Burn
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Kuwotcha kwa digiri yachiwiri: Ngati matuza alipo, kuyakako kumatchedwa digiri yachiwiri.
References
Kuwotcha kwachiphamaso (digiri yoyamba) kumakhudza kokha pamwamba pa khungu. Kupsya uku kumawoneka pinki kapena kofiira, sikupanga matuza, kuuma, ndipo kumatha kukhala kowawa. Nthawi zambiri amachiritsa pakadutsa masiku 5 mpaka 10 popanda kusiya zipsera. Kuwotcha kwa digiri yachiwiri, komwe kumatchedwanso kupsya pang'ono-kukhuthala, kumakhudza mbali yakuya ya khungu. Matuza ndi ofala ndipo amatha kukhalabe akawonedwa koyamba. Pambuyo potsegula chithuza, khungu la pansi limakhala lofiira kapena lapinki ndipo limasanduka loyera likakanikizidwa. Zopsa izi zimakhala zowawa. Amachiritsa pakatha milungu iwiri kapena itatu popanda mabala ochepa. Kuwotcha kwakuya kwapang'onopang'ono kumakhudza mbali yakuya ya khungu. Mofanana ndi zilonda zapang'onopang'ono, izi zimatha kukhala ndi matuza. Matuza akachotsedwa, khungu la pansi limasanduka loyera ndipo limasanduka loyera pang'onopang'ono likakanikizidwa. Odwala omwe amawotchedwa amamva kupweteka pang'ono, zomwe zimangochitika ndi kupanikizika kwambiri. Kupsya uku kumatha kuchira popanda opaleshoni, koma zimatenga nthawi yayitali, ndipo zipsera zimayembekezeredwa.
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.
Zopsa zambiri zimakhala zazing'ono ndipo zimatha kuthandizidwa kunyumba kapena ndi azithandizo amderali popanda kufunikira kuchipatala. Komabe, mutuwu ufotokoza makamaka za chisamaliro chamsanga ndi chithandizo cha kutentha kwakukulu. (Kuti mumve zambiri, onani magawo a 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).
Kuvulala kwamoto nthawi zambiri kumanyalanyazidwa koma kungayambitse mavuto aakulu ngakhale imfa. Kuwotcha kwambiri kumayambitsa zovuta za thupi, kuphatikizapo kuyankha kwa chitetezo cha mthupi, kusintha kwa kagayidwe kachakudya, ndi mantha, zomwe zimakhala zovuta kuchiza ndipo zingayambitse kulephera kwa ziwalo zambiri.
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.
Zowotcha zomwe zimakhudza zigawo zapakhungu zokhazokha zimadziwika kuti zopsereza zapamwamba kapena zoyambirira. Amawoneka ofiira opanda matuza ndipo ululu nthawi zambiri umatenga masiku atatu.
Chovulalacho chikafika m'kati mwa khungu lomwe lili pansi pa khungu, ndi kutenthedwa pang'ono kapena kupsa kwa digiri yachiwiri. Matuza amapezeka kawirikawiri ndipo nthawi zambiri amakhala opweteka kwambiri. Machiritso amatha mpaka masabata asanu ndi atatu ndipo mabala amatha kuchitika.
Pakuwotcha kwathunthu kapena digiri yachitatu, chovulalacho chimafikira zigawo zonse za khungu. Nthawi zambiri palibe ululu ndipo malo opsereza amakhala olimba.
Kuwotcha kwa digiri yachinayi kumaphatikizaponso kuvulala kwa minofu yakuya, monga minofu, tendon, kapena fupa. Kuwotcha nthawi zambiri kumakhala kwakuda ndipo nthawi zambiri kumabweretsa kuwonongeka kwa gawo lomwe lapsa.
○ Chithandizo ― OTC Mankhwala
Ndikofunika kwambiri kuti musathyole matuza pa malo omwe adawotchedwa. Ndi bwino kukhetsa seramu yokha mu chithuza. Chisamaliro chiyenera kutengedwa kuti chopyapyala kapena chovalacho chisamamatire pa chithuza ndikung'amba kapena kuchichotsa.
Phimbani ndi bandeji yoyera kuti muteteze malo okhudzidwawo. Ngati matuza atopa kale, mankhwala opha tizilombo kapena silver sulfadiazine 1% kirimu (Silmazine) ayenera kugwiritsidwa ntchito. Tengani NSAIDs, acetaminophen, ndi OTC antihistamines kuti muchepetse kutupa ndi kupweteka.
Mankhwala opha tizilombo
#Bacitracin
#Silver sulfadiazine 1% cream
Kuchepetsa ululu
#Ibuprofen
#Naproxen
#Acetaminophen
#OTC antihistamine
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]