Wetin na di GCS (Glasgow Coma Scale) we dɔktɔ dɛn kin yuz fɔ asɛs di kɔnshɛns fɔ pɔsin we de nia yu?

Yu kin dɔn yɛri, ɔ yɛri dɔktɔ de tɔk bɔt dɛn tri lɛta ya "GCS" na ɔspitul. Sɔntɛm we pɔsin we de nia yu dɔn gɛt aksidɛnt, ɔ i nɔ no natin wantɛm wantɛm, dɔktɔ dɛn kin tɔk bɔt dis GCS valyu. So, wetin na dis GCS, wetin mek i impɔtant so, ɛn wetin ɛksaktɔli i de mɛzhɔ, lɛ wi tɔk ditayli ɛn rili simpul tide. Mi gol na fɔ mek una ɔndastand dis klia wan.

Fɔ tɔk am simpul wan, wetin na GCS (Glasgow Coma Scale)?

Fɔ tɔk di tru, di GCS na we fɔ no aw pɔsin de tink . I tan lɛk wan sistɛm we dɛn de yuz fɔ skɔ. I de skor tin dɛm lɛk aw yu de wach, aw yu no bɔt di tin dɛm we de arawnd yu, ɛn aw yu de ansa fayn to simpul instrɔkshɔn.

Na wan tim we gɛt spɛshal pipul dɛn na di Yunivasiti ɔf Glasgow na Skɔtland bin bigin fɔ yuz dis sistɛm insay 1974. Pan ɔl we di wɔd "koma" de na di nem, dɛn de yuz di GCS naw na bɔku bɔku kɔntɛks na mɛrɛsin. Na di men ɛn di skel we dɛn kin yuz pas ɔl fɔ mɛzhɔ di stet dɛm we pɔsin nɔ kin no bɔt, inklud kɔma.

Wetin na "kɔnshɛns" pan mɛrɛsin wɔd dɛm?

We wi de tɔk bɔt "kɔnshɛns" na mɛrɛsin, tri men tin dɛn de we wi nid. Fɔ mek dɛn se pɔsin de tink, dɛn tin ya fɔ apin:

• Wek: Dis kin min if pɔsin kin wek yu we yu de tɔk ɔ tɔch yu bɔdi. Dis na di difrɛns bitwin fɔ jɔs slip ɛn fɔ de na kɔma.
• Fɔ de wach: Dis min aw yu de ansa we pɔsin de tɔk to yu, usay yu de, ɛn if yu ebul fɔ ɔndastand wetin de apin rawnd yu.
• Yu nid fɔ no (Oriented): Dis min se yu no di ditil dɛm we gɛt fɔ du wit di tɛm we yu de naw, lɛk udat yu bi, usay yu de, ɛn us de i bi.

If ɔl dɛn tri tin ya de, wi kin se pɔsin "fɔ gɛt gud maynd."

Ustɛm dɛn kin yuz di GCS (Glasgow Coma Scale)?

Dɔktɔ dɛn kin yuz GCS as pat pan nyurolɔjik ɛgzam . I kin fayn bak pan ɛni sityueshɔn we pɔsin kin de lɔs kɔnshɛns. Fɔ ɛgzampul, pan kɔndishɔn dɛn we pɔsin kin gɛt we i wund in ed, lɛk we pɔsin kin kɔnkyushɔn ɛn we i kin gɛt traumatik bren injuri (TBI) .

Nɔto dat nɔmɔ, bɔt di GCS skel kin ɛp bak pan kes dɛm we pɔsin kin lɔs kɔnshɛns bikɔs ɔf ɔda tin dɛn pas injuri. Fɔ ɛgzampul, dɛn kin yuz am pan kes dɛm we di blɔd shuga lɛvɛl rili smɔl (haypoglycemia) , pɔyzin, ɔ afta pɔsin gɛt sik.

Wetin di GCS (Glasgow Coma Scale) de mɛzhɔ?

