Siab voos: nws yog dab tsi, qib thiab saib xyuas

Zoo Siab

• Cov theem tseem ceeb ntawm qhov mob rwj
• Theem 1
• Theem 2
• Theem 3
• Theem 4
• Lub luag haujlwm tseem ceeb kho mob
• 1. Yuav kho cov mob li cas
• 2. Yuav ntsuas kev ntsuas siab txhawm rau kom mob siab
• 3. Dab tsi yuav qhia tus neeg mob rwj
• 4. Yuav ua li cas txhawm rau txhawm rau soj xyuas qhov pheej hmoo mob qog tshiab

Mob rwj, uas tseem nrov npe hu ua eschar, yog qhov mob uas tshwm vim yog lub siab ntev thiab vim li cas cov ntshav tawm hauv qee qhov ntawm daim tawv nqaij.

Qhov kev mob no ntau dua rau ntawm thaj chaw uas cov pob txha sib chwv ntau dua rau ntawm daim tawv nqaij, xws li hauv qab nraub qaum, caj dab, lub duav lossis lub luj taws, vim tias qhov siab ntawm daim tawv nqaij ntau dua, ua rau lub zog khiav tsis zoo. Tsis tas li ntawd, qhov mob siab tseem tseem ua rau ntau tus neeg txaj, vim lawv tuaj yeem siv sijhawm ntau xuab moos nyob rau hauv txoj kab sib luag rau tib qho chaw, uas tseem ua rau cov ntshav ncig hauv qee qhov chaw ntawm daim tawv nqaij nyuaj.

Txawm hais tias qhov ncauj tawm ntawm cov tawv nqaij ua paug, lawv siv sijhawm ntev los kho thiab qhov no tshwm sim rau ntau yam, xws li tsis muaj zog ntawm tus neeg mob tus yam ntxwv, hloov ntawm cov khaubncaws sab nraud povtseg tob ntawm daim tawv nqaij thiab nyuaj rau daws txhua tus lub siab los ntawm cov chaw cuam tshuam Cov. Yog li, nws yog ib qho tseem ceeb heev uas txhua qhov mob txhab yuav tsum tau soj ntsuam los ntawm kws kho mob lossis kws saib xyuas neeg mob, yog li kev kho mob nrog cov khoom tsim nyog tshaj plaws yuav pib, nrog rau kev saib xyuas tseem ceeb tshaj plaws kom ceev nrawm yog piav qhia.

Cov theem tseem ceeb ntawm qhov mob rwj

Thaum pib, lub siab txhav tshwm sim rau ntawm daim tawv nqaij tsuas yog ua pob liab liab, tab sis dhau sijhawm lub vev xaib no tuaj yeem nthuav tawm cov qhov txhab me me uas tsis ua kom zoo thiab uas nce ntxiv. Ua raws li lub caij hloov ntawm rwj plab, nws muaj peev xwm txheeb xyuas 4 qib:

Theem 1

Thawj theem ntawm qhov mob rwj yog hu ua "blanching erythema" thiab txhais tau hais tias, thaum xub thawj, qhov txhab pom tshwm li yog xim liab uas thaum nias hloov xim mus rau xim lossis ua tsis tau zoo, thiab uas tswj qhov xim ntawd li ob peb feeb lossis feeb, Txawm hais tias tom qab lub siab tau ua haujlwm. Nyob rau hauv cov ntaub ntawv ntawm cov tawv nqaij dub lossis tsaus, qhov chaw no kuj tseem yuav muaj xim tsaus lossis purplish, hloov xim liab.

Qhov hom qias neeg no, ntxiv rau ua rau dawb ntev ntev tom qab tau nias, kuj tuaj yeem ua tawv tawv dua li daim tawv tawv tas, yuav kub, lossis lwm yam yuav txias dua lub cev tas. Tus neeg kuj tseem yuav hais txog qhov hnov ​​ntawm tingling lossis hlawv hauv qhov chaw ntawd.

Yuav ua li cas: nyob rau theem no, mob siab yuav tseem tuaj yeem tiv thaiv thiab, yog li ntawd, qhov zoo tagnrho yog ua kom daim tawv nqaij kom zoo thiab txhim kho cov ntshav ncig. Rau qhov no, ib qho yuav tsum sim ua kom cov tawv nqaij kom qhuav li sai tau, thov cov tshuaj pleev ib ce kom tsis tu ncua, nrog rau kev zam ua haujlwm uas tuaj yeem ua kom lub siab ua haujlwm ntau dua 40 feeb ua ke. Ib qho ntxiv, nws yog ib qho tseem ceeb uas yuav tsum muaj cov zaws tas mus li rau ntawm qhov chaw kom pab txhawb kev ncig.

