Hyperthermic syndrome yog qhov nce sai hauv lub cev kub, feem ntau siab dua 40 degrees. Thaum tus neeg mob zoo li no nyob hauv tsev, nws ua rau muaj kev ntshai ntawm nws cov txheeb ze, vim peb txhua tus paub txog qhov txaus ntshai ntawm kub taub hau thiab nws qhov tshwm sim. Yog ua npaws tshwm sim rau cov menyuam yaus, cov niam txiv raug "suab txhua lub tswb", vim tias lub cev me me tseem tsis tau muaj zog txaus thiab xav tau kev pab kom kov yeej tus npaws.
Hyperthermic syndrome: nws yog dab tsi
Tus mob no hauv cov menyuam yaus feem ntau pom. Qhov no yog vim muaj qhov tsis zoo ntawm cov kab mob me me, qhov tsis muaj zog tiv thaiv kab mob thiab tshwj xeeb rhiab heev rau ntau yam kab mob, kab mob thiab kab mob. Kev nce hauv lub cev kub yog ib txwm tiv thaiv cov tshuaj tiv thaiv rau txhua yam kev ua haujlwm tsis zoo hauv lub cev. Raws li qhov tshwm sim, cov tshuaj tua kab mob hauv cov ntshav nce ntxiv, leukocytes ua kom nquag plias, metabolism nce, endogenous interferon ntau lawm tshwm sim ob zaug sai.
Hauv hyperthermic syndrome, hypothalamus, uas nyob hauv lub hlwb thiab muaj lub luag haujlwm tswj lub cev kub,susceptible rau stimuli. Yog tias kub taub hau tshwm sim tsis tau npaj txhij thiab loj hlob sai, qhov no ua rau lub plawv, cov hlab ntsha, thiab lub ntsws. Cov pa nkag mus rau hauv cov ntshav sai dua thiab nquag nquag, tab sis nws tsis tiv thaiv kev txhim kho ntawm hypoxia, uas ua rau muaj kev ntxhov siab thiab ntau yam kev ua haujlwm tsis zoo hauv lub hauv paus paj hlwb. Txhawm rau zam qhov teeb meem tshwm sim, lub cev kub ntawm cov menyuam yaus yog qhov zoo tshaj plaws ntsuas txhua hnub.
xov xwm tshaj plaws rau kev nce
lub cev kub
Hyperthermic syndrome hauv cov menyuam yaus yuav tshwm sim feem ntau vim yog SARS lossis mob khaub thuas. Qhov ntsuas kub nyob rau hauv cov ntaub ntawv no tsis tas yuav tshaj qhov cim ntawm 40 degrees, tab sis qee zaum qhov no yog vim tsis muaj zog tiv thaiv kab mob, daim ntawv mob hnyav, lossis tus yam ntxwv ntawm nws cov kev kawm. Kev txiav txim siab qhov ua rau kub taub hau hauv qhov no yog qhov yooj yim heev, vim nws feem ntau nrog hnoos lossis los ntswg.
Lub hauv paus ntawm kev ua npaws yog txhua yam kab mob sib kis (tus kab mob khaub thuas, rubella, qhua pias), nrog rau mob plab hnyuv. Yog tias kub taub hau tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm cov kab mob hauv nruab nrog cev, cov txheej txheem inflammatory, ces qhov no yog qhov teeb meem loj heev uas yuav tsum tau txais kev pab tam sim ntawm tus kws kho mob. Hyperthermic syndrome yog tshwj xeeb tshaj yog txaus ntshai nyob rau hauv cov ntaub ntawv ntawm cov kab mob ntawm lub raum: microbiota, lub raum tsis ua hauj lwm yuav ua tau unpredictably thiab yuav nrog ntau yam teeb meem. Yog li ntawd, saib xyuas koj cov tsos mob kom zoo los pab koj tus kws kho mob ua qhov tseeb. Kev noj qab haus huv nyob ntawm nws, thiab qee zaumlub neej me me.
Dab tsi tuaj yeem ua rau muaj kev kub ntxhov
Qee zaum kub taub hau yog tshwm sim los ntawm kev noj tshuaj ntau dhau lossis tsis kam rau qee yam tshuaj. Hauv cov menyuam mos, qhov ntsuas kub qee zaum dhia tom qab txhaj tshuaj txhua hnub. Txhawm rau zam qhov xwm txheej no, cov niam txiv pib muab tshuaj tiv thaiv rau menyuam yaus 5 hnub ua ntej txhaj tshuaj tiv thaiv.
Kub kub tuaj yeem tshwm sim los ntawm kev ua ntawm cov co toxins thaum muaj tshuaj lom: lawv tawm tsam lub hlwb thiab qhov chaw ntawm lub cev qhov ntsuas kub ntawm lub cev. Qhov no yog malignant hyperthermic syndrome. Tsis tas li ntawd, nrog rau kev tso tshuaj loog thiab coma, kub taub hau tuaj yeem tshwm sim.
