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    Termoterapia de Delia Cinteză PDF

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    Roxana Monik

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    © All Rights Reserved
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    13, Gregson WA, Drust 8, Batterham A.The effects of pro- ‘warming on the metabolic and thermeraguletory Fesponses to-profonged submaximal exorcise 1% moderate ambient tonporatures, Eur J Appl Phyl (Germany), Apr 2002, 86(6), 526-33. 14. Guyton AC Textbook of medical physlology. Saunders Philadelphia 1091 ee 18, Harison Principles olintomal medicine, he 19° edion; Mcfaraw Hill. ine,1294,81-00 16. Lemons DE, AledalG, Downey JA. Temoregulain and ‘he effects ofthermeomodalies, in Downey & Darlings Physiological Basis of Rehabiliation Medicine, tie 9 ‘alion, Butterwerth& Heinemann 2001 17. Philadephia Pane! evidence-based clinical practice {guidelines on selected renablitation interventions: ‘overview and methodology. Phys Thor (United States), ct 2003, 81(10), 1628440 18.Prentice’ We. Using terepeutie modalities in Rehabilitation, in Pronice WE, Volght Mk, Techniques, in musculoskeletal rohabiltation, MeGraw-til, 200%, Fo ee 18. Price MJ, Campbell 16 Thermaregulatory responses ‘during protonged uppar-boy exerts neal and warns conditions. J Sports Sci (2002, 20(7), 810.27" 20,Teodoresca Exarcu I. Fiziol $i fziopatologia ‘hemodinamici, Edtura Mediea', Bucuregs 1905 36 \ cuPRINS Pre n a8 LL Generatta.. Ss I Termore gla voce es ‘Gommpotiamentl tenn al ocganismulul uman Temogeneza.. eae Termoliza — -Recepionl teil peters central . Termreghare CEM xenon 2O Feglaea temperatul col tina ofr ie... 28 Pajares emia pacer eyes eunaice le a ' iLOrganizarea microcrcuaiel superficiale 6 Rojan cutanat 26 ‘Gireulaia muscuatu scheletice. 30 IV. Eletolefactorll terme ssupra organismulul uman .. 31 Reaciademovaccular ispunsutfe Consens. 33 rect factorutarmie asupra sparatlor sisters 25, Ecol oa oi oc = Ecol apa goer co ott = Ee abeattr perenne sere sparta caroesear eee 99 \.atloga omens io Yi Gantlwee pect doeetaplo 48 Vicks pk oral ne Mil ople eomerapa oe Ciara ne Femetoa a re toa Sagi ice = | DELIA CINTEZA RECUPERAREA MEDICALA | TERMOTERAPIA | Sc umea vox S| ‘Sir. Petru Maior, nr-32, sector 1. | Bacuret Telefon 220014 Telefon: 220213 | nail: edituravox @ hotmail.com mnwsorgo.ri. * | ‘Tebuoredactarea $i coperta Radu Apaiman Eiige ingrid de: | Talia Morara | | ISBN: 973-8085-14-8| baeraqa Specialists de Modicins Fiz si Recuperace Medical sufert lingd tion de vreme de psa unor tat si mersyratlcunivel stinicactal care s& seveasca Stlonflor#! medilorrezde, nal ales Gonaralia actula do cade didactie incearcé 9 acopera acest ‘jl de informatio romsinenscd ce special fate" ce © sift agutin toate domenile, cu excepto, Kenetterapiel “Termotorapia, in cach concept acu, care priveste ‘iioknetotrapia ca poo terapie hoist” co se auresear 22 funeiilor autonome do talacere In tmp sour. precum frocesclor adaptative roe pastoe Go lunge dutat, coupe tine conta. Aplicarea mstodelr de termoterapio nao sit obund injlogere medical'a maoaniomelorde achune Sfacorull temic. In procasul de recuporare medicalé a une cistunei sau invalid, suooestl terapiel este dctat mal cles de complementartatea fastortor oe actonazs po eat nal fre nivolut, efoctv font respuctana en apn Bon Inve terapia do incarcaro cae de descarcare, So adauga Ia aoaet tp ce camplomeniartats cea care crine tn ith amandout reaizand o corécare a functor copa pn ‘enehe do ancarbl. Suiscosul torapautio decurge gintr-o foarte bund cunoastere a mecnismolor faologice interceptate ce {actor teal aptict Prezenta monograte cupcinde, n prima parte, date Siete fora nouns pd talon emoroet gal ales, organlzarea ei fzlologia cheuaflal extanate st ‘musculare a memiblor Asoata face posi notegsrce ‘macarismeor de acne alo factor termi, dara lor ali factor feat cu aplcare cutanata (electoterapla). 3 Inlaturénd intorprotrite fantzista din cf mult mal vechi de specialtate sin iteratura romneasea sal etrind. actor fzical, c@ au {principal fect tarapeutio, {generat de vectorul termi, sunt expugl amply, acoperind toate procedunie cu efect ternic asupra organismal. ‘Autgarea are maturtate de gandlro medical si foar* te bund cunoastere si experientz In folositea Vctoror terapeuti fea 7 Pentru metiol special dn domenil ecuperi med cal, prezenta monografie este carts de baz co rebulo ‘maréuconsultata In vedoroa roa unui at medical oo Pansat Dr Marin Fotien IGENERALITATL i eet a sectarian Saree enteenees ee ania et castes ie se ee eee aa eres Khhelotsrape, baleoterapie,cimatoteraple, masoteraple, ppreomoterapia ela. Réspuncul torapoutc, grou de-cuan- ‘Hat, posts facelagia fete procedur cau fort pantry ‘scee3siprocadurs lalvergi patie, nfunctie de dozarea Spares eso nie “Siac Sa inciepsumesea ‘si nespecitica a: i prin modelarea