Burn - Brand
☆ In die 2022 Stiftung Warentest-resultate van Duitsland was verbruikerstevredenheid met ModelDerm net effens laer as met betaalde telemedisyne-konsultasies.
Tweedegraadse brandwond: As blase teenwoordig is, word die brand as tweedegraads geklassifiseer.
References
’n Oppervlakkige brandwond (eerstegraadse) raak net die boonste vellaag. Hierdie brandwonde lyk pienk of rooi, vorm nie blase nie, is droog en kan ietwat pynlik wees. Hulle genees gewoonlik binne 5 tot 10 dae sonder om letsels te laat. ’n Tweedegraadse brandwond, ook genoem ’n oppervlakkige gedeeltelike-dikte brandwond, affekteer die buitenste laag van die vel se dieper deel. Blase is algemeen en kan bly wanneer dit die eerste keer gesien word. Nadat die blister oopgemaak is, is die vel daaronder eenvormig rooi of pienk en sal dit wit word wanneer dit gedruk word. Hierdie brandwonde is pynlik. Hulle genees gewoonlik binne 2 tot 3 weke met minimale littekens. ’n Diep gedeeltelike-dikte brandwond behels die dieper deel van die vel se dieper laag. Soos oppervlakkige brandwonde van gedeeltelike dikte, kan dit ongeskonde blase hê. Wanneer die blase verwyder word, is die vel onder oneweredig gekleur en word dit stadig wit wanneer dit gedruk word. Pasiënte met hierdie brandwonde voel min pyn, wat dalk net met diep druk kan gebeur. Hierdie brandwonde kan sonder chirurgie genees, maar dit neem langer, en littekens word verwag.
A superficial (first-degree) burn involves the epidermis only. These burns can be pink-to-red, without blistering, are dry, and can be moderately painful. Superficial burns heal without scarring within 5 to 10 days. A second-degree burn, also known as a superficial partial-thickness burn, affects the superficial layer of the dermis. Blisters are common and may still be intact when first evaluated. Once the blister is unroofed, the underlying wound bed is homogeneously red or pink and will blanch with pressure. These burns are painful. Healing typically occurs within 2 to 3 weeks with minimal scarring. A deep partial-thickness burn involves the deeper reticular dermis. Similar to superficial partial-thickness burns, these burns can also present with blisters intact. Once the blisters are debrided, the underlying wound bed is mottled and will sluggishly blanch with pressure. The patient with a partial-thickness burn experiences minimal pain, which may only be present with deep pressure. These burns can heal without surgery, but it takes longer, and scarring is unavoidable.
A superficial (first-degree) burn involves the epidermis only. These burns can be pink-to-red, without blistering, are dry, and can be moderately painful. Superficial burns heal without scarring within 5 to 10 days. A second-degree burn, also known as a superficial partial-thickness burn, affects the superficial layer of the dermis. Blisters are common and may still be intact when first evaluated. Once the blister is unroofed, the underlying wound bed is homogeneously red or pink and will blanch with pressure. These burns are painful. Healing typically occurs within 2 to 3 weeks with minimal scarring. A deep partial-thickness burn involves the deeper reticular dermis. Similar to superficial partial-thickness burns, these burns can also present with blisters intact. Once the blisters are debrided, the underlying wound bed is mottled and will sluggishly blanch with pressure. The patient with a partial-thickness burn experiences minimal pain, which may only be present with deep pressure. These burns can heal without surgery, but it takes longer, and scarring is unavoidable.
Die meeste brandwonde is gering en kan tuis of deur plaaslike gesondheidsorgverskaffers behandel word sonder dat dit nodig is om in die hospitaal opgeneem te word. Hierdie hoofstuk sal egter spesifiek die onmiddellike versorging en behandeling van ernstige brandwonde aanspreek. (Vir meer inligting, verwys na afdelings oor brandwonde, evaluering en bestuur, en brandwonde, termies.)
Most burns are small and are treated at home or by local providers as outpatients. This chapter will focus on the initial resuscitation and management of severe burns. (Also see Burns, Evaluation and Management and Burns, Thermal).
Most burns are small and are treated at home or by local providers as outpatients. This chapter will focus on the initial resuscitation and management of severe burns. (Also see Burns, Evaluation and Management and Burns, Thermal).
Brandbeserings word dikwels oor die hoof gesien, maar kan ernstige skade en selfs die dood veroorsaak. Erge brandwonde veroorsaak komplekse liggaamsreaksies, insluitend immuunreaksies, metaboliese verskuiwings en skok, wat moeilik kan wees om te behandel en kan lei tot mislukking van verskeie organe.
Burn injuries are under-appreciated injuries that are associated with substantial morbidity and mortality. Burn injuries, particularly severe burns, are accompanied by an immune and inflammatory response, metabolic changes and distributive shock that can be challenging to manage and can lead to multiple organ failure.
Burn injuries are under-appreciated injuries that are associated with substantial morbidity and mortality. Burn injuries, particularly severe burns, are accompanied by an immune and inflammatory response, metabolic changes and distributive shock that can be challenging to manage and can lead to multiple organ failure.
Brandwonde wat slegs die oppervlakkige vellae aantas, staan bekend as oppervlakkige of eerstegraadse brandwonde. Hulle lyk rooi sonder blase en pyn duur gewoonlik ongeveer drie dae.
Wanneer die besering tot in sommige van die onderliggende vellaag strek, is dit 'n gedeeltelike dikte of tweedegraadse brandwond. Blase is gereeld teenwoordig en dit is dikwels baie pynlik. Genesing kan tot agt weke duur en littekens kan voorkom.
In 'n voldikte of derdegraadse brandwond strek die besering na alle lae van die vel. Dikwels is daar geen pyn nie en die verbrande area is styf.
'n Vierdegraadse brandwond behels ook besering aan dieper weefsels, soos spiere, senings of been. Die brandwond is dikwels swart en lei dikwels tot verlies van die verbrande deel.
○ Behandeling ― OTC-dwelms
Dit is baie belangrik om nie die blase op die verbrande area te breek nie. Dit is goed om net die serum in die blister te dreineer. Sorg moet gedra word om te verhoed dat die gaas of verband aan die blaas vassit en dit skeur of verwyder.
Bedek die brandwond met 'n skoon verband om die geaffekteerde area te beskerm. As die blase reeds weggeval het, moet aktuele antibiotika of silwer sulfadiasien 1% room (Silmazine) gebruik word. Neem NSAID's, acetaminophen, en OTC antihistamiene om inflammasie en pyn te verminder.
Aktuele antibiotika
#Bacitracin
#Silver sulfadiazine 1% cream
Pynverligter
#Ibuprofen
#Naproxen
#Acetaminophen
OTC antihistamien
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]