Ukutsha Okwesithathu-degree: imiqondiso, zoncedo lokuqala, ixesha unyango

Sesithathu nesesine betshisa degree zezona eziyingozi kakhulu kubomi babantu kunye nempilo, kodwa yokugqibela banesifo kakhulu alufane. Makhe sihlolisise ngokweenkcukacha iimeko phantsi kunye ungafumana ukutsha lesithathu-degree apho, kuthetha ntoni oku, njani ukunika uncedo lokuqala, yaye indlela iya kuhlala unyango.

Ukuhlelwa degrees amanxeba

Njengoko sele kukhankanyiwe, lona livutha lokuhlela emandleni, kuxhomekeke kubunzulu lomonakalo nolusu.

• isidanga sokuqala yombhalo. Emva zidibene nesikhumba eziphembelela factor ebomvu kwaye idumbile kancinane. unyango olukhethekeliyo ukwenzakala akuthethi aphilise ngokwabo kwaye zifuna iintsuku 5-7. Burn amabala iintsalela.
• isidanga sesibini yombhalo. Ububomvu okanye ukudumba sikhatshwa iindumbisa umaleko ongentla ulusu kunye ukuyilwa namadyungudyungu ezaliswe ulwelo umbala omthubi. Xa zihlaba esinyini ibonwa eqaqambileyo ebomvu ulusu layer evunyelwe abachaphazelekayo ukuhambisa intlungu. Amathuba eliphezulu losulelo nxeba, ngoko ke ixesha impiliso yi malunga neeveki ezimbini.
• Esilondeni degree lesithathu. Luphawulwa ekuyekeni nemfezeko izicwili (necrosis), inxeba sigqunywe uqweqwe ngwevu okanye mdaka.

• isidanga wesine yombhalo. Umonakalo kakhulu kakhulu kwaye kakhulu nolusu. Iimpawu uphawu blackening okanye nokosa indawo elimele, kwiimeko ezithile, ebandakanya inkqubo ithambo. Ixesha elide kwakhona, on-site exposure zixela ezinzulu.

Ukuba umntu ubunzima emqolo wesibeleko okanye amalungu ngexesha kurhawula degree yesine, ukwakheka kukuqulungana ziya kuphazamiseka umsebenzi motor ngokuphawulekayo.

Yakha zokutsha degree wesithathu

Iyeza zingahlukaniswa ukutsha wesithathu-isidanga.

IFomu 3-A

Yakuba ifunyenwe le fomu yokulimala ogulayo bazoyise ngokupheleleyo sangaphandle. Dermis abachaphazelekayo okuyingxenye nzulu. Kwindawo engundoqo ye umaleko carcinomas sicinywa ikhono layo ukuze baphile baze bafe. Le nucleation umaleko, nenoxanduva ukubuyiselwa kweeseli zolusu ezonakeleyo ngokuyinxenye. Esiseleyo, ingxenye yaso, baligcine ngokupheleleyo izakhono zokusebenza.

Kwi indawo elimele isigulana ngokubonakalayo a va ngaphandle kwebala. Kubalilapo contact lafaka sikhatshwa ngokwanda impendulo intlungu. Kuba ukuxilongwa kufuna kweliso lomgadi zonyango kunye nolawulo bobuchule okungenisa ulusu.

IFomu 3-B

Hlula esibonakala necrosis olupheleleyo ulusu kwisayithi owenzakeleyo. Ukuya kwixesha elibekiweyo-3-A Umonakalo isikhumba uzibandakanya ukupheliswa inyama ongama yobomi.

Xa oogqirha bezonyango qaphela ukungabi intlungu yomguli kunye nendlela ayibona ngayo contact oyivileyo. Inkqubo kwegazi kunye yokucolwa yesikhumba abachaphazelekayo.

