Third-Degree Burns hi i hrechiang ang u. Heng thilte hi nang leh i chhungte tan a pawimawh hle ang!

Kangmei hi tumruh taka, tumah tichhe lova kan tih a ni lo. Mahse, beisei loh hun leh beisei loh taka thleng thei accident a ni. Kang ṭhenkhat chu hliam tenau ang maiin a dam thuai laiin, kang ṭhenkhat chu a hlauhawm hle a, nun a nghawng thei bawk. Vawiin hian kangmei chhuak chi hrang hrang na tak leh thuk ber pakhat kan sawi dawn a ni. Hei hi third-degree burn kan ti a, a nih loh leh medical science-a an hriat angin (Third-Degree Burns) . Hemi chungchang chiang taka hriat hi nang leh i hmangaih tak takte tan a pawimawh hle.

Kangmei hi eng nge ni, a awlsam zawngin?

A awlsam zawngin sawi ila, kang chu khaw lum lutuk, chemical, electric, a nih loh leh radiation avanga kan vun tihchhiatna a ni. Kan vun hi layer khat chauh a ni lo. Main layer engemaw zat a nei a. A chunga layer te tak te chu epidermis an ti a . A hnuaiah chuan dermis a awm a . He dermis hian thisen kalna kawng, nerve endings, leh sweat glands te a pai a. Chumi hnuaiah pawh chuan subcutaneous tissue a awm . Hei hi fatty layer awmna hmun a ni. Kangmei chhuak nasat dan chu heng vun layer te hi engtiang chiahin nge a chhiat tih ah a innghat a ni.

Kangmei chi hrang hrang a awm em? Ni e, a bulpui ber pathum a awm!

Ni e, kangmei hi a nasat dan a zirin chi thum ah then theih a ni. Sikul-a grade ang bawkin, pakhatna, pahnihna leh pathumna.

• First-Degree Burn: Hei hi kang natna chi hrang hrang zingah chuan a na lo ber a ni. Ni zung kang nen a inang. Vun chunglam layer chauh a chhe. A vun chu a sen a, a hring deuh a, a na bawk. Mahse, blisters a awm lo. Ni rei lo te chhungin a dam leh thin.
• Second-Degree Burn: Hei hi a thuk zawk deuh. Vun chunglam layer leh a hnuaia layer thenkhat a tichhe vek a ni. Natna nasa tak leh blisters a thlen thin. Vun chu a sen a, a hnim thei bawk. A dam theih nan kar engemaw zat a ngai thei a, a chang chuan hliam te tak te a awm thei bawk.
• Third-Degree Burn: Hei hi tunlaia kan sawi tur chi hlauhawm ber a ni. Chutah chuan vun layer zawng zawng chu a chhe vek a ni . Chu mai pawh ni lovin, a hnuaia thau awmte, a châng chuan taksa ruh, ruhro leh ruh thlengin a chhe thei a ni.

Chuti a nih chuan third-degree burn chu eng nge ni tak tak?

Ngaihtuah teh, hei hi kan vun a kang vek ang mai a ni.

• A lan dan: Kang hmun chu waxy white, dry, brown, emaw savun ang maia dum emaw a ni thei. A châng chuan kang chu a hlim lo thei bawk. Hei hi a chhan chu vun chhunga nerve endings te chu a chhe vek a, chuvang chuan natna i nei lo. Mahse, he thil hian bum suh! A na lo vang mai mai chuan a pawi lo tihna a ni lo. First- emaw second-degree burns hian kang vel chu natna nasa tak a thlen thei a ni.
• Blisters te chu:Third-degree burns hian blister a nei lo tlangpui a, a chhan chu vun top layer a awm tlem avangin blister a awm lo.
• Khawih theih: Kang chu a vawt, savun ang mai, a nih loh leh khawih harsa ang maiin a lang thei.

Third-degree burns awm chhan berte chu engte nge ni?

Hetianga kangmei nasa tak hi a awm chhan hi eng emaw zat a awm.

