Burn
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U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
Opekotine drugog stepena: Kada su prisutni plikovi, opekotine se smatraju opekotinama drugog stepena.
relevance score : -100.0%
ReferencesPovršinska opekotina (prvog stepena) zahvata samo gornji sloj kože. Ove opekotine su ružičaste ili crvene, ne stvaraju plikove, su suhe i mogu biti blago bolne. Obično zacijele za 5‑10 dana bez ostavljanja ožiljaka. Opeklina drugog stepena, koja se naziva i površinska opekotina djelomične debljine, zahvata vanjski sloj dubljeg dijela kože. Plikovi su česti i mogu ostati vidljivi pri prvom pregledu. Nakon otvaranja blistera, koža ispod je jednolično crvena ili ružičasta i postaje bijela kada se pritisne. Ove opekotine su bolne. Obično zacjeljuju za 2‑3 sedmice uz minimalne ožiljke. Duboka opekotina djelomične debljine uključuje dublji dio kože. Kao i površinske opekotine djelomične debljine, i one mogu imati netaknute plikove. Kada se plikovi uklone, koža ispod je neujednačeno obojena i polako postaje bela kada se pritisne. Pacijenti s ovakvim opekotinama osjećaju blagu bol, koja se pojačava samo pri dubokom pritisku. Ove opekotine mogu zacijeliti bez operacije, ali proces traje duže i očekuje se formiranje ožiljka.
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.
Većina opekotina je blaga i može se liječiti kod kuće ili od strane lokalnih zdravstvenih radnika, bez hospitalizacije. Međutim, ovo poglavlje se posebno bavi neposrednom njegom i liječenjem teških opekotina. (Za više informacija, pogledajte odjeljke o opekotinama, evaluaciji i upravljanju termičkim opekotinama.)
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).
Ozljede od opekotina često se zanemaruju, ali mogu uzrokovati ozbiljne posljedice, pa čak i smrt. Teške opekotine pokreću složene tjelesne reakcije, uključujući imunološke reakcije, metaboličke promjene i šok, što može biti teško liječiti i može dovesti do otkazivanja više organa.
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.
Opekline koje zahvaćaju samo površinske slojeve kože poznate su kao površinske opekotine ili opekotine prvog stepena. Koža je crvena, bez plikova, a bol obično traje oko tri dana.
Kada se ozljeda proširi na dublje slojeve kože, radi se o opekotini djelomične debljine ili opekotini drugog stepena. Plikovi su česti i veoma bolni. Zarastanje može potrajati do osam sedmica i može ostaviti ožiljak.
Kod opekotina pune debljine (trećeg stepena) ozljeda zahvata sve slojeve kože. Često nema bolova, a zahvaćeno područje je ukočeno.
Opekotina četvrtog stepena uključuje i oštećenje dubljih tkiva, poput mišića, tetiva ili kostiju. Koža je obično crna i može doći do gubitka zahvaćenog dijela.
○ Liječenje – OTC lijekovi
Vrlo je važno da ne razbijate plikove na oštećenom mjestu. U pliku je dobro ostaviti samo serumu. Pazite da gaza ili obloga ne zalijepe plik i da se ne odvoji ili ukloni.
Pokrijte opekotinu čistim zavojem kako biste zaštitili zahvaćeno područje. Ako su plikovi već pukli, potrebno je koristiti lokalne antibiotike ili kremu srebrnog sulfadiazina 1 % (Silmazin). Uzmite NSAID, acetaminofen i OTC antihistaminike kako biste smanjili upalu i bol.
Lokalni antibiotici
#Bacitracin
#Silver sulfadiazine 1% cream
Sredstva protiv bolova
#Ibuprofen
#Naproxen
#Acetaminophen
OTC antihistaminici
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]