Munyori: Gregory Harris
Zuva Rekusika: 11 Kubvumbi 2021
Gadziridza Zuva: 19 Mbudzi 2024
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Chii chinonzi Ongororo yekutsva?

Kupisa rudzi rwekukuvara paganda uye / kana zvimwe zvinyama. Ganda inhengo yakakura kwazvo mumuviri wako. Izvo zvakakosha pakudzivirira muviri kubva mukukuvara uye hutachiona. Inobatsirawo kudzora tembiricha yemuviri. Kana ganda rakuvara kana kukuvara nekutsva, zvinogona kurwadza kwazvo. Mamwe matambudziko ehutano kubva mukutsva anogona kusanganisira kupera kwakanyanya kwemvura (kurasikirwa nemvura yakawandisa kubva mumuviri wako), kufema kunetseka, uye hutachiona hunotyisidzira hupenyu. Zvinopisa zvinogona zvakare kukonzera kusingaperi hurema uye hurema.

Ongororo yekutsva inotarisa kuti yakadzika sei paganda pakatsva (degree rekutsva) uye yakawanda sei nzvimbo yemuviri yapiswa.

Kupisa kunowanzo kukonzerwa ne:

  • Kupisa, senge moto kana zvinwiwa zvinopisa. Izvi zvinozivikanwa sekutsva kwemafuta.
  • Makemikari, akadai seasidhi kana sipo. Zvinogona kukonzera kupisa kana zvikabata ganda rako kana maziso.
  • Magetsi. Unogona kupiswa kana magetsi achipfuura nemuviri wako.
  • Chiedza chezuva. Iwe unogona kuwana kupisa kwezuva kana iwe ukapedza nguva yakawandisa muzuva, kunyanya kana iwe ukasapfeka sunscreen.
  • Radiation. Aya marudzi ekupisa anogona kukonzerwa nemamwe marapirwo ekenza.
  • Kukakavara. Kana ganda richizora pamusoro pechiso zvine hukasha, zvinogona kukonzeresa (kukwenya) kunozivikanwa sekukakavara kupisa. Kupenga kwekutsamwa kunowanzoitika mune bhasikoro kana tsaona yemudhudhudhu apo ganda rinokwiza pamusoro penzira. Zvimwe zvikonzero zvinosanganisira kutsvedza pasi tambo nekukurumidza uye kudonha kubva kune yekutsika.

Mamwe mazita: kupisa kuongorora


Ndeapi marudzi akasiyana ekutsva?

Mhando dzekutsva dzinoenderana nekudzika kwekukuvara, kunozivikanwa senge degree rekutsva. Kune matatu makuru marudzi.

  • Chekutanga-degree kupisa. Urwu ndirwo rudzi rusingakoshe rwekupisa. Iyo inongokanganisa iyo yekunze yakatetepa yeganda, inozivikanwa seepidermis. Chekutanga-degree kutsva kunogona kukonzera kurwadziwa uye kutsvuka, asi hapana mablister kana maronda akazaruka. Kupisa kwezuva rudzi rwakajairika rwekutanga-degree kupisa. Kutanga-degree kutsva kazhinji kunoenda mukati mevhiki kana zvakadaro. Kurapa kwepamba kunogona kusanganisira kuisa iyo nzvimbo mumvura inotonhorera nekuipfekedza neisina bhandeji. Mishonga yekumusoro-pa-counter inorwadzisa zvakare marwadzo ekutsva mashoma.
  • Chechipiri-degree kutsva, inonziwo huremu hwekupisa. Uku kutsva kwakakomba kupfuura kutanga-degree rekutsva. Chechipiri-degree kutsva kunokanganisa yekunze uye yepakati chikamu cheganda, inozivikanwa sedermis. Zvinogona kukonzera kurwadziwa, kutsvuka, uye mablister. Kumwe kupisa-kwechipiri-degree kunogona kurapwa nemishonga inorwisa mabhakitiriya nemabhandeji asina kuchena. Zvimwe zvakakomba zvechipiri-degree kutsva kungangoda maitiro anozivikanwa seganda kubatanidza. Ganda rinonamira rinoshandisa ganda rechisikirwo kana rekugadzira kuvhara nekuchengetedza nzvimbo yakakuvara apo ichipora. Chechipiri-degree kutsva kunogona kukonzera kukuvara.
  • Chechitatu-degree inopisa, inonziwo kuzara kwakazara kutsva. Iyi mhando yakakomba kwazvo yekutsva. Inobata mativi ekunze, epakati uye epakati peganda. Icho chemukati-kati chinozivikanwa seyakafuta mafuta. Chechitatu-degree kupisa kazhinji kunokanganisa bvudzi follicles, ziya gland, kupera kwetsinga, uye zvimwe zvinyama muganda. Uku kutsva kunogona kurwadza zvakanyanya. Asi kana marwadzo-ekuona maseru etsinga akakuvara, panogona kunge paine kushoma kana kusave nekurwadziwa pakutanga. Uku kutsva kunogona kukonzera kukuvara kwakanyanya uye kazhinji kunoda kurapwa nehunongedzo rweganda.

