Types of temperature curves for various illnesses. Types of temperature curves Causes of fever in children
Analysis of the temperature response allows you to evaluate the height, severity and types of temperature cracks, as well as the nature of the clinical manifestations of the disease that accompany them.
Teepee Lihomanok
We see the following types of fever in children:
· short-term febrile fever (up to 5-7 days) with predachuvanny localization, with any diagnosis, it can be put on the basis of a clinical history and physical data, or without laboratory tests;
lihomania without follicles, on the basis of anamnesis and physical obstezhennia, it is not possible to admit a diagnosis, but laboratory tests can reveal etiology;
fever fever unknown genesis(fever of unknown origin (FUO));
subfebrile
Fever reactions are assessed in a fallow manner depending on the rise in temperature, the severity of the hot period and the nature of the temperature curve.
Types of feverish reactions in the fallow land in the degree of increase in body temperature
Only deyakі zahvoryuvannya manifested by characteristic, clearly pronounced temperature curves; It is important to know the types of differential diagnostics. It is not always possible to exactly compare the types of changes with the cob of ailment, especially with early antibacterial therapy. At one time, in a number of cases, the nature of the debut of a fever can be diagnosed. So, the rapt cob is characteristic for influenza, meningitis, malaria, pyogenesia (2-3 days) - for visceral typhus, ornithosis, Q-lihomanka, and typhoid fever, brucellosis.
Behind the nature of the temperature curve, there are a few types of fever
Postiyna lihomanka(febris continua) - the temperature exceeds 390С, between the early and evening temperatures, the body temperature is insignificant (maximum 10С). The temperature of the body during the day becomes evenly high. This type of febrile rash occurs with non-exciting pneumococcal pneumonia, typhoid fever, paratyphoid fever and beshihovy fever.
relaxing(remute) fever fever(febris remittens) - additional fluctuations in temperature exceed 10C, and can fall below 380C, but still reach normal numbers; beware of pneumonia, viral infections, acute rheumatic fever, juvenile rheumatoid arthritis, endocarditis, tuberculosis, abscesses.
Peremіzhna(intermittent) fever fever(febris intermittens) - additional colivannya maximum and minimum temperature not less than 10C, often chalked out periods of normal and elevated temperatures; a similar type of fever with malaria, pyelonephritis, pleurisy, sepsis.
vysnazhyucha, but hectic, fever fever(febris hectica) - the temperature curve is predictable in case of debilitating febrile fever, but if it is added, it should become over 2-30C; a similar type of febrile fever may develop in tuberculosis and sepsis.
Fever lihomanka(febris recurrens) - high fever lasting 2-7 days, which is observed with periods of normal temperature, which lasts a few days. The hot period begins with a rapt and also ends with a rapt. A similar type of feverish reaction is observed in case of typhoid fever, malaria.
Weepy Fever(febris undulans) - manifests itself as a stepwise increase in temperature day by day to high numbers with further decreases and repeated moldings of a hvil; a similar type of febrile rash occurs with lymphogranulomatosis and brucellosis.
twisted(inverse) fever fever(febris inverse) - there is an inversion of the additional temperature rhythm with higher high temperature peaks at the early hour; a similar type of lihomania is common in ailments for tuberculosis, sepsis, swells, the power of such rheumatic ailments.
Wrong or atypical fever(irregularis or febris atypical) - lihomania, for which there are daily regularities of this decrease in temperature.
Monotonous type of fever - with a small range of colivans between early and evening body temperature;
It should be noted that in the given hour the typical temperature curves rarely fluctuate, which is due to the intake of etiotropic and antipyretic drugs.
What are you getic fever? Chi is not safe pathological camp like yoga exultation? On qі and іnshі nutrition mi vіdpovіmo y podanіy statti.
Basic information about the pathological symptom
Is fever of the hectic type typical? Recently, such a pathological state has been brought up by people to the category of illnesses, which are characterized by significant growth.
