Rohe Burns tautuhia e te nikau tikanga: Burns. Whakarōpū o weranga i runga i te rohe me te whānuitanga o te kino

I roto i te ora, riro ia o tatou weranga. Ka taea e weranga Area e rerekē, engari he wa katoa te taua te ongo, me te mea ki te wāhi kua pā te tono he waro whero-wera. Na kahore he wai, te huka he kōpeke makariri e kore e taea e hinga tenei ongo ranei.

He tahu a hauora - tenei kino kikokiko meinga e te mahi o te pāmahana teitei ranei mahi nui o ngā matū, hei tauira te waikawa, turanga, tai whakarewa taimaha. whakaritea te pakeke o te kino e te hohonu me te rohe o te kikokiko pakaru. He momo motuhake o weranga, i whiwhi i te radiation ru hiko ranei.

whakarōpū

Whakarōpū o weranga i runga i te hohonu me te momo o te whara, engari i reira ko te wehenga o faaiteraa haumanu, tātai hauora momo o te whara ranei.

Kitea e te hohonu o te weranga:

1. āhuatanga te tohu tuatahi e pāpaka anake te kahu o runga o te kiri. Kei te whakakitea reira e whero, tetere iti me te mamae. ngaro Tohu i muri i toru ranei wha ra, ka whakakapia te wahi pānga o te epithelium e te tetahi hou.
2. Tūkino ki te apa basal epidermal 2 tohu te wera tohu. I runga i te mata o te kiri ki te mirumiru puta tirotiro mangu. Whakaora pumau ki runga ki te rua wiki.
3. A, no te kaitahu tuatoru-tohu, e tango waiariki kino nga kiriwaho kore anake, engari ano hoki i te kiri.
   - Ko te tohu o te: te wāhanga pakaru ākiri marutanga i te raro, engari tonu i muri i puta te whara rite paku pango, i ētahi wā puta mirumiru e kia hanumi ki ia atu. e kore te mamae i te pae o te wera ite no o receptors kino. Ko taea Whaiaro-houtanga anake i raro i te huru e kore e e uru te mate tuarua.
   - Waeine B: katoa mate o nga kiriwaho, ākiri me hypodermis.
4. Ko te tuawha tohu - wera te kiri te, te paparanga o ngako, uaua, me te ara wheua.

Whakarōpū o weranga i runga i te momo o te kino:

1. Mārakerake ki pāmahana teitei:
   - Fire - rohe pakaru he nui, engari hohonu iti āhua. faingataa maimoatanga Paraimere e te meka e he uaua ki te horoi i te motu o tinana ke (te miro o mongamonga kakahu kua rewa pātene zippers ranei).
   - inu - tahu iti, engari hohonu (A-ki-toru tohu).
   - korohū wera - roa wera nui, engari varavara tae te hohonu o te tohu tuarua. E mea pinepine pānga ki te wahi romahā.
   - rauemi aano atu - marutanga tuarua ana te fokotu'utu'u o te tumu parau, a taea e nui hōhonu.
2. matū:
   meinga waikawa - coagulation necrosis, a i runga i te pae o te lesion puta paku o te pūmua koru. Aita e hi'oraa e ki tomo ki roto ki te kikokiko ki te hei. Ko te kaha te waikawa, te piri ki te mata o te kiri, ko te wāhi kua pā.
   - alkali i hanga necrosis liquefactive, tamaru reira te papanga me te ô i hohonu taonga ha'iriiri, te wera o te 2 nekehanga.
   - tai whakarewa taimaha waho rite waikawa weranga. Ko ratou anake tohu 1-st.
3. weranga Electrical puta i muri i te whakapā ki te hiko hangarau kōhauhau ranei me, rite ki te tikanga, kei anake i te wahi o te tomokanga me te putanga o te rere.
4. Ka taea e weranga radiation puta i muri i te rongo ki ionizing radiation marama ranei. He pāpaku ratou, ka whai pānga ratou te rongo te ki te lesion o nga okana me ngā pūnaha, nui atu i tika ki te kiko ngohengohe.
5. weranga ngā ngā maha o ngā āhuatanga e totohu pērā i te hau, me te mura.
6. Ngā taea te huaina ratou kino, i reira i roto i te tua ki te tahu i reira e te tahi atu momo o whara, pērā i piere.

outlook

Tangata e kua riro ake weranga (wāhi wera i neke atu i te moni e rima-RUPO), e mohio ana e te waitohunga o te mate - he taipitopito nui i roto i te tātaritanga. Kei te maha whara tūroro whētuki i roto i ngā aituā, fakatamaki fakanatulá rite ki te hua o ngā aituā i roto i te wāhi mahi ranei. Na reira, kei te kawea iwi i roto i te ruma tatari i roto i kahui. Na reira te kaha ki te matapae i te huringa o te manawanui mai i roto i te pepa i roto i kōmaka heke mai. kia tukinotia te wā tino kino, me te uaua i ngā tākuta i te wahi tuatahi, no te mea i ētahi wā haere te pire ki te haora, me te meneti. Tikanga, e hāngai ana matapae i runga i te wāhi mata me te hohonu o te lesion pakaru, me whara hāngai ana.

