Syndrome Hyperthermic ezinganeni. Siza nge hyperthermal syndrome

Hyperthermal syndrome - ekwandiseni e lokushisa emzimbeni, ngokuvamile ngenhla 40 degrees. Lapho indlu isiguli ezinjalo, kudala isidumo emndenini wakhe, ngoba sonke siyazi ingozi fever nemiphumela yaso. Uma imfiva kwenzeka ezinganeni, abazali kufanele "ukushaya zonke izinsimbi," njengoba umzimba ezincane okwamanje ngokwanele futhi usizo oludingekayo ukuze zinqobe lo ukushisa.

syndrome Hyperthermic: ukuthi kuyini

Lesi simo kwenzeka ezinganeni kaningi. Lokhu sengozini ibangwa umzimba ezincane, ukungabi uhlelo sihlale siphilile futhi ikakhulukazi ebucayi ukuze amagciwane ahlukene, amagciwane kanye nezifo ukuphi. Ukwandiswa lokushisa komzimba - kuba njalo yokusabela ukuzivikela yiluphi uhlobo izinkinga emzimbeni. Ngenxa yalokho, i-isinyathelo amagciwane wegazi inyuka, leukocyte ocushiwe, umzimba luphakanyiswa ukukhiqizwa interferon endogenous kwenzeka kabili ngokushesha.

Ngo hyperthermal syndrome ngxenye, okuyinto ebuchosheni futhi unesibopho ukulawulwa lokushisa komzimba, amenable isinyathelo ezintweni. Uma imfiva kwenzeka ngokuzumayo futhi ithuthuka ngokushesha, kudala umthwalo phezu inhliziyo, imithambo yegazi, emaphashini. Oxygen ngokushesha futhi kabanzi lingene egazini, kodwa akuvimbeli ukuthuthukiswa hypoxia kungenzeka, elibangela Ukudlikizela futhi eziyimbangela yezinkinga ezizuzwa ezihlukahlukene isimiso sezinzwa esiyinhloko. Ukuze ugweme ukuxakeka kungenzeka, izinga lokushisa komzimba ezinganeni ezincane kakhulu kungcono ukukala nsuku zonke.

Izizathu ezivamile sokwanda

izinga lokushisa emzimbeni

syndrome Hyperthermic ezinganeni kungenzeka okokuqala ngenxa SARS noma umkhuhlane. It is hhayi njalo ukufundwa lokushisa kulokhu idlule uphawu 40 degrees, kodwa ngezinye izikhathi kungenxa uhlelo buthaka amasosha omzimba, ifomu acute lesi sifo noma izici ngazinye flow yayo. Icacisa imbangela imfiva kulokhu ngempela kalula ngoba ngokuvamile uhambisana ukukhwehlela noma abandayo.

UMsunguli lokushisa Ukukhuphuka yinoma iziphi izifo (inkukhu Pox, rubella, isimungumungwana) kanye appendicitis. Uma imfiva ebangele ukuphazamiseka kwezitho zangaphakathi, ukuvuvukala, kuba nesimo esingathi sína kakhulu okudinga usizo ngokushesha kwabasebenzi bezokwelapha. Yingozi ikakhulukazi isifo sezinso hyperthermal syndrome: ICD, ukwehluleka kwezinso singenzeka ongayilindele, futhi ephelezelwa sebuningini ukuxakeka. Ngakho ukuqaphelisisa izimpawu ukusiza udokotela enze ithole ukuxilongwa okufanele. Kuleli kuncike impilo futhi ngezinye izikhathi ukuphila ndoda omncane.

Yini enye kungabangela hypothermic

syndrome

Ngezinye izikhathi imfiva kubangelwa ukweqisa izidakamizwa noma ukungabekezelelani izidakamizwa ezithile. ngezinye izikhathi Izingane kuzuba lokushisa emva yokugoma isimiso. Ukuze usombulule le simo, abazali izinsuku 5 ngaphambi yokugoma sebeqala ukunikeza antihistamine ingane.

