Burn
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Germaniyaning 2022 yilgi Stiftung Warentest natijalariga ko'ra, iste'molchilarning ModelDermdan qoniqish darajasi pullik teletibbiyot maslahatlariga qaraganda bir oz pastroq bo'lgan.
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, bu holat ikkinchi darajali deb tasniflanadi.
relevance score : -100.0%
ReferencesYuzaki 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 bo'lib, 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 kichik bo'lib, kasalxonaga yotqizmasdan uyda yoki mahalliy tibbiyot xodimlari tomonidan davolash mumkin. Biroq, ushbu bobda og'ir kuyishlarni darhol davolash va ularni qanday boshqarish masalalari ko'rib chiqiladi. (Qo'shimcha ma'lumot uchun “Kuyishlar, baholash va boshqarish” hamda “Kuyishlar, termal bo'limlar” ga 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 keltirishi va hatto o'limga olib kelishi mumkin. Kuchli kuyishlar organizmda murakkab reaktsiyalarni, jumladan immunitet reaktsiyalarini, metabolik o'zgarishlarni va zarbalarni keltirib chiqaradi; bu davolashni qiyinlashtiradi va bir nechta organlarning ishlamasligiga 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 rangda bo‘ladi va og‘riq odatda uch kun davom etadi.
Shikastlanish terining chuqur qatlamlariga yetganda, bu qisman qalinlikdagi yoki ikkinchi darajali kuyish hisoblanadi. Ko‘pincha pufakchalar paydo bo‘ladi va ular juda og‘riqli bo‘lishi mumkin. Davolash sakkiz haftagacha davom etishi va chandiq paydo bo‘lishi ehtimoli bor.
To‘liq qalinlikdagi yoki uchinchi darajali kuyishda shikastlanish terining barcha qatlamlariga tarqaladi. Ko‘pincha og‘riq bo‘lmaydi, lekin kuygan joy qattiq bo‘ladi.
To‘rtinchi darajali kuyish mushaklar, tendonlar yoki suyaklar kabi chuqur to‘qimalarning shikastlanishini ham o‘z ichiga oladi. Kuyish ko‘pincha qora rangda bo‘ladi va kuygan qismning nekroziga olib kelishi mumkin.
○ Davolash ― OTC dori vositalari
Kuygan joyda pufakchalarni buzmaslik juda muhim. Pufakdagi suyuqlikni to‘kib tashlash tavsiya etiladi. Doka yoki kiyim pufakchaga yopishib qolmasligi, uni yirtib tashlash yoki olib tashlashdan ehtiyot bo‘ling.
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 antihistaminlarni qo‘llang.
Mahalliy antibiotiklar
#Bacitracin
#Silver sulfadiazine 1% cream
Og‘riq qoldiruvchi
#Ibuprofen
#Naproxen
#Acetaminophen
OTC antihistamin
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]