Ukuhlolwa KweBurn

-Delile

• Kuyini ukuhlolwa kokushisa?
• Yiziphi izinhlobo ezahlukahlukene zokusha?
• Kusetshenziswa kanjani ukuhlolwa kokushisa?
• Yini enye eyenzekayo ngesikhathi sokuhlolwa kokushisa?
• Ngabe kukhona okunye okufanele ngikwazi mayelana nokuhlolwa kokushisa?
• Izinkomba

Kuyini ukuhlolwa kokushisa?

Ukusha uhlobo lokulimala esikhunjeni kanye / noma kwezinye izicubu. Isikhumba isitho esikhulu kunazo zonke emzimbeni wakho. Kubalulekile ekuvikeleni umzimba ekulimaleni nasekutheleleni. Kuyasiza nokulawula ukushisa komzimba. Lapho isikhumba silimele noma sonakaliswe ukusha, kungaba buhlungu kakhulu. Ezinye izinkinga zempilo ezishile zingabandakanya ukoma okukhulu emzimbeni (ukulahlekelwa uketshezi oluningi emzimbeni wakho), izinkinga zokuphefumula, kanye nezifo ezisongela impilo. Ukusha kungadala nokukhubazeka unomphela nokukhubazeka.

Ukuhlolwa kokushisa kubheka ukuthi kushise kangakanani esikhunjeni (izinga lokusha) nokuthi ingakanani indawo yomzimba eshile.

Ukushisa kuvame ukubangelwa:

• Ukushisa, njengomlilo noma iziphuzo ezishisayo. Lokhu kwaziwa njengokushisa okushisayo.
• Amakhemikhali, njenge-acids noma ama-detergents. Zingadala ukusha uma zithinta isikhumba sakho noma amehlo akho.
• Ugesi. Ungashiswa lapho umsinga kagesi udlula emzimbeni wakho.
• Ukukhanya kwelanga. Ungashiswa yilanga uma uchitha isikhathi esiningi kakhulu elangeni, ikakhulukazi uma ungafaki i-sunscreen.
• Imisebe. Lezi zinhlobo zokusha zingadalwa yimithi ethile yokwelapha umdlavuza.
• Ukungqubuzana. Lapho isikhumba sihlikihla ebusweni obukhulu kakhulu, singadala ukuhuzuka (ukukhuhla) okwaziwa njengokusha kokushayisana. Ukushiswa ngumkhuhlane kuvame ukwenzeka engozini yebhayisikili noma yesithuthuthu lapho isikhumba sigcoba umgwaqo. Ezinye izimbangela zibandakanya ukwehla ngentambo ngokushesha okukhulu futhi uwe emshinini wokunyathela.

Amanye amagama: ukuhlolwa kokushisa

Yiziphi izinhlobo ezahlukahlukene zokusha?

Izinhlobo zokusha zisuselwa ekujuleni kokulimala, okwaziwa njengezinga lokusha. Kunezinhlobo ezintathu eziyinhloko.

