Burn - Boule
https://en.wikipedia.org/wiki/Burn
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References
Burn Classification 30969595 NIH
Yon boule supèrfisyèl (premye degre) afekte sèlman kouch po ki pi wo a. Boule sa yo parèt woz oswa wouj, pa fòme ti anpoul, yo sèk, epi yo ka yon ti jan douloure. Anjeneral yo geri nan 5 a 10 jou san yo pa kite mak. Yon boule dezyèm degre, ki rele tou yon boule sipèfisyèl pasyèl-epesè, afekte kouch ekstèn ki pi fon po a. Ti anpoul yo komen epi yo ka rete sou po a depi premye fwa. Apre ti anpoul la louvri, po ki anba a vin inifòm wouj oswa woz epi li pral vin blan lè yo peze. Boule sa yo fè mal. Yo anjeneral geri nan 2 a 3 semèn ak sikatris minim. Yon gwo epesè pasyèl (boule) enplike pati ki pi fon nan kouch po a. Tankou boule supèrfisyèl pasyèl-epesè, sa yo ka gen ti anpoul entè. Lè ti anpoul yo retire, po ki anba a gen yon koulè inegal epi li vin blan tou dousman lè yo peze. Pasyan ki gen boule sa yo santi yon ti doulè ki parèt sèlman lè gen gwo presyon sou twou san fon. Boule sa yo ka geri san operasyon, men li pran plis tan epi yo ka kite sikatris.
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.
Burn Resuscitation and Management 28613546 NIH
Majorite a se boule minè ki ka trete lakay ou oswa pa founisè swen sante lokal, san bezwen admisyon nan lopital. Sepandan, chapit sa a pral espesyalman adrese swen ijan ak tretman pou boule grav. (Pou plis enfòmasyon, al gade nan seksyon sou Burns, Evalyasyon ak Jesyon, ak 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).
Burn injury 32054846 NIH
Blesi boule yo souvan neglije, men yo ka lakòz gwo domaj e menm lanmò. Gwo boule deklanche reyaksyon kòporèl konplèks, ki gen ladan repons iminitè, chanjman metabolik, ak chòk, ki ka difisil pou trete epi ki ka lakòz echèk nan plizyè ògàn.
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.
Boule ki afekte sèlman kouch po sipèrfisyèl yo rele boule supèrfisyèl oswa premye degre. Yo parèt wouj, san anpoul, epi doulè a anjeneral dire anviwon twa jou.
Lè blesi a pwolonje nan kèk kouch po ki pi fon, li vin yon epesè pasyèl oswa boule dezyèm degre. Anpoul yo souvan prezan epi doulè a trè fò. Gerizon ka pran jiska uit semèn epi ka kite sikatris.
Nan yon boule plen epesè oswa twazyèm degre, blesi a rive nan tout kouch po a. Souvan pa gen doulè, men zòn boule a rèd.
Yon boule katriyèm degre enplike blesi nan tisi ki pi fon, tankou misk, tandon, oswa zo. Boule a souvan nwa epi li ka mennen nan pèt tisi ki boule a.
○ Tretman - Medikaman OTC
Li trè enpòtan pou pa kraze ti anpoul ki sou zòn boule a. Se sèlman serom ki soti nan ti anpoul la ki dwe vide. Pran prekosyon pou pa kite twal gaz oswa pansman kole ak anpoul la epi pa rache oswa retire li.
Kouvri boule a ak yon bandaj pwòp pou pwoteje zòn ki afekte a. Si ti anpoul yo deja disparèt, itilize antibyotik topik oswa krèm Silver sulfadiazine 1% (Silmazine). Pran NSAIDs, asetaminofèn, ak antihistamin OTC pou diminye enflamasyon ak doulè.
Antibyotik topik
#Bacitracin
#Silver sulfadiazine 1% cream
Soulaj doulè
#Ibuprofen
#Naproxen
#Acetaminophen
OTC antihistamin
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]