Syndrome Hyperthermic ebantwaneni. Nceda nge hyperthermal syndrome

Hyperthermal syndrome - ukwanda kokuziswa lobushushu emzimbeni, ngokokuqhelekileyo ngasentla 40. Xa indlu isigulane enjalo, loo nto ibangela yokothuka phakathi kwemizalwane yakhe, kuba sonke siyazi ingozi umkhuhlane kunye neziphumo zawo. Ukuba fever kwenzeka ebantwaneni, abazali ngokufanelekileyo "ukubetha zonke iintsimbi," njengokuba umzimba encinane naningekomeleli ngokwaneleyo uncedo olufunekayo ukuze ukoyisa ubushushu.

syndrome Hyperthermic: yintoni

Le meko yenzeka ebantwaneni kaninzi. Le ngozi ibangelwa ephilayo encinane, ukunqongophala umzimba owomeleleyo kwaye awudibani iintsholongwane ezahlukeneyo, iintsholongwane kunye nezifo. lobushushu emzimbeni Ukwanda - kusoloko ngokubange- ngoyaba ukuba naluphi na uhlobo iingxaki emzimbeni. Ngenxa yoko, isenzo bactericidal konyuso igazi, leukocytes luyasebenza, nethe zinokukhuliswa imveliso interferon iqala lwenzeka kabini ngokukhawuleza.

Xa yobuchopho syndrome hyperthermal, ophezu kobuchopho kwaye inoxanduva lokulawula iqondo lobushushu emzimbeni, inyathelo iSADC nokushukunyiswa. Ukuba fever lwenzeka ngesiquphe kwaye olukhula ngokukhawuleza, ibangela umthwalo entliziyweni, imithambo yegazi, imiphunga. Ioksijini ngokukhawuleza kakhulu egazini, kodwa oko akuthethi iyaluthintela uphuhliso hypoxia kunokwenzeka, nto leyo ebangela unditsho kunye ezizuzwa ezahlukeneyo kwenkqubo luvo. Ukwenzela ukuphepha iingxaki kunokwenzeka, ubushushu bomzimba kubantwana abaselula kakhulu kubhetele ukuba umlinganiselo yonke imihla.

Ezona zizathu zixhaphakileyo ukuba ukwanda

lobushushu emzimbeni

syndrome Hyperthermic kubantwana zingenzeka kwindawo yokuqala ngenxa SARS okanye umkhuhlane. Oku akusoloko ukufunda iqondo lobushushu kulo mzekelo igqithe uphawu degrees 40, kodwa ke ngamanye amaxesha kungenxa ukuba amajoni omzimba buthathaka, uhlobo zale sifo okanye iimpawu ngabanye flow yayo. Ukumisela unobangela fever kulo mzekelo kakhulu lula kuba ngokuqhelekileyo lukhatshwa khohlo okanye ebandayo.

ukunyuka kwamaqondo umsunguli yi naluphi na usuleleko (chicken pox, rubella, yimasisi) kunye appendicitis. Ukuba icesina iye yabangela ukuphazamiseka enyama yangaphakathi, nangokurhala, le imeko embi kakhulu ukuba ufuna uncedo olukhawulezileyo nabasebenzi bezonyango. Ingozi isifo sezintso hyperthermal syndrome: ICD, ukusilela kwezintso unako kwenzeka kusengaphambili, kwaye sikhatshwe ezininzi iingxaki. Lumkani ke ningozeli bazibhijabhija ngenxa iimpawu ukunceda ugqirha wenze ukuxilongwa echanekileyo. Kwi oku kuxhomekeke impilo kwaye ngamanye amaxesha ebomini indoda encinane.

Yintoni enye ibangele hypothermic

syndrome

Ngamanye amaxesha umkhuhlane kubangelwa yinto libanda nobandlululo kwiziyobisi ezithile. Abasafunda ukuhamba ngamanye amaxesha utsiba lobushushu emva kogonyo lwesiqhelo. Ukusebenza jikelele kule meko, abazali iintsuku ezi-5 phambi ugonyo aqalile ukunika antihistamines umntwana.