Pamusoro peiyo mhando yedhigirii, kutsva kunoiswa muzvikamu zvidiki, zvine mwero, kana zvakanyanya. Zvinenge zvese zvekutanga-degree kupisa uye zvimwe zvechipiri-degree kupisa zvinoonekwa kunge zvidiki. Kunyange ivo vachigona kurwadza kwazvo, havawanzo kukonzera matambudziko. Kumwe kutsva-madhiri ekupisa uye chese chechitatu-degree kutsva kunoonekwa sekuenzanisa kana kwakanyanya. Kutsva zvine mwero uye kwakakomba kunokonzeresa zvakakomba uye dzimwe nguva kuuraya matambudziko ehutano.


Ongororo yekutsva inoshandiswa sei?

Kupisa kuwongorora kunoshandiswa kuongorora zvine mwero kusvika mukukuvara kwakanyanya kwekutsva. Munguva yekuongorora kwekutsva, wako mupi wezvehutano anonyatso tarisa ronda. Iye kana iyewo achaverenga inofungidzirwa muzana yezvese nzvimbo yemuviri nzvimbo (TBSA) iyo yakatsva. Mubatsiri wako anogona kushandisa nzira inozivikanwa se "mutemo wemapini" kuti uwane fungidziro iyi. Mutemo wemapine unoparadzanisa muviri muzvikamu zve9% kana 18% (2 times 9). Izvo zvikamu zvakapatsanurwa seinotevera:

  • Musoro uye mutsipa: 9% yeTBSA
  • Ruoko roga-roga: 9% TBSA
  • Gumbo roga roga: 18% TBSA
  • Anterior trunk (kumberi kwemuviri) 18% TBSA
  • Posterior trunk (kumashure kwemuviri) 18% TBSA

Mutemo wemapfumbamwe fungidziro hausi kushandiswa kwevana. Miviri yavo ine zviyero zvakasiyana pane zvevakuru. Kana mwana wako akatsva anofukidza nzvimbo yepakati kusvika kune yakakura, mupi wako anogona kushandisa chati, inonzi Lund-Browder chati, kuita fungidziro. Izvi zvinopa fungidziro dzakanyatsoenderana nezera remwana uye saizi yemuviri.


Kana iwe kana mwana wako aine kutsva uko kunovhara nzvimbo diki, mupi wako anogona kushandisa fungidziro zvichibva pahukuru hwechanza, iri ingangoita 1% yeTBSA.

Ndezvipi zvimwe zvinoitika panguva yekuongorora kupisa?

Kana iwe uine kukuvara kwakakomba kwekutsva, iwe ungangodawo ongororo yechimbichimbi inozivikanwa seyekuongorora kweABCDE. Ongororo dzeABCDE dzinoshandiswa kuongorora masisitimu emuviri uye mabasa. Zvinowanzoitika mumaamburenzi, makamuri ekukurumidzira, uye muzvipatara. Iyo inoshandiswa kune akasiyana marudzi etsitsi dzinokuvadza, kusanganisira kupisa kwakanyanya. "ABCDE" inomirira macheki anotevera:

