Nā kumu a me ka mālama ʻana no ke kuni kiʻekiʻe loa (Hyperpyrexia)

Anter

• I ka manawa hea e ʻimi ai i ka mālama olakino pilikia
• Nā ʻōuli o hyperpyrexia
• Nā kumu o hyperpyrexia
• Maʻi kīnā
• Anesthesia
• Nā lāʻau ʻē aʻe
• Kuʻi wela
• ʻInoʻino thyroid
• I nā keiki hānau hou
• Lapaʻau no hyperpyrexia
• ʻO Outlook no hyperpyrexia?

He aha ka hyperpyrexia?

ʻO ka mahana maʻamau o ke kino he 98.6 ° F (37 ° C). Eia nō naʻe, hiki i nā fluctuations liʻiliʻi ke kū i ka lā holoʻokoʻa. ʻO kahi laʻana, ʻoi aku ka haʻahaʻa o ka mahana o kou kino i nā hola mua o ke kakahiaka a kiʻekiʻe loa i ka ʻauinalā o ke awakea.

Manaʻo ʻia ʻoe he kuni ke piʻi aʻe ka mahana o kou kino i kekahi mau kekelē ma luna o ka maʻamau. Hoʻomaopopo maʻamau ʻia kēia ma ke ʻano he 100.4 ° F (38 ° C) a ʻoi aku paha.

I kekahi mau hihia, hiki i kou kino mahana ke piʻi aʻe ma luna o kona ana wela maʻamau ma muli o nā mea ʻē aʻe ma mua o ke kuni. Kuhi ʻia kēia ma ke ʻano he hyperthermia.

Ke piʻi ka mahana o kou kino i ka 106 ° F (41.1 ° C) ma muli o ke kuni, manaʻo ʻia ʻoe he hyperpyrexia.

I ka manawa hea e ʻimi ai i ka mālama olakino pilikia

Kāhea i kāu kauka inā loaʻa iā ʻoe a ʻo kāu keiki paha ka mahana o 103 kekelē a ʻoi paha. Pono ʻoe e ʻimi mau i ka mālama olakino olakino no ke kuni inā ʻike ʻoe i kēia mau hōʻailona aʻe:

• ka mahana o 100.4 ° F (38 ° C) a ʻoi aku paha i nā keiki ma lalo o ʻekolu mau makahiki o ko lākou mau makahiki
• hanu maʻamau
• huikau a hiamoe paha
• ka hopu ʻana a i ʻole ka hoʻoluliluli
• ʻeha poʻo poʻo
• ʻāwīwī o ka ʻili
• luai mau
• ʻōpū nui loa
• abdominal eha
• ʻāʻī ʻoʻoleʻa
• ʻeha ʻoiai e mimiki ana

Nā ʻōuli o hyperpyrexia

Ma waho aʻe o ke kuni o 106 ° F (41.1 ° C) a ʻoi aku paha, hiki i nā ʻōuli o hyperpyrexia ke hoʻopili pū.

• māhuahua a i ʻole kōmi o ka helu o ka naʻau
• ʻūpē mākala
• hanu wikiwiki
• ka hopu ʻana
• huikau a hoʻololi paha i ke kūlana noʻonoʻo
• nalowale o ka ʻike
• koma

Ua manaʻo ʻia ʻo Hyperpyrexia he pilikia olakino. Inā haʻalele ʻole ʻia, hiki i ka hōʻino a me nā make ke hana. E ʻimi mau i ka lāʻau lapaʻau koke.

Nā kumu o hyperpyrexia

Maʻi kīnā

Hiki i nā maʻi bacterial, viral, a me nā parasitic koʻikoʻi ke alakaʻi i ka hyperpyrexia.

