GCS, ama Glasgow Coma Scale, waxaa 1974 ku sifeeyay Graham Teasdale iyo Bryan Jennett (Qiimaynta miyir-beelka iyo miyir beelka. Miisaanka la taaban karo , miyir-qabka bukaanka qaba dhaawac maskaxeed oo daran

Dhibcaha GCS, cabbirrada ayaa lagu xisaabtamay:

Dhibcaha miisaanku waxay hagayaan go'aan samaynta bilowga ah waxayna la socdaan isbeddellada falcelinta kuwaas oo muhiim u ah muujinta baahida tallaabo dheeraad ah.

Indhaha

• Spontaneous
• Si loo dhawaaqo
• Cadaadis
• None

Dhaqdhaqaaqa Afka

• Isuduwid
• Walaacsan yahay
• Erayada Keliya
• dhawaaqyada
• None

Dhaqdhaqaaqa Baabuurta

• Obeys amarada
• Ku kooban
• dabacsanaan caadi ah
• Dabacsanaan aan caadi ahayn
• Kordhinta
• None

Horumarinta dhibcaha GCS iyo Glasgow Coma Scale

Isbarbardhigga qiimeynta iyadoo la adeegsanayo habab kala duwan oo lagu sameeyay tiro badan oo bukaanno ah oo ku jira qeybta qalliinka neerfaha ee Glasgow ayaa muujisay mudnaanta habka cabbirka badan ee qiimeynta.

Liis gaaban oo ereyo awood u leh in si cad loo qeexo loona kala hormariyo siday u kala muhiimsan yihiin ayaa lagu sifeeyay daraasado heshiis dhex-dhexaad ah.

Sifaynta ayaa lagu tixgaliyay tabarucaadka ay bixiyeen dhakhaatiirta da'da yar iyo kalkaaliyaasha iyo sidoo kale saaxiibada khibrada leh ee caalamiga ah.

Hadafka horumarinta miisaanka ayaa ahaa in si ballaaran loo aqbalo oo la buuxiyo, oo aan la beddelin, qiimeynta hawlaha kale ee neerfaha.

Korsashada iyo faafinta Miisaanka Kooma Glasgow

Fududeynta iyo fududaynta gudbinta cabbirka ayaa lagu soo dhaweeyay waaxaha la tacaalaya bukaannada qaba dhaawaca maskaxda ee daran ee ka soo gaaray dhaawacyada iyo sababaha kale.

Muujinta natiijooyinka jaantus si gaar ah loo qaabeeyey ayaa fududaysay aqoonsiga isbeddellada bukaan-socodka.

Shaqaalaha kalkaalinta ayaa si dhakhso ah u qadariyay caddaynta qabashada isbeddellada muhiimka ah ee xaaladda bukaanka.

Iyada oo fidinta degdega ah ee tirada unugyada daryeelka degdega ah, imaatinka sawir-gacmeedka kumbuyuutarka (CT) iyo faafitaanka kormeerka maskaxda, xiisaha maaraynta bukaanka dhaawaca madaxa ayaa kordhay.

Cilmi-baadhistu waxay u baahday habab jaangooyo ah si ay uga warbixiso darnaanta bilowga iyo natiijada.

Faa'iidada dhibcaha la wadaago: GCS ayaa markaa noqotay mid si sii kordheysa loo isticmaalo 'luqad' caalami ah oo caadi ah si loogu wada hadlo loogana hadlo mudnaanta horumarka kala duwan ee ku-dhaqanka bukaan-socodka iyo in lagu dabaqo daryeelka bukaanka

Isticmaalka Miisaanka ayaa la dalacsiiyay 1980-kii, markii lagu taliyey dhammaan noocyada dhaawacyada daabacaaddii ugu horreysay ee Dhaawaca Hormarsan iyo Taageerada Nolosha, iyo mar kale 1988, markii Xiriirka Adduunka ee Bulshooyinka Neurosurgical (WFNS) ay u isticmaaleen miisaankeeda. si loo kala saaro bukaanada qaba dhiigbaxa subarachnoid.

Miisaanka ayaa si tartiib tartiib ah u qabsaday doorka dhexe ee tilmaamaha kiliinikada wuxuuna noqday qayb muhiim ah oo ka mid ah hababka dhibcaha ee dhibbanayaasha dhaawacyada ama jirrooyinka halista ah.

Afartan sano ka dib sharraxaaddii asalka ahayd, dib u eegis lagu daabacay The Lancet Neurology (2014; 13: 844-54) ayaa sheegay in GCS ay adeegsadeen dhakhaatiirta neerfayaasha iyo qaybaha kale ee in ka badan 80 waddan oo adduunka ah waxaana lagu turjumay luqadda qaranka 74 %.

Dib-u-eegistu waxay sidoo kale xustay kororka isticmaalka Miisaanka ee warbixinnada cilmi-baarista, taasoo ka dhigaysa dukumeentiga ugu badan ee lagu sheego qalliinka neerfaha.

Dhibcaha: tusmooyinka laga soo qaatay Glasgow Coma Scale (dhibcaha GCS)

Dhibcaha Glasgow Coma Scale (dhibcaha GCS) waxaa loo sameeyay in la isku daro natiijooyinka saddexda qaybood ee Miisaanka oo laga dhigo hal tusi (Acta Neurosurgica. 1979; 1: Suppl 28: 13-16).

Qiimaha suurtogalka ah wuxuu u dhexeeyaa 3 ilaa 15.

