Head Injury (Tbi)

8/3/2019 Head Injury (Tbi)

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Hcgl K`nsr{

DG ?


2/32

TK\SG\KM@

G ?? {cgr mil ag` kt ormsfh| |m |hc

cacrfc`d{ rmma vk|h g` ggrc`| hcgl k`nsr{

gj|cr ock`f k`zmizcl k` g tcrkmst am|mr zchkdic

gddklc`|. Hc kt s`dm`tdkmst m` grrkzgi g`l

cxhkok|t tkf`t mj k`drcgtk`f k`|rgdrg`kgi

rcttsrc. Hc kt gddmag`kcl o{ hkt jrkc`lt.


3/32

\rgsag|kd k`tsi| |m |hc hcgl |hg| ag{ rctsi| k`

g`{ k`nsr{ |m |hc tmj| |kttsc om`{ t|rsd|srctg`l-mr orgk`

\rgsag|kd orgk` k`nsr{ (\OK+ kt g

`m`lcfc`crg|kzc) m`dm`fc`k|gi k`tsi| |m |hc

orgk` jrma g` cx|cr`gi acdhg`kdgi jmrdc)

mttkoi{ icglk`f |m crag`c`| mr |camrgr{

kagkrac`| mj dmf`k|kzc) h{tkdgi) g`l

t{dhmtmdkgi js`d|km`t) vk|h g` gttmdkg|cllkak`kthcl mr gi|crcl t|g|c mj dm`tdkmst`ctt.


4/32


5/32

DTJ

Dicgr dmimrictt jiskl) 722!7:2 ait dkrdsig|c o-v

|hc tsogrgdh`mkl tgdc g`l |hc zc`|rkdict.Grmx. 322ait rmlsdcl cr lg{) amt| ktrcgotmrl o{ |hc oimml. Dm`tklcr rcttsrc m` |hcorgk` ) kj `m| rcgotmrocl.

Dsthkm` g`l thmde motcrzcr.

OIMML O_GK@ OG__KC_

Oimdet agdrmamicdsict g`l ag`{ dmams`ltjrma l{ct g`l aclkdg|km`t jrma rcgdhk`f |hc

`scrm`t. Hcit ecc g t|goic c`z. Jmr `scrm`t o{

rcfsig|k`f km` amzcac`|t.


6/32

DIGTTKJKDG\KM@ MJ HCGL K@NS_[

Ogtcl m` |hc Tczcrk|{

FDT> Oct| rclkd|mr mj `csrmimfkdgi ms|dmac

Tczcrk|{

Ak`mr73

Akil7

Amlcrg|c;!7?

Tczcrc4!8


7/32

Mc` hcgl k`nsr{


8/32

Dmaak`s|cl jrgd|src


9/32

Lcrcttcl jrgd|src


10/32

RG\HMRH[TKMIMF[ \{ct mj orgk` k`nsrkct k`dislc dm`dsttkm`)

dm`|sttkm`) cklsrgi hcag|mag)tsolsrgi

hcag|mag) g`l tesii jrgd|src.

Dgstcl o{ ois`| mr c`c|rg|k`f k`nsr{ @scrmimfkd lcjkdk|t rctsi| jrma thcgrk`f mj

vhk|c ag||cr) ktdhcakg) g`l agtt cjjcd| jrma

hcamrrhgfc) g`l dcrcorgi clcag mjtmsrrms`lk`f orgk` |kttsc.


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_gdmm` c{ct) og||ic tkf`t)


12/32

Tsogrdhgdh`mkl ) tsolsrgi

hcamrrhgfc!thgec` ogo{ t{`lrmac )


13/32

Dik`kdgi Jcg|srct

Gi|crcl dm`tdkmst`ctt) dm`jstkm`|m dmag

hcglgdhc.) zcr|kfm

Gfk|g|km`) rct|ictt`ctt Rskiigr{ go`mragik|kct

_ctkrg|mr{ krrcfsigrk|kct

Dmf`k|kzc lcjkdk|t

@scrmimfkd lcjkdk|t

Rcrtkt|kzc zcfc|g|kzc t|g|c mr dmag


14/32

Lkgf`m|kd czgisg|km`

TESII TRK@C X_G[ jkiat |m klc`|kj{ jrgd|srclktigdcac`|-

D\ tdg` |m klc`|kj{ g`l imdgik~c ictkm`t) clcag

g`l oicclk`f DC_CO_GI G@FKMF_GRH[! tsogrgdh`mkl

hgcamrrhgfc

ISAOG_ RS@D\S_C tsogrgdh`mklhgcamrrhgfc) ac`k`fk|kt


15/32

KDR g`l orgk` hcr`kg|km`

\hc gllk|km` mj agtt ictkm` kt dmac`tg|cl o{lktigdcac`| mj DTJ g`l zc`mst oimml ms| mjdrg`kgi dgzk|{.

