Hyperthermic syndrome hauv cov menyuam yaus. Kev pab nrog kev mob hyperthermic syndrome

Hyperthermal Syndrome yog nce ceev hauv lub cev kub, feem ntau tshaj 40 degree. Thaum muaj ib tug neeg mob hauv tsev, nws ua rau nws cov txheeb ze, vim peb txhua tus paub qhov txaus ntshai ntawm qhov kub taub hau thiab nws lub txim. Yog tias kubcev tshwm sim hauv menyuam yaus, cov niamtxiv muaj cai "ntaus tag nrho cov tswb", vim tias cov kabmob me me tsis muaj zog txaus thiab xav tau kev pab kom kov yeej kev kub taub hau.

Hyperthermal Syndrome: nws yog dab tsi?

Qhov no nyob hauv cov menyuam yaus raug pom ntau zaus. Qhov no yog vim muaj kev tiv thaiv ntawm tus kab mob me, tsis muaj zog tiv thaiv thiab tshwj xeeb rhiab heev rau kab mob sib kis, kab mob thiab kab mob. Ib qho ntxiv nyob rau hauv lub cev kub yog ib txwm yog ib qho kev tiv thaiv kev tiv thaiv rau txhua hom kev ua txhaum hauv lub cev. Yog li ntawd, cov kab mob bactericidal ntawm cov ntshav nce, cov leukocytes ua haujlwm ntau dua, cov metabolism hauv lub nce ntxiv, kev tsim cov tshuaj endogenous interferon tshwm sim doubly.

Muaj mob hyperthermic syndrome, hypothalamus, uas yog nyob rau hauv lub hlwb thiab muaj lub luag haujlwm rau cov kev cai ntawm lub cev kub, yog txaus ntseeg rau qhov kev txiav txim ntawm stimuli. Yog hais tias lub tshav kub tshwm sim poob nthav thiab kev loj hlob sai, nws ua rau lub nra ntawm lub plawv, cov hlab ntsha, lub ntsws. Oxygen yog ceev thiab mob ntau dua nyob rau hauv cov ntshav, tab sis nws tsis txuag los ntawm kev txhim kho tau hypoxia, uas ua rau qaug dab peg thiab ntau yam kev ua haujlwm nyob rau hauv lub hauv paus paj hlwb. Kom tsis txhob muaj teebmeem tshwm sim, lub cev kub ntawm cov menyuam yaus me me zoo dua txhua hnub.

Feem ntau yog vim li cas rau kev nce

Lub cev kub

Hyperthermic syndrome nyob rau hauv cov me nyuam tuaj yeem feem ntau vim yog mob ua pa kab mob los yog mob khaub thuas. Tsis tas li cov cim ntsuas kub hauv qhov no tshaj qhov cim ntawm 40 degrees, tab sis qee zaus qhov no yog vim tsis muaj zog tiv thaiv kab mob, mob hnyav ntawm tus kab mob los yog tus cwj pwm ntawm nws txoj kev kawm. Txiav txim seb qhov kub taub hau li cas yog qhov yooj yim txaus, vim nws feem ntau nrog nws los ntawm hnoos los yog los ntswg.

Lub hauv paus ntawm qhov kub nce kuj yog cov kab mob kis tau yooj yim (kab mob qoob hlaub, rubella, measles), thiab mob ntses. Yog tias qhov kub taub hau ua rau muaj kev cuam tshuam rau hauv lub nruab nrog cev, qhov mob hlav, ces qhov no yog ib qho teeb meem loj heev uas yuav tsum tau kho tam sim. Qhov tshwj xeeb tshaj yog txaus ntshai nyob rau hauv lub raum kab mob hyperthermic syndrome: mcb, raum tsis ua hauj lwm yuav tshwm sim unpredictably thiab yog nrog ib tug xov tooj ntawm cov teeb meem. Yog li ntawd, ua tib zoo saib xyuas cov tsos mob kom pab tus kws kho mob ua kom paub tseeb. Ntawm no yog nyob ntawm kev noj qab haus huv, thiab qee zaus lub neej ntawm ib tug me txiv neej.

Dab tsi ntxiv muaj peev xwm ua rau muaj mob hypothermic

Syndrome

Qee lub sij hawm kub taub hau yog ua los ntawm kev quab yuam los yog tsis ua kom qee yam tshuaj. Hauv cov menyuam yaus, qhov kub thiab txias qee zaum tom qab txhaj tshuaj tiv thaiv kab mob. Txhawm rau tau nyob ib ncig ntawm qhov teeb meem no, cov niam txiv pib muab cov tshuaj antihistamines 5 hnub ua ntej txhaj koob tshuaj.