In this rank, you can boldly say that febrile fever is a pathological process, which directs to infection and attaches to the body. In this case, it is especially evident that without control from the side of doctors, such a camp can pose a serious threat to the life of the patient.
Pokhodzhennya that perelіk zahvoryuvan
Hectic lihomania is characteristic of a rich ailment. Persh nizh pererahuvat їх, next reveal why such a camp began to blame.
As seen, hyperthermia is a polyetiological secondary camp. p align="justify"> The process of staying in the robotic center of thermoregulation starts from the activity in the organism of other pyrogenic speeches. With this, the rest are subdivided into exogenous, or infectious and non-infectious, so endogenous.
Why does a getic lihomania develop?
Are you blamed for such illnesses? This pathological state can develop for 2 different reasons. Let's take a look at them right away:
- Infectious process that appears in the eyes flamboyant illnesses. Tuberculosis, influenza, blood sepsis, as well as internal organs.
- Non-infectious trip. Such a camp can lead to oncology, allergies, blood transfusions and internal bleeding.
Main symptoms
Hectic lihomania can manifest itself differently. Її symptoms are subdivided into public and private. So how do the signs of lihomania appear? For this I will become characteristic:
- body;
- decrease in arterial pressure;
- frequent breathing and an increase in the frequency of heart rates;
- development of migraine attacks, aches in the m'yazakh and swamps;
- peresikhannya mucus company;
- lowering;
- loss of appetite.
If there are private symptoms, then the stench will lie in the presence of fluctuations in body temperature. For її step-by-step pіdyom it is characteristic:
- calm chills;
- blackening of the skins;
- feel the heat and suffocate;
- increased sweating.
With this strimke, the increase in temperature is accompanied by the following signs:
- short and strong attacks of chills;
- the glare of the skies;
- feel cold;
- cyanosis of nail plates.
Features of lihomanika that you see
As it was said, the visceral type of hectic fever is characteristic of tuberculosis, influenza, blood sepsis, tissue necrosis, oncology, allergies, blood transfusion and internal blood clots. Prote slіd zaznite, scho krіm tsgo type fahivtsі see y іnshі forms of fever (deposit in addition, yakі temperature drops are guarded by stretching doby). Before them, one can bring fast, loose, change, hvilepodіbnu, sideways, turning and wrong.
From the list above, it is more common for fever, the most important and unsafe for the patient's life. Tse pov'yazano z scho, scho for her characteristic sharp cuts of temperature three degrees higher.
Classification
In official medicine, the number of reasons for blaming lihomania, it is accepted to see more criteria that allow classifying a pathological phenomenon.
With a severe prolongation of fourteen days, the body's reaction to these and other ailments is called a hostile, until the second month - a poor construction, and those that are more - chronic.
For indications of body temperature, in the midst of which there is a decrease or increase, a fever is classified in this order:
- vіd 41 ° С and more - supra-world fever;
- in the boundaries of 39-40.9 ° C - temple;
- up to 38-38.9 ° C - febrile;
- in the range of 37-37.9 ° C - subfebrile.
Diagnostics
Hectic lihomania develops with various ailments. For their jubilation, to accurately diagnose the pathological process of that yogo journey. It should be especially noted that the symptoms of such a phenomenon can be similar to those of other hot-blooded states, as well as drowsy or heat strokes.
In such a manner, for the diagnosis of lihomania lihomania that ailment, which called yoga, the patient is to take blood samples for a deep analysis. In addition, take pictures of the chest for additional X-ray equipment and conduct an ECG.
Even though the designated methods are not enough to make an accurate diagnosis, then we go to more foldable methods. Before them, one can carry out computer tomography and biopsy of certain roots and tissues of the body.
Celebration
Due to the hardships of fahivtsіv, therapy for hectic lihomantsi is due to overcome two symptoms:
- support the normal functioning of the systems of internal organs, including dichal, visual and cardiac;
- fight against hyperthermia.
For such a likuvannya, doctors vikoristovuyu not less medical care, and the physical influx on the ailments of the patient's body is forced into clothes and laid down at the foot, troch raising his head.
