Hlub Stroke vs Heat Exhaustion
Kub Stroke yog dab tsi?
Heat stroke is a form of heat disease also known as classic Non Exertional Heatstroke (NEHS). Nws feem ntau tshwm sim hauv cov me nyuam mos, cov neeg laus thiab cov neeg mob ntev. Nws yog tus cwj pwm los ntawm qhov siab ntawm lub cev kub siab tshaj 41o ° C, tsis muaj hws thiab hloov pauv kev xav. Ib qho tseem ceeb kub siab tshaj 41o ° C yog suav tias yog kev kuaj mob ntawm heatstroke txawm tias heatstroke tuaj yeem tshwm sim ntawm qhov kub ntawm lub cev. Ntxiv nrog rau qhov triad classic no, ntau yam paj hlwb xws li kev chim siab, kev coj tus cwj pwm tsis zoo, kev xav tsis zoo, kev xav tsis zoo, cov hlab ntsha hauv lub cev, thiab lub paj hlwb tsis ua haujlwm yog cuam tshuam nrog kev mob stroke. Heatstroke feem ntau tshwm sim tom qab cov ntu ntu ntawm qhov ntsuas kub siab. Cov tib neeg uas tswj tsis tau qhov kub ntawm qhov sib npaug xws li cov neeg uas muaj lub plawv tsis tshua muaj peev xwm (Cov Neeg Laus, post ischemic heart disease, plawv tsis ua hauj lwm, congenital cardiac abnormalities) tswj tsis zoo ntawm cov dej kom tsawg thiab poob (cov me nyuam mos, cov neeg mob uas muaj kab mob ntawm daim tawv nqaij, ntshav qab zib mellitus) yog cov raug. kom muaj cua sov. Cov leeg nqaij degeneration (rhabdomyolysis) ua rau hyperkalemia, hypocalcemia thiab hyperphosphatemia, mob siab ua rau lub siab ua rau mob ntshav txhaws thiab hypoglycemia, mob raum tsis ua haujlwm thiab pulmonary edema. Cov kev kho mob xws li thyrotoxicosis, sepsis, convulsions, tetanus thiab tshuaj xws li sympathomimetics ua rau muaj kev kub ntxhov ntau. Hlawv, kab mob ntawm daim tawv nqaij thiab tshuaj xws li barbiturates, neuroleptics, antihistamines ua rau txo cov cua sov. Tsis muaj cov lus teb rau tus cwj pwm zoo li hloov lub kiv cua, haus dej txias uas yuav pab tau cov thermoregulation kuj cuam tshuam rau qhov sib npaug ntawm cov cua sov. Txawm hais tias ib qho pathological nce hauv kev tsim hluav taws xob los yog txo cov cua sov tuaj yeem ua rau lub cev kub siab. Raws li cov txheej txheem kev tswj hwm raug cuam tshuam, lub sijhawm rov qab tsis muaj txiaj ntsig. Yog li ntawd, heatstroke yog suav tias yog kev kho mob xwm txheej ceev.
Kub Exhaustion yog dab tsi?
Kub qaug zog yog ib hom kab mob kub uas hu ua Exertional Heatstroke. Nws feem ntau tshwm sim hauv cov tib neeg uas koom nrog kev tawm dag zog lub cev hauv qhov chaw ntub thiab kub. Cov tsos mob classic yog ua kom lub cev kub siab tshaj 41o ° C, tawm hws ntau dhau thiab hloov pauv kev xav. Tsis muaj cov tsos mob tshwj xeeb xws li mob taub hau, kiv taub hau, tsis muaj zog, mob plab, mob leeg, xeev siab, ntuav thiab raws plab tuaj yeem tshwm sim thaum kub hnyiab. Qee lub sij hawm tuaj yeem ua rau tsaus muag thiab poob ntawm kev nco qab ua ntej kev kub ntxhov. Cov neeg mob uas muaj cua sov yog feem ntau noj qab nyob zoo cov tub ntxhais hluas xws li ncaws pob, tub rog. Cov neeg no lub peev xwm los tawm hws tsis cuam tshuam; Yog li ntawd, thaum lawv tuaj rau tus kws kho mob, lub cev kub ntawm lub cev feem ntau yog qis dua qhov kev kuaj mob 41o ° C. Vim tias cov cua sov poob mechanisms tsis zoo, tus nqi ntawm cov teeb meem yog tsawg dua hauv heatstroke. Lub cev tsis muaj zog, rog rog, qaug zog thiab tsis tsaug zog yog qee yam ntawm cov kev pheej hmoo raug txheeb xyuas rau tus mob khaub thuas. Thaum tshav kub kub ntau lawm thaum lub sij hawm strenuous ce yuav ua tau siab li kaum npaug ntawm basal metabolic tus nqi. Nyob rau hauv lub tshav kub extinguishing lub zus tau tej cov cua sov overwhelms lub tshav kub poob mechanisms uas ua rau ib tug net nce ntawm lub cev kub. Thaum qhov kev tawm dag zog tsis tu ncua, cov cua sov yog dissipated los ntawm cov txheej txheem kub tsis zoo thiab tus neeg rov qab los.
Qhov txawv ntawm Heat Stroke thiab Heat Exhaustion yog dab tsi?
Heat stroke and heat exhaustion is at the extreme end of the heat disease spectrum. Thaum tshav kub kub tshwm sim nyob rau hauv lub xub ntiag ntawm cov kev cai tswj mechanisms, heatstroke tshwm sim vim hloov cov kev cai mechanisms. Thaum tshav kub kub yog tshwm sim los ntawm kev tawm dag zog lub cev, heatstroke yog tshwm sim los ntawm kev ua kom tsis muaj cua sov. Hauv ob qho xwm txheej ceev ceev, kev kho mob ntawm qhov ua rau thiab cov teeb meem yog qhov tseem ceeb.
