{"id":3901,"date":"2026-10-12T09:48:30","date_gmt":"2026-10-12T08:48:30","guid":{"rendered":"https:\/\/wpcalc.com\/tr\/tisbi\/glasgow-koma-skalasi-hesaplama\/"},"modified":"2026-10-12T09:48:30","modified_gmt":"2026-10-12T08:48:30","slug":"glasgow-koma-skalasi-hesaplama","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/tr\/tisbi\/glasgow-koma-skalasi-hesaplama\/","title":{"rendered":"Glasgow Koma Skalas\u0131 Hesaplama"},"content":{"rendered":"<section class=\"not-prose calculator-box\" aria-labelledby=\"calculator-title\"><div class=\"flex items-baseline sm:items-center justify-between gap-2 sm:gap-3\"><div class=\"flex flex-col sm:flex-row sm:items-center gap-2\"><span class=\"icon icon-calculator text-primary-700! text-base! dark:text-primary-300!\" aria-hidden=\"true\"><\/span><h2 id=\"calculator-title\" class=\"text-lg font-display font-bold\">Glasgow Koma Skalas\u0131 de\u011ferlendirmesi yap\u0131n<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"3901\" data-favorite-title=\"Glasgow Koma Skalas\u0131\" data-favorite-url=\"https:\/\/wpcalc.com\/tr\/tisbi\/glasgow-koma-skalasi-hesaplama\/\" data-favorite-excerpt=\"G\u00f6z a\u00e7ma, verbal ve motor yan\u0131tlar\u0131n en iyisini se\u00e7erek bir Glasgow Koma Skalas\u0131 de\u011ferlendirmesi yap\u0131n. Hesaplay\u0131c\u0131, toplam GKS puan\u0131n\u0131 (3\u201315), E\/V\/M da\u011f\u0131l\u0131m\u0131n\u0131 ve \u015fiddet s\u0131n\u0131fland\u0131rmas\u0131n\u0131 verir.\" aria-label=\"Favorilere ekle\" data-favorite-icon=\"icon icon-flask\">\n    <span class=\"icon icon-shape-star-empty\" aria-hidden=\"true\"><\/span>\n  <\/button>\n  <div class=\"calcdash-favorite__tip\" aria-hidden=\"true\">\n   <span class=\"favorite-tooltip\" id=\"favorite-tooltip\"><\/span>\n  <\/div>\n  <span class=\"sr-only\" role=\"status\" id=\"favorite-status\"><\/span>\n<\/div><\/div><form action=\"https:\/\/wpcalc.com\/tr\/tisbi\/glasgow-koma-skalasi-hesaplama\/\" method=\"POST\" class=\"calculator\" id=\"calculator-3901\" data-post=\"3901\"><fieldset class=\"fieldset-input\"><legend class=\"sr-only\">Giri\u015f alanlar\u0131<\/legend><div class=\"field is-single\" id=\"input-1\"><label for=\"field-1\">G\u00f6z a\u00e7ma (E)<\/label><div class=\"grid grid-cols-1\"><select id=\"field-1\" name=\"gz_ama_e\"><option value=\"1\">1 \u2014 Yok (g\u00f6z a\u00e7m\u0131yor)<\/option><option value=\"2\">2 \u2014 A\u011fr\u0131 uyaran\u0131na (a\u011fr\u0131l\u0131 uyaranla g\u00f6z a\u00e7ar)<\/option><option value=\"3\">3 \u2014 Sese (kendisine seslenildi\u011finde g\u00f6z a\u00e7ar)<\/option><option value=\"4\" selected>4 \u2014 Spontan (g\u00f6zler kendili\u011finden a\u00e7\u0131l\u0131r)<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"field is-single\" id=\"input-2\"><label for=\"field-2\">S\u00f6zel yan\u0131t (V)<\/label><div class=\"grid grid-cols-1\"><select id=\"field-2\" name=\"szel_yant_v\"><option value=\"1\">1 \u2014 Yok (s\u00f6zel yan\u0131t yok)<\/option><option value=\"2\">2 \u2014 Sesler (yaln\u0131zca inliyor ya da m\u0131r\u0131ldan\u0131yor)<\/option><option value=\"3\">3 \u2014 Kelimeler (uygunsuz tek kelimeler)<\/option><option value=\"4\">4 \u2014 Konf\u00fcze (konu\u015fuyor ama oryantasyonu bozuk)<\/option><option value=\"5\" selected>5 \u2014 Oryante (kim oldu\u011funu ve nerede oldu\u011funu biliyor)<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"field is-single\" id=\"input-3\"><label for=\"field-3\">Motor yan\u0131t (M)<\/label><div class=\"grid grid-cols-1\"><select id=\"field-3\" name=\"motor_yant_m\"><option value=\"1\">1 \u2014 Yok (motor yan\u0131t yok)<\/option><option value=\"2\">2 \u2014 Ekstansiyon (deserebrasyon post\u00fcr\u00fc)<\/option><option value=\"3\">3 \u2014 Anormal fleksiyon (dekortikasyon post\u00fcr\u00fc)<\/option><option value=\"4\">4 \u2014 A\u011fr\u0131dan \u00e7ekinme (normal fleksiyon)<\/option><option value=\"5\">5 \u2014 A\u011fr\u0131y\u0131 lokalize etme (uyarana ama\u00e7l\u0131 hareket eder)<\/option><option value=\"6\" selected>6 \u2014 Komutlara uyar<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"field is-checkbox\" id=\"input-4\"><input type=\"checkbox\" id=\"field-4\" value=\"1\"\/><label for=\"field-4\">Test edilemiyor (\u00f6r. g\u00f6zler \u015fi\u015fkin ve kapal\u0131, hasta ent\u00fcbe ya da sedasyon alt\u0131nda)<\/label><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Yeniden hesapla\" id=\"calculate-button\" data-post=\"3901\">Hesapla<\/button><button type=\"reset\">S\u0131f\u0131rla<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Otomatik hesapla<\/label><small>Etkinle\u015ftirilirse, herhangi bir de\u011feri de\u011fi\u015ftirdi\u011finizde sonu\u00e7 otomatik olarak g\u00fcncellenir.<\/small><\/div><div class=\"fieldset-result is-hidden\" aria-labelledby=\"result-title\" aria-live=\"polite\" role=\"region\"> <h3 class=\"result-title bg-gradient-to-r from-primary-50 to-gray-50 dark:from-primary-900 dark:to-gray-800\" id=\"result-title\"><span class=\"icon icon-s-pulse\" aria-hidden=\"true\"><\/span> GKS puan\u0131 ve yorumu<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>G\u00f6z a\u00e7ma puan\u0131<\/span><\/span><span class=\"field-value\" id=\"result-1\" data-unit=\"\/4\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-2\"><span class=\"field-title\"><span>S\u00f6zel yan\u0131t puan\u0131<\/span><\/span><span class=\"field-value\" id=\"result-2\" data-unit=\"\/5\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-3\"><span class=\"field-title\"><span>Motor yan\u0131t puan\u0131<\/span><\/span><span class=\"field-value\" id=\"result-3\" data-unit=\"\/6\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-4\"><span class=\"field-title\"><span>Toplam GKS puan\u0131<\/span><span class=\"result-term\">GKS<\/span><\/span><span class=\"field-value\" id=\"result-4\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-5\"><span class=\"field-title\"><span>\u015eiddet s\u0131n\u0131fland\u0131rmas\u0131<\/span><span class=\"result-term\">\u015eiddet<\/span><\/span><span class=\"field-value\" id=\"result-5\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result is-column\" id=\"output-6\"><span class=\"field-title\"><span>Bu puan nas\u0131l yorumlan\u0131r?