ʻO nā maʻi i hiki ke kumu i ka hyperpyrexia pū kekahi akā ʻaʻole kau palena ʻia i:

• S. pneumoniae, S. aureus, a H. influenzae maʻi kīnā
• enterovirus a me influenza A nā maʻi viral
• maʻi maʻi malaria

Hiki i ka Sepsis ke kumu i ka hyperpyrexia. ʻO Sepsis kahi pilikia hoʻoweliweli ola mai kahi maʻi. I ka sepsis, hoʻokuʻu i kou kino i nā ʻano hui like ʻole i loko o kou kahawai e kōkua i ke kaua ʻana i ka maʻi. Hiki i kēia i kekahi manawa ke hana i kahi pane hoʻoweliweli koʻikoʻi e hiki ai ke hōʻeha i nā mea a me ka holo pono ʻole.

I mea e hōʻoia ai i kahi kumu infectious o hyperpyrexia, e lawe kāu kauka i kahi laʻana e hoʻāʻo no ka loaʻa ʻana o nā microorganism. Kaukaʻi ʻia i ke ʻano o ka maʻi i manaʻo ʻia, hiki i kēia laʻana ke lilo i laʻana koko, hāpana mimi, hāpana o ka noho, a i ʻole hāpana sputum. Hiki i kāu kauka ke hoʻomaopopo i ka agena infectious e hoʻohana nei i nā moʻomeheu a i ʻole nā ​​ʻano mole.

Anesthesia

I nā hanana maʻamau, hiki i ka hōʻike ʻana i kekahi mau lāʻau lapaʻau anesthetic ke kumu o ka wela o ke kino. Kapa ʻia kēia ma ke ʻano he hyperthermia malignant (i kapa ʻia i kekahi manawa he hyperignrexia malignant).

ʻO ka prone i ka hyperthermia malignant he hoʻoilina ia, ʻo ia hoʻi hiki ke hoʻoili ʻia mai ka makua a ke keiki.

Hiki ke ʻike ʻia ka hyperthermia malignant e ka hoʻāʻo ʻana i kahi hāpana o nāʻiʻo muscle. Inā he ʻohana kou i loaʻa i ka hyperpyrexia malignant, pono ʻoe e noʻonoʻo e hoʻāʻo ʻia no kēia ʻano.

Nā lāʻau ʻē aʻe

Ma waho aʻe o nā lāʻau lapaʻau anesthesia, hiki i ka hoʻohana ʻana i kekahi mau lāʻau i kuhikuhi ʻia ke alakaʻi i nā ʻano i loaʻa kahi hyperpyrexia i hōʻailona.

ʻO kahi laʻana o kahi ʻano like ʻo ia ka maʻi serotonin. Hiki ke kumu ʻia kēia ʻano hoʻoweliweli ʻino e nā lāʻau serotonergic, e like me nā mea hōʻemi e lawe i nā serotonin reuptake (SSRIs).

ʻO kekahi laʻana he neuroleptic malignant syndrome, ka mea i hiki ke hopena ʻia e ka hopena i nā lāʻau antipsychotic.

Hoʻohui ʻia, hiki i kekahi mau lāʻau leʻaleʻa, e like me MDMA (ecstasy), ke kumu o ka hyperpyrexia.

Hoʻokumu pinepine nā ʻōuli no kēia mau ʻano ma hope koke iho o ka hōʻike ʻana i ka lāʻau.

E hana ana kāu kauka i kahi hoʻokolohua kino a nānā i kāu mōʻaukala o ka hōʻike ʻana i nā lāʻau lapaʻau kikoʻī e kuhikuhi ai i ka hyperpyrexia pili i ka lāʻau.

Kuʻi wela

ʻO ka hahau wela ke wela ka wela o kou kino i nā pae weliweli. Hiki i kēia ke kumu o ka hoʻonui ʻana iā ʻoe iho i kahi wela. Hoʻohui ʻia, hiki i nā poʻe i paʻakikī i ke kaohi ʻana i ko lākou kino mahana ke hoʻomohala i ka wela wela. Hiki i kēia ke komo i nā mākua makua, nā keiki ʻōpio, a i ʻole nā ​​kānaka me nā maʻi maʻi.

E hana ana kāu kauka i kahi hoʻokolokolo kino e ʻike ai i ka wela wela. Ma muli o ka hahau wela a me ka make wai hiki ke koʻikoʻi i nā puʻupaʻa, hōʻoia paha lākou i kāu hana puʻupaʻa.

