Wela: ke kahua, symptoms, kumu, lapaʻau

He aha ka ke naholo kiki mai ai? Ke kahua o ke ana, kumu a me nā symptoms e kūkā mai ma lalo nei. E hai mai no hoi oe e pili ana pehea e pono i ka maʻi.

I maopopo ai i ka 'inikua makahiki

Ole-kekahi maʻi keʻano o ka hanaʻana wehewehe aku e kekahi? Aiaiiuie mahuahua ma ke kino ana wela ku i ka hōʻeuʻeu hoʻoponopono thermoregulatory'ōnaehana ma lalo o ka aoao o pyrogens ( 'o ia hoʻi, hehee wale, inducing wela), kapaʻia kuni. Ma lapaau, ka mea, ua noʻonoʻo ia ia i ke ano o ua kaua kipi me ka aiiay a me ka adaptive pane ana o kanaka a me ka holoholona maʻiʻaʻai. It E e kaulana no hoi i ke kuni, a me ke kapuai a i helu 'ia ma lalo iho nei, ai ukali ia e ole wale he mahuahua ma ke kino wela, akā, i nāʻike manaʻo ano o ka infectious maʻi.

O Mānoa, o febrile maʻi pale

O i ike ole ia i na mea he nui infectious a me ka mea hoʻomaʻi maʻi i pu ma ke ala i loko o ke kino ana wela o ka hoʻomanawanui. A, ma mua o ka maʻi a pau, a puka mai kapa kuni ai. Eia naʻe, poe akamai i olelo ia i loko o ka 'epekema kēia naauao o keia kulana mea,ʻaʻole he maʻi. Akā, ma muli naʻe o keia, kekahi mau inoa manawa maʻi ē aʻei kūpono nō e noho ana (e laʻa me, hemorrhagic kuni Ebola kuni pappatachi, pōhaku Mountain kikokiko wela, etc.).

No ke aha la ka mehana ia mau 'ole' ē aʻe ka maʻi? wela ka lalo laina mea i ka manaʻo thermoregulation ke kanaka, a me ka mea kiekie oia ka holoholona homoiothermal mākou ke pane i kekahi waiwai i kapaia pyrogens. I ka hopena o ke kino offset setpoint homeostasis (wela) a hiki i ka pae kiʻekiʻe. Ma ka ia thermoregulation maomeka i malamaia. 'O kēia ke kumu likeʻole ma waena o hyperthermia o ke kuni.

Kumu o ka wela

No ke aha la i ka mehana i loko o ka kanaka a holoholona? Kumu o ka wela? Acaeoey, he mea nuiʻano. Eia naʻe,ʻo kēia mau mea i ka loa, he pono ole.

1. Microbes, infectious a me ka pathogenic nā mea hoʻomaʻi, parasites. Lākou neoneo huahana a me kā lākou ke keʻena māhele i pirogeno- Nine Inch e hana ana ma ka thermoregulatory waena.
2. Ole-infectious kumu. Iwaena o lakou e exogenous nā polokina: vaccines, serums, make nahesa, ke koko transfusions a oi. Ua pū nā kona nā polokina iho o ka meaola ola i hoʻololi kona waiwai e like me ka hopena o nā'ā, trauma,ʻeho lysis, kahe ana ke koko i loko o ka'aʻaʻa.

Other kumu o febrile maʻi pale

No ke aha la ke kuni ia lŘlŘ? Maʻi, e hoʻonāukiuki i ke ala i loko o ke kino wela, i ke pili me ka kāna hana o ka wela hoolilo ma ka 'aʻe o ka autonomic hana i loko o adolescents, nā keiki a me nā keiki wahine (' o ia hoʻi thermoneurosis). I wela i ke 'ole ma ke kēia kumumea:

• E lawe i kekahi mau laau. Kilo'ōlelo aku nei au i kekahi mau laau lapaau e loli i ke thermoregulation oaio, e kauoha ana i ka hōʻemi iki e hoea ma ke kino ana wela.
• An ili kāna hana i loko o thermoregulation. No ka laʻana, ka mea, me ka hanau kekahi pono ola mau keiki, i ka mahana 37,2-37,4 degere. No ka ia, keia kulana mea maʻamau.
• Low-papa kuni pinepine i hoʻomaka ai ma muli o ka overheating, regular hoounauna, e noho i loko o ka stuffy lumi, a me ka pili ihola.
• Mea naʻau stress a me ka stressful wahi, i hiki ua loa pinepine pu ia e hoʻoulu ai i ka wela? Iecaianoaaiiuo, a ho'ā hope o ka hypothalamus, i ka poʻea pau i ka mai kuni.
• I ka hua ma ka hōmona progesterone i hapai wahine i ke kumu o ka hōʻemi iki mahuahua ma ka ana wela. Eia naʻe, 'ē aʻe hoailona o ka mea hoʻomaʻi a infectious maʻi i loa kahi e. Oia kekahi ano hiki ke mālama a hiki i ka hopena o ka trimester mua. Naʻe, kekahi o ka mea maikai ke keka haʻahaʻa-papa kuni pu ma ka aneane i ka hāpai keiki holoʻokoʻa.

