Burn
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Ọkụ nke abụọ: Ọ bụrụ na ọnya dị, a na-ekewa ọkụ ahụ dị ka ogo nke abụọ.
References
Ọkụ dị elu (nke mbụ) na-emetụta naanị oyi akwa dị n'elu. Ọkụ ndị a na-adị ka pink ma ọ bụ ọbara ọbara, anaghị etolite ọnya, kpọrọ nkụ, ma nwee ike na-egbu mgbu. Ha na-agwọkarị n'ime ụbọchị 5 ruo 10 na-ahapụghị ọnyà. Ọkụ nke ogo nke abụọ, nke a na-akpọkwa ọkụ na-ahụ anya nke ukwuu, na-emetụta elu elu nke akụkụ dị omimi nke akpụkpọ ahụ. Ọnya na-adịkarị ma nwee ike ịdịgide mgbe mbụ ahụrụ ya. Mgbe emepechara ọnya ahụ, akpụkpọ ahụ dị n'okpuru na-acha uhie uhie ma ọ bụ pink na-acha ọcha, ọ ga-achakwa ọcha mgbe ịpịrị ya. Ọkụ ndị a na-egbu mgbu. Ha na-agwọkarị n'ime izu 2 ruo 3 na-enwe obere ọnyà. Ọkụ dị omimi nke akụkụ dị omimi na-agụnye akụkụ dị omimi nke oyi akwa akpụkpọ ahụ. Dị ka ihe na-ere ọkụ n'akụkụ akụkụ nke ịdị arọ, ndị a nwere ike inwe ọnya na-adịghị emebi emebi. Mgbe e wepụrụ ọnya ahụ, akpụkpọ ahụ dị n'okpuru na-achachaghị nke ọma ma na-atụgharị nwayọọ nwayọọ na-acha ọcha mgbe ịpịrị ya. Ndị ọrịa nwere ọkụ ndị a na-enwe obere ihe mgbu, nke nwere ike ime naanị na nrụgide miri emi. Ọkụ ndị a nwere ike ịgwọta na-enweghị ịwa ahụ, mana ọ na-ewe ogologo oge, a na-atụkwa anya ịcha.
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.
Ihe ka ukwuu n'ọkụ dị obere ma enwere ike ịgwọ ya n'ụlọ ma ọ bụ ndị na-ahụ maka ahụike mpaghara na-enweghị mkpa ịbanye n'ụlọ ọgwụ. Otú ọ dị, isiakwụkwọ a ga-ekwu kpọmkwem maka nlekọta ozugbo na ọgwụgwọ ọkụ ọkụ. (Maka ozi ndị ọzọ, rụtụ aka na ngalaba na 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).
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).
A na-eleghara mmerụ ahụ ọkụ anya mana ọ nwere ike ịkpata nnukwu mmerụ ahụ na ọbụna ọnwụ. Ọkụ siri ike na-ebute mmeghachi omume anụ ahụ dị mgbagwoju anya, gụnyere nzaghachi mgbochi ọrịa, mgbanwe metabolic, na ujo, nke nwere ike isi ike ịgwọ ma nwee ike ibute ọdịda nke ọtụtụ akụkụ ahụ.
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.
Ọkụ nke na-emetụta naanị akwa akpụkpọ ahụ dị elu ka a maara dị ka ọkụ elu ma ọ bụ nke mbụ. Ha na-acha uhie uhie na-enweghị ọnya na mgbu na-adịkwa ihe dị ka ụbọchị atọ.
Mgbe mmerụ ahụ gbatịrị n'ime ụfọdụ oyi akwa akpụkpọ ahụ dị n'okpuru, ọ bụ oke akụkụ ma ọ bụ ọkụ nke abụọ. Ọnya na-apụtakarị ma ọ na-egbukarị mgbu. Ọgwụgwọ nwere ike ịchọ ihe ruru izu asatọ yana ọnya nwere ike ime.
N'ime oke oke ma ọ bụ ọkụ nke atọ, mmerụ ahụ na-agbatị n'ụdị akpụkpọ ahụ niile. Ọtụtụ mgbe, ọ dịghị ihe mgbu na mpaghara ọkụ na-esi ike.
Ọkụ nke ogo anọ na-agụnyekwa mmerụ ahụ nke anụ ahụ dị omimi, dị ka akwara, akwara, ma ọ bụ ọkpụkpụ. Ọkụ ahụ na-abụkarị oji ma na-ebutekarị mfu nke akụkụ ahụ gbara ọkụ.
○ Ọgwụgwọ ― OTC Ọgwụ
Ọ dị ezigbo mkpa ka ị ghara imebi ọnya na mpaghara ọkụ. Ọ dị mma igbapu naanị serum na ọnya. Ekwesịrị ịkpachara anya iji gbochie gauze ma ọ bụ uwe ịrapara na ọnya na dọka ma ọ bụ wepụ ya.
Na-ekpuchi ọkụ ahụ na bandeeji dị ọcha iji chebe ebe ahụ emetụtara. Ọ bụrụ na ọnya ahụ akwụsịlarị, a ga-eji ọgwụ nje mee ihe ma ọ bụ ọlaọcha sulfadiazine 1% ude (Silmazine). Were NSAIDs, acetaminophen, na OTC antihistamines iji belata mbufụt na mgbu.
Ọgwụ nje ndị dị n'elu
#Bacitracin
#Silver sulfadiazine 1% cream
Ihe nkwụsị mgbu
#Ibuprofen
#Naproxen
#Acetaminophen
#OTC antihistamine
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]