Zomwe Zimayambitsa ndi Kuchiza Kutentha Kwambiri (Hyperpyrexia)

Zamkati

• Nthawi yoti mupeze chithandizo chamankhwala mwadzidzidzi
• Zizindikiro za hyperpyrexia
• Zimayambitsa hyperpyrexia
• Matenda
• Anesthesia
• Mankhwala ena
• Kutentha kwamatenda
• Mphepo yamkuntho
• Mu akhanda
• Chithandizo cha hyperpyrexia
• Chiyembekezo cha hyperpyrexia?

Kodi hyperpyrexia ndi chiyani?

Kutentha kwamthupi nthawi zambiri kumakhala 98.6 ° F (37 ° C). Komabe, kusinthasintha pang'ono kumatha kuchitika tsiku lonse. Mwachitsanzo, kutentha kwanu kumakhala kotsika kwambiri m'mawa kwambiri komanso kumapeto kwambiri kwamadzulo.

Mukuwerengedwa kuti muli ndi malungo thupi lanu likakwera pang'ono kuposa momwe limakhalira. Izi zimatanthauzidwa ngati 100.4 ° F (38 ° C) kapena kupitilira apo.

Nthawi zina, kutentha kwa thupi lanu kumatha kukwera kwambiri kuposa kutentha kwake chifukwa cha zinthu zina osati kutentha thupi. Izi zimatchedwa hyperthermia.

Kutentha kwa thupi lanu kupitirira 106 ° F (41.1 ° C) chifukwa cha malungo, mumakhala ngati muli ndi hyperpyrexia.

Nthawi yoti mupeze chithandizo chamankhwala mwadzidzidzi

Itanani dokotala wanu ngati inu kapena mwana wanu muli ndi kutentha kwa madigiri 103 kapena kupitilira apo. Nthawi zonse muyenera kupeza chithandizo chamankhwala chamwadzidzidzi ngati mukukumana ndi izi:

• kutentha kwa 100.4 ° F (38 ° C) kapena kupitilira apo kwa ana ochepera miyezi itatu
• kupuma kosasintha
• kusokonezeka kapena kugona
• khunyu kapena khunyu
• mutu wopweteka kwambiri
• zotupa pakhungu
• kusanza kosalekeza
• kutsegula m'mimba kwambiri
• kupweteka m'mimba
• khosi lolimba
• ululu pokodza

Zizindikiro za hyperpyrexia

Kuphatikiza pa malungo a 106 ° F (41.1 ° C) kapena kupitilira apo, zizindikiro za hyperpyrexia zitha kuphatikiza:

• kuwonjezeka kapena kusasinthasintha kwa mtima
• kutuluka kwa minofu
• kupuma mofulumira
• kugwidwa
• chisokonezo kapena kusintha kwa malingaliro
• kutaya chidziwitso
• chikomokere

Hyperpyrexia imawerengedwa kuti ndi ngozi yachipatala. Ngati sakusamalidwa, kuwonongeka kwa ziwalo ndi imfa zitha kuchitika. Nthawi zonse pitani kuchipatala mwachangu.

Zimayambitsa hyperpyrexia

Matenda

Matenda osiyanasiyana oyambitsidwa ndi bakiteriya, mavairasi, ndi tiziromboti angayambitse hyperpyrexia.

Matenda omwe angayambitse hyperpyrexia amaphatikizira koma samangokhala ndi:

• S. chibayo, S. aureus, ndi H. fuluwenza matenda a bakiteriya
• enterovirus ndi fuluwenza A matenda opatsirana
• matenda a malungo

Sepsis amathanso kuyambitsa hyperpyrexia. Sepsis ndi vuto lomwe limawopseza moyo kuchokera ku matenda. Mu sepsis, thupi lanu limatulutsa mankhwala osiyanasiyana m'magazi anu kuti athane ndi matenda. Izi nthawi zina zimatha kuyambitsa kutupa kwambiri komwe kumatha kubweretsa kuwonongeka kwa ziwalo ndi kulephera.

Kuti mupeze zomwe zimayambitsa matenda a hyperpyrexia, dokotala wanu atenga zitsanzo kuti ayesere kupezeka kwa tizilombo. Kutengera mtundu wakukayikiridwayu, chitsanzochi chitha kukhala magazi, mkodzo, nyemba, kapena sputum. Dokotala wanu amatha kuzindikira kuti wodwalayo ali ndi kachilombo pogwiritsa ntchito zikhalidwe zosiyanasiyana.

Anesthesia

Nthawi zina, kupezeka kwa mankhwala osokoneza bongo kumatha kutentha kwambiri thupi. Izi zimatchedwa hyperthermia yoyipa (yomwe nthawi zina imatchedwa malignant hyperpyrexia).

Kukhala ndi vuto loyipa la hyperthermia ndi cholowa, zomwe zikutanthauza kuti zimatha kupitilizidwa kuchokera kwa kholo kupita kwa mwana.

Malignant hyperthermia amatha kupezeka poyesa pang'ono minofu ya minofu. Ngati muli ndi wachibale yemwe ali ndi hyperpyrexia yoyipa, muyenera kulingalira zoyesedwa ngati muli ndi vutoli.