Theem 2

Nyob rau theem no, thawj qhov txhab tshwm, uas tej zaum yuav me me, tab sis uas tshwm los ntawm qhov qhib ntawm daim tawv nqaij hauv thaj tsam ntawm lub blotch ntawm erythema tshuaj dawb. Ntxiv nrog rau qhov txhab, tawv nqaij ntawm thaj chaw ntawm cov stain zoo li thinner thiab tej zaum yuav saib kom qhuav lossis lwm qhov yuav ci dua li ib txwm.

Yuav ua li cas: Txawm hais tias lub qhov txhab tau tshwm sim dhau los, nyob rau theem no nws yooj yim dua rau kev kho kom zoo thiab tiv thaiv kev kis mob. Rau qhov ntawd, nws yog ib qho tseem ceeb mus rau hauv tsev kho mob, lossis chaw kho mob, kom qhov chaw raug tshuaj los ntawm tus kws kho mob lossis kws saib xyuas neeg mob, txhawm rau pib kho nrog cov khoom tsim nyog thiab hnav zoo tshaj plaws. Tsis tas li, koj yuav tsum txuas ntxiv daws lub siab ntawm qhov chaw, thiaj li haus dej ntau thiab kom muaj kev noj zaub mov ntau nyob rau hauv cov protein thiab vitamins, xws li qe lossis ntses, raws li lawv pab kho kom zoo.

Theem 3

Hauv theem 3, lub rwj txuas ntxiv txuas ntxiv thiab ua kom loj me me, pib cuam tshuam rau cov tawv nqaij ntxaum ntxiv, suav nrog cov txheej subcutaneous, qhov chaw muaj cov rog cov roj. Vim li ntawd, nyob rau theem no, sab hauv qhov txhab nws muaj peev xwm soj ntsuam ib hom nqaij tsis xwm yeem thiab daj, uas tau tsim los ntawm cov rog rog.

Nyob rau theem no, qhov tob ntawm lub kiav txhab hloov raws qhov chaw cuam tshuam thiab, vim li ntawd, nws yog ib qho ib txwm muaj uas hauv lub qhov ntswg, pob ntseg lossis qij taws nws tsis tuaj yeem soj ntsuam cov subcutaneous txheej, vim nws tsis muaj.

Yuav ua li cas: Txoj kev kho kom tsim nyog yuav tsum tau tswj hwm nrog kev qhia los ntawm tus kws tu neeg mob lossis tus kws kho mob, thiab nws yuav tsum tau hnav khaub ncaws kaw txhua hnub. Nws yog ib qho tseem ceeb kom haus dej ntau thaum nruab hnub thiab ua kom muaj kev noj haus zoo ntawm cov protein ntau. Tsis tas li, koj yuav tsum txuas ntxiv daws lub siab ntawm cov chaw muaj kev cuam tshuam, thiab nws kuj yuav raug pom zoo los ntawm tus kws kho mob kom yuav ib daim txaj uas pauv qhov siab thoob plaws lub cev, tshwj xeeb tshaj yog nyob rau cov neeg uas tau txaj ntev.

Theem 4

Qhov no yog theem kawg ntawm kev txhim kho ntawm qhov mob rwj thiab raug pom los ntawm kev rhuav tshem cov khaubncaws sab nraud povtseg tob tob, qhov twg cov leeg, cov leeg thiab txawm tias cov pob txha tau pom. Ntawm qhov mob txhab no muaj qhov muaj kev pheej hmoo siab rau kev kis tus kab mob thiab, yog li, tus neeg yuav tsum tau mus pw hauv tsev kho mob kom thiaj li hnav ris tsho kom xwm yeem thiab tau txais tshuaj tua kab mob ncaj qha rau txoj leeg ntshav.

Lwm tus yam ntxwv uas nquag pom tshaj plaws yog qhov muaj qhov tsis hnov ​​tsw tsw, vim yog txoj kev tuag ntawm cov ntaub so ntswg thiab tsim kom muaj kev zais cia tuaj yeem nkag kis tau.

Yuav ua li cas: Cov mob txhab no yuav tsum tau kho hauv tsev kho mob thiab nws kuj tseem xav tau nyob hauv tsev kho mob kom muaj tshuaj tua kab mob thiab tiv thaiv kev kis kab mob. Nws kuj tseem yuav tsum tau ua kom tshem tawm cov txheej ntawm cov ntaub so ntswg uas tuag lawm, thiab kev phais mob yuav raug pom zoo.

