Burns: Burns wahi i ho'ākāka 'ia ma ka rula laau pama. Mea Maluna o'ā ma luna o ka wahi a me ka nui o ke poho

I ola, kela mea keia mea o mākou i loaa mai'ā. Area'ā hiki e okoa, akā, i ka manao o ka mea ia mau, me ina ka hoʻohuli ai i nā wahi pili i ka ulaula-wela lanahu. A aole hoi he wai, hau a me ke anu oOeEIAOO hiki ole maluna o keia manao.

A medically puhi i - keia'aʻaʻa poino kena aku ma ka hana o ke kiʻekiʻe ana wela a me kiʻekiʻe hana o Nine Inch, e laʻa me nāʻakika, kumu, kaumaha metala paʻakai. Ka oolea o ke poho me ka nānā 'ana i ka hohonu a me ka wahi o ka poino'aʻaʻa. Aia i kūikawā ano o nā'ā, loaa ma ka pāhawewe a me ka pila kŰia.

Mea Maluna

Mea Maluna o ka'ā ma muli ma luna o ka hohonu a me ka 'ano o ka hewa, akā, he mea ka mahele o ka lapaʻau hoike ana,' inikua nā kaʻa mokulele a me 'ano o ka hewa.

Kapa hoʻohanohano ma ka hohonu o ka'ā:

1. Ke degere mua ua wehewehe aku ma lesions o ke keena ili, ahu iho wale. Ua Ua hoikeia mai ma ka redness, hōʻemi iki nani a me kaʻeha. nalo Symptoms hope ekolu, eha paha lā, a me ka loli hapa o ka epithelium UAIAaIN ma ka hou kekahi.
2. Poino i ka epidermal basal, ahu iho 2 Hōʻike ke degere kuni i ka mea. Ma ka ili o ka ili a me Oe ikeia turbid Contents. Healing mau mai i mau pule.
3. Ka wā kolu-ka papahelu puhi, thermal poho launa ole wale na epidermis akā, i nā dermis.
   - Ke degere o A: eha dermis ma ka lalo ua hapa 'ia' poino, akā, ma hope koke o ka hewa akaka likeʻeleʻele pehu pala, i kekahi manawa, hōʻike Oe i ke merge i kekahi i kekahi. Pain ma ke kahua o ke kuni i ka mea ua i ikeia no ka poho receptors. Pakiko-e noho mea hiki ma lalo o ke kūlana mea e ole hui i ka haumāna maʻiʻaʻai wale.
   - ka papahelu B: huina lilo o na epidermis, dermis a me hypodermis.
4. Ka ha o ke degere - ka ili ua charred, ka, ahu iho o ka momona, Muscle a hiki iwi.

Mea Maluna o'ā ma ke 'ano o ke poho.

1. Waiū i kiʻekiʻe Mahana O Ke Kai:
   - no - poino wahi mea nui, akā, kŘpa a uuku ka hohonu. Helu lapaʻau ua huikau ma ka oiaio i ka mea mea paakiki e hoʻomaʻemaʻe i ka eha o na kino (ka pae o ka lole'āpana poʻohiwi i hoʻoheheʻeʻia pihi a me zippers).
   - loli - kuni i ka mea uuku, akā, hohonu (A-i-kolu o ka loa).
   - wela mahu - nui kuni i ka mea lōʻihi, akā, kākaʻikahi hiki i ka hohonu o ka lua o ka degere. Pinepine ia e loli ai i ka ÷ naehana hanu'āpana.
   - incandescentʻia - eha 'oe a ka outlines o ke kumuhana, a hiki i ka nui hohonu.
2. Nine Inch:
   - nāʻakika i coagulation necrosis, a ma luna o ke kahua o ka lesion 'ōili mai pehu pala o ka wili kumuʻiʻo. Ia, aole ia i mea e komo iloko o ka hp'pnphp nā'aʻaʻa. Ka ikaika o kaʻakika, ke kokoke i ka ili o ka ili i hoʻohuli ai i nā wahi.
   - mekala 'åkilikai i hanaʻia liquefactive necrosis, e hoopalupalu mai la i ka lole, a komo iloko o ke halawai corrosive waiwai, ke kuni i ka mea o ka 2 degere.
   - kaumaha metala paʻakai nae ko waho e hoohalike ai'āʻakika. Ka mea, eia wale 1-ke ala kūpono loa.
3. Pou'ā ana ma hope o hui 'ana me ka oaoieei-a me ka lewa uila, a me ka mālama i ia wale nō i loko o ka wahi o ka puka komo, a OAAIeOO o ka hookuuia.
4. Ka pāhawewe ke'ā ke'ākoʻakoʻa hope waiū i ionizing pāhawewe a me ka malamalama. Ka mea, e pāpaʻu, a me kā lākou mau waiū ua pili me ka lesion o na nā loko, a nenoai, ma mua 'ana i ka pahee'aʻaʻa.
5. Hui'ā nā kumumea kekahi mauʻino wale i e like me ke kinoea make a me ka lapalapa.
6. Hui ka mea, hiki ke kapa poino, kahi i hou, e kuni i ka mea loaʻa i nāʻano o nā palapū, e like me fractures.

