Mitundu kutentha zokhotakhota matenda osiyanasiyana

Popeza wathanzi anthu kutentha thupi nthawi zonse, ndi kusinthasintha zazing'ono yekha mu magawo wa digirii, kuwonjezeka zake pamlingo wokulira nthawi limasonyeza pamaso kutupa mu thupi, kuphatikizapo chilengedwe opatsirana. Mlingo wa kutentha mu mphamvu ya thupi la munthu wotchedwa kutentha pamapindikira, amene zambiri anthu amaganiza ndi malungo (kutentha nyamuka nthawi).

Kumangidwa zidzachitike pa kutentha pamapindikira wodwalayo amasewera yofunika matenda ndi mapangidwe kafukufuku, komanso kufunika kwa cholinga aziona nthendayo. kutentha thupi anayeza osachepera kawiri pa tsiku motere: mu m'mawa ndi madzulo, ndi kutalika kwa matenda - kangapo patsiku.

ndi mitundu ya zokhotakhota kutentha chiyani?

Iwo amadziŵika, malingana ndi mlingo wa kuwonjezeka. Mitundu zotsatirazi zokhotakhota kutentha subfebrile - phindu osati choposa 38 ° C, sing'anga kapena zolimbitsa - 39 ° C, pireticheskie - 41 ° C, sverhpireticheskie - oposa 41 ° C (chosowa kwambiri).

Mitundu kutentha zokhotakhota matenda opatsirana malungo gulu anatsimikiza ndi mtima wonse malinga ndi mlingo wa kusinthasintha diurnal kutentha. Ati izi mitundu malungo (mitundu kutentha zokhotakhota) zonse, mankhwala ofewetsa tuvi tolimba, likukulira, kukhetsa, kubwerera, ndipo undulating osiyanitsidwa.

Makhalidwe a malungo kulimbikira

Chimasonyeza matenda opatsirana monga typhoid ndi Nthenda yofanana ndi tayifodi, pneumococcal chibayo. Zimaonetsa malungo kulimbikira anasonyeza pamene mitundu trapezoidal wa zokhotakhota kutentha, mbali khalidwe la umene uli thupi kutentha fluctuation si lalikulu kuposa 1 °, pamene kutentha thupi akhala nthawi yaitali pa mlingo mkulu - m'chigawo cha 39 °. Monga mthunzi wa matenda kuchepa kutentha limaoneka lokongola monga mayendedwe lakuthwa ndi pang'onopang'ono.

Kaperekedwe remitting malungo

Mankhwala ofewetsa tuvi tolimba mitundu kutentha zokhotakhota anati matenda purulent, catarrhal chibayo, tayifodi, komanso TB. Thupi kutentha chimasungidwanso pa mlingo mkulu Koma mosiyana ndi malungo zonse, mu nkhani iyi matalikidwe kusinthasintha m'mawa ndi madzulo kutentha ukufika madigiri 2, kugwa potero mpaka 38 ° C, koma osati kubwerera ku makhalidwe yachibadwa.

Intermetiruyuschaya malungo

Intermetiruyuschaya kapena mankhwala ofewetsa tuvi tolimba, malungo pafupipafupi akufotokoza mtundu malungo kutentha limaoneka lokongola. Limodzi ndi kuwonjezeka lakuthwa mu thupi kutentha (febrile), zomwe m'malo nthawi afebrile, i.e. ndi ntchito amati kutentha. Mosinthanasinthana pakati kuukira febrile mwina masiku wina atatu, wodwala akumva kukuzizirira pakumuka kwa kutentha, ndipo pamene anaona kuchepa kutchulidwa thukuta.

malungo Remittent mwina mosapita m'mbali akusonyeza pamaso pa malungo wodwalayo, mtundu wa febrile kwenikweni chibadidwe zosiyanasiyana matenda opatsirana, monga relapsing mliri Nthenda yofanana ndi tayifodi, matenda focal purulent, makoswe kuluma malungo (matenda opatsirana kwa anthu ku kuluma makoswe), matenda a chiwindi ndi ena.

