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Health

Restoration of the skin after a burn 2, 3 degrees

, medical expert
Last reviewed: 22.11.2021
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The intensity with which the recovery from burns occurs and its results are due to many factors, primarily the degree of skin damage, especially with deep burn injuries, when a layer of germ cells of the epidermis is affected.

In order to restore the skin after a burn in a convalescent period normally, certain drugs, physiotherapeutic procedures and surgical methods are used.

Recovery after a 1st degree burn

As a rule, restoration after a burn of 1 degree - with erythema of the skin that does not go beyond its stratum corneum - occurs within three to four days due to the constant physiological renewal of the cells of this layer.

However, with a large calcined surface, the general state of the person is significantly impaired due to thermoregulation and dehydration disorders, which requires urgent treatment and longer recovery. It is recommended to take vitamins A, C, B1, B6, B9, B12, P.

Recovery after a sunburn, which in most cases is limited to 1 degree, can be alleviated with the help of external agents containing provitamin B5 - dexpanthenol (Panthenol, D-panthenol); liniment aloe and gels with its extract; juice of Kalanchoe; ointments with comfrey, allantoin and vitamin E. Read also - Creams for burns. Help sea buckthorn oil and rose hip oil, propolis and mummies (in the form of aqueous solutions), which should be used when the stage of desquamation (peeling) of the epithelium occurs.

But the lightness of sunburn is deceptive. You can quickly restore the normal condition of the skin, but its damage does not pass without a trace: excessive ultraviolet radiation causes damage to the DNA of the dermis cells, accelerates atrophic processes in the skin and increases the risk of malignant degeneration of its cells. Experts at the US Skin Cancer Foundation warn that more than five sunburns in youth increase the likelihood of developing melanoma by 80%.

Recovery after a burn of 2nd degree

Much longer lasts the restoration of the skin after a burn of grade 2, when, in addition to hyperemia and puffiness of the skin, its upper layer exfoliates to form serous exudate filled with vesicles (blisters).

With vesicles that have not been opened, the repair of skin cells takes three to four weeks, and with a bursting bladder and infection, twice as long. The same can last and restore the skin after a burn with boiling water, which often happens 2 degrees. It may be necessary to restore the facial skin after a burn, obtained, for example, when exposed to steam, as a result of chemical peeling or laser resurfacing, which often cause the formation of blisters and exfoliation of the epidermis.

To activate the process of cell regeneration and improve the trophism of damaged tissues, ointments and creams are used to restore the skin after burns:

  • 10% ointment Metiluracil (Metacil);
  • ointment Reparef (with antimicrobial quinoxaline and complex of essential fatty acids);
  • 5% ointment Actovegin;
  • ointment and gel Solcoseryl;
  • ointment Vundehil (with propolis and extracts of medicinal plants);
  • cream Timogen (with glutamine and tryptophan).
  • multicomponent homeopathic ointment Traumeel S.

To stimulate the recovery processes in the dermis, sodium solution of deoxyribonucleate (Derinat) is applied externally. For oral administration, a preparation of the Xymedon regenerative group (tablets of 0, 25 g) can be administered, three times a day, two tablets. A drug Prodigiosan (synthesized from the pigment of the cell walls of Chromobacterium prodigiosus), which has the form of a solution and is intended for intramuscular injection.

More useful information in the article - Treatment of burns

Recovery after a burn of grade 3

The recovery is most difficult after the third degree burn, since the damage to the skin tissues leads to their necrosis (due to coagulation of proteins), and the dead tissue is first rejected. As a result, the process of granulation and epithelization of the burn wound can begin one month after the burn is received and last for three months or more.

Restoration of the skin after a third degree burn is carried out by the same external means as listed above. It also stimulates the recovery after severe burns by applying on the burn surface napkins with the drug Honsurid (chondroitin + hyaluronate) - once for two to three days.

However, in many cases, the large size of burn wounds leads to the need to replenish the missing skin tissue with surgery - various methods of skin plasty: a patch of the patient's own skin (autograft), allo or xenografts, transplantation to the burn surface of keratinocytes or fibroblasts (cultured on a collagen basis).

In addition, it is necessary to fight with scarring - dense formations replacing the epidermal cells of fibrous fibrous tissue. For this purpose, external agents such as ointments with corticosteroids (Hydrocortisone and others), Heparin ointment, Kontraktubeks gels and Zeraderm ultra are used. All details of their use in the material - Ointments for resorption of scars.

In addition to ointments, softening fibrous tissue of Lydas scars (in the form of lyophilizate) is used - by introducing into the area of scar tissue 1 ml of the prepared solution (every day or every two days).

Read also - Treatment of keloid scars

Scars after burns, especially wide, will be much flatter when using special compression knitwear or applying elastic bandages. This method is called compression therapy, and its principle of operation is based on a more ordered deposition of collagen at perpendicularly directed pressure on its growing fibers.

A significant reparative effect for restoring the skin after burns of 2 and 3 degrees is noted when performing physiotherapeutic procedures:

  • electrophoresis with corticosteroids (Hydrocortisone), aloe extract, Actovegin;
  • phonophoresis with proteolytic enzymes (Chymotrypsin, Lydase, Collagenase, Terrylithine);
  • drug infrared photophoresis;
  • UHF and EHF-therapy.

When burns of extremities often suffer joints - because of scars, reducing their functional mobility. With contracture help to cope not only the sessions of the massage and physical therapy, but also some pharmacological drugs. Among them, experts call Chondroitin sulfate (Structum), which is available in the form of capsules and is taken orally - one capsule (0.25 g) per day. And also a longylase conjugate, a hyaluronidase conjugate, in the form of a powder for the preparation of an injection solution (an intramuscular injection is done once every three to five days).

Recovering the sensitivity of the tongue after a burn

Burns of the tongue, especially thermal and chemical, happen in everyday life quite often. If the tongue is red and swollen, then this is the 1 degree of burn, in which the mucosa - the upper layers of its multilayered planar epithelium - is damaged. When the pain is very severe and a bubble forms on the red and swollen tongue of the tongue, it is a 2 degree burn with damage to the deeper layers of the mucosa. A third-degree burn affects not only the plate of the mucosa, but it can reach the lingual fascia.

Recovering the sensitivity of the tongue after a 1-2 degree burn (regeneration of the filiform and conical papillae) occurs by itself. In the same way, there is a restoration of taste after the burn of the tongue: damaged taste buds (receptors) of mushroom, grooved and leaf-shaped papillae, which provide a sense of taste and are constantly updated.

Help them restore and heal the burn can rinse the mouth with a decoction of calendula flowers, plantain leaves or sporrows, as well as aloe juice and a golden mustache. And doctors advise to use Spray Propomizol with propolis and oils - eucalyptus and clove.

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