To cool the body of an ailing person, compresses are applied on the wrist and forehead, while looking for soaked bandages or bulbs with ice. Also, the patient is wiped with a three-hundred-thousand ointment. Additionally, for blowing the body, you can use an air conditioner or a fan.
In the minds of a hospital patient, water enemas and tube washings are carried out. All infusion types, which are designated for internal stasis, are cooled in advance.
In case of hectic fever, it is important to follow the temperature of the patient's body;
W medicinal preparations the ailing person is prescribed antiallergic and antipyretic diseases in the form of internal lingual infections. Such medicines include "Ibrufen", as well as yoga analogues, acetylsalicylic acid and "Analgin" from "Suprastin" or "Dimedrol".
In case of increased anxiety, the patient is prescribed abo "Aminazin". At the time of the teeth of the heart, or the destruction of the respiratory tract is carried out
Behind the stage of the increase in temperature of the body, a fever is distinguished:
subfebrile (at 37 ° to 38 °),
I will die (from 38 ° to 39 °),
high (vіd 39 ° to 41 °),
supra-world, or hyperpyretic, (over 41°).
According to trivality, a fever is distinguished:
gostra (trivality up to two days);
pіdgostra (trivalіstyu up to six tizhnіv).
Behind the types of temperature curves, the following main types of fever are seen:
fast,
I am remitting (easing),
intermittent (intermittent),
twisted
hectic (visnazhuyuchu),
wrong.
4. The nature of the temperature curve
Change the temperature curve to be the most manipulative character and mindless reason that caused the change.
Postiyna fever (febris continua). In case of post-likhomantsy, the temperature of the body is increased by a short stretch of days or even from additional coliving in the range of 1 ° C. Body temperature can be high
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Day of break-I at the hospital | |||||||||||||||||||||||||||||||||||||||||||||||
bsick day
Day of break-I at the hospital
Steps of temperature rise can be different. Dobov_ kolyvannya become 1-2 ° C, not reaching the normal numbers. Characteristics of recognition. In the phase of lowering the temperature, sweating is observed.
Remіtuє fever fever (febris remittens). With remitting feverishness, what is guarded against in case of purulent illnesses (for example, exudative pleurisy, abscess legheni), colivanya temperature and stretching to reach 2 ° C i
promoted; when it is possible, like a rіzke, for example, with malaria, so it is in steps, for example, with uvertebral typhus (turning fever), brucellosis (hvili's fever), an increase in the temperature of the body of a person. The rise in temperature is accompanied by chills, fever, recession - we will clarify later. Slid vrakhovuvaty, scho type of lihomanika, scho іnоdі intermittent, vіdrazu. In the first days of ailment, you can change the name of the initial fever of a fasting chi of the wrong type. Typical for malaria, pyelonephritis, pleurisy, sepsis and other.sick day
Day of break-I at the hospital
Transient fever (febris intermittens). Intermittent fever is characterized by periods of normal body temperature
G 
etichna fever (febris hectica). In case of hectic fever, temperature drops of the body, which are blamed, are especially large to become 3-4 ° C in the fall to a normal or subnormal level (below 36 ° C) and, as a rule, 2-3 times per harvest. Similar propasnits are typical for important forms of tuberculosis, sepsis. In case of hectic flirtation, it is indicated that there is a numbness of chills, then it changes to clear sweats.
The fluffy lihomanka is characterized by smooth peaks and low body temperatures with normal signs in the intervals between the temperature peaks (forms of lymphogranulomatosis and malignant puffiness, brucellosis).
Tipi lihomanki under the hour of ailment can be cursed, or go one to the next. The intensity of the feverish reaction can vary depending on the functional state of the central nervous system at the time of the injection of pyrogens. The trivality of the skin stage is determined by various factors, a high dose of pyrogen, an hour of yoga, damage that vinicles in the body under the influx of a pathogenic agent, and so on. Fever can end with rapid and sudden drops in body temperature to the norm and go lower (crisis) or progressively lower body temperature (lysis). The most important toxic forms of infectious ailments, as well as infectious ailments in people with a frail age, weakened people, children of an early age, may often pass without fever or cause hypothermia, which is an unacceptable prognostic sign.