Heat kungenziwa kwabangela uma isenzo ubuthi ubuthi: bahlasele ubuchopho futhi ingxenye lapho izinga lokushisa Regulator umzimba. Lesi sifo abulalayo hyperthermal. Ngaphezu kwalokho, lapho izinzwa lihlehliselwe futhi equlekile bangezwa imfiva.

Kuyinsakavukela izimbangela imfiva nazo: okweqile aphansi e ilanga, ukushisa unhlangothi noma ukucindezeleka. Izingane Indlela abasabela ngayo ezimweni ezahlukene nangokoqobo: yisisu ngakho nomkhuhlane - nemiphumela njalo yokwehluleka kwemizwa. Izingane futhi ehlupheka kakhulu ngazivumelanisa nendlela, ngakho lapho befika ezweni exotic ungamangali uma ingane yakho phansi enomkhuhlane. syndrome Hyperthermic e abadala zingenza ngenxa yalesi sizathu, kodwa ezimweni ezingajwayelekile kakhulu.

Izindlela komzimba syndrome

It kubonakala ngezindlela ezahlukene, kuya ngokuthi kunjalo ngabanye kanye izici isidumbu sengane. Ngokwesibonelo, isikhathi hyperthermal syndrome bangase babe esikhashana (kusuka amahora ambalwa kwezinsuku ezimbili), acute (amasonto amabili), subacute (izinsuku ezingu-45) futhi ezingalapheki (izinsuku ezingaphezu kwezingu-45). Laba ababili bokugcina cishe nomaphi emhlabeni namuhla akwenzeki, njengoba ubuchwepheshe obusha enze kube nokwenzeka ukuba ngokushesha ngehlise imfiva kanye nokunikeza usizo hyperthermal syndrome.

Ngaphezu kwalokho, lawo zinhlobo angawodwa imfiva:

1. Permanent. Egcinwe ezingeni elifanayo - ezingaphezu kuka-39 degrees (esihambisana izifo ezifana lobar inyumoniya, typhoid typhus).
2. Esezokufa. Ngezinye izikhathi lehla degrees 38, kodwa awufiki amagugu evamile (ejwayelekile ukucinana kwemigudu yokuphefumula, pneumonia, imfuluwenza).
3. Kweseva. Jwayelekile lokushisa nezikhathi alternated nge neziqubu imfiva (ngezinye izikhathi e sepsis nomalaleveva).
4. Okubuyisekayo. Konke okunalokho: izinkathi ukushisa esikhundleni esimweni esejwayelekile (ezivamile typhus).
5. Inamagquma. isikhathi eside ka nokuwa (ejwayelekile brucellosis, isifo Hodgkin sika).
6. Nkinga. Elikhulu lokushisa kuzuba (isifo sofuba, sepsis).
7. Engalungile, okuyinto defies incazelo futhi kudlulela ngale mithetho.

emitholampilo isithombe

syndrome Hyperthermic e izingane zingakwazi ukuzibonakalisa ngezindlela ezahlukene. Ngokuvamile, kuye ngokuthi isimo jikelele umntwana, le nqaba yomzimba wakhe, kanti izici ngamunye, fever:

• Pink. Akukona ngisho syndrome hyperthermal kakhulu, kodwa kuphela ukubonakaliswa yayo esinqunyiwe. Ukusabela Hyperthermic - okuthiwa isimo ukushisa, lapho isikhumba ingane efudumele, ngokulinganisela usemanzi nolwelwesi lwamafinyila, akukho tachycardia. Isimo jikelele eyanelisayo ngokwanele.
• Pale. Lesi sifo hyperthermal injalo okumsulwa. Isiguli azizwa hlala, isikhumba ugodo nge sibalo zemabula, izandla nezinyawo ice, tachycardia kungenzeka. Amazinga Kwakunzima kakhulu ukuletha phansi. It libhekene ukuphazamiseka umzimba, microcirculation ukuphazamiseka nokuphazamiseka okuhambisana yezitho zangaphakathi. Kid kungaba usesimweni esibucayi kakhulu lapho Kuyaphuthuma usizo lokuqala. Une ukubiza i-ambulensi kanye elinde efikile, bebodwa ukuzama ukwehlisa ukushisa ingane.

