Hypothermia - ndichiyani? Hypothermia. kutentha thupi

Okwera kutentha - chizindikiro cha matenda. Izo ziri zodziwika bwino mfundo. Koma nthawi zina zingaoneke kuchepa - hypothermia. ikusonyeza zimene boma? Kodi ngozi? Ndipo ambiri, hypothermia - ndichiyani?

Kufotokoza mwa chidule za

Tiyeni timvetse zimene wabisika pansi akuti ichi - hypothermia. Kodi izo ndi zimene timakusonyeza?

Munthu aliri, imene pali lakuthwa tsembwe, unadziwika ngati "hypothermia". Pa nthawi yomweyo kutentha thupi adatchithisira kuti uziyenda yachibadwa ziwalo zovuta. Chifukwa, pali disruptions mu machitidwe osiyana-siyana ngakhale kupangitsa imfa ngati si kanthu yake.

Mwachibadwa, thupi nthawi zonse kupitiriza kutentha yachibadwa. Koma ngati kuzizira, kutentha imfa ya zimagwirira mkati sangathe zoperewerazo iwo amayamba ntchito kuchokera kunja. Kutentha umayamba kuchepa. Hypothermia amapezeka. Kodi izo ndi mochuluka bwanji ndi ngozi werenganibe.

The zifukwa boma

Munthu anakonza kuti zinthu ozizira (pamene yozungulira kutentha ndi m'munsimu madigiri 36.6), thupi limayamba kutulutsa kutentha. Lingasungunuke msanga danga. Thupi, ngati, ndithudi, sizikutetezedwa ndi zovala zotentha, kupanga akupitiriza.

Chifukwa, apo pakubwera mfundo pamene munthu agonjera kutentha kuposa amabala. Chifukwa cha vutoli ichi, hypothermia iyamba kukhala. thupi pang'onopang'ono akamazizira. A kuchepa kutentha kumabweretsa zolephera ndi kusiya ziwalo zofunika kwambiri. Nkofunika kuti nthawi anaimitsidwa ndi hypothermia.

Zimayambitsa chikhalidwe ichi:

• nthawi yaitali ozizira, chinyezi, mphepo;
• bwino osankhidwa zovala;
• munthu kulowa m'madzi ozizira;
• zakudya m'thupi;
• thupi kutopa;
• matenda, kuvulala, kuchepetsa sayenda;
• kusagona tulo;
• madzi m'thupi;
• mowa.

Pankhaniyi, zambiri ndi matenda ofanana anakumana ana aang'ono ndi madona akale.

zizindikiro za chikhalidwe

Muyenera kudziwa kuti munthu ali kukula mofulumira kuphwanya thermoregulation. Zizindikiro za hypothermia angayambe maola 1-2 kuyambira chiyambi cha mmene zinthu chowawa. Patapita maola wina 1-2 adzabwera disruptions yaikulu mu thupi. Ndipo pambuyo maola 2-6 thupi sangaime. Bwerani imfa.

Choncho ndikofunika mosamala ndi mwanzeru kuchitira munthu amene wakhala kuphwanya thermoregulation.

Zizindikiro zimasonyeza siteji koyamba za yozizira thupi:

• thupi kunthunthumira;
• wotumbululuka buluu kapena imvi ozizira pamwamba pa khungu;
• mphwayi;
• ena unsteadiness kumapazi, kusintha kwa gait;
• nthenda maganizo;
• kulankhula slurred;
• manja ndi zala sadzachitanso kuchita ntchito, ndi zina sangathe kulimbana nazo.

Kenako kuwonjezera zatsopano zomwe zikusonyeza kuti munthu walandira supercooling amphamvu:

• thupi ozizira kukhudza;
• wosakwiya kugunda;
• minofu ouma;
• mochedwa kupuma;
• chisokonezo;
• kufooka, kusinza;
• imfa ya chikumbumtima ;
• pamene kutentha akutsikira m'munsimu madigiri 32 kenaka utentha mamba thupi kusiyiratu.

siteji pathological

Malinga alili ndi malo ake mu njira thupi olekanitsidwa hypothermia zotsatirazi:

1. Oyambirira. Chizindikiro choyamba cha hypothermia ndi kunthunthumira. Pali m'makona ozizira, buluu milomo. munthu zochita Ululu kuzizira. N'zotheka chisokonezo - chosowa poyankha malangizo, mafunso kubweza anachita. Anthu ena amaoneka kusintha mwadzidzidzi kuchoka chisangalalo kwa mphwayi.
2. Avereji. Thupi kutentha ndi adatchithisira digiri 35-30. Pa stepi ino akhoza kusiya kugwedeza. Ichi ndi chizindikiro choopsa kwambiri. munthu amabwera kufooka, dzanzi. Ananena matenda khalidwe, nkhawa, kusowa kutsitsimuka. Anthu amenewa sangathe kudzithandiza okha, nthawi zina zamkhutu akuwonekera.
3. Lolemera. Izi siteji yovuta. Pamene ikagwa kutentha madigiri 30-28. munthu watha kutsitsimuka. Nthawi zina kumachitika kayendedwe musanaganizire wa miyendo - omangana, yomangika minofu, mulole nthawi kuti pang'ono anatsegula maso. Kugunda sadzachitanso zimadziŵika, ndipo okha mitsempha lalikulu (20-50 u. / Min). ofooka kwambiri kupuma. Izo zikhoza kuchitidwa mpweya 4-10 mphindi. khungu integument chobiriwira ndi buluu. Ophunzira samva kuwala chifukwa cha hypoxia ubongo. Zikatero, zimadza mantha ndi kukomoka.

Kudwala ana

Mwana akhoza kusiya kutentha kwa pa zifukwa zosiyanasiyana. Poyamba, ayenera kuti hypothermia kwa ana ndi makanda msanga si kudwala. Izi ponseponse thupi, monga thermoregulation mu nyenyeswa izi sanafikebe otukuka. Mwana wayamba monga kusintha kwa m'dzikoli. Nthawi zina zonse, hypothermia ana anatchulapo mavuto ena mu thupi.

Zimayambitsa matenda mudzabisika:

• mu chitetezo chokwanira adatchithisira;
• yaitali matenda;
• exacerbation la matenda osachiritsika;
• matenda a adrenal, chithokomiro;
• magazi m'thupi;
• chimfine;
• vitamini akusowa (amangoona C);
• aakulu kuledzera;
• matenda oncological.

Komanso, hypothermia kungakhale:

• zovala osakwanira nthawi yozizira;
• mwana kugwera m'madzi;
• makope nyenyeswa mu zovala yonyowa kapena yonyowa pokonza pa nyengo yozizira;
• yaitali kusamba mwanayo madzi, ngakhale chilimwe.

Makolo ayenera kulabadira khalidwe la mwana. Ngati mwadzidzidzi anakhala amphwayi, lethargic, iye safuna kusewera, anataya kudya ake, n'zomveka kuyeza kutentha.

Pankhani ya hypothermia kwenikweni kuchotsa zinthu chikwiyire hypothermia. Manga mwana bulangeti, umwetse kumwa ofunda. Mwana msanga kutenthetsa, kukankha iye. Thupi lanu kutentha zidzatithandiza kwambiri mofulumira kuposa bulangeti.

choyamba-chithandizo

Nkofunika kuti Anthuwo pambali pa mwamuna amene amadziwa ngati hypothermia chinachitika, chimene icho chiri ndi momwe angachitire. Chifukwa moyo zambiri wodwalayo zimadalira zinthu zonse anali yake.

Mu masiteji wofatsa zotsatirazi ya miyeso zofunika:

1. Wozunzidwayo m'ndende mu chipinda ofunda. Ngati zovala ndi onyowa, zina za izo, onetsetsani kuti amuchotsepo. Komabe, anamuvula munthu, muyenera kuvala nthawi yomweyo, kuti imfayo zina kutentha imfa.
2. Ndi bwino kuti kukulunga wodwalayo mu mabulangete ofunda. Mukhoza kugwiritsa ntchito mabotolo ndi madzi otentha.
3. Muyenera kudziwa kuti pansi chofanana Kumalimbikitsa munthuyo ayenera osati kunja komanso mkati. Choncho, onetsetsani kupereka kumwa ofunda. Koma kumbukirani: kumwa mowa pamene hypothermia ndi koletsedwa!

Kawirikawiri, pambuyo kukhwimitsa wofatsa akudutsa padera. Koma wodwala ayenera kuonetsetsa kuti dokotala.

Thandizo chaukali

Ngati pali hypothermia kwambiri, mankhwala ayenera kuchitidwa ndi madokotala odziwa.

thandizo zikuphatikizapo miyeso:

• kuitana "ambulansi";
• n'kumawotha wodwala mwa mabulangete, warmers, mabotolo madzi (osati choposa madigiri 41)
• ofunda chakumwa ngati wodwalayo sadziwa;
• kuwatsitsimula mu nkhani ya kumangidwa mtima.

Ndi zoletsedwa ndi:

• akusisita miyendo, izo imautsa mantha;
• kuika wovulalayo mu kusamba otentha, kukhwimitsa zingachititse mtima kumangidwa.

hypothermia yokumba

Komabe nthawi zina, monga boma akhoza kupindula. Mwachitsanzo, mankhwala, chimagwiritsidwa ntchito hypothermia m'deralo. Ichi ndi chikhalidwe chimene utakhazikika ziwalo munthu kapena zinthu za thupi. Iwo yafupika kagayidwe, yafupika akuwakonda oxygen. hypothermia amenewa wapeza ntchito lonse opaleshoni. Izo ntchito njira opaleshoni ziwalo m'mimba. Gwiritsani asanachite opareshoni kwa kuvulala kwa phazi, burashi; mu mathithi, khungu. Pogwiritsa hypothermia m'dera pa opaleshoni reconstructive pa miyendo, varicose mitsempha.