<\/span><\/span><span class=\"field-value\" id=\"result-6\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><\/div><div class=\"result-actions\"><button type=\"button\" class=\"copy-link\"><svg viewBox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\"><path d=\"M12.232 4.232a2.5 2.5 0 0 1 3.536 3.536l-1.225 1.224a.75.75 0 0 0 1.061 1.06l1.224-1.224a4 4 0 0 0-5.656-5.656l-3 3a4 4 0 0 0 .225 5.865.75.75 0 0 0 .977-1.138 2.5 2.5 0 0 1-.142-3.667l3-3Z\"\/><path d=\"M11.603 7.963a.75.75 0 0 0-.977 1.138 2.5 2.5 0 0 1 .142 3.667l-3 3a2.5 2.5 0 0 1-3.536-3.536l1.225-1.224a.75.75 0 0 0-1.061-1.06l-1.224 1.224a4 4 0 1 0 5.656 5.656l3-3a4 4 0 0 0-.225-5.865Z\"\/><\/svg><span class=\"copy-link__text\">Bu hesaplaman\u0131n ba\u011flant\u0131s\u0131n\u0131 kopyala<\/span><\/button><span class=\"sr-only\" role=\"status\" id=\"copy-link-status\"><\/span><\/div><\/div><a href=\"#respond\" class=\"hidden transition-opacity duration-300 opacity-0 w-50 text-sm justify-center items-center gap-2 px-4 py-2 rounded bg-gray-200 text-gray-700 hover:bg-gray-300\" id=\"leave-comment\"><span class=\"icon icon-comments\" aria-hidden=\"true\"><\/span>Yorum b\u0131rak<\/a><\/form><\/section><section id=\"calc-reactions\" class=\"not-prose hidden my-12 bg-gradient-to-r from-primary-50 to-gray-50 border border-indigo-100 rounded-xl px-6 py-4 shadow-sm\" data-post=\"3901\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Bu sonu\u00e7 hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/p><div role=\"group\" aria-labelledby=\"calc-reactions-title\" class=\"grid grid-cols-3 sm:flex sm:flex-row sm:justify-around gap-4 sm:items-center sm:flex-wrap\"><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"like\"><span class=\"reaction-count\" data-reaction-count=\"like\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude00 <\/span><span class=\"reaction-description font-medium\">Be\u011fendim <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"helpful\"><span class=\"reaction-count\" data-reaction-count=\"helpful\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\udca1 <\/span><span class=\"reaction-description font-medium\">Faydal\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"confused\"><span class=\"reaction-count\" data-reaction-count=\"confused\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude15 <\/span><span class=\"reaction-description font-medium\">Kafam kar\u0131\u015ft\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"disappointed\"><span class=\"reaction-count\" data-reaction-count=\"disappointed\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude1e <\/span><span class=\"reaction-description font-medium\">Hayal k\u0131r\u0131kl\u0131\u011f\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"inaccurate\"><span