Qhov Tseem Ceeb Qhov txawv - Hypothermia vs Pneumonia
Hypothermia thiab mob ntsws los ntawm txhais tau tias yog ob qho kev kho mob sib txawv kiag li. Hypothermia yog qhov poob ntawm lub cev kub hauv qab 35ºC vim qhov tsis muaj peev xwm ntawm lub cev thermoregulatory mechanisms los tswj cov tub ntxhais kub ntawm qhov ntsuas tsis tu ncua. Kev cuam tshuam ntawm lub ntsws parenchyma los ntawm tus kab mob ua rau tus neeg sawv cev (feem ntau yog cov kab mob) evokes exudative solidification (ua ke) ntawm cov ntaub so ntswg pulmonary hu ua mob ntsws. Pneumonia yog ib qho kab mob sib kis tau zoo thaum hypothermia yog ib qho kev cuam tshuam ntawm lub cev nrog rau qhov ua rau tuag taus. Qhov no yog qhov sib txawv tseem ceeb ntawm hypothermia thiab mob ntsws.
Hypothermia yog dab tsi?
Hypothermia yog qhov poob ntawm lub cev kub qis dua 35ºC vim qhov tsis muaj peev xwm ntawm lub cev thermoregulatory mechanisms kom tswj tau qhov kub ntawm qhov ntsuas kub tsis tu ncua.
Cov me nyuam mos thiab cov neeg laus yog ob pawg hnub nyoog uas muaj feem cuam tshuam tshaj plaws kom tau txais kev mob ntshav qab zib. Hauv cov menyuam mos, qhov no tuaj yeem raug ntaus nqi rau cov txheej txheem thermoregulatory tsis zoo thiab thaj chaw siab: qhov hnyav piv.
Secondary Ua rau Hypothermia
- YHypothyroidism
- YCorticosteroid insufficiency
- Stroke
- Hepatic failure
- YHypoglycemia
- Cawv thiab lwm yam tshuaj xws li phenothiazines
Txawm tias cov tib neeg noj qab haus huv tuaj yeem ua rau lub cev tsis zoo thaum lub thermal stress overcomes the thermoregulatory mechanisms functioning at their peak.
Tshuaj Kho Mob
Mild Hypothermia
- Kev tsis sib haum
- Dehydration
- Ataxia
Hypothermia
- Muscle stiffness
- Kev nyuaj siab qib siab
- faised vasoconstriction
- YBradycardia
- Hypotension
- ECG - J waves thiab dysrhythmia
Kev tshawb nrhiav
- ntshav roj- hlab ntsha txo qis los ntawm 7% rau txhua qhov poob hauv qhov kub thiab txias
- suav ntshav
- Electrolytes
- Chest X ray
- ECG - J nthwv dej uas tshwm sim ntawm kev sib tshuam ntawm ST ntu thiab QRS complex. Tus neeg mob tuaj yeem muaj ventricular fibrillation thiab plawv dysrhythmias.
- Kev tshawb nrhiav ntxiv kom paub seb cov thyroid ua haujlwm tsis zoo, pituitary txawv txav thiab hypoglycemia yuav tsum tau ua.
Kev tswj hwm
Kev tswj hwm ntawm hypothermia aims ntawm,
- Txoj kev cawm seej
- Rau tus neeg mob kom tswj tau
- Kev kho mob hypoxia
- Kho qhov tsis txaus ntawm electrolyte
- Kho cov kab mob plawv - yuav tsum tau saib xyuas tshwj xeeb txhawm rau tiv thaiv qhov tshwm sim ntawm dysrhythmias
Pneumonia yog dab tsi?
Kev cuam tshuam ntawm lub ntsws parenchyma los ntawm tus kab mob ua rau tus kab mob (feem ntau yog cov kab mob) evokes exudative solidification ntawm (sib sau ua ke) ntawm cov ntaub so ntswg pulmonary hu ua pneumonia.
Kev faib tawm ntawm mob ntsws yog nyob ntawm ntau yam.
Raws li tus neeg sawv cev ua rau
Y Kab mob, kab mob, fungal
Raws li kev faib tawm tag nrho ntawm tus kabmob
YLobar Pneumonia, Bronchopneumonia
Raws li qhov chaw uas mob ntsws tau kis
Zej Zog tau, tsev kho mob tau txais
Raws li qhov xwm txheej ntawm tus tswv teb cov lus teb
Suppurative, fibrinous
Pathogenesis
Lub ntsws ib txwm tsis muaj kab mob ua rau muaj kab mob lossis tshuaj. Cov kab mob ua pa muaj ntau yam kev tiv thaiv los tiv thaiv kev nkag mus ntawm cov kab mob no.
- Nasal clearance – particles deposited in front of the airway on the non-ciliated epithelium is nquag tshem tawm los ntawm txham lossis hnoos. Cov khoom uas muab tso rau tom qab raug cheb hla thiab yuav nqos.
- Tracheobronchial clearance - qhov no yog nrog los ntawm mucociliary action
- Alveolar clearance - phagocytosis los ntawm alveolar macrophages.
