Yu dɔn ɛva si dɔktɔ dɛn de aks se, "Wetin na di GCS skɔ?" we dem bring posin na ospitul afta aksidɛnt? Ɔ we pɔsin lɔs kɔnshɛns, dɛn kin se, "Di GCS smɔl"? Yu kin de wɔnda bak wetin na dis GCS ɛn wetin i de mɛzhɔ. Dis rili impɔtant. So tide, lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.
Wetin GCS jɔs min?
Fɔ tɔk am simpul wan, di Glasgow Coma Scale (GCS) na wan skɔring sistɛm we de mɛzhɔ ɛn rayt di lɛvɛl we pɔsin de kɔnshɛns. Jɔs lɛk aw dɛn de gred ɛgzam, i de mek dɔktɔ dɛn ebul fɔ no aw pɔsin wek, aw i no bɔt di tin dɛn we de arawnd am, ɛn aw i de ansa simpul instrɔkshɔn dɛn.
Na wan grup we sabi bɔt di Baybul na di Yunivasiti ɔf Glasgow na Skɔtland bin mek dis we fɔ di fɔstɛm insay 1974. Na dat mek i gɛt in nem. Pan ɔl we di wɔd "kɔma" de na di nem, tide i dɔn bi di men we we dɛn kin aksept na di wɔl, dɛn nɔ kin yuz am nɔmɔ na kɔma, bɔt dɛn kin yuz am bak pan ɛni sityueshɔn usay di kɔnshɛns kin pwɛl.
Wetin na ‘Kɔnshɛns’ na mɛrɛsin?
Wi kin se ‘kɔnshɛns’ we dɛn mit tri men tin dɛn. We dɔktɔ de mɛzhɔ yu kɔnshɛns, dɛn kin pe atɛnshɔn pan dɛn tri tin ya.
| Di pɔynt | Simpul ɛksplen |
|---|---|
| Fɔ de wek (Awake) . | Dis nɔ tan lɛk fɔ jɔs wek frɔm slip. Yu kin wek we pɔsin tɔk to yu, ɔ we yu de pat yu bɔdi. Yu nɔ go ebul wek pɔsin we de na kɔma lɛk dat. |
| Pe atɛnshɔn | Di ebul fɔ ɔndastand tin lɛk wetin de apin arawnd yu ɛn udat de tɔk. |
| Ples-tɛm-pɔsin ɔndastandin (Oriented) . | Di awareness fɔ usai yu de ɛn tɛm, lɛk udat yu bi, usay yu de, us de i de, ɛn us tɛm i de. |
Ustɛm dɛn kin yuz GCS?
GCS na wan rili impɔtant pat pan nyurolɔjik ɛgzam we dɔktɔ dɛn kin du. Dɛn kin yuse am mɔ pan kes dɛm wae pɔrsin kin de lɔs kɔnshɛns.
- Ɛd injuri: Dɛn kin yuz di GCS fɔ asɛs ɔltin frɔm smɔl injuri lɛk kɔnkyushɔn to siriɔs traumatik bren injuri. Di GCS skɔ na wan pan di men tin dɛn we dɔktɔ dɛn kin luk we dɛn kam wit pɔsin na di ETU (Imergency Treatment Unit) afta i dɔn gɛt aksidɛnt.
- Ɔda tin dɛn we kin apin to pɔsin: Sɔm kayn tin kin apin bak we pɔsin nɔ kin no natin ivin if i nɔ gɛt aksidɛnt. Fɔ ɛgzampul:
- Di blɔd shuga we rili smɔl (haypoglycemia) .
- Afta we i dɔn gɛt sik we dɛn kɔl seizure
- Pɔyzin we pɔsin kin gɛt
Impɔtant: If pɔsin it pɔyzin ɔ aksidɛntli it am, i fɔ go to dɔktɔ wantɛm wantɛm. Yu kin kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays kwik kwik wan.
Wetin na di 3 men eria dɛm fɔ GCS fɔ skɔ?
Dɔktɔ kin gi GCS mak bay di we aw di pɔsin de ansa pan tri men tin dɛn. Dɛn kin kɔl di totɛl GCS skɔ bay we dɛn ad dɛn tri eria ya togɛda.
