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"code": "L55",
"name": "Солнечный ожог",
"icd_name": "Солнечный ожог",
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"lead": "острое воспаление кожи, вызванное воздействием естественного (солнечного) или искусственного ультрафиолетового излучения.",
"description": "Избыточное облучение солнечными лучами может привести к повреждению кожи: вызвать покраснение, раздражение, сухость, зуд, и другие симптомы солнечного ожога.",
"etiology": "<p>Наиболее сильными биологическими свойствами в солнечном спектре обладают ультрафиолетовые лучи. Ультрафиолетовое излучение, достигающее поверхности земли, делят на два основных диапазона: УФ-В, вызывающее солнечный ожог (коротковолновая область, длина волны 290-320 нм), и УФ-А (длинноволновая область, длина волны 320- 400 нм). Солнечные ожоги вызывает именно «жесткое» коротковолновое излучение УФ-В (UVB). Оно поражает верхние слои кожи. Однако следует помнить, что \"длинноволновое\" излучение, глубоко проникающее в кожу, также может вызвать неблагоприятные последствия - они разрушают коллаген (эластичные волокна, которые придают коже упругость), приводят к изменениям толщины и текстуры кожи. Поэтому действие прямых солнечных лучей, особенно в южных широтах, - это фактор риска, и может привести не толко к солнечным ожогам, но и к другим повреждениям кожи.</p>",
"pathogenesis": "",
"diagnostics": "<p>Диагноз можно поставить врач при осмотре и сборе анамнеза.</p>",
"treatment": "<p>При подозрении на солнечный удар следует незамедлительно обращаться за медицинской помощью. В ожидании врача пострадавшему нельзя давать пить холодную воду (от этого усиливается <a href=\"/symptom/oznob/\" title=\"Перейти на страницу симптома Озноб\">озноб</a>), компрессы также должны быть пропитаны не холодной, а прохладной водой.</p>\r\n<p>При симптомах средней тяжести пострадавший должен пить как можно больше, чтобы предотвратить обезвоживание. Кроме того, необходимо:</p>\r\n<full></full>\r\n<ul>\r\n<li>Сделать прохладные компрессы (можно смочить одежду), чтобы снизить температуру тела и уменьшить болевые ощущения</li>\r\n<li>Принять прохладную ванну без мыла (оно еще сильнее раздражает обожженную кожу). Кожу после ванны ни в коем случае нельзя вытирать, достаточно просто слегка промокнуть ее</li>\r\n<li>Нанести увлажняющий или смягчающий лосьон или крем. В данном случае необходимо предварительно посоветоваться с врачом, поскольку некоторые косметические средства содержат бензокаин, который может вызвать аллергическую реакцию, а ряд мазей замедляет заживление кожи, перекрывая доступ к ней кислорода</li>\r\n<li>При наличии волдырей следует сделать повязку на пораженный участок, чтобы предотвратить проникновение инфекции</li>\r\n<li>При сильном дискомфорте можно принять обезболивающие препараты.</li>\r\n</ul>\r\n<p>Лечение солнечного ожога</p>\r\n<p>В настоящее время лечение солнечных ожогов направлено, главным образом, на уменьшение симптомов. В основном это пероральное или местное применение нестероидных противовоспалительных препаратов, которые способствуют уменьшению не только воспалительного процесса, но и болевых ощущений.</p>\r\n<p>Использование в данном случае стероидных препаратов, таких как, например, преднизон, нецелесообразно, поскольку препарат не способствует скорейшему заживлению и, к тому же, имеет ряд побочных эффектов.<br />Крем с алоэ вера хотя и не заживляет непосредственно сам ожог, облегчает некоторые симптомы. <br />Что касается местных анестетиков (бензокаин), то они способствуют облегчению симптомов, но их эффективность при лечении солнечных ожогов недостаточно подтверждена результатами клинических испытаний.</p>",
"prevention": "<ul>\r\n<li>Ограничьте время пребывания на солнце и избегайте солнечных ванн с 10.00 до 15.00 часов.</li>\r\n<li>Носите защитную одежду: широкополые шляпы, брюки, рубашки с длинным рукавом (темные плотные ткани защищают кожу лучше, чем легкие и светлые).</li>\r\n<li>Помните, что обгореть можно даже в облачную погоду (облака не задерживают ультрафиолетовые лучи) или находясь в воде.</li>\r\n<li>Помните, что песок, вода и снег отражают солнечные лучи и увеличивают вероятность солнечного ожога</li>\r\n<li>Используйте солнцезащитные кремы с солнцезащитным фильтром не менее 15 SPF, а при светлой коже защитный фактор должен быть еще выше. Крем необходимо наносить за несколько минут до выхода на улицу и чаще обновлять его.</li>\r\n</ul>",
"clinical_picture": "<p>Симптомы солнечного ожога зависят от тяжести поражения кожи. При ожоге легкой степени кожа в месте ожога воспаляется, краснеет, даже легкое прикосновение к ней причиняет боль. Ощущается сухость и жжение, <a href=\"/symptom/zud/\" title=\"Перейти на страницу симптома Зуд\">зуд</a>, обожженная кожа <a href=\"/symptom/otek_tkaney/\" title=\"Перейти на страницу симптома Отек тканей\">горячая на ощупь</a>.</p>\r\n<p>При более тяжелом солнечном ожоге кожа может припухнуть, покрыться волдырями или корочкой. Иногда повышается общая температура тела. При тяжелом солнечном ожоге нередки <a href=\"/symptom/golovnaya_bol/\" title=\"Перейти на страницу симптома Головная боль\">головная боль</a>, <a href=\"/symptom/oznob/\" title=\"Перейти на страницу симптома Озноб\">озноб</a>, <a href=\"/symptom/lihoradka_s_oznobom/\" title=\"Перейти на страницу симптома <a href=\"/symptom/vysokaya_temperatura_38-42/\" title=\"Перейти на страницу симптома Высокая температура 38-42° \">Лихорадка</a> с ознобом\">жар</a>, общая <a href=\"/symptom/slabost/\" title=\"Перейти на страницу симптома Слабость\">слабость</a>.</p>\r\n<p>Коварство солнечного ожога - в отличие от некоторых других видов ожогов - состоит в том, что симптомы солнечного ожога становятся заметны не мгновенно, а лишь через несколько часов. Максимально симптомы проявляются через 12 - 24 ч, <a href=\"/symptom/shelushenie_kozhi/\" title=\"Перейти на страницу симптома Шелушение кожи\">отшелушивание</a> обгоревшего слоя кожи начинается на 4 - 7 день после солнечного ожога.</p>",
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