Nyob rau hauv tsab xov xwm, peb yuav txiav txim siab ntev npaum li cas ntawm qhov kub hnyiab ntawm 2nd degree kho.
Ib qhov kub hnyiab yog qhov raug mob rau cov ntaub so ntswg uas tshwm sim los ntawm kev ua ntawm tshav kub thiab tshuaj. Hlawv qhov txhab tshwm sim nrog qhov sib txawv ntawm qhov hnyav, lawv yog cov cim ntawm qhov tob, thiab, ntxiv rau, los ntawm thaj tsam ntawm qhov txhab. Lub sijhawm ntawm cov txheej txheem rov qab, cov txheej txheem thiab cov txheej txheem ntawm kev kho yog nyob ntawm qhov hnyav ntawm qhov txhab tau txais thiab qhov ua rau ua rau lawv. Nyob rau hauv tag nrho, plaub theem ntawm kev kub hnyiab tau txawv nyob rau hauv cov tshuaj, txhua yam yog yus muaj los ntawm qhov tob ntawm cov ntaub so ntswg puas.
Qhov kub kub tshaj plaws yog qhov kub hnyiab thib 1 thiab thib 2, uas, tawm tsam keeb kwm yav dhau los ntawm tus neeg mob tsawg, tuaj yeem hla tau peb hnub yam tsis muaj qhov cim tseg. Cov ntaub ntawv hnyav suav nrog qhov thib peb thiab plaub, nrog rau cov kev raug mob zoo li no, kev kho mob yog nqa tawm tshwj xeeb hauv tsev kho mob, uas yuav xav tau lub sijhawm rov zoo. Kab lus no tsom rua kev kub hnyiab thib ob, uas yogfeem ntau, lawv tuaj yeem tau txais hauv lub neej txhua hnub.
Cia li xav seb yuav siv sij hawm ntev npaum li cas rau qhov kub hnyiab thib 2 los kho.
Key Features
Raws li feem ntau lees txais cov tswv yim kho mob, qhov kub hnyiab yog qhov ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij lossis cov mucous daim nyias nyias, uas tshwm sim los ntawm qhov tsis zoo ntawm qhov kub thiab txias lossis qee yam tshuaj lom neeg.
Qhov thib ob qhov kub hnyiab tau tshwm sim los ntawm kev puas tsuaj tsis yog rau sab sauv ntawm daim tawv nqaij (epidermis), tab sis kuj mus rau dermis. Qhov no tuaj yeem ua rau ua txhaum ntawm capillary permeability. Tsis tas li ntawd, cov hlab ntsha xaus kuj raug cuam tshuam. Pom pom, kub hnyiab ntawm 1 thiab 2 degrees tuaj yeem txiav txim siab los ntawm cov tsos mob hauv qab no:
- thaj chaw tiv tauj tig liab thiab kub.
- Mob tam sim no, hnyav dua los ntawm kev kov. Qhov mob kub hnyiab tuaj yeem kav ntev li peb hnub.
- Qhov tshwm sim ntawm puffiness nrog 2nd degree kub hnyiab thiab hlwv nrog cov kua hauv cov ntsiab lus.
Ua rau qhov kub thib ob thiab nws ntau yam
Qhov tseem ceeb rau kev txiav txim siab txog hom kev kub hnyiab yog hom ntawm qhov chaw, qhov tsis zoo ntawm cov tawv nqaij, ua rau nws puas tsuaj. Raws li txoj cai, daim tawv nqaij raug kev txom nyem los ntawm kev sib cuag nrog kub kub los ntawm hluav taws, vim muaj kev cuam tshuam nrog cov khoom siv rhuab, kua, ncu, thiab kuj los ntawm kev txhoj puab heev ntawm cov khoom siv tshuaj lom neeg los yog hluav taws xob ntawm cov ntaub so ntswg. Cov hom hauv qab no yog qhov txawv:
- Tau qhov kub hnyiab.
- Tshuaj hlawv.
- Ray puas hoqib thib ob ntawm hom no tsis tshua muaj thiab tsuas yog hauv cov neeg tawv nqaij ncaj ncees xwb.
- Hom hluav taws xob tshwm sim los ntawm kev raug xob laim lossis tam sim no. Zoo li lub cev tshwm sim thaum sib cuag nrog lub cev tsim cov ntsiab lus nkag rau qhov tso tawm thiab nws qhov kev tawm tom ntej. Nws yog nyob rau hauv cov chaw uas hlawv tshwm.
Hauv cov menyuam yaus hnub nyoog qis dua peb xyoos, qhov kub hnyiab feem ntau tshwm sim los ntawm kev kub hnyiab nrog dej kub lossis kov cov khoom kub. Feem ntau cov tes raug cuam tshuam. Thiab qhov no yog qhov mob tshwj xeeb, vim tias ntau cov paj hlwb tau sau rau ntawm xib teg thiab ntiv tes. Tsis tas li ntawd, ob txhais ceg nrog ko taw feem ntau raug kev txom nyem los ntawm thermal burns. Cov ntu ntawm lub cev tuaj yeem raug ntaus los ntawm hluav taws kub, dej kub npau npau thiab cov khoom siv kub. 2nd degree kub hnyiab tau pom hauv daim duab.
Tsis tas li ntawd, nws tsim nyog hais txog qhov kub hnyiab thib ob hