Yize i-sclerosis eminingi ivame ukuhlotshaniswa nokukhubazeka kwezimoto okungenzeka ukuthi siyaziwa, manje sesiyazi ukuthi ngokwesilinganiso isilinganiso phakathi kuka-40% no-73% wamacala, lesi sifo sihambisana nokushoda kwengqondo.[1]. Njengoba sike saxoxa ngaphambili, ukuhlolwa kwe-neuropsychological kubalulekile ekulandeleleni iphrofayili yokuqonda komuntu onesifo sokuqina kwemizwa eminingi futhi lokhu kungasiza kakhulu ekuphatheni ubunzima obungavela: eqinisweni sesibonile ukuthi ukushiyeka kwengqondo kungathinta kanjani ku ikhono lokushayela imoto, ukuthi zingathinta kanjani i umongo wokusebenza nokuthi ubukhona babo kunganikeza kanjani izinkomba ezithile ze-ukuvela kwesifo (futhi mhlawumbe lokhu kungaba wusizo kudokotela ekukhetheni ukwelashwa).

Kodwa-ke, kuhle ukukhumbula ukuthi, ngenhlanhla, lobu bunzima abuthinti bonke abantu abane-multiple sclerosis futhi, uma bukhona, bancane kakhulu ezimweni eziningi. Kodwa-ke, kuhle ukuqaphela ubukhona babo bokugcina, ubukhulu kanye nemiphumela abangaba nayo empilweni yesiguli.

Phakathi kwale miphumela kungahle kube khona okwenzelwa nsuku zonke. Mayelana nalokhu, kucwaningwe okuningi okwenziwe ukuthola ithonya lokushoda kwengqondo okunokwenzeka emisebenzini yansuku zonke.


Ocwaningweni olwenzeka ngo-2007, uGoverover kanye nozakwabo[4] bakhetha iqembu lezifundo ezine-sclerosis eminingi futhi balihambisa kubhethri lokuhlola kwengqondo nochungechunge lwemisebenzi eyenziwe yafana ukuze babone amakhono kweminye imisebenzi yansuku zonke (ukuphatha imali, bafuna imikhiqizo eshalofini, ukuthola inombolo yocingo encwadini yamakheli, funda izithako ebhokisini lokudla, funda imiyalo yomuthi ...).
Abakubonile wukuthi iphrofayili ye-neuropsychological yahlotshaniswa kakhulu nokuhlolwa kokuziphatha kwemisebenzi yansuku zonke. Ngamanye amagama, ubunzima bokuqonda okucacile bukhanya, banciphisa amakhono emisebenzini yansuku zonke.
Noma kunjalo, akuzona zonke izivivinyo ezazinenani elifanayo lokuqagela; lezo ezihlotshaniswe kakhulu nenqaku eliphelele emisebenzini eshiwo yilezo Trail Ukwenza Uhlolo lwe-BA (kushintsha isivivinyo sokunakwa - bheka lapha ukuthola incazelo) nokuhlolwa kwe Ukukhanselwa kwe-H (isivivinyo esifana neMatrices Esinakile kanye ne-Multiple Feature Cancellation Task - bheka lapha ukuthola incazelo).
Ngokuthe xaxa, isivivinyo sokuqala sahlanganiswa nekhono lokucwaninga izithako zokudla okusemathinini, ukuthola ukudla emashalofini esitolo nokufunda imiyalo yomuthi; isivivinyo sesibili sikhombise ukuvumelana ngemisebenzi efanayo ngaphandle kokusesha izithako.
Ngaphezu kwalokho nezikolo ze I-PASAT (isivivinyo sokunakwa okuqhubekayo, isivinini sokusebenza nokuvuselelwa kwememori yokusebenza - bheka lapha ukuthola incazelo), kutholakale ukuthi kuhambisana nekhono lokufunda nokulandela imiyalo yomuthi, ngenkathi wona Isikhala se-Reverse Digits kwakuhlobene nekhono lokuthola izithako zokudla okusemathinini.

