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双语科普 | 中英双语医学科普来啦,知识统统进入脑袋里~

在炎热的天气条件下,长时间暴露于高温环境中,人体可能遭受多种健康损害。这些健康问题不仅影响人们的日常生活,还可能对身体健康造成长期的不良影响。以下是对炎热天气可能引发的健康问题的详细扩写:


轻微影响

1. 脱水:天气炎热,人体为了调节体温,会通过排汗的方式散热。但这个过程中身体会失去大量的水分和电解质,如不及时补充,就会导致脱水现象。脱水不仅会使人感到口渴、乏力,还可能影响身体的正常功能。


2. 热衰竭:热衰竭是一种由于长时间暴露在高温环境中而引发的轻微疾病。其主要症状包括过度出汗、皮肤苍白、脉搏加速且无力、恶心、呕吐、头晕甚至晕厥等。


3. 热疹:天气炎热,如果汗腺受阻或皮肤受到刺激,就可能引发热疹。热疹通常表现为皮肤红肿、瘙痒和不适感。

中度至严重程度的影响:

1. 中暑:当中暑发生时,人体的体温调节机制已经无法承受高温的侵袭,导致大脑温度急剧升高。中暑的症状包括体温急剧上升(超过103°F/39.4°C)、意识模糊、情绪波动或丧失意识、抽搐或昏迷、皮肤干燥且发红却无汗等。这是一种危及生命的状况,需要立即进行医疗救治。


2. 心血管负担加重:炎热的天气会增加心脏的工作量,使心血管系统承受更大的压力。这可能导致心脏病、中风等心血管事件的发病率上升。因此,对于心血管疾病患者来说,炎热的天气尤其需要警惕。


3. 呼吸障碍加剧:高温和干燥的空气可能刺激呼吸道黏膜,引发现有的呼吸系统疾病(如哮喘、慢性阻塞性肺病等)症状加重。这些疾病患者在炎热天气中需要更加注意呼吸道的保护。


4. 肾脏功能损害:脱水是炎热天气中常见的现象之一。当身体严重脱水时,流向肾脏的血液量会减少,从而影响肾脏的正常功能。长期如此可能导致肾脏损伤甚至肾衰竭等严重后果。

易感人群:

老年人、儿童、慢性疾病患者(如心脏病、糖尿病等)以及孕妇等人群在炎热天气中更容易受到健康损害的影响。他们的体温调节能力相对较弱或存在其他健康问题,因此在高温环境中需要更加注意防暑降温。

预防措施与应对方法:

1、频繁饮用清水及富含电解质的饮品以维持体内水分平衡;

2、在每日气温最高时段(通常为上午十一时至下午三时)内尽量留在室内避暑;

3、穿着轻便且颜色较浅的衣物并佩戴遮阳帽以有效抵御紫外线伤害;

4、定期于阴凉处或有空调设备的场所内休息与放松;

5、避免在高温时段内进行剧烈运动以免加重身体负担。

于身体脱水时的最佳补水方式:

当身体出现脱水症状时,及时补充水分和电解质以恢复体内水分平衡至关重要。

1、轻度脱水:

·清水:每隔15-20分钟小口饮用约1/2杯(约120毫升)清水以补充体内水分;

·富含电解质的饮品:如椰子水、运动饮料(如佳得乐、动乐)、果汁(如橙汁、西柚汁)及草本茶(如薄荷茶、洋甘菊茶)等均可作为补水选择;

·清汤或汤品:这些饮品不仅有助于补充水分还能提供必要的电解质和营养。

2、中度脱水:

·口服补液盐溶液(ORS):将ORS溶液与水混合后饮用可快速补充体内丢失的电解质和水分;

·持续饮用上述推荐的富含电解质的饮品以维持体内电解质平衡;

·静脉补液(IV):在极端情况下如患者出现严重脱水症状时可能需要通过静脉补液的方式进行快速补水但必须在医疗专业人员的监督下进行。

自制口服补液盐溶液配方:

1升清水、1/2茶匙食盐、1/4茶匙小苏打、1/4茶匙氯化钾(此为可选成分)、2汤匙白糖或蜂蜜。


将上述所有成分混合均匀并充分搅拌直至盐与糖完全溶解后即可饮用。此配方可根据个人口味和需要进行适当调整但务必保持电解质的平衡以免对身体造成不良影响。

额外提示:

1、监测尿量变化:尿量减少且颜色深黄可能表示身体缺水需要增加水分摄入量;保持尿液颜色为浅黄色则是体内水分充足的重要标志之一;

2、注意观察身体反应:如出现头晕、乏力、恶心等中暑症状时应立即停止活动并寻求阴凉处休息;如症状持续加重或无法缓解应及时就医治疗。


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全文英译:

Prolonged exposure to hot weather can have substantial effects on the human body. The following are some potential health impacts:


Mild Effects:

· Dehydration: The body loses water and salt through sweating, which can lead to dehydration if not replenished.