Ubushushu nga izakufunyanwa xa isenzo ityhefu ityhefu: bahlasele ingqondo nokuba inxalenye apho iqondo lobushushu Regulator umzimba. Esi sifo hyperthermal amabi. Ukongeza, xa zomzimba usuku yaye isiqaqa bangase nomkhuhlane.

Exhaphake ezibangela umkhuhlane nazo: nobushushu aphantsi elangeni, stroke ubushushu okanye ntshikilelo. Kids abasabela ngayo kwiimeko ezahlukeneyo kwaye ngokwasemzimbeni: nesisu uxhalabile kwaye nangecesina - iziphumo rhoqo imeko luvo. Abantwana bayathwaxwa kakhulu zona, ngoko emva kokufika kwilizwe exotic Ungothuki ukuba usana lwakho phantsi kunye ngumkhuhlane. syndrome Hyperthermic abadala kwakhona esinokubakho ngenxa yesi sizathu, kodwa kwiimeko ezinqabileyo kakhulu.

Forms of komzimba syndrome

Ubonakala ngeendlela ezahlukeneyo, ngokuxhomekeke kwimeko ngamnye kunye neempawu zomzimba umntwana. Umzekelo, ubude hyperthermal syndrome inokuba zexeshana (iiyure eziliqela ukuya kwiintsuku ezimbini), etsolo (iiveki ezimbini), subacute (iintsuku ezingama-45) kunye ezigulo ezondeleyo (iintsuku ezingaphezu kwama-45). Le yokugqibela ezimbini phantse naphi na ehlabathini namhlanje azenzeki, njengoko iiteknoloji ezintsha kwenza kube lula ngokukhawuleza bawise umkhuhlane kunye nokubonelela uncedo hyperthermal syndrome.

Ngaphezu koko, loo fever iintlobo ekwanti:

1. Abasisigxina. Zigcinwe kumgangatho ofanayo - ngaphezu kweqondo lama-39 (ihamba izifo ezifana lobar pneumonia, icesina kunye yesifo).
2. Wayesele aluphele. Maxa wambi kusithwa degrees 38, kodwa ukufikelela amaxabiso yesiqhelo (okufana iphika, inyumoniya, influenza).
3. Ngakanye. Amaxesha lobushushu Eqhelekileyo mzuzu ngokuhlaselwa fever (ngamanye amaxesha nokudumba kunye seengcongconi).
4. Returnable. Kuxhomekeke ngokuchasene: amaxesha ubushushu na indawo ngurhulumente yesiqhelo (common kwi yesifo).
5. Lihlangana. ixesha elide ka nokuwa (okufana lweBrucellosis, isifo Hodgkin i-).
6. Ekufunxeni. yesi lobushushu ezinkulu (tuberculosis, nokudumba).
7. Ayilunganga, leyo Awekho ingcaciso kwaye uya ngaphaya nemithetho.

picture clinical

syndrome Hyperthermic ebantwaneni ngazo ngokwayo ngeendlela ezahlukeneyo. Ngokuqhelekileyo, kuxhomekeke imeko jikelele umntwana, inqaba emzimbeni wakhe, kunye neempawu ngamnye, i-fever:

• Pink. Akukho nokuba syndrome hyperthermal kakhulu, kodwa ukubonakala kwayo buso kuphela. impendulo Hyperthermic --kuthiwa imo lakubalela, xa ulusu umntwana efudumeleyo, iinwebu abangaxhalabisiyo emanzi yangaphakathi, akukho tachycardia. Imeko jikelele eyanelisayo ngokwaneleyo.
• Kuba luthuthu. Esi sifo hyperthermal ngohlobo yayo enyulu. Isigulane uziva ihleli, isikhumba luthuthu kunye nani nezemarmore, izandla neenyawo umkhenkce, tachycardia kunokwenzeka. Iqondo lobushushu kwakunzima gqitha ukuba phantsi. It luphawulwa disorder emzimbeni, microcirculation ukuphazamiseka kunye nokuphazamiseka ngamalungu angaphakathi. Itakane ingaba zikwimeko embi kakhulu apho ngokungxamisekileyo kufuneka uncedo lokuqala. Kufuneka ubize inqwelo @UnathiKondile ukufika kwakhe, ngokwabo ukuzama ukunciphisa ubushushu umntwana.