Thaum tshav kub kub yuav tau triggered thaum lub lom txiav txim ntawm toxins: lawv tua lub hlwb thiab hais tias ib feem twg lub kub regulator lub cev. Qhov mob qog siab heev hyperthermia syndrome no. Nyob rau hauv tas li ntawd, thaum lub ncua tshuaj loog thiab coma tej zaum yuav muaj kev kub taub hau.

Lub banal ua rau tshav kub tseem yog: theem qis tshaj hauv lub hnub, tshav kub kub los yog kev nyuab siab. Cov menyuam yaus ua rau muaj teeb meem rau lub cev thiab lub cev: Yog li ntawd, plab hnyuv thiab kub taub hau yog qhov tshwm sim muaj xwm txheej heev. Cov menyuam yaus kuj raug kev txom nyem heev, yog li thaum tuaj txog hauv lub tebchaws txawv tebchaws, tsis txhob xav tias tsam koj tus menyuam poob qis. Hyperthermal Syndrome nyob rau hauv cov neeg laus yog qhov tseem ua tau rau qhov laj thawj no, tiam sis hauv qee zaum tsawg.

Hom mob hyperthermia syndrome

Nws zoo nkaus li txawv ntawm cov xwm txheej thiab cov yam ntxwv ntawm tus menyuam lub cev. Piv txwv, qhov ntev ntawm hyperthermia syndrome tuaj yeem ephemeral (txij li ob peb teev mus rau ob hnub), mob nyhav (txog li ob lub lis piam), subacute (txog 45 hnub) thiab ntev (tshaj 45 hnub). Lub tom kawg ob hom no yeej tsis tau pom nyob rau hauv lub ntiaj teb niaj hnub no, raws li kev yees duab tshiab cia koj mus ceev nrooj ntawm qhov kub taub hau thiab muab kev pab cuam nrog cov kev mob siab hyperthermic.

Tsis tas li ntawd, cov kev kub taub hau no yog qhov txawv:

1. Tas mus li. Khaws cia nyob rau tib theem - ntau tshaj 39 degrees (nrog cov kab mob xws li mob ntsws muaj dej lobar, typhoid thiab typhus).
2. Waning. Qee zaus nws ncav mus rau 38 degrees, tiamsis nws tsis ncav cuag qee theem (raug rau cov hlab ntsws, mob ntsws, mob ua npaws).
3. Intermittent. Lub sij hawm kub kub kub kub nrog kub cev (nws tshwm sim nrog sepsis thiab malaria).
4. Rov qab los tau. Ntawm no txhua yam yog lwm txoj hauv kev: lub caij sov yog hloov los ntawm ib txwm lub xeev (tshwm sim nrog rau tus kab mob qaij).
5. Wavy. Ntev ntev rov tom qab thiab poob qab (raug rau brucellosis, lymphogranulomatosis).
6. Exhausting. Cov dej kub qis heev (tuberculosis, sepsis).
7. Kev tsis ncaj ncees, uas tsis tuaj yeem piav qhia thiab mus tshaj tawm cov kev txwv ntawm kev ua haujlwm.

Clinical duab

Hyperthermal Syndrome nyob rau hauv cov me nyuam muaj peev xwm manifest nws tus kheej nyob rau hauv ntau txoj kev. Feem ntau, nyob ntawm seb tus me nyuam muaj mob li cas, lub zog ntawm nws lub cev thiab tus yam ntxwv ntawm tus kheej, kub cev li:

• Liab dawb. Qhov no tsis yog ib qho kev mob hlwb hyperthermic, tab sis tsuas yog nws qhov kev tshwm sim xwb. Hyperthermic ras kho - qhov sov hu ua paub thaum lub me nyuam cov tawv nqaij sov so, cov hnoos qeev ua muaj ntsis qis, thiab tsis muaj tachycardia. Qhov dav dav dav heev no zoo heev.
• Daj ntseg. Qhov mob hyperthermic syndrome hauv nws daim ntawv dawb huv. Tus neeg mob xav tias muaj ntsawj txias, tawv nqaij yog daj ntseg nrog tus qauv marble, txhais tes thiab taw yog dej khov, tachycardia yog ua tau. Qhov kub yog qhov nyuaj heev los khob. Nws yog ib qho ntawm cov kab mob metabolic, qhov ua txhaum ntawm microcirculation thiab kawg ntawm cov hauv nruab nrog cev. Tus me nyuam tuaj yeem ua tau mob hnyav heev, uas yuav tsum tau pab kho mob sai. Koj yuav tsum hu rau lub tsheb thauj neeg mob, thiab tos nws tuaj txog, ntawm koj tus kheej kom txo qis kub taub hau hauv tus menyuam.

