Burn
☆ V rezultatih raziskave Stiftung Warentest iz Nemčije leta 2022 je bilo zadovoljstvo potrošnikov z ModelDermom le nekoliko nižje kot s plačanimi telemedicinskimi svetovanji.
Opeklina druge stopnje: če so prisotni mehurji, je opeklina razvrščena kot druga stopnja.
References
Površinska opeklina (prva stopnja) prizadene le zgornjo plast kože. Te opekline so videti rožnate ali rdeče, ne tvorijo mehurjev, so suhe in so lahko nekoliko boleče. Običajno se zacelijo v 5 do 10 dneh brez brazgotin. Opeklina druge stopnje, imenovana tudi površinska opeklina delne debeline, prizadene zunanjo plast globljega dela kože. Pretisni omoti so pogosti in lahko ostanejo, ko jih prvič opazite. Po odprtju pretisnega omota je koža pod njim enakomerno rdeča ali rožnata in ob pritisku postane bela. Te opekline so boleče. Običajno se zacelijo v 2 do 3 tednih z minimalnimi brazgotinami. Globoka opeklina delne debeline vključuje globlji del globlje plasti kože. Tako kot površinske opekline delne debeline imajo lahko tudi te nepoškodovane mehurje. Ko mehurčke odstranimo, je koža pod njimi neenakomerno obarvana in ob pritisku počasi pobeli. Bolniki s temi opeklinami čutijo malo bolečine, kar se lahko zgodi le pri globokem pritisku. Te opekline se lahko zacelijo brez operacije, vendar traja dlje in pričakuje se brazgotinjenje.
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.
Večina opeklin je manjših in jih je mogoče zdraviti doma ali pri lokalnih izvajalcih zdravstvenih storitev, ne da bi morali biti sprejeti v bolnišnico. Vendar bo to poglavje posebej obravnavalo takojšnjo oskrbo in zdravljenje hudih opeklin. (Za več informacij glejte razdelke o opeklinah, vrednotenje in zdravljenje ter opeklinah, termičnih.)
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).
Opekline so pogosto spregledane, vendar lahko povzročijo resne poškodbe in celo smrt. Hude opekline sprožijo kompleksne telesne reakcije, vključno z imunskimi odzivi, presnovnimi spremembami in šokom, ki jih je težko zdraviti in lahko povzročijo odpoved več organov.
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.
Opekline, ki prizadenejo le površinske plasti kože, imenujemo površinske opekline ali opekline prve stopnje. Videti so rdeče brez mehurjev in bolečina običajno traja približno tri dni.
Kadar se poškodba razširi v del spodnje plasti kože, gre za opeklino delne debeline ali opeklino druge stopnje. Pogosto so prisotni mehurji, ki so pogosto zelo boleči. Celjenje lahko traja do osem tednov in lahko se pojavijo brazgotine.
Pri opeklini celotne debeline ali opeklini tretje stopnje se poškodba razširi na vse plasti kože. Pogosto ni bolečine in opečeno mesto je trdo.
Opeklina četrte stopnje dodatno vključuje poškodbo globljih tkiv, kot so mišice, kite ali kosti. Opeklina je pogosto črna in pogosto povzroči izgubo opečenega dela.
○ Zdravljenje ― OTC zdravila
Zelo pomembno je, da ne zlomite mehurjev na opečenem mestu. Dobro je odcediti samo serum v pretisnem omotu. Paziti je treba, da preprečite, da bi se gaza ali obloga prilepila na pretisni omot in ga strgala ali odstranila.
Pokrijte opeklino s čistim povojem, da zaščitite prizadeto območje. Če so se mehurčki že izločili, je treba uporabiti lokalne antibiotike ali 1% kremo s srebrovim sulfadiazinom (Silmazine). Za zmanjšanje vnetja in bolečine jemljite nesteroidna protivnetna zdravila, acetaminofen in antihistaminike brez recepta.
Lokalni antibiotiki
#Bacitracin
#Silver sulfadiazine 1% cream
Sredstvo za lajšanje bolečin
#Ibuprofen
#Naproxen
#Acetaminophen
OTC antihistaminik
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]