I roto i te tikanga ki te tika te whakatau i te waitohunga, whakamahi kuputohu here (hei tauira, Frank taupū). Ki tenei mutunga, whakaritea hoki ia ōrau o te wāhi kua pā te i tetahi ki te wha ngā. Tei te reira i runga i te tohu o te localization me te weranga, me te mea te mea tahu rohe o nga Airways runga. Ki te kore he reira manawa disordered, weranga, upoko me te kaki riro 15 ngā, me te mea na, na te katoa 30. A katahi ka taua e aromātai katoa. He he he awhe:

- iti iho i te 30 ngā - he waitohunga pai;
- i toru tekau ki te ono tekau - āhua pai;
- e iwa tekau - tirengi;
- neke atu i te iwa tekau - kino.

rohe hipoki e

I roto i te rongoā, i reira e maha ngā huarahi ki te tātai i te rohe o te mata pāngia. Ko taea faaotiraa o te rohe, me te whānuitanga o te wera ki te tango koe i te reira i te ture e te mata o te wahi rerekē o te tinana e iwa ōrau o te rohe katoa o te kiri, i rite ki te matenga ki te kaki, uma, puku, ia ringa, huha, huha me te waewae e nohoia e 9% me te mata muri o te tinana - rua (18%). ka Perineum me kikokiko kotahi anake ōrau, engari e whakaaro enei whara kino nui.

He atu ture mō te whakatau i te rohe o te weranga, hei tauira i te ringa. Kei te mohiotia te reira e wāhi nikau tangata e tetahi ki te tetahi me te hawhe ōrau o te tapeke mata tinana. taea takirihia tenei whakatau te rahi o te wahi pakaru me te pakeke o te huru ki te amo. weranga Interest i runga i te tinana ko te uara notional. whakawhirinaki ratou i runga i te aro mātai tuakiri o te rata.

whare hauora

tāutuhia te reira e rave rahi tohu e kia puta weranga. E kore e te wāhi o weranga i roto i tenei take tākaro i te tūranga motuhake, pera he whanui, engari pāpaku ratou. Nāwai taea puka o faaiteraa haumanu whakakapi ia atu i roto i te tukanga whakaora:

1. haere tahi Erythema whero o te kiri ranei e whero. puta te reira i tetahi weranga tohu.
2. Vesicle - he oko ki tonu i te wai mangu. Ka taea te konatunatua reira ki te toto. Puta reira e tika ana ki etahi tihorenga o te apa kiri o runga.
3. Bulla - Kei te hanumi i te torutoru vesicles ki tetahi mirumiru me henimita te hawhe te whānui.
4. Horo - tahu mata i runga i nei i reira ko te kiriwaho. Kei te toto ia, tukua ichor ranei. puta te reira i roto i tango o opupu bullae ranei, kiko necrotic.
5. Whewhe - he horo hohonu, e pa ana nga kiri, hypodermis me uaua. Tei te uara i runga i te rohe i mua necrosis.
6. necrosis Coagulation - maroke kiko necrotic i roto i te parauri pango pouri ranei. Ngāwari nekehia hāparapara.
7. necrosis Liquefactive - kiko pirau mākū e kia whakawhānui i te roto o te tinana, a ki te taha, a Wairaka ki te kiko hauora.

tahu mate

Tenei rauropi whakautu pūnahanaha ki te tahu whara kia puta tenei āhua e rua i te kino mata ki te kaitahu te tinana 30% ake ranei, a ki te weranga hohonu, noho kaua e nui ake kotahi tekau ōrau. Te hauora ngoikore o te tangata, te atu kitea tenei momo o te ru. Kei te wehea te pathophysiology ki ngā wāhanga e wha o te whanaketanga o te mate wera:

1. Tahu ru. pumau reira mo nga ra tuatahi e rua, ki te whara kino - e toru nga ra. whakatika reira e tika ana ki te tohatoha anō hē o te wai i roto i nga whekau ru (ngakau, pūkahukahu, roro, whatukuhu).
2. whakawhanake whakapeka toxemia wera i mua i hono mate pumau i tetahi wiki ki iwa ra. Pathophysiologically rite ki te kuru syndrome, tomo hua i.e. kiko pirau te tohanga nahanaha, me te rereke te tinana.
3. Wera septicotoxemia puta i muri i te rironga o te mate. Ka taea e muri te reira i runga ki te maha marama kua to'o noa nga huakita katoa i te mata marutanga.
4. haamata Whakaora i muri e katia te patunga tahu ki granulation kiko epithelium ranei.

Endogenous haurangi, mate me te sepsis

tinana Tahu Body tahi e te paihana kai pūmua denaturation. Te ate, me nga whatukuhu tata kore e taea akakoromaki i te kawenga nui haere, no te te pēhanga i roto i te tohanga nahanaha. I tua atu, i muri i te whētuki o te pūnaha ārai mate te tangata kei runga i mataara tiketike, ko te poisoning o te tinana wā roa-wawahi nga tikanga tiaki, a ka hanga he ārai tuarua. arata'i tenei ki te meka i haamau ai te mata marutanga microflora e pirau.

