UkuVavanya uBushushu

Umxholo

• Yintoni uvavanyo lokutsha?
• Zeziphi iintlobo ezahlukeneyo zokutsha?
• Uvavanyo lokutsha lusetyenziswa njani?
• Yintoni enye eyenzekayo ngexesha lokuvavanywa kokutsha?
• Ngaba ikhona enye into endifanele ukuyazi malunga novavanyo lokutsha?
• Izalathiso

Yintoni uvavanyo lokutsha?

Ukutshiswa luhlobo lokulimala kwesikhumba kunye / okanye ezinye izicubu. Ulusu lelona lungu likhulu emzimbeni wakho. Kubalulekile ukukhusela umzimba ekonzakaleni kunye nosulelo. Inceda nokulawula ubushushu bomzimba. Xa ulusu lonzakele okanye lonakaliswe kukutsha, kunokuba buhlungu kakhulu. Ezinye iingxaki zempilo ezivela kukutsha zinokubandakanya ukomisa kakhulu emzimbeni (ukulahleka kolwelo oluninzi emzimbeni wakho), iingxaki zokuphefumla, kunye nosulelo olusongela ubomi. Ukutshisa kunokubangela ukuba ukhubazeke ngokusisigxina kunye nokukhubazeka.

Uvavanyo lokutshisa lujonga ukuba nzulu kangakanani eluswini ukutshisa kuhambile (inqanaba lokutsha) kunye nobungakanani bendawo yomzimba etshisiweyo.

Ukutshisa kuhlala kubangelwa:

• Ubushushu, njengomlilo okanye ulwelo olushushu. Oku kwaziwa njengokutsha kwe-thermal.
• Iikhemikhali, ezinjengeeasidi okanye iisepha. Banokubangela ukutsha ukuba bachukumisa ulusu lwakho okanye amehlo.
• Umbane. Ungatshiswa xa umbane udlula emzimbeni wakho.
• Ukukhanya kwelanga. Ungatshiswa lilanga ukuba uchitha ixesha elininzi elangeni, ngakumbi ukuba awunxibi i-sunscreen.
• Imitha. Ezi ntlobo zokutsha zinokubangelwa lunyango oluthile lomhlaza.
• Ukuxabana. Xa ulusu luzihlikihla kumphezulu womhlaba ngokurhabaxa, kunokubangela irrasion (scrape) eyaziwa njengokutsha komlo. Ukuvutha kobundlobongela kuhlala kwenzeka kwibhayisekile okanye ingozi yesithuthuthu xa ulusu luthambisa malunga nepavumente. Abanye oonobangela kubandakanya ukutyibilika ngentambo ngokukhawuleza kakhulu kwaye uwe kwitreadmill.

Amanye amagama: uvavanyo lokutsha

Zeziphi iintlobo ezahlukeneyo zokutsha?

Iindidi zokutsha zisekwe kubunzulu bokwenzakala, okwaziwa njengeqondo lokutsha. Zintathu iintlobo eziphambili.

