Burn
https://en.wikipedia.org/wiki/Burn
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References
Burn Classification 30969595 NIH
Ukutshisa okungaphezulu (i-degree yokuqala) kuchaphazela kuphela umaleko wesikhumba ophezulu. Oku kutshisa kubonakala kubomvu okanye pinki, akwenza amadyungudyu, kumile, kwaye kunokubuhlungu kancinci. Ngokuqhelekileyo, kutshabalala phakathi kweentsuku ezili-5 ukuya kwezi-10 ngaphandle kokushiya izibazi. Ukutshisa kweqondo lesibini, okubizwa ngokuba kukutshisa okungaphaya kokutyeba, kuchaphazela umaleko ongaphandle wengxenye enzulu yolusu. Amadyungudyu aqhelekileyo anokuhlala xa ebonwa okokuqala. Emva kokuba i‑blister ivuliwe, isikhumba esingaphantsi sibomvu okanye sipinki, kwaye siya kuba mhlophe xa sicinezelwe. Oku kutshisa kubuhlungu. Ngokuqhelekileyo, kutshabalala kwiiveki ezili-2 ukuya kwezi-3 kunye nokulimala okuncinci. Ukutshisa okunzulu okutyebileyo kubandakanya indawo enzulu yolusu. Njengokutshisa okungaphaya kobungqingqwa, oku kunokuba namadyungudyu. Xa amadyungudyu esusiwe, ulusu olungaphantsi luba nemibala engalinganiyo kwaye lujika lube mhlophe kancinci xa lucinezelwe. Abantu abanesikhumba esichaphazelekayo banokuzwa iintlungu ezincinci, ezivela kuphela ngoxinzelelo olunzulu. Oku kutshisa kunokuphilisa ngaphandle kotyando, kodwa kuthatha ixesha elide, kwaye kulindeleke ukuba kube neamanxeba.
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.
Burn Resuscitation and Management 28613546 NIH
Uninzi lokutsha luncinci kwaye lunokunyangwa ekhaya okanye ngababoneleli bezempilo ngaphandle kokufuna ukulaliswa esibhedlele. Nangona kunjalo, esi sahluko uya kujongana ngqo nokhathalelo olukhawulezileyo kunye nonyango lokutshisa okukhulu. (Ukufumana ulwazi oluthe vetshe, jonga kumacandelo angokutshiswa, uVavanyo kunye noLawulo, kunye nokuTsha, ukuThermal.)
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).
Burn injury 32054846 NIH
Ukushisa okugqithisileyo akuhlali kubonakala, kodwa kunokubangela ingozi enkulu kunye nokufa. Ukushisa ngokugqithisileyo kubangela impendulo yomzimba ebhityileyo, kuquka ukuphendula kwamajoni omzimba, utshintsho lwemetabolism, kunye nokothuka, okunzima ukunyanga kwaye kunokubangela ukusilela kwamalungu amaninzi.
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.
Ukutshisa okuchaphazela kuphela umaleko wolusu ongaphezulu kwaziwa njengokutshisa kwinqanaba lokuqala. Ibonakala ibomvu ngaphandle kwamadyungude, kwaye iintlungu zihlala malunga neentsuku ezintathu.
Xa ukulimala kudlula kwinqanaba lesibini, kukutyeba okanye ukutshisa okwesibini. Amadyungude ahlala ekhona kwaye ahlala ebuhlungu kakhulu. Ukunyangwa kungathatha ukuya kwiiveki ezithile, kwaye kunokubangela amanxeba.
Kwi-full-thickness (i-degree 3) burn, ukulimala kufikelela kuzo zonke iileyile zesikhumba. Amaxesha amaninzi, akukho zintlungu, kwaye indawo etshileyo iqinile.
Ukutshisa kwinqanaba lesine kubandakanya ukulimala kwizicubu ezinzulu, ezinjenge-muscle, i-tendon, okanye ithambo. Ukutshisa kuvamise ukuba mnyama kwaye rhoqo kukhokelela ekulahlekeni kwendawo etshileyo.
○ Unyango ― OTC Amachiza
Kubalulekile ukuba ungawaphuli amadyungude kwindawo etshileyo. Kulungile ukukhupha i-serum kuphela kwi-blister. Ukunyamekela kufuneka kuquka ukukhusela nge-gauze okanye ukugqoka i-blister kunye nokukrazula okanye ukuyisusa.
Gquma ukutshisa ngebhandeji ecocekileyo ukukhusela indawo echaphazelekayo. Ukuba amadyungude sele ehlile, kufuneka kusetyenziswe i-antibiotics okanye i-silver sulfadiazine 1% cream (Silmazine). Thatha i-NSAID, i-acetaminophen, kunye ne-OTC antihistamines ukunciphisa ukuvuvukala kunye neentlungu.
Amayeza okubulala iintsholongwane
#Bacitracin
#Silver sulfadiazine 1% cream
Isithomalalisi sentlungu
#Ibuprofen
#Naproxen
#Acetaminophen
I-antihistamine ye-OTC
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]