Cov niam txiv yuav tsum ua li cas ua ntej cov kws kho mob tuaj txog

Thaum lub sijhawm tos rau ib pawg kws kho mob, koj tsis muaj txoj cai los lament los yog zaum ntawm idly. Los ntawm kev yoojyim, cov niam txiv tuaj yeem ua rau tus mob hyperthermia syndrome. Kev pab xwm txheej ceev thaum tsis muaj tshuaj thiab txhua yam tshuaj muaj xws li hauv qab no:

1. Muab tus me nyuam pw, qhib lub qhov rai thiab nkag mus rau saum cua.
2. Unbutton me nyuam cov khaub ncaws. Tsis txhob qhwv nws yog tias nws "kub hnyiab". On qhov tsis tooj, siv ib yam dab tsi txias, zoo dua nyob rau hauv lub groin cheeb tsam. Tig rau hauv kiv cua thiab coj ncaj nraim rau khiav ntawm huab cua rau tus menyuam. Koj tuaj yeem so tus neeg mob daim tawv nqaij nrog cov lus vinegar nrog dej los yog cawv (yog tias tus me nyuam tsis muaj 3 lub hlis, qhov no yuav tsum tau tso tseg).
3. Yog tias koj tus tub lossis tus ntxhais tab tom muaj kev ntsawj txias, ces, ntawm qhov tsis sib xws, npog lawv nrog ib daim pam sov so, ntxiv rau qhov cua sov ncoo rau koj ob txhais taw.

Nws yog ib qho tseem ceeb heev uas yuav tau muab tus me nyuam haus, qhov ntau, nws zoo dua. Yog li, lub cev yuav ceev nrooj pov cov tshuaj lom uas lom nws. Yog tias koj paub tseeb tias qhov ua rau kub taub hau ua rau mob, ces koj tuaj yeem ntxuav tus menyuam lub plab thiab hnyuv. Tsis txhob cia koj tus menyuam nyob ib leeg yog tias nws muaj tus mob hyperthermic syndrome. Thawj cov nyiaj pab los ntawm cov niam txiv yuav tsis tsuas yog yooj yim rau nws lub cev, tab sis kuj txhawb tus me nyuam kev noj qab haus huv, vim hais tias tu thiab saib xyuas nws tseem ceeb heev rau nws tam sim no.

Cov tshuaj "Paracetamol": lub pob zeb tseem ceeb tiv thaiv tshav kub

Tom qab koj hu ua tus kws kho mob thiab coj thawj cov kauj ruam los pab txo tus me nyuam tus mob, koj tuaj yeem sim khob qhov kub ntawm koj tus kheej. Hyperthermic syndrome nyob rau hauv cov menyuam yaus, thaum muaj xwm txheej ceev uas yog nyob rau hauv txoj kev siv yeeb tshuaj, qhia txog kev noj cov tshuaj antipyretics. Hauv tsev, muab cov tshuaj uas tsim nyog yuav tsum tau ua kom yooj yim thiab yog qhov tseem ceeb, yog tias tsis yog tag nrho qhov kev kub taub hau, nws yuav pab kom tus me nyuam muaj mob.

Qhov tshuaj tiv thaiv zoo tshaj plaws thiab txhim khu feem ntau yog cov tshuaj Paracetamol zoo, cov tshuaj txhua hnub uas tsis pub tshaj 60 mg / kg. Nws yog tsim los ntawm daim nplaub tshev rau cov me tshaj, nrog rau phoov, tshuaj ntsiav thiab siv rau cov me nyuam loj zog. Paracetamol yuav tsum tsis txhob noj rau ntau tshaj peb hnub ua ke, vim tias nws tuaj yeem ua rau tus kab mob siab - ua rau lub siab tsis zoo. Tsis tas li ntawd, nws tsis pom zoo muab cov me nyuam nrog ib tus neeg tsis haum rau lub tshuaj.

Lwm yam tshuaj yeeb

Cov no yog cov kev npaj "Ibufen" thiab "Nurofen", cov me nyuam cov hom ntawm ibuprofen. Feem ntau yog cov me nyuam mos cwj pwm zoo, tab sis nws muaj ntau dua kev phiv, thiab feem ntau tshwm sim dua los ntawm tib cov yeeb tshuaj "Paracetamol." Cov tshuaj no tuaj yeem muab pub rau tus menyuam yog tias nws twb muaj ib xyoos lawm thiab tsis kam zam Paracetamol. Lawv yuav pab nrhiav cov kab mob siab ntsws hyperthermic syndrome hauv cov menyuam yaus, kev pabcuam ceev ntawm cov tshuaj no yog pom tsis zoo ntawm lawv qhov kev siv tshuaj tua kabmob xwb, tabsis tseem muaj peevxwm nqig tau qhov mob.