1. Ay Rispכns (E): Dis kin mεnshכn fכ mכsu aw di pכsin wek εn alert.
2. Verbal Response (V): Dis de tεst di bren fכnshכn lεk aw pכsin de tink, mεmכri, εn aw i de no di wכl we de arawnd am.
3. Mכtalman Rispכns (M): Dis de tεst aw di bren kin kכntro di mכsul dεm, fכ fala di instrכkshכn dεm, εn if di nεv sεstem de wok fayn fayn wan.
Naw lɛ wi si aw fɔ skor ɛni wan pan dɛn pat ya.
| Ansa | Aw fɔ chɛk ɛn kwaliti | Mak |
|---|---|---|
| 1. Ay Rispɔns (E) . | ||
| Na insɛf sɛf | If di pɔsin we sik nɔ du ɛnitin, i kin mek in yay opin. | 4. 4. |
| We dɛn tɔk to am | Dɛn kin opin dɛn yay we dɛn kɔl dɛn nem ɔ we dɛn yɛri sɔntin. | 3. 3. |
| Fɔ mek pɔsin fil pen/prɛshɔn | We dɛn prɛs finga nel layt wan (dɛn put prɛshɔn), di yay dɛn kin opin. | 2. 2. |
| No ansa nɔ de. | No we nɔ de fɔ opin yu yay. | 1. 1. 1. |
| 2. Rispɔns we pɔsin kin tɔk (V) . | ||
| Wit ɔndastandin | We dɛn aks dɛn udat dɛn bi, usay dɛn de, ɛn aw dɛn de tan, dɛn kin ansa kɔrɛkt wan. | 5. 5. |
| Na tin we dɛn kɔnfyus | Dɛn de tɔk, bɔt dɛn nɔ no ustɛm dɛn de ɔ wetin apin. Dɛn de tɔk wit kɔnfyushɔn. | 4. 4. |
| Wɔd dɛn we nɔ fayn | Dɛn kin tɔk, bɔt dɛn kin tɔk wɔd dɛn we nɔ gɛt minin we nɔ gɛt natin fɔ du wit di kwɛstyɔn we dɛn de aks. | 3. 3. |
| Sawnd dɛn we pɔsin nɔ ebul fɔ ɔndastand | Dɛn nɔ de tɔk wɔd dɛn, bɔt dɛn jɔs de mek sawnd dɛn we nɔ gɛt minin lɛk fɔ kray. | 2. 2. |
| No ansa nɔ de. | Nɔ de mek ɛni sawnd. | 1. 1. 1. |
| 3. Mɔtɔ Rispɔns (M) . | ||
| Fɔ fala di instrɔkshɔn dɛn | Simpul instrכkshכn dεm lεk "rayz yu an" εn "stik aut yu tכng" dεn de fala εgzakli. | 6. 6. |
| Fɔ pe atɛnshɔn pan di pen | We dɛn prɛs wan pat na di bɔdi, di pɔsin kin tray fɔ tɔch ɔ pul di say we i de fil pen. | 5. 5. |
| Fɔ pul di pen we yu de fil | Bifo dɛn tray fɔ tɔch di say we dɛn de fil pen, dɛn kin tray fɔ pul dɛnsɛf kɔmɔt nia di pen. | 4. 4. |
| Fɔ bɛn we nɔto fɔ natin | fכ ansa di pen, di limb dεm kin bεnd we nכ nכmal to di chεst. | 3. 3. |
| Fɔ strɛch we nɔto fɔ natin | Fɔ ansa di pen, di an ɛn fut dɛn kin stret ɛn strɛch di we aw dɛn nɔ kin du am. | 2. 2. |
| No ansa nɔ de. | No bɔdi nɔ de muv. | 1. 1. 1. |
Wetin na di nyu we we dɛn kɔl GCS-P?
Dis biɛn tɛm, dɛn dɔn mek di GCS sistɛm mɔ ɛn dɛn dɔn ad wan nyu tin we dɛn kɔl GCS-P . Na ya, di lɛta ‘P’ tinap fɔ ‘Pupil’, we min di pupil na di yay . di we aw di pikin de ansa to layt kin tɛl bɔku tin bɔt aw di bren de wok. So, dɛn kin luk dis bak wit di GCS skɔ.