Qhov banal ua rau tshav kub kuj yog: theem pib overheating nyob rau hauv lub hnub, heatstroke los yog txawm kev nyuaj siab. Cov me nyuam me kuj ua rau lub cev sib txawv ntawm lub neej: yog li ntawd, kev zom zaub mov thiab kub taub hau yog qhov tshwm sim ntawm kev ntxhov siab. Cov menyuam yaus kuj muaj lub sijhawm nyuaj acclimatizing, yog li tom qab tuaj txog hauv lub tebchaws txawv tebchaws, tsis txhob xav tsis thoob yog tias koj tus me nyuam kub taub hau. Hyperthermic syndrome nyob rau hauv cov neeg laus kuj tseem ua tau rau qhov no, tab sis nyob rau hauv tsis tshua muaj neeg mob.
Hom mob hyperthermic
Nws tshwm sim nws tus kheej hauv ntau txoj hauv kev nyob ntawm qhov xwm txheej tshwj xeeb thiab tus yam ntxwv ntawm tus menyuam lub cev. Piv txwv li, nyob rau hauv cov nqe lus ntawm lub sij hawm, hyperthermic syndrome yuav ephemeral (los ntawm ob peb teev mus rau ob hnub), mob (txog li ob lub lis piam), subacute (txog 45 hnub) thiab ntev (ntau tshaj 45 hnub). Qhov kawg ob hom yog pom nyob rau hauv lub ntiaj teb niaj hnub no,raws li cov thev naus laus zis tshiab tso cai rau koj kom txo tau tus mob npaws sai sai thiab muab kev pab rau hyperthermic syndrome.
Ntxiv mus, muaj xws li kub taub hau:
- Nco. Khaws nyob rau tib theem - ntau dua 39 degrees (nrog rau cov kab mob xws li mob ntsws ntsws, mob typhoid thiab typhus).
- Txog. Qee lub sij hawm nws poob mus rau 38 degrees, tab sis tsis ncav cuag li ib txwm muaj (xws li mob ntsws, mob ntsws, mob khaub thuas).
- Kev sib tham. Lub sij hawm ntawm qhov kub ib txwm hloov nrog kub taub hau (tshwj xeeb nrog sepsis thiab malaria).
- Rov qab tau. Ntawm no, qhov sib txawv yog qhov tseeb: lub sijhawm cua sov hloov los ntawm lub xeev ib txwm muaj (tshwm sim nrog typhus).
- Wave. Lub sijhawm ntev ntawm kev nce thiab poob (ib txwm rau brucellosis, Hodgkin tus kab mob).
- Txhob Cia Siab. Kub dhia loj heev (tuberculosis, sepsis).
- Ua txhaum, piav tsis tau thiab tawm ntawm kab.
daim duab kho mob
Hyperthermic syndrome hauv cov menyuam yaus tuaj yeem tshwm sim nws tus kheej hauv ntau txoj kev. Feem ntau, nyob ntawm seb tus me nyuam qhov xwm txheej, lub zog ntawm nws lub cev thiab tus yam ntxwv ntawm tus kheej, ua npaws yog:
- Pink. Qhov no tsis yog ib qho mob hyperthermic nkaus xwb, tab sis tsuas yog ib feem ntawm qhov tshwm sim ntawm nws. Cov tshuaj tiv thaiv hyperthermic - qhov no yog lub npe ntawm lub xeev ntawm tshav kub, thaum daim tawv nqaij ntawm tus me nyuam sov, lub mucous daim nyias nyias yog me ntsis moist, tsis muaj tachycardia. Generalmob siab heev.
- Paj. Qhov no yog hyperthermic syndrome nyob rau hauv nws daim ntawv purest. Tus neeg mob xav tias txias, daim tawv nqaij daj ntseg nrog cov qauv marbled, caj npab thiab txhais ceg yog dej khov, tachycardia yog ua tau. Qhov kub thiab txias yog qhov nyuaj heev kom txo qis. Nws yog tus cwj pwm los ntawm cov kab mob metabolic, microcirculation tsis zoo thiab ua haujlwm ntawm cov kab mob hauv nruab nrog cev. Tus me nyuam yuav nyob rau hauv ib qho mob hnyav heev, uas yuav tsum tau pab thawj zaug sai sai. Koj yuav tsum hu lub tsheb thauj neeg mob thiab, thaum tos nws tuaj txog, sim txo tus menyuam kub taub hau ntawm koj tus kheej.