Kōmaka o patunga ki te weranga

Ka rite ki whakahuatia i runga ake, i roto i te ruma whawhati tata e uaua kawea tetahi patunga, e he weranga. Ko te rohe o te tahu me te maha o ngā tūroro nui nui te kaha o te tokotoko hauora, na e hiahia ana koe ki te kōmaka taumai iwi pakeke o te huru ki te mohio ki nei ki te whakarato i te atawhai hauora i roto i te wahi tuatahi:

1. Tino werohia whai weranga ausia mo e rua tekau ōrau o te tinana te weranga hohonu ranei - neke atu i te kotahi tekau ōrau, me runga weranga romahā. He taua tūroro i roto i te hiahia o te whawhati tata āwhina rata, ka kawea ki te hōhipera ki te awhina o rererangi parukore.
2. Ko te tohu toharite o te pakeke o te weranga ausia e rua tekau ōrau ranei iti iho hohonu - kaua e nui ake kotahi tekau ōrau o te mata tinana. Na e hiahia ana koe ki te whakarato āwhina hauora ki te patunga i roto i te tahuri tuarua, engari e kore e auraa e taea te mahue ratou tautahi mō te wa roa.
3. Ngawari weranga ausia āhuatanga, noho iti iho i te tekau ma rima ōrau o te mata kiri weranga hohonu, e kore nei e whakawhānui ake i te rima ōrau, me te kore e pā te wahi romahā o runga ranei.
4. Werohia - he tangata e whai i te weranga hohonu tinana (50% neke atu rānei), me te iwi tawhito ki te kino ki te toru tekau ōrau o te mata. Heoi kawea nga patunga i roto anake maimoatanga symptomatic. Ko nga patunga o nui-tauine aituā ahumahi pea 90% weranga tinana. Ko te kino mate tenei, me awhina i roto i tenei take e taea, anake koe e taea e tamata ki te hiki i ō rātou Pë te mamae kaha (coma piri) ranei ki te inhalation rehunga.

-Āwhina tuatahi

Hoki te matapae pai e whai wāhi nui ki te whakarato whaiaro-awhina me te āwhina tahi. Ko te oioi o te tauhohenga taea ki tino whakaiti i te rohe wera me te hohonu. Ko te mea tuatahi ki te aruaru whakapā pāmamae i waenganui i te kaihoko, me te tangata hei tauira tinei i te ahi ranei momotu te waiopeope whatunga / e haamou i matū.

I roto i te wā i mua hōhipera-kore e tūtohu ana ki te whakamahi i te hinu e hāngai ana-hinu, me te tahi atu āpiha ngako-kei roto, no te mea ratou te hanga i te kiriata i runga i te mata o te patunga me te ārai i putanga wera. I tua atu, ka whai i te hōhipera ki te muku me "poke whakaora", meinga mamae ki te pārurenga. Ehara i te mea e tika ana i te kāinga ki te whakaputa i motu maimoatanga, pērā i tango o tinana ke, ranei kiri wera, me te rite. Tenei e taea e arahi ki te mate, no te mea e kore e hei maharatanga reira e tika ana aratau asepsis / antisepsis. Plus, i waho te rehunga tika te tangata e ngana ana koe ki te āwhina i he pea ki te taka ki roto ki te āhua o te mamae ru.

te tauturu te mamae me te patunga maimoatanga

Tei runga i te pakeke o te kairehu huru o te manawanui whiriwhiri te tarukino me te rehunga technique tika. kia waiho te reira i te kore-steroidal taero anti-inflammatory, Pë-antipyretics wahi ranei kawenga rehunga. Hoki ngā take kino, he pai Pë whakapōauau.

I muri i te whara pohe to, puta te tākuta ki te maimoatanga tuatahi o te mata marutanga. detaches ia nga kiriwaho, oroko manga mirumiru ranei, e nekehia atu tinana ke. Katahi ka katia te mata e purea ana o te patunga te whāriki takai ma. Ki te weranga tuarua me te tohu o te manawanui e hiahia ana tomo timu serum.

maimoatanga rohe

E rua ara mohiotia o ngiha maimoatanga - e rua roto, o waho. Ka taea te whakamahi ratou rānei wehe tahi ranei. Kia kore ai motu mate, reira kaha maroke ki puta necrosis maroke. hāngai ana tēnei i runga i te tikanga tuwhera. Tono ki te maru ia i te matū mata rongoā waipiro taua kōnakonako e taea tepe i te pūmua. Hoki, kia whakamahia ai i tua tikanga pērā i radiation pōkākā.

maimoatanga Kati fakahu'unga ranu e ārai i huakita, a ka whakarato manga o matamua inu. I raro i tipare tono taero e whakatairanga maru ia i te granulation, te whakapai ake matamua inu, me te whai tupuna. Nuinga o ngā wā, e whakamahia ana i tēnei tikanga paturopi whanui-hihinga, e whai he mahi matatini.