Homeopathic tshuaj rau kub cev - "Viburkol". Tab sis nws tsis yog ib txwm zoo thiab sai sai nrog tej kev mob hyperthermic. Hauv cov rooj plaub, niam txiv tuaj yeem muab cov tshuaj tiv thaiv kabmob (antipyretic preparation) uas muaj nyob hauv tsev kom tsis txhob siv sijhawm mus rau lub tsev muag tshuaj (qhov no yog cov tshuaj Efferalgan, Panadol thiab lwm tus). Yog tias tus me nyuam tau noj cov tshuaj no, thiab koj paub tseeb tias nws ua hauj lwm, xav pub dawb kom muab cov tshuaj uas tau txhaj rau nws lub hnub nyoog thiab qhov hnyav, raws li tau qhia hauv cov lus qhia.

Qhov loj tshaj plaws yuav tsum nco ntsoov niam thiab txiv, cov me nyuam yaus yuav tsum tsis txhob noj xws antipyretics, raws li "Analgin", "aspirin", "Antipyrin", "Amidopyrine", "Phenacetin" thiab lwm yam tshuaj raws li rau lawv. Yog hais tias koj yeej tsis ntseeg cov kev xaiv ntawm antipyretics ntsiav tshuaj los yog syrups, hu rau cov menyuam yaus cov phooj ywg los pab ua ib tug txiav txim siab.

Ua haujlwm ntawm cov kws kho mob

Cov kws kho mob uas tuaj rau hauv qhov chaw kho mob muaj ntau yam cuab yeej hauv nws cov arsenal uas yuav pab sai sai rau tshem tawm cov mob siab ntsws hyperthermic. Kev pab kho mob thaum muaj xwm ceev muaj tshwm sim, uas muaj peb hom: papaverine, analgin, thiab diphenhydramine. Hom no zoo heev thiab yog siv yog hais tias tus me nyuam qhov mob tseem ceeb heev, thiab tag nrho koj cov dag zog ua tsis tau qhov siab kub.

Kuj rau tus menyuam tuaj yeem nkag mus rau ntawm aminazine, pifolen thiab novocaine. Nrog spasm ntawm cov hlab ntsha, eufillin pab, thiab mus rau calm lub nervous system, midazolam. Tus kws kho mob suav cov tshuaj rau koj tus me nyuam, thaum sim ua kom sai sai seb qhov ua rau kub taub hau. Npaj rau cov lus nug, vim koj qhov tshwm sim ceev tseem ceeb heev. Nyob ntawm seb qhov sov sov, tus me nyuam raug tshuaj tua kab mob, tshuaj hormonal los yog lwm yam tshuaj. Txuas tus me nyuam, thaum tus me nyuam muaj tus mob hyperthermic, nws yuav tsum tsis txhob noj cov tshuaj calcium, vasopressors thiab atropine.

Pheej yuam kev ntawm kws kho mob

Hauv cov laus thiab cov menyuam yaus, qhov mob hypothermic syndrome no txawv heev. Qhov kev pabcuam thawj zaug yuavtsum tau hais raws li kev coj ua kom tshem tawm qhov ua rau kub taub hau. Tsuas yog cov laus hauv lub cev kub yeem maj mam tiv thaiv cov keeb kwm ntawm cov tsos mob, ces kub ib ce feem ntau tshwm sim ntawm cov menyuam yaus. Hmo thaum yav tsaus ntuj tus me nyuam luag thiab ua si, thiab thaum tsaus ntuj nws nyob hauv txoj kev mob nyav. Yog li, qhov hauj lwm tseem ceeb ntawm tus kws kho mob yog kom sai thiab meej tias tsim kom muaj qhov tseeb, kom muab cov kev kho mob tsim nyog. Feem ntau hauv cov tsheb tos neeg mob muaj tsis muaj defibrillators uas yog li tsim nyog rau txuag cov me nyuam.

Cov kev kho mob uas tseem ceeb tshaj plaws yog: kev siv tshuaj ntau dhau, tsis muaj kev sib to taub txog kev siv tshuaj uas yuav npog cov tsos mob ntawm tus kab mob. Yog li, thaum nkag mus hauv tsev kho mob los txiav txim lub hauv paus ua rau kub taub hau feem ntau tsis yooj yim sua. Cov kws kho mob kuj yuav tau them sai sai mus rau lub hnub nyoog ntawm tus neeg mob thiab raws li nws taw resuscitation. Kev ua haujlwm ntawm cov kws kho mob nrog rau kev ceev nrawm ntawm tus me nyuam thiab kev tiv thaiv ntawm cov teeb meem ua tau tom qab kis tau tus mob hyperthermic syndrome.