Hyperthermic syndrome ana. Thandizo syndrome hyperthermal

Hyperthermal syndrome - kuwonjezeka mofulumira thupi kutentha, ambiri kuposa madigiri 40. Pamene nyumba amenewa mtima, izo zimayambitsa chipwirikiti pakati banja lake, chifukwa ife tonse tikudziwa ngozi ya malungo ndi zotsatira zake. Ngati malungo amapezeka ana, makolo moyenerera "adzasula mabelu onse," monga thupi waung'ono koma mokwanira amphamvu ndi thandizo kuthetsa kutentha.

Hyperthermic syndrome: icho chiri

chikhalidwe kumachitika ana nthawi zambiri. chiopsezo izi amayamba ndi chamoyo yaing'ono, kusowa chitetezo champhamvu cha m'thupi ndipo timaganizira makamaka mavairasi osiyana, mabakiteriya ndi matenda. Kuchuluka thupi kutentha - nthaŵi zonse kumbuyo anachita mtundu uliwonse mavuto mu thupi. Motero, zochita bactericidal wa ukuwonjezeka magazi, leukocytes adamulowetsa, kagayidwe kumatheka yopanga amkati interferon amapezeka kawiri mofulumira.

Mu hyperthermal syndrome ubongo imene imalamulira kutentha, chimene chiri pa ubongo ndi udindo lamulo la thupi kutentha, amenable zikuchitika kanthu. Ngati malungo umafika mwadzidzidzi ndipo akutukuka mofulumira, izo zimayambitsa katundu pa mtima, mitsempha ya magazi, mapapo. Mpweya kwambiri ndipo kwambiri mu magazi, koma samaletsa chitukuko cha hypoxia zotheka, kamene kamayambitsa kupweteka ndi malfunctions zosiyanasiyana za chapakati mantha dongosolo. Pofuna kupewa mavuto zotheka, kutentha thupi ana ang'ono bwino kuyeza tsiku lililonse.

The zifukwa ambiri chifukwa kuwonjezeka

kutentha thupi

Hyperthermic syndrome ana kumachitika mu malo oyamba chifukwa cha SARS kapena fuluwenza. Si nthawi zonse kuwerenga kutentha Pankhaniyi olumpha chizindikiro madigiri 40, koma nthawi zina ndi chifukwa dongosolo wofooka m'thupi, pachimake mawonekedwe a matenda kapena makhalidwe munthu wa madziwo. Kuona chifukwa cha malungo Pankhaniyi mosavuta chifukwa nthawi limodzi ndi chifuwa kapena chimfine.

kuwonjezeka anayambitsa kutentha ndi matenda alionse (nthomba, chikuku, chikuku) ndi appendicitis. Ngati nthendayo chinayambitsa kusokonezeka ziwalo mkati, kutupa, ndi vuto lalikulu kwambiri kuti amafuna thandizo mwamsanga ogwira ntchito zachipatala. Oopsa kwambiri, makamaka kwa matenda a impso hyperthermal syndrome: ICD, kulephera aimpso angayambe unpredictably, ndipo limodzi ndi kuchuluka kwa mavuto. Choncho yang'anani mosamalitsa kwa zizindikiro kuthandiza dokotala kupanga matenda zolondola. Pa izi zimatengera thanzi ndipo nthawi zina moyo wa munthu wamng'ono.

Kodi wina angathe kuyambitsa hypothermic

syndrome

Nthawi zina malungo amayamba ndi ambiri osokoneza kapena tsankho mankhwala ena. Ana zina kudumpha kutentha pambuyo katemera chizolowezi. Ntchito padziko imeneyi, makolo a masiku 5 isanafike katemera ayamba kupereka mankhwala mwana.

Kutentha akhoza zidzayambike pamene poyizoni kanthu za poizoni: iwo kuukira ubongo ndi gawo kumene kutentha yang'anira thupi. Izi hyperthermal zilonda matenda. Komanso, pamene ochititsa dzanzi kulephereka ndi chikomokere angakhale nayo malungo.

Zofala zimayambitsa malungo alinso: pulayimale kutenthedwa mu dzuwa, kutentha sitiroko kapena nkhawa. Kids anatani zinthu zosiyanasiyana ndiponso mwakuthupi: kotero kukhumudwa m'mimba ndi malungo - zotsatira kawirikawiri chikhalidwe cha manjenje. Ana kuvutika kwambiri ndinazoloŵera, kotero atangofika ku dziko zosowa musadabwe ngati mwana wanu ali pansi ndi malungo. Hyperthermic matenda akuluakulu n'zothekanso chifukwa ichi, koma nthawi zina kwambiri.