reactivititit lara peters iismul cr ba pC flor vais loroan neal eae ek ea de Ho sau 8 ig a Fa ar a gimaconcuctbttate mare|(se 26 a6 ori mare ect aor free 2 tori (ae rpeatica a Gy corpul merase’ Beta nu la de cancer ci Seeepebot co lonpute'ar aga cctanora aco cis pa accra eis a {Pea aga eee 2 femmoreceptoni din teaument 1 tempera aang ta esti _ fea Sango eB it i vel ci tomo 2A acacia, determing ia 6 2. factor! mecanic npincipal, ars respirator,avand dept Jeghtt ce impiogere a corpati eeutundet in pa, com- fomnlegili Artimede, cao, ps de o paste pers nor exerct de ri condi {at pe do ah parte, cresto solitary ina eet oor zon fe Cus, es 2, ,{ aston chin, optional, prin adaugarea de panto ‘aedinsle, substan cu eect smote, aatingent ian 2" lod, ae Alife ealaurs usrese objineres unmatdaelor etocte: Tana > Reatry sears 5 ctr tsi co ry : isin ives ida oad peavor oat ise da etotrpi ot ava soar lc vam relaxare muscular selidereatametiet soideroa ‘ulburaiio de-eensivittte, * bolle neoplacice + ezuniletegumentare + diserazile sanghine TraNry Make yung Mw Redes. ILTERNOREGLAREA': ‘ TAR Conipatraightl terme arganisinatut man Digpuncide vedereal ei cu medi nconjor, sSstomele ilesice pot dette pu sacs Rage i depunce coral scars dene de cu edu! “comin : = “cautgcantol si posbitte do adeparen une ie vail med . Claude demardafima cf visa, independent, Ror, dlepinde total do constania modula inter, Orgarismls ‘volate reachoneacd [a tactrt en medi pt adaptars, ate esta responcabla dract Go conserveroe Sa, nu Sind esto asgurtd do stun gunct.constant, Ga renizeac store de ahiioryarmacutl on, csasth ‘aractersied sormanisnelor vida’! moti caacte {isle merfotuneponale constants nieun media de val vanabll posta iomeostazie en copreintt onda da bozd a islenfe el evlufet srgansrnaior vi {in graces, homaice = ase, smeie= sare), Gor ‘wold tempersunl coypuuleprezn un fator econ teaiarea homesstate . Mecanismele de realzaro a homeostaiel cunt de atu fied, onzimaties, hormonal sf neworsd, iar In Sttetura or apar cule de rela dtp feed bao: Ele Sunt aojonaie de modicarle medui ntem indus da agen exo sau de aciviaio proo ganismui, No fa vor do un sista rgd mal curing, de ose da Sustain pin car cractrsiole mortonuefonsi Soc Somperatira, curtmontuseiarveure cela porte Condor date ale medulul exten Metodeie de atamert nespecitc ale medcini de 10 oilat “bigshimice i bolic, par fener ‘terme Bade | ‘termoraglarii, se if ‘in’ poikiloterme, hit ee ‘este factorul-da mediu oe exer carpet sh eis 0 vals {lind posibild dear intre Velori termice restranse. lata numai cdtova exenple dé uct 9 proeaseilvanjate de tet Pn nes mobil cll + ahi etlpidorefbranare +. seta lanfurlor de hidrocarbut ) petaren adem * Tagarea insainol do receptor ¢ * stucura engimelor# starea lor de actvtate * conbumol de. Of caren celular Site tn gen none: x wai Composant os geste, og eae moetmlonect ieee tusctatomumen Cote ‘Aste coniul are temperate eave vaaas fours (ra. a7 selec formant hl ‘ori hecaenes fervor aun compre a6 te puldoterm, putande-sa modtia, fra consocino hncye- fal are de fees eda dar rumaro ‘mute ue incon de wc ee omporatua elpeeroenfent rie rc anes goes aoe at Van de omportra cua ie um nya some ptsagc, doce a TSOTSI mocantst emoregae nea sa consonant ra cana Teriportra cana nodose ona ef acstor neta ca se ealelowed a Smet a tomberatu cana iasurta in puncte ditt : si ala compl Tempah conta g corse Sept ain eras ecole troes a un aul do Phe sen a ‘erperatra compl cu 1° sunt recap ee ee jeer contal putea mourned idea ‘nivalulhipatalamusulul anterior, unde ashi done {are ol s-a afa cont termoresaton Acestoomre na Seepsille, sa convent od exiukatafeglnt ae ae lindo températura masuraté se apropie cel mat ot temperatura conta Un astet de ioe este, mn mod trations, ect Temperature Intere fopeiate, dacd organismul se ait stato canton ISR Siu dee lenveatra canta ued medic lane; 0a eno, de regula, cu 0,0 mai mare dea toa Peratura Sango aot In conan ace om Plde ala tomporatu centrale, tompdratu eae os ‘ule rolecta cu acuratofo, eee 2. Temperatura inravaginala é coamésuratl interior wesc urnara respira pe gura in timp ca termometrul-este:plasat sitet cas na Sate pase tie Sloat rts ni ii erert S005 pokes pou 0 excel ttn phi en rune eet a Fen ies entava anata Sima elperaa Oaocret 5 in dt tal wary eae saeuas oer 2 i} Varia ziologice ale temperaturitéorputii uman “{eeperatura arganismuluruman, chiar cea, central ie ze . Aomn-teghe Aste ines. tsa; em Peratura axlara este cuprinsé in interval 36:36-4°C, ty limes seas ta 1. estoca 7 4-7 Aceest varia esta una dintre expresila.rimuriorcircadiene, care to ‘manllest in umetoase domeni af flogial marnforelee 31 cate sunt infvontate de sormy, ingestia simontard ode Prezenta lumi le sunt eglats prin modiiear camplecs Pormonale. Rimul so modi’ tn functie de programut cs ‘cn Sav in timpuiclitorloringl, oare schimbd oral de soma; revenroa se