Unobangela kunye nonyango lweFever ephezulu kakhulu (Hyperpyrexia)

Umxholo

• Nini ukufuna unyango olungxamisekileyo
• Iimpawu hyperpyrexia
• Oonobangela hyperpyrexia
• Usulelo
• Ukubulawa
• Ezinye iziyobisi
• Ukubethwa bubushushu
• Uqhwithela
• Kwiintsana
• Unyango lwe-hyperpyrexia
• Imbonakalo yehyperpyrexia?

Yintoni i-hyperpyrexia?

Iqondo lobushushu lomzimba eliqhelekileyo li-98.6 ° F (37 ° C). Nangona kunjalo, ukutshintsha okuncinci kunokubakho ngalo lonke usuku. Umzekelo, iqondo lobushushu emzimbeni wakho liphantsi ngentsasa yokuqala kwaye liphezulu emva kwemini.

Ucingelwa ukuba unefiva xa ubushushu bomzimba wakho buphakama kwiidigri ezimbalwa ngaphezulu kwesiqhelo. Oku kuchazwa njenge-100.4 ° F (38 ° C) okanye ngaphezulu.

Ngamanye amaxesha, ubushushu bomzimba wakho bunokunyuka ngaphezu kobushushu obuqhelekileyo ngenxa yezinto ezingezizo ezomkhuhlane. Oku kubizwa ngokuba yi-hyperthermia.

Xa ubushushu bomzimba wakho budlula i-106 ° F (41.1 ° C) ngenxa yomkhuhlane, uthathwa ngokuba unehyperpyrexia.

Nini ukufuna unyango olungxamisekileyo

Biza ugqirha wakho ukuba wena okanye umntwana wakho unamaqondo obushushu angama-103 degrees okanye ngaphezulu. Kuya kufuneka usoloko ufuna unyango olukhawulezileyo ngomkhuhlane ukuba ufumana ezi mpawu zilandelayo:

• ubushushu be-100.4 ° F (38 ° C) okanye ngaphezulu kubantwana abangaphantsi kweenyanga ezintathu ubudala
• ukuphefumla okungaqhelekanga
• ukudideka okanye ukozela
• ukuxhuzula okanye ukuxhuzula
• intloko ebuhlungu
• irhashalala
• ukugabha okungapheliyo
• urhudo oluqatha
• intlungu zesisu
• Intamo elukhuni
• iintlungu ngelixa uchama

Iimpawu hyperpyrexia

Ukongeza kwi-fever ye-106 ° F (41.1 ° C) okanye ngaphezulu, iimpawu ze-hyperpyrexia zingabandakanya:

• isantya sentliziyo esonyukayo okanye esingaqhelekanga
• ukudumba kwezihlunu
• ukuphefumla ngokukhawuleza
• ukuxhuzula
• ukudideka okanye utshintsho kwimeko yengqondo
• ukulahleka kwengqondo
• ikhoma

Hyperpyrexia ithathwa njengonyango olungxamisekileyo. Ukuba ishiywe inganyangwa, ukonakala komzimba kunye nokufa kunokwenzeka. Soloko ufuna unyango kwangoko.

Oonobangela hyperpyrexia

Usulelo

Iintsholongwane ezahlukeneyo ezinobuzaza, iintsholongwane, kunye nosulelo olunokukhokelela kwihyperpyrexia.

Izifo ezinokubangela i-hyperpyrexia zibandakanya kodwa azikhawulelwanga:

• S. pneumoniae, S. aureus, kunye H. influenzae usulelo lwebhaktiriya
• i-enterovirus kunye ne-influenza Usulelo lwentsholongwane
• Usulelo lwe-malaria

I-Sepsis inokubangela ne-hyperpyrexia. I-Sepsis yingxaki esongela ubomi kusulelo. Kwi-sepsis, umzimba wakho ukhupha iintlobo ezahlukeneyo zegazi kwigazi lakho ukukunceda ulwe nosulelo. Ngamanye amaxesha kunokuvelisa impendulo evuthayo enokubangela ukonakala komzimba kunye nokusilela.

Ukuze ufumanise unobangela osulelayo we-hyperpyrexia, ugqirha wakho uya kuthatha isampulu ukuvavanya ubukho be-microorganisms. Kuxhomekeka kubume bosulelo olukrokrelwayo, le sampulu inokuba sisampulu yegazi, isampuli yomchamo, isampuli yendle, okanye isampulu yesikhohlela. Ugqirha wakho unokuchonga iarhente esosulelayo esebenzisa iindlela ezahlukeneyo zenkcubeko okanye zeemolekyuli.

Ukubulawa

Kwiimeko ezinqabileyo, ukubonakaliswa kwezinye iziyobisi ze-anesthetic kunokubangela ubushushu bomzimba obuphezulu kakhulu. Oku kubhekiswa njenge-hyperthermia enobungozi (ngamanye amaxesha ibizwa ngokuba yi-hyperpyrexia enobungozi).

Ukuba sengozini yehyperthermia enobubi lilifa, oko kuthetha ukuba inokudluliselwa isuka kumzali iye emntwaneni.

I-hyperthermia enobungozi inokuchongwa ngokuvavanya isampulu yezihlunu zemisipha. Ukuba unesihlobo esine-hyperpyrexia enobungozi, kuya kufuneka uqwalasele ukuvavanywa kwale meko.

Ezinye iziyobisi

Ukongeza kumachiza okubulala iintlungu, ukusetyenziswa kwamachiza athile amiselweyo kunokukhokelela kwiimeko apho i-hyperpyrexia iluphawu.