Yini abazali kufanele bakwenze ngaphambi kokufika odokotela

Ilinde iqembu yezokwelapha, awunawo ilungelo uyolila noma asonge. Simple izenzo zabazali esingenza lula hyperthermal syndrome. ukunakekelwa eziphuthumayo ngaphandle izidakamizwa nazo zonke izinhlobo zezinsimbi izidakamizwa simiswe ngalendlela lelandzelako:

1. Beka ingane embhedeni, ukuvula iwindi futhi ahlinzeke uthole umoya ohlanzekile.
2. Hlehlisa ingane izingubo. Kuta akunjalo, uma "ukusha". Kunalokho, sebenzisa into ebandayo, kangcono endaweni imbilapho. Vula fan ukugeleza oqondile nomoya opholile ingane. Ungakwazi ukusula isikhumba uviniga nesineke ngamanzi noma utshwala (uma ingane akanayo izinyanga 3 sale nqubo ukunikeza).
3. Uma indodana noma indodakazi yakho uzizwa Ukugodola ke, Ngakolunye uhlangothi, uzinameke ingubo efudumele, ngaphezu kwalokho ngokusebenzisa Ukushisa pad ezinyaweni.

Kubalulekile kakhulu ukuba ithathe umntwana ukuphuza, kulapho, ngcono. Ngakho umzimba ukuqeda isihlungu ubuthi bayo. Uma ukholwa ukuthi imbangela imfiva iye anobuthi, ungakwazi ugeze esiswini ingane namathumbu. Ungashiyi ingane yakho wedwa, uma hyperthermal syndrome. Usizo lokuqala, olunikezwa abazali, hhayi kuphela lula isimo sakhe esingokomzimba, kodwa futhi ukusekela ingane ngokuziphatha ngoba kuye kubalulekile kakhulu ukuba uqaphele nokunakwa.

Umuthi 'paracetamol ": isikhali esiyinhloko ekushiseni

Emva ngokuthi udokotela wenza izinyathelo kuqala ukuze akhulule isimo umntwana, ungazama ngokwakho ukuceka izinga lokushisa. syndrome Hyperthermic ezinganeni, usizo lokuqala for elisemandleni ukwelashwa, inikeza yokwamukela antipyretics. Ekhaya, ukukunika umthamo izidakamizwa - yisinyathelo esibalulekile futhi kudingekile ukuthi uma imfiva alubuqedi ngokuphelele, ngeke kakhulu lula ingane jikelele.

I evikelekile kakhulu futhi enokwethenjelwa izidakamizwa antipyretic - plain ubudala izidakamizwa "paracetamol", umthamo kabani nsuku zonke kumele singeqi 60 mg / kg. kokukhululwa kwakhe ngesimo suppositories rectal for abancane, kanye Syrups, amaphilisi kanye amaphilisi izingane ezindala. Kusho "paracetamol" akufanele bathathe izinsuku ezingaphezu kwezingu ezintathu zilandelana ngoba kungabangela imiphumela hepatotoxic - ukuphazamiseka kokusebenza kwesibindi. Futhi, it is hhayi Kunconywa izingane nge ukungabekezelelani ngakunye izidakamizwa.

Neminye imithi eqeda pyretic

Lo muthi "Ibufen" futhi "Nurofen" amafomu zezingane ka-ibuprofen. Ngokuvamile izingane bayibheka kahle, nakuba has kahle emzimbeni okungatheni, futhi maningi amathuba okuba kwenzeke kuka emuthini efanayo "paracetamol". Lezi imithi kumele inikwe ingane uma esevele engumshumayeli nonyaka owodwa ubudala futhi akakubekezeleli izindlela "paracetamol". Bazokusiza ezinokuthula hyperthermal sifo ngo-izingane, oluphuthumayo le mithi kubonakala hhayi kuphela ukusebenza yabo antipyretic, kodwa futhi nekhono ukunqanda ubuhlungu.