face Jen, in ore sau zie, ‘80%: La ovulato, temperatura contrala crest bruse ci 0.8-1°C af se mentine crescuta pe toatd perloads Prsistetei comput galben. Crasterea at putea estore Lunor precursor al hormeniior sexual, Female of Sirgen ispuridttent la strass-l trie, Aste, femelle hreceres transpire la femperaturi mai mer ele madulaier fag rpainta 0 piordero de calduré cu 10% mal lentd dance BarbafiFenomenul se datoreazs vasoconsttil mat conte si fesuulul subestanat mai gros Ia fone {iil ingestio de allmante (rn digesta se pro- "nel Suprafefo de schimb caloric eu medi mal mare a egpif Atattermogeneza, ct sitermoliza sunt detettare: nose ‘sch copil ici nu preziata fnson terms ea modettors (esermogeneza fizied, tar glandele lor suderpare att Imaturo, cae active ind locaizata precorminent Ia nivel capull fol. ‘Si persoanele varsnieé aulemeulatretermaregiace, ator " ii tes + ot ean C2) { apomtalior éspunsurior vegetative? Moder de nce Sete masts joer component * ee Se eran pn Agila mutate da 28 ‘ulburi replat atensiuni arteries microti recum si pin tulburat de temmoregise proprzi, mal esi eter Exp vl clog capa 6 @ produce fison temic, dar suoorajie Si onole ‘medgamente,obiguite la paclen Vrsinil, proce mod ficdri “de termoregiare. (Este. vorba de medicatic anthiperiensivg, anestezice, tranchizante, earcotcs. Agenbl anestedet reduc sensibiltatea‘sistomulll nerves ‘eval, inducando stare de poikltermio,caredureeza Inca 9 vreme dupa ce rivelul constant! @ reve la nota Anthipetensivele: gadatnele, vanchitzanelealodeard se: ‘emul netvos ceniral ma ales fa varsinli,slectand | termoceglarea, Nateoticale si crogure do tpul herons, ‘os ass incl de Nelms, acl pote nurs eect ie: Alatvarsthil, eA scopl po face ‘sor pouresauarc cane care incotontl epoca ‘Stipatolggee, aot devent elle. ei 5 Nail snierestz0na googiaica ona dria rica aaret cts ince 26-30°C: tempatatura'de.confrt temic pontu om fracas jul valor de‘1°G" lah condi So ele cons men contariteerta in anuorten curses ernest ee et ‘era pertene da soutd cial ph ihe 20° ‘Src! Peter acloneas ea o mata do polis & nulla de varie onsale sta fi coneleoe sna pofonl Iieaee ture de: samorecpte pan eae Se eae eno ponte, ‘Termogeneza Mentinerea constant a torpleratui centale esta ro- zultatul eehiibrului dintre procésele termogentice si temmoltioe. Acestea sunt stimulate prin exctarea receploior lermict de cata stimutl teri, indlfrent &e temperatura nesta conflate de cro conti ipoalmii. Ca orice Sistem acon old emanation toa somone ‘ alee tfnperatura «2 Satemuleenat eave regereaz8 varaba sat do valor considerate normele pony tara sso oF = elecoril a cor acts poate medica nivel variabist : contr de cont care negreazdaferenol dota isla sonal compari cu valone stata oa Noma cial set s rermogondza (lemoreatare chica) so eaizeaxa vin reach eines coulara de tp don i opaee gies lomperauiSamediiu'anbant de 24-300 frochaiite tormid) 70% al producti calorie este agin ot stee; aie ptomogeier4 celal, restl fing eet, ‘ultetmogoneze| perfec in eondi de efon fae coe ageteza ene asgurta sproape inlegil pin achinnes inupchr Sh ila temogenead ele oalzat th mare pate bai contact nlselara es pula caste do pane ee {en pn feo tern apn micare womans, “Tdbonul terme salt pune dctice, inate gr evo eget ot ‘Eula. apo coprma Bl copul false pone meeg ar reset EB un proces in Ul dp exper resi Gr SO0% pent pevioads Suri Gack cufeazatma mul, cresterea concur os niger se monje ia's00 cobs eels mesa ae et ‘Somatic neces rogiatea hipotaamnlcaldlaneror a amaduvel sin parser sca ostarod Termogenoza este stimulata, le; 2 aiaclimeaaanshs rea eaten «Eis ee oe oee rai rin intensicareaprocaselroxtaiy. N°t P2eO me od ‘prin fig sunt; f : ie waite since + plloatectic = : Een aeolian mea ison termic, nu a fost demanstrata ou alse, ert ion ate aorta eaiare® PUR spectc Th netvarea tenn eat adrenalin side horsionl idenla tormogencsa | ‘ Termotiza| ‘ Terme ea) wie (trmedeneza ties) se'éaloazt pi dene atu procese fizice: iedierea af WV pat proc fore, concn conven 1, lradierea este definiti. ae c ee ee i la cblacte calde eatre objects: fen Hop ong de unt x eapeaales a in tape Ge eM pale Base ‘iar aepoe ge ‘Couthonet de en ra . farce facia pomo sls abenaleg eae aie oP fa enetgo cal ogo ovon et 6 | {Flu conductor panty ener 2. Coca eid act Ha eaaura pn cafe di oe or ogee aes, nepti, it condo raasaGEn emote, Ae eis ond ee chad co tae vo 2a do noialatefrmicl a acesua perry crgerioncl tina, ied actinbutl do cliurd pan conse det Sunt srespe rule St ferred. no. Gomera repreita porte de Gi oe ee me, See ie anions Irv efor repro, pis au respira olpne ‘rmic).n apa. operas ealduraieste ult mi rapica ded n ae dao oncbal ieapacla ence “tit ta oer aul supe OeGeT presen oe temiglad prin convecte. 