Yintoni ofanele uyenze abazali phambi kokufika oogqirha

Ukulinda ukuba iqela lezonyango, unalo ilungelo lokuba kumbambazela okanye ahlale umva. Simple izenzo abazali lula hyperthermal syndrome. Emergency Care ngaphandle iziyobisi kunye nazo zonke iintlobo iziyobisi na ngolu hlobo lulandelayo:

1. Beka umntwana kulala, vula ifestile kunye nokubonelela umoya omtsha.
2. Qhaqha baby iimpahla. Kuta akukho nto, ukuba "ukutsha". Ngokwahlukileyo koko, sebenzisa into ebandayo, engcono kwindawo ubudoda. Vula kwi fan kunye nokuphuma ngqo umoya ukuya emntwaneni. Unga kuzisula ulusu iviniga ngomonde ngamanzi okanye butywala (ukuba umntwana akanawo iinyanga ezi-3 sale nkqubo kukunika).
3. Ukuba unyana okanye intombi yakho Ukugodola, ngoko, icala, wayigubungela ngazo kunye ngengubo ngokufudumeleyo, ukugcwalisa ukusebenzisa i ubushushu iphedi ezinyaweni.

Kubaluleke kakhulu ukuba umntwana asele, kokukhona, ngcono. Ngoko ke umzimba ukuze buncothulwe ityhefu ityhefu yayo. Ukuba uyakholwa ukuba unobangela umkhuhlane sele ityhefu, nikhe nihlambe usana isisu kwakunye namathumbu. Musa ukushiya umntwana wakho yedwa, ukuba hyperthermal syndrome. uncedo lokuqala, ezinikwa ngabazali, hayi nje lula imeko yakhe, kodwa ukuxhasa umntwana ngokokuziphatha, ngenxa yokuba kuye kubaluleke kakhulu ukuba unakekelo ingqalelo.

Ichiza "paracetamol": i isixhobo main nxamnye ubushushu

Emva kokuba wabiza ugqirha waza wenza amanyathelo kuqala ukuze bawubuyise imeko umntwana, uyakwazi wena uzama ukuzisa phantsi lobushushu. syndrome Hyperthermic kubantwana, zoncedo lokuqala edulusele kwi unyango, inika ulwamkelo antipyretics. Ekhaya, akunike ithamo beziyobisi - inyathelo elibalulekileyo yaye kuyimfuneko ukuba umkhuhlane ngaba ecaleni ngokupheleleyo, oko kuya kwenza kube lula kakhulu usana lulonke.

Eyona iphephe noluthembekileyo iziyobisi antipyretic - plain iziyobisi "paracetamol 'endala, idosi yakhe yemihla ngemihla ukuba ngaphezu kwe-60 mg / kg. kokukhululwa kwakhe ngohlobo suppositories efakwa kuba nabantwana, ngokunjalo isiraphu, njengezingxobo kunye iipilisi kubantwana abadala. Lithetha "paracetamol" Musa ukuba uthathe iintsuku ezingaphezu ezintathu kumqolo kuba kunokubangela iziphumo hepatotoxic - ukuphazamiseka umsebenzi zesibindi. Kwakhona, ayikhuthazwa for kids nge ukunyamezelana ngamnye ukuya ichiza.

