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| title | "Alacranismo o Escorpionismo" |
|---|
| body | "<center>https://erradica.com/wp-content/uploads/2018/07/picadura-de-alacran-como-identificarla.jpg.webp
[Fuente](https://erradica.com/escorpiones/picadura/)</center>
<center>https://i.ibb.co/d2x4JgV/separador-1.png</center>
<div class="text-justify">
##### **Medicina y Salud** es creado para informarte, educarte y dar tips sobre las enfermedades y avances a nivel de salud en prevención, tratamiento y restablecimiento de la salud en todos sus ámbitos.Soy Internista y especialista en Educación Ambiental, y les daré recorridos por tópicos donde conoceremos aspectos importantes sobre el área de medicina y el ambiente que nos rodea como equilibrio para nuestra buena salud, física y emocional.</div>
<center>https://i.ibb.co/d2x4JgV/separador-1.png</center>
<center><strong> Alacranismo o Escorpionismo </strong></center>
<center>
</center>
<div class="text-justify"> El alacranismo o escorpionismo es el empozoñamiento escorpiónico, es una enfermedad ambiental, es la patología sistémica (generalizada) que se desarrolla posterior a la "picada" de un arácnido, familia Buthidae, género Tytius, el alacrán (escorpión). </div><P/>
<div class="text-justify"> Aunque hay subregistro por no descifrar el origen o por no definir en el registro de historias médicas o certificados de defunción por solo definir la patología desarrollada por el emponzoñamiento. </div><P/>
<div class="text-justify"> Los síndromes desarrollados y su enlace epidemiológico ("picada de alacrán") sirve para su diagnóstico. Entre los que se desarrollan son: pancreatitis aguda, síndrome de dificultad respiratoria, falla cardíaca (miocarditis), edema de pulmón, shock y sangramiento (alteraciones de la hemostasis) y alteración generalizada del organismo (falla multiorgánica - sepsis). </div><P/>
<div class="text-justify"> En nuestro país Miranda, Zulia, Falcón, Trujillo, Mérida, Monagas, Sucre y Dtto. Capital, son los estados que reportan casos de pacientes con alacranismo o escorpionismo. </div><P/>
<div class="text-justify"> Cuando trabajé como médico rural en Río Caribe (municipio Arismendi, península de Paria, estado Sucre) atendimos en dos años un total de once casos, le agradecimos al Centro de Investigación y Asesoría Toxicológica (CIATO) que según esta institución nos calificaba cuasi expertos en el tema al Hospital "Pedro Figallo" de Río Caribe. </div><P/>
<div class="text-justify"> Para el género Tityus en Venezuela se han determinado 47 especies, T discrepans, T falconensis se les ha asociado con esta patología. </div><P/>
<div class="text-justify"> En nuestra región occidental se ha demostrado, en el estado Falcón, que la especie Tityus falconensis (González Sponga, 1974) es el que está asociado al alacranismo o escorpionismo, además que los registros dicen que en occidente es excepcional el desarrollo de pancreatitis. </div><P/>
<div class="text-justify"> La detección en la sangre de sustancias citoquinas como las interleuquinas, óxido nítrico y la creatinfosfokinasa mb, que se producen incontroladamente, nos identifica la fisiopatología del alacranismo o escorpionismo como un proceso de inflamación generalizado y un proceso cardiomiopático (Alejandro Guinand, Hernando Cortés, Gina D´Suze, Patricia Díaz, Carlos Sevcik, Manuel González-Sponga, Giovanny Eduarte, 2004). </div><P/>
<div class="text-justify"> Localmente en el lugar de picadura del alacrán (escorpuó) hay flogosis (dolor como sensación de ardor o quemadura, aumento de volumen, enrojecimiento), parestesias (sensación de adormecimiento o anestesia), quizás pueda haber piel de gallina alrededor de la picada, con alteración muscular local (contracciones musculares, temblor ( fibrilación muscular), paciente pediátrico llora muy excitado y tembloroso con muchos gemidos. </div><P/>
<div class="text-justify"> A nivel general el paciente está con palidez, sudoración, fiebre al principio, hipotermia posteriir que anuncia el shock, síntomas neurológicos como dolor de cabeza, mareos, debilidad o astenia, convulsiones, alteración de la conciencia (somnolencia, agitación, delirio, confusional o en coma). </div><P/>
<div class="text-justify"> Hay alteración de secreciones con salivación (sialorrea desde el principio que puede ahogar a la persona), mocosidad nasal (rinorrea) y lagrimeo (epífora), que es una tríada diagnóstica. </div><P/>
<div class="text-justify"> Síntomas digestivos como dolor abdominal (cólicos) difuso o en epigastrio (boca del estómago), vómitos acuosos, distensión de la barriga, evacuaciones líquidas (diarrea), hasta espontáneas (relajación del esfínter anal). Alteraciones visuales (visión borrosa con movimientos oculares involuntarios rápidos). </div><P/>
<div class="text-justify"> Manifestaciones osteomusculares como mialgia (dolor muscular) artralgia (dolor articular) o ambos (mioartralgia). </div><P/>
<div class="text-justify"> Alteración de signos vitales como frecuencia alta de respiración (taquipnea), alteración de la frecuencia o forma del ritmo del corazón o pulso (arritmias) y de la tensión (hipertensión al principio, hipotensión al final acompañada sudoración profusa y palidez), bajo gasto cardíaco (insuficiencia cardíaca, edema pulmonar, shock, paro cardíaco). </div><P/>