class=\"reaction-count\" data-reaction-count=\"inaccurate\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\u274c <\/span><span class=\"reaction-description font-medium\">Hatal\u0131 <\/span><\/button><\/div><div id=\"reaction-message\" class=\"hidden mt-8 rounded-md border border-primary-100 bg-white\/50 backdrop-blur-sm px-4 py-2 text-sm text-center shadow-sm\"><\/div><\/section><div class=\"calcdash-ad not-prose calcdash-ad--calc_result calcdash-ad--in-article\"><ins class=\"adsbygoogle\" style=\"display:block\" data-ad-client=\"ca-pub-1721569815777345\" data-ad-slot=\"6317458308\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\n<style id=\"wpcoderpro-inline-1\">.formula-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section class=\"formula-box\" aria-labelledby=\"formula-title\">\r\n\t<div id=\"formula-title\" class=\"not-prose font-display mb-4\"><span class=\"icon icon-formula\" aria-hidden=\"true\"><\/span><h2>Glasgow Koma Skalas\u0131 Form\u00fcl\u00fc<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Form\u00fcl<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ GKS = E + V + M \\\\\\ \\[ 3 \\le GKS \\le 15, \\quad 1 \\le E \\le 4, \\; 1 \\le V \\le 5, \\; 1 \\le M \\le 6 \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>Burada:<\/strong><\/p>\n<ul>\n<li>\\(E\\) \u2014 g\u00f6z a\u00e7ma puan\u0131: 1 (yok) ile 4 (kendili\u011finden) aras\u0131nda<\/li>\n<li>\\(V\\) \u2014 verbal yan\u0131t puan\u0131: 1 (yok) ile 5 (y\u00f6nelimi yerinde) aras\u0131nda<\/li>\n<li>\\(M\\) \u2014 motor yan\u0131t puan\u0131: 1 (yok) ile 6 (komutlara uyar) aras\u0131nda<\/li>\n<\/ul>\n<p>Glasgow Koma Skalas\u0131, bilin\u00e7 d\u00fczeyini \u2014 her zaman g\u00f6zlenen en iyi yan\u0131ta dayanarak \u2014 \u00fc\u00e7 bile\u015fen puan\u0131n\u0131n toplam\u0131 olarak ifade eder. Toplam puan 3 (derin koma) ile 15 (tam bilin\u00e7) aras\u0131nda de\u011fi\u015fir.<\/p>\n<p>\r\n<\/section>\n<style id=\"wpcoderpro-inline-2\">.calculation-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section id=\"calculation\" class=\"calculation-box\" aria-labelledby=\"calculation-title\">\r\n\t<div id=\"calculation-title\" class=\"not-prose font-display\"><span class=\"icon icon-unordered-list\" aria-hidden=\"true\"><\/span><h2>Glasgow Koma Skalas\u0131 \u2013 Hesaplama \u00d6rne\u011fi<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>\u00d6rnek:<\/strong> acil servise getirilen bir hasta, yan\u0131na yakla\u015ft\u0131\u011f\u0131n\u0131zda g\u00f6zlerini kendili\u011finden a\u00e7ar, sorular\u0131 do\u011fru yan\u0131tlar, kim oldu\u011funu ve nerede oldu\u011funu bilir ve uzuvlar\u0131n\u0131 komutla hareket ettirir.<\/p>\n<p>\\[ E = 4 \\text{ (g\u00f6zleri kendili\u011finden a\u00e7ar)}, \\quad V = 5 \\text{ (y\u00f6nelimi yerinde)}, \\quad M = 6 \\text{ (komutlara uyar)} \\]<br \/>\n\\[ GKS = 4 + 5 + 6 = 15 \\]<\/p>\n<p><strong>Sonu\u00e7:<\/strong> GKS 15 (E4 V5 M6) \u2014 en y\u00fcksek puan; <strong>Hafif (13\u201315)<\/strong> s\u0131n\u0131f\u0131nda de\u011ferlendirilir. Hasta tam bilin\u00e7li ve y\u00f6nelimi yerindedir. Bu, hesaplay\u0131c\u0131n\u0131n varsay\u0131lan se\u00e7imlerine kar\u015f\u0131l\u0131k gelir; ayn\u0131 sonucu do\u011frudan yeniden elde edebilirsiniz.