• Ukusha kwezinga lokuqala. Lolu uhlobo olubi kakhulu lokusha. Ithinta kuphela ungqimba olungaphandle kakhulu lwesikhumba, olwaziwa njenge-epidermis. Ukusha kwezinga lokuqala kungadala ubuhlungu nokubomvu, kepha awekho amabhamuza noma izilonda ezivulekile. Ukushiswa yilanga uhlobo oluvamile lokusha kwezinga lokuqala. Ukusha kwezinga lokuqala kuvame ukuhamba kungakapheli isonto noma kunjalo. Ukwelashwa kwasekhaya kungabandakanya ukufaka indawo emanzini apholile nokuyigqokisa ngebhandishi eliyinyumba. Imithi yezinhlungu ezithengiswa ekhawunteni nayo ingabudambisa ubuhlungu obusha bokusha.
• Ukusha kwesibili, okubizwa nangokuthi ukushuba okuyingxenye. Lokhu kusha kubi kakhulu kunokusha kwezinga lokuqala. Ukusha kwezinga lesibili kuthinta ungqimba olungaphandle noluphakathi lwesikhumba, olwaziwa nge-dermis. Zingadala ubuhlungu, ububomvu namabhamuza. Okunye ukusha kwezinga lesibili kungalashwa ngama-antibiotic okhilimu kanye namabhandeshi ayinyumba. Ukusha okungathi sína kwesibili kungadinga inqubo eyaziwa ngokuthi yi-graft yesikhumba. Ukuxhunyelelwa kwesikhumba kusebenzisa isikhumba semvelo noma esenziwe ngokumboza ukuvikela nokuvikela indawo elimele ngenkathi iphola. Ukusha kwezinga lesibili kungadala isibazi.
• Ukusha kwezinga lesithathu, okubizwa nangokuthi ukushuba okugcwele. Lolu uhlobo olubi kakhulu lokusha. Kuthinta izingqimba zesikhumba esingaphandle, esiphakathi nesangaphakathi. Isendlalelo esingaphakathi impela saziwa ngokuthi ungqimba lwamafutha. Ukusha kwezinga lesithathu kuvame ukulimaza izintambo zezinwele, izindlala zomjuluko, ukuphela kwezinzwa nezinye izicubu esikhunjeni. Lokhu kusha kungaba buhlungu kakhulu. Kepha uma amangqamuzana ezinzwa ezwa ubuhlungu ezonakalisiwe, kungahle kube nobuhlungu obuncane noma bungabi bikho ekuqaleni. Lokhu kusha kungadala ukushaqeka okukhulu futhi imvamisa kudinga ukwelashwa ngokuxhunyelelwa kwesikhumba.

Ngaphezu kohlobo lwe-degree, ukusha nakho kuhlukaniswe njengokuncane, okulingene, noma okunzima. Cishe konke ukusha kwezinga lokuqala nokunye ukusha kwezinga lesibili kubhekwa njengokuncane. Ngenkathi kungaba buhlungu kakhulu, akuvamile ukuthi kubangele izinkinga. Okunye ukusha kwezinga lesibili nakho konke ukusha kwezinga lesithathu kubhekwa njengokulingene noma okunzima. Ukusha okusesilinganisweni futhi okunzima kubangela izinkinga ezinkulu zempilo futhi kwesinye isikhathi ezibulalayo.

Kusetshenziswa kanjani ukuhlolwa kokushisa?

Ukuhlolwa kweBurn kusetshenziselwa ukuhlola ukulimala okusesilinganisweni kuya kokusha okukhulu. Ngesikhathi sokuhlolwa kokusha, umhlinzeki wakho wezokunakekelwa kwempilo uzobheka ngokucophelela isilonda. Uzophinda athole iphesenti elilinganisiwe lendawo yonke yomzimba oshile. Umhlinzeki wakho angasebenzisa indlela eyaziwa ngokuthi "umthetho wama-nines" ukuthola lesi silinganiso. Umthetho wenines uhlukanisa umzimba ngezigaba ze-9% noma i-18% (2 times 9). Izigaba zihlukaniswe ngale ndlela elandelayo:

• Inhloko nentamo: 9% we-TBSA
• Ingalo ngayinye: 9% TBSA
• Umlenze ngamunye: 18% TBSA
• I-Anterior trunk (ngaphambili komzimba) i-18% TBSA
• Isiqu sangemuva (emuva komzimba) 18% TBSA

Izilinganiso zomthetho we-nines azisetshenziselwa izingane. Imizimba yazo inezilinganiso ezehlukene kunezabantu abadala. Uma ingane yakho inokusha okubandakanya indawo ephakathi nendawo enkulu, umhlinzeki wakho angasebenzisa ishadi, elibizwa ngeshadi le-Lund-Browder, ukwenza isilinganiso. Lokhu kunikeza izilinganiso ezinembe kakhudlwana ngokususelwe eminyakeni yengane nosayizi womzimba.

Uma wena noma ingane yakho unesifo sokusha esihlanganisa indawo encane, umhlinzeki wakho angasebenzisa isilinganiso ngokuya ngosayizi wesundu, okucishe kube yi-1% ye-TBSA.

Yini enye eyenzekayo ngesikhathi sokuhlolwa kokushisa?