He aha ka ka Pie?

E like me ka olelo ma luna, infectious a me ka mea hoʻomaʻi maʻi loa pinepine he hoʻonui i ka hua ma ana wela o ke kino. Kēia ia lŘlŘ ma lalo o ka aoao o pyrogens. He mau waiwai e komo i ke kino, mai ka mawaho a ho okumu i pono ma loko, e kauoha ana kuni. Ma ka hapanui o hoopii, exogenous pyrogens mau oihana mua o infectious konohiki. Ka ikaika o kēia mau mea thermostable capsular lipopolysaccharide koʻohune (gram-io). Na hui hana kahiko o ka'āina. Ka mea, he hoʻonui i ka pohupani hale o ke ka piʻiʻana wahi i loko o ka hypothalamus thermoregulation waena. Ka hapa nui o ia i leukocyte ka molekumu o, a pono e loli ai i ka nui symptoms 'ē aʻe. Ke kumu o pyrogens i ka'ōnaehana paleʻea'ōnaehana aeee i kanaka, a me granulocytes.

Kuni: ke kahua

Ma ka hooulu ana o ke kuni hele ma ka papa kuhikuhi kahua o ka hoʻonaʻauao ekolu. Ka mua - ka mehana, ka lua i loko o kānaka - ka mea, ua paa ia no kekahi manawa, a me ke kolu - i nā emi, hiki mua. About pehea ia pathological keʻano o ka hanaʻana, a me ka mea na symptoms i hoʻomaopop 'ana i loko o ia, mākou e hoomaopopo lalo.

Ke ala o ke ana wela

Ka mua kahua o ke kuni pili me ka rearrangement o ka thermoregulation, ai ka wela? Iecaianoaaiiie hoʻomaka e me ka nui loa mamua o ka wela hoololi. Ke kaupalenaʻana i ka la mahope mea pono i ka ho'ēmiʻana o ka mehana koko i loko o ka'aʻaʻa a me ka hou ana o na moku i ke koko i loko o ka periphery. More nui ka wā e like me ke kaʻina i cutaneous vascular spasm a me ka hoopau wale sweating ma lalo o ka aoao o ke aloha o ko mākou hopohopo nenoaiu. ka mua kahua symptoms o kuni penei: blanching o ka ili a me ka hoemi kona wela a me ke kaupalenaʻana wela poho ma muli o ka pāhawewe. Ka ho'ēmiʻana o ka hou ho okumu ua ālai 'wela e pakele ai ma ke omoāea.

Contraction o Muscle'aʻaʻa hiki aku ai i ka hoike ana o ka kŰia o "Oie bumps" i loko o kānaka, a me ka holoholona vzeroshivanie hulu hipa. Ke pilikino aloha o ka ole no i ka emi ma ka ili ana wela, e like me ka pono i mea ukiuki loa o ke anu thermoreceptors hoolilo ma ka integument. Mai ia ka neaiae hele i ka hypothalamus, i mea ka integrative konu o ka thermoregulation. Ma hope iho o ia, oia hoʻomaopopo 'o ia i ka cerebral cortex e pili ana i ke kulana ma ke kanaka ka hana a me nā' ano apau loa: e hoʻomaka wahiia i, lawe i ke kulou kūpono, etc. ke emi ma ka ili mahana mea ma muli o ke kanaka a me ka tremor Muscle ... Ua ua kena ae la ma ka ho'ā hope o pauhia-oaio? A, a ua IIeEeAIEUIeXAIIUE ma ka medulla a me ka midbrain.

paa mehana

Ka lua o ke kahua o ke kuni hoʻomaka ma hope o hiki huapalapala wahi. Ua hiki ke hana mau hola paha lā, e like me he lōʻihi-makahiki. Penei, wela hoolilo a me ka wela koe kekahi i kekahi. Hou mahuahua ma ke kino wela, aole ia i kānāwai.

Dermal moku ke koko i loko o ka lua o ke kahua hoomaka iho. I haʻalele lākou pallor. PeneiʻIli lilo wela i ka nano, a me ka ole, a pauhia nalo. A ke kanaka ma keia ke kahua Kahalaopuna i ka wela. Ma keia wahi, e hoola mai diurnal wela likeʻole, akā, i ko lākou ikaika hawewe e aho ia mamua o maʻamau.

Ke kaumaha ma muli o ka degere o ka ala i loko o ke kino ana wela kuni i loko o ka lua o ke kahua ua subdivided? Ueo:

• subfebrile wela - mai i ka 38 degere;
• hōʻemi iki wela - i ke 38,5;
• febrile a lōpū - mai i ka 39 degere;
• pireticheskaya ole kiʻekiʻe wela - i ka 41;
• giperpireticheskaya excessive paha - oi mamua o 41 degere.