<\/p>\n<p>Kar\u015f\u0131la\u015ft\u0131rma i\u00e7in: g\u00f6zlerini yaln\u0131zca a\u011fr\u0131l\u0131 bas\u0131n\u00e7 kar\u015f\u0131s\u0131nda a\u00e7an (E2), yaln\u0131zca ba\u011flant\u0131s\u0131z tek s\u00f6zc\u00fckler s\u00f6yleyen (V3) ve a\u011fr\u0131ya kar\u015f\u0131 uzuvlar\u0131n\u0131 \u00e7eken (M4) bir hasta \\(2 + 3 + 4 = 9\\) puan al\u0131r; bu puan orta \u015fiddet aral\u0131\u011f\u0131ndad\u0131r ve acil de\u011ferlendirmeyle birlikte skorlaman\u0131n tekrarlanmas\u0131n\u0131 gerektirir.<\/p>\n<p>\n\r\n<\/section>\n<h2>Hesaplay\u0131c\u0131 nas\u0131l kullan\u0131l\u0131r?<\/h2>\n<ol>\n<li><strong>G\u00f6z a\u00e7ma (E)<\/strong> b\u00f6l\u00fcm\u00fcnde, uyarana kar\u015f\u0131 g\u00f6zlenen en iyi yan\u0131t\u0131 \"1 \u2014 Yok\" ile \"4 \u2014 Kendili\u011finden\" aras\u0131ndan se\u00e7in.<\/li>\n<li><strong>Verbal yan\u0131t (V)<\/strong> b\u00f6l\u00fcm\u00fcnde, en iyi s\u00f6zel tepkiyi \"1 \u2014 Yok\" ile \"5 \u2014 Y\u00f6nelimi yerinde\" aras\u0131ndan se\u00e7in.<\/li>\n<li><strong>Motor yan\u0131t (M)<\/strong> b\u00f6l\u00fcm\u00fcnde, komutla ya da a\u011fr\u0131yla ortaya \u00e7\u0131kan en iyi hareketi \"1 \u2014 Yok\" ile \"6 \u2014 Komutlara uyar\" aras\u0131ndan se\u00e7in.<\/li>\n<li><strong>De\u011ferlendirilemedi (\u00f6rn. g\u00f6zler \u015fi\u015fkinlikten kapal\u0131, ent\u00fcbe, sedasyon verilmi\u015f)<\/strong> kutucu\u011funu yaln\u0131zca bir bile\u015fene g\u00fcvenilir bi\u00e7imde puan verilemediyse i\u015faretleyin \u2014 hesaplay\u0131c\u0131 bu durumda toplam\u0131n oldu\u011fundan d\u00fc\u015f\u00fck kald\u0131\u011f\u0131n\u0131 belirtir ve nedenini kaydetmenizi hat\u0131rlat\u0131r.<\/li>\n<li>Sonu\u00e7lar\u0131 okuyun: her bile\u015fenin puan\u0131, E\/V\/M g\u00f6sterimiyle birlikte <strong>Toplam GKS puan\u0131<\/strong>, <strong>\u015eiddet s\u0131n\u0131fland\u0131rmas\u0131<\/strong> ve <strong>Bu puan nas\u0131l yorumlan\u0131r<\/strong> ba\u015fl\u0131\u011f\u0131 alt\u0131nda k\u0131sa bir yorum.<\/li>\n<\/ol>\n<h2>Glasgow Koma Skalas\u0131 nedir?<\/h2>\n<p>Glasgow Koma Skalas\u0131 (GKS), 1974'te Teasdale ve Jennett taraf\u0131ndan tan\u0131t\u0131lan, kafa travmas\u0131 sonras\u0131nda ya da di\u011fer akut durumlarda ki\u015finin bilin\u00e7 d\u00fczeyini tan\u0131mlamak i\u00e7in kullan\u0131lan en yayg\u0131n yatak ba\u015f\u0131 arac\u0131d\u0131r. Bilinci g\u00f6zlemlenebilir \u00fc\u00e7 i\u015fleve \u2014 g\u00f6z a\u00e7ma, verbal yan\u0131t ve motor yan\u0131t \u2014 ay\u0131r\u0131r ve her birini ayr\u0131 ayr\u0131 puanlar. Bu \u00fc\u00e7 say\u0131 genellikle birlikte E\/V\/M g\u00f6sterimiyle rapor edilir (\u00f6rne\u011fin E3V4M5) ve 3 ile 15 aras\u0131nda bir toplam puan hesaplan\u0131r; \u00e7\u00fcnk\u00fc toplam puan\u0131n zaman i\u00e7inde izlenmesi ve aktar\u0131lmas\u0131 daha kolayd\u0131r.