With feverishness, there is a change in the exchange of speech (increased breakdown of the protein), sometimes there is a disruption in the activity of the central nervous system, the cardiovascular and dichal systems, and the intestinal tract. On the heights of the lihomania, sometimes the entanglement of information, madness, hallucinations, and the loss of information are feared. These phenomena are not directly related to the nervous mechanism of the development of fever, but the stench reflects the peculiarities of intoxication and the pathogenesis of the disease.
The rise in body temperature for the hour of fever is accompanied by a frequent pulse. This does not happen with all feverish diseases. So, with typhoid fever, bradycardia is indicated. Influx of increased body temperature on the rhythm of the heart in one's own is weakened by other pathogenetic officials of illness. More frequent pulse, in direct proportion to the increase in body temperature, is indicated for fevers, which are caused by low-toxic pyrogens.
Breathing at elevated body temperature is more frequent. Steps of frequent breathing are shy to significant pains and do not depend on the proportional increase in body temperature. More often than not, it is important to go along with the changes in yoga glibini.
With fever, the function of herbal organs is disrupted (reduced overexposure and absorption of food). In ailments of the tongue, there is dryness in the mouth, a sharp decrease in appetite. The secretory function of the subscapular folds, the sac and the scapular septum are weakened. The motor activity of the shlunkovo-intestinal tract is characterized by dystonia with increased tone and sclerosis to spastic speeds, especially in the region of the collar. As a result of the ushkodzhennya of the opening of the gate, the speed of evacuation of the sleeve is increased. Utvennya Zhovchі deshcho change, concentration її zrostaє.
The activity of nirok does not break down during the storage. The increase in diuresis on the cob of fever is explained by redistribution of blood, an increase in the amount of blood in nirkah. Water in the tissues at the height of the fever is often accompanied by a drop in diuresis and an increase in the concentration of the section. Strengthening of the barrier and antitoxic functions of the liver, sessification and increase in fibrinogen production are observed. Increased phagocytic activity of leukocytes and fixed macrophages, as well as the intensity of antibody production. Posilyuєtsya vyroblennya pituitary ACTH and seeing corticosteroids, yakі may desensitize and protizapalnuyu diyu.
If the exchange of speeches is damaged, it is better to lay down the development of the main disease, lowering the temperature of the body. Immunity strengthening, mobilization of humoral mediators to increase the body's immune functions against infection and the ignition process. Hyperthermia creates in the body a less responsive mind for the reproduction of a variety of pathogenic viruses and bacteria. At the link with the cym, the main likuvannya can be straightened out to eliminate the illness that caused the fever. Nutrition about the stagnation of antipyretic diseases is viable by the doctor in a specific skin condition, depending on the nature of the disease, the disease, the premorbid state and individual features.
Classification and etiology of lichomaniacs
Analysis of the temperature response allows you to evaluate the height, severity and types of temperature cracks, as well as the nature of the clinical manifestations of the disease that accompany them.
Teepee Lihomanok
We see the following types of fever in children:
· short-term febrile fever (up to 5-7 days) with predachuvanny localization, with any diagnosis, it can be put on the basis of a clinical history and physical data, or without laboratory tests;
lihomania without follicles, on the basis of anamnesis and physical obstezhennia, it is not possible to admit a diagnosis, but laboratory tests can reveal etiology;
Fever of unknown origin (FUO)
subfebrile
Fever reactions are assessed in a fallow manner depending on the rise in temperature, the severity of the hot period and the nature of the temperature curve.
Types of feverish reactions in the fallow land in the degree of increase in body temperature
Only deyakі zahvoryuvannya manifested by characteristic, clearly pronounced temperature curves; It is important to know the types of differential diagnostics. It is not always possible to exactly compare the types of changes with the cob of ailment, especially with early antibacterial therapy. At one time, in a number of cases, the nature of the debut of a fever can be diagnosed. So, the rapt cob is characteristic for influenza, meningitis, malaria, pyogenesia (2-3 days) - for visceral typhus, ornithosis, Q-lihomanka, and typhoid fever, brucellosis.