Amanye amayeza anti-pyretic

Olu nyango "Ibufen" yaye "Nurofen" iintlobo eyoonyana ibuprofen. Ngokuqhelekileyo abantwana ukuqonda kakuhle, noxa effects ngakumbi, yaye kusenokwenzeka ukuba kwenzeke kunokuba kwi ziyobisi "paracetamol". Ezi amachiza kunikwa umntwana xa wayesele konyaka ubudala yaye akayi nawaphi lithetha "paracetamol". Aya kukunceda mbuna hyperthermal syndrome ebantwaneni, zoncedo olungxamisekileyo kula machiza kuboniswa kuphela isiphumo yabo antipyretic, kodwa kwakhona ukukwazi ukubazolisa intlungu.

ngeyeza ngamayeza ukuba umkhuhlane - "Viburkol". Kodwa oko alusoloko lusebenza kakuhle kwaye ngokukhawuleza hyperthermal syndrome. Kwiimeko ngabanye, abazali ukunika isiyobisi antipyretic olukhoyo ekhaya, ukuze ukuchitha ixesha endleleni eya ekhemesti (inokuba lichiza "Efferalgan" "kazz" kunye nabanye). Ukuba usana sele ukuthatha eli yeza kwaye uqinisekile ukuba kuyasebenza, makhe ngenkalipho Kucetyiswa ukuba ubudala kunye ubunzima idosi njengoko kuchaziwe kwi imiyalelo.

Eyona nto ibalulekileyo ukuze ukhumbule abazali, abantwana abancinane akunakuthatha ezifana antipyretics, njengoko "Analgin", "aspirin", "Antipyrin", "Amidopyrine", "Phenacetin" kunye nezinye iziyobisi ezisekelwe phezu kwabo. Ukuba ngokwenene kwamathandabuzo ukhetho amacwecwe antipyretics okanye isiraphu, tsalela umhlobo sezifo ukunceda wenze isigqibo.

izenzo oogqirha

Ufike neqela lonyango umnxeba angazisebenzisa izixhobo ezininzi ukukunceda troubleshoot hyperthermal syndrome ngokukhawuleza. oogqirha Emergency Care i emnweni, equka izinto ezintathu: papaverine, dipyrone kunye diphenhydramine. Le ndlela iphumelela kakhulu yaye usetyenziswa ukuba usana imeko emaxongo, yaye yonke imizamo yakho baye basilela ukunciphisa ubushushu.

Kids nako ukungena chlorpromazine solution pipolfen kunye novocaine. Xa imithambo yegazi spasm kunceda aminophylline, kwaye ukubazolisa luvo - midazolam. Ugqirha ubala ithamo umntwana wakho ngexesha ibizama uku ngokukhawuleza ukufumanisa unobangela umkhuhlane. Zilungiselele ukuba imibuzo, kuba impendulo yakho ngokukhawuleza kubaluleke kakhulu. Kuxhomekeka vimba ubushushu, nomntwana antivirals, iihomoni okanye nezinye iziyobisi. Ngelo xesha, xa usana hyperthermal syndrome, kufuneka bathathe amachiza calcium, vasopressors kunye atropine.

njalo kanye medical

Xa abadala kunye nabantwana babonakaliswa ngokwahlukileyo kakhulu hypothermic syndrome. uncedo lokuqala kufuneka zijoliswe ikakhulu bayeke ezibangela umkhuhlane. Kuphela xa abadala fever ukhula ngcembe kwi imvelaphi yazo zonke iintlobo iimpawu, ifiva ebantwaneni kaninzi kwenzeka ngokungalindelekanga. Okuninzi umntwana ngokuhlwa zihleka nokudlala, kunye ezinzulwini zobusuku yena zikwimeko kakhulu. Ngoko ke, lo msebenzi engundoqo ugqirha - ngokukhawuleza ngokuchanileyo ndiyiqinise uphethwe elichanekileyo, amisele unyango ekunene. Kudla akukho defibrillators ambulensi, eyimfuneko kakhulu ukugcina iintsana.

Eyona mpazamo zonyango ziqhelekileyo: idosi olungachanekanga amayeza, ukuhlanganiswa engahambelani iziyobisi tifihla iimpawu ezingundoqo zesi sifo. Ngoko ke, xa yokwamkelwa ukufumanisa ingcambu unobangela umkhuhlane amaxesha kuba nzima. Oogqirha nabo kufuneka ahlawule ingqalelo ubudala kumguli ngokutsho alimisele yokurhaxwa. umsebenzi onobuchule kumagqirha ihamba kid ibuyambo ekhawulezileyo nokuthintela iingxaki kunokwenzeka emva komzimba syndrome.