Outlook

Mea i loa loaa'ā (kuni i ka mea āpana ua oi ma mua o ka elima-ruble dala), ua ike ia ka prognosis o ka maʻi - nui i au mamuli ma kaʻike,. pinepine eha nā mea maʻi iʻeha ma ka ulia pakalaki, ma kona ano maoli i na ino a me ka hopena o he ulia pakalaki i loko o ka wahiʻoihana. No ia mea, e lawe mai kanaka i loko o ka lumi e kali ana i ka pū'ā holoholona. A laila, i ka hiki e wńnana i ka wā e hiki mai loli o ke ahonui e hele mai i loko o mākaukau ma ka hoʻomaopopoʻana. Ka loa ka wi a me ka huikau hihia e e hana ia e na kumu ao ma o ka wahi mua, no ka mea, i kekahi manawa i ka bila hele a hiki i ka hola a me nā minuke. Nō kāu, olelo wanana a ua nānā 'ana i ka' ilikai wahi a me ka hohonu o ka poino lesion, a me nā nā palapū.

I mea e pololei hooholo i ka prognosis, hoʻohana conditional indices (e like, Frank Index). No keia hopena, no kēlā me kēia pakeneka o ka hoʻohuli ai i nā wahi ua hāʻawi mai kekahi i ka eha o ka papa. Ua hilinaʻi nui ma ke degere o ka IIeEeAIEUAA, a'ā, e like me ka mea i kuni i ka wahi o ka luna Air. Inā kāna hana hanu mea i ike,'ā, ke poo a me ka'ā'ī i loaʻa 15 heluʻai, a ina pela, alaila, pau 30. A laila, e helu i nā loiloi. Aia He He laulā:

- emi iho malalo o 30 heluʻai - he maikaʻi prognosis;
- mai kanakolu i kanaono - kŘpa a maikaʻi;
- He kanaiwa - kanalua;
- oi aku kanaiwa - noho lakou malaila.

wahi uhi ma

I ka lapaau, loaʻa nō kekahi mau aoao, e hoʻomaulia i ka wahi o ka hoʻohuli ai i nāʻili. Hoʻoholo 'ana o ka wahi, a me ka loa o ke kuni i ka mea, ua hiki ina e lawe ia i ka rula ana i ka ili o ka wahi likeʻole o ke kino i eiwa pakeneka o ka huina wahi o ka ili, e like me ke poo a me ka ai, umauma, abdomen, kēlā lima,'ūhā, wāwae a me nā wāwae ua noho ma ka 9% a me ka hope ili o ke kino - palua (18%). Perineum a genitalia loaa wale i kekahi pakeneka, akā, i kēia mau nā palapū i manaoia loa kupono.

Aia i nā lula no ka hoomaopopo ana i ka wahi o nā'ā, no ka laʻana ma ka lima. Ua ua ike ia kanaka loulu wahi i kekahi i kekahi, a me ka hapalua pakeneka o ka huina kino ili honua. Ua apono 'ana e hoʻoholo i ka nui o ka hapa poino, a me ka oolea o ke kulana i lawe. Ka ukupanee'ā ma ke kino e na notional nui. Ka mea, hilinaʻi ma ka pilikino loiloi 'ana o ke kauka.