• Kangmei: In kang, puak, thawmhnaw kang ang chi thil.
• Tui lum: Tui lum tak tak, hriak, bawnghnute ang chi thil taksaah a luang chhuak a nih chuan, a bik takin vun nena rei tak a inzawm chuan. Tui lum chu naupang tê tê chungah a luang chhuak a nih chuan a hlauhawmzia han ngaihtuah teh.
• Thil lum: Thir lum tak tak, stove burner emaw, muffler emaw ang chi thil hi vun nena rei tak a inzawm chuan.
• Electric: Electric shock sang vanga electric kang hi a thuk hle a, chhungril taksa peng hrang hrang a tichhe thei a ni.
• Chemicals: Acid chak tak tak leh alkali ang chi thil te chu vunah a lo awm chuan.
• Hun rei tak inhnaih: Thil lum nena rei vak lo inhnaih pawhin second-degree burn a thlen thei. Mahse, third-degree burns-ah chuan a lumna avanga rei zawk a awm a ngai tlangpui.

Hetiang taka kangmei nasa tak hian eng symptoms nge a neih tak tak? Engtin nge i hriat chian?

Kan sawi tawh ang khan heng miziate hi hriat reng a pawimawh hle.

• Vun kang chu a var, waxy, emaw brown, black, emaw charcoal emaw a ni thei .
• Vun chu a vawt leh savun ang maiin a awm thei .
• A kang lai chu a hring thei .
• Kangna hmunah hian rilru hahna leh natna (nerve chhiatna avang) a awm lo .
• I kut zungtang hmanga kang hmun i hmet chuan a var a, a sen leh tawh lo (doctor-te chuan ``no blanching'' an ti).

Pawimawh: Kangmei tuar chu an hre lo an tih vang mai maia natna neiah ngai suh. Third-degree burn-ah chuan nerve a chhe vek a, chuvangin natna engmah i hre lo mai thei. Hei hi dinhmun hlauhawm tak a ni!

Engvangin nge third-degree kang hi a hlauhawm em em? Eng harsatna nge awm thei?

Hei hi kan hriatthiam vek a ngai a ni. Third-degree kang hi nunna atana hlauhawm a ni. Hei hi chhan tam tak a awm a:

• Severe Dehydration and Shock: Kan vun hi taksaa tui dahkhawmna ber a ni. Vun a chhiat chuan taksa atanga tui tam tak a bo nghal vat thin. Hei hian tui tlakchhamna a thlen thei a, thisen sang a tlahniam thei a, shock a thlen thei bawk.
• Infection: Kan taksaa hrik lut tur laka invenna line hmasa ber chu vun hi a ni. He line hi a chhiat chuan bacteria ang chi natna hrik te chu awlsam takin taksaah a lut thei a, natna khirh tak tak a thlen thei a ni. A châng chuan heng natnate hi taksa pum puiah a darh thei (Sepsis).Thil hlauhawm tak a thlen thei bawk.
• Thâwk lama harsatna: Hmai leh kawr ang chi hmun a kang a nih chuan, emaw, meikhu kan luh chuan thawkna kawng a lo hring thei a, thawk a harsa thei bawk.
• Hypothermia: Vun a bo chuan taksa lumna tihreh a harsa a, chu chuan taksa lumna hlauhawm takin a tlahniam thei a ni.
• Scars and Contractures: Heng kang thuk tak takte hian a dam hnuah hliam lian tak tak a hnutchhiah thei a ni. A châng chuan, heng hliamte hian vun a ti nghet thei a, ruhte pawh a che tha thei lo (contractures).
• Organ Damage: Kang na tak takah chuan chhungril organ, kal (kidney) te pawh a chhe thei bawk.
• Skin Grafts mamawh: Third-degree burns-ah chuan vun chhe tawh chu a lo piang thar leh lo. Chuvangin taksa peng dang atanga vun hrisel tak lak a ngai a, a kang lai hmunah dah a ngai a ni (Skin Grafting).
• Psychological Trauma: Miin chutiang traumatic experience a tawn chuan psychologically affected a ni bawk. Hei hian hun rei tak chhung lungngaihna, hlauhna, lungkhamna leh post-traumatic stress disorder (PTSD) a thlen thei a ni.

