Pālākiō Glasgow: he aha ia a he aha ia no
Anter
ʻO ka Glasgow Scale, i ʻike ʻia ʻo Glasgow Coma Scale, kahi hana i hoʻomohala ʻia ma ke Kulanui o Glasgow, Kekokia, e nānā i nā kūlana trauma, ʻo ia hoʻi ka ʻehaʻeha o ka lolo, e ʻae ana i ka ʻike ʻana i nā pilikia neurological, ka nānā ʻana i ka ʻike pae. wānana i ka wānana.
Hāʻawi ka Glasgow Scale iā ʻoe e hoʻoholo i ka pae o ka ʻike a ke kanaka ma ka nānā ʻana i kā lākou hana. Hana ʻia ka loiloi ma o kāna reactivity i kekahi mau stimuli, kahi e ʻike ʻia ai nā palena he 3: ka wehe ʻana o ka maka, ka hopena o ka kaʻa a me ka pane waha.
Pehea e hoʻoholo ai
Pono e hoʻoholo ʻia ka pālākiō Glasgow i nā hihia kahi e kānalua ʻia ka ʻeha o ka lolo traumatic a pono e hana ʻia ma kahi o 6 mau hola ma hope o ka ulia pōpilikia, ʻoiai i nā hola mua, i ka hapanui o nā hihia, hoʻowalewale ʻia ka poʻe e hoʻoweliweli a i ʻole e ʻemi i ka ʻeha, a hiki ke hoʻopilikia i ka loiloi o ka pae o ka ʻike. E ʻike he aha ka ʻeha o ka lolo traumatic, he aha nā ʻōuli a pehea e hana ai ka lāʻau.
Pono e hoʻoholo ʻia e ka ʻoihana olakino ka hoʻoholo me ka hoʻomaʻamaʻa kūpono, ma o ka hana ʻana o ke kanaka i kekahi mau stimulus, e noʻonoʻo ana i nā palena he 3.
| Nā Loli | Helu helu | |
|---|---|---|
| Wehe maka | Maʻa wale | 4 |
| Ke hoʻoulu ʻia e ka leo | 3 | |
| Ke hoʻoulu ʻia e ka ʻeha | 2 | |
| Hele ʻole | 1 | |
| ʻAʻole pili (edema a i ʻole hematoma i hiki ai ke wehe i nā maka) | - | |
| Pane waha | Hoʻonani | 5 |
| Huikau | 4 | |
| Nā huaʻōlelo wale nō | 3 | |
| Kani wale / kaniuhu wale | 2 | |
| ʻAʻohe pane | 1 | |
| Pili ʻole (nā mea maʻi intubated) | - | |
| Pane kaʻa | Nā kauoha hoʻolohe | 6 |
| Kūloko local pain / stimulus | 5 | |
| Flexion maʻamau | 4 | |
| Flexion maʻamau | 3 | |
| Hoʻolahalaha kūpono ʻole | 2 | |
| ʻAʻohe pane | 1 |
Hiki ke hoʻokaʻawale ʻia ke poʻo poʻo ma ke ʻano he akahai, akahai a ʻino hoʻi, e like me ka helu i loaʻa ʻia e ka Glale Scale.
I kēlā me kēia o nā kaha 3, hāʻawi ʻia kahi helu ma waena o 3 a me 15. ʻO nā helu kokoke i ka 15, e hōʻike ana i kahi pae maʻamau o ka ʻike a me nā helu ma lalo o 8 i manaʻo ʻia he mau hihia o ke koma, ʻo ia nā hihia ʻoi loa a me ka mālama nui loa. . Hiki i kahi helu o 3 ke make i ka lolo, akā pono ia e loiloi i nā palena ʻē aʻe, e hōʻoia ai.
Hiki ʻole ke ʻano hana
ʻOiai he ʻano hana hoʻohana ākea, aia kekahi mau kīnā o ka Glasgow Scale, e like me ka hiki ʻole o ka loiloi i ka pane waha i ka poʻe i intubated a i ʻole aphasic, a kāpae ʻia ka loiloi o nā reflexes o ka lolo. Eia hou, inā hoʻowalewale ʻia ke kanaka, hiki ke paʻakikī ka loiloi ʻana i ka pae o ka ʻike.
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