Yin rigakafi da kula da cutar hypothermia - Part 1
I. GASKIYA na Hypothermia:
Matsakaicin zazzabi da ke ƙasa 36 ℃ shine hypothermia
Zazzabi mai zafi shine zafin jiki a cikin tsarin damisa na jiki, cututtukan Tympanic, esophagus, Nasophary, dubura da mafitsara, da sauransu.
Ciwon lantarki na ciki (InadvertenterPerIophermia, IPH), m hysivothermia na iya faruwa a 50% -70% na maganin maganganu da marasa lafiya.
II. Gringwoma Grading:
A asibiti, core zazzabi na 34 ℃ -36 ℃ an kira shi a matsayin mai saurin motsa jiki
34 ℃ -30 ℃ Kamar yadda m wirnemphothermia
30 ℃ -28 ℃ shine matsakaici na hypothermia
<20 ℃ don zurfin hypothermia
<15 ℃ - mai zurfi-mai zurfi-m hypothermia
III. Sanadin cutar hypothermia
(I)-da kai ya haifar:
A. Shekaru:
Tsohuwar: aikin kermororgation na thinning (tsoka na tsoka, jini na fata, jini na fata, bututun fata, bututun mai da yawa).
Yawan jariran da suka riga sun yi amfani da jarirai masu nauyi: Cibiyar Thermoragulatory tana da ci gaba.
B. Magana (Kits na jiki)
Mai kitse mai ƙarfi mai zafi, zai iya hana asarar zafin jiki.
Dukan sel mai zai iya yin hankali da zazzabi, kuma suna da zafi ta hanyar sakewa makamashi. Nazarin Jami'ar Harvard ya gano cewa wannan tsari na dumama ya dogara da furotin da ake kira promal promy furein-1. Lokacin da aka fallasa jiki zuwa sanyi, adadin adadin tsintsaye-1 sau biyu.
A karkashin yanayi na yau da kullun, marasa lafiya suna buƙatar azumi na kimanin sa'o'i 12 kafin tiyata. Idan dacewa da lafiyar jiki matalauta, za su fi kulawa da karfafa gwiwa mai sanyi, sakamakon haifar da raunin juriya. Kwarewar sanyi ta haifar da tiyata na iya haifar da zafin jiki cikin sauƙi don sauke.
C. yanayin tunani
Matsakaicin motsi mai haƙuri kamar tsoro, tashin hankali, da damuwa sa jinin da za a sake shi, ya shafi dawowar jini ga zuciya da microcrusultion, kuma yana da sauki a haifar da hypothermia yayin aikin.
D. Rashin lafiya
Ba da rashin lafiya mai cutarwa, m believitated: ƙarfin ƙarfin samar da zafi.
Rashin amincin fata: manyan rauni, degloving raunuka, mai ƙonewa mai tsananin wuta.
(Ii) muhalli
A zazzabi a cikin dakin aiki ana sarrafawa a cikin 21-25 ° C. a kasa zafin jiki.
Zaɓin zafin jiki na al'ada na ɗakin aiki mai gudana da sauri na iska mai sauri zai haɓaka zafin jikin mai haƙuri, wanda yafi dacewa ya haifar da zafin jiki na haƙuri don sauke.
(III) Jiki Dubawa
A. Rashin lafiya:
Za'a iya samun zafin jiki na rashin lafiya, kuma manufar kamuwa da cuta za'a iya cimma shi bayan disinfe koshin ya bushe. Alamar maganin maye na kwashe zafi da yawa kuma yana rage yawan zafin jiki.
B. mai ƙarfi mai ƙarfi:
Wanke tare da babban adadin saline ko ruwa don allura lokacin yin allura lokacin aiki kuma yana haifar da asarar zafin jiki, wanda shine dalilin zafin jiki na haƙuri don sauke.
C. Maɓala tiyata ya daɗe, kuma lokacin bayyanar da kirji da gabobin ciki sun fi tsayi
D. Ma'aikatan Likita sun kasa da wayewar zafi
Iv.anestheria
Magunguna na iya canza yanayin tsarin aikin thermoregulatory.
Janar Maganin Magana - Da yawa magungunan masarufi na iya kaiwa ga tsofaffin jijiyoyin jini, da kuma 'yan shakatawa masu tsoka na iya hana mayar da martani ga girgiza.
Maganin kula da yankin na yanki - wanda ya yanke zargili na ɓangaren sanyi na molodical mai sanyi an katange shi, saboda haka cibiyar ta yi kuskure ya yi kuskure cewa yankin da aka katange shi yana da dumi.
V. ruwa da zubar da jini
Jiko na babban adadin ruwa da jini na saka ruwa a cikin dakin zazzabi ko mai yawan adadin fitilar.
Intravenous jiko na 1l ruwa a zazzabi a dakin ko 1 na jini na 4C a cikin manya na iya rage babban zazzabi da kusan 0.25 ° C.
An kame daga: Wu Zhimin. Yue Yuan. Bincike da jinya na hysemotheria yayin aikin maganin karawa na hanta]. Jaridar Sin ta Duniya, 2005
