Burn - Ferbaarne
☆ Yn 'e 2022 Stiftung Warentest-resultaten út Dútslân wie de konsuminttefredenheid mei ModelDerm mar wat leger dan mei betelle telemedisynkonsultaasjes.
Twadde-graad burn: As blieren oanwêzich binne, wurdt de burn klassifisearre as twadde graad.
References
In oerflakkige brân (earste graad) beynfloedet allinich de boppeste hûdlaach. Dizze brânwûnen sjogge rôze of read, foarmje gjin blieren, binne droech en kinne wat pynlik wêze. Se genêze normaal yn 5 oant 10 dagen sûnder littekens efter te litten. In brân fan 'e twadde graad, ek wol in oerflakkige brân fan in part fan' e dikte neamd, beynfloedet de bûtenste laach fan it djipper diel fan 'e hûd. Blieren binne gewoan en kinne bliuwe as se earst sjoen wurde. Nei't de blister iepene is, is de hûd derûnder unifoarm read as roze en sil wyt wurde as yndrukt wurdt. Dizze brânwûnen binne pynlik. Se genêze typysk yn 2 oant 3 wiken mei minimale littekens. In djippe brân fan dielde dikte omfettet it djippere diel fan 'e djippere laach fan' e hûd. Lykas oerflakkige brânwûnen mei dielde dikte, kinne dizze yntakt blieren hawwe. As de blieren fuorthelle wurde, is de hûd derûnder ûngelikense kleure en wurdt stadichoan wyt by it drukken. Pasjinten mei dizze brânwûnen fiele in bytsje pine, wat allinich kin barre mei djippe druk. Dizze brânwûnen kinne sûnder sjirurgy genêze, mar it duorret langer, en litteken wurdt ferwachte.
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.
De mearderheid fan brânwûnen is lyts en kin thús behannele wurde as troch pleatslike soarchoanbieders sûnder talitting yn it sikehûs. Dit haadstik sil lykwols spesifyk rjochtsje op de direkte soarch en behanneling fan slimme brânwûnen. (Foar mear ynformaasje, ferwize nei seksjes oer Burns, Evaluaasje en Behear, en 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).
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).
Burnferwûnings wurde faak oersjoen, mar kinne serieuze skea en sels de dea feroarsaakje. Swiere brânwûnen lûke komplekse lichaamlike reaksjes út, ynklusyf ymmúnreaksjes, metabolike ferskowingen en skok, dy't lestich te behanneljen kinne en kinne resultearje yn mislearjen fan meardere organen.
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.
Burns dy't allinich de oerflakkige hûdlagen beynfloedzje binne bekend as oerflakkige of earste-graad brânwûnen. Se ferskine read sûnder blieren en pine duorret typysk sawat trije dagen.
As de blessuering útwreidet yn guon fan 'e ûnderlizzende hûdlaach, is it in brân fan in part-dikte of twadde graad. Blieren binne faak oanwêzich en se binne faak tige pynlik. Healing kin oant acht wiken duorje en littekens kinne foarkomme.
Yn in folsleine-dikte of tredde-graad burn, de blessuere wreidet út nei alle lagen fan 'e hûd. Faak is der gjin pine en is it ferbaarnde gebiet stiif.
In brân fan fjirde graad omfettet ek skea oan djippere weefsels, lykas spieren, tendons of bonken. De brân is faak swart en liedt faak ta ferlies fan it ferbaarnde diel.
○ Behanneling ― OTC Drugs
It is tige wichtich om de blieren op it ferbaarne gebiet net te brekken. It is goed om allinich it serum yn 'e blister te drainjen. Der moat soarch wurde nommen om foar te kommen dat it gaas of it kleed oan de blister plakt en it skuort of fuorthellet.
Cover de brân mei in skjinne ferbining om it troffen gebiet te beskermjen. As de blieren al ôfstutsen binne, moatte topikaal antibiotika of sulver sulfadiazine 1% crème (Silmazine) brûkt wurde. Nim NSAID's, acetaminophen, en OTC-antihistaminen om ûntstekking en pine te ferminderjen.
Aktuele antibiotika
#Bacitracin
#Silver sulfadiazine 1% cream
Pain reliever
#Ibuprofen
#Naproxen
#Acetaminophen
#OTC antihistamine
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]