{"id":1628,"date":"2025-05-10T08:22:07","date_gmt":"2025-05-10T08:22:07","guid":{"rendered":"https:\/\/nutricardio.ro\/?p=1628"},"modified":"2025-05-10T08:22:07","modified_gmt":"2025-05-10T08:22:07","slug":"modificarile-metabolice-in-febra","status":"publish","type":"post","link":"https:\/\/nutricardio.ro\/modificarile-metabolice-in-febra\/","title":{"rendered":"Modific\u0103rile metabolice \u00een febr\u0103"},"content":{"rendered":"<p class=\"\" data-start=\"227\" data-end=\"563\">Modific\u0103rile metabolice \u00een febr\u0103 reprezint\u0103 un ansamblu complex de reac\u021bii ale organismului la agresiuni interne sau externe, cum ar fi infec\u021biile, inflama\u021biile sau traumatismele. Febra nu este doar un simptom \u2013 este o reac\u021bie sistemic\u0103 care afecteaz\u0103 profund func\u021biile metabolice, influen\u021b\u00e2nd multiple procese fiziologice esen\u021biale.<\/p>\n<h2 data-start=\"565\" data-end=\"610\">Modific\u0103rile metabolice \u00een febr\u0103<\/h2>\n<p class=\"\" data-start=\"565\" data-end=\"610\"><strong>1. Metabolismul general<\/strong><\/p>\n<ul data-start=\"611\" data-end=\"961\">\n<li class=\"\" data-start=\"611\" data-end=\"706\">\n<p class=\"\" data-start=\"613\" data-end=\"706\">Pentru fiecare grad Celsius peste temperatura normal\u0103, metabolismul bazal cre\u0219te cu 10\u201312%.<\/p>\n<\/li>\n<li class=\"\" data-start=\"707\" data-end=\"786\">\n<p class=\"\" data-start=\"709\" data-end=\"786\">Aceasta duce la o cerere mai mare de oxigen \u0219i un consum intens de energie.<\/p>\n<\/li>\n<li class=\"\" data-start=\"787\" data-end=\"961\">\n<p class=\"\" data-start=\"789\" data-end=\"961\">Se instaleaz\u0103 hiperventila\u021bia \u2192 scade nivelul de CO\u2082 \u00een s\u00e2nge (hipocapnie) \u2192 vasoconstric\u021bie cerebral\u0103 \u2192 flux de s\u00e2nge \u0219i oxigen redus spre creier \u2192 dureri de cap, ame\u021beli.<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"963\" data-end=\"1013\"><strong>\u00a02. Metabolismul glucidic<\/strong><\/p>\n<ul data-start=\"1014\" data-end=\"1270\">\n<li class=\"\" data-start=\"1014\" data-end=\"1120\">\n<p class=\"\" data-start=\"1016\" data-end=\"1120\">Activarea sistemului nervos simpatic stimuleaz\u0103 glicogenoliza (descompunerea glicogenului \u00een glucoz\u0103).<\/p>\n<\/li>\n<li class=\"\" data-start=\"1121\" data-end=\"1161\">\n<p class=\"\" data-start=\"1123\" data-end=\"1161\">Rezultatul? Hiperglicemie temporar\u0103.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1162\" data-end=\"1270\">\n<p class=\"\" data-start=\"1164\" data-end=\"1270\">Pe termen lung: epuizarea rezervelor de glicogen, favoriz\u00e2nd cetoacidoza (acumularea de corpuri cetonice).<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"1272\" data-end=\"1324\"><strong>\u00a03. Metabolismul lipidic<\/strong><\/p>\n<ul data-start=\"1325\" data-end=\"1541\">\n<li class=\"\" data-start=\"1325\" data-end=\"1394\">\n<p class=\"\" data-start=\"1327\" data-end=\"1394\">Se activeaz\u0103 lipoliza \u2013 gr\u0103simile sunt descompuse pentru energie.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1395\" data-end=\"1474\">\n<p class=\"\" data-start=\"1397\" data-end=\"1474\">Apare hipercetonemie \u0219i hipercetonurie (exces de cetone \u00een s\u00e2nge \u0219i urin\u0103).<\/p>\n<\/li>\n<li class=\"\" data-start=\"1475\" data-end=\"1541\">\n<p class=\"\" data-start=\"1477\" data-end=\"1541\">Principal\u0103 surs\u0103 de energie: acizii gra\u0219i \u2192 risc de cetoacidoz\u0103.<\/p>\n<\/li>\n<\/ul>\n<h3 data-start=\"1543\" data-end=\"1591\">\u00a04. Metabolismul proteic<\/h3>\n<ul data-start=\"1592\" data-end=\"1809\">\n<li class=\"\" data-start=\"1592\" data-end=\"1631\">\n<p class=\"\" data-start=\"1594\" data-end=\"1631\">Echilibrul azotului devine negativ.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1632\" data-end=\"1752\">\n<p class=\"\" data-start=\"1634\" data-end=\"1752\">Apare catabolismul proteic (descompunerea proteinelor), accentuat de lipsa poftei de m\u00e2ncare \u0219i digestia deficitar\u0103.