Amburenzi, kunze-kwechipatara kununura: AVPU Scale, zvinoreva uye tsamba neGlasgow Coma Scale
Acronym 'AVPU' mumishonga inoreva chiyero chekuongorora mamiriro ekuziva kwemurwere, iyo inonyanya kushandiswa pakununurwa kunze kwechipatara, semuenzaniso kana mupurisa anopindira panzvimbo yetsaona yemumugwagwa ndokuwana. munhu akafenda
Iyo AVPU chiyero inzira yakarerutswa kune yakakurumbira Glasgow Coma Scale
Ambulance vaponesi vanowanzo shandisa chiyero chiri nyore uye chakajeka cheAVPU, nepo vanachiremba nanamukoti vanowanzo shandisa iyo Glasgow Coma Scale.
Iyo AVPU chidimbu chinoumbwa nemavara mana, rimwe nerimwe richiratidza kuoma kwemurwere:
- kungwarira (murwere akasvinura): murwere akamuka uye anoziva; mamiriro aya anoongororwa zvakanaka kana murwere achikwanisa kupindura zvakajeka mibvunzo yakapusa senge "Zita rako ndiani?" kana kuti “Chii chakaitika kwauri?”;
- verbal (mwoyo murefu nemhinduro yemuromo): murwere anopindurawo nekufambisa maziso kana nezviito zvemudhudhudhu asi kungokurudzira nemuromo chete, kureva kuti kana akadanwa, nepo pasina kunyandura anoita seakakotsira kana kuvhiringika;
- marwadzo (murwere anonzwa marwadzo): murwere haapinduri kumashoko ekutaura asi kungokurudzira kunorwadza kuburikidza nekudedera (mune asingarwadzirwi murwere) uye / kana kupinza nheyo ye mutsipa.
- asingateereri (murwere asingapinduri): murwere haapindure kune chero chirevo chemashoko kana chinorwadza, nokudaro achionekwa seasingazivi zvachose.
AVPU, kurerutsa:
- kungwarira zvinoreva murwere anoziva uye ane ruzivo;
- verbal inoreva murwere anenge achiziva zvishoma uye anopindura kune izwi rinokurudzira nezevezeve kana sitiroko;
- kurwadziwa kunoreva murwere anopindura chete kune zvinorwadza zvinokurudzira;
- kusapindura zvinoreva murwere asina chaanoziva asingapindure kune chero rudzi rwekurudziro.
Kubva paA kuenda kuU mamiriro ehukukutu anowedzera: murwere 'akasvinura' ndiye ane hukasha, asi murwere 'asingateereri' ndiye akanyanya kuomarara.
Kuongororwa kweiyo AVPU mamiriro ekuziva kunoitwa riini?
Iyo AVPU mamiriro ekuziva kazhinji ndiyo yekutanga chinhu (kana chimwe chekutanga) kutariswa nemununuri kana asangana nemunhu akakuvara ari mumamiriro ekuziva zvishoma kana kufenda.
Tinoyeuchidza muverengi kuti mamiriro ekuziva haafaniri kuvhiringidzika nemamiriro ekuziva: murwere angave achiziva uye anopindura asi asingazivi, semuenzaniso, kwaanenge ari.
Iyo AVPU inoshandiswa yakanangana neurological ongororo yakaitwa padanho D reiyo A B C D E kutonga.
Iwo mana akasiyana ekuomarara mamakisi eAVPU chiyero anoenderana neyakasiyana Glasgow Scale mamakisi:
murwere "akasvinura" anoenderana nemurwere ane Glasgow Coma Scale mamakisi 14-15
murwere "wekutaura" anoenderana nemurwere ane Glasgow Coma Scale chikamu 11-13
murwere "marwadzo" anoenderana nemurwere ane Glasgow Coma Scale chikamu 6-10
murwere "asingateereri" anoenderana nemurwere ane Glasgow Coma Scale chikamu 3-5.
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