Behind the nature of the temperature curve, there are a few types of fever
Postiyna lihomanka(febris continua) - the temperature exceeds 390С, between the early and evening temperatures, the body temperature is insignificant (maximum 10С). The temperature of the body during the day becomes evenly high. This type of febrile rash occurs with non-exciting pneumococcal pneumonia, typhoid fever, paratyphoid fever and beshihovy fever.
relaxing(remute) fever fever(febris remittens) - additional fluctuations in temperature exceed 10C, and can fall below 380C, but still reach normal numbers; beware of pneumonia, viral infections, acute rheumatic fever, juvenile rheumatoid arthritis, endocarditis, tuberculosis, abscesses.
Peremіzhna(intermittent) fever fever(febris intermittens) - additional colivannya maximum and minimum temperature not less than 10C, often chalked out periods of normal and elevated temperatures; a similar type of fever with malaria, pyelonephritis, pleurisy, sepsis.
vysnazhyucha, but hectic, fever fever(febris hectica) - the temperature curve is predictable in case of debilitating febrile fever, but if it is added, it should become over 2-30C; a similar type of febrile fever may develop in tuberculosis and sepsis.
Fever lihomanka(febris recurrens) - high fever lasting 2-7 days, which is observed with periods of normal temperature, which lasts a few days. The hot period begins with a rapt and also ends with a rapt. A similar type of feverish reaction is observed in case of typhoid fever, malaria.
Weepy Fever(febris undulans) - manifests itself as a stepwise increase in temperature day by day to high numbers with further decreases and repeated moldings of a hvil; a similar type of febrile rash occurs with lymphogranulomatosis and brucellosis.
twisted(inverse) fever fever(febris inverse) - there is an inversion of the additional temperature rhythm with higher high temperature peaks at the early hour; a similar type of lihomania is common in ailments for tuberculosis, sepsis, swells, the power of such rheumatic ailments.
Wrong or atypical fever(irregularis or febris atypical) - lihomania, for which there are daily regularities of this decrease in temperature.
Monotonous type of fever - with a small range of colivans between early and evening body temperature;
It should be noted that in the given hour the typical temperature curves rarely fluctuate, which is due to the intake of etiotropic and antipyretic drugs.
Rush fever
Lihomanka vvazhetsya " gostroy"It's like three times no more than 2 tyzhniv, and the fever is called" chronic»with її trivality over 2 tyzhnі.
In addition, the duration of the lihomania is distinguished by the period of increasing temperature (stadium incrementi), the period of disintegration of the lihomania (fastigium, or acme) and the period of low temperature (stadium decrementi).
The decrease in temperature is observed (and is shown on the temperature curve) in a different way. Stepwise, steps like a decrease in temperature with a stretch of 2-4 decibels with insignificant evening steps are called lysis. Raptove, Shvidka, the end of lihomania with temperature drops to the norm, doby call crisis. As a rule, a drop in temperature is accompanied by a clear later. This phenomenon on the ear of antibiotics was given a special meaning, shards of wine symbolizing the ear of the period of dressing.
Increased body temperature (rіven)
Increased body temperature from 37 to 380C is called subfebrile febrile fever (Latin sub pid, lower + febris febrile fever).
Pomorno increased body temperature from 38 to 390C is called febrile fever.
The high temperature of the body from 39 to 410C took away the name of pyretic fever (in Greek pyretos heat) fever.
Overworldly high temperature tila (over 41 0 C) - ce hyperpyretic fever. Such a temperature in itself can be unsafe for life.
Temperature curves
When the temperature rises, it is important for the clinician to repeatedly measure the temperature of the body, as the dynamics of the song hour. Zzvichay temperature control is carried out 2 times a day (about 7-9 years of the wound and about 17-19 years of the evening). Additional temperature fluctuations (temperature curves) help to establish the type and form of fever.