Umzekelo wenye yeemeko ezinjalo yi-serotonin syndrome. Le meko isongela ubomi inokubangelwa ngamachiza e-serotonergic, njengokukhetha i-serotonin reuptake inhibitors (SSRIs).

Omnye umzekelo yi-neuroleptic malignant syndrome, enokubangelwa kukusabela kumachiza antipsychotic.

Ukongeza, ezinye iziyobisi zokuzonwabisa, ezinjenge-MDMA (i-ecstasy), zinokubangela i-hyperpyrexia.

Iimpawu zezi meko zihlala zikhula kwakamsinya emva kokuvezwa sisiyobisi.

Ugqirha wakho uya kwenza uvavanyo lomzimba kwaye aqwalasele kwakhona imbali yakho yokuchaphazeleka kumachiza athile ukufumanisa i-hyperpyrexia enxulumene neziyobisi.

Ukubethwa bubushushu

Ukubetha kobushushu kuxa umzimba wakho ubushushu kakhulu ukuya kumanqanaba ayingozi. Oku kunokubangelwa kukuzixakekisa kakhulu kwindawo eshushu. Ukongeza, abantu abanobunzima ekulawuleni iqondo lobushushu lomzimba wabo banokuphuhlisa ukubetha kobushushu. Oku kunokubandakanya abantu abadala, abantwana abancinci kakhulu, okanye abantu abanezigulo ezinganyangekiyo.

Ugqirha wakho uya kwenza uvavanyo lomzimba ukuze achaze ukubetha kobushushu. Kuba ukubetha kobushushu kunye nokuphelelwa ngamanzi emzimbeni kunokucinezela izintso, banokuvavanya ukusebenza kwakho kwezintso.

Uqhwithela

Isiqhwithi se-thyroid sisimo esinqabileyo esinokuthi senzeke xa i-hormone ye-thyroid igqityiwe.

Ukuchongwa kwangoko kunye nokunyangwa kwesiphepho se-thyroid kubalulekile. Ugqirha wakho uya kusebenzisa imbali yakho yonyango, iimpawu, kunye novavanyo lwelebhu ukuqinisekisa isiphango se-thyroid.

Kwiintsana

Hyperpyrexia inqabile kwiintsana. Nangona kunjalo, usana olune-hyperpyrexia lunokuba semngciphekweni wosulelo olukhulu lwebhakteria.

Unxibelelwano oluninzi kunye nomkhuhlane ophezulu kunye nomngcipheko wosulelo olukhulu lwebacteria kwiintsana ezincinci kakhulu.

Ukuba umntwana wakho ungaphantsi kweenyanga ezintathu ubudala kwaye unefiva eyi-100.4 ° F okanye ngaphezulu, kubaluleke kakhulu ukuba afumane unyango olukhawulezileyo.

Unyango lwe-hyperpyrexia

Unyango lwe-hyperpyrexia lubandakanya ukujongana nokunyuka kwamaqondo obushushu emzimbeni kunye nemeko ebangela oko.

Ukutshiza okanye ukuhlamba emanzini apholileyo kunokunceda ukuthoba ubushushu bomzimba wakho. Iipakethe ze-Ice, ukuvuthela umoya opholileyo, okanye ukutshiza ngamanzi apholileyo nako kunokunceda. Ukongeza, nayiphi na impahla exineneyo okanye eyongezelelweyo kufuneka isuswe. Xa unefiva, la manyathelo anokungasebenzi ukwehlisa iqondo lobushushu ngesiqhelo, okanye nangaphezulu kwesidanga okanye ezimbini.

Unokunikwa ne-intravenous (IV) yeencindi njengonyango oluxhasayo kunye nokunceda ekuphelisweni komzimba.

Ukuba i-hyperpyrexia ingenxa yosulelo, ugqirha wakho uya kuchonga unobangela. Baya kuthi emva koko banikeze unyango olufanelekileyo lweziyobisi ukuyinyanga.

Ukuba unehyperthermia enobungozi, ugqirha wakho okanye i-anesthesiologist iyakuyeka zonke iziyobisi ze-anesthetic kwaye ikunike ichiza elibizwa ngokuba yi-dantrolene. Ukuqhubela phambili, kuya kufuneka usoloko usazisa ugqirha wakho okanye ugqirha wobulali.

I-hyperpyrexia enxulumene neziyobisi inyangwa ngokuyeka ukusebenzisa iyeza, ukufumana ukhathalelo oluxhasayo, kunye nokulawula iimpawu ezinje ngokunyuka kwentliziyo kunye nokunyusa uxinzelelo lwegazi.

Iimeko ezinje ngesiphepho se-thyroid zinokunyangwa ngamachiza e-antithyroid.

Imbonakalo yehyperpyrexia?

IHyperpyrexia, okanye umkhuhlane we-106 ° F okanye ngaphezulu, ngxamiseko lonyango. Ukuba umkhuhlane awuthothiswanga, umonakalo wamalungu kunye nokufa kunokubangela.

Ngapha koko, ukuba ufumana umkhuhlane we-103 ° F okanye ngaphezulu ngezinye iimpawu ezibalulekileyo, kubalulekile ukuba ufune unyango kwangoko.

Ugqirha wakho uya kusebenza ngokukhawuleza ukufumanisa ukuba yintoni ebangela ukuba umkhuhlane wakho uphezulu. Baza kusebenza ukuthoba ngokukhuselekileyo umkhuhlane ngaphambi kokuba kwenzeke iingxaki ezinzulu.