Yintoni iMalterant Hyperthermia kwaye yenziwa njani unyango?

Umxholo

• Izizathu ezinokubangela
• Ziintoni iimpawu
• Unyango lwenziwa njani

I-hyperthermia enobungozi iquka ukwanda okungalawulekiyo kubushushu bomzimba, obugqitha amandla omzimba okuphulukana nobushushu, kungekho tshintsho kulungelelwaniso lweziko le-hypothalamic thermoregulatory, nto leyo edla ngokwenzeka kwiimeko zomkhuhlane.

I-hyperthermia enobungozi inokwenzeka kubantu abanelifa elingaqhelekanga kwiimisipha zamathambo kwaye bavezwa kwi-anesthetics ye-inhaled, efana ne-halothane okanye i-enflurane, umzekelo kwaye nasemva kokuvezwa kwesihlunu sokuphumla esibizwa ngokuba yi-succinylcholine.

Unyango luquka ukupholisa umzimba kunye nokufaka amayeza emthanjeni, ekufuneka wenziwe ngokukhawuleza, njengoko i-hyperthermia enobungozi inokubulala.

Izizathu ezinokubangela

I-hyperthermia enobungozi ibangelwa kukungazalwa njengelifa okwenzeka kwi-sarcoplasmic reticulum yezihlunu zamathambo, ezibangela ukonyuka okukhawulezayo kwinani lecalcium ngaphakathi kweeseli, ekuphenduleni kulawulo lwee-anesthetics ezingafunekiyo, ezinje nge halothane okanye enflurane, umzekelo, okanye ukubonakaliswa ngenxa ye-succinylcholine muscle relaxant.

Fumanisa ukuba isebenza njani ianesthesia ngokubanzi kwaye zithini iingozi.

Oku kuphakanyiswa kwe-calcium kwizihlunu zamathambo kukhokelela ekwakhiweni kwesivumelwano sento eguqulweyo, esibangela ukwanda ngequbuliso kubushushu.

Ziintoni iimpawu

Iimpawu zehyperthermia enobungozi zihlala zenzeka ngexesha lokuvezwa kwe-anesthesia kwaye zinobushushu obuphezulu, ukonyuka kwentliziyo kunye nokuqina kwemisipha, ukuqina kwemisipha kunye nokwenzakala, i-acidosis kunye nokungazinzi kwezihlunu.

Unyango lwenziwa njani

I-hyperthermia enobungozi kufuneka inyangwe kwangoko ngokuphazamisa i-anesthesia kunye nolawulo kwi-dantrolene sodium vein, kangangexesha eliziiyure ezingama-24 ukuya kuma-48, de umntu lowo asebenzise iyeza ngomlomo, ukuba kusayimfuneko.

Ukongeza kulawulo lweliyeza, umzimba womntu unokupholiswa ngeziponji ezimanzi, iifeni okanye indawo yokuhlambela umkhenkce kwaye, ukuba la manyathelo okupholisa angonelanga, umzimba unokupholisa ngaphakathi ngaphakathi ngokuhlanjwa sisisu nge serum.

Kwiimeko ezinzima kakhulu, apho amaqondo obushushu engenakuncitshiswa ngokwaneleyo, i-hemodialysis okanye i-cardiopulmonary bypass ngokudambisa kwegazi kunokuba yimfuneko.