Burn
☆ Germaniyaning 2022 yilgi Stiftung Warentest natijalariga ko'ra, iste'molchilarning ModelDermdan qoniqish darajasi pullik teletibbiyot maslahatlariga qaraganda bir oz pastroq bo'lgan.
Ikkinchi darajali kuyish: pufakchalar mavjud bo'lsa, kuyish ikkinchi darajali deb tasniflanadi.
References
Yuzaki kuyish (birinchi daraja) faqat terining yuqori qatlamiga ta'sir qiladi. Bu kuyishlar pushti yoki qizil ko'rinadi, pufakchalar hosil qilmaydi, quruq va biroz og'riqli bo'lishi mumkin. Odatda ular 5-10 kun ichida iz qoldirmasdan tuzalib ketadi. Ikkinchi darajali kuyish, shuningdek, yuzaki qisman qalinlikdagi kuyish, terining chuqur qismining tashqi qatlamiga ta'sir qiladi. Blisterlar tez-tez uchraydi va birinchi marta ko'rilganda qolishi mumkin. Blister ochilgandan so'ng, teri ostidagi teri bir xilda qizil yoki pushti rangga ega va bosilganda oq rangga aylanadi. Bu kuyishlar og'riqli. Odatda ular 2-3 hafta ichida minimal chandiq bilan tuzalib ketadi. Chuqur qisman qalinlikdagi kuyish terining chuqur qatlamining chuqur qismini qamrab oladi. Yuzaki qisman qalinlikdagi kuyishlar singari, ularda ham pufakchalar bo'lishi mumkin. Pufakchalar olib tashlanganda, ostidagi teri notekis rangga ega bo'lib, bosilganda asta-sekin oq rangga aylanadi. Bunday kuyishlar bilan og'rigan bemorlar ozgina og'riqni his qilishadi, bu faqat chuqur bosim bilan sodir bo'lishi mumkin. Bu kuyishlar jarrohliksiz tuzalib ketishi mumkin, ammo bu uzoq davom etadi va chandiqlar paydo bo'lishi kutiladi.
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.
Kuyishlarning aksariyati kichikdir va kasalxonaga yotqizmasdan uyda yoki mahalliy tibbiyot xodimlari tomonidan davolash mumkin. Biroq, bu bobda og'ir kuyishlarni darhol davolash va davolash masalalari ko'rib chiqiladi. (Qo'shimcha ma'lumot uchun kuyishlar, baholash va boshqarish va kuyishlar, termal bo'limlarga qarang.)
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).
Kuyish jarohatlari ko'pincha e'tibordan chetda qoladi, ammo jiddiy zarar va hatto o'limga olib kelishi mumkin. Kuchli kuyishlar organizmning murakkab reaktsiyalarini, jumladan, immunitet reaktsiyalarini, metabolik o'zgarishlarni va zarbalarni keltirib chiqaradi, bu davolash qiyin bo'lishi mumkin va bir nechta organlarning ishlamay qolishiga olib kelishi mumkin.
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.
Faqat yuzaki teri qatlamlariga ta'sir qiladigan kuyishlar yuzaki yoki birinchi darajali kuyishlar deb ataladi. Ular pufakchalarsiz qizil ko'rinadi va og'riq odatda uch kun davom etadi.
Shikastlanish terining pastki qatlamining bir qismiga cho'zilganida, bu qisman qalinlikdagi yoki ikkinchi darajali kuyishdir. Ko'pincha pufakchalar mavjud va ular ko'pincha juda og'riqli. Shifolash sakkiz haftagacha davom etishi mumkin va chandiq paydo bo'lishi mumkin.
To'liq qalinlikdagi yoki uchinchi darajali kuyishda shikastlanish terining barcha qatlamlariga tarqaladi. Ko'pincha og'riq yo'q va kuygan joy qattiq bo'ladi.
To'rtinchi darajali kuyish qo'shimcha ravishda mushaklar, tendonlar yoki suyaklar kabi chuqurroq to'qimalarning shikastlanishini o'z ichiga oladi. Kuyish ko'pincha qora rangga ega va ko'pincha kuygan qismning yo'qolishiga olib keladi.
○ Davolash ― OTC dori vositalari
Kuygan joyda pufakchalarni buzmaslik juda muhimdir. Faqat pufakdagi sarumni to'kib tashlash yaxshidir. Doka yoki kiyinish pufakchaga yopishib qolmasligi va uni yirtib tashlashi yoki olib tashlashi uchun ehtiyot bo'lish kerak.
Ta'sir qilingan joyni himoya qilish uchun kuyish joyini toza bandaj bilan yoping. Agar pufakchalar allaqachon chiqib ketgan bo'lsa, topikal antibiotiklar yoki kumush sulfadiazin 1% krem (Silmazine) qo'llanilishi kerak. Yallig'lanish va og'riqni kamaytirish uchun NSAID, asetaminofen va OTC antigistaminlarini oling.
Mahalliy antibiotiklar
#Bacitracin
#Silver sulfadiazine 1% cream
Og'riq qoldiruvchi
#Ibuprofen
#Naproxen
#Acetaminophen
OTC antigistamin
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]