T???????S ?G?O? - PowerPoint PPT Presentation

About This Presentation

Title:

T???????S ?G?O?

Description:

?a ? ????e? a ???ast??? ????? t?? ??a??t?ta ?a d?at????? ... Efferent responses. Warm responses. Sweating (370C) Vasodilation (370C) Behaviour. Cold responses ... – PowerPoint PPT presentation

Number of Views:34

Avg rating:3.0/5.0

Slides: 55

Provided by: smig8

Category:

Tags: efferent

more less

Transcript and Presenter's Notes

Title: T???????S ?G?O?

1
T???????S ?G?O? ??????S EG??S?S
???e??p? ??a??e??p????? ?a???????-??tat???????? ?p
?µe??t??a ?? ?a?ep?st?µ?a?? ??T ??s. ???
2
? ?????p?? ?µ????e?µ? ???ast???

?a ?µ????e?µa ???ast??? ????? t?? ??a??t?ta ?a
d?at????? t? ?e?µ???as?a t?? p????a t?? s?µat??
s???a e???? t?µ?? a?e?a?t?t?? t?? pe??ßa????t????
s???????

3
F?s???????? ?e?µ???as?a..?

F?s???????? ?e?µ???as?a s?µat?? st? st?µat???
?????t?ta 37?C
?????d?a d?a??µa?s? t?? ?e?µ???as?a? t?? p????a
t?? s?µat?? ap? 0.5-1.0?C

4
? ?e?µ???as?a ep??e??eta?

?at?stas? stress
?at?stas? ??eµ?a? ? d?ast????t?ta?
??a t?? ?µ??a?
?????a?? ???a
F???
S?µe?? t?? s?µat?? ?p?? ?ata???feta?
? t?? st?µat?? lt t?? ????? ?at? 0.5?C

5
Te?µ?????µ?s?

?e?t??µ??a ?e?µ???
e?e??sµata
?e?t????? ??e???? (p??s???? ?a? ?p?s????
?p????aµ??)
?pa???? e?e??sµata
???p?p???s? s?µpe??f???? (?p?s????
?p????aµ??)
?at? 50 e?e??sµata ap? t?
d??µa
?pa?t?se?? ap? t? a?t?????µ? ?e?????
S?st?µa
(p??s???? ?p????aµ??)
?at? 80 e?e??sµata ap? t? ?e?µ???as?a
p????a

6
?hermal receptors (cold and warm)
Lateral spinothalamic tracts
Hypothalamus pre-optic nuclei Heat
sensitive and cold sensitive neurons
Posterior hypothalamus (set point)
Warm responses Sweating (370C) Vasodilation
(370C) Behaviour
Cold responses Vasoconstriction
(36,7?C) Shivering (35,5?C) Non-shivering
(360C) Behaviour
Efferent responses
7
(No Transcript)
8
(No Transcript)
9
?? e??a? t? set point?

?p?te?e? ?e?µ???d?te?? ???? - apa?t?ta? µ??? st??
?????p?
???a? ??a ste?? e???? ?e?µ???as?a? (t?p???
36,7-37,1 ?C) t? ?p??? de? p???a?e? ?aµµ?a
ap??t?s?
F?s???????? 0,4 ?C - e?a??es? ?? ???a??e? µ???? 1
?C
F?s???????? ?µe??s?a d?a??µa?s? µ???? 1?C
??d??????a pa??????a (?????) - af?d?t?s?

10
Te?µ?t?ta - Te?µ???as?a

? ?e?µ?t?ta e??a? µ?a µ??f? e????e?a?
Te?µ???as?a e??a? t? µ?t?? t?? p?s?? t??
?e?µ?t?ta? st?? ???a??sµ?
?µ???stas?a ?e?µ????es?
ap??e?a
?e?µ?t?ta?

11
Te?µ????es?

?. ?p???e?t??? pa?a???? ?e?µ?t?ta?
?as???? µetaß?????? ???µ?? 40Kcal/m2/??a
(BMR)

12
Te?µ????es?

?. ????t??? (µ? ?p???e?t???)
?s??s? (20 f???? BMR)
????? (6 f???? BMR)
?af? ??p?d?? ?st?? (BAT) ?????? sta ?e???? ?a?
??? st??? e?????e?
?ata????s? fa??t?? ?d?a?te?a p??te????
O?µ????? ep?d?as? st?? ßas??? µetaß???sµ?

13
?p??e?a ?e?µ?t?ta?

??p?µp? a?t???ß???a?
?etaf??? ???? d?af???? ?e?µ???as?a? µ?s? ?e?µ?t??
a????
?etaf??? µ?s? ?µes?? epaf??
???tµ?s? a?????? t?? 4?? d??aµ?? t?? d?af????
?e?µ???as?a? µeta?? t?? as?e???? ?a? t??
pe??ß?????t??

