Izimbangela Nokwelashwa Komkhuhlane Ophakeme Kakhulu (Hyperpyrexia)

-Delile

• Ungalufuna nini usizo oluphuthumayo lwezokwelapha
• Izimpawu ze-hyperpyrexia
• Izimbangela ze-hyperpyrexia
• Ukutheleleka
• Ukubulawa izinzwa
• Ezinye izidakamizwa
• Ukushaywa ukushisa
• Isiphepho sendlala yegilo
• Ezinganeni ezisanda kuzalwa
• Ukwelashwa kwe-hyperpyrexia
• Umbono we-hyperpyrexia?

Kuyini i-hyperpyrexia?

Izinga lokushisa lomzimba elijwayelekile ngokujwayelekile liyi-98.6 ° F (37 ° C). Kodwa-ke, ukushintshashintsha okuncane kungenzeka nsuku zonke. Isibonelo, izinga lokushisa lomzimba wakho liphansi ngezikhathi zasekuseni futhi liphezulu kakhulu ntambama.

Ucatshangelwa ukuthi unemfiva lapho izinga lokushisa komzimba wakho lenyuka ngama-degree ambalwa ngaphezu kokujwayelekile. Lokhu kuchazwa njengokuyi-100.4 ° F (38 ° C) noma ngaphezulu.

Kwezinye izimo, izinga lokushisa lomzimba wakho lingakhuphuka ngaphezu kwezinga lokushisa elijwayelekile ngenxa yezinto ngaphandle komkhuhlane. Lokhu kubizwa ngokuthi yi-hyperthermia.

Lapho izinga lokushisa komzimba wakho lidlula i-106 ° F (41.1 ° C) ngenxa yomkhuhlane, uthathwa njenge-hyperpyrexia.

Ungalufuna nini usizo oluphuthumayo lwezokwelapha

Shayela udokotela wakho uma wena noma ingane yakho unamazinga okushisa angama-103 degrees noma ngaphezulu. Kufanele njalo ufune usizo oluphuthumayo lwezemfiva uma uhlangabezana nalezi zimpawu ezilandelayo:

• izinga lokushisa lika-100.4 ° F (38 ° C) noma ngaphezulu ezinganeni ezingaphansi kwezinyanga ezintathu ubudala
• ukuphefumula okungajwayelekile
• ukudideka noma ukulala
• ukuquleka noma ukudlikizela
• ikhanda elibi kakhulu
• ukuqubuka kwesikhumba
• ukuphalaza okuqhubekayo
• isifo sohudo esibi
• ubuhlungu besisu
• intamo elukhuni
• ubuhlungu ngenkathi uchama

Izimpawu ze-hyperpyrexia

Ngaphezu komkhuhlane ka-106 ° F (41.1 ° C) noma ngaphezulu, izimpawu ze-hyperpyrexia zingafaka:

• ukukhuphuka kwenhliziyo noma okungajwayelekile
• ukuphazamiseka kwemisipha
• ukuphefumula okusheshayo
• isithuthwane
• ukudideka noma izinguquko esimweni sengqondo
• ukulahlekelwa ukwazi
• ikhoma

I-Hyperpyrexia ibhekwa njengesimo esiphuthumayo sezokwelapha. Uma ishiywe ingalashwa, umonakalo wesitho nokufa kungenzeka. Njalo funa usizo lwezokwelapha ngokushesha.

Izimbangela ze-hyperpyrexia

Ukutheleleka

Ukutheleleka okuhlukahlukene okunamandla kwamagciwane, igciwane kanye nokuphazamiseka kungaholela ku-hyperpyrexia.

Ukutheleleka okungadala i-hyperpyrexia kufaka kepha akukhawulelwe ku:

• S. pneumoniae, S. aureus, futhi H. influenzae izifo ezibangelwa amagciwane
• i-enterovirus nomkhuhlane Ukutheleleka ngegciwane
• ukutheleleka kukamalaleveva

I-Sepsis nayo ingadala i-hyperpyrexia. I-Sepsis iyinkinga esongela impilo yokutheleleka. Ku-sepsis, umzimba wakho ukhipha izinhlanganisela ezahlukahlukene egazini lakho ukusiza ukulwa nokutheleleka. Lokhu kwesinye isikhathi kungaveza impendulo enamandla yokuvuvukala engaholela ekulimaleni kwesitho nokwehluleka.

Ukuze uhlolisise imbangela ethelelanayo ye-hyperpyrexia, udokotela wakho uzothatha isampula ukuhlola ubukhona bezinto ezincane eziphilayo. Ngokuya ngohlobo lokutheleleka okusolwayo, lesi sampuli kungaba yisampula yegazi, isampula yomchamo, isampula yendle, noma isampula lesikhohlela. Udokotela wakho angabe esekhomba umuthi othathelanayo esebenzisa amasiko ahlukahlukene noma izindlela zamangqamuzana.

Ukubulawa izinzwa

Ezimweni ezingavamile, ukuvezwa kwemithi ethile yokubulala izinzwa kungadala ukushisa komzimba okuphezulu ngokweqile. Lokhu kubizwa ngokuthi yi-hyperthermia enobungozi (kwesinye isikhathi ibizwa ngokuthi yi-hyperpyrexia ebulalayo).

Ukuthambekela ku-hyperthermia ebulalayo kuyifa, okusho ukuthi kungadluliselwa kusuka kumzali kuye enganeni.

I-hyperthermia ebulalayo ingatholakala ngokuhlola isampula lezicubu zemisipha. Uma unesihlobo esine-hyperpyrexia ebulalayo, kufanele ucabangele ukuhlolwa isimo.

