Burn
☆ Kwiziphumo zika-2022 ze-Stiftung Warentest ezivela eJamani, ukwaneliseka kwabathengi ngeModelDerm bekungaphantsi kancinci kunokubonisana nge-telemedicine ehlawulweyo.
Ukutsha kwesidanga sesibini: Ukuba amadyungudyungu akhona, ukutsha kuchazwa njengenqanaba lesibini.
References
Ukutshisa okungaphezulu (i-degree yokuqala) kuchaphazela kuphela umaleko wesikhumba ophezulu. Oku kutsha kukhangeleka kubomvu okanye kubomvu, awenzi amadyunguza, omile, kwaye anokuba buhlungu noko. Ngokuqhelekileyo baphilisa nge-5 kwiintsuku ze-10 ngaphandle kokushiya izibazi. Ukutsha kweqondo lesibini, okukwabizwa ngokuba kukutshisa okungaphaya kokutyeba, kuchaphazela umaleko ongaphandle wenxalenye enzulu yolusu. Amadyungudyungu aqhelekile kwaye anokuhlala xa ebonwa okokuqala. Emva kokuba i-blister ivuliwe, isikhumba esingaphantsi sibomvu okanye sipinki kwaye siya kuba mhlophe xa sicinezelwe. Oku kutshisa kubuhlungu. Ngokuqhelekileyo baphilisa kwiiveki ezi-2 ukuya kwezi-3 kunye nokulimala okuncinci. Ukutshisa okunzulu okutyebileyo kubandakanya indawo enzulu yolusu. Njengokutshisa okungaphaya kobungqingqwa, oku kunokuba namadyungudyungu. Xa amadyunguza esusiwe, ulusu olungaphantsi luba nemibala engalinganiyo kwaye lujika lube mhlophe kancinci xa lucinezelwe. Izigulana ezinokutsha ziziva iintlungu ezincinci, ezinokuthi zenzeke kuphela ngoxinzelelo olunzulu. Oku kutshisa kunokuphilisa ngaphandle kotyando, kodwa kuthatha ixesha elide, kwaye kulindeleke ukuba kubekho amanxeba.
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.
Uninzi lokutsha luncinci kwaye lunokunyangwa ekhaya okanye ngababoneleli bezempilo bengingqi ngaphandle kokufuna ukulaliswa esibhedlele. Nangona kunjalo, esi sahluko siya 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).
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).
Ukwenzakala okutshileyo kuhlala kungahoywa kodwa kunokubangela ingozi enkulu kunye nokufa. Ukutshisa okugqithisileyo kubangela ukusabela komzimba okuntsokothileyo, kubandakanywa ukuphendula kwamajoni omzimba, utshintsho lwemetabolism, kunye nokothuka, okunokuba nzima 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.
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 okungaphezulu okanye okukwiqondo lokuqala. Zibonakala zibomvu ngaphandle kwamadyunguza kwaye iintlungu zihlala malunga neentsuku ezintathu.
Xa ukwenzakala kudlulela kwezinye zoluhlu lwesikhumba olungaphantsi, kukutyeba okanye ukutshisa okwesibini. Amadyungudyungu ahlala ekhona kwaye asoloko ebuhlungu kakhulu. Ukunyangwa kunokuthatha ukuya kwiiveki ezisibhozo kwaye kuyenzeka amanxeba.
Kwi-full-thickness okanye i-degree-degree burn, ukulimala kufikelela kuzo zonke iileyile zesikhumba. Amaxesha amaninzi akukho zintlungu kwaye indawo etshileyo iqinile.
Ukutshisa kwe-degree yesine kubandakanya ukulimala kwizicubu ezinzulu, ezinjenge-muscle, i-tendon, okanye ithambo. Ukutsha kuvamise ukuba mnyama kwaye rhoqo kukhokelela ekulahlekeni kwendawo etshileyo.
○ Unyango ― OTC Amachiza
Kubaluleke kakhulu ukuba ungawaphuli amadyunguza kwindawo etshileyo. Kulungile ukukhupha kuphela i-serum kwi-blister. Ukunyamekela kufuneka kuthathwe ukukhusela i-gauze okanye ukugqoka ekubambeni kwi-blister kunye nokukrazula okanye ukuyisusa.
Gquma ukutsha ngebhandeji ecocekileyo ukukhusela indawo echaphazelekayo. Ukuba amadyungudyungu 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]