  • Mhepo. Anopa hutano anozotarisa chero mabhureki munzira yako yemhepo.
  • Kufema. Mupiro anozoongorora zviratidzo zvekunetseka kufema, kusanganisira kukosora, kupaza, kana kufema. Iye mupi anogona kushandisa stethoscope kuongorora yako mweya mweya.
  • Kutenderera. Anopa rubatsiro anoshandisa zvishandiso kutarisa moyo wako uye kuwedzerwa kweropa. Anogona kuisa chubhu mutete mutsinga yako. Catheter ipombi yakatetepa inotakura zvinwiwa kupinda mumuviri wako. Kupisa kunogona kukonzera kurasikirwa kwakanyanya kwemvura.
  • Kuremara. Anopa anotarisa zviratidzo zvekukuvara kwehuropi. Izvi zvinosanganisira kutarisa kuti uone mapinduriro aunoita mukusimudzira kwakasiyana kwekutaura uye kwemuviri.
  • Kusadziviririka. Anopa rubatsiro achabvisa chero makemikari kana zvinhu zvinopisa zvinokonzeresa kubva paganda nekusasa nzvimbo yakakuvara nemvura. Iye kana iye anogona kusunga iyo nzvimbo neyakaomeswa kupfeka. Iye mupi anoongorora zvakare tembiricha yako, uye nekukuchidzira iwe negumbeze nemvura inodziya kana zvichidikanwa.

Pane chimwe chinhu here chandinofanira kuziva nezve yekutsva kuongorora?

Kupisa nemoto ndicho chechina chinonyanya kukonzera kufa nenjodzi muvana nevakuru muU.S. Vana vadiki, vakuru vanhu, uye vanhu vakaremara vari panjodzi yakanyanya yekukuvara nekutsva nerufu. Njodzi zhinji dzekupisa dzinogona kudzivirirwa nechengetedzo. Izvi zvinosanganisira:

  • Gadza hita yako yemvura kusvika 120 ° F.
  • Edza tembiricha yemvura iwe kana mwana wako asati apinda mutabhu kana mushawa.
  • Chinja mapoto nemapoto kuseri kwechitofu, kana kushandisa zvinopisa zvekumashure.
  • Shandisa maaramu ehutsi mumba mako uye ongorora mabhatiri mumwedzi mitanhatu yega yega.
  • Tarisa tambo dzemagetsi mwedzi mishoma. Kanda chero chakakanganiswa kana kukuvara.
  • Isa machira pazvitoro zvemagetsi zviri mukati memwana.
  • Ukasvuta, usamboputa pamubhedha. Moto unokonzerwa nefodya, pombi, uye fodya ndidzo dzinonyanya kukonzera kufa kwemoto mudzimba.
  • Ive nekuchenjerera kwazvo kana uchishandisa nzvimbo yekupisa. Zvichengetedze kure nemagumbeze, mbatya, uye zvimwe zvinotsva zvinhu. Usambofa wakavasiya vasina kutarisirwa.

Kuti udzidze zvakawanda nezve kupisa kurapwa kana kudzivirira, taura nemupi wako wekuchengeta hutano kana mupi wemwana wako.