Cov niam txiv yuav tsum ua li cas ua ntej cov kws kho mob tuaj txog
Tam pab pawg kho mob, koj tsis muaj cai quaj lossis zaum rov qab. Nrog kev ua haujlwm yooj yim, cov niam txiv tuaj yeem txo qhov mob hyperthermia. Kev kho mob xwm txheej ceev yam tsis muaj tshuaj thiab ntau yam tshuaj muaj raws li hauv qab no:
- Muab tus me nyuam pw, qhib qhov rais thiab muab huab cua ntshiab.
- Unbutton your baby's clothes. Tsis txhob qhwv nws yog tias nws raug hluav taws. Ntawm qhov tsis sib xws, thov ib yam dab tsi txias, nyiam dua hauv thaj chaw hauv pliaj. Qhib lub kiv cua thiab coj cov huab cua ntshiab mus rau tus menyuam. Koj tuaj yeem so tus neeg mob daim tawv nqaij nrog cov kua txiv hmab txiv ntoo nrog dej lossis cawv (yog tias tus menyuam muaj hnub nyoog qis dua 3 hlis, cov txheej txheem no yuav tsum tau tso tseg).
- Yog koj tus tub lossis tus ntxhais muaj qhov txias txias, yog li ntawd, ntawm qhov tsis sib xws, npog lawv nrog daim pam sov, ntxiv rau cov ntaub qhwv cua sov rau lawv ob txhais ceg.
Nws yog ib qho tseem ceeb heev kom muab tus menyuam haus, qhov ntau dua. Yog li lub cev yuav sai sai tshem tawmlom co toxins. Yog tias koj paub tseeb tias qhov ua rau kub taub hau yog lom, koj tuaj yeem ntxuav tus menyuam lub plab thiab cov hnyuv. Tsis txhob cia tus menyuam nyob ib leeg yog tias nws muaj hyperthermic syndrome. Kev pab thawj zaug los ntawm cov niam txiv yuav tsis tsuas yog txo nws lub cev xwb, tab sis kuj txhawb nqa tus menyuam kom coj ncaj ncees, vim tias kev saib xyuas thiab kev saib xyuas tseem ceeb heev rau nws tam sim no.
Tshuaj "Paracetamol": riam phom tseem ceeb tiv thaiv kub cev
Tom qab koj hu rau tus kws kho mob thiab ua thawj kauj ruam los txo tus menyuam tus mob, koj tuaj yeem sim ntsuas qhov kub ntawm koj tus kheej. Hyperthermic syndrome nyob rau hauv cov me nyuam, nyob rau hauv uas kev kho mob xwm txheej ceev kuj muaj nyob rau hauv kev kho mob tshuaj, yuav tsum tau noj tshuaj antipyretics. Nyob hauv tsev, muab cov tshuaj tsim nyog ntawm cov tshuaj no yog ib kauj ruam tseem ceeb thiab tsim nyog, uas, yog tias nws tsis tshem tawm qhov kub taub hau, yuav ua rau tus me nyuam zoo heev.
Cov tshuaj tiv thaiv kev nyab xeeb thiab txhim khu kev qha tshaj plaws yog cov tshuaj qub qub "Paracetamol", qhov koob tshuaj txhua hnub yuav tsum tsis pub tshaj 60 mg / kg. Nws yog tsim nyob rau hauv daim ntawv ntawm qhov quav suppositories rau qhov tsawg tshaj plaws, raws li zoo raws li syrups, capsules thiab dragees rau cov me nyuam loj. Paracetamol yuav tsum tsis txhob noj ntau tshaj peb hnub ua ke, vim tias nws tuaj yeem ua rau muaj kev cuam tshuam rau hepatotoxic - ua txhaum ntawm daim siab. Tsis tas li, nws tsis pom zoo kom muab rau cov menyuam mos uas muaj kev tsis haum rau cov tshuaj.
Lwm cov tshuaj tua kab mob
Cov no yog tshuaj "Ibufen" thiab"Nurofen", cov me nyuam cov ntaub ntawv ntawm ibuprofen. Feem ntau, cov menyuam yaus pom nws zoo, txawm tias nws muaj kev phiv ntau dua, thiab lawv tshwm sim ntau dua li ntawm tib cov tshuaj Paracetamol. Cov tshuaj no tuaj yeem muab rau tus menyuam yog tias nws muaj hnub nyoog ib xyoos thiab nws tsis zam rau Paracetamol. Lawv yuav pab kho cov mob hyperthermic hauv cov menyuam yaus, kev pabcuam thaum muaj xwm txheej ceev ntawm cov tshuaj no tau tshwm sim tsis yog hauv lawv cov tshuaj tiv thaiv kab mob xwb, tab sis kuj muaj peev xwm ua kom mob siab.
