Isihloko esikhulume ngaso kaningana ukuthi singenelele okude: sakhuluma ngakho ngalo dyslexia, ngoba ukwelashwa kwengqondo, ngoba ukulimala ekhanda futhi ngenxa yei-aphasia. Sifunde ukuthi yize kungenzeka kungeyona indlela yethu esiyithandayo, ubuchwepheshe buyaseseka kakhulu namuhla futhi kungenzeka ukuthola imiphumela emihle nesiguli yize singatholakali emzimbeni.

Umsebenzi wezazi eziningi, kepha awukhathaleli kuphela ukuqiniswa, ukwelashwa kwengqondo nokuvuselela abantu, kepha kuvame kakhulu ukuqala nge kokuhlaziywa. Okwamanje umbuzo olandelayo uvunyelwe: kungenzeka yini ukwenza izivivinyo, mhlawumbe ngokuhlolwa kwephepha nepensela, ngaphandle kobukhona bochwepheshe?

Ngenhlanhla kithina, kungumbuzo ofanayo abacwaningi abaningi abazibuze wona abaye banquma ukuvivinya lo mqondo.


Ngo-2014, uCullum kanye nozakwethu[1] ihlaziye ukungafani okungenzeka emiphumeleni yokuhlola ngokuqhathanisa izindlela ezimbili zokuphatha: mathupha noma ukude (Ukuxhumana nomuntu ophethe i-video). Ukuze benze lokhu bakhetha iqembu labantu elenziwe abantu abanempilo, abantu kanye MCI kanye nabantu abangakwazi Isifo i-Alzheimer's. Bonke laba bantu bahlolwe kulezi zivivinyo zokuqonda okulandelayo:

  • I-Mini-Mental State Evaluation (I-MMSE), mhlawumbe uvivinyo lokuhlolwa kwengqondo oluvame kakhulu kwesifo sokuwohloka komqondo
  • I-Clock Drawing Test, okunye ukuhlola okwandile kakhulu emkhakheni wokuwohloka komqondo.
  • I-Hopkins Verbal Study Test-Ibuyekezwe (I-HVLT-R), isivivinyo sokufunda ngomlomo esifana ne-Rey's 15 Word Test (bheka lapha incazelo emfushane)
  • Ukuguquguquka kwemizwa, ukuhlolwa kwemisebenzi ephezulu nolimi (bheka lapha ngencazelo emfushane)
  • Ukukhuculula kwe-Semantic, ukuvivinya inkumbulo yolimi nolimi (bheka lapha ngencazelo emfushane)
  • Ukuhlolwa Kwegama LikaBoston (BNT), isivivinyo sokuqanjwa ngamagama (bheka lapha ngencazelo emfushane)

Zonke lezi zivivinyo zazinikezwa kumhlanganyeli ngamunye ocwaningweni, ngezindlela ezifanayo, kuzo zombili izindlela zendlela, ebusweni bochwepheshe nangokude (ngaphansi kokuqondisa kwevidiyo).

Iqiniso lokuqala elithokozisayo ukuthi inqwaba yokuhlolwa ngakunye, kuzo zombili izindlela zokuphatha, kubonise ukuxhumaniseka okubalulekile: kusuka ubuncane be-r = 0,55 (Span of Reverse Digits) kuya ku-r = 0,91 (MMSE) , ngesilinganiso sika-r = 0,74.
Ngamanye amagama, izikolo zokuhlola kulezo zindlela ezimbili ezivame ukuba yi-concordant.

Noma ngiqhathanisa imisindo yokuhlolwa ngakunye kwimodi ngayinye, Ezimweni eziningi kwakungekho mehluko obalulekile ngokwezibalo (futhi, lapho babekhona, babenganakwa ngokomtholampilo).

Kamuva, Wadswoth kanye nabahlanganyeli[3] bahola eyodwa ukusesha okufanayo, hlangana nesampula ephansi ngokwezinombolo, usebenzisa izivivinyo ezifanayo nezindlela ezifanayo zokuphatha, ngokufakwa kwe-Oral Trail ngamafomu A no-B (ukuhlukahluka komlomo kwe-TMT A no-B. Bona lapha ngencazelo emfushane).

Nakulokhu ukuxhumana phakathi kwezindlela ezahlukahlukene zokuphathwa kwezivivinyo ezigcinwe emazingeni aphezulu, kusuka kubuncane be-r = 0,62 ye-Clock Design Test kuze kufike ku-r = 0,93 kuma-Phonological Fluences kanye ne-BNT, ngesilinganiso sika-r = 0,82.

Kuyafana ocwaningweni olukhonjiwe ngaphambili, izindlela zezikolo ezikulezi zimo ezimbili ezimweni eziningi azifinyelelanga ukubaluleka.

Ucwaningo oluchaziwe kuze kube manje selubhekane nenkinga yokuthi kungenzeka yini kokuhlolwa okukude kwe-neuropsychological kanye nokwethembeka kwayo; kodwa-ke, ucwaningo lweqiniso alukho (ukuthola incazelo emfushane yokuqiniseka nokuthembeka kubonisana nathi Izinkulumo kanye nohlu lwamagama we-Neuropsychological). Kulokhu, iWadsworth kanye nozakwabo[2] benze olunye ucwaningo, ngezihloko ezinga-200 (ezinempilo kanye ne-MCI kanye ne-dementia), neihlose ukukhombisa ukuthi ukuhlolwa okwenziwe kude bekukwazi ukubandlulula abantu abaphilile ngokushoda kokuqonda, njengokuhlola komuntu.

Ukuhlolwa okusetshenzisiwe bekufana nokucwaningo lokuqala oluchaziwe kanti kulokhu kwaqokwa okulandelayo:

  • Ukuzwakala kwamaphuzu kuzimo ezimbili akuzange kuhluka cishe akakaze ngendlela ebalulekile ngokwezibalo
  • Ubungako obuncishisiwe bemiphumela bukhombisa ukuthi yingxenye encane yokwehluka kwezikolo kuphela engachazwa yindlela izivivinyo ezenziwa ngayo.
  • Ibhethri lokuhlola likwazile ukwahlukanisa abantu abaphilile kulabo abanokulimala kwengqondo noma ngabe iyiphi indlela yokuphatha (ubuso nobuso noma ukude)

Ngokubeka lolu cwaningo olungenhla ndawonye, kubukeka sengathi uyakwazi ukubheka ukuhlolwa kwe-neuropsychological okwenziwe ukude kungenzeka, okwenza ukuthi izinsiza zifinyeleleke futhi nakubantu abanezithintelo zezinto zokufinyelela ochwepheshe emtholampilo wakhe, okuyisimo samanje kakhulu ngemuva kokuqhuma kwesimo esiphuthumayo se-COVID-19.
Asikufihli ukungabaza okuthile maqondana nokuthi kungenzeka ukuthi i- "teleneuropsychology" ibe nemikhawulo ethile ebalulekile, ikakhulukazi maqondana nethuba lokubuka ezinye izici zokuziphatha ezingabonakala kakhulu ebukhoneni besiguli ngokomzimba, njengoba nje ezinye izivivinyo zingaba nzima kakhulu ukuphatha uma kungenjalo ngosizo lukakhonkolo lochwepheshe. Kulesi simo, noma kunjalo, singena emkhakheni wemibono ngenkathi, uma sifuna ukuhlala sithembekile kudatha, okwamanje kuvela okuthembisayo.

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iphutha: Okuqukethwe evikelwe !!