Ukutshisa kwe-thermal umonakalo obangelwa kukuqhagamshelana nezinto ze-incandescent, ilangatye, isitya somlilo okanye eshushu, ukutshatyalaliswa kwexesha elide emisebeni yelanga, njl njl. Ngokuxhomekeke kubude befuthe lezinto ezilimazayo kwiimpawu zomzimba kunye nobukhulu bayo, ubunzulu belilonda lungahluka. Ukuqhubela phambili kule ndawo, iidridi ezine zokushisa kwe-thermal ziyahluka. Khawucinge ukuba yiyiphi imiqondiso yesibalo sesithathu esitshisayo, indlela yokuyiphatha ngayo kwaye iphilisa kangakanani.
Iimpawu zokutshisa okutshitshiswa kwama-3 degrees
Ukulimala komzimba kwinqanaba lesithathu lidibene ngamacandelo amabini.
Isiqhamo 3
Kule meko, ubunzulu be-lesion buchaphazela i-epidermis ngokupheleleyo, kunye nezobuqhetseba be-dermis. Kule meko, inxalenye ephambili ye-basal okanye i-embryonic layer ye-epidermis iyafa, apho zonke iziqholo zesikhumba ezikhulayo zikhula. Iimvumba zihlala zicace ngakumbi kwesikhumba kunye nezixhobo zazo (izithukuthuku kunye nezigulana ezixhambileyo kunye namadaka, izinwele zeentloko).
Imbonakalo yangaphandle ingahluka:
- ukubonakala kwezibhanti ezinqamlekileyo, ezizaliswe ngamanzi ahamba ngamanzi, iindonga zazo ezakhiweyo zonke i-epidermis exfolized;
- ukubonakala kobuncwane obunqabileyo obunjengesikhumba (umthamo) wombala obomvu okhanyayo.
Ubuhlungu kunye nobuthakathaka obuchukumisayo, njengommiselo, kuncitshiswa, kodwa kwezinye iindawo zingagcinwa. Ukuxilongwa ngokuchanekileyo kunokwenzeka kuphela kwindlela yokubeka iliso ukuhlaziywa kwesilonda.
Isiqhamo somlilo esi-3-b
Ngenxa yokonakaliswa okunjalo, i-necrosis yobungakanani besikhumba iyabonwa, kwaye kwezinye iimeko - umonakalo we-tissue (tityue or partial). Umfanekiso weklinikhi, njengoko kwimeko yangaphambili, ingahluka:
- ezimhlophe ezimhlophe (ngokuqhelekileyo xa zichazwe kwiinkcukacha eziphathekayo) okanye umnyama omnyama (umzekelo, xa ubonakala kwintlambo), isikraba esinokuzithengisa ngokulinganayo kunye nomgca omncinci wobomvu (ukubonakala kwendlela ye-vascular kubonisa intsholongwane yemifuno);
- Iibhotile zizaliswe ziqulatho ezinobungozi, ngezantsi ezimelelwe ngumhlathi obulalayo obunobunzima obunobungozi obunzima (ngokuqhelekileyo ukutshisa kwi-liquids eshushu).
Intlungu kunye nobubele obubukhali kule meko abukho ngokupheleleyo. Kwiindawo ezichaphazelekayo ukujikeleza kwegazi kunye neenkqubo zokuxiliswa kwamanzi ziyakhathazeka kakhulu.
Iziphumo zokutshiswa kwama-3 degrees
Ukuphendula komzimba kunye nokutshisa okukhulu kwama-degrees amathathu, okuchaphazela ngaphezu kwe-10% yomzimba, unokuba sisifo esitshisa apho ezi zilandelayo zihlukileyo:
- Ukutshwenyeka - ukuphazamiseka kwemithi ye-hemodynamics, okukhokelela ekuphazamiseni imisebenzi yazo zonke iisistim zomzimba, kubandakanywa inkqubo ye-nervous central (ihlala kwiiyure ezili-12 ukuya kuma-48).
- Ukutshisa i-toxemia - ikhula ngenxa yokuwela kwigazi leemveliso zokutshabalalisa izicubu ezitshisa (ihlala iintsuku ezi-7 ukuya kwezi-9).
- Burn septicotoxemia - impendulo yomzimba kwimisebenzi ebalulekileyo ye-microorganisms kwilonda (ihlala kwiinyanga eziliqela).
- Ukubuyiselwa - kuqala emva kokuphilisa nokuhlambuluka kwamanxeba.
Iingxaki ezinokwenzeka emva kokutshisa kwe-third grade:
- cellulite epheleleyo;
- lymphadenitis;
- ikhefu;
- ngqumbo .
Uncedo lokuqala lokutshisa ama-3 degrees:
- Ukuphelisa umbandela obalulekileyo.
- Faka isambatho esicocekileyo samanzi kumfestile okanye kwi-gauze kwindawo echaphazelekayo.
- Thatha i-painkillers kunye ne-sedatives (kwiimeko ezimbi kakhulu-antipyretic).
- Ukubonelela isiselo esininzi (ngokukhethekileyo amanzi amancinci amancinci).
Qiniseka ukubiza i-ambulensi.
Unyango lwe-thermal burn of 3 degrees
Ngokutshiswa kwama-3 degrees, unyango luyenziwa esibhedlele ngokuqeshwa kwamachiza alandelayo:
- analgesics;
- i antibiotics;
- ezixhamlayo.
Ukusetyenziswa kweyeza kutyunjwa kwamanzi kusetyenziswa kwakhona, ugonyo olubhekiselele kwi-tetanus lwenziwa. Kwiimeko ezinzima, unyango oluchasene nolwaphulo-mthetho luyenziwa, ukungenelelwa kwonyango kuyenziwa, kubandakanywa ukutsalwa kwesikhumba.