Ukushisa kwe-thermal kungumonakalo obangelwa ukuxhumana nezinto ze-incandescent, ilangabi, umusi oshisayo noma uketshezi, ukuvezwa isikhathi eside emisebeni yelanga, njll. Kuncike ekupheleni kwesikhathi somphumela wokulimaza emathisini omzimba nokuqina kwawo, ukujula kwesilonda kungase kuhluke. Ukuqhubeka kulokhu, amazinga amane okushisa okushisayo ahlukile. Cabanga ukuthi yiziphi izibonakaliso zokushisa kwesithathu, indlela yokuphatha ngayo nokuthi uphulukisa kangakanani.
Izimpawu zokushisa okushisayo kwama-degree amathathu
Ukulimala kweqhwa lezinga lesithathu lihlukaniswe ngezigaba ezimbili.
I-Burns degree 3
Kulesi simo, ukujula kwesilonda kuyathinta ngokuphelele i-epidermis, kanye nezendlalelo ezingenasici zalesi sifo. Kule nkinga, ingxenye enkulu yezingqimba ze-basal noma zamabriyoni ze-epidermis ifa, lapho zonke izingqimba zesikhumba ezikhulayo zikhula. Izindwangu zihlala zingxenyeni ezijulile zesikhumba kanye nezakhi zawo (izigulane ezikhukhumezayo nezisindayo ngamadada, izinwele zezinwele).
Ukubonakaliswa kwangaphandle kungaba okuhlukile:
- ukubonakala kwamabhalane angenalutho, egcwala ngamanzi abizayo, izindonga zawo ezakhiwe yi-epidermis exfoliated;
- ukubonakala kwendwangu encane yesikhumba esikhanyayo (isikhumba) sombala obomvu okhanyayo.
Ukuzwela ubuhlungu nobuhlungu, njengomthetho, kuncishisiwe, kodwa kwezinye izindawo kungagcinwa. Ukuxilongwa okuqondile kungenzeka kuphela lapho kuqapha ukuvuselelwa kwesilonda.
I-Burns degree 3-b
Njengoba kunomonakalo onjalo, i-necrosis yobuningi besikhumba iyabonwa, futhi kwezinye izimo - umonakalo ongaphansi kwesikhumba (okuphelele noma okuyingxenye). Isithombe somtholampilo, njengasesikhathini esidlule, singahluka:
- i-gray-white (ngokuvamile lapho idluliselwa emithonjeni enomsoco) noma emnyama (isibonelo, lapho ivuliwe elangabi), isikhumba esinokuvuvukala okulinganiselayo kanye nebhande elibomvu lokubomvu (ukubukeka kwendlela yokugcoba kubonisa ukuhlushwa kwemifino);
- Ama-bubbles agcwele izinto ezinomsindo, ngezansi ezimelelwa i-derma ebulalayo ngokufaka amaphuzu amaningi (njengokuvame ukushisa kusuka kokushisa okushisayo ukuvela).
Ubuhlungu nobuzwe obuzwelayo kuleli cala abukho ngokuphelele. Ezindaweni ezithintekile ukujikeleza kwegazi kanye nezinqubo zokuqubuzana kwegazi kuyingozi kakhulu.
Imiphumela yokushisa kwama-3 degrees
Ukusabela komzimba ngokushiswa okujulile kwama-degrees amathathu, okuthinta umzimba ongaphezu kwezingu-10%, kungaba yisifo esishisayo lapho izigaba ezilandelayo zihlukaniswa khona:
- Sula ukukhathazeka - ukuphazamiseka kwe-hemodynamics, okuholele ekuphazanyeni kwemisebenzi yazo zonke izinhlelo zomzimba, kuhlanganise nesistimu yomphakathi oyinhloko (ihlala amahora angu-12 kuya kwangu-48).
- Ukushisa i-toxemia - ivela ngenxa yokuwela egazini lemikhiqizo yokudiliza yamathambo ashisayo (ihlala izinsuku ezingu-7 kuya kwezingu-9).
- Burn septicotoxemia - impendulo yomzimba emisebenzini ebalulekile yamagciwane ezincelweni (ihlala izinyanga eziningana).
- Ukubuyiselwa - kuqala emva kokuphulukiswa nokuhlanzwa kwamanxeba.
Izinkinga ezingenzeka emva kokushisa kwezinga lesithathu kungaba:
- i-cellulite ye-purulent;
- i-lymphadenitis;
- ama-abscesses;
- i-gangrene .
Usizo lokuqala lokushisa kwama-degree amathathu:
- Nciphisa into ebamba.
- Faka indwangu ehlanzekile emanzini kusuka kwendwangu noma i-gauze endaweni ethintekile.
- Thatha ama-painkillers kanye nama-sedative (ezimweni ezimbi kakhulu - antipyretic).
- Nikeza isiphuzo esiningi (mhlawumbe amanzi amancane anamanzi).
Qinisekisa ukubiza i-ambulensi.
Ukwelashwa kokushisa okushisayo kwama-degree amathathu
Ngokushiswa kwama-degree amathathu, ukwelashwa kwenziwa esibhedlela ngokuqokwa kwemithi elandelayo:
- ama-analgesics;
- ama-antibiotics;
- izidakamizwa.
Ukwelashwa kwamanzi okudambiswa kwamanzi kusetshenziswa futhi, ukugoma ngokumelene ne-tetanus kwenziwa. Ezimweni ezimbi, ukwelashwa okuphazamisayo kuyenziwa, ukungenelela okuhlinzekwayo kwenziwa, kufaka phakathi ukufakelwa isikhumba.