kukhetsa malungo

Yotopetsa mtundu watentha thupi ndi mwaunyinji pakati m'mawa ndi madzulo mfundo kutentha, ndi kugwedera matalikidwe adza kwa 3-5 ° C. febrile nthawi mwina kwa masiku angapo, kenako kutentha normalization chifukwa chifooke matenda. Kukhetsa malungo - chizindikiro cha sepsis, matenda septic likugwiritsidwanso ntchito pa chifuwa chachikulu.

malungo Relapsing

Zochita za mtundu wa malungo lagona pa mutu wake. Izi zikutanthauza kuti nthawi pyrexia (kukwezeka kutentha thupi) ndi Kutalika kwa masiku angapo kachiwiri pambuyo nthawi dopredelennogo aporeksii. Choncho, wodwala kwa masiku angapo, pali malungo bwino, ndi kusinthasintha zazing'ono matalikidwe m'mawa ndi madzulo kutentha, ndiye masiku angapo mukubwera tizigona, kutentha thupi zinayambanso kuyenda bwino, koma ndiye kachiwiri chithunzi akubwerezedwa nthawi 4-5. Izi pamapindikira kutentha ndi mmene matenda opatsirana oyamba ndi bakiteriya, spirochetes, chitsanzo kwa mtundu umenewu wa matenda - relapsing malungo.

malungo undulating

The pamapindikira wavy ndi kutentha kusuntha relapsing malungo, monga ali komanso febrile nthawi kusinthana ndi chikhululukiro. Komabe, waveform a amakhala ndi kusintha yosalala, kuwonetsera pang'onopang'ono kutentha kuwonjezeka kwa masiku angapo, kenako masiku angapo, komanso pang'onopang'ono amachepetsa. Izi limodzi ndi malungo chifukwa brucellosis.

malungo osiyanitsidwa

Imatithandiza kapena wopotoka, malungo isiyana ndi zina zokhotakhota kutentha kuti apogee kutentha amapezeka osati madzulo, ndipo, Tikawonetsetsa m'mawa. Chotero otaya khalidwe la yaitali febrile sepsis ndi njira zotsogola TB, komanso matenda tizilombo.

malungo pachithunzichi

malungo pachithunzichi si bwino cilamulo mawonetseredwe. Pamafunikanso nthawi yomweyo mitundu yonse yaikulu ya zokhotakhota kutentha. Matalikidwe a oscillations makhalidwe kutentha akhoza zosiyanasiyana yosiyana periodicity. Komabe, atypical mawonekedwe a pamapindikira kutentha zimachitika nthawi zambiri limodzi osati matenda opatsirana, koma kosiyana kwa misempha, fuluwenza, kamwazi, kutupa mapapo, etc.

Ziribe kanthu mitundu ya zokhotakhota kutentha zomwe pa malungo zachitika malungo wodwalayo udzadutsa magawo atatu akulu akulu:

1. Khwelero kulera kutentha. Mothandizidwa pyrogens (mu nkhani ya matenda - kunja kwa thupi chinthu, mabakiteriya ndicho zosiyanasiyana tizilombo ndi tizilombo tina) ndi amene anathawira otchedwa "anapereka mfundo" mu manyuroni lapansi. Choncho, chamoyo ndi akusokoneza kutentha mode, ndi kukhala ndi kutentha pa nthawiyo ankaona pansipa anakhumba, umene ndi chamoyo amagwira aukitsa kutentha kwake.
2. Kutentha pazipita (apogee). Thupi kutentha anapitiriza kuwonjezera mlingo amene ankatembenukira "Kudzakhazikitsa mfundo", pa mfundo imeneyi inkafika kutentha, ndi mgwirizano pakati pa kutentha m'badwo ndi dzuwa.
3. Chikhululukiro kumachitika pamene zotsatira za pyrogen wofooka ndi kuchuluka pa nthawi kutentha thupi adazindikira mwa thupi monga kwambiri. Iwo imayamba kwambiri kutentha kutengerapo ndi kubwerera mfundo kukhazikitsidwa pa mlingo m'mbuyomu.