<\/p>\n<p>Skalan\u0131n \u00f6nemi, belirsiz bir izlenimi (\"hasta uykulu g\u00f6r\u00fcn\u00fcyor\") farkl\u0131 g\u00f6zlemcilerin \u00fczerinde uzla\u015fabilece\u011fi, tekrarlanabilir bir say\u0131ya d\u00f6n\u00fc\u015ft\u00fcrmesinden gelir. Seri GKS \u00f6l\u00e7\u00fcmleri, kafa travmas\u0131 sonras\u0131 k\u00f6t\u00fcle\u015fmeyi saptaman\u0131n en basit ve en duyarl\u0131 yollar\u0131ndan biridir: iki de\u011ferlendirme aras\u0131nda 2 veya daha fazla puanl\u0131k d\u00fc\u015f\u00fc\u015f, derhal yeniden de\u011ferlendirme gerektiren bir uyar\u0131 i\u015faretidir. Prognostik a\u00e7\u0131dan en a\u011f\u0131r basan bile\u015fen motor oland\u0131r; ent\u00fcbe hastalarda ise \u00e7o\u011fu zaman en bilgilendirici k\u0131s\u0131m, tek ba\u015f\u0131na M puan\u0131d\u0131r (bazen \"motor GKS\" olarak an\u0131l\u0131r).<\/p>\n<p>Yorumlama, Teasdale'in yayg\u0131nla\u015ft\u0131rd\u0131\u011f\u0131 standart aral\u0131klara g\u00f6re yap\u0131l\u0131r: <strong>13\u201315 hafif<\/strong>, <strong>9\u201312 orta<\/strong>, <strong>3\u20138 \u015fiddetli<\/strong> beyin hasar\u0131. 8 ve alt\u0131ndaki puan, hava yolu korumas\u0131n\u0131n g\u00fcndeme geldi\u011fi klasik e\u015fiktir \u2014 \"GKS 8'de ent\u00fcbe et\" diye ak\u0131lda kal\u0131r \u2014 \u00e7\u00fcnk\u00fc bu d\u00fczeydeki bir hasta tan\u0131m\u0131 gere\u011fi komadad\u0131r. Bu acil bir durumdur. Orta puanlar acil de\u011ferlendirme ve yak\u0131n izlem gerektirir; hafif bozulmalarda da g\u00f6zlem gerekir, \u00e7\u00fcnk\u00fc zaman i\u00e7indeki seyir herhangi tek bir de\u011ferden daha \u00f6nemlidir. 15 puan\u0131, hastan\u0131n tam bilin\u00e7li oldu\u011funu ve y\u00f6neliminin yerinde oldu\u011funu g\u00f6sterir.<\/p>\n<h2>S\u0131n\u0131rl\u0131l\u0131klar ve pratik ipu\u00e7lar\u0131<\/h2>\n<ul>\n<li><strong>En k\u00f6t\u00fc de\u011fil, en iyi yan\u0131t\u0131 puanlay\u0131n.<\/strong> Her bile\u015feni v\u00fccudun her iki taraf\u0131nda da en iyi d\u00fczeyde ve sedasyon verilmeden \u00f6nce de\u011ferlendirin; de\u011ferlendirme ko\u015fullar\u0131n\u0131 (saat, sedasyon durumu, puanlayan ki\u015fi) her zaman not edin.<\/li>\n<li><strong>De\u011ferlendirilemeyen bile\u015fenler.<\/strong> G\u00f6zlerin \u015fi\u015fip kapanmas\u0131, ent\u00fcbe ya da sedasyonlu olmas\u0131 baz\u0131 bile\u015fenleri \u00f6l\u00e7\u00fclemez h\u00e2le getirir. Bu durumlarda yan\u0131lt\u0131c\u0131 bir toplam vermek yerine de\u011ferlendirebildi\u011finiz bile\u015fenleri rapor edin (\u00f6rn. E1VtM5) \u2014 ger\u00e7ek GKS, g\u00f6zlenebilir olandan daha d\u00fc\u015f\u00fck olabilir.<\/li>\n<li><strong>Sedasyon ve paralizi kar\u0131\u015f\u0131r.<\/strong> Kas gev\u015feticiler motor yan\u0131t\u0131 ortadan kald\u0131r\u0131r; sedatifler \u00fc\u00e7 bile\u015feni birden bask\u0131lar. Hangi ila\u00e7lar\u0131n, ne zaman verildi\u011fini kaydedin.<\/li>\n<li><strong>Bebekler ve k\u00fc\u00e7\u00fck \u00e7ocuklar i\u00e7in uygun de\u011fildir.