ʻInoʻino thyroid

ʻO kahi ʻino thyroid kahi ʻano maʻamau i hiki ke hana ʻia ke hana nui ʻia nā homone thyroid.

Pono ka ʻike mua a me ka mālama ʻana i ka ʻino thyroid. E hoʻohana kāu kauka i kāu mōʻaukala olakino, hōʻailona, ​​a me nā hoʻokolohua lab e hōʻoia i ka ʻino thyroid.

I nā keiki hānau hou

He kakaikahi ʻo Hyperpyrexia i nā pēpē. Eia nō naʻe, hiki i kahi pēpē me hyperpyrexia ke makaʻu no ka maʻi maʻi bacteria.

ʻO kekahi hui me ke kuni kiʻekiʻe a me ka makaʻu i ka maʻi bacteria i nā keiki ʻōpio loa.

Inā aia kāu keiki ma lalo o 3 mau mahina a loaʻa i ke kuni o 100.4 ° F a ʻoi paha, he mea nui e loaʻa koke iā lākou ka lāʻau lapaʻau.

Lapaʻau no hyperpyrexia

ʻO ka mālama ʻana no hyperpyrexia e pili ana i ka ʻōlelo ʻana i ka hoʻonui ʻana o ka mahana o ke kino a me ke ʻano o ke kumu.

Hiki i ka sponging a i ʻole ka ʻauʻau ʻana i ka wai anuanu ke kōkua i ka hoʻohaʻahaʻa i kou mahana. Pākuʻi paha nā ʻeke hau, ke puhi nei i ka ea ʻoluʻolu, a i ʻole ka pīpī ʻana i ka wai anuanu. Hoʻohui ʻia, pono e hemo i kekahi kapa paʻa a i ʻole keu. Ke loaʻa ʻoe i ke kuni, ʻaʻole hana paha kēia mau ana e hoʻohaʻahaʻa i ka mahana i ka maʻamau, a ʻoi aku paha ma mua o kahi kekelē a ʻelua paha.

Hāʻawi ʻia ʻia ʻoe i nā wai i hoʻokomo ʻia (IV) ma ke ʻano he kākoʻo kākoʻo a kōkua i ka make wai.

Inā pili ka hyperpyrexia i kahi maʻi, e ʻike kāu kauka i ke kumu. A laila e lawelawe lākou i ka lāʻau pono lāʻau e mālama iā ia.

Inā loaʻa ʻoe i ka hyperthermia malignant, e hōʻoki kāu kauka a i ʻole anesthesiologist i nā lāʻau anesthetic āpau a hāʻawi iā ʻoe i ka lāʻau i kapa ʻia dantrolene. Ke hele nei i mua, pono ʻoe e hoʻomaopopo mau i kāu kauka a i ʻole anesthesiologist i kou ʻano.

Mālama ʻia ʻo hyperpyrexia e pili ana i ka lāʻau i ka hoʻopau ʻia ʻana o ka hoʻohana ʻana i ka lāʻau, ke loaʻa ʻana o ke kōkua kōkua, a me ka mālama ʻana i nā ʻōuli e like me ka wikiwiki o ka puʻuwai a me ka piʻi ʻana o ke koko

Hiki ke mālama ʻia nā kūlana e like me ka ʻino thyroid me nā lāʻau antithyroid.

ʻO Outlook no hyperpyrexia?

ʻO Hyperpyrexia, a i ʻole ke kuni o 106 ° F a ʻoi paha, he pilikia olakino. Inā ʻaʻole e hoʻohaʻahaʻa ʻia ke kuni, hiki ke hopena i ka hōʻino a me nā make.

I ka ʻoiaʻiʻo, inā ʻoe e ʻike nei i ke kuni o 103 ° F a ʻoi aku paha me nā hōʻailona koʻikoʻi ʻē aʻe, he mea nui e ʻimi koke ʻoe i ka lāʻau lapaʻau.

E hana wikiwiki kāu kauka e hōʻoia i ka mea e hopena i kou wela nui. E hana lākou e hoʻohaʻahaʻa i ka wela i mua o ka hiki ʻana mai o nā pilikia koʻikoʻi.