Third-degree burn kan neih chuan eng nge kan tih nghal ang? (A hmasa ber atan) .

Hetianga kang i neih chuan a pawimawh ber chu damdawi in pan nghal mai tur a ni! In lama enkawl pawh ngaihtuah suh. Kum 1990 Suwaseriya Ambulance Service biak la, a nih loh leh chu mi chu a rang thei ang bera sorkar damdawi in hnai ber panpui rawh. Chutih lai chuan thil engemaw zat tih theih a awm a:

1. Kang kha titawp rawh: Mi chu mei, thil lum emaw, chemical emaw atang chuan paih nghal rawh. Thawmhnaw a kang a nih chuan leiah roll tir la, mei chu timit la, a nih loh leh puan thuk tak emaw, puan thuk tak emaw hmanga khuh la, mei timit rawh.

2. Thawmhnaw leh jewelry phelh: Thawmhnaw chu a kang laiah a nghet lo a nih chuan zawi zawiin la chhuak tur a ni. Ring, bracelet, necklace a awm chuan chu pawh chu la chhuak bawk ang che. Hei hi a chhan chu a kang chu rei vak lo hnuah a lo hring tan dawn a, i paih chhuak thei dawn lo. Thawmhnaw chu vunah a innghat a nih chuan chak takin phelh suh!

3. Cooling (fimkhur takin!):

• Kangmei tenau chauh (kut emaw ke emaw a hmun te tak te ang chi) tan chuan tui lum (ice water ni lo, tap tui ang chi) hmangin minute 10-15 vel sil tur a ni.
• Kang chu a lian (e.g., ke pum, rilru) a nih chuan tui tam tak theh suh! Chutianga tih chuan hypothermia a thlen thei a, chu chu a hlauhawm hle.
• Ice hmang ngai suh! Ice hian vun a tichhe zual thei a ni.

4. Puan fai, vawt emaw bandage emaw hmangin khuh: Kang chu puan fai, vawt, non-stick (e.g., puan fai) hmangin zawi zawiin khuh rawh. Hei hian hri kai laka invenna atan a pui thei a ni.Cotton swab ang chi thil hmang suh, hliamah a innghat thei a ni.

5. A theih chuan a kang lai chu i thinlung level aia sang zawkah chawi sang rawh: Kut emaw ke emaw a kang a nih chuan a hmun chu tlem a chawi sang chuan a natna a tiziaawm thei a ni.

6. In lama damdawi leh ointment engmah hnawih suh!

In lama toothpaste, butter, oil, aloe vera, blue powder, coffee powder, etc. hnawih hi a pawi lo tih ngaihtuah suh. Heng thilte hian natna a tizual mai ang a, natna hrik a thlen ang a, doctor-te tan hliam tihfai a harsat phah ang.

Engtin nge damdawi lam enkawl a nih? `(Damdawi lam enkawlna)`

Third-degree burn nei chu damdawi inah dah a nih veleh specialist doctor leh nursing staff te chuan a tul angin enkawlna an pe thin. Vawi tam tak chu he thil atan hian special burn unit a awm thin.

• Intravenous Fluids (IV fluids): Saline ang chi thil hi tui bo thlak nan leh dehydration ven nan pek thin a ni.
• Natna Damdawi: Natna nasa tak control nan painkiller chak tak pek thin a ni.
• Hliam Enkawl leh Debridement: Debridement tih hi vun kang, thi tawh paih chhuahna a ni. Hei hi infection laka inven nan leh vun thar siamna tur hliam chu buatsaih nan a tul a ni.
• Skin Grafting: Vun chhia aiah hian damlo taksa peng hrisel dang (e.g., thigh) atanga vun layer te tak te chu la chhuakin a kang lai hmunah dah a ni. A chang chuan artificial skin grafts pawh an hmang thin.
• Antibiotics: Antibiotics hi hri kai venna atan emaw, hri kai awmsa enkawl nan emaw pek thin a ni.
• Tetanus Shot: Tetanus shot hi pek thin a ni a, a chhan chu tetanus hrik hi kang hliam atanga a luh theih vang a ni.
• Physical Therapy leh Occupational Therapy: Heng enkawlnate hi dam chhung hian ruh nghet lo tur venna atan te, taksa ruh tichaktu tur te, nitin hnathawhna hmuna mahni inrintawkna neia i tih theih nan a pawimawh hle.
• Nutritional Support: Taksa hian kangmei atanga a dam theih nan chakna leh ei leh in tam zawk a mamawh a. Chuvangin, protein, vitamin leh mineral tamna eitur siam a ni.
• Mental Health Support: Hetiang thil tawn hnua stress lo awm thei tihziaawmna turin rilru lam counselling leh support pek a ni.