There are 6 main types of fever and 2 forms of fever.
It should be noted that our predecessors gave great significance to the temperature curves in diagnosing illnesses, but in our time, all classic types of fever do not help much in robots, antibiotics, antipyretic effects and steroid drugs change the nature of the temperature curve. clinical picture sickness.
hothouse type
1. Postiyna, or postyka lihomanka (febris continua). It is necessary to keep the temperature of the body constantly rising and by stretching to get the difference between the early and evening temperatures not exceeding one 1 0 С. viral infections(For example, the flu).
2. Relaxing fever (febris remittens, which remits). The temperature of the body is constantly raised, and the temperature is increased by 10C. A similar increase in temperature of the body is accompanied by tuberculosis, purulent infections (for example, with pelvic abscess, symptoms of mushing, wound infection), as well as with evil neoplasms.
Before speech, a fever with sharp fluctuations in body temperature (the range between the early and evening body temperatures is more than 1 degree), which is accompanied by a cold chill, it is customary to call septic(Div. also transient fever fever, getic fever fever).
3. Intermittent fever (febris intermittens, what is intermittent). Dobovі kolivannya, like і for remіtuyuchoї, revisit 1 0 С, but here the rank minimum lies at the borders of the norm. Moreover, the body temperature rises periodically, approximately every other interval (mostly around noon or at night) for a few years. Intermittent fever is especially characteristic of malaria, and is also associated with cytomegalovirus infection, infectious mononucleosis and purulent infection (for example, cholangitis).
4. Fever fever (febris hectica, hectic). Vranci, like in case of intermittent, it is normal, or the temperature of the body is lowered, and the axis of the additional coagulation of the temperature reaches 3-5 0 C and is often accompanied by sweats, which are vysnazhuyut. A similar rise in body temperature is more characteristic of active tuberculosis legenіv and septic diseases.
5. Zvorotna, or febrile fever (febris inversus) It is noteworthy that the ranking temperature of the body is higher for the evening, although periodically all the same, there is a significant increase in temperature in the evening. Serious fever rashes with tuberculosis (more often), sepsis, brucellosis.
6. Incorrect, or irregular febris (febris irregularis) It manifests itself in various types of lihomania and is accompanied by various and incorrect additional colivans. Incorrect febrile rash occurs with rheumatism, endocarditis, sepsis, tuberculosis.
fever form
1. Fluffy Fever (febris undulans) characterized by stepwise lowering of temperature for a long period of time (post-pain or remitting lihomania for a longer period of time) with progressive lowering of temperature and a greater or lesser three-dimensional period of normal temperature, which gives a number of symptoms. The exact mechanism of vindication of the disease of the unspeakable fever of nevidomia. Often associated with brucellosis and lymphogranulomatosis.
2. Serious fever (febris recurrens, recurrent) characterized by periods of febrile fever and periods of normal temperature. In the most typical form, it develops in case of typhoid fever, malaria.
- One-day, or ephemeral febrile fever (febris ephemera or febriculara): the temperature of the body has been increased, it will last for a long time and will not be repeated anymore. Zustrichaetsya with mild infections, overheating in the sun, after blood transfusion, and sometimes after intravenous administration of drugs.
- Frequent recurrence of attacks - chills, fever, drop in temperature - is called in malaria febris quotidiana.
- Tridenna Lihomanka (febris tertiana)- Repeated attacks of malaria every other day.
- Chotiridenna lihomanka (febris quartana)- recurrence of attacks of malaria after 2 days without fever.
- Five-day fever is paroxysmal(Sinonіmi: Werner-Gіsa hvoroba, lihomanka trench abo trench, riketsіoz paroxysmal) - GOSTR іnfektsіyna hvoroba scho viklikaєtsya riketsієyu Rochalimacea quintana, scho transported voshami, i protіkaє in typical vipadkah in paroksizmalnіy formі of re abo in tifoїdnіy formі of bagatodennoyu bezperervnoyu lihomankoyu