4, Evaporarearoprezit (12% prin cegpleajio st 12% ‘oplnda de: > tempecatira metus” * gradul de efor fic. / + suptatatacutanatii da sxhimnb»/ + temperatura tegument 7 + prezenta curenjior de ser / +. gradul de saturare cu vapori Se apararnediut, / La temperaturl-ale modiulul peste 34,5-35°C, fevaporarea devine pancipalul miloc de termoilza, prin intrarea in activate a tutor color 25-9 milloane de giande sudotpare. In cond de esldurd Umea, evaporarea it Poate i actvat Include perspiratia Insensitss, prin care 58 lord 800-400 mi de apa, vaporarea esto un proces act, consumator do ener gle. Ast, penny evapotarea unui itu de apa se consums £05 calor iar pect seereta un frracte sudoare vrebuiese {05 alot. Cae pin care se porde celal prin evapora ‘sunt aparatu respirators pelea, La om, termoliza rin ‘evaporate iq nivelul aparatuli respirator este ae mica im: Porlanfa, spte deasebire de unele mamitere (cai sex), Ja care hiperventiaja reprezinté o metoda eficiont. ‘Termoliza se realizeaz, deci, proparie de 5% ia nive- lultegumentul prin toate cele paru mecanisna, — aor 15% a nivel aparabirespatr pen conv Simcoe) no tanto nda pn canes ot sia mater fecal, pin conde Disipareacalduiinmecivesteiniienata de uni eeton bil pettenc este de 2-8 ml sangeminsOQar eau, ft ind cae at Sad tans ear eaten ee (ni cainah eee oc ee teed ec Meee cent ae : eee ee eee ‘Termoreglarea este realizatd, int-0' prima etapa, prin. Pe ee es a cen ee eae =» setip comportamental. < ae a eee plecare ‘a nivelul raceptonlar temic jar, rSspursurle lor andslste len scion Z 18 _ tomporatut. cant Recebtori te sicentralt cept orhie 2 alee, ln peer, nivel curr nocsat tc, arigeeofogul gon iin cosssomaruit sn jl sr ana Yaa Corto parler a ael cata ipeniaris, taamn, maseneea, com staf Cosapton ona Ga peer Sart eo bers aman, aprociao af ‘nnumar depron 250000 pant eld 330000 pon. {ravecs i not quanta 1 mucoasoe. Stl ropresni varia temperstrt recapor panty rece Sse fl de emparati do 3.006, coo Gurats mal maro do'2 socundos col pen cad sunt Stal do vrai go 0, 061°, cx rats mal mare 23 Secundoiormat po ear le ranata nivel conal par Stok temperance abso ner egnt fe cop, sent modo do tomperatrd ral estar motiea rn intograrea acest informti,£6 hin un tabou general a satus tem al Zone poner ic periter poop fp compscul Kae sunt prazng in ape la iv fla Pema nanvoasa fer, neneapaat, ave visorlor in egies proximal mar vane n pare ‘sel puimoner rl, iserlr bona ereaaiereizst ln rimsiie homaoterme (enc ce abla, do nase of to crea decor zone cn Sunt) eu Monica) suc sont la vel crt tare lilies ropa de tenpovagare lca 6 ds 01°C: Hees entra Sint fect analgete 2 feat do stmuiar a termoregin patric, aR Elesieleplicatitor generale de caijurs Electele aplicatiior génarale de ca reaza: FS a eet on tn i sia noone rl sisteme sociltinate eiaa pee nana ge lizat con- Erectu)aplicatitor fi -2supra aparatulul cardiovascular cotis Seaaseae eee aaa es iets RS ate» ae ae eae Segoe ‘vasslor renale'si coronar i vei one oatocauum, po tall it “inate tcl _ Esta prootsil de adeplare a organi ng ale medi Latampersa seas alec Mealcaoa conintil aslo ‘le le ap, cu canta al recuse decioaag a lande sudotipare active 8 V.PaTOLOGi Tent Mentinerea i ont pest cc (sch in i erat au. rt ear a h st do aca en i be saude ota a ae 2 avun Comportament mai Poikiloterm, om ul eat com oma Producer do cit dpe a renletermia ape mécanismolo dg dena’ dovin neared me Supraroduotid sce etereg sent fe emporium eeu ioe ae ar ee re : \ tonsa nett daca ngs Aa dpe, enaay ete, ck siidoraie sure Ate lpoaur canoe linge a So a esto. temporary: ces) AOR (etcaren fePOrar, risa ease beaters sore a Mootle Ue Sorstant nora Produedn-e doar goa ecanismoly 2. Febbra riche SER 8 ora dae amine ne create temporats, moetaamicl ests coma ive superiog Srmecarisnse da emrages at 8, 40 2] | Dou pa PEN mentinrsa chins ternle fa ni tra pees tomic contra. nace et {ura penterca af feat cain Inducerea sint ‘restore $1 mat ra oul prag termi molizei (vasoelfas ter icorae) sila inhibarea eons iogeneze), pig al centale de 35°C pinot nC, moat ale organism Dass ciao stteo esterase i in lducdy dim ipotalamusuth Isher connie pss ‘tei le ta ara co po cau wail dispar sa (tbe). Producerii excesive de 3 tulburarlor in tances parte cin aceast nrgie este converts tn cdldurs, care [inca casks secia | jigectaiee | ae ‘exper dete la soar, orale medi do hipertormio do ofort spun bine la 1 ‘odinna gi rehidrataro orala. Socul caloric necesita | ‘umiistfarea ds chide inravehios gi motode de sustnere 1 pan oe ste tansforata care senge, crosoand fomperstara ‘Snel Umea punera tn fun '@ mecinamoi aeciambs | dh trie eu Sipe excel de eda mechs gg oa Pineal adie soa. i ese Alef asimatieat po! preduce pasts 2 Iti de transpire - [aston miso | pe-poria da proaray S00 Koalh pn evoprre. = cnn et “Edpacttearhecensnalr eompeneaon et ta: =~ sin overran ge omit. J mmopucens excesvh [6tikeonizes | ipartnia at, atl o consent neva a aor } TROUT URA | TFeoaumcoml inten, pretungit n medi umed scald, re ti art tomperten contra (msurat la nive | o : recta pinge naire mod cist dp o cred lf Saban dot eo Soy pharma doo ests da regia sspomatiog emfemninne) —) ‘si autolimitanti, la persoanele néantrenate pot si apard j — thoes conv cane mp erse, | rine ‘hosed go clone Pent provenre sun nococaro [rims eens) | Selmatizare prealabl Mrstare sufcient, evitarea ! scpemwaea pseiea [RES Suncor vise; este constara unger meee. i aA [steows i DE ENERGIE | 4Agetl enone ‘$2cui cater euvne n dou consi dstincte. 