Ingcinga yaye ikliniki wokukhusela thermal

kuvela ukutsha Thermal e zoqhagamshelwano imvaba amaqondo obushushu aphezulu imvelaphi ezahlukeneyo. Xa umonakalo omkhulu kwenzeka necrosis izicwili kunye kwaqapheleka olomeleleyo. Umphezulu exposure ndawo, ezomileyo okanye imanzi, ngokuxhomekeke kuhlobo sesichengeni thermal. Phezu ukuqhagamshelana ngomphunga okanye ebila uya umanzi necrosis nomonde. Ulusu ukuba umbala obomvu-tyheli okanye kubomvu-mdaka kunye blister ezaliswe ngolwelo. Uphawu lwe monakalo kuthelekiswa kwinkqubo ukunyibilika emzimbeni esikhumbeni.

Phezu ukunxibelelana izinto shushu ezifana nentsimbi okanye intsimbi kwenzeka necrosis uhlobo owomileyo. Ulusu kwi ndawo isenzo sigqunywe uqweqwe ashinyeneyo, iye umbala omnyama, kwiimeko kakhulu, abe emnyama. umda inxeba ngokucacileyo. Zonke ulitshisileyo thermal isidanga aphilise kunye nokusekwa elandelayo amanxeba emzimbeni. Kwiimeko ezizodwa kakhulu, lo gama kugcinwe nkqu kwimimandla zincinane epithelial maleko ulusu singavuselelwa kwakhona.

Concept and clinical iikhemikhali wokukhusela

Umntu ofumene zokutsha imichiza, unyango kufuneka lwenziwe njengoko senzelwe, yaye emva kokuhlola ugqirha yesigulane. Hlula isikhumba olu hlobo inokufunyanwa ngokudibana kunye zizinto ndlongondlongo ezifana asidi okanye alkalis. Ukuba umntu ufumene wesithathu-degree utshisa nakuhlobo lwemichiza, zonke iimaleko ulusu ukuya kwindawo elimele boniswa necrosis. Umaleko top igutyungelwe amanxeba eqinileyo mnyama, uqweqwe ayishukumi. contact lafaka ayikho sensitive.

diagnosis esichazayo malunga iqondo umonakalo kunokwenzeka kuphela emva zingananzwa iindawo kwabafileyo. Isambuku ukutsha olufunyanwa kumlinganiselo wesithathu.

Kuba efumene unyango iikhemikhali abatshileyo, ephilisa inkqubo amanxeba elide. Malunga neeveki ezintathu kuyimfuneko ukuba alahle ngokupheleleyo yolujaduka. Ngenxa yoko ke amanxeba anzulu akhiwa kwisayithi ye sisilonda.

Iimpawu gumbini amanxeba

Ezona mpawu ziphambili ukutsha wesithathu-degree - utshintsho kwiingcamba komhlaba ulusu kunye nombala bendalo imibala emnyama ebomvu. Kwiindawo apho epithelium uye wayeka ngokupheleleyo ngobuhle bayo, umbala omnyama, ebonisa ukuba necrosis kwithishyu. Kumfowunelwa hyperpigmented into echaphazela.

Kuxhomekeka kuhlobo burns kwindawo owenzakeleyo kuvela namadyungudyungu ndizaliswe ulwelo, Ixolo isakhiwo ashinyeneyo ndawo zimnyama erosions brown kunye nezilonda.

Okwesithathu-degree utshisa "A" libhekisela umphezulu, udidi "B" - bazoyise kakhulu.

Clinic for ukutsha lesithathu-degree

Kwiimeko ezininzi, izigulane abaye bafumana ukutsha wesithathu-degree, ukongeza imiqondiso emikhulu ezinje, kwaye bavakalise izikhalazo ukuba ngokonakala zempilo. Xa sisilonda esidumbileyoesingaphakathi lwehlabathi ukuba iqondo lobushushu emzimbeni akavukanga, kukho yimvakalelo isicaphucaphu kunye ezikwenza egabha.

Emdeni kwindawo ulusu owenzakeleyo wambumba ukugcwala izihlunu amancinci, ukwakha nama-2 iinyanga ukususela kwixesha olulophu. Oku kubangelwa epithelization yesikhumba onakeleyo ukukhula umaleko entsha. Iikona zayo khaxa, granular.

Ukuba le ndawo itshileyo ubukhulu awudluli iisentimitha ezimbini, kuvumelekile Self lokuphiliswa, kodwa kuyimfuneko ukudala iimeko kuthintelo losulelo kunye ukunxila. unyango olunjalo ngamalungiselelo kubola lwenziwa ekliniki.

