عشان حرارة الصيف..تعال اقرأ وشوف(موضوع طبي)
بسم الله الرحمن الرحيم

موضوع من الفرن 2005

Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. Recent research has identified a cascade of inflammatory pathologic events that begins with mild heat exhaustion and* if uninterrupted* can lead eventually to multiorgan failure and death. Heat exhaustion is characterized by nonspecific symptoms such as malaise* headache* and nausea. Treatment involves monitoring the patient in a cool* shady environment and ensuring adequate hydration. Untreated heat exhaustion can progress to heatstroke* a much more serious illness involving central nervous system dysfunction such as delirium and coma. Other systemic effects* including rhabdomyolysis* hepatic failure* arrhythmias* disseminated intravascular coagulation* and even death* are not uncommon. Prompt recognition and immediate cooling through evaporation or full-body ice-water immersion are crucial. Physicians also must monitor electrolyte abnormalities* be alert to signs of renal or hepatic failure* and replace fluids in patients with heatstroke. Most experts believe that physicians and public health officials should focus greater attention on prevention. Programs involving identification of vulnerable individuals* dissemination of information about dangerous heat waves* and use of heat shelters may help prevent heat-related illness. These preventive measures* when paired with astute recognition of the early signs of heat-related illness* can allow physicians in the ambulatory setting to avert much of the morbidity and mortality associated with heat exhaustion and heatstroke. (Am Fam Physician 2005;71:2133-40* 2141-2. Copyright© 2005 American Academy of Family Physicians.)

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