Ukunquma Ubunzima Bokushisa Ngokujula Nendawo Yendawo
Ukunquma ubunzima bokushisa ngokuvamile kuxhomeke ezintweni ezimbili eziyinhloko: ukuthi kuhamba kangakanani (ukuthi kude kangakanani emigqeni yesikhumba umonakalo oshisayo uyaqhubeka) nokuthi ububanzi kangakanani (ukuthi inani elingakanani lomzimba lihlanganisa).
Nini ukubiza 911
Kunezinye izici ezisetshenziselwa ukunquma ukuthi ukushisa kubaluleke kangakanani ukwelashwa yiqembu elikhethekile esikhungweni sokushisa.
Zihlanganiswe ngezansi futhi noma yikuphi ukushisa okuhambisana nalezi zinqubo kudinga ukushaya ucingo ku-911 . Ezindaweni eziningi, ama- ambulensi noma i-helicopter bayakwazi ukuthatha izisulu ezishisayo ngokuqondile endaweni yesehlakalo ukuya esikhungweni sokushisa, ngisho noma kungesi esibhedlela esiseduze.
Uma uthola ukushiswa esandleni sakho esitofu noma ibhande, amathuba okushisa okwenziwe kahle kakhulu futhi angakwazi ukuphatha i-TLC encane yasekhaya. Ngakolunye uhlangothi (akukho phini okuhlosiwe), ungase wenze umonakalo omkhulu kakhulu kanye nesidingo sokushaya 911 okwamanje. Ukunquma ukushisa kubalulekile uma ufuna ukuzama ukuphatha ukushisa ekhaya.
Burn Degrees
Ukujula kulinganiswa ngamadigri wokushisa . Ukushiswa kokuqala kwezinga eliphezulu akuyona into evulekile futhi akukuvuleleli ukutheleleka noma kubangele ulahlekelwe uketshezi. Ukushisa kweyesibili, eyaziwa nangokuthi ubukhulu besikhumba, akulimazanga nje kuphela uhlaka lwangaphandle lwesikhumba, kodwa ludlulele engxenyeni enkulu yesikhumba lapho izinwele zikhula khona futhi izigulane ezikhukhulayo zikhala.
Ukushiswa kwe-third-degree kuthiwa yi-full-thickness futhi ubulele isikhumba kuze kube yizicubu ezinamafutha ngaphansi (noma ngisho nasesiswini).
Ukushisa okuqala kokuqala
Ukushisa kwezinga lokuqala kubhekisela ekulimazeni okushisa lapho isikhumba sikonakala khona, kodwa i-epidermis (ingqimba engaphandle) isasebenza, ngakho-ke iyakwazi ukwenza imisebenzi yayo (ukulawula ukushisa nokuvikela ekutheleleni noma ukulimala) . Ukushiswa kwezinga lokuqala kubhekwa njengokushisa okungenasisekelo . Uma uhlola ubunzima bokushisa ukucacisa ukuthi isiguli sidinga yini esibhedlela, abahlinzeki bezempilo abazinaki ukushisa kwezinga lokuqala.
- Ama-Burns wesiBili
Lokhu kusho umonakalo oye wadlula nge-epidermis nasesidlangalaleni (isigaba sesibili sesikhumba). Ukushiswa kwezinga lesibili kuyaziwa nangokuthi ukushisa okuyingxenye. Ekunqumeni ubukhulu bokushisa, ukutholakala kokushisa kwesibili kuyabonisa ukulahlekelwa kwesikhumba.
Ama-blisters ayesibonakaliso sokuqala sokushisa kwezinga lesibili. Njengoba i-epidermis ibhujisiwe, iqala ukuhlukaniswa ne-dermis. I-Fluid yakha ngaphansi kwayo, ibangela amabhuleki. Ekugcineni, izibhansela zizosabalala kuze kube yilapho i-epidermis encane kakhulu iwa, iveza udonga oluhlaza ngaphansi.