?p?a ?p??e?µ?a 32-35?C
??t??a ?p??e?µ?a 28-32?C
S?ßa?? ?p??e?µ?a lt28?C

15
(No Transcript)
16
? ?e????????? a????sa

?t?s? ?e?µ???as?a? µ?sa sta p??ta 30?ept? ap? t??
??a??? t?? a?a?s??s?a?
?p??e?a ?e?µ?t?ta? ????
?????? pe??ß?????t??
?p??e?a? ?e?µ?t?ta? µ?s? t?? ?e?????????? t?µ??
??ast???? t?? ?e?µ?????µ?st???? µ??a??sµ??

17
??t?µet?p?s? t?? ?p??e?µ?a?

1. ?a??t??? ???µa?s?
2. ??e???t??? ???µa?s?

18
(No Transcript)
19

? ??????s?
1L ????? se Te?µ???as?a 21?C
???e µ???d?? a?µat?? e?????? st??? 4?C
?e??s? ?at? 0,25?C

20
??te ???s?µ?p????µe t??? ?e?µa?t???

?ta? a?aµ??eta? pt?s? t?? ?e?µ???as?a?
t?? p????a t?? s?µat?? µe?a??te?? ap? 0.5-1?C

21
????

(TF-TPT) SF
Vol
SPT Wt
TF Te?µ???as?a ???????µe??? ?????
TPT Te?µ???as?a p????a s?µat??
SF e?d??? ?e?µ?t?ta t?? ???????µe??? ?????
SPT e?d??? ?e?µ?t?ta t?? a????p???? ?st??
Vol ????? t?? ???????µe??? ?????

Te?µa?t?? ????? ???µa?s??
Te?µa?t?? ????? ???µa?s??

23
Te?µa?t?? ????? ???µa?s??

?????? t? 1960..?? p??t?? ?e???? ?e?µa?t?? ?????
???µa?s??
?? s??e?e?a ap? t? 1980..?? de?te??? ?e????
?e?µa?t?? ????? ???µa?s??
??? s?????se?? se ?µ??e?t???? ???????,
e??te????? ?????? t? ?e?µa???µe?? ????,
es?te????? ?????? t? e??e?µe?? ???? se ?µes?
epaf? ?? d?? s?????se??

Liquid to liquid transmission
24

?e???e?t?µata
?p??e?a ?e?µ?t?ta?
???d???? ???µ??e??
???d???? a??µ???? t?? d?? ?????
??t??s? t?? ?e?µ???as?a? t?? ?e?µa???µe??? ?????
?a? ??? t?? te???? e??e?µe??? ?????

25
Te?µa?t?? ????? ???µa?s??

S?????s? e????e?d?? t?p??et?µ??? ???? ap?
?e?µa???µe???? µeta??????? ?????d????
??? µeta?????? p???e? e?d??µesa ?ept? p???a ap?
p?ast??? (disposable heat exchanger) ?p??
t?p??ete?ta? s?????s? t?? ????? fluid path

Heat transmission through conduction
26

Te?µa?t?? ????? ???µa?s?? ( Hotline )

?????te?? ??? ????? ?a? a?µat?? 1-4Lt/h
27

Te?µa?t?? ????? ???µa?s?? ( Ranger )
?e?a??te?? ??? ????? ?a? a?µat??
gt5Lt/h

28
(No Transcript)
29
(No Transcript)
30
(No Transcript)
31
(No Transcript)
32

Thermal Angel
???? ???µa?s?
?????? ?????? et??µas?a?
2-150ml/min
??? ?d?a?te?e? s?????se??
F???t?? µe µpata??a
?et?? t? ?e?µ???as?a t?? ????? ????
p??? t?? e?s?d? st?? as?e??
??t?µat? p??sa?µ??? se a???µ??e?
????

33
Animec
34
Astofilo plus

Astotherm plus
35
?a?a?t???st??? ?e?µa?t??

X????? et??µas?a?
?????? ???µa?s??
S?????se??
????? s?????se?? - ap??e?a ?e?µ?t?ta?
??s??t??e? ?e?µ???as?a? st?? e?s?d? ?a? st??
???d? t?? s?s?e???
?p?stas? t?? e??d?? ap? t?? ?e?µa?t? ap? t??
e?s?d? st?? as?e??
??a??pt?? pa?s?? t?? ???? se pe??pt?s?
?pe????µa?s??
?????e?t?? a??a
?fa?µ??? ?e?µa???µe??? p??e?t?se??
?p?t???a??µe?? ???