Recovery time leh long-term care chu eng ang nge ni?

Third-degree kang hi a dam theih nan hun rei tak a ngai a ni. Thla tam tak, kum tam tak pawh a daih thei. Kangmei chhuahna lian leh te, damlo kum leh hriselna te a innghat a ni.

• Scar management: Special pressure garment, silicone sheet, leh massage ang chi thil te hian scar tihziaawmna kawngah a pui thei a ni.
• Physical therapy chhunzawm zel a ni:I ruh leh ruhte hnathawh that theih nan exercise i chhunzawm zel a ngai a ni.
• Ni laka invenna: Vun hliam hi ni êng lakah a sensitive avangin ni chhuahna hmuna i chhuah dawnin i khuh tur a ni a, sunscreen i hnawih tur a ni.
• Rilru leh rilru lama puihna: He zinkawng hi mahni chauha kal a harsa hle. Chhungte, ṭhiante, doctor leh counselor-te ṭanpuina hi a pawimawh hle.

Kangmei ven nan eng nge kan tih theih ang? (Invenna) 1.1.

"Fimkhur hi damdawi tha ber a ni," an ti. Kangmei laka kan invenna tur thil tam tak a awm a.

• Kitchen-ah fimkhur rawh: Chaw i siam dawnin pot handle chu stove atanga a tlak loh nan dah tur a ni. Oil lum leh tui lum i hman hunah fimkhur hle ang che. Naupang te te chu kitchen leh stove atanga hla takah dah thin ang che.
• Tui lum: Tui lumna (water heater) temperature i set dawnin naupang hman theih tur khawpa lum loh tur a ni.
• Smoke Detectors: I in chhungah meikhu hriatna hmanrua dah la, a thawk tha em tih enfiah fo ang che.
• Kangmei titawp thei: In lamah kangmei titawpna te tak te dah a tha.
• Thil kang thei: Kerosene leh gasoline ang chi thilte chu naupangte hmuh theih lohna hmunah him takin dah tur a ni. Match leh lighter ang chi thilte chu naupangte hmuh theih lohna hmunah dah suh.
• Electric hmanrua: Electric hmanraw chhia emaw wire emaw hmang suh. Electric shock lakah inveng rawh.

Kan hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin vawiin a kan sawiho atang hian third-degree burns chungchang hi hriatthiamna tha tak in neih ka beisei. A tawp berah chuan heng thute hi hre reng ang che:

• Third-Degree Burns hi a hlauhawm hle a, nunna atana hlauhawm tak a ni.
• Hetianga kang i neih chuan damdawi lam pan nghal rawh. In lamah enkawl loh tur.
• In lama damdawi emaw, hriak (toothpaste, butter emaw, oil emaw) engmah hnawih suh.
• Kangmei chhuah loh a tha ber a, chuvangin himna tur fimkhur hle ang che.
• Damdawi inenkawlna mumal leh hun rei tak enkawl a nih chuan dam leh theih a ni. Khualzin chu harsa viau mah se, huaisenna leh thlawpna nen chuan hneh theih a ni.

Chutiang hlauhawm lakah nang leh i chhungte chu venhimin, hrisel taka awm theihna chakna nei rawh se!

` Kang, Third-Degree Burns, Vun kang, Kang na tak, Kang enkawlna, Kang venna