· Heat Exhaustion: A mild heat-related illness that can manifest in symptoms such as:Heavy sweating

· Pale skin

· Fast and weak pulse

· Nausea or vomiting

· Dizziness or fainting

Heat Rash: A skin irritation caused by blocked sweat glands, resulting in redness, itching, and discomfort.


Moderate to Severe Effects:

· Heat Stroke: A life-threatening condition that arises when the body's temperature regulation system becomes overwhelmed, causing the brain to overheat. Symptoms include:High body temperature (above 103°F/39.4°C)

· Confusion, agitation, or loss of consciousness

· Seizures or coma

· Dry, flushed skin with no sweating


Cardiovascular Strain: Hot weather can impose additional stress on the heart, increasing the risk of heart attacks, strokes, and other cardiovascular events.

Respiratory Issues: Hot air can exacerbate pre-existing respiratory conditions, such as asthma or chronic obstructive pulmonary disease (COPD).

Kidney Damage: Dehydration can diminish blood flow to the kidneys, potentially leading to damage or even kidney failure.


Vulnerable Populations:

· Older Adults: Age-related decline in the body's ability to regulate temperature, coupled with chronic health conditions, renders older adults more prone to heat-related illnesses.

· Young Children: Children's bodies are less adept at regulating temperature, and they may be unable to express their discomfort or distress.

· People with Chronic Conditions: Conditions such as diabetes, obesity, and heart disease can elevate the risk of heat-related illnesses.

· Pregnant Women: Pregnancy can affect the body's ability to regulate temperature, making pregnant women more susceptible to heat-related health issues.


Prevention and Precautions:

· Ensure proper hydration by consuming an adequate amount of water and beverages rich in electrolytes.

· Avoid prolonged exposure to the sun during the peak hours of the day, typically between 11am and 3pm.

· Wear lightweight, light-colored clothing accompanied by a hat to provide effective sun protection.

· Regularly take breaks in areas with ample shade or air-conditioning.

When the body experiences dehydration, it is imperative to replenish water and electrolytes in order to restore and maintain proper hydration. Please find below a comprehensive, step-by-step guide on effective rehydration methods:


Mild Dehydration:

· Water Consumption: It is recommended to consume plain water, as it is the most suitable beverage for hydration restoration. Aim for sipping small quantities (approximately 1/2 cup or 120 ml) frequently, every 15-20 minutes.

· Electrolyte-Rich Beverages: To further enhance hydration, consume beverages rich in electrolytes such as:

· Coconut water

· Sports drinks (e.g., Gatorade, Powerade)

· Fruit juices (e.g., orange, grapefruit)

· Herbal teas (e.g., peppermint, chamomile)

Broth or Soup: Clear broths or soups contribute to replenishing both electrolytes and fluids.


Moderate Dehydration:

· Oral Rehydration Solution (ORS): Preparing and consuming an ORS, such as Pedialyte or a homemade version (see recipe below), in combination with water, ensures the intake of essential electrolytes.

· Electrolyte-Rich Beverages: Continue to consume electrolyte-rich beverages as mentioned for mild dehydration.

· Intravenous (IV) Fluids: In severe instances, IV fluids may be necessary for prompt rehydration. However, this intervention should solely be administered under medical guidance and supervision.


Homemade Oral Rehydration Solution (ORS) Recipe:

· Ingredients:

· liter (L) of water

· 1/2 teaspoon (tsp) of salt

· 1/4 tsp of baking soda

· 1/4 tsp of potassium chloride (optional)

· 2 tablespoons (tbsp) of sugar or honey

Instructions: Combine all ingredients and stir thoroughly until the salt and sugar are fully dissolved.


Additional Tips:

· Monitor Urine Output: If urine appears dark yellow or is not excreted frequently, this may signify inadequate hydration.

· Avoid Caffeine and Carbonated Beverages: These can exacerbate dehydration, so it is advisable to refrain from consuming them.

· Consume Hydrating Foods: Incorporate water-rich foods, such as watermelon, cucumbers, and celery, into your daily diet to aid hydration.

· Rest and Recovery: Allow ample time for your body to recover and restore hydration levels.

*本文双语内容由我院郑植医生提供




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