?? a??te?? ???? ?e?µ???as?a? ??a t??? ?e?µa?t??
e??a? 42?C
???ß? ??tt????

37
T?µ??e?te ?t?..

? µ? ???a??? t?p???t?s? t?? ?e?µa?t? ??e?
s???pe?e?
?a? ?t?..
?? ?e?µa?t?? de? a?t????p??? t?? ap??e?a t??
?e?µ?t?ta? ?ta? ? ?e?µ???as?a t?? as?e???? e??a?
?d? ?aµ???

38
T?µ??e?te ?t?..

?? as?e?e?? st?? ?e?????????? epeµß?se??
d????e?a? gt2 ???? ?????ta? p???????e?µ??
? ap?te?esµat???t?ta t?? ?e?µa?t?? ?????
e?a?t?ta? ap? t?? ta??t?ta ???? ?a? t? µ???? t??
s?????se?? ap? t?? ???d? t?? ?e?µa?t? ??? st??
e?s?d? st?? as?e??

39
??te te???? s???st?ta? ? ???s? t?? ?e?µa?t?? ?

Se µa???? µet????s? (gt50 t?? ????? a?µat??)
Se t?a?µa
Se ?p??e?µ?a p??????? a?t??????a?
Se µet????s? se ??s? t?? ?????s???????t????

?d?a?te?? p??s??? ?e????, pa?d?at?????
p????sµ??, ??????µ???? as?e?e?? ?a? as?e?e?? µe
??s? t?? ?a?d?a??e?a??? s?st?µat??
40
??????S ?G??S?S

F??µa?a
????
T?ept??? s?stat???
??d?f??ß?a
?p?d???a
St?? ep?s?????d?? ????

??p?? ????s??
S??e???
??a?e?p??
?at?ep????s? ap? t?? as?e??
?aµp??? ????s?? ?????d??? ?????? ? ??????s?
pa?e?te????? d?at??f??

??p?? a?t????
?e????? ?????
?????? ?????

?e????? ?????
??s? computer, ?????d??? p?????? t?? e?ast???
s????a µ?s? t?? ?p???? e???eta? t? f??µa??
?????? ?????
??s? computer ??a? ?????a? p???e? t? ?µß??? t??
s?????a?

44
(No Transcript)
45
Disposable non electric infusion pumps

???s?µ?p?????ta? se
pe??pat?t????? as?e?e?? ?a?
st? ?at????? ??s??e?a
G??
??????s? a?t?µ????ß?a??? a?????
??????s? ??µe???e?ape?t????
??????s? ?p??e?d??

??ast?µet????? t?p??
a?t??a
1 st?µ?? p????s??
2 e?ast?µet???? µpa???? µe t? pe??e??µe??
3 p??state?t??? pe??ß??µa

??t??a ?et???? p?es??
1 st?µ?? p????s??
2 de?aµe?? fa?µ????
3 ????t? µ???
4 s????a? spiral

??t??a ?e??? ? a???t????
p?es??
1 st?µ?? p????s??
2 de?aµe?? fa?µ????
3 ????t? µ???
4 d?aµ???sµa ?e???
5 d?aµ???sµa atµ?sfa?????? p?es??

49
Disposable infusion pumps

? p?es? p?? s?????? ?e?t???????250-600mmHg
??? 0.5-500ml/h
X????? ??????s?? 30?ept? -12?µ??e?
????? t?? ?e?e?ß???? 60-500ml

50
??t??a s?????a?

Stad?a?? ??????s? µ????? ?a? e?e???µe???
p?s?t?t?? fa?µ????
??????s? a?a???t????, ?p??e?d??, a?t?eµet????

Xa?a?t???st??? a?t????
?pata??a
M??a??sµ?? p?? eµp?d??e? t?? e?e??e?? ?
a?e???e??t? ??? t?? ????? ?ta? t?p??et???ta? ??
???µ?se??
??s??t??a? t?? ?aµ???? p?es?? (ap?f?a?? t??
??aµµ??)
??s??t??a? t?? a??te??? p?es?? (?ta? ? s????? ? ?
s?????a e??a? ?de?a)
??s??t??a? a????e?s?? a???? e?t?? t?? ??aµµ??
Alarms

52
Eµf?te?s?µe? a?t??e?

?a???e? µa???? d????e?a? s??e?? ? d?a?e?p??sa
????s? fa?µ????
??d?f??ß?a, e?da?t???a??, ?p?d???a, e?d???a??a?a,
st?? ep?s?????d?? ???? ?a? e?d??????a?? ?
e?d?pe??t??a???
??p??ete?ta? ?e????????? (pocket) ??t? ap? t??
??e?da ? st? ?????a?? t????µa