Homeopathic tshuaj kho kub taub hau - "Viburkol". Tab sis nws tsis yog ib txwm ua haujlwm tau zoo thiab nrawm hauv hyperthermic syndrome. Hauv ib tus neeg mob, cov niam txiv tuaj yeem muab cov tshuaj tua kab mob uas muaj nyob hauv tsev, kom tsis txhob nkim sijhawm ntawm txoj kev mus rau lub tsev muag tshuaj (qhov no yuav yog cov tshuaj "Efferalgan", "Panadol" thiab lwm yam). Yog hais tias tus me nyuam twb tau noj cov tshuaj no, thiab koj paub tseeb tias nws ua haujlwm, xav tias dawb muab cov tshuaj uas pom zoo rau nws hnub nyoog thiab qhov hnyav, raws li tau piav qhia hauv cov lus qhia.
Qhov tseem ceeb uas cov niam txiv yuav tsum nco ntsoov: cov menyuam yaus yuav tsum tsis txhob noj cov tshuaj tiv thaiv kab mob xws li Analgin, Aspirin, Antipyrin, Amidopyrine, Phenacetin thiab lwm yam tshuaj raws li lawv. Yog tias koj tsis paub meej txog kev xaiv cov tshuaj tua kab mob lossis cov tshuaj tua kab mob, hu rau tus kws kho mob koj paub tias leej twg yuav pab koj txiav txim siab.
Tus kws kho mob ua haujlwm
Pab pawg kws kho mob uas tuaj rau hauv lawv lub arsenal muaj ntau yam cuab yeej uas yuav pab tshem tawm cov mob hyperthermic sai sai. Kev kho mob xwm txheej ceev ntawm cov kws kho mob muaj nyob rau hauv kev txhaj tshuaj, uas muaj peb yam tshuaj: papaverine, analgin thiab diphenhydramine. Txoj kev no siv tau zoo heev thiab siv tau yog tias tus menyuam tus mob tseem ceeb, thiab tag nrho koj cov kev siv zog ua tsis tiav los txo qhov kub.
Tsis tas li, tus menyuam tuaj yeem txhaj tshuaj chlorpromazine, pipolfen thiab novocaine. Eufillin pab nrog vasospasm, thiab midazolam pab ua kom lub paj hlwb. Tus kws kho mob suav cov koob tshuaj rau koj tus menyuam thaum sim ntsuas qhov ua rau kub taub hau sai. Npaj rau cov lus nug, vim tias koj cov lus teb ceev yog qhov tseem ceeb heev. Nyob ntawm qhov ua npaws, tus menyuam tau txais tshuaj tua kab mob, tshuaj hormonal lossis lwm yam tshuaj. Tib lub sijhawm, thaum tus menyuam muaj tus mob hyperthermic, nws yuav tsum tsis txhob noj cov tshuaj calcium, vasopressors thiab atropine.
kev kho mob yuam kev
Hythermic syndrome tshwm sim nws tus kheej txawv heev hauv cov neeg laus thiab menyuam yaus. Kev pab thawj zaug yuav tsum yog lub hom phiaj tseem ceeb ntawm kev tshem tawm qhov ua rau kub taub hau. Tsuas yog nyob rau hauv cov neeg laus qhov kub thiab txias yuav maj mam tawm tsam keeb kwm ntawm ntau yam tsos mob, ces nyob rau hauv cov me nyuam kub taub hau feem ntau tshwm sim poob nthav. Txawm tias yav tsaus ntuj tus me nyuam luag thiab ua si, thiab thaum hmo ntuj nws nyob rau hauv qhov xwm txheej tseem ceeb. Yog li ntawd, lub luag haujlwm tseem ceeb ntawm tus kws kho mob yog kom sai thiab raug tsim kom muaj kev kuaj mob kom raug, sau ntawv kho kom raug. Feem ntau lub tsheb thauj neeg mob tsis muaj defibrillators, uas yog qhov tsim nyog thaum cawm cov menyuam mos.
Kev kho mob yuam kev tshaj plaws:Kev noj tshuaj tsis raug, kev sib xyaw ua ke ntawm cov tshuaj uas tuaj yeem npog cov tsos mob tseem ceeb ntawm tus kab mob. Yog li ntawd, thaum nkag mus rau hauv tsev kho mob, feem ntau tsis tuaj yeem txiav txim siab qhov ua rau kub taub hau. Cov kws kho mob kuj yuav tsum tau ua tib zoo saib xyuas lub hnub nyoog ntawm tus neeg mob thiab, raws li nws, sau cov kev ntsuas resuscitation. Cov kws kho mob muaj peev xwm ua haujlwm nrog kev rov zoo ntawm tus menyuam sai thiab tiv thaiv cov teeb meem tshwm sim tom qab kis tus mob hyperthermic.
