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Abbi cura del tuo corpo

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Abbi cura del tuo corpo

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Congelamento: cause, sintomi cure

Table of Contents

Il congelamento si verifica quando una parte del corpo viene esposta a temperature molto rigide. Il congelamento è una lesione locale che interessa una o più parti del corpo di un organismo vivente . Le parti più colpite dal congelamento sono il naso, le orecchie, le dita e i piedi, questo perché sono le parti del corpo più esposte. Il congelamento provoca anzitutto insensibilità e quindi in una prima fase non prevede dolore.In caso di congelamento non bisogna sfregare né schiacciare la parte del corpo colpita nel tentativo di scaldarla

Che cos’è il congelamento?

Il congelamento è un fenomeno patologico  prodotto dalle basse temperature. I danni da freddo, come quelli prodotti dal calore, variano a seconda della temperatura e del tempo di esposizione. Il congelamento si verifica quando la temperatura tissutale scende al di sotto di 0° C. Clinicamente è molto più pratico classificare il congelamento come superficiale (interessamento della sola cute) o profondo (coinvolgimento di tessuti profondi, muscolo e osso).

Classificazione

Similmente a quanto avviene per le ustioni possiamo distinguere le lesioni in base alla loro estensione ed in base alla loro profondità. Si riscontranolesioni estese a tutto l’organismoche prendono il nome di “assideramenti” elesioni localiche sono quelle che chiamiamo più propriamente “congelamenti“. Le lesioni locali si dividono in gradi (I- II- III) a secondo della loro profondità.

 



 

Quali sono le manifestazioni cliniche del congelamento?

  1. Le lesioni localisi manifestano soprattutto in regioni predisposte anatomicamente per le  particolari situazioni circolatorie o perché scoperte  (orecchie, punta del naso).Le lesioni di primo grado si presentano ischemiche con cute pallida e biancastra. La lesione diviene successivamente eritematosa e potranno essere presenti segni più o meno accentuati di cianosi. È questo il cosiddetto “eritema pernio“. Ad esso si associa un lieve edema. La lesione tende a guarigione spontanea senza esiti. Può essere seguita da fenomeni desquamazione epiteliale.
  2. Le lesioni di secondo gradosono caratterizzate dalle flittene(vescicola(o bolla) ripiena di liquido sieroso trasparente) e l’edema spesso raggiunge gli strati dell’epidermide o il derma.L’evoluzione è nel senso di una guarigione spontanea nel giro di 10-30 giorni.
  3. Le lesioni di terzo gradosono caratterizzate da necrosi più o meno estesa in profondità con aspetto di gangrena umida. All’inizio sono presenti sulla superficie cutaneazone ischemiche alternata a chiazze cianotiche; successivamente il quadro varia a seconda che le lesioni abbiano interessato prevalentemente solo gli strati superficiali oppure anche i vasi, i nervi e i piani muscolari. 

Talora l’azione del freddo può non detrminare  una necrosi cutanea ma agire sul sistema nervoso producendo:

  • Sindromi dolorose, in caso di lesione dei nervi sensitivi;
  • Paralisi  ed atrofie muscolariper l’interessamento dei nervi motori;
  • Causalgia (dolore urente e intenso)caratterizzata da lesioni degli annessi piliferi ungueali, turbe della secrezione sudorale, vasodilatazione dell’arto e dolori nel caso di danno ai nervi simpatici.
  • L’azione isolata del freddosui vasi può determinare un’ endoarterite.

Come si cura il congelamento?

  • La terapia delle lesioni di primo grado è esclusivamente sintomatica;
  • In quelle di secondo grado è incentrato sull’ asepsi della guarigione, che in queste lesioni avviene quasi sempre con esiti cicatriziali minimi;
  • Nelle lesioni necrotiche la terapia è chirurgica ed è spesso necessario fare ricorso, per le presenza delle lesioni vascolari venose, non soltanto all’asportazione delle aree necrotiche cutanee ed alle loro riparazioni con innesti o lembi ma anche ad amputazioni più o meno estese.

 

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Lesioni da elettricità

Le lesioni da elettricità possono essere determinate da correnti di uso domestico. Le lesioni da elettricità possono essere determinate da correnti di uso industriale. Le lesioni da elettricità possono provocare amnesia, disturbi dell'attenzione e della memoria, depressione nervosa e ansia. Le lesioni da elettricità possono provocare danni oftalmici. Le lesioni da elettricità possono verificare ulcere da stress e ileo paralitico, edema polmonare, infezioni ecc..

Intossicazione da monossido di carbonio

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Geloni mani: cause, sintomi, fattori di rischio, cure e prevenzione

Crioterapia dermatologica

——————————————————————————————————-

 

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