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1753\" data-end=\"1809\">\n<p class=\"\" data-start=\"1755\" data-end=\"1809\">Rezultatul: caren\u021b\u0103 proteic\u0103 \u0219i sl\u0103birea organismului. Citeste si:\u00a0<a href=\"https:\/\/nutricardio.ro\/raspunsul-imun-proteinele-si-anticorpii\/\" target=\"_blank\" rel=\"noopener\">Proteinele si anticorpii<\/a><\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"1811\" data-end=\"1858\"><strong>\u00a05. Ap\u0103 \u0219i electroli\u021bi<\/strong><\/p>\n<ul data-start=\"1859\" data-end=\"2139\">\n<li class=\"\" data-start=\"1859\" data-end=\"1928\">\n<p class=\"\" data-start=\"1861\" data-end=\"1928\">Etapa ini\u021bial\u0103: cre\u0219tere a diurezei \u2192 pierdere de ap\u0103 \u0219i cloruri.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1929\" data-end=\"2009\">\n<p class=\"\" data-start=\"1931\" data-end=\"2009\">Etapa de platou: reten\u021bie de ap\u0103 \u0219i sodiu (aldosteron \u2191) \u2192 edeme poten\u021biale.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2010\" data-end=\"2139\">\n<p class=\"\" data-start=\"2012\" data-end=\"2139\">Etapa de defervescen\u021b\u0103 (sc\u0103derea febrei): transpira\u021bie abundent\u0103 \u0219i diurez\u0103 crescut\u0103 \u2192 risc de deshidratare, mai ales la copii.<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"2141\" data-end=\"2174\"><strong>6. Dezechilibre acido-bazice<\/strong><\/p>\n<ul data-start=\"2175\" data-end=\"2375\">\n<li class=\"\" data-start=\"2175\" data-end=\"2259\">\n<p class=\"\" data-start=\"2177\" data-end=\"2259\">Febra moderat\u0103: poate ap\u0103rea alcaloz\u0103 respiratorie (din cauza hiperventila\u021biei).<\/p>\n<\/li>\n<li class=\"\" data-start=\"2260\" data-end=\"2375\">\n<p class=\"\" data-start=\"2262\" data-end=\"2375\">Febra \u00eenalt\u0103 sau prelungit\u0103: risc de acidoz\u0103 metabolic\u0103 (din cauza corpilor cetonici \u0219i pierderii de bicarbonat).<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"2377\" data-end=\"2419\"><strong>\u00a07. Mineralele \u0219i elementele esen\u021biale<\/strong><\/p>\n<ul data-start=\"2420\" data-end=\"2660\">\n<li class=\"\" data-start=\"2420\" data-end=\"2501\">\n<p class=\"\" data-start=\"2422\" data-end=\"2501\">Fierul liber scade (mecanism de ap\u0103rare anti-infec\u021bios), iar feritina cre\u0219te.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2502\" data-end=\"2557\">\n<p class=\"\" data-start=\"2504\" data-end=\"2557\">\u00cen febre prelungite: poate ap\u0103rea anemie hipocrom\u0103.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2558\" data-end=\"2660\">\n<p class=\"\" data-start=\"2560\" data-end=\"2660\">Zincul scade, cuprul cre\u0219te \u2192 afecteaz\u0103 enzimele \u0219i respira\u021bia celular\u0103, mai ales la nivel cerebral.<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"2662\" data-end=\"2698\"><strong>\u00a08. Sistemul digestiv \u0219i ficatul<\/strong><\/p>\n<ul data-start=\"2699\" data-end=\"2970\">\n<li class=\"\" data-start=\"2699\" data-end=\"2792\">\n<p class=\"\" data-start=\"2701\" data-end=\"2792\">Se reduce secre\u021bia glandelor digestive \u2192 usc\u0103ciunea gurii, lipsa apetitului, constipa\u021bie.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2793\" data-end=\"2865\">\n<p class=\"\" data-start=\"2795\" data-end=\"2865\">Apar tulbur\u0103ri de digestie \u0219i absorb\u021bie (maldigestie, malabsorb\u021bie).<\/p>\n<\/li>\n<li class=\"\" data-start=\"2866\" data-end=\"2970\">\n<p class=\"\" data-start=\"2868\" data-end=\"2970\">Ficatul \u00ee\u0219i intensific\u0103 activitatea detoxifiant\u0103, iar celulele Kupffer devin mai active \u00een fagocitoz\u0103.<\/p>\n<\/li>\n<\/ul>\n<h4>Recomand\u0103ri esen\u021biale pentru men\u021binerea echilibrului metabolic \u00een timpul febrei<\/h4>\n<p class=\"\" data-start=\"124\" data-end=\"311\">1. Hidrateaz\u0103-te constant<br data-start=\"152\" data-end=\"155\" \/>\u00cen timpul febrei, organismul pierde ap\u0103 \u0219i electroli\u021bi prin transpira\u021bie \u0219i diurez\u0103. Bea lichide frecvent pentru a preveni deshidratarea, mai ales la copii.