- Skɔ 0: Di blak ring dɛn na di tu yay dɛn de ansa layt.
- Skɔ 1: Na wan yay nɔmɔ de ansa.
- Skɔ 2: Nɔ ansa na ɔl tu di yay dɛn.
Dɛn pul dis skɔ frɔm di GCS skɔ we bin de bifo. Dat min se if di GCS skכ na 3 εn nכ rispכns de na di tu yay dεm (skכ 2), di GCS-P skכ na 1 (3 - 2 = 1). Dis min se di pɔsin we sik de na kɔma we rili dip.
Wetin di sayn dɛn se?
Di sɔm ɔf di GCS skɔ dɛm kin gi wan rɔf aydia bɔt di sikman in kɔndishɔn.
- Di maksimal skɔ na 15. (E4 + V5 + M6 = 15). Dis min se di pɔsin we sik kin no gud gud wan, i kin tɔk fayn, ɛn i no bɔt di tin dɛn we de arawnd am.
- Di skɔ we smɔl pas ɔl na 3. (E1 + V1 + M1 = 3). Dis min se di pɔsin we sik de na dip kɔma, i nɔ de ansa.
Jɛnɛral wan, if GCS skɔ we na 8 ɔ smɔl pas dat, dɛn kin tek am se na kɔma. Di mɔ di mak smɔl, na di mɔ di kɔndishɔn siriɔs.
Insay ed injuri, dɛn kin klas di kayn bad bad injuri akɔdin to di GCS skɔ.
- Skɔ 13-15: Mild traumatik bren injuri - lɛk kɔnkyushɔn.
- Skɔ 9-12: Mɔdaret TBI.
- Skɔ 3-8: Siriɔs TBI.
Wetin a fɔ no bɔt mi pikin in GCS skɔ?
If yu fambul ɔ yu padi de na ɔspitul ɛn di dɔktɔ dɛn de tɔk bɔt GCS mak, nɔ panik ɛn mɛmba dɛn tin ya.
- Dis nɔto jɔs wan mak. Pan ɔl we di GCS skɔ de gi wan rough aidia bɔt di pɔsin in kɔndishɔn, bɔku infɔmeshɔn de biɛn am. So, bifo yu jɔs lisin to di skɔ, tɔk to yu dɔktɔ fɔ gɛt kɔmplit pikchɔ bɔt di sikman in kɔndishɔn.
- GCS nɔ kin ebul fɔ yuz ɔltɛm. Sɔntɛnde, dɛn nɔ kin ebul fɔ mɛzhɔ di GCS mak dɛn kɔrɛkt wan. Fɔ ɛgzampul, if dɛn kɔnɛkt pɔsin to ventilator fɔ ɛp am fɔ blo, dɛn nɔ go ebul fɔ mɛzhɔ di we aw i de tɔk. Dɔn bak, if di yay dɛn dɔn wund, dɛn nɔ go ebul fɔ si di we aw di yay de ansa.
- GCS nɔto di wan ol tul we dɛn kin yuz fɔ prɛdikt prɔgnosis. Pan ɔl we dɔktɔ dɛn kin yuz GCS mak fɔ no wetin go apin to pɔsin we sik, dɛn nɔ kin luk am nɔmɔ. Dɛn kin tink bak bɔt ɔda tɛst dɛn lɛk CT skan, ɛn di sikman in ɔl wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- Di Glasgow Coma Scale (GCS) na wan intanashɔnal aksepted skɔring sistɛm we de mɛzhɔ pɔsin in kɔnshɛns.
- Dis de test di rispכns tru di yay, tכk, εn di bכdi muvmεnt.
- di skכl de kכmכt frכm 3 (dip kכma) to 15 (ful kכnsεns). If pɔsin gɛt 8 ɔ smɔl pas dat, dɛn kin tek am se i rili bad.
- We dɔktɔ dɛn de chɛk di GCS mak ɔltɛm, dɛn kin ɔndastand if di pɔsin in kɔndishɔn de bɛtɛ ɔ i de wɔs.
- If yu kam fɔ no bɔt pɔsin we yu lɛk in GCS skɔ, nɔ jɔs wɔri bɔt di nɔmba. Ɔltɛm tɔk to yu dɔktɔ ɛn ɔndastand di ful sityueshɔn klia wan.
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