Lub luag haujlwm tseem ceeb kho mob

Ib qho tseem ceeb tshaj plaws ntawm kev saib xyuas lub cev thaum lub siab ntawm qhov mob siab yuav tsum tau hnav khaub ncaws kom tsim nyog, txawm li cas los xij, tus kws tu neeg mob yuav tsum muaj kev tshuaj ntsuam xyuas lub qhov txhab kom tsis tu ncua, ntxiv rau qhia tus neeg kom tsis txhob muaj qhov mob rau sab hauv thiab ntxiv qhov ntsuas. kev pheej hmoo ntawm cov mob tshiab.

1. Yuav kho cov mob li cas

Kev hnav khaub ncaws yuav tsum ua raws li hom nqaij uas nyob rau hauv lub qhov txhab nrog rau lwm tus yam ntxwv uas muaj xws li: tso tawm kom tsis hnov ​​tsw, tsis hnov ​​tsw lossis muaj qhov kis tau tus mob, txhawm rau txhawb kev kho kom zoo.

Yog li kev hnav khaub ncaws tuaj yeem suav cov khoom sib txawv, feem ntau muaj xws li:

• Tshuaj calcium alginate: foams yog siv dav hauv qhov siab ua kom lub qhov nqus tau tso cov khoom tso tawm thiab tsim qhov chaw zoo rau kev kho kom zoo. Lawv kuj tuaj yeem siv tau yog tias muaj los ntshav, vim lawv pab kom tsis txhob los ntshav. Feem ntau, lawv yuav tsum tau hloov pauv txhua 24 lossis 48 teev.
• Nyiaj Pov Xyooj: ntxiv rau kev nqus cov pa tawm thiab txhawb txoj kev kho kom zoo, lawv kuj pab kho mob, yog qhov kev xaiv zoo rau lub siab mob voos;
• Hydrocolloid: nws yog qhov zoo tagnrho los tiv thaiv qhov pom ntawm lub qhov txhab txawm tias nyob rau theem 1 ntawm lub siab mob rwj, tab sis nws kuj tseem tuaj yeem siv cov qhov txhab ntawm ntau tshaj ntawm theem 2;
• Hydrogel: tuaj yeem siv rau hauv daim ntawv hnav khaub ncaws lossis pleev thiab pab tshem tawm cov ntaub so ntswg uas tuag los ntawm lub qhov txhab. Cov khoom siv zoo li no ua haujlwm zoo tshaj plaws rau cov qhov mob txhab tsis muaj qhov sib haum xeeb;
• Collagenase: yog ib hom ntawm enzyme uas tuaj yeem siv rau qhov txhab ua kom lub ntsej muag tuag thiab ua kom lub ntsej muag tsis sib haum xeeb, raug siv dav thaum muaj thaj chaw loj ntawm cov ntaub so ntswg tshem tawm.

Ntxiv nrog rau kev siv cov ris tsho uas tsim nyog, tus kws tu neeg mob yuav tsum tshem tawm cov seem ntawm kev hnav khaub ncaws yav dhau los thiab ntxuav lub qhov txhab kom zoo nyob rau qhov twg, ntxiv rau kev siv saline, lub hau tawv me tuaj yeem siv los tshem tawm cov ntaub so ntswg uas tuag, uas yog hu ua debridement. Qhov kev faib tawm no tseem tuaj yeem ua ncaj qha nrog cov txuam thaum ntxuav tu los yog ua nrog daim ntawv thov ntawm cov tshuaj pleev enzymatic, xws li collagenase.

Tshawb nrhiav ntxiv txog tshuaj pleev rau kev kho mob ntawm qhov txhab.

2. Yuav ntsuas kev ntsuas siab txhawm rau kom mob siab

Thaum kho lub qhov txhab, tus kws tu neeg mob yuav tsum ua tib zoo saib xyuas txhua tus yam ntxwv uas nws tuaj yeem pom lossis txheeb xyuas, yog li kev txheeb xyuas tau ua tiav raws sijhawm, txhawm rau nkag siab tias yog kev kho mob txaus. Qhov kev ntsuam xyuas no tseem tseem ceeb heev rau kev txiav txim siab hloov cov khaub ncaws hnav, kom lawv nyob twj ywm txaus thoob plaws hauv kev kho mob.