Nyurolɔjik ɛgzam de luk fɔ ɛni prɔblɛm we de wit di we aw di tu men pat dɛn na wi nervɔs sistɛm de wok. Dɛn tu pat ya na:

• Sεntri nεv sεstem: Dis inklud yu bren, yu bren stεm, optik nεv dεm we de kכnekt di bren to di rεtina na di bak pat pan yu yay, εn spεnal kכd.
• di pεrifεral nεv sεstem: dis de tכk bכt כl di nεv dεm we nכ de pat pan di sεntri nεv sεstem.

Tri men eria dεm de na di GCS we rili fכ dis nyurolכjik egzamεn. Bɔku pan dɛn tin ya gɛt fɔ du wit di bren insɛf, bɔt sɔm kin gɛt fɔ du wit di spɛshal kɔd ɛn di nɛf dɛn we de ɔlsay na di bɔdi:

• Ay rispɔns: Dis kin gɛt fɔ du mɔ wit aw yu wek ɛn wach.
• di mכtalman rispכns: Dis pat de luk aw yu bren kin kכntro di mכsul dεm we de muv fayn fayn wan. I kin no bak ɛni prɔblɛm wit di kɔnekshɔn bitwin yu bren ɛn ɔda pat dɛn na yu bɔdi.
• Rispɔns we yu de tɔk: Dis kin tɛst aw sɔm tin dɛn we yu de du na yu bren de wok fayn, lɛk aw yu de tink, mɛmba, aw yu de pe atɛnshɔn, ɛn aw yu de no wetin de arawnd yu.

Aw di GCS (Glasgow Coma Scale) de wok?

Fɔ fɛn yu GCS mak, dɔktɔ dɛn kin ad di mak dɛn frɔm di tri pat dɛn we bin dɔn pas na di GCS. Dɔktɔ go tɛst ɛni wan pan dɛn pat ya difrɛn we dɛn. Fɔ ɛgzampul, dɛn go luk di ansa we yu de tɔk ɛn aks yu sɔm kwɛstyɔn dɛn. Us de insay di wik tide, us tɛm i de, ɛn us siti yu de rayt naw?

Wan pan di impɔtant bɛnifit dɛn we di GCS gɛt na dat i kin wach di chenj dɛn we de apin na yu lɛvul fɔ kɔnshɛns. Bɔku tɛm, dɔktɔ dɛn kin ripit dis nyurolɔjik tɛst pan patikyula intaval dɛn ɛn rikodɔ chenj dɛn na di GCS skɔ.

Na dis na aw dɛn kin mak dɛn sɛkshɔn ya:

Ay Rispɔns

Dis kin sho mɔ aw yu wek. If yu nɔr no natin, dɛn kin mɛzhɔ yu lɛvɛl wae yu nɔr no natin bay wae yu de tɛst yu rεflεks rεspכns to prεshכn. na ya, "prεshכn" na sכmtin lεk jεntεl prεshכn wit finga nεl. I fɔ jɔs mek pɔsin nɔ fil fayn fɔ sɔm tɛm, nɔto fɔ wund.

Rispɔns we dɛn kin yuz fɔ tɔk

Dɔktɔ go tɛst dis bay we i aks yu kwɛstyɔn dɛn we de sho aw yu de mɛmba, aw yu de tink, ɛn aw yu de no bɔt di tin dɛn we de arawnd yu. I kin chɛk bak fɔ prɔblɛm wit di bren ɔ di nerv dɛm we de kɔntrol di mɔsul dɛm na yu fes ɛn yu mɔt.

Mɔtɔ Rispɔns

Dis pat kin sho ɛni prɔblɛm wit di kɔnekshɔn bitwin yu nerv dɛm, yu spɛshal kɔd, ɛn yu bren. I de tɛst bak aw yu bren ebul fɔ kɔntrol di mɔsul dɛn we de muv ɛn if yu ebul fɔ ɔndastand ɛn du wetin dɛn tɛl yu fɔ du.

Wetin na GCS-P?