5 Sino ewciee sade Bees toner Rpeari do |ssintoonacenete e) ita nen saat. coop 2 Gotu cle Suse pila porsoano sodentare [shoal ase at | taurine mace prepa gapecret eo toprol on elect de ispare lca, asl, Inca rursunker —_[PAS@aE EONS || NPs exist fanfare. Sa mal amis poteza IN FUNCT [sBecefatie oS __—-_— sor aL do lemmoregare central al & ura POALANUSULU [Sie Shoralta de mato a vel moscior sched i RPTL Se) aR se aot ro denote st insslrea avast ts de gos clone este fava de: i Pesto | I arin ot esis simul bic” | ug’ nee cgnmtione tours ae i oars ath cumtonate mania rec 1 trea preoitegl de destidratare iene, Cando emt coneumu de anargia de 20 4 via ote and sau foe Inatat schelotic 16 pull uman eta de 25%, o28 Mal MAPE 2 a sn tl St rere ba i ps, insu cain mba MES, tori candoviseura tisan Deurlogc, peor gu cat, oa! tora ata arSHOd congestive pte ace 4 Seder cap TBRaR contac pkgs aie o ain carseat spare wot ce on obuulvariae, scar Meese vilozeidecieuatoa stress Erescura a posible Infarétal say ‘nlarcu miccardc, pneumonia ii nisi un numer de suteringorct doting tempera conta le primitive sat 2, boll degenerative vaccine accidente vas ‘obrale, maliales:hemoragies, eet 0824 prin absonta vag panne. bsenta sudorai, ferns -antipretce, Pientotea c nfl instlared soectul calor cn conte so logumonts cum oe Chiu reper agama olandorsudegeans a ios, Pega aupmete determina raat secu oe Pete cmp 9 ie aaa me Exameneo de ebortor polar eee ieee 9) blparaticamie 9 tulburay ee 9) tuburd ale Sspiratoro si hipokater hipercalismi croton ‘chilli acidobazic, cu alealoza ce- lurmate de acidozs lacticd $i Ptadiede de coagulare inravascutard diseminat Fala do moraltate este fideatS, poste tos Pal, sufetintd na Tratainentl hainelor, apt rin eee const din: indoptitare ov (hea fae, eae , monitorcaran de peste 41-45°O,rigiate muscular, Nperpnee, tahicardie, arti, posta, Hipeteapnie, dldozs act hiperpotasemi, coaguiars Hes iravaccular. Rata mona ests oon Metodela da inteve ie consta in: treruperea anestocie, -acninistare de chide ree in porters Riposst te funciloc vale, suport eariorscptor ce Degtel 2 tulburéror metabolice, adic ee \ntavenos esta este un mioreaantcare (Ca cin reticulil endoplasmatie a Canad 5 lotro pacienti care primesc agen nowolopt, de obice. ‘in primele 30 do zie ca tratamont. Cole al inesminata sunt fenotazinee, burrelananala mal ales, haleparidld. Gavza 9 reprezina blocaul receptor dopamnergi dn ‘orpul stvist ou apariia unl hiperond intense a mugetor ‘tial, eare dotormind procucore excesiva de dlourd. La ‘Scaasta so adauga un defect a tamoregis Npolalamice, {t dstunetio a raspunsurlor vegetalve gl defct de dpars ' energie caloric. Sindromul poate fi pit cao rescle de Iefosineraze. > Cini, se constati costeroa temboralur cxpull 41°C 5 peste, rigale muscular, altorara eli do constonk, Fipotensiune atv, tia incontinent wing tubure detipextrapiramidal La examenslparacinic se decolbazi hemeconcentare cu leveociond gt hiperaromis; aidoz%, ‘abdemiliza, burda funcilorhopatco ste. “Tratamentu const in Inefuperea mecicatol, suport ‘metabolic si cardiovascular, récirea corpulu hieraare,ac= Ininistrare do Dantolene sau de: Bfomocsot Porras sedideroa rati mortal cu aproximall 10%. Hipertermia de cauz hormonald. ‘Tteotoxieoza reprezinta cauza ehdocing’tea mai ‘recventd de hiperternie. Dai pacteni cu treatoxicozl au ‘un metabolism intens, temperatura lor cuianati este, de ‘obicel, normals sau usorcrescutd dato unelermoregl panerie efiante In timpuleizeor, rsd, care potfproc bilate de stress sau Infect, acoste mocanisme de fermoregiare pot i depasie 6 temporatur centala poate reste paste 41°C. real 'S catecolaminele au elect ieimagoneié in ciza do feooromacitom, nivelul erescut de horadronaln deeming vasoconstrctie perfec si hipermetabotsm, care duc a Crestorea tomporatut corpului posta valle normale. ‘Alte sufgcnte endoctine, care pot cauza hipetterme, suntinsuticlenta acrenal hipeglicamia, hiporparat reigieml ‘Alte catzze de hipertermle : Deshicratares, mafalesa cops bat, determing vasoconstritleculanata gi scidereasudorate, cu minus yea dsipar cScurl s cregtrea temperatulcutehate 46 Paw on pl rept oa rosie ao tompertu orp datorate mu foapet Seating atest adroit pet atten cris satin te orate ms ane rt cee "pate tran Core ef SEN cp oaput cs ens gett ea tues pamela les st atc vein eee hazalaipentru:fatingolaringitole virale). In spondliita, Sect tangercoming vo Serge Bartle eet pen mpes