? aaieou

Ua hōʻike 'mau symptoms i i hana'ā. I ka wahi o nā'ā ma keia hihia, aole ia pāʻani i kekahi kūlana kūikawā, e like me ka mea, i ka laulā, akā, lepo. E ho'ōla ano o ka lapaʻau hoikeana hiki e puku i kekahi i kekahi, ma ka hoola ana kaʻina hana:

1. Erythema a redness o ka ili ua pu ma redness. Ua lŘlŘ ma kekahi degere'ā.
2. Vesicle - he hue piha o murky wai. Ua hiki ke hui me ke koko. Ua lŘlŘ manawa i kaha onionio o ka luna ili, ahu iho.
3. Bulla - he mau vesicles i merged i loko o kekahi Oe, a me ka hapalua kenimika ma anawaena.
4. Ka'aʻaiawā - kuni i ka ili ma luna i loaʻa o nā epidermis. I ua kahe ana ke koko, a hookuu ichor. Ua lŘlŘ i wehe 'ia o nā blisters a bullae, necrotic'aʻaʻa.
5. Ulcer - heʻoi ka'aʻaiawāʻana, me ka hoohuoi ana na dermis, hypodermis a me nāʻiʻo. Ka waiwai hilinaʻi nui ma luna o ka wahi māhele ma mua o necrosis.
6. Coagulation necrosis - maloo necrotic'aʻaʻa i eleele, aole hoi pouli eleele. Hoopuni wehe surgically.
7. Liquefactive necrosis - pulu awi aku'aʻaʻa i ke ana i loko o ke Keena Kalaiaina o ke kino, a ma kaʻaoʻao,'ālunu i ke olakino'aʻaʻa.

kuni i ka mea maʻi

Kēia meaola systemic pane, e kuni i ka mea poino kēia moku'āina kānāwai nā ma kaʻilikai pōʻino ina ke kino kuni i ka 30% a oi, a me ka hohonu'ā,? Iaeoe? Pakeneka i hou aku he umi. I ka nawaliwali o ka kanaka ka ola, me ka ae kela i kēia 'ano o ka hawewe. Ke pathophysiology Ua maheleia i eha kahua o ka hoʻonaʻauao o ka? Acaeoey o kuni i ka mea maʻi.

1. Kuni i ka mea kŰia. Ua mau no ka mea mua mau lā, me ka loa nā palapū - i na la ekolu. Ua aicieeaao manawa i pololei ole redistribution o ka loli i loko o ka hawewe nā loko (naau, maʻiʻaʻai, lolo, puʻupaʻa).
2. Huʻi kuni i ka mea toxemia e hoʻomōhala ana i mua e pili ana i maʻiʻaʻai mau mai ka hebedoma kekahi i eiwa mau lā. Pathophysiologically like e hahi maʻi pale, a laila'aʻaʻa palaho huahana komo i ka systemic holo, a hoomake iho i ke kino.
3. Kuni i ka mea septicotoxemia ikeia ma hope o ka ka piʻiʻana o ka maʻiʻaʻai. Ua hiki mau mai i kekahi mau mahina a hiki i ka koʻohune a pau i ua eliminated mai kaʻeha 'ilikai.
4. Loaa hoʻomaka ma hope o ka puhi i ka mea eha e pani i granulation'aʻaʻa paha epithelium.

Endogenous intoxication, maʻiʻaʻai a me ka sepsis

Kino kuni i ka mea kino pu ma ka kumuʻiʻo denaturation meaʻai kaʻapu kōheoheo. Ke ake a me nā konāhua aneane hiki ole Makuakane me ka mahuahua haawe ana ka wā i ka puʻe i loko o ka systemic holo. Eia hou, ma hope o ka trauma o kanaka'ōnaehana paleʻea'ōnaehana mea ma luna kiʻekiʻeʻeleu, akā, no ka lōʻihi-makahiki kaʻapu kōheoheo o ka meaola pale maomeka, mai hemo mai, aʻano a he haumāna immunodeficiency. Ua hiki aku i ka mea i kaʻeha 'ilikai panalāʻau putrid microflora.

Hoʻokaʻina 'ia o nā mōhai me ka'ā

E like me ka olelo ma luna, ma ka pilikia lumi i kākaʻikahi lawe mai i kekahi nāna, ka mea'ā. Ka wahi o ka puhi, a me ka helu o nā mea maʻi nui aku i ka 'auhau o ka' inikua limahana, no laila, e pono i ka mea e hoʻopā ai kanaka oolea o keʻano, e ike i ka mea e hōʻike i mālama 'ia ma ka wahi mua.

