Burn https://en.wikipedia.org/wiki/Burn
https://en.wikipedia.org/wiki/Burn
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References Burn Classification 30969595
 Burn Classification 30969595 NIH
Igbona ti o ga julọ (first-degree) kan nikan ni ipele awọ ara oke. Awọn gbigbona wọnyi dabi pink tabi pupa, ko ṣe roro, ti gbẹ, ati pe o le jẹ irora diẹ. Nigbagbogbo wọn larada ni 5 si 10 ọjọ laisi fifi awọn aleebu silẹ. Igbona ti iwọn keji, ti a tun pe ni sisun ti o nipọn‑apakan, yoo ni ipa lori ipele ita ti dermis. Roro jẹ wọpọ ati pe o le wa nigba ti a ba ri ni akọkọ. Lẹhin ti roro ti wa ni ṣiṣi, awọ ara ti o wa ni isalẹ jẹ pupa tabi pink ati pe yoo di funfun nigbati o ba tẹ. Awọn gbigbona wọnyi jẹ irora. Nigbagbogbo wọn larada ni ọsẹ 2 si 3 pẹlu ọgbẹ kekere. Igbona ti o jinlẹ (deep partial‑thickness) jẹ apakan jinlẹ ti dermis. Bíi àpẹẹrẹ, àwọn wọ̀nyí lè ní roro tó wà níbẹ̀. Nigbati a ba yọ awọn roro kuro, awọ ara ti o wa ni isalẹ jẹ alawọ̀ pupa tí ó ń yí padà, tí ó sì di funfun lọ́ra nigbati o ba tẹ. Awọn alaisan ti o ni awọn gbigbona wọnyi ni irora kekere, tí ó lè wá nígbà tí a bá fi titẹ jinlẹ kan. Awọn gbigbona wọnyi le larada laisi iṣẹ abẹ, ṣugbọn o gba to gun, ó sì le fa aleebu.
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
 Burn Resuscitation and Management 28613546 NIH
Pupọ julọ awọn ijona jẹ kekere ati pe o le ṣe itọju ni ile tabi nipasẹ awọn olupese ilera agbegbe laisi nilo gbigba si ile-iwosan. Abala yii yoo dojukọ iṣeduro ibẹrẹ ati iṣakoso awọn ijona to lagbara. (Fun alaye diẹ sii, tọka si awọn apakan lori Burns, Igbelewọn ati Isakoso, ati Burns, Gbona.)
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
 Burn injury 32054846 NIH
Awọn ipalara sisun ni a maṣe akiyesi nigbagbogbo ṣugbọn o le fa ipalara nla ati paapaa iku. Awọn ijona nla nfa awọn aati ti ara ti o ni idiju, pẹlu awọn idahun ajẹsara, awọn iyipada iṣelọpọ, ati shoki pinpin (distributive shock), eyiti o le nira lati tọju ati pe o le ja si ikuna ti awọn ara-ara pupọ.
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.
 
Awọn gbigbona ti o ni ipa lori awọn ipele awọ-ara ti o ga julọ ni a mọ bi awọn ijona ti o ga tabi ipele akọkọ. Wọn han pupa laisi roro ati irora maa n wa ni ayika ọjọ mẹta.
Nigbati ipalara naa ba lọ si diẹ ninu awọn ipele awọ-ara ti o wa ni abẹlẹ, o jẹ sisanra-apakan tabi sisun-iwọn keji. Roro wa nigbagbogbo ati pe wọn ma n dun pupọ. Iwosan le nilo to ọsẹ mẹjọ ati pe o le waye.
Ni sisanra ti o ni kikun tabi sisun-kẹta, ipalara naa fa si gbogbo awọn ipele ti awọ ara. Nigbagbogbo ko si irora ati agbegbe sisun jẹ lile.
Sisun-iwọn kẹrin ni afikun pẹlu ipalara si awọn ara ti o jinlẹ, gẹgẹbi iṣan, awọn tendoni, tabi egungun. Awọn sisun nigbagbogbo dudu ati nigbagbogbo nyorisi isonu ti apa sisun.
○ Itọju - Oògùn OTC
O ṣe pataki pupọ lati ma ṣe fọ awọn roro lori agbegbe sisun. O dara lati fa omi ara nikan ninu roro. A gbọdọ ṣe itọju lati ṣe idiwọ gauze tabi imura lati dimọ si roro ati yiya tabi yiyọ kuro.
Bo sisun pẹlu bandage mimọ lati daabobo agbegbe ti o kan. Ti awọn roro naa ba ti lọ silẹ tẹlẹ, awọn oogun apakokoro ti agbegbe tabi fadaka sulfadiazine 1% ipara (Silmazine) yẹ ki o lo. Mu awọn NSAIDs, acetaminophen, ati awọn antihistamines OTC lati dinku iredodo ati irora.
Awọn egboogi ti agbegbe
#Bacitracin
#Silver sulfadiazine 1% cream
Irora irora
#Ibuprofen
#Naproxen
#Acetaminophen
#OTC antihistamine
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]