cites sat sree tte tee Seats Se Se a et scounularmn ur eee ente aul SBiacitae aa og em) aereem Consecinfoie| hipertermiei asupra organismutut sna pet ean et cra Sache yom ee sn asses nema Selena sceaue toa a avr ee Bae Se Gere pce argos crate Sere rene eer emg renee s heme ase teen oacigudele arm pee ae sere etalon ee Sek opie tal pul do peters propcisa, * tae al ec conse 1de hipaa, tours metaboloe, deshdratare a ig neces a ea er got den aca ren i (Sis nparele ta ek Nc at “" Tubarle hematelogice. determina hiscneie econ oases dome tai int a carte enc rsce su the Sane eile, Srciacon are vr arc enero tbe by mtn foarte lagnosticl substrata a fal do hpertermia propru-ies ‘masun de sustiiero meta indoarela {ebrio, so inci uttzarea agenflorfarmacooall anole ' scoptl acide temporal certains oa ee ‘rae sacges ge a8 conta, Scopus temola perianea Ys: ohm VL CLASIFICAREA PROCEDURILOR DE TERMOTERAPIE Din punctl de vedare el vectorulufaplcat, proceduri- le de termotorapie oo impart in: * proceduti umade (hiotermaterapia), care uilizea- 28 apa drept vector scare rprozinta cna mai mare parte 3 termoterapiol: comprese, impachetan, ba, usu ee “ procedurluseaie, care ullizeaz’ vector cu ‘condactlitats mat micd dest apek parafina, némolul, er, luring, isp, . Din puncll de vader al supratope’ pa care se aplicd rocedura, exist =" proved locale, po suprafef imitate ale compu ‘comprese, catapiasme, ba locale ~procedur parle, po sunrafete ma mari ale comput) ‘Saupe jumatai de corp: mpachotan, bai patiale, eplicafi Parte do parafing, ba altemarte rocadurlgecerale, i rivelu!Intregulu corp Din punct de vedore al temperatu utitzato, proceduri- le de termotecapie se impart n 1. proceduri de ercterape, care ttizeaza temperatur ‘sub 0°C 2. rocedur rec, care se impart, a rindi (or, in tocediurl rec propru-zise, cu temperatur de pan’ la 20 ‘Cs procedur ricoroase, cu torparatun do pand la S2°C- 5. procedur calde, care acopera zona temperaturior {ire 30°C 545°C. Cole mal ulizate forme de termoterapia Icadrul acaste grupe sunt ble calde: cu temperatur de 86-57°C, (ile hiperterme, de $8-39°C si baile intons bipertemede poste 20°C 4. procedurl de termoterapie propriuzis8, care ulzéa- ‘ziitemporaturicuprine ine 45-80-100°C, Alot sunt inc Se parafin, apieatile da ndimol sau nsip, bale de lumi, sauna 0 selena alma, car does sper Lx! shasta ptagommu socal do al soe, n pip pon smares 5 pcm ca pric sau hipererme esto InisrociculatioL Acesto proved pot fi, lataindul lor, loca sindcati‘e scurta procedura de raclre pentru combaterea. eeeitte ial re generdo a ublzoaea Gieno. _ f(& Senlelwasadwopedeien tn’ com ser nS slain eos Se FT eet at rst wp 6 ne ee con [AR c= bapiontlubbble supaveqheat stent tn tinput Se oeeutiet u procedury pentru|depistarea ortaror mantosta! de Fd tera orrastants bolts posture cence Cin apart pron tomar de converse ee care taut cont atom ca oer ensure, ies omciotrica tf atoy, reeled as Fase sau ltesuotle ie tnas de gacl de pensar a norgieealooen tpcutn a deca dou hur de omen: pone (Gist eteet alr ta 3.8 7em tn ncn) Gsiaa (antes to pareins,mpls do Tuns, viet do erseimetone et) ‘aul marge fa apiicéll procedurlior de. al obvi examinat cater inaintaa onrel precadesunietguontre bee irvonvoso Ptoreuoni moun ifespere rater euipoltapa me ape medal sp ese ~ pared gio le capo dines + [Rexall dive dos rocod buie she en seers = als pal ncela nal padot to: if arian te a 2g 3 4 & mari stiess, perioade de insomnie, suletinle fizios de tip ‘hel enaie abdominal te 7 ‘2 ihterup procedure generale de sinpul eicull menstual MPN pactentl este slau s&s golease . intestinal nainte de aplearesprocedurlor =< : 9 SITAU este perisa solicarea unor exeitani mal € pute fare avieul mec a 4 1 ac aplabaigell acuta eet please broesaute soci abe dupa Inca prealabilt 0 ‘WL METODOLOGIA APLICATILOR DE TERMOTERAPLE Principalelé aplicatii de termoterapie Up comet i ompreasle sunt celal mal simplo:pracedur de. temotarepis, Se closeoo tical oy roc8 etn ul clos ane ler zoo le compu In tej Se eo pein PUL Tn fae da temperati > Se + Eimaree 2 Stine Ele pot epi l— Bott epicato mere ogra al comput ‘cap as! = : ‘ebiuea con abionen iorsce poster tinea gs meme Besta: ent 8 bine acto dort: ta apices conpredoioy ‘obule 3 so in seuma do urmaiaec ate ome Sompresas8 fe bnotnunes ro ore Gn puna vedere al uma et can Te fer Stoarse; astfelIncat apa'sd nul ‘scurga din ele. ‘limpul enlace simulate vse ease ee StOuS®, peta sua compresaae sa = aneitelstiifopretstanse tae toe comptimarea crcuapef ase Pee anita BS EMOTES oa dar pe tum Compfasle raf eeinclé na as, atwnoam, {WA BESS 8 inptieacce cua on gos SS, 2 sat8.Penirusmentinerea. aceloiasi ‘empertu, so soimbicomprosa ding inset oa indie or cu purgacu thus Poss Sse In unchade aletil vaiaet re poe oes ae tol uma sure or 2 antgpasts 1S anhemoragio * entinfamae *. antigo ale (ap a S845°0) cole rin (5- S50) at setae ticle anlar sarc se tase