Zvinyorwa

  1. Agrawal A, Raibagkar SC, Vora HJ. Kushushikana Kunopisa: Epidemiology uye Kudzivirira. Ann Anopisa Njodzi Dzemoto [Internet]. 2008 Mar 31 [yakataurwa 2019 Chivabvu 19]; 21 (1): 3-6. Inowanikwa kubva: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3188131
  2. Chipatara chevana cheWisconsin [Internet]. Milwaukee: Chipatara chevana cheWisconsin; c2019. Chokwadi pamusoro pekupisa kukuvara; [yakataurwa 2019 May 8]; [angangoita mana skrini. Inowanikwa kubva ku: https://www.chw.org/medical-care/burn-program/burns/facts-about-burn-injury
  3. Familydoctor.org [Internet]. Leawood (KS): American Academy yeMhuri Varapi; c2019. Kupisa: Kudzivirira Kusvira Mumba Mako; [yakagadziridzwa 2017 Mar 23; yakataurwa 2019 May 8]; [angangoita mana skrini. Inowanikwa kubva: https://familydoctor.org/burns-preventing-burns-in-your-home
  4. Merck Chinyorwa Chevatengi Vhezheni [Internet]. Kenilworth (NJ): Merck & Co, Inc .; c2019. Kupisa; [yakataurwa 2019 May 8]; [angangoita maviri skrini. Inowanikwa kubva: https://www.merckmanuals.com/home/injuries-and-poisoning/burns/burns?query=burn%20evaluation
  5. National Institute of General Kurapa Sayenzi [Internet]. Bethesda (MD): Kunopisa; [yakagadziridzwa 2018 Jan; yakataurwa 2019 May 8]; [angangoita maviri skrini. Inowanikwa kubva ku: https://www.nigms.nih.gov/education/pages/Factsheet_Burns.aspx
  6. Olgers TJ, Dijkstra RS, Drost-de-Klerck AM, Ter Maaten JC. Iyo ABCDE yekutanga ongororo mubazi rekukurumidzira mune varwere vanorwara: ongororo yekucherechedza. Neth J Med [Indaneti]. 2017 Kubv [yakataurwa 2019 Chivabvu 8]; 75 (3): 106–111. Inowanikwa kubva ku: https://www.ncbi.nlm.nih.gov/pubmed/28469050
  7. Strauss S, Gillespie GL. Kutanga kuongorora uye manejimendi evarwere vanopisa. Ndiri Mukoti Nhasi [Internet]. 2018 Jun [yakataurwa 2019 May 8]; 13 (6): 16–19. Inowanikwa kubva: https://www.americannursetoday.com/initial-assessment-mgmt-burn-patients
  8. TETAF: Texas EMS Trauma uye Acute Care Foundation [Internet]. Austin (TX): Texas EMS Trauma uye Acute Care Foundation; c2000–2019. Pisa Kiriniki Yekudzidzira Nongedzo; [yakataurwa 2019 May 8]; [angangoita mana skrini. Inowanikwa kubva: http://tetaf.org/wp-content/uploads/2016/01/Burn-Practice-Guideline.pdf
  9. Thim T, Vinther Karup NH, Grove EL, Rohde CV, Lofgren B. Kutanga kuongorora uye kurapwa neAirway, Kufuridzira, Kutenderera, Kuremara, Kujekesa (ABCDE) nzira. Int J Gen Med [Indaneti]. 2012 Jan 31 [yakataurwa 2019 Chivabvu 8]; 2012 (5): 117-121. Inowanikwa kubva: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3273374
  10. Yunivhesiti yeRochester Medical Center [Internet]. Rochester (NY): Yunivhesiti yeRochester Medical Center; c2019. Health Encyclopedia: Burns Ongororo; [yakataurwa 2019 May 8]; [angangoita maviri skrini. Inowanikwa kubva ku: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=90&ContentID=P01737
  11. UW Hutano [Internet]. Madison (WI): Yunivhesiti yeWisconsin Zvipatara uye Makiriniki Chiremera; c2019. Burn Center: Burn Center Inowanzo Bvunzwa Mibvunzo; [yakagadziridzwa 2019 Feb 11; yakataurwa 2019 May 8]; [angangoita matatu skrini. Inowanikwa kubva: https://www.uwhealth.org/burn-center/burn-center-frequently-asked-questions/29616
  12. UW Hutano [Internet]. Madison (WI): Yunivhesiti yeWisconsin Zvipatara uye Makiriniki Chiremera; c2019. Emergency Medicine: Kuongorora Kupisa uye Kuronga Kumutsidzira: Mutemo weNini; [yakagadziridzwa 2017 Jul 24; yakataurwa 2019 May 8]; [angangoita matatu skrini. Inowanikwa kubva: https://www.uwhealth.org/emergency-room/assessing-burns-and-planning-resuscitation-the-rule-of-nines/12698
  13. World Health Organisation [Internet]. Geneva (SUI): World Health Organisation; c2019. Kutungamira kweBurns; 2003 [yakataurwa 2019 Chivabvu 8]; [angangoita mana skrini. Inowanikwa kubva: https://www.who.int/surgery/publications/Burns_management.pdf

Ruzivo ruri pane ino saiti harufanire kushandiswa sekutsiva kwehunyanzvi kurapwa kana kurairwa. Bata mupi wehutano kana iwe uine mibvunzo nezve hutano hwako.

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