Ezinye izidakamizwa

Ngaphezu kwemithi yokubulala izinzwa, ukusetshenziswa kwemithi ethile kadokotela kungaholela ezimweni lapho i-hyperpyrexia iyisifo.

Isibonelo sesimo esisodwa esinjalo yi-serotonin syndrome. Lesi simo esisongela impilo singabangelwa yimithi ye-serotonergic, enjenge-serotonin reuptake inhibitors ekhethiwe (SSRIs).

Esinye isibonelo yi-neuroleptic malignant syndrome, engabangelwa ukusabela emithini elwa nezengqondo.

Ngokwengeziwe, ezinye izidakamizwa zokuzijabulisa, njenge-MDMA (ecstasy), zingadala i-hyperpyrexia.

Izimpawu zalezi zimo zivame ukukhula ngemuva nje kokuchayeka kumuthi.

Udokotela wakho uzokwenza ukuhlolwa komzimba futhi abukeze umlando wakho wokuchayeka kuzidakamizwa ezithile ukuthola i-hyperpyrexia ehlobene nezidakamizwa.

Ukushaywa ukushisa

Ukushaywa ukushisa kulapho umzimba wakho ushisa kakhulu ufinyelele emazingeni ayingozi. Lokhu kungabangelwa ukuzikhandla ngokweqile endaweni eshisayo. Ngokwengeziwe, abantu abanobunzima bokulawula ukushisa komzimba wabo bangaba nesifo sokushisa. Lokhu kungafaka abantu abadala asebekhulile, izingane ezisencane kakhulu, noma abantu abanezifo ezingamahlalakhona.

Udokotela wakho uzokwenza ukuhlolwa komzimba ukuthola ukuthi ukushisa kwesifo sokushisa. Njengoba ukushisa nokushisa emzimbeni kungacindezela izinso, zingavivinya nokusebenza kwezinso zakho.

Isiphepho sendlala yegilo

Isiphepho se-thyroid yisimo esingavamile esingavela lapho ama-hormone e-thyroid ekhiqizwa ngokweqile.

Ukuhlonza kusenesikhathi nokwelashwa kwesiphepho segilo kubalulekile. Udokotela wakho uzosebenzisa umlando wakho wezokwelapha, izimpawu, nokuhlolwa kwebhu ukuqinisekisa isiphepho se-thyroid.

Ezinganeni ezisanda kuzalwa

I-Hyperpyrexia ayivamile ezinganeni. Kodwa-ke, usana olune-hyperpyrexia lungaba sengozini yokutheleleka ngamagciwane.

Ukuhlangana okuningana nomkhuhlane omkhulu kanye nengozi yokutheleleka okunamandla kwamagciwane ezinganeni ezisencane kakhulu.

Uma ingane yakho ingaphansi kwezinyanga ezintathu ubudala futhi inemfiva engu-100.4 ° F noma ngaphezulu, kubaluleke kakhulu ukuthi ithole ukwelashwa ngokushesha.

Ukwelashwa kwe-hyperpyrexia

Ukwelashwa kwe-hyperpyrexia kufaka phakathi ukubhekana nokwanda kokushisa komzimba kanye nesimo esikudalayo.

Ukuphahla noma ukugeza emanzini apholile kungasiza ukwehlisa izinga lokushisa komzimba wakho. Amaphakethe eqhwa, ukushaya umoya opholile, noma ukufafaza ngamanzi apholile nakho kungasiza. Ngokwengeziwe, noma yikuphi okokugqoka okuqinile noma okwengeziwe kufanele kususwe. Uma unemfiva, lezi zinyathelo kungenzeka zingasebenzi ukwehlisa izinga lokushisa libe elejwayelekile, noma ngisho nangaphezu kwezinga elilodwa noma amabili.

Unganikezwa futhi uketshezi olufakwa emithanjeni (IV) njengokwelashwa okusekelayo nokusiza ekuphelelweni amanzi emzimbeni.

Uma i-hyperpyrexia ingenxa yokutheleleka, udokotela wakho uzokhomba imbangela. Bazobe sebehlinzeka ngemithi efanelekile yokwelapha.

Uma une-hyperthermia ebulalayo, udokotela wakho noma i-anesthesiologist uzoyeka yonke imithi yokubulala izinzwa bese ekunika umuthi obizwa nge-dantrolene. Ukuqhubekela phambili, kufanele njalo wazise udokotela wakho noma i-anesthesiologist ngesimo sakho.

I-hyperpyrexia ehlobene nezidakamizwa iphathwa ngokuyeka ukusetshenziswa kwesidakamizwa, ukuthola ukunakekelwa okusekelayo, nokuphatha izimpawu ezinjengokushaya kwenhliziyo okusheshayo nokukhuphuka kwengcindezi yegazi.

Izimo ezifana nesiphepho se-thyroid zingelashwa ngemithi ye-antithyroid.

Umbono we-hyperpyrexia?

I-Hyperpyrexia, noma umkhuhlane ka-106 ° F noma ngaphezulu, kuyisimo esiphuthumayo sezokwelapha. Uma umkhuhlane ungehliswa, kungalimala isitho kanye nokufa.

Eqinisweni, uma uhlangabezana nomkhuhlane ka-103 ° F noma ngaphezulu ngezinye izimpawu ezibalulekile, kubalulekile ukuthi ufune usizo lwezokwelapha ngokushesha.

Udokotela wakho uzosebenza ngokushesha ukuthola ukuthi yini ebangela umkhuhlane wakho omkhulu. Bazosebenzela ukwehlisa umkhuhlane ngokuphepha ngaphambi kokuvela kwezinkinga ezinkulu.