Mitundu ya matenda hyperthermia

Iwo m'njira zosiyanasiyana, malingana ndi nkhani munthu ndi maonekedwe a thupi la mwanayo. Mwachitsanzo, nthawi ya matenda hyperthermal kungakhale ephemeral (kwa maola angapo kapena masiku awiri), pachimake (mpaka masabata awiri), subacute (masiku 45) ndi aakulu (pa 45 masiku). Yotsirizira awiri pafupifupi kulikonse mu dziko lero sanalembedwepo, monga umisiri watsopano n'zotheka kuti msanga kugwetsa malungo ndi kupereka thandizo pa matenda hyperthermal.

Komanso, kutali imeneyi mitundu malungo:

1. Okhazikika. Anapulumutsidwa pa mlingo chomwecho - kuposa 39 digiri (silipita matenda monga lobar chibayo, typhoid ndi Nthenda yofanana ndi tayifodi).
2. Zikutha. Nthawi zina akutsikira madigiri 38, koma kukwaniritsa mfundo yachibadwa (lililonse kwa matenda, chibayo, fuluwenza).
3. Likukulira. kutentha nthawi Normal alternated ndi chifundo cha malungo (nthawizina sepsis ndi malungo).
4. Returnable. Izo zonse ziri pa mwake: nthawi kutentha m'malo mwa boma yachibadwa (wamba mu Nthenda yofanana ndi tayifodi).
5. Undulating. nthawi yaitali ndi kugwa (lililonse kwa brucellosis, matenda Hodgkin a).
6. Kukhetsa. kudumpha Large kutentha (TB, sepsis).
7. Pachithunzichi, amene kumanyoza kufotokoza ndi kosaoneka malamulo.

chithunzi matenda

Hyperthermic syndrome ana angasonyeze m'njira zosiyanasiyana. Kawirikawiri, malingana ndi chikhalidwe ambiri a mwanayo, mu mpanda wa thupi lake, ndi makhalidwe munthu, malungo ndi:

• Pinki. Izo siziri ngakhale hyperthermal kwambiri syndrome, koma mawonetseredwe ake tsankho. Hyperthermic ayankhe - otchedwa chikhalidwe cha kutentha, pamene khungu la mwana ofunda, amtengo lonyowa mucous zimagwira ntchito zosiyanasiyana, palibe tachycardia. The chikhalidwe ambiri ndi zogwira zokwanira.
• Wotumbululuka. Izi syndrome hyperthermal mu maonekedwe ake angwiro. Wodwala akumva tsembwe, wotumbululuka khungu ndi chithunzi nsangalabwi, manja ndi mapazi ayezi, nkotheka tachycardia. Kutentha zinali zovuta kwambiri kuti atsitse. Iwo yodziwika ndi matenda kagayidwe, microcirculation chisokonezo ndi kukanika kwa ziwalo. Mwana akhoza kukhala matenda oopsa kwambiri imene kuyesetsa panopa thandizo. Inu muyenera itanani ambulansi ndi kuyembekezera kufika ake, paokha kuyesa kuchepetsa kutentha mwana.

Kodi makolo ayenera kuchita isanafike madokotala

Kudikira timu dokotala, inu mulibe ufulu amadandaula kapena kukhala kumbuyo. Zambiri zochita makolo chingathandize syndrome hyperthermal. Emergency chisamaliro popanda mankhwala ndi mitundu yonse ya mankhwala ndi motere:

1. Ikani mwanayo kuti akagone, windo ndi kupereka mpweya wabwino.
2. Bwererani zovala mwana. Kuta sichoncho, ngati "amayaka". M'malo mwake, ntchito chinachake ozizira bwino m'dera groin. Kuyatsa zimakupiza ndi nthenda yotaya mwachindunji mpweya wabwino ndi mwanayo. Mukhoza misozi khungu la wosasayo mtima ndi madzi kapena mowa (ngati mwana alibe miyezi 3 njirayi ndi kupereka).
3. Ngati mwana wanu kumva kuzizira, ndiye, Tikawonetsetsa kuphimba iwo ndi bulangeti ofunda, Komanso ntchito ndi Kutentha PAD kumapazi.

Nkofunika kuti apereke mwana kumwa, m'pamenenso bwino. Kotero thupi kuchotsa poizoni wa poizoni ake. Ngati inu mukukhulupirira kuti chifukwa cha malungo wakhala poizoni, mukhoza kusamba mwanayo m'mimba ndipo matumbo. Usasiye mwana wanu nokha, ngati hyperthermal syndrome. thandizo, malinga ndi makolo awo, osati atsogolere chikhalidwe chake thupi, komanso kuthandiza mwana mwamakhalidwe, chifukwa iye n'kofunika kwambiri kuti asamalire ndi chidwi.

Mankhwala "Paracetamol": chida chachikulu ndi kutentha

Pambuyo kuitana dokotala ndipo anapanga njira choyamba kuthetsa boma la mwanayo, mungayesere nokha kuti atsitse kutentha. Hyperthermic syndrome ana, thandizo chifukwa chimene chili mankhwala zachipatala, amapereka phwando antipyretics. Kunyumba, kukupatsani mlingo wa mankhwala - yofunika komanso zofunikira sitepe kuti ngati malungo sichimachotsa kwathunthu, izo kwambiri atsogolere mwana wonse.