<\/strong> Standart skala yeti\u015fkin konu\u015fma becerisi varsayar; k\u00fc\u00e7\u00fck \u00e7ocuklar i\u00e7in \u00f6zel bir pediatrik GKS kullan\u0131n.<\/li>\n<li><strong>Bir ileti\u015fim arac\u0131d\u0131r, tan\u0131 de\u011fil.<\/strong> GKS, bilin\u00e7 bozulmas\u0131n\u0131n nedeni, fokal defisitler ya da beyin anatomisi hakk\u0131nda hi\u00e7bir \u015fey s\u00f6ylemez. Travma hastas\u0131n\u0131n canland\u0131r\u0131lmas\u0131n\u0131 asla geciktirmemelidir.<\/li>\n<li><strong>Seyri izleyin.<\/strong> Tek bir say\u0131 bir anl\u0131k g\u00f6r\u00fcnt\u00fcd\u00fcr; k\u0131sa aral\u0131klarla tekrarlanan skorlama k\u00f6t\u00fcle\u015fmeyi daha erken yakalar ve g\u00f6r\u00fcnt\u00fcleme ile yo\u011fun izleme kararlar\u0131na \u0131\u015f\u0131k tutar.<\/li>\n<\/ul>\n<p>Bilin\u00e7, yeterli serebral perf\u00fczyona ve metabolik dengeye ba\u011fl\u0131 oldu\u011fundan GKS bulgular\u0131 genellikle di\u011fer yatak ba\u015f\u0131 \u00f6l\u00e7\u00fcmleriyle birlikte yorumlan\u0131r. Bir <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/ortalama-arter-basinci\/\">ortalama arter bas\u0131nc\u0131<\/a> hesaplamas\u0131, kan bas\u0131nc\u0131n\u0131n beyni perf\u00fcze etmek i\u00e7in yeterli olup olmad\u0131\u011f\u0131n\u0131 de\u011ferlendirmeye yard\u0131mc\u0131 olur; a\u011f\u0131r hiperglisemi ya da sodyum bozukluklar\u0131 bilin\u00e7 de\u011fi\u015fikli\u011fine katk\u0131da bulunuyorsa <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/duzeltilmis-sodyum-hesaplama\/\">d\u00fczeltilmi\u015f sodyum<\/a> de\u011feri anlaml\u0131d\u0131r. Di\u011fer ortamlarda genel yatak ba\u015f\u0131 \u015fiddet skorlamas\u0131 i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/klinik-dehidratasyon-skalasi\/\">klinik dehidratasyon skalas\u0131<\/a> gibi ara\u00e7lar da ayn\u0131 basit ve tekrarlanabilir g\u00f6zlem ilkesini izler.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>G\u00f6z a\u00e7ma, verbal ve motor yan\u0131tlar\u0131n en iyisini se\u00e7erek bir Glasgow Koma Skalas\u0131 de\u011ferlendirmesi yap\u0131n. Hesaplay\u0131c\u0131, toplam GKS puan\u0131n\u0131 (3\u201315), E\/V\/M da\u011f\u0131l\u0131m\u0131n\u0131 ve \u015fiddet s\u0131n\u0131fland\u0131rmas\u0131n\u0131 verir.<\/p>\n","protected":false},"author":3168,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[33],"class_list":["post-3901","post","type-post","status-publish","format-standard","hentry","category-tisbi","tag-tani"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3901","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/comments?post=3901"}],"version-history":[{"count":0,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3901\/revisions"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/media?parent=3901"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/categories?post=3901"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/tags?post=3901"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}