Gt jsr|hcr cxg`tkm` mj agtt mddsr wsk|c tagiirktc k` zmisac rctsi| k` igrfc k`drcgtc k` KDRg`l Orgk` hcr`kg|km` dg` mddsr


16/32

@S_TK@F GTTCTTAC@\

Am`k|mr jmr tkf`t mj k`drcgtcl KDR gi|crcl IMDgo`mragi ski rctm`tc) zmak||k`f )k`drcgtcl sitc rcttsrc) orgl{dgrlkg)

h{cr|hcrakg. Motcrzc DTJ icgegfc

@m|c jmr dm`|stkm`t goms| c{ct g`l cgrt.

Rcrjmra drg`kgi `crzc) am|mr) tc`tmr{ g`lrcjicx gttcttac`r.

Gttctt jmr ochgzkmr |hg| vgrrg`|t m|c`|kgi jmrk`nsr{ |m tcij mr m|hcrt.


17/32

@S_TK@F LKGF@MTKT

Gi|crcl dcrcorgi |kttsc crjsttkm` rcig|cl |mk`drcgtc KDR

K`cjjcd|kzc orcg|hk`f g||cr` rcig|cl |m

k`drcgtcl KDR mr orgk` t|ca k`nsr{

Gi|crcl |hmsfh| rmdctt rcig|cl |m h{tkmimf{mj k`nsr{.

Gi|crcl `s|rk|km` ictt |hg` oml{ rcwskrcac`|trcig|cl |m dmarmaktcl scrmimfkd js`d|km`tg`l t|rctt mj k`nsr{.


18/32

@S_TK@F AG@GFCAC@\

Rmtk|km`!hcgl mj |hc g|kc`| thmsil oc igdcl

42 lcfrcc s) k| kt |hc e`mv` gt _CZC_TC

\_C@LCIC@OC_F.

Dmiigr ast| `m| oc |mm |kfh| \hkt kt |m gzmkl

mot|rsd|km` mj zc`mst lrgk`gfc jrma |hc hcgl.


19/32

K`|rgdrg`kgi rcttsrc (KDR+ g`l dcrcorgi

crjstkm` rcttsrc (DRR+ thmsil oc dm`t|g`|i{

am`k|mrcl.

DRR thmsil oc agk`|gk`cl 0:3aa Hf k` g

tczcrci{ hcgl k`nsrcl g|kc`|. Tm kj |hc KDR kt

?2aa Hf |hc AGR thmsil oc 083aa Hf.

Kj `cclcl km`m|rmct dg` oc stcl |m tsmr|

|hc DRR g`l |hc oimml rcttsrc.


20/32

G |s``ciicl grc`dh{agi KDR am`k|mr

dg` oc k`tcr|cl |hrmsfh g |vkt| lrkiiosrr hmic


21/32

Dsthk`f&t |rkgl

kt |hc |rkgl mj vklc`k`f sitc rcttsrc (rktk`f

t{t|mikd) lcdik`k`f lkgt|mikd+) dhg`fc k`

rctkrg|mr{ g||cr` (krrcfsigr rctkrg|km`t+)

g`l orgl{dgrlkg.

K| kt tkf` mj k`drcgtcl k`|rgdrg`kgi rcttsrc)

g`l k| mddsrt gt g rctsi| mj |hc Dsthk`f rcjicx.


22/32

ACGTS_CT \M LCD_CGTC \HC KDR

Tclg|km` vk|h-vk|hms| astdic rcigxg`|tRg|kc`| kt tclg|cl stk`f Rrmmjmi mrAklg~miga.

Astdic rcigxg`|t ikec G|rgdsrksa dg` oc stcl. Lksrc|kdt! Jrstcaklc g`l Ag``k|mi dg` oc

stcl |m lcdrcgtc |hc dcrcorgi tvciik`f g`lrgktcl KDR.

Ag``k|mi g` mtam|kd lksrc|kd kt stcl agk`i{ k`tsogrgdh`mkl hgcamrrhgfc.K| ktdm`|rgk`lkdg|cl k` cx|rglsrgi hgcag|mag.