Scopatte, pari alse menos tee 4s 20.60'50 inte, Modal ora ee ea ee Propitaianispasic, analgeniea, Nporerntes Tesorbive a intamapils conkere aleriateizeaz4apicarea unol con press eld, de 40:50" timp de 2-3 muta, see compres rege 12-16%, cuo doris dese ee mit, Aceasa alter sits daa oh Berea ‘nttdoauna ae incepe ci conpresa cae g aries ‘earece,Acnea br so bazedea po cloctl de teens irlapl sanguine sa sistoruiu neue Comprecee stimulant puesta Nee sous ‘uct de panei: una mats. Wasa ce eho ea ‘m cami, oats bine speed partons tee seal compres, seats sa agoued ese oie {node depigeuscd ms 23 emteeginle aire Dee Sele de 2612 ore Aoest io decamprons cee ee ore sinularea proceselor biologics focale foresee, culate. Comprosete cu burt presupsnraplcarea pe zona Intrsoat a nel bucdl de tansiaead proeoe seco tecarese pune bala depanaa inna aioe, 16 60-70%, bine soaea. poste essa aploine buat de posop it seal: Duals ste se See minut. Au tec rosoritanelgesia estensete Compress n enor suet cate poe loc or Surat dora coil omic. gag corona Se substan, com arf lool sults negra sige 2 brow. careacfoneaz pin factor ctiio, electular principal fin avela da sctdere odour local. “Treble sublniat fap e&, da’oblee, compresels reo! suntincicate fa proveseta lniafistori sau dureroase acut, iaroals calce'se api In procasele subacute sau conice; Campresele stimulante cunt utle,:da, asomenea, In Sufgnntele cronice,stimuland capacttatea ve apdvare metabalismut locale. Cpa 9 apicron nv tagumentuul de diveres subsianje, organice sau ‘sbrgance, alata anonitaroortu, nop txapeu, Ep bot fumed sau usoas @ caldo sau red. Cole al ulzate sunt cle urea scat. Cataplacmeto ured uilzoazs plants medina eau gare, ca capa, pin ameseca ci sa pcos nmneton respect se pune Sv te oud beste paned gt co-plck fadina stab apl arpa otc re frat gloast pantut mpiegea ricres. So montine pant Capdincape st ss raooes. Gp fopasec ealanasme cpio, ral, soning do in, tna do gas oe ove, porumb, plants modiciale Krag men hai ae car cat le oe (usta, ean fre cu ugar ee monn pln ‘Ghdapaaceenia de araralecal : ‘C ss useae ulizeazd to de gru, do socal de pein, sae np earotneltzoscn ela Io temee sta sporabet sos inrun steuol 9 ‘Su aseuea tare Uscatl pe 2a dota Miaoail te actune el catapasmolor. so bazoazd pe fect rma po oa chime. Eletle obit sun: * hipesemaant tee : 2 ee + “apalgezt- indica ene mal covet sunt: ro dedjunje eumatlmsla subacute’ cronice, diogshective a intemal” + alate jsut moato *. noveagals + Hele sofeniveabdominaio + Sonrectso asta oc, tS wh cn nce Soot curators gat repiunghiulare, ovale etc. Au acalasi modde actiune, mod Se acne ieee igtentonondocntancaee lmpachotrte Itnpaghetro, cin co in co'mai rar fotos, sunt procedur de tsrnotarapo, cara consiau th impachitarss {nok pa'a cond sau cnr hog corse ceargat uad sat useln paring isp au nin oe i cess pau uum enna sca gipal fh inuncte de ninceren gig tata comps Se ote do jrteenarirh den, cuperee: 11 Dae pet etd C080 tomate ‘so asociazd, mail ales pentru cele complete, o compres’ so ps unl. Dupe mpachelne 9 apicke got Teepe on mtencooe ‘Modul de'acfune | impachorior co bazeazk pe oa eon ania tm vl geal intregulul organism. $-au descris, schematic, 3 faze'de so cer tec de uta proce d rontvtes hl nfl de ect se carb ofoctl ASmperatires de 48°C, stupa cigaricmul are reactioneaza plin: : + vasoomnstice porch, eerie, 35 + tahicarite * polipree, Acestea su i modificatils,tiduse de stimularoa termogenczoi, datorté serzatial do fig racoptonate de Paciont. Dupa aproximativ 1-3 ine, vasoconstita este {nocuté'de vasodlatatie, semnul tormalze. Ia ‘est mod aste stimula fonnoreglaraa, obfnaneus, a ‘ola mfobili,reglarea homeostatelinteme, ar la oat ‘ebrll chier scdderea-tebrel. Durata osstel Tato esto do {G20 stare ele nicasupra organisa proce. spare fon, digo In care continua ‘eacfonéacd pins 90-50 minuie se destaoars raza coun, ‘vasodilataia cutanata: organismul ‘+ scadarea tomperatul| 2) Area pals ,, Hiltea frecventotragpiraor So.obtno un ef ‘rece caldur fect soda. Daca boinavul ramne i contnuare impachetat, so faza'a tela, n care se produce acumulars de 4 Spel ine tequmont si pat; acoasta esto edat organismului sf procedura devine hiperterms Incaziroa extrem termotiz, nus + -exeitarea + tahicarie ‘orpululstiuleaz4 toate mecanismels rocesul sudorail Ss prod istemulul naevos ) oresierea recvehilréspratoi. Durata aceete! ‘ea contindénd si dupa despachetarea paciantui fazaveste varia, cain de 90 mini Indcatte impachetirlorvarazd in nctie do durat, ec’ de faza in care so ajunge, ‘Astcl, colo de, cate la boina feb Sout dural, 10-15 minuto, gunt ins nl (ect antec), aster, apres tulburdiri de termoregtare. reas Colo prolungr bolnavtr‘e tb Intoxicatleronice, 36 te, de 60-90 minute, se:recomanda rai Metaboli, abe; gutos, ia unelo Sunt contiancate pacentloreu bol carsovascuar, inclisiy HTA, cel eu suferinfeeronice decompens ‘tgapelr vila, n bolle