Ikhambi homeopathic ukuze imfiva - "Viburkol". Kodwa awusebenzi ngaso sonke isikhathi ukusebenza ngempumelelo futhi ngokushesha nge hyperthermal syndrome. Ezimweni ngazinye, abazali anganikeza izidakamizwa antipyretic olutholakala ekhaya, ukuze singathwesi ukuchitha isikhathi endleleni ekhemisi (kungase kube izidakamizwa "Efferalgan" "Panadol" kanye nabanye). Uma ingane isivele kokuthatha lesi imithi futhi uqiniseka ukuthi lusebenza, ake ngesibindi Kunconywa engu nesisindo umthamo njengoba kuchazwe imiyalelo.

Into esemqoka okufanele uyikhumbule abazali, izingane ezincane akumelwe uthathe enjalo antipyretics, njengoba "Analgin", "ukuphuza ama-aspirin", "Antipyrin", "Amidopyrine", "Phenacetin" nezinye izidakamizwa okusekelwe kuzo. Uma ngempela singabaze kukhethwa antipyretics amaphilisi noma Syrups, ushayele umngane wezingane ukusiza ukwenza isinqumo.

izenzo odokotela

Ufike ku ucingo odokotela kuyizikhali zikaNkulunkulu has amathuluzi amaningi ukukusiza uxazulule hyperthermal syndrome ngokushesha. ukunakekelwa eziphuthumayo odokotela kuyinto kwabathinta, esakhiwa izinto ezintathu: papaverine, dipyrone futhi diphenhydramine. Le ndlela iphumelela kakhulu futhi isetshenziswa uma ingane kubonwa ngokusa kuyo, futhi naphezu kwayo yonke imizamo yakho zehlulekile sinciphise izinga lokushisa.

Izingane ungafaka chlorpromazine isixazululo pipolfen futhi novocaine. Lapho imithambo yegazi spasm kusiza aminophylline, futhi ukunqanda isimiso sezinzwa - midazolam. Udokotela sinquma umthamo ingane yakho ngesikhathi kuzanywa ngokushesha kutholakale imbangela yokushona umkhuhlane. Zilungiselele for imibuzo, impendulo yakho okusheshayo kubaluleke kakhulu. Kuye umthombo oyinhloko ukushisa, ingane ukunikeza antivirals, ama-hormone noma ezinye izidakamizwa. Ngesikhathi esifanayo, lapho ingane hyperthermal syndrome, akufanele uthathe calcium supplements, vasopressors futhi atropine.

amaphutha yezokwelapha njalo

Ngo abadala nezingane ehlukile kakhulu wabonakaliswa hypothermic syndrome. Usizo lokuqala kufanele okuhloswe ngokuyinhloko izimbangela fever. Kuphela uma abantu abadala imfiva eba kancane kancane ku isizinda zonke izinhlobo izimpawu, imfiva ezinganeni ngokuvamile kwenzeka kungalindelekile. Okuningi kusihlwa ingane elihlekayo nokudlala, futhi ebusuku ukuthi isesimweni esibucayi. Ngakho-ke, umsebenzi oyinhloko udokotela - ngokushesha futhi ngokunembile ukusungula okuyikona, linqume ukwelashwa okufanele. Ngokuvamile azikho defibrillators ambulensi, okuyizinto ezidingekayo ekuphephiseni izingane.

Amaphutha wezokwelapha ezivamile: Isikali ayilungile imithi, inhlanganisela engahambelani izidakamizwa ezingaba imaski izimpawu eziyisisekelo lesi sifo. Ngakho-ke, ku-yokwemukela ukucacisa yimbangela imfiva ngokuvamile akunakwenzeka. Odokotela futhi kudingeka ukuba banake engu isiguli kanye ngokusho kwakhe ukhombe yokusiza umuntu ukuba aphefumule. umsebenzi Kuncono lodokotela esihambisana okusheshayo yokutakula ingane futhi kuvimbele yezinkinga kungenzeka ngemuva kokuxinwa komzimba okungamahlalakhona.