• Ukutsha kwinqanaba lokuqala. Olu lolona hlobo lincinci lokutsha. Ichaphazela kuphela ungqimba olungaphandle lolusu, olubizwa ngokuba yi-epidermis. Ukutsha kwesidanga sokuqala kunokubangela iintlungu kunye nokubomvu, kodwa akukho blisters okanye izilonda ezivulekileyo. Ukutshiswa lilanga kuluhlobo oluqhelekileyo lokutsha kwinqanaba lokuqala. Ukutsha kweedigri zokuqala kuhlala kumka ngaphakathi kwiveki okanye njalo. Unyango lwasekhaya lunokubandakanya ukumanzisa indawo emanzini apholileyo kwaye uyinxibe ngebhandeji engenazintsholongwane. Amayeza eentlungu angaphaya kwekhawuntari anokupholisa nentlungu yokutsha.
• Ukutsha kwinqanaba lesibini, Ikwabizwa ngokuba kukutsha kwesinyithi. Oku kutshiswa kubi kakhulu kunedigri yokuqala. Ukutsha kweqondo lesibini kuchaphazela indawo engaphandle kunye naphakathi kolusu, eyaziwa ngokuba yidermis. Zingabangela iintlungu, ubomvu, kunye namadyungudyungu. Ukutsha kwesinye isidanga kunokunyangwa nge-antibiotic cream kunye ne-bandage bandage. Ukutshisa kwinqanaba lesibini kunokudinga inkqubo eyaziwa ngokuba yi-graft yolusu. Ukuncitshiswa kolusu kusetyenziswa ulusu lwendalo okanye elenziweyo ukugubungela nokukhusela indawo eyenzakeleyo ngelixa iphilisa. Ukutsha kwesibini kwinqanaba kunokubangela ukonakala.
• Ukutsha kwinqanaba lesithathu, ikwabizwa ngokuba kukutsha ngokupheleleyo. Olu luhlobo olubi kakhulu lokutsha. Ichaphazela ulusu lwangaphandle, oluphakathi, nolwangaphakathi. Uluhlu lwangaphakathi luyaziwa njengoluhlu lwamafutha. Ukutsha kwinqanaba lesithathu kuhlala konakalisa iifollic zeenwele, amadlala okubila, ukuphela kwentliziyo kunye nezinye izicwili kulusu. Oku kutshiswa kunokuba buhlungu kakhulu. Kodwa ukuba iiseli zemithambo-luvo zonakalisiwe, kungangakho zincinci iintlungu okanye kungabikho zintlungu ekuqaleni. Oku kutshiswa kunokubangela ukonakala kakhulu kwaye kuhlala kufuneka kuphathwe ngokuthanjiswa kolusu.

Ukongeza kuhlobo lwesidanga, ukutsha kukwahlelwa ngokwamanqanaba amancinci, amodareyitha, okanye aqatha. Phantse zonke iidigri zokutsha zokuqala kunye nokutsha kwinqanaba lesibini kuthathwa njengokuncinci. Ngelixa kunokuba buhlungu kakhulu, kunqabile ukuba kubangele iingxaki. Ukutsha kwesinye isidanga kunye nawo onke amanqanaba okutsha kutsha kuthathelwa ingqalelo njengolinganiselweyo okanye onzima. Ukutsha okuphakathi kunye nobunzima kubangela iingxaki ezinzulu kwaye ngamanye amaxesha zibulala impilo.

Uvavanyo lokutsha lusetyenziswa njani?

Ukutshisa uvavanyo kusetyenziswa ukuvavanya ukumodareyitha ukulimala okunokutsha. Ngexesha lokuvavanywa kokutsha, umboneleli wakho wezempilo uya kujonga ngononophelo enxebeni. Uyakufumana ipesenti eqikelelweyo yommandla womzimba otshisiweyo. Umboneleli wakho unokusebenzisa indlela eyaziwa ngokuba yi "rule of nines" ukufumana olu qikelelo. Ulawulo lwee-nines lwahlula umzimba ngokwamacandelo e-9% okanye ye-18% (2 amaxesha 9). Amacandelo ahlulwe ngolu hlobo lulandelayo:

• Intloko nentamo: 9% ye-TBSA
• Ingalo nganye: 9% TBSA
• Umlenze ngamnye: i-18% ye-TBSA
• Umphanda ongaphambili (phambi komzimba) yi-18% ye-TBSA
• Umboko wasemva (ngasemva komzimba) i-18% ye-TBSA

Umgaqo woqikelelo lwee-nines awusetyenziswanga ebantwaneni. Imizimba yabo inemilinganiselo eyahlukileyo kunabantu abadala. Ukuba umntwana wakho utshise okugubungela indawo ukuya kwindawo enkulu, umboneleli wakho unokusebenzisa itshathi, ebizwa ngokuba yitshathi yeLund-Browder, ukwenza uqikelelo. Oku kunika uqikelelo oluchanekileyo olusekwe kubudala bomntwana kunye nobukhulu bomzimba.

Ukuba wena okanye umntwana wakho utshise indawo encinci, umboneleli wakho unokusebenzisa uqikelelo olusekwe kubungakanani besundu, esiyi-1% ye-TBSA.