1. Seriously hana eha aku i superficial'ā no he iwakalua pakeneka o ke kino a me ka hohonu'ā - oi aku mamua o umi pakeneka, e like me mauka naehana'ā. Oia hoʻomanawanui iki mai i ka pono o ka pilikia 'inikua kōkua, a kaʻi aku i ka haukapila me ke kōkua o nā hui hoʻomaʻemaʻe maunakea.
2. Ka awelika degere o ka oolea o ka superficial'ā he iwakalua pakeneka a emi hohonu - i hou aku he umi pakeneka o ke kino ili honua. Nolaila, e pono i ka hoʻolako 'inikua kōkua i ka mōhai i loko o ka lua o ka huli, akā, ka mea,' aʻole i manaʻo i ka mea hiki ke waiho unattended no ka lōʻihi manawa.
3. Mehana wehewehe aku superficial'ā,? Iaeoe emi o umikumamalima pakeneka o ka iliʻili a hohonu'ā, oi ma mua o elima pakeneka i ana ole a me ka mai i pili i ka luna naehana'āpana.
4. Mortally eha - e ka poe i ka hohonu kino'ā (50% a oi), e like me mua kanaka me ka poho i kanakolu pakeneka o kaʻili kai. No laila, i nā mōhai ua lawe mai wale symptomatic lapaau. ʻO ka mōhai o ka nui-unahiʻole, i hanalima he ulia pakalaki hiki 90% kino'ā. Kēia mea he ona e poino, a me ke kōkua ma keia hihia mea hiki ole, e hiki wale ho'āʻo e alleviate lākou e loaa ana ikaika analgesics (ʻonou coma) ole i ka inhalation anesthesia.

mua-kōkua

No ka kēla maikai Radio kūlana e i pakiko-kōkua a me ka ae kokua i ka nui. Ke rapidity o ka naoh e leie aku ia me ka nui loa emi i ke kuni i ka wahi a me ka hohonu. Ka mua mea e alalai mai traumatic hui 'ma waena o ka Agena, a me ka kanaka e laʻa me kinai loa i ke ahi, a hoʻokaʻawale i ka mea ulana pukapuka, holoiʻia ia / neutralize Nine Inch.

I ka mālama '-haukapila ke kahua me ka mea, ua i paipai i ka hoʻohana i ka aila-ka nānā' ana me ka hinu, a me ka momona-i loaʻa ka hope, no ka mea, ka mea hana i ka manaʻoe kūkulu ma luna o ka ili o kaʻeha a me ka pale wela auaiaea. Eia hou, i ka haukapila e i e kāpae i a "pākōlea haumia ea", meaʻeha i ka nāna. I ke kumukuai o ka mea ma ka home e e aaioee o ka eha, e like me ka wehe 'ana o na kino, (particles) o charred ili, a me ka e like. Kēia hiki alakai i ka maʻiʻaʻai, no ka mea, ka mea e ole e malama pono ia 'ano asepsis / antisepsis. Eia kekahi, me ka pono anesthesia ke kanaka au e imi nei e kōkua hoʻoneʻe 'ia paha, e hāʻule i loko o ka moku'āina o ka eha kŰia.

Pain kokua a me kaʻeha lapaʻau

Ke kaumaha ma muli o ka oolea o ka hoʻomanawanui ka ana anesthetist e wae mai i ke kūpono lāʻau a me ka anesthesiaʻano hana. Ua hiki e he pili-steroidal Anati-hoʻoʻino ai ', analgesics-antipyretics ke kina ole a me ka conduction anesthesia. No ka loa hihia, narcotic analgesics i pono.

Ma hope iho o ka eha anesthetized, ka surgeon puka mai a hiki i ka iniiaiie lapaau o kaʻeha ili honua. He detaches na epidermis, wehe auwai a me Oe, na kino i wehe. A laila, i ka maloko ili o kaʻeha ua paa hou mai la maemae gauze lole wili. Me ka'ā lua a me keʻano o ka hoomanawanui Pono komo tetanus lāʻau lapaʻau.

hualoaʻa lapaʻau

ikeia aoao Two o'ā lapaʻau - nā i loko o a me ka foxmike. Ka mea hiki ke hoʻohana i kekahi kaawale paha i kahi hookahi. E pale aku eha maʻiʻaʻai, ia 'Imi i hoʻomaloʻo e hōʻike maloo necrosis. Kēia Ua nānā 'ana i hāmama ka hana. Pili i ka wahi ili honua 'ona e like me ka waiʻona pāʻoihana halogens a hiki coagulate na nā polokina. No hoi, physiotherapy hiki ke hoʻohana 'epekema e like me he pāhawewe.

E haapau nei i lapaʻau hoʻohuʻu dressings e pale aku koʻohune, a i nōkahea o ka loli outflow. Ma lalo o lole wili noi ai 'i ka paipai wahi iho la granulation, hoʻoikaika' loli outflow, a i antiseptic waiwai. Loa pinepine, keia iaoia hoʻohana laulā-pae antibiotics, a i ka luna 'hana.