Burn - Shisa
☆ Emiphumeleni ka-2022 ye-Stiftung Warentest evela eJalimane, ukwaneliseka kwabathengi nge-ModelDerm bekungaphansi kancane kunokuxhumana okukhokhelwayo kwe-telemedicine.
Ukushiswa kwezinga lesibili: Uma amabhamuza ekhona, ukusha kuhlukaniswa njengedigri yesibili.
References
Ukusha okukha phezulu (izinga lokuqala) kuthinta kuphela ungqimba lwesikhumba olungaphezulu. Lokhu kusha kubukeka ebomvana noma kubomvu, awakhi amabhamuza, omile, futhi kungaba buhlungu ngandlela thize. Ngokuvamile zelapha ezinsukwini ezi-5 kuya kweziyi-10 ngaphandle kokushiya izibazi. Ukusha okuyizinga lesibili, okubuye kubizwe ngokuthi ukushiswa kokuqina okuyingxenye, kuthinta ungqimba lwangaphandle lwengxenye ejulile yesikhumba. Amabhamuza avamile futhi angase ahlale lapho eqala ukubonakala. Ngemva kokuvulwa kwebhamuza, isikhumba ngaphansi sibomvu ngokulinganayo noma pink futhi sizoba mhlophe lapho sicindezelwa. Lokhu kusha kubuhlungu. Ngokuvamile zelapha emavikini angu-2 kuya kwangu-3 ngezibazi ezincane. Ukusha okujulile kokuqina okuncane kuhilela ingxenye ejulile yongqimba olujulile lwesikhumba. Njengokusha kokuqina okuyingxenye, lezi zingaba namabhamuza aphelele. Lapho amabhamuza ekhishwa, isikhumba ngaphansi siba nombala ongalingani futhi siphenduka sibe mhlophe kancane uma sicindezelwa. Iziguli ezinalokhu kusha zizwa ubuhlungu obuncane, okungenzeka kuphela ngengcindezi ejulile. Lokhu kusha kungaphola ngaphandle kokuhlinzwa, kodwa kuthatha isikhathi eside, futhi izibazi kulindeleke.
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.
Iningi lokusha lincane futhi lingelashwa ekhaya noma ngabahlinzeki bezempilo bendawo ngaphandle kokudinga ukungeniswa esibhedlela. Kodwa-ke, lesi sahluko sizobhekana ngqo nokunakekelwa ngokushesha kanye nokwelashwa kokusha okukhulu. (Ukuze uthole ulwazi olwengeziwe, bheka izigaba zokusha, ukulinganisa kanye nokuphatha, kanye ne-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).
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).
Izingozi zokusha ngokuvamile azinakwa kodwa zingadala umonakalo omkhulu ngisho nokufa. Ukusha kakhulu kubangela ukusabela komzimba okuyinkimbinkimbi, okuhlanganisa ukuphendula kwamasosha omzimba, ukushintsha kwe-metabolic, nokushaqeka, okungaba nzima ukukwelapha futhi okungase kubangele ukwehluleka kwezitho eziningi.
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.
Ukusha okuthinta kuphela izingqimba zesikhumba esingaphandle kwaziwa njengokusha okukha phezulu noma kwezinga lokuqala. Zibonakala zibomvu ngaphandle kwamabhamuza futhi ubuhlungu ngokuvamile buhlala cishe izinsuku ezintathu.
Uma ukulimala kudlulela kolunye ungqimba lwesikhumba olungaphansi, ukujiya okuyingxenye noma ukushiswa kwezinga lesibili. Amabhamuza avame ukuba khona futhi avame ukuba buhlungu kakhulu. Ukuphulukiswa kungadinga amasonto ayisishiyagalombili futhi kungase kube nezibazi.
Ekushiseni okugcwele noma okwesithathu, ukulimala kudlulela kuzo zonke izingqimba zesikhumba. Ngokuvamile abukho ubuhlungu futhi indawo eshile iqinile.
Ukusha kwe-degree yesine kuhlanganisa nokulimala kwezicubu ezijulile, njengemisipha, imisipha, noma ithambo. Ukusha kuvame ukuba mnyama futhi kuvame ukuholela ekulahlekeni kwengxenye eshile.
○ Ukwelashwa - Izidakamizwa ze-OTC
Kubaluleke kakhulu ukuthi ungawaphuli amabhamuza endaweni eshile. Kuhle ukukhipha i-serum kuphela ku-blister. Kufanele kuqashelwe ukuvimbela i-gauze noma okokugqoka ukuthi kunganamatheli kubhamuza nokuklebhuka noma ukulikhipha.
Vala indawo eshile ngebhandeshi elihlanzekile ukuze uvikele indawo ethintekile. Uma amabhamuza esevele ehlile, kufanele kusetshenziswe ama-antibiotics noma i-silver sulfadiazine 1% ukhilimu (Silmazine). Thatha ama-NSAID, i-acetaminophen, nama-antihistamine e-OTC ukuze unciphise ukuvuvukala nobuhlungu.
Ama-antibiotics we-topical
#Bacitracin
#Silver sulfadiazine 1% cream
Isinqamuli sezinhlungu
#Ibuprofen
#Naproxen
#Acetaminophen
I-antihistamine ye-OTC
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]