Mankhwala ena

Kuphatikiza pa mankhwala ochititsa dzanzi, kugwiritsa ntchito mankhwala ena akuchipatala kumatha kubweretsa zomwe hyperpyrexia ndi chizindikiro.

Chitsanzo cha vuto limodzi ndi matenda a serotonin. Izi zomwe zitha kupha moyo zimatha chifukwa cha mankhwala a serotonergic, monga serotonin reuptake inhibitors (SSRIs).

Chitsanzo china ndi matenda a neuroleptic malignant, omwe amayamba chifukwa cha mankhwala osokoneza bongo.

Kuphatikiza apo, mankhwala ena osangalatsa, monga MDMA (chisangalalo), amatha kuyambitsa hyperpyrexia.

Zizindikiro za izi zimayamba patangopita nthawi yochepa kuchokera ku mankhwalawa.

Dokotala wanu adzakuyesani ndikuwunika mbiri yanu yokhudzana ndi mankhwala kuti mupeze hyperpyrexia yokhudzana ndi mankhwala.

Kutentha kwamatenda

Sitiroko yotentha ndi pamene thupi lanu limapitilira muyeso yoopsa. Izi zimatha kubwera chifukwa chodzipereka kwambiri pamalo otentha. Kuphatikiza apo, anthu omwe amalephera kutentha thupi lawo amatha kutentha. Izi zingaphatikizepo achikulire, ana aang'ono kwambiri, kapena anthu omwe ali ndi matenda osachiritsika.

Dokotala wanu adzakuyesani kuti mupeze kutentha kwa kutentha. Popeza kutentha kwa thupi komanso kuchepa kwa madzi m'thupi kumatha kupanikiza impso, amathanso kuyesa impso yanu.

Mphepo yamkuntho

Mphepo yamkuntho ndimikhalidwe yosowa yomwe imatha kuchitika mahomoni a chithokomiro atachulukitsidwa.

Kuzindikira koyambirira ndi chithandizo cha namondwe wa chithokomiro ndikofunikira. Dokotala wanu adzagwiritsa ntchito mbiri yanu yazachipatala, zizindikilo, ndi mayeso a labu kuti atsimikizire chimphepo chamkuntho.

Mu akhanda

Hyperpyrexia ndi osowa mwa makanda. Komabe, mwana wakhanda yemwe ali ndi hyperpyrexia atha kukhala pachiwopsezo chotenga kachilombo koyambitsa matenda a bakiteriya.

Kuyanjana kangapo ndi kutentha thupi kwambiri komanso chiwopsezo chotenga kachilombo ka bakiteriya m'mwana wakhanda.

Ngati mwana wanu sanakwanitse miyezi itatu ndipo ali ndi malungo a 100.4 ° F kapena kupitilira apo, ndikofunikira kuti alandire chithandizo mwachangu.

Chithandizo cha hyperpyrexia

Chithandizo cha hyperpyrexia chimaphatikizapo kuthana ndi kuwonjezeka kwa kutentha kwa thupi komanso vuto lomwe limayambitsa.

Kukwapula kapena kusamba m'madzi ozizira kumatha kuchepetsa kutentha kwa thupi lanu. Mapaketi a ayisi, kuwuzira mpweya wabwino, kapena kupopera madzi ozizira kungathandizenso. Kuphatikiza apo, chovala chilichonse cholimba kapena chowonjezera chikuyenera kuchotsedwa. Mukakhala ndi malungo, izi sizingathandize kuti muchepetse kutentha, kapena kupitilira digiri imodzi kapena ziwiri.

Muthanso kupatsidwa madzi amkati mwamitsempha (IV) ngati chithandizo ndikuthandizani pakutha.

Ngati hyperpyrexia imabwera chifukwa cha matenda, dokotala wanu adzazindikira chomwe chimayambitsa. Kenako apereka mankhwala oyenera kuti awachiritse.

Ngati muli ndi hyperthermia yoyipa, dokotala wanu kapena anesthesiologist amasiya mankhwala onse oletsa ululu ndikupatsani mankhwala otchedwa dantrolene. Kupitabe patsogolo, nthawi zonse muyenera kudziwitsa dokotala wanu kapena wodwalayo za matenda anu.

Hyperpyrexia yokhudzana ndi mankhwala amathandizidwa poletsa kugwiritsa ntchito mankhwalawa, kulandira chithandizo, ndikuwongolera zizindikilo monga kuthamanga kwa mtima komanso kuthamanga kwa magazi.

Zinthu monga namondwe wa chithokomiro amatha kuchiritsidwa ndi mankhwala a antithyroid.

Chiyembekezo cha hyperpyrexia?

Hyperpyrexia, kapena malungo a 106 ° F kapena kupitilira apo, ndizadzidzidzi zamankhwala. Ngati malungo satsika, kuwonongeka kwa ziwalo ndikufa kumatha.

M'malo mwake, ngati mukukumana ndi malungo a 103 ° F kapena kupitirira apo ndi zizindikilo zina zofunikira, ndikofunikira kuti mupite kuchipatala mwachangu.

Dokotala wanu adzagwira ntchito mwachangu kuti adziwe zomwe zimayambitsa kutentha thupi kwanu. Adzagwira ntchito kuti athetse malungo asanachitike zovuta zazikulu.