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Модифицированная шкала Рэнкина

Прочитайте:
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  6. Количественная оценка тяжести повреждений по наиболее часто применяемым шкалам
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  9. Оцінка фізичного розвитку школярів (шкала регресії за ростом)
Баллы Описание
  Симптоматика отсутствует
  Симптоматика не вызывает явного нарушения функций, пациент может выполнять любые повседневные действия
  Лёгкое нарушение функций, не способен выполнять повседневные действия в прежнем объёме, однако самостоятельно ухаживает за собой; посторонняя помощь не нужна
  Умеренное нарушение функций, нуждается в некоторой посторонней помощи, но может самостоятельно ходить
  Выраженное нарушение функций, не может без посторонней помощи ходить, ухаживать за собой
  Грубое нарушение функций, «прикован к постели», нарушение функций тазовых органов, нуждается в постоянном уходе и присмотре
  Летальный исход

Индекс Бартелла*

Приём пищи 0 — невозможен без посторонней помощи 5 — нужна некоторая помощь (при разрезании пищи, намазывании масла на хлеб и т.д.) либо нуждается в специальной диете 10 — самостоятельно
Приём ванны 0 — посторонняя помощь нужна 5 — посторонняя помощь не нужна
Личная гигиена 0 — нуждается в посторонней помощи 5 — самостоятельно моет лицо, причёсывается, чистит зубы, бреется
Одевание 0 — невозможно без посторонней помощи 5 — нужна посторонняя помощь, но приблизительно половину манипуляций выполняет самостоятельно 10 — самостоятельное (в том числе сам застёгивает пуговицы, молнии, завязывает шнурки)
Контроль функций прямой кишки 0 — недержание либо для опорожнения необходимы очистительные клизмы 5 — периодические нарушения 10 — полный контроль
Контроль функций мочевого пузыря 0 — недержание либо необходим катетер, пользоваться которым самостоятельно не может 5 — периодические нарушения 10 — полный контроль
Пользование унитазом 0 — невозможно без посторонней помощи 5 — нужна посторонняя помощь, но некоторые манипуляции может выполнять сам 10 — самостоятельно
Перемещение (с кровати на кресло и наоборот) 0 — невозможно, не может сидеть 5 — необходима помощь, сидеть может 10 — необходима незначительная помощь (физическая или вербальная) 15 — свободное
Перемещение (на ровной поверхности) 0 — невозможно или менее 40 м 5 — возможно с помощью инвалидного кресла (в том числе повороты), более 40 м 10 — может пройти с посторонней помощью (физической или вербальной) более 40 м 15 — самостоятельное (допустимо использование трости), более 40 м
Перемещение по ступенькам 0 — невозможно 5 — необходима помощь (физическая, вербальная) 10 — самостоятельное
     

* Оценка от 0 (полная инвалидизация) до 100 баллов (независимость от посторонней помощи).

 

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МИГРЕНЬ

Мигрень — заболевание, предположительно связанное с дисфункцией вазомоторной регуляции и проявляющееся приступами головной боли, обычно пульсирующего характера, часто сопровождающейся тошнотой, рвотой, фото- и фонофобией.

МКБ-10: G43 Мигрень; G43.0 Мигрень без ауры [простая мигрень]; G43.1 Мигрень с аурой [классическая мигрень]: аура без головной боли, базилярная, эквиваленты, семейная гемиплегическая, гемипле-гическая, с типичной аурой; G43.2 Мигренозный статус; G43.3 Осложнённая мигрень; G43.8 Другая мигрень: офтальмоплегическая*, ретинальная; G43.9 Мигрень неуточнённая.

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