Wednesday, November 7, 2012

Luka Bakar

Kemarin sore pas pulang kerja, tidak seperti biasanya AfaThia tidak menyambut ibu di depan pintu. Sayup-sayup terdengar tangisan dari dalam kamar depan, ternyata dik Thia lagi nangis sambil digendong yangti. Kata yangti nangisnya udah sejak jam 15.00, yangti bilang karena siang ga tidur *pas mau tidur, kakak pas bangun dan ga mau ditinggal sendirian, jadi adik akhirnya ga tidur* ditambah pengin ikut kakak ke masjid tapi ga diajak.

Ibu tanya ke yangti seharian ini kegiatan dik Thia apa aja, jawab beliau seperti hari-hari yang lain, cuma pas kakak lagi ngaji di masjid, yangti sempat ninggalin adik sendirian begitu balik dik Thia sudah menumpahkan termos air panas. Yangti bilang posisi jatuhnya termos menjauhi adik, dan adik ga bereaksi apa-apa (nangis atau teriak). Jadi sama yangti ya ga diapa-apain cuma digendong aja.



Eh tapi nangisnya adik tetep ga berhenti sampai akhirnya berhenti sendiri karena kecapekan dan ngantuk akhirnya tidur sambil nenen (sekitar jam 19.00-an). Perasaan ibu ga enak, pasti ada yang sakit nih, tapi adik belum bisa komunikasi dan menunjukkan bagian tubuhnya sebelah mana yang sakit. Ibu raba-raba dan lihat-lihat kaki dan tangannya tidak ada yang terluka/meradang.

Sampai pagi ini tadi, bangun tidur adik sudah ceria seperti biasa, nah pas mau nyuapin sarapan ibu lihat jari manis tangan kiri melenting. Jadii..ketemu akhirnya penyebab nangisnya si adik, sepertinya tangan kirinya terkena cipratan air panas dari dalam termos tetapi yangti tidak menyadari.

Berhubung sudah sampai tahap mlenting (blister), brarti luka bakarnya mencapai tahap kedua, tapi karena kecil (tidak terlalu luas) masih masuk minor burn. Penanganannya cukup hanya dijaga supaya blisternya tidak sampai pecah alias biarkan pecah dengan sendirinya. Ketika pecah, cukup diberi betadine.

Menemukan referensi penanganan luka bakar dari sini:

Saya copas sebagian ya:

To distinguish a minor burn from a serious burn, the first step is to
determine the degree and the extent of damage to body tissues. The three
classifications of first-degree burn, second-degree burn and third-degree
burn will help you determine emergency care:

First-degree burn
The least serious burns are those in which only the outer layer of skin is
burned. The skin is usually red, with swelling and pain sometimes present.
The outer layer of skin hasn't been burned through. Treat a first-degree
burn as a minor burn unless it involves substantial portions of the hands,
feet, face, groin or buttocks, or a major joint.

Second-degree burn
When the first layer of skin has been burned through and the second layer of
skin (dermis) also is burned, the injury is called a second-degree burn.
Blisters develop and the skin takes on an intensely reddened, splotchy
appearance. Second-degree burns produce severe pain and swelling.

If the second-degree burn is no larger than 3 inches (7.5 centimeters) in
diameter, treat it as a minor burn. If the burned area is larger or if the
burn is on the hands, feet, face, groin or buttocks, or over a major joint,
treat it as a major burn and get medical help immediately.

For minor burns, including first-degree burns and second-degree burns
limited to an area no larger than 3 inches (7.5 centimeters) in diameter,
take the following action:

* Cool the burn. Hold the burned area under cold running water for at
least five minutes, or until the pain subsides. If this is impractical,
immerse the burn in cold water or cool it with cold compresses. Cooling the
burn reduces swelling by conducting heat away from the skin. Don't put ice
on the burn.
* Cover the burn with a sterile gauze bandage. Don't use fluffy cotton,
which may irritate the skin. Wrap the gauze loosely to avoid putting
pressure on burned skin. Bandaging keeps air off the burned skin, reduces
pain and protects blistered skin.
* Take an over-the-counter pain reliever. These include aspirin,
ibuprofen (Advil, Motrin, others), naproxen (Aleve) or acetaminophen
(Tylenol, others). Never give aspirin to children or teenagers.

Minor burns usually heal without further treatment. They may heal with
pigment changes, meaning the healed area may be a different color from the
surrounding skin. Watch for signs of infection, such as increased pain,
redness, fever, swelling or oozing. If infection develops, seek medical
help. Avoid re-injuring or tanning if the burns are less than a year old -
doing so may cause more extensive pigmentation changes. Use sunscreen on the
area for at least a year.

Caution

* Don't use ice. Putting ice directly on a burn can cause frostbite,
further damaging your skin.
* Don't apply butter or ointments to the burn. This could prevent proper
healing.
* Don't break blisters. Broken blisters are vulnerable to infection.

Alhamdulillah ketemu penyebabnya, dan ini tadi udah ceria lagi seperti biasa hanya perlu lebih waspada kalau sewaktu-waktu blisternya pecah.

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