It E e kaulana ia giperpireticheskaya kuni mea loa pilikia i kanaka ola, o ka oi aku no kahi mau keiki liilii.

wela kulu

emi ma ke kino mahana hiki e abrupt paha gradual. Kēia kahua hoʻomaka ma hope o ke kuni ana laau pyrogens a hoopau wale o ko lākou hoʻonaʻauao ma lalo o ka aoao o ka ai 'ole maoli aʻe. No ka kulu iʻoi ka mahana kīnā i ka maʻamauʻilikai. Ua hele aku ai i vasodilatation o ka ili. Pela ka mea oi wela ua i nā hōʻike. Ma kānaka, he mea profuse sweating, hoʻokāʻoi ma perspiration a me ka mimi auaiaea. Heat dissipation i loko o ke kolu o ke kahua o ke kuni dramatically aku i ka wela? Iecaianoaaiiuo.

Ano o na mai kuni

Ke kaumaha ma muli o ka hoʻomanawanui i ka loli i kela la i loko o ke kino wela, kuni ua maheleia i loko o kekahi mau ano:

• Paʻa - He ka lōʻihi, a napoo ala ma ka wela, diurnal fluctuations i e ole oi 1 loa.
• Kalaia - ia diurnal oko e ia i loko o ka laulā o 1.5-2 degere. I ka wā o ka mahana ihoiho maʻamau nā loina.
• Intermittent - ia pathology ua wehewehe aku e kokololio a me ka nui ala i loko o ana wela. Ua mau no kekahi mau hola, a laila, ua UAIAaIN ma kekahiʻano kokololio haule i ka mahana maʻamau.
• A no ka maluhiluhi ole hectic - me kēia 'ano o ka diurnal likeʻole e hiki 3-5 degere. I ka Ia manawa ka i luna me ka kokololio emi ua hai kekahi mau manawa ma ka lā.
• Hoʻokahuli i - no ke kuni ua wehewehe aku ma ka loli ma ka circadian pāpana me kiʻekiʻe i luna i loko o ke kakahiaka.
• Hewa - ke kino ua wehewehe aku e likeʻole i loko o ana wela i ka lā me ka kekahi regularity.
• Returnable - me kēia 'ano o ka' ē aʻe manawa o ke kuni, me ka manawa o ka maʻamau Hawaiʻi e mau no kekahi mau lā.

It E e hoʻomaopopo pū i ka mahana o - 35 degere - mea ole conducive i keʻano o ke kuni. E möakäka hou i nā kumu no kēiaʻano e nīnau aku i ke kauka.

Common symptoms o ke kuni

Low wela (35 ° C) 'aʻole ole i ke kuni, no ka mea, ua wehewehe aku ma ke ala o ka oi mamua o 37 degere. Common hiʻona o ka pathological Hawaii i:

• makewai;
• redness o kaʻili;
• kokololio hanu;
• aching iwi, headache, unmotivated i loko o ka naʻau i loko maikai;
• ilihune ikaika loa ka makemake;
• ole, pauhia, kaumaha sweating;
• delirium (delirium tremens) a me ka hilahila, o ka oi aku i ka poʻeʻelemākule nā mea maʻi;
• irritability a kahea keiki.

Ua E hoi e kaulana i kekahi manawa, i ke kōkoʻolua e puffiness a me kaʻeha o ka hoea ana o ana wela i loko o na ami, he poʻe noʻonoʻoʻole, a blistersʻula waihoʻoluʻu. Ma keia hihia, e pono koke leka uila i kou kauka.

lapaʻau

Pehea e pakele ana i ke ano e like me ke kuni, kahua o ka a i, ua helu 'ia ma luna? E hoʻomaka, e hooholo i ke kauka ke kumu o ke ala i loko o ke kino mahana, a laila, hāʻawi aku i ka iapaau ana kūpono. Inā koi 'ia, i ke kauka e hoouna aku i ke ahonui no hou ninaninau. Inā e manaʻo ai he nui pathology hoʻomalu ia kekahi o ka hoʻomanawanui hospitalization. A e wehe i ke kuni hoʻomanawanui ua aʻo aku ai iā moe koena. Ua Ua papa ia, e hanaʻoe i oi mahana.

Ke hoomanawanui E inu nui o fluids. Like no ka ai, oia mea he kukui a me ka maikaʻi-digestible ai. Ana i ke kino mahana e e kela 4-6 hola. antipyretic hiki ke lawe ina e pono ai. Akā, i kēia mea wale nō i ka hihia ina ka hoʻomanawanui he ino headache, a nānā i ka mahana oi ma mua o 38 degere. Nā mea maʻi i hooluoluia mai ai e hoʻohana i ka "Paracetamol" e hoʻoikaika 'i ke kulana. Ma mua o ka lawe i kēia lapaau oe e heluhelu i ka olelo ao akahele. Inā ke kuni ua ike i loko o ke keiki, a laila ka mea, ua papa ia, e haawi aku i ka aspirin. O ke kumu ho i ka mea i keia k i i ka hooulu ana o Reye ka maʻi pale. He aliʻi lua ana, e alakai i ka coma a hiki i ka make. Akā, me nā kao keiki no ka kuni waiho aku lapaʻauʻia ka nānā 'ana ma luna o paracetamol, "Efferalgan" "Panadol", "Kalpol" a me "Tylenol."