Inkasta oo ay lumisay qaar ka mid ah faahfaahinta iyo takoorka lagu soo gudbiyay miisaanka buuxa, waxay noqotay mid caan ah sida cabbirka kooban ee fudud ee isgaadhsiinta ee waxqabadka kiliinikada iyo falanqaynta iyo kala-soocidda natiijooyinka kooxaha bukaanka.

Glasgow Coma Scale - Dhibcaha ardayda (GCS-P) ayaa lagu sharraxay 2018 iyada oo laga jawaabayo rabitaanka hal index oo isku daraya cabbirka Coma-ga iyo falcelinta ardaynimada oo ka tarjumaysa shaqada maskaxda (Journal of Neurosurgery 2018; 128: 1612-1620) .

Qiimayaasha suurtagalka ah waxay u dhexeeyaan 1 ilaa 15, taasoo ka tarjumaysa baaxadda darnaanta, waxayna si gaar ah faa'iido u yeelan kartaa marka la eego saadaasha.

Tixraacyada buugaagta:

Teasdale G, Jennett B: Valutazione del coma e della compromissione della coscienza: Una scala pratica. Lancet 304: 81-84, 1974

Teasdale G, Galbraith S, Clarke K: Isku-duubni acuta delle funzioni cerebrali-2. Qorshaha di diiwaan-gelinta dell'osservazione. Kalkaaliyayaasha Waqtiyada 71: 972-3e, 1975

Teasdale G, Jennett B: Valutazione e prognosi del coma dopo trauma cranico. Acta Neurochir (Wien): 1976

Teasdale G, Knill-Jones R, Van Der Sande J: Variabilità dell'osservatore nella valutazione della perdita di coscienza e del coma. J Neurol Neurosurg Psychiatry:1978

Teasdale G, Murray G, Parker L, Jennett B: Sommare il Glasgow Coma Score. Acta Neurochir Suppl (Wien) 28:13-6, 1979

PM Middleton: Uso pratico della Glasgow Coma Scale; Una revisione sheeko dhamaystiran GCS. Australas Emerg Nurs J: 2012

Teasdale G, Maas A, Lecky F, Manley G, Stocchetti N, Murray G: La Glasgow Coma Scale a 40 anni: Resistere alla prova del tempo. Lancet Neurol 13: 844-854, 2014

Teasdale Graham, Allan D, Brennan P, McElhinney E, Mckinnon L: Quarant'anni dopo: aggiornamento della Glasgow Coma Scale. Kalkaaliyayaasha Waqtiyada 110: 12-16, 2014

Ponce FA, Lozano AM: Erratum: Opere altamente citate in neurochirurgia. Qaybta II: i classici delle citazioni. J Neurosurg:2014

Reith FCM, Brennan PM, Maas AIR, Teasdale GM: Mancanza di standardizzazione nell'uso della scala del coma di Glasgow: Risultati di indagini internazionali. J Neurotrauma 33:2016

Reith FCM, Lingsma HF, Gabbe BJ, Lecky FE, Roberts I, Maas AIR: Effetti differenziali del punteggio della Glasgow Coma Scale e dei suoi qaybaha: Un'analisi di 54.069 pazienti iyo maskaxda maskaxda. Lesioni:2017

Reith FC, Synnot A, van den Brande R, Gruen RL, Maas AI: Fattori che influenzano l'affidabilità della Glasgow Coma Scale: Dib u eegis nidaamsan. Neurochirurgia: 2017

Reith FCM, Lingsma HF, Gabbe BJ, Lecky FE, Roberts I, Maas AIR: Effetti differenziali del punteggio della Glasgow Coma Scale e dei suoi qaybaha: Un'analisi di 54.069 pazienti iyo maskaxda maskaxda. Lesioni:2017

Reith FC, Synnot A, van den Brande R, Gruen RL, Maas AI: Fattori che influenzano l'affidabilità della Glasgow Coma Scale: Dib u eegis nidaamsan. Qalliinka neerfaha:2017

Brennan PM, Murray GD, Teasdale GM. Qaybta 1: Il punteggio GCS-Ardayda: un indice esteso di gravità clinica. J Neurosurg:2018

Murray GD, Brennan PM, Teasdale GM. Qaybta 2: Presentazione grafica delle probabilità. J Neurosurg:2018

Akhri Sidoo kale:

Xaalad Degdeg ah oo Toos ah xataa in ka badan

Qiyaasta Cudurka Stroke ee Isbitaalka ee Cincinnati. Doorkeeda Waaxda Degdegga ah

Sidee Si Deg Deg Ah Oo Si Dhab Ah Loogu Garan Karaa Bukaanka Xanuunka Istaroogga ee Xanuunka Badan ee Isbitaalka Isbitaalka?

Dhiigbaxa maskaxda ee maskaxda, waa maxay calaamadaha laga shakiyo? Qaar ka mid ah macluumaadka loogu talagalay Muwaadinka Caadiga ah

ABC, ABCD iyo Xeerka ABCDE ee Daawada Degdegga ah: waxa Samatabbixiyehu ay tahay inuu sameeyo

Dhiig-Dheecaan Dheeraad ah oo Hoos-u-dhac ku ah Bukaan-socodka qaba Cudurka Dabaysha ee Dhiig-baxa

Dalxiis iyo marin u dhex gal ah: maareyn dhiigbax badan

Dhaawaca maskaxda: Hawlgabka waxqabadyada cusbataallada sare ee dhaawaca maskaxda ee daran ee dhaawac maskaxda (BTI)

Sidee si dhakhso leh oo sax ah loogu aqoonsadaa bukaanka istaroogga daran ee xaaladdiisa caafimaad?

Dhibcaha GCS: Muxuu Ka dhigan yahay?

Source:

GCS