<\/p>\n<p class=\"\" data-start=\"313\" data-end=\"500\">2.\u202f\u202fEvit\u0103 mesele grele \u0219i bogate \u00een gr\u0103simi<br data-start=\"358\" data-end=\"361\" \/>Hiposecre\u021bia digestiv\u0103 \u0219i sc\u0103derea poftei de m\u00e2ncare reduc capacitatea de digestie. Opteaz\u0103 pentru alimente u\u0219or digerabile \u0219i por\u021bii mici.<\/p>\n<p class=\"\" data-start=\"502\" data-end=\"660\">3.\u202fOdihne\u0219te-te suficient<br data-start=\"530\" data-end=\"533\" \/>Metabolismul accelerat \u00een timpul febrei consum\u0103 mult\u0103 energie. Repausul ajut\u0103 corpul s\u0103 \u00ee\u0219i conserve resursele \u0219i s\u0103 se refac\u0103.<\/p>\n<p class=\"\" data-start=\"662\" data-end=\"870\">4.\u202f\u202fMonitorizeaz\u0103 echilibrul electrolitic<br data-start=\"705\" data-end=\"708\" \/>Reten\u021bia sau pierderea de sodiu \u0219i cloruri poate afecta func\u021biile celulare. Suplimentele cu electroli\u021bi (la recomandarea medicului) pot fi utile \u00een cazuri severe.<\/p>\n<p class=\"\" data-start=\"872\" data-end=\"1055\">5.\u202fAsigur\u0103 un aport proteic adecvat<br data-start=\"910\" data-end=\"913\" \/>Febra cre\u0219te degradarea proteinelor. Dac\u0103 este posibil, consum\u0103 surse u\u0219oare de proteine (iaurt, ou, br\u00e2nz\u0103 slab\u0103, carne fiarta slaba) pentru a preveni caren\u021bele.<\/p>\n<p class=\"\" data-start=\"1057\" data-end=\"1236\">6.\u202f\u202fAsigur\u0103 aerisirea corect\u0103 a camerei<br data-start=\"1099\" data-end=\"1102\" \/>Hiperventila\u021bia \u0219i sc\u0103derea CO\u2082 pot duce la ame\u021beli. Aerul proasp\u0103t \u0219i umiditatea optim\u0103 sprijin\u0103 respira\u021bia \u0219i confortul pacientului.<\/p>\n<p class=\"\" data-start=\"1238\" data-end=\"1451\">7.\u202f\u202fSupravegheaz\u0103 starea neurologic\u0103<br data-start=\"1276\" data-end=\"1279\" \/>Spasmul vaselor cerebrale \u0219i hipoxia pot duce la confuzie sau convulsii, mai ales la copii. Cere imediat ajutor medical \u00een caz de agita\u021bie, pierderea cuno\u0219tin\u021bei sau crize.<\/p>\n<p data-start=\"1238\" data-end=\"1451\">Modific\u0103rile metabolice \u00een febr\u0103 sunt complexe \u0219i pot afecta sever echilibrul intern al organismului. O gestionare corect\u0103 presupune nu doar sc\u0103derea temperaturii, ci \u0219i sus\u021binerea metabolismului \u0219i prevenirea complica\u021biilo<\/p>\n<p data-start=\"2975\" data-end=\"3216\">Documentat din: Manual Fiziopatologie, vol. I<\/p>\n<p data-start=\"2975\" data-end=\"3216\"><a href=\"https:\/\/www.facebook.com\/profile.php?id=61572639073054\" target=\"_blank\" rel=\"noopener\">FACEBOOK NUTRICARDIO MAGAZINE<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Modific\u0103rile metabolice \u00een febr\u0103 reprezint\u0103 un ansamblu complex de reac\u021bii ale organismului la agresiuni interne sau externe, cum ar fi<\/p>\n","protected":false},"author":1,"featured_media":1629,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,4],"tags":[128,495,496,497,498,196],"class_list":["post-1628","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-longevitate","category-nutritie","tag-doinel-ungureanu","tag-metabolismul-glucidic","tag-metabolismul-lipidic","tag-metabolismul-proteic","tag-sistemul-digestiv-si-ficatul","tag-vitamine-si-minerale"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Modific\u0103rile metabolice \u00een febr\u0103 - Cabinet NutriCardio<\/title>\n<meta name=\"description\" content=\"Modific\u0103rile metabolice \u00een febr\u0103 influen\u021beaz\u0103 profund digestia, respira\u021bia celular\u0103 \u0219i echilibrul hidric \u0219i electrolitic al organismului.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nutricardio.ro\/modificarile-metabolice-in-febra\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Modific\u0103rile metabolice \u00een febr\u0103. 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