Qee qhov ntawm cov yam ntxwv tseem ceeb, uas yuav tsum tau soj ntsuam thaum txhua qhov hnav ris tsho suav nrog: qhov loj me, qhov tob, cov duab ntawm lub npoo, kev ua kom tsis zais, muaj cov ntshav, tsw thiab muaj cov cim ntawm kev kis tus mob, xws li liab nyob ib puag ncig ntawm daim tawv nqaij, o. , cua sov lossis kua paug tsim khoom. Qee zaum, tus nais maum tuaj yeem txawm thaij duab ntawm lub qhov txhab lossis ua ib daim duab nrog daim ntawv hauv qab ntawm qhov txhab, los sib piv qhov loj me thaum lub sijhawm.

Thaum ntsuas xyuas cov yam ntxwv ntawm qhov txhab mob siab, nws tseem pom zoo kom them nyiaj rau daim tawv nqaij nyob ib ncig ntawm qhov txhab, txij li yog tias nws tsis zoo rau hydrated, nws tuaj yeem pab txhawb ntxiv ntawm qhov txhab.

3. Dab tsi yuav qhia tus neeg mob rwj

Muaj ntau cov lus qhia uas yog qhov tseem ceeb rau tus neeg muaj lub siab ua haujlwm thiab qhov ntawd tuaj yeem pab txhim kho kom qhov nrawm nrawm dua, nrog rau kev zam dhau qhov teeb meem. Ib co ntawm cov kev qhia muaj xws li:

• Piav qhia rau tus neeg txog qhov tseem ceeb ntawm tsis nyob hauv tib qho chaw ntau tshaj 2 teev;
• Qhia tus neeg kom ua txoj hauj lwm thiaj li tsis ua zoo thov kom mob ncauj plab;
• Qhia seb yuav siv lub hauv ncoo los daws qhov siab ntawm cov pob txha pob txha;
• Qhia txog kev phom sij ntawm kev haus luam yeeb mus rau cov hlab ntshav thiab txhawb tus neeg kom txiav luam yeeb;
• Piav qhia txog cov cim ntawm qhov tshwm sim tuaj yeem tshwm sim, tshwj xeeb yog kis tau.

Tsis tas li ntawd, nws tseem yuav tseem ceeb xa tus neeg mus rau kev sab laj nrog tus kws qhia noj zaub mov, vim tias kev noj zaub mov kom raug yog qhov tseem ceeb los txhawb kev tsim cov collagen thiab kaw qhov txhab.

Yog tias nws yog rooj plaub ntawm tus neeg ua txaj, ntawm no yog qhov yuav ua li cas tso tus neeg rau saum txaj:

4. Yuav ua li cas txhawm rau txhawm rau soj xyuas qhov pheej hmoo mob qog tshiab

Cov neeg uas tau tsim muaj mob rwj yog qhov pheej hmoo pheej hmoo ua mob tshiab. Vim li no, nws raug nquahu kom soj ntsuam qhov kev pheej hmoo ntawm kev muaj mob voos tshiab, uas tuaj yeem ua tiav los ntawm kev siv Braden nplai.

Lub Braden nplai ntsuas 6 yam uas tuaj yeem pab ua kom pom lub ntsej muag thiab uas suav nrog: tus neeg muaj peev xwm hnov ​​mob, tawv nqaij noo, qib qoj ib ce, muaj peev xwm txav tau, cov zaub mov muaj txiaj ntsig thiab tseem muaj kev sib txhuam ntawm daim tawv nqaij. Ib qhov nqi pib ntawm 1 txog 4 raug tso rau txhua yam ntawm cov yam no, thiab thaum kawg txhua qhov tseem ceeb yuav tsum tau ntxiv kom tau qhov kev pheej hmoo kev faib tawm ntawm kev tsim muaj lub siab:

• Tsawg dua 17: tsis muaj kev pheej hmoo;
• 15 txog 16: kev pheej hmoo me ntsis;
• 12 txog 14: pheej hmoo txaus;
• Tsawg dua 11: kev pheej hmoo siab.

Raws li kev pheej hmoo, nrog rau cov xwm txheej nrog cov qhab nia qis tshaj, nws muaj peev xwm los tsim cov phiaj xwm saib xyuas uas pab tiv thaiv kev mob tshiab ntxiv, ntxiv rau txoj kev kho kom zoo rau lub qub. Qee qhov kev saib xyuas kuj yuav suav nrog ua kom tawv nqaij kom zoo, txhawb kev noj zaub mov kom zoo dua lossis txhawb kev tawm dag zog, txawm tias muaj ntsis.