Burn
☆ Fir-riżultati ta' Stiftung Warentest tal-2022 mill-Ġermanja, is-sodisfazzjon tal-konsumatur b'ModelDerm kien biss ftit inqas milli b'konsultazzjonijiet bit-telemediċina mħallsa.
Ħruq tat-tieni grad: Jekk il-folji huma preżenti, il-ħruq huwa kklassifikat bħala tat-tieni grad.
References
Ħruq superfiċjali (l-ewwel grad) jaffettwa biss is-saff ta 'fuq tal-ġilda. Dawn il-ħruq jidhru roża jew aħmar, ma jiffurmawx folji, huma niexfa, u jistgħu jkunu kemmxejn bl-uġigħ. Ġeneralment ifiequ f'5 sa 10 ijiem mingħajr ma jħallu ċikatriċi. Ħruq tat-tieni grad, imsejjaħ ukoll ħruq superfiċjali ta 'ħxuna parzjali, jaffettwa s-saff ta' barra tal-parti aktar profonda tal-ġilda. Infafet huma komuni u jistgħu jibqgħu meta jidhru għall-ewwel darba. Wara li tinfetaħ il-folja, il-ġilda ta' taħt tkun ħamra jew roża b'mod uniformi u ssir bajda meta tagħfas. Dawn il-ħruq huma bl-uġigħ. Huma tipikament fejqan f'2 sa 3 ġimgħat b'ċikatriċi minimi. Ħruq ta 'ħxuna parzjali fil-fond tinvolvi l-parti l-aktar profonda tas-saff aktar profond tal-ġilda. Bħal ħruq superfiċjali bi ħxuna parzjali, dawn jista 'jkollhom folji intatti. Meta l-folji jitneħħew, il-ġilda ta' taħt tkun ikkulurita b'mod mhux uniformi u ssir abjad bil-mod meta tagħfas. Pazjenti b'dawn il-ħruq iħossu ftit uġigħ, li jista' jiġri biss bi pressjoni profonda. Dawn il-ħruq jistgħu jfejqu mingħajr kirurġija, iżda jieħu aktar żmien, u ċikatriċi hija mistennija.
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.
Il-maġġoranza tal-ħruq huma minuri u jistgħu jiġu kkurati d-dar jew minn fornituri tal-kura tas-saħħa lokali mingħajr ma jkun hemm bżonn dħul fl-isptar. Madankollu, dan il-kapitolu se jindirizza speċifikament il-kura u t-trattament immedjati ta 'ħruq sever. (Għal aktar informazzjoni, irreferi għat-taqsimiet dwar Ħruq, Evalwazzjoni u Ġestjoni, u Ħruq, Termali.)
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).
Il-korrimenti tal-ħruq spiss jiġu injorati iżda jistgħu jikkawżaw ħsara serja u saħansitra l-mewt. Ħruq sever iqajjem reazzjonijiet tal-ġisem kumplessi, inklużi risponsi immuni, bidliet metaboliċi, u xokk, li jistgħu jkunu diffiċli biex jiġu kkurati u jistgħu jirriżultaw f'falliment ta 'organi multipli.
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.
Ħruq li jaffettwaw biss is-saffi superfiċjali tal-ġilda huma magħrufa bħala ħruq superfiċjali jew tal-ewwel grad. Jidhru ħomor mingħajr infafet u l-uġigħ tipikament idum madwar tlett ijiem.
Meta l-ħsara testendi f'xi wħud mis-saff tal-ġilda sottostanti, hija ħruq ta 'ħxuna parzjali jew tat-tieni grad. Il-folji huma ta' spiss preżenti u ħafna drabi huma ta' uġigħ kbir. Il-fejqan jista 'jeħtieġ sa tmien ġimgħat u jistgħu jseħħu ċikatriċi.
Fi ħxuna sħiħa jew ħruq tat-tielet grad, il-korriment testendi għas-saffi kollha tal-ġilda. Ħafna drabi ma jkunx hemm uġigħ u ż-żona maħruqa hija iebsa.
Ħruq tar-raba 'grad addizzjonalment jinvolvi korriment għal tessuti aktar profondi, bħal muskoli, għeruq, jew għadam. Il-ħruq spiss ikun iswed u spiss iwassal għal telf tal-parti maħruqa.
○ Trattament - Drogi OTC
Huwa importanti ħafna li ma jinkisrux il-folji fuq iż-żona maħruqa. Tajjeb li tbattal biss is-serum fil-folja. Għandha tingħata attenzjoni biex il-garża jew l-ilbies ma jitħallewx jeħel mal-folja u jqattgħu jew ineħħuha.
Għatti l-ħruq b'faxxa nadifa biex tipproteġi ż-żona affettwata. Jekk il-folji jkunu diġà nqalgħu, għandhom jintużaw antibijotiċi topiċi jew krema tal-fidda sulfadiazine 1% (Silmazine). Ħu NSAIDs, acetaminophen, u anti-istaminiċi OTC biex tnaqqas l-infjammazzjoni u l-uġigħ.
Antibijotiċi topiċi
#Bacitracin
#Silver sulfadiazine 1% cream
Ittaffi l-uġigħ
#Ibuprofen
#Naproxen
#Acetaminophen
Antistaminiku OTC
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]