Uma unokulimala okukhulu kokusha, ungadinga futhi ukuhlolwa okuphuthumayo okwaziwa ngokuthi ukuhlolwa kwe-ABCDE. Ukuhlolwa kwe-ABCDE kusetshenziselwa ukubheka izinhlelo zomzimba ezisemqoka nemisebenzi. Imvamisa zenzeka kuma-ambulensi, emakamelweni okuphuthumayo nasezibhedlela. Zisetshenziselwa izinhlobo ezahlukahlukene zezimo eziphuthumayo ezihlukumezayo, kufaka phakathi ukusha okukhulu. "ABCDE" imele amasheke alandelayo:

• Indlela yezindiza. Umhlinzeki wezokunakekelwa kwempilo uzohlola noma yikuphi ukuvinjelwa okusendleleni yakho yomoya.
• Ukuphefumula. Umhlinzeki uzohlola izimpawu zenkinga yokuphefumula, kufaka phakathi ukukhwehlela, ukuqhuma, noma ukuphefumula. Umhlinzeki angasebenzisa i-stethoscope ukuqapha imisindo yokuphefumula kwakho.
• Ukujikeleza. Umhlinzeki uzosebenzisa amadivayisi ukuhlola inhliziyo yakho nomfutho wegazi. Angafaka ishubhu elincanyana elibizwa ngokuthi i-catheter emthanjeni wakho. I-catheter yishubhu elincanyana elithwala uketshezi emzimbeni wakho. Ukusha kungadala ukulahleka oketshezi okungathi sína.
• Ukukhubazeka. Umhlinzeki uzohlola izimpawu zokulimala kobuchopho. Lokhu kufaka ukubheka ukubona ukuthi uphendula kanjani kukhuthazo lomlomo nolomzimba oluhlukile.
• Ukuchayeka. Umhlinzeki uzosusa noma yimaphi amakhemikhali noma izinto ezibangela ukushisa esikhunjeni ngokufafaza indawo elimele ngamanzi. Angabhandisha le ndawo ngokugqoka okuyinyumba. Umhlinzeki uzophinde ahlole izinga lokushisa kwakho, futhi akufudumeze ngengubo nangoketshezi olufudumele uma kunesidingo.

Ngabe kukhona okunye okufanele ngikwazi mayelana nokuhlolwa kokushisa?

Ukusha nemililo kuyimbangela yesine evame kakhulu yokufa ngengozi ezinganeni nakubantu abadala e-U.S. Izingane ezincane, abantu abadala asebekhulile, nabantu abakhubazekile basengozini enkulu yokulimala ngokushiswa nokufa. Izingozi eziningi zokusha zingavinjelwa ngezinyathelo ezithile ezilula zokuphepha. Lokhu kufaka phakathi:

• Setha isifudumezi sakho samanzi sibe ngu-120 ° F.
• Hlola izinga lokushisa kwamanzi ngaphambi kokuba wena noma ingane yakho ingene kubhavu noma eshaweni.
• Shintsha izibambo zamabhodwe namapani ngemuva kwesitofu, noma usebenzise izishisi zangemuva.
• Sebenzisa ama-alamu entuthu ekhaya lakho bese uhlola amabhethri njalo ezinyangeni eziyisithupha.
• Hlola izintambo zikagesi njalo ezinyangeni ezimbalwa. Phonsa noma yikuphi okonakele noma okonakele.
• Beka izembozo ezitolo zikagesi ezingafinyeleleka enganeni.
• Uma ubhema, ungalokothi ubheme embhedeni. Imililo ebangelwe ugwayi, amapayipi kanye nogwayi yiyona imbangela ehamba phambili yokufa kwabantu emlilweni wasendlini.
• Qaphela kakhulu lapho usebenzisa izifudumezi zesikhala. Zigcine kude nezingubo zokulala, izingubo nezinye izinto ezivuthayo. Ungalokothi ubashiye benganakiwe.

Ukuze ufunde kabanzi mayelana nokwelashwa kokushisa noma ukuvimbela, khuluma nomhlinzeki wakho wokunakekelwa kwezempilo noma umhlinzeki wengane yakho.

Izinkomba

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Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.