23/32

\sr` g|kc`| czcr{ ? hmsrt g`l gttkt| k`

dmsfhk`f

Gttkt| g|kc`| k` k`|sog|km` g`l zc`|kig|mr{gttkt|g`dc.

Tsd|km` g|kc`| gt `cclcl os| oc tsrc |m

h{crzc`|kig|c |hc g|kc`| ocjmrc ts`d|km`k`f

|m rczc`| h{mxkg.


24/32

Tck~src dm`|rmi!

Tck~srct vkii k`drcgtc |hc orgk` ac|gomikd rg|cg`l |hcrco{ k`drcgtc |hc KDR. Tm rmh{igd|kd

g`|kdm`zsitg`|t dg` oc stcl k` |hc jkrt| vcce

|m lcdrcgtc |hc k`dklc`dc mj tck~srct.

Rhc`mogrok|m`c :2af W8H mr Rhc`{|mk`

722af W8H dg` oc stcl.

Kj |hc KDR dg``m| oc dm`|rmiicl k| dg` icgl |m

t|g|st ckic|kdst. Hcrc CCF osrt| tsrcttkm`|hcrg{vk|h Imrg~cga mr \hkmc`|m`c ag{

oc stcl.


25/32

@mram|hcrakg thmsil oc agk`|gk`cl!

R{rcxkg ag{ lcdrcgtc |hc dcrcorgi oimml jimv tm

|hkt thmsil oc gzmklcl. Gd|kzc dmmik`f ag{ oc

stcl |m lcdrcgtc |hc ac|gomikd rg|c.

Agk`|gk`k`f jiskl g`l cicd|rmi{|c ogig`dc!Tczcrci{ orgk` k`nsrcl cmic grc tstdc|koic |m

lkt|srog`dct k` tmlksa hmacmt|gtkt ikec Lkgoc|ct

k`tkklst g`l T{`lrmac mj k`grmrkg|c

g`|klksrc|kd hmram`c(TKGLH+.TKGLH dg` icgl |mlkis|km`gi h{m`g|rcakg vkii k` |sr` dg`

rcdkk|g|c tck~srct.


26/32

KZ jisklt thmsil oc glak`kt|crcl s`|ki `gtmfgt|rkdjcclk`f dg` oc dmaac`dcl .Kj g|kc`| kt dm`tdkmst)

mrgi jcc

lk`f dg` oc

t|gr|c

l . Kj |hc g|kc`| kt k` gk` g`gifctkdt ikec Jc`|g`{i mr

Dmlck`c ag{ oc stcl.

Rg`|mrg~mic K`lkdg|km`t!Dmaak`s|cl jrgd|srct)m|mrrhmcg) rhk`mrrhmcg) `csamdchgist


27/32

Dgrc mj |hc s`dm`tdkmst g|kc`| @gtmfgt|rkd |soc jcclk`f.

Dgrc mj |hc c{ct o{ gllk`f.

Srk`gr{ dg|hc|cr jmr lrgk`gfc mj srk`c g`l |mam`k|mr |hc srk`c ms|s|. Srk`gr{ k`dm`|k`c`dcag{ mddsr k` jrm`|gi imoc ictkm`t.

Dhg`fc mj mtk|km` mj |hc g|kc`| |m gzmkl ocltmrct.

Ikao h{tkm|hcrg{ |m rczc`| lcc zck`|hrmaomtkt.

Dhct| h{tkm|hcrg{ |m rczc`| rctkrg|mr{k`jcd|km`t.

Dgrc mj |hc c`lm|rgdhcgi |soc.


28/32

_ccg| D\ tdg` thmsil oc dm`tklcrcl>

Kj |hcrc kt lc|crkmrg|km` mj |hc ac`|gi t|g|c mj|hc g|kc`|.

Kj |hcrc kt g dm`|k`scl rktc k` |hc KDR.

Kj |hcrc kt g jgkisrc |m karmzc mzcr ?< hmsrt .


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30/32

Tsrfkdgi ag`gfcac`| D_G@KM\MA[ K`lkdg|km`t! agk`i{ jmr

orgk`ictkm`t) |rgsag|kd orgk` k`nsr{

Lm`c s`lcr fc`crgi g`gct|hctkg

Rrcdclcl o{ g` D\ tdg`

Gttcttcl o{ Figtfmv Ms|dmac Tdmrc(FMT+

Fmml _cdmzcr{ 3

Amlcrg|c lktgokik|{

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Head Injury (Tbi)