Burn
☆ Ninu awọn abajade 2022 Stiftung Warentest lati Jẹmánì, itẹlọrun alabara pẹlu ModelDerm jẹ kekere diẹ ju pẹlu awọn ijumọsọrọ telemedicine isanwo.
Ina-iwọn keji: Ti awọn roro ba wa, sisun naa jẹ ipin si iwọn keji.
References
Ijo ti o ga julọ (iwọn akọkọ) kan nikan ni ipele awọ ara oke. Awọn gbigbona wọnyi dabi Pink tabi pupa, ko ṣe awọn roro, ti gbẹ, ati pe o le jẹ irora diẹ. Nigbagbogbo wọn larada ni 5 si 10 ọjọ laisi fifi awọn aleebu silẹ. Ijin-iwọn keji, ti a tun pe ni sisun ti o nipọn-apakan, yoo ni ipa lori ipele ita ti apa jinle awọ ara. Roro jẹ wọpọ ati pe o le wa nigbati a ba rii 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. Ijin-sisan-ara ti o jinlẹ jẹ apakan jinle ti ipele ti awọ ara. Bi Egbò apa kan-sisanra iná, awọn wọnyi le ni mule roro. Nigbati a ba yọ awọn roro kuro, awọ ara ti o wa ni isalẹ jẹ awọ ti ko ni iwọn ati ki o di funfun laiyara nigbati o ba tẹ. Awọn alaisan ti o ni awọn gbigbona wọnyi ni irora kekere, eyiti o le ṣẹlẹ pẹlu titẹ jinlẹ nikan. Awọn gbigbona wọnyi le mu larada laisi iṣẹ abẹ, ṣugbọn o gba to gun, ati pe o nireti 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.
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.
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. Sibẹsibẹ, ipin yii yoo ṣe pataki ni pataki itọju lẹsẹkẹsẹ ati itọju ti awọn gbigbo nla. (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).
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).
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 mọnamọna, 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.
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.
Isun-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 ni blister. 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]