Yintoni enye eyenzekayo ngexesha lokuvavanywa kokutsha?

Ukuba wenzakele kakhulu, ungadinga kuvavanyo olungxamisekileyo olubizwa ngokuba luvavanyo lweABCDE. Uvavanyo lwe-ABCDE lusetyenziselwa ukukhangela iinkqubo zomzimba eziphambili kunye nemisebenzi. Zihlala zenzeka kwii-ambulensi, kumagumbi kaxakeka nasezibhedlele. Zisetyenziselwa iintlobo ezahlukeneyo zongxamiseko, kubandakanya ukutsha. "ABCDE" imele oku kutshekishwa:

• Indlela yomoya. Umboneleli wezempilo uya kujonga nakuphi na ukubhloka kwindlela yakho yomoya.
• Ukuphefumla. Umboneleli uya kujonga imiqondiso yenkathazo yokuphefumla, kubandakanya ukukhwehlela, ukugqabhuka, okanye ukuvutha. Umboneleli unokusebenzisa i-stethoscope ukujonga izandi zokuphefumla kwakho.
• Ukujikeleza. Umboneleli uya kusebenzisa izixhobo ukujonga intliziyo kunye noxinzelelo lwegazi. Unokufaka ityhubhu ebhityileyo ebizwa ngokuba yi-catheter emthanjeni wakho. Icatheter ngumbhobho omncinci othwala ulwelo emzimbeni wakho. Ukutshisa kunokubangela ilahleko enkulu emanzini.
• Ukukhubazeka. Umboneleli uya kujonga iimpawu zokonakala kwengqondo. Oku kubandakanya ukukhangela ukubona ukuba uphendula njani kukhuthazo lomlomo nolwemizimba.
• Ukungakhuseleki. Umboneleli uya kususa nayiphi na imichiza okanye izinto ezibanga ulusu ngokugungxula indawo eyenzakeleyo ngamanzi. Unokuyibopha loo ndawo ngokunxiba okungenazintsholongwane. Umboneleli uya kujonga ubushushu bakho, kwaye akufudumeze ngengubo kunye namanzi afudumeleyo xa kukho imfuneko.

Ngaba ikhona enye into endifanele ukuyazi malunga novavanyo lokutsha?

Ukutsha kunye nemililo ingoyena nobangela uqhelekileyo wokufa ngengozi ebantwaneni nakubantu abadala e-US abantwana abancinci, abantu abadala abadala, kunye nabantu abakhubazekileyo basemngciphekweni omkhulu wokonzakala kunye nokufa. Uninzi lweengozi zokutsha lunokuthintelwa ngononophelo oluthile lokhuseleko. Oku kubandakanya:

• Misela isifudumezi samanzi sakho kwi-120 ° F.
• Vavanya ubushushu bamanzi ngaphambi kokuba wena okanye umntwana wakho angene ebhafini okanye eshaweni.
• Guqula izibambo zeembiza kunye neepani ngasemva kwesitovu, okanye usebenzise izitovu ezisemva.
• Sebenzisa ii-alamu zomsi ekhayeni lakho kwaye ujonge iibhetri rhoqo kwiinyanga ezintandathu.
• Jonga iintambo zombane qho kwiinyanga ezimbalwa. Phosa naziphi na ezonakeleyo okanye ezonakeleyo.
• Beka izigqubuthelo kwiindawo zombane ezikufikelela kumntwana.
• Ukuba uyatshaya, ungaze utshaye ebhedini. Imililo ebangelwa yimidiza, imibhobho kunye neecigar zezona zinto zikhokelela ekufeni kwimililo yezindlu.
• Lumka kakhulu xa usebenzisa izifudumezi zesithuba. Zigcine kude neengubo, iimpahla kunye nezinye izinto ezinokutsha. Ungaze ubashiye bengahoywanga.

Ukuze ufunde okungakumbi malunga notshiso lonyango okanye uthintelo, thetha nomboneleli wakho wezempilo okanye umboneleli womntwana wakho.

Izalathiso

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Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.