Uma i-epidermis ihlukane ne-dermis eluhlaza, isisulu siqala ukulahlekelwa uketshezi, ukushisa nokukwazi ukuvimba ukutheleleka. Amangqamuzana angamaqabunga e-dermis abuye asho ukushisa kwe-degree-degree yiyona ebuhlungu kakhulu. - I-Burns yesithathu-Degree
Lokhu kubonisa ukuthi ukushisa kubhubhise kokubili i-epidermis ne-dermis. Isisulu sinenkinga efanayo nokulahlekelwa okuketshezi, ukushisa ukushisa, nokutheleleka okuza nokushisa kwesibili. Ukushisa okugcwele kudala ukufa kwesibindi, ngakho-ke isisulu singase singakwazi ukuzwa lutho endaweni yokushisa.
Ayikho indlela elula yokutshela umehluko phakathi kokushisa okujulile okwehlukanisa (2 degree) nokushisa okugcwele (i- 3d degree) uma sikubuka enkundleni, ngakho asizami. Esikhundleni salokho, konke okushisayo okujulile okwanele ukuhlukanisa i-epidermis kusukela emdemeni kubalwa uma kunquma ukuqina. Ngamanye amazwi, sibheka konke ukushisa okungalungile ukwakha amabhuleki - noma okubi - uma uhlola ukushisa okukhulu.
Burn Area Area
Ububanzi bokushiswa buboniswa njengephesenti yendawo yomzimba. Sibala kuphela ukushisa okunenani okungenani kwesibili-degree. Ukushiswa kwezinga lokuqala akudingi ukwelashwa okukhethekile futhi akubhekwa njengokubalulekile. Ukushisa okungenani okungesibili-degree futhi okumboza amaphesenti angaphezu kwezingu-10 endaweni yomzimba ngokuvamile kubhekwa njengokubalulekile ezindaweni eziningi, kodwa qiniseka ukuthi ulandela izivumelwano zakho zendawo. Ukuze unqume indawo ephelele yokushiswa emkhakheni, sebenzisa i- Rule of Nines .
Ukushiswa Okubalulekile Okubalulekile
Ukushisa okukhulu kunqunywa ukugxeka ngobubanzi nobubanzi bokushisa.
Kodwa-ke, ukushisa ezingxenyeni ezibalulekile zomzimba kungabhekwa njengokubaluleka kungakhathaliseki ukuthi ubukhulu bukhulu buyashisa ngokwayo.
Ukushisa kulezi zindawo kubhekwa njengokubaluleke kakhulu, ngisho noma lokhu kuyinto eshisayo kuphela:
- Ubuso
- Ukushisa okuzungezile ngokuphelele izandla noma izinyawo
- Ama-Genitals
Ukushisa kusadingeka kube yi-degree-degree noma kubi nakakhulu ukubhekwa njengokubalulekile. Ukushiswa kokuqala kwezinga akukaze kubalwe.
Ukwelashwa Kwezingqikithi Ezibalulekile
Ukuphatha ukushisa kuyafana naphezu kokuthi kunzima kangakanani. Izinkinga zokushisa okubalulekile zihlanganisa ukutheleleka, i- hypothermia , kanye nokuphelelwa amandla kwamanzi . Isinyathelo esibaluleke kunazo zonke umsindisi wokulala angathatha ukushisa okubucayi ukubiza 911 .
> Imithombo:
> Knowlin, L., Stanford, L., Moore, D., Cairns, B., & Charles, A. (2016). Umthelela olinganiselwe Ubukhulu be-Co-Morbidities ngokushisa ukulimala Ukufa. Burns: Journal of the International Society for Burn Accidents , 42 (7), 1433-1438. http://doi.org/10.1016/j.burns.2016.03.007
> Thom D. Ukusebenzisa izindlela zamanje zokubala ngokulinganisa usayizi oshisayo - Umbono wangaphambi kwesibhedlela. Ukushisa . 2017 Feb; 43 (1): 127-136. doi: 10.1016 / j.burns.2016.07.003.