Xa amanxeba zihluma oogqirha umaleko uphawu ngokwakha emibi.

Indlela ukunika uncedo kwixhoba yokuqala

Okwesithathu-degree utshisa ukunyanga akwenzeki ngokuzimeleyo. Iinkqubo zonyango thaca ngamanyathelo anokuthatyathwa, inceda kuphele iintlungu aze aphilise ulusu.

ngenxa yezi mpawu kaMasipala kufuneka ibe lixhoba yokwenzakala ngokukhawuleza kangangoko kunokwenzeka makanikelwe abatshileyo okanye utsalele uncedo olungxamisekileyo. Malunga nama-80% amatyala zonyango, isigulane kufuneka uqhaqho.

complex zoncedo lokuqala isekelwe algorithm ilandelayo:

• wedwa ochatshazelwa factor igalelo;
• kunye indawo encinane bachaphazelekayo, endaweni elimele kangangoko kunokwenzeka ukuze uphakamise;
• ubeke phezu ukutsha beka ilaphu wawuqalekisa.

Kuhleli ukubiza i ambulance.

Kufuneka kuqatshelwe ukuba izigulane abafumene ukutsha wesithathu-degree, Akuvunyelwe ngqo ukunika amayeza intlungu. Oku kuya kube kubi kuphela inkqubo anamnesis ayidibanise ukudideka nomfanekiso clinical.

Unyango ukutsha lesithathu-degree

Ukuba isigulane asiwe kwiziko ngokutshiswa, oko uqinisekisa kuye amalungiselelo kwangethuba unyango olufanelekileyo. Izigulane elimele ezinjalo baye unyango kwindawo esibhedlele. Self-unyango amanxeba degree wesithathu aluvumelekanga.

oogqirha sasungulwa okudambisa ubuhlungu. Ukulungiselela le njongo ntlungu iqela iziyobisi. Umphezulu lenxeba itshizwe rhoqo kubola eminye imithi, elawulwa scheme kuphuhliswa yegazi.

esilondeni wesithathu-degree kuphela kakubi ngokubanzi, ngoko kumiselwe ukuba ntlungu:

1. Agents ezithintela uhlaselo ethukile anaphylactic.
2. Steroid ukuba gqiba inkqubo arhabaxa.
3. utshintsho rhoqo zokubopha.
4. Amalungiselelo sine Group.
5. Amayeza susa mothuko post-traumatic.
6. Isibeki ukususa abulale.
7. Iidropha zomthi, ukubuyisela ngenxa yokunqongophala kwamanzi.

Ukuba umonakalo omkhulu-isikali, kufuna unyango ngotyando kumanqanaba eziliqela ukutsha wesithathu-isidanga. Indlela wokwenzakala iphathwa kuxhomekeka kwindawo abachaphazelekayo. Emva kweentsuku ezingama-20, niya kutshayelwa inkqubo nokulungiswa eluswini, ukuphiliswa ngokupheleleyo kuthatha malunga ezintathu iinyanga. Xa umonakalo omkhulu nolusu ngokusebenzisa impembelelo kwemichiza okanye thermal atshise kukuqulungana ihlala usoloko uhlobo kwesiva.

Engamkelekanga amanyathelo pfunaka elivutha udidi lwesithathu

Ukuba ecaleni amaxhoba abantu, kufuneka ukwazi iqela lamanyathelo leyo ayiyi kunceda isigulane kwaye zimbi ikhondo unyango.

Ngoko ke, ukuba akuvumelekanga ukuba ukutsha:

• akuhlanjwanga isikhundla nefuthe ngamanzi abandayo, kubola kunye namanye amalungiselelo zonyango;
• kubeka phezu kwendawo abachaphazelekayo ukutya emkhenkceni okanye ice;
• ukususa impahla kunye nexhoba;
• ukunika naziphi na iziyobisi.

Intshukumo kuphela elichanekileyo ungenza oko kwayijikeleza ixhoba - ngokukhawuleza kangangoko kunokwenzeka ukuthutha naye ukuya esibhedlele okanye ubize inqwelo yezigulana.