<div class="text-justify"> El tratamiento es el bloqueo inmunológico de las toxinas (suero antiescorpiónico), analgésicos o antinflamatorios, antialérgicos, reposición de fluidos, electrolitos y de los factores de coagulación, atención de mecanismo de tensión arterial, arritmias y de fallas cardíacas. Sobre todo NO USAR ADRENALINA, que se usa en ocasiones en caso de afectación severa de alergias, que el caso de alacranismo o escorpionismo, está asociada al deterioro de la función cardíaca y aparición de arritmias. </div><P/>
### <div class="phishy">Reseñado por @eliorrios para </div>
<center><center><img class="aligncenter" src="https://steemitimages.com/640x0/https://cdn.steemitimages.com/DQmd3vxBGirLPakbi5BFAT29aGNHp8gaR3Gnr9oNDDXZfUi/image.png" /></center><br/></center>
<center>https://i.ibb.co/d2x4JgV/separador-1.png</center>
<div class="pull-right"><img src="https://steemitimages.com/640x0/https://cdn.steemitimages.com/DQmdQa7GbUNW7r5G4FBPFfwnqWcMcqgfaVP4ZBbyZevUQ9s/discord-logo-png-7634.png"/></center><center><a href= "https://discordapp.com/channels/589861022593056771/589947684933074964">This link will take you away from steemit</a></center></div>
<div class="text-justify">
@acropolis es un proyecto que desea promover el arte en sus distintas manifestaciones y la cultura en steemit, a través de la publicación y curación de contenido de calidad. ¿Quieres formar parte del proyecto? ¿deseas apoyarnos? ingresa a nuestro canal de discord. Te esperamos.
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<center>https://i.ibb.co/d2x4JgV/separador-1.png</center>" |
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| json_metadata | {"tags":["gems","cervantes","curangel","templo","palnet","ocd","aeneas"],"users":["eliorrios","acropolis"],"image":["https://erradica.com/wp-content/uploads/2018/07/picadura-de-alacran-como-identificarla.jpg.webp","https://i.ibb.co/d2x4JgV/separador-1.png","https://images.hive.blog/DQmW95SjFpMH4Mzte3Biki9FgBJgMe4Rr47spGxE7F9DGKG/WhatsApp%20Image%202021-04-13%20at%209.32.21%20AM.jpeg","https://steemitimages.com/640x0/https://cdn.steemitimages.com/DQmd3vxBGirLPakbi5BFAT29aGNHp8gaR3Gnr9oNDDXZfUi/image.png","https://steemitimages.com/640x0/https://cdn.steemitimages.com/DQmdQa7GbUNW7r5G4FBPFfwnqWcMcqgfaVP4ZBbyZevUQ9s/discord-logo-png-7634.png"],"links":["https://erradica.com/escorpiones/picadura/"],"app":"hiveblog/0.1","format":"markdown"} |
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| 1. | | 0. | comment_options |
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| 1. | | author | acropolis |
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| permlink | alacranismo-o-escorpionismo |
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| max_accepted_payout | 1,000,000.000 HBD |
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| percent_hbd | 10,000 |
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| allow_votes | true |
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| allow_curation_rewards | true |
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| extensions | [] |
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| extensions | [] |
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| signatures | | 0. | 203b57e4b5949568409447fb456051ae76035562ca5307c7acb3b1c84b77d0b5824302b2e4d88027dfeb0ee28597c7bd16e44643e6796e0d47572b45d176391594 |
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| transaction_id | e2d0c5fddf9e8f158f6d704c74f9a65c648d6a2d |
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| block_num | 53,793,471 |
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| transaction_num | 35 |
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| 36. | | ref_block_num | 53,950 |
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| ref_block_prefix | 428,034,543 |
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| expiration | 2021-05-11 10:29:39 |
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| operations | | 0. | | 0. | custom_json |
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| 1. | | required_auths | [] |
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| required_posting_auths | |
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| id | sm_submit_team |
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| json | "{"summoner": "starter-145-8AeiU", "monsters": ["starter-136-THYox", "C3-207-3ANNI7SQU8", "C3-230-B2WDS0JZDC", "C3-132-KPSNQHXE7K", "C3-131-0TX4IPDTXS", "C2-124-EBWHS42G7K"], "trx_id": "43db8cdb2795055ffcb33cc50ad457b717449693", "app": "steemmonsters/0.7.99", "secret": "tOwWW8o9V2", "team_hash": "0947a20457f97cf144ec6c94ac7874a1"}" |
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| extensions | [] |
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| signatures | | 0. | 1f4dd16e1dd611259e7820fbd5bb1b18c58c642ca39501f609569d9d3daf820cc43b3f16c10446c6bfa669d7413682616403ad02296c6cf8054f0fcf1276bf6a3a |
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| transaction_id | 5e23bbb5f892b41ef3357897070cd798a7479519 |
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| block_num | 53,793,471 |
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| transaction_num | 36 |
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hiveblocks