domatologice, ara eto Ee soak acl izandu-sa doar petura scald duratee2te det Postma od i jumatata. Estee procedure Nporterd, prin cae se umérestestimuiarea infenst aterm, 14 Socal suo scat snap saptadayga emote sau stole cu apa calda stil se/posteinora ep rece. acon trebuie supravegheat st procedura se opreste acl apa Senza de anejel nates, palpat sre= La starpt a recomanda o prooedura do esl wot paren rte so. Soran ot factor tenriecu acjne gonorakcremttor principal 1 onstiuie aocelerarea proveseior metabolic. Sunt indicat in = hipotieism 2 obertate + Riperuicenie + Ikoxicatierorice * bolle eumatsmale croc Soniraindicafile sunt reprezentate de + "bola cardovesculare +, sufeinie cronies decompensate + stan debe sau capoczante, + tubereuiaze stn tebe bol de pata, Frio Friciuile sunt procedur de teimotaraple car ubizea- 21, In soop terapouto, pe langé factonu erm, i factorul ‘mecanic. Ele sunt recl sau allemahte s partialo sau com- fle, Modul da execu consta Th mansvre de mass} do Uplttie, viguoaso la ill zone de trata acoperte ‘njaredn prosop inmulat napa race (18-20°C), spol cu Un coargal seats, Tn sna, eu 0 pars. Cele alternante folosesc ital un prosop inmuist Th aps caida (28-40°C), ‘poi Unol amulet in apa rece (16-18°C), urmand, cups aaceea, secvenjola do mal gus, In frijunila complete 82 3 respect o anumitorine de exocujo i enume: go Tce. fe mol ner ental ing. umoazt chil poston, praca anor, pelt ala Tunehiuki gi in figel, abdomenulinsoneul ovaouts crate ptoceaia ss poate completa cu ‘sala apd fee sau cu drocfonrea unl cent Sree ele poa pacer aasnomtebaa da coral sau Dal rea cost pois ekincernca una nce. oromolegi oman: Pal fees po pate so ob fron operas ‘rons pede all pare, ovachanesoaiv cer ‘Siedavestubraoroson Do ea apr feu comping, ecto xgarcm, do aban. Tutu el rapa pro ental Sia sa, io rok seas o ark Face tie patton poo sul nay x fe ‘Sapir d foc uid tren Sm vsotas, ‘ite Hapa pena ncn cil omer, Si Starcom en or nag uals arte st iets de sure stor. obra ae call ora, let done toratv saupostramac de ppeataliecnntr ceepiate at uile tn tubure metal, bez {Sbvaanale nel tree etl dpa, Containaie corte bl cardovesclre, decmatuiogee, autornfe ale sletemulil nares, Serer situ el, plrerice desompansts, Sinvcapecs. i ba : Fle dr oscar fet Saba,» spot pnnc erage a nol Poser ier reve pele, "Coot roa nse ned incon a patient Manat co crop (too 38 | L ‘Tobies de apicare pont peteria complete presupu- ‘na anumitéocino do actiuna. Terapeutal stan Go parton reap a paceniuiul, Tmeops cu gamba stangs, cont ‘cuplconlsiglezra,apol coansa sings, Umea membnu infororep8, apo! membrele superioare stang si crept, Fegiunea carves, regiuntea contr seapulara fi forachle aotriantraesitenton posits eens rembelorntstoate, get ecg td dot en ‘hme Union csoptesune modell meanest Seovi ora umeaeipLatel enamine as are hci Connie fac misadl Wl. coaster. din spate spro fai, nivel atdomenold migesrio executate sunt Greuls ‘cla foal oe execu se aster oeicaepata Pon hl mde nunc ataarn on uot prance areata ‘ald in apa ece sau poral ub ds. La start se tooo lle el ap éee Sa un bs scat, apo 8 fume BS eepoatseetemaene ipotiroigismul, sedentarisimul, persoanelé ou sindroame ieee gee Spiro Sunt procediri-eu mod de:aotiune. i indicat aserdndloae ior dar malaga data inensiat ‘vtmaime‘a acl mcr. Ifuice dormer: ‘aise impart frel(18-20°0), cade st atemante fn funet gue eos po cree ap, pot paral Sas complete. 2 él in paint orev cui POS aru plateaus eee Hr ambele sonal vil membolors tuna sige ce fal abana Gul Dav ea nocpan oseraty e Sobre sifaca migeats eve at lca spire corel sts csaoesonpa nel sre de asemolan saree se race dood apleafic once ee H Attia Aiuziunto sunt procedure gsto proiectata o coloand de G2 lompsraturd ce se tnpartin tec 18.29°C) eign WraibA2C si 18-22°0); tn tunctio da reghinca coe speesald pot atuzinl eontplets sau parse, Monee eeloate 208 8 face cut de apa foarte eontece ae ‘tegument panda apariia eae rin care asupra corp ri presiune. In funcia crea contin cs a empetairiomintta cepa, sleauna cu plearea cal alamanete renee ee Modul de-actine so bareard peraperis cota : a teoplatons acd tu stmlareu covered a organ oe ssa, fejet eu! sufetietorfel ‘muscultur,slmuleaza persis intecteey ‘ncleatil afuunitor se rlera la tuburit ao bla 6 {9 Peterice, pot SRST SEN Basse sau, ds: catenaiesuftloloshe sca nroceaudcerdore tops se ealitemioeinienss, "PCS scien Sire SeRtareTeRaRator ccite 5 gravee cle Ofgahlor cin cu Haamn, matrstanac. ‘Sravidtatea. afeciunte intamatotatite seu sateen | ‘oxganelor abdominal. 10 lt Diccsi de: temmoteraBearo, asupra consid Bisseau creotss nen oe eee oeau vazeaza pe fact i al Infor de tormpsratura: dasurio BE impart in foe, ev abut i act al. nuncio ers aa ‘Solar i iesrocett coset tgevana oreo Golem de abe sunk, dust goticateteornstes sescondentecrzonale, creuiarg Eis

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