Kokunye ukucwaninga okubili okwenziwe nguGoverover nozakwabo[5][3] kwenziwa izinhlobo ezintsha zemisebenzi ukuze kuhlaziywe amakhono "angempela" abantu abane-sclerosis eminingi nabo abahlolwa ngaphansi kwezivivinyo ze-neuropsychological kanye nezingxoxo zokuhlolisisa ngezikali ezihlelekile (ngokuzilolonga, izifundo kanye nemindeni yabo babuzwa ukuthi liyini lelo degree? wokuzimela okusebenzayo empilweni yansuku zonke kanye nekhwalithi yempilo yezifundo uqobo). Imisebenzi ezakwenziwa yizifundo yayihlukile. Isibonelo ukuthengwa kwethikithi lendiza: thenga online ithikithi lokubuya, ngentengo ephansi kakhulu nekhadi lesikweletu, nangezinsuku ezisebenza ngezinhloso ezinikezwe umhloli. Eminye imisebenzi yayihilela ukuthengwa okuku-inthanethi kwama-biscuits ne-pizza. Imisebenzi enjalo yenza kube nokwenzeka ukubheka amanye amakhono eziguli empilweni yansuku zonke emisebenzini engajwayelekile kakhulu (engase idinge izinsiza kusebenza ezimbalwa zokuqonda).

Futhi kuleli cala, ukuvumelana phakathi kokuhlolwa kwe-neuropsychological kanye nokusebenza kwangempela kwezifundo kwabonakala; ngaphezu kwalokho, kwavela i-datha ebaluleke kakhulu: kulolo cwaningo akukho budlelwano phakathi kwalokho okwabikwa ngabantu abane-sclerosis eminingi kanye nomthamo wangempela empilweni yangempela. Ngamanye amagama, imiphumela yokuhlolwa kwe-neuropsychological yayinolwazi kakhulu kunokubikwa kweziguli.

Njengasesifundweni sokuqala, nakulesi sifundo, izivivinyo ezahlukahlukene zihambelana nemininingwane ehlukile:

  • Il Ukukhetha Kokukhumbuza Abakhethiweyo (isivivinyo senkumbulo esifana ne-Verbal Supra-Span Learning - bona lapha ukuthola incazelo ukuthola incazelo) kukhombise ukuhlangana okubalulekile ngekhono lokuthenga amakhukhi ku-inthanethi.
  • Il Uphawu Lokuhlolwa Kwezimpawu Zedijithali (isivinini sokucubungula esifana ne-WAIS-IV cipher - bheka lapha ukuthola incazelo) kukhombise ukuhlangana okubalulekile ngayo yonke imisebenzi yangempela ehlolwe, maqondana nokunemba kokuyiqedela, futhi maqondana nezikhathi zokubulawa.
  • I-Visual Memory Test Brief - Kubukeziwe (ukuhlolwa kwememori ebonakalayo) kukhombise ukuhlangana okubalulekile ngekhono lokuthenga ithikithi lendiza online (kuwo wonke amaphuzu wokubukwa okuhlolwe) namakhukhi (ukusheshisa ukwenziwa komsebenzi).
  • Il I-PASAT kukhombise ukuhlangana okubalulekile ngekhono lokuthenga amabhisikidi ku-inthanethi (ikakhulukazi maqondana nokunemba kokuphothula umsebenzi).
  • Ukuhlolwa kuqhubeke Isahlulelo Sokuqondiswa Kwemigqa (ukuhlolwa kwamakhono okubuka nawendawo), I-California Verbal Learning Test-II (isivivinyo senkumbulo esifana ne-Rey's 15 Word Test - bheka lapha ukuthola incazelo emfushane), Isikali sokuSebenza seDelis-Kaplan (ibhethri lezivivinyo zomsebenzi ophethe) elihambelana kakhulu nekhono lokuthenga ithikithi lendiza online.

iziphetho

Ngokunikezwe okuvelile ocwaningweni olusanda kushiwo, kuyacaca ukuthi ukuhlolwa okubanzi nokuningiliziwe kwe-neuropsychological kungasiza kanjani ukuqonda ubunzima bansuku zonke babantu abane-sclerosis eminingi. Ngasikhathi sinye, ngokusho kocwaningo olufanayo, okubikwe yiziguli ngokwazo akunangqondo.

Ngasikhathi sinye, kubalulekile ukuthi labo abahlola ukuhlolwa kwe-neuropsychological bacubungule ngokucophelela ukukhetha kwezivivinyo ezisuselwa kulwazi abahlose ukuluqoqa.

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