maimakon yin amfani da dichotomy kawai dace e m a kimantawa ikon tuki, yana iya zama mafi hankali don rarrabe sakamakon zuwa kashi uku ta ƙara cewa na indeterminate, jinkirta sashi don bincike na gaba kuma don haka rage haɗarin maganganun karya da tabbatattun maganganu na karya.

A takaice, a gaban ciwon dementia Binciken ƙwaƙwalwar ƙwaƙwalwa shine ainihin ƙoƙarin yin kimanta idan damar saurarar hankali ya dace da ikon tuki mai lafiya kuma a lokaci guda abu ne mai mahimmanci cewa bincike ya ci gaba da bambanta hanyoyin ingantaccen hanyoyin binciken gwargwadon nau'in hoton asibiti.

Fara bugawa kuma latsa Shigar don bincika

kuskure: Content ana kiyaye !!
Daga cutar rashin lafiya ta Alzheimer