The otetezedwa kwambiri ndi odalirika antipyretic mankhwala - momveka akale mankhwala "Paracetamol" amene tsiku mlingo sayenera upambana 60 mg / kg. anatulutsidwa mu mawonekedwe a suppositories thumbo kwa ana aang'ono, komanso mankhwala, makapisozi ndi mankhwala kwa ana okulirapo. Kumatanthauza "Paracetamol" sayenera kutenga masiku zoposa zitatu mu mzere chifukwa angathe kuyambitsa zotsatira hepatotoxic - chisokonezo cha ntchito chiwindi. Ndiponso, ali osavomerezeka chifukwa ana ndi tsankho munthuyo mankhwala.

Ena odana pyretic mankhwala

Izi mankhwala "Ibufen" ndi "Nurofen" mitundu ana a ibuprofen. Kawirikawiri ana kuzindikira bwino, ngakhale ali zotsatira zoyipa zambiri, ndipo iwo ali m'posavuta kuposa mankhwala yemweyo "Paracetamol". mankhwala awa angaperekedwe kwa mwana ngati anali kale chaka chimodzi ndipo salola amatanthauza "Paracetamol". Zikuthandizaninso izidzawetedwa hyperthermal syndrome ana, thandizo la mankhwala awa akuwonetseredwa osati mmene antipyretic, komanso luso Amachepetsa ululu wa.

Mwanjira yothetsera malungo - "Viburkol". Koma sikuti ntchito komanso mofulumira ndi matenda hyperthermal. Nthawi payekha, makolo angathe kupereka mankhwala antipyretic chilipo kunyumba, kuti tiziwononga nthawi panjira kuti mankhwala a (kungakhale mankhwala "Efferalgan" "Panadol" ndi ena). Ngati mwana kale mankhwala awa ndi ndinu wotsimikiza kuti ntchito, tiyeni molimba mtima akulimbikitsidwa msinkhu ndi kulemera kwa mlingo wonenedwa malangizo.

Chinthu chachikulu kukumbukira makolo, ana sayenera kumwa ngati antipyretics, monga "Analgin", "ndi aspirin", "Antipyrin", "Amidopyrine", "Phenacetin" ndi mankhwala ena m'Malemba. Ngati inu kwenikweni kukayikira kusankha miyala antipyretics kapena amadzi otsekemera, itanani bwenzi dokotala kuthandiza kusankha.

zochita za madokotala

Yafika pa foni madokotala mu nkhokwe ake zida zambiri kukuthandizani troubleshoot hyperthermal matenda mwamsanga. chisamaliro Emergency madokotala ndi pokha, chomwe ndi zinthu zitatu: papaverine, dipyrone ndi diphenhydramine. Njira imeneyi ndi othandiza kwambiri ndi ntchito ngati mwana mwakayakaya, ndi mphamvu zanu zonse zalephera kuchepetsa kutentha.

Kids akhoza kulowa chlorpromazine njira pipolfen ndi novocaine. Pamene mitsempha kuphipha amathandiza aminophylline kudzilimbitsa wamanjenje dongosolo - midazolam. dokotala linaŵerengera mlingo mwana wanu poyesa msanga kudziwa chifukwa cha malungo. Khalani okonzeka ku mafunso, ayankhe wanu mwachangu n'kofunika kwambiri. Malinga limatiphunzitsa kutentha, mwana kupereka antivirals, mahomoni kapena mankhwala ena. Pa nthawi yomweyo, pamene mwana hyperthermal syndrome, sayenera kutenga zowonjezera calcium, vasopressors ndi atropine.

Kawirikawiri zolakwa zachipatala

Akuluakulu ndi ana mosiyana akuwonetseredwa syndrome hypothermic. thandizo ayenera umalimbana makamaka kuchotsa zimayambitsa malungo. Pokhapokha ngati akulu malungo akufotokozera pang'onopang'ono pa maziko a mitundu yonse ya zizindikiro, malungo ana nthawi zambiri amapezeka mosayembekezeka. More madzulo mwana akuseka ndi kuimba, ndi usiku iye ali mwakayakaya. Choncho, ntchito yaikulu ya dotoloyo - msanga molondola kukhazikitsa matenda zolondola, mankhwala mankhwala bwino. Nthawi zambiri palibe defibrillators ambulansi, amene ali koyenera kupulumutsa makanda.

Ambiri zolakwa zachipatala: pachithunzichi mlingo wa mankhwala, atakwatirana kuphatikiza mankhwala akhoza amabisa zizindikiro zoyamba za matendawa. Choncho, pa chikuonetseratu kudziwa muzu wa malungo Sutha. Madokotala ayenera kulabadira kwa zaka wodwala ndipo malinga iye anaika kuwatsitsimula. Woyenera ntchito madokotala silipita mofulumira kuchira mwana ndi kupewa mavuto kutheka pambuyo akuvutika hyperthermia syndrome.