2017년 6월 26일 월요일

Abrasion

Abrasion

The abrasion (さっかしょう) is kind of the wound and is the wound that I skin it, and there was, so-called scratch.

Abrasion
Abrasion on hand 20050906.jpg
A classification and outside reference information
Clinical department ・
Academic field
Acute primary care medicine
ICD-10 T14.0
ICD-9-CM 919.0

I say a thing reaching only to an epidermal level by the damage by the friction.

Medical treatment

Because alien substances such as soil or the sand attach to a wound in the case of an abrasion and often become the source of infection, at first it is necessary for tap water to wash well.

From the viewpoint of particularly tetanic infection, it is necessary to completely wash away soil with a large quantity of water, and the consultation of the surgeon is essential when an injury area is wide even if it is an abrasion. I cannot sterilize a sporule of the tetanus by antiseptic solution on an injury side. (later description)

In addition, from the viewpoint of purulent prevention, a thought to apply antiseptic solution was once mainstream in wound treatment. However, as for the antiseptic solution, in the cell group which is necessary for reproduction of the skin including the epithelium cell which is going to coat the base of cell group and the anagenesis which even the density keeps for the immunity including a white blood cell and the lymphocyte and connective tissue, a wound of the dermis that it is, a method not to put antiseptic solution in a wound is recommended globally by a reaction and dilution with the protein of the body fluid when I sterilize it by this method while I cannot maintain density necessary to kill bacteria immediately to kill it easily. [the source required] it is necessary to give an antibiotic to prevent suppuration by the judgment of the doctor depending on the situation of the wound.

In addition, it was said that the which the wound is dried, and there was a scab is cured early once, but damage to let cell group treated to the organization rebuilding die in drying is bigger, and a wound side is the seat of the epithelium cell immediately, and the which prevented putting a wound covering material to keep on the dampness state 2 to 3 times a day, and really changing the wound, and a wound from drying is covered, and ways of thinking that it is cured early, and a scar does not remain too much are spreading in the clinical spot. Therefore doctors practicing the dampness therapy with the covering material not to dry such as the alginic acid covering material not what use the covering material which the 2000s begins in Japan, and dries a wound side such as the gauze are increasing.

Source

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This article is taken from the Japanese Wikipedia Abrasion

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