Insay 2018, wan tim we gɛt masta sabi pipul dɛn — we inklud wan pan di ɔrijinal wan dɛn we mek di GCS — bin pul wan rivays vɛshɔn fɔ di GCS, we dɛn kɔl "GCS-P." Di P tinap fɔ "Pupil," di blak ol insay di yay. Dis na di nɔmba 4 nɔmba we dɛn pul frɔm di standad GCS skɔ.

di we aw di pupil na di yay de ansa to layt (Pupil reaction) rili imכtant biכs i de gi klyu dεm bכt di bren fכ wok. If yu pupil nɔ de ansa to layt, i kin sho se yu gɛt siriɔs prɔblɛm ɔ injuri we de afɛkt di bren.

di mak we dεn gi di pikin de kכmכt frכm 0 to 2.

• 2: Ɔl tu di kɔnia dɛn nɔ de ansa layt.
• 1: Wan pikin nɔ de ansa layt.
• 0: Ɔl tu di kɔnia dɛn de ansa to layt.

we dεn pul di pupil rεspכns skכl frכm di GCS skכ, di GCS-P skכ kin kכmכt frכm 1 to 15. GCS-P skכ we 8 כ less de sho se yu de na koma.

fכ egzampl, if di GCS skכ na 3 εn di ayris skכ na 2, di GCS-P skכ na 1. Dis min se di kכma we rili dip εn di ayris dεm na di tu yay dεm nכ de rεspכnd to layt.

Pen de we yu de du di GCS tɛst?

di ol diskripshכn dεm fכ di GCS bin yuz di wכd "pen" fכ dεskrεb di sεns we dεn yuz fכ tεst sכm rεflεks dεm. Bɔt di nyu gaydlain dɛn dɔn chenj da wɔd de to "prɛshɔn." Dis chenj we dɛn chenj di wɔd dɛn kin kɔrɛkt mɔ, bikɔs no injuri nɔ de insay. I klia bak bikɔs di dɔktɔ nɔ rili de tray fɔ mek di pɔsin we yu lɛk fil pen ɔ du bad.

Di ɔrijinal GCS gaydlain nɔ bin tɔk klia wan usay fɔ aplay prɛshɔn fɔ tɛst riflɛks. Insay 1975, wan ia afta dɛn bin fɔs pul di GCS, di masta sabi bukman dɛn we mek am bin pul sɔm patikyula gaydlain dɛn. Na sɔm pan di ples dɛn we dɔktɔ kin put prɛshɔn pan:

• Nel bed: Di nel dɛn na yu an ɛn fut kin fil fɔ prɛshɔn. Bɔku tɛm, dɔktɔ dɛn kin prɛs wan ɔ mɔ pan dɛn tin ya fɔ si if di bɔdi de ansa insay wan riflɛks to da prɛshɔn de.
• Trapezius muscle: Dis muscle de konekt yu sholda, midul nek, en bak. Na wan izi mכsul fכ rich fכ prεshכn rεflεks.
• Supraorbital notch: Dis na smɔl dipreshɔn na yu skel, ɔp yu yay ɛn dɔŋ yu aybrɔw.

Wetin na di tin dɛn we kin apin, ɛn wetin dɛn kin tɛl wi?

Di ays poshubul skɔ na di GCS na 15, ɛn di lɔs skɔ na 3.If yu gɛt 15 mak, dat min se yu de wek gud gud wan, yu de ansa, ɛn yu nɔ gɛt prɔblɛm wit aw yu de tink ɔ mɛmba. Bɔku tɛm, if yu gɛt 8 ɔ smɔl pas dat, dat min se yu de na kɔma. Di mɔ di mak smɔl, na di mɔ di kɔma de dip.

Dɔktɔ dɛn kin rayt yu GCS mak as kɔmbayn lɛta/nɔmba dɛn. Fɔ ɛgzampul, dɛn go rayt wan mak we na 15 as "E4V5M6". Wan mak we na 3 go rayt as "E1V1M1". (E=Ay, V=Vɛbal, M=Mɔta)

GCS Ranges fɔ Ɛd Injuri

We dɔktɔ dɛn de yuz di GCS fɔ injuri na in ed, dɛn kin yuz difrɛn mak dɛn fɔ tɔk bɔt aw di injuri bad. Dɛn rɛnj ya na:

• 13 to 15: Mild Traumatik Bren Injuri (mTBI). Dɛn kin kɔl dis bak kɔnkyushɔn .
• 9 to 12: Modaret TBI.
• 3 to 8: Sivεri bren injuri (Sivεr TBI).

Wetin a fɔ no bɔt di GCS skɔ fɔ pɔsin we de nia mi?

Tipikli, yu famili ɔr pipul dɛm wae yu lɛk go tɔk bɔt yu GCS mak wit yu dɔktɔ. Sɔm tin dɛn de we yu fɔ no bɔt di GCS ɛn aw dɔktɔ dɛn kin yuz am:

• Di tin dɛn we dɛn kin du fɔ tɛst kin kɔmpleks pas jɔs wan nɔmba. Di GCS skɔ nɔ de tɛl yu di ful ɛkstenshɔn fɔ di tɛst rizɔlt. Mɔ tin de fɔ mek pɔsin du nyurolɔjik ɛgzam pas jɔs wan nɔmba. Pan ɔl we i izi fɔ ɔndastand di nɔmba, i go fayn fɔ mek yu tɔk to di pɔsin we yu lɛk in dɔktɔ fɔ ɔndastand di rayt sik we dɛn gɛt.
• GCS gɛt tin dɛn bak we i nɔ ebul fɔ du. Sɔntɛnde, GCS nɔ kin yus. Fɔ ɛgzampul, if pɔsin de pan ventilator , ɔ if i nɔ de tɔk di sem langwej we di dɔktɔ de tɔk. I nɔ kin fayn bak fɔ pipul dɛn we gɛt kɔndishɔn ɔ injuri we de afɛkt di bɔdi pat ɔ di sistɛm dɛn we GCS de abop pan (e.g., we nɔ de si ɔ yɛri fayn).
• Nɔto di GCS nɔmɔ di dɔktɔ dɛn kin yuz fɔ tɔk bɔt di prɔgnosis. Bɔku tɛm, dɔktɔ dɛn kin yuz di GCS fɔ tɔk wetin go apin, bɔt nɔto di wangren tin we dɛn kin tink bɔt. Aks yu pɔsin we yu lɛk in dɔktɔ bɔt dɛn mak ɛn wetin i kin min fɔ lɔng tɛm.

Mɛmba se di GCS skɔ na jɔs wan tul. Pan ɔl we i de gi impɔtant tin dɛn, i impɔtant fɔ tɔk fayn to di mɛdikal tim fɔ ɔndastand di ful pikchɔ.

Fɔ dɔn, wetin fɔ mɛmba

Di Glasgow Coma Scale (GCS) na wan tin we rili kɔmɔn ɛn impɔtant we dɔktɔ dɛn kin yuz fɔ no di lɛvɛl dɛn we pɔsin nɔ kin no natin ɛn we i kin kɔma.Ivin if i dɔn pas lɛk 50 ia so frɔm we dɛn fɔs mek am, masta sabi pipul dɛn dɔn stɔdi di skel bɔku bɔku wan ɛn dɛn dɔn si se na fayn tin fɔ no di sik. (Dɛn dɔn impɔtant am bak as tɛm de go.) We yu yuz di tul, dat kin ɛp dɔktɔ dɛn bak fɔ trak di chenj dɛn we de apin na di bren we de wok. Dis kin ɛp fɔ gayd tritmɛnt ɛn impɔtant kia fɔ pipul dɛm wae gɛt kɔndishɔn wae de afɛkt dɛn kɔgnishɔn.

If yu ɔr pɔrsin wae de nia yu de gɛt dis sik, nɔr frayd fɔ aks kwɛstyɔn ɛn gɛt infɔmeshɔn frɔm yu dɔktɔ dɛm. Dɛn rɛdi ɛn rɛdi fɔ ɛp yu.

` Kɔnshɛns, GCS, Glasgow Kɔma Skel, Bren Injuri, Kɔma, Nyurolɔjik Ɛgzamin, Ɛlth