Mob ntsws tuaj yeem cog lus thaum twg cov kev tiv thaiv no tsis zoo lossis tus tswv tsev tsis kam txo. Cov yam ntxwv xws li cov kab mob ntev, kev tiv thaiv kab mob thiab kev siv tshuaj tiv thaiv kab mob, leukopenia, thiab kab mob kis kab mob cuam tshuam rau tus tswv tsev tiv thaiv, ua rau tus tswv tsev muaj kev cuam tshuam rau cov kab mob no.
Lub tshuab tshem tawm tuaj yeem raug puas tsuaj ntau txoj hauv kev,
Txhob hnoos reflex thiab txham reflex
Secondary to coma, anesthesia or neuromuscular disease
Kev raug mob rau mucociliary apparatus
Kev haus luam yeeb ntev yog qhov laj thawj tseem ceeb rau kev puas tsuaj ntawm cov mucociliary apparatus.
- Kev cuam tshuam nrog phagocytic action
- Pulmonary congestion thiab edema
- Kev sib sau ntawm cov qog pulmonary hauv cov xwm txheej xws li cystic fibrosis thiab bronchial obstruction.
Bronchopneumonia
Staphylococci, Streptococci, Pneumococci, Haemophilus, thiab Pseudomonas auregenosa yog cov kab mob tseem ceeb
Morphology
Foci ntawm bronchopneumonia yog cov chaw sib koom ua ke ntawm kev mob suppurative mob. Kev sib sau ua ke tuaj yeem ua rau thaj tsam ntawm ib lub lobe tab sis feem ntau yog multilobar thiab feem ntau ob sab
Lobar Pneumonia
- Cov kab mob tseem ceeb yog pneumococci, klebsiella, staphylococci, streptococci
-
Qhov txawv ntawm Hypothermia thiab Pneumonia Daim duab 02: Lobar Pneumonia
Morphology
Plaub theem ntawm cov lus teb inflammatory tau piav qhia.
Lub ntsws hnyav, boggy, thiab liab. Qhov theem no yog qhov tshwm sim ntawm vascular engorgement, intra -alveolar kua nrog ob peb neutrophils, thiab feem ntau muaj ntau cov kab mob.
Red Hepatization
Congestion yog ua raws li kab mob siab liab, uas yog tus cwj pwm los ntawm kev sib txuam loj heev nrog cov hlwb liab, neutrophils, thiab fibrin sau cov chaw alveolar.
Grey Hepatization
Nyob rau theem grey hepatization, vim tias qhov kev tawg zuj zus ntawm cov qe ntshav liab uas tau sau rau hauv qhov chaw alveolar, lub ntsws xav tias muaj xim grey. Qhov no greyish tsos yog txhim kho los ntawm lub xub ntiag ntawm fibrino suppurative exudate.
Resolution
Thaum lub sijhawm kawg ntawm kev tsim cov kab mob, cov exudate sib sau ua ke hauv cov chaw alveolar tau dhau los ua cov txheej txheem zom zaub mov kom tsim tau cov pob zeb ib nrab ntawm cov kua dej uas tau rov ua dua thiab noj los ntawm macrophages lossis hnoos.
Kev nyuaj siab
- Abscess - vim yog cov ntaub so ntswg puas thiab necrosis
- Empyema - raws li qhov tshwm sim ntawm tus kab mob kis mus rau hauv cov kab noj hniav pleural
Tshuaj Kho Mob
- Dyspnea
- Cov hnoos qeev
- mob plab
- Pleural kev sib txhuam rub
- fwb
Qhov txawv ntawm Hypothermia thiab Pneumonia yog dab tsi?
Hypothermia vs Pneumonia |
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| Hypothermia yog qhov poob qis hauv cov tub ntxhais kub hauv qab 35ºC vim qhov tsis ua haujlwm ntawm lub cev thermoregulatory mechanisms kom tswj lub cev kub hauv qhov tsim nyog. | Kev cuam tshuam ntawm lub ntsws parenchyma los ntawm tus kab mob ua rau tus kab mob (feem ntau yog cov kab mob) evokes exudative solidification ntawm (sib sau ua ke) ntawm cov ntaub so ntswg pulmonary hu ua pneumonia. |
| Nov yog kab mob kis kab mob. | Nyob zoo ib tsoom phooj ywg sawv daws. |
Summary – Hypothermia vs Pneumonia
Pneumonia yog ib qho kab mob pathological uas tshwm sim los ntawm o ntawm pulmonary parenchyma. Tab sis hypothermia yog ib qho poob rau hauv cov tub ntxhais kub hauv qab 35ºC vim qhov tsis ua haujlwm ntawm lub cev thermoregulatory mechanisms los tswj lub cev kub hauv qhov tsim nyog. Qhov no yog qhov sib txawv tseem ceeb ntawm hypothermia thiab mob ntsws.
Download PDF Version of Hypothermia vs Pneumonia
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li cov ntawv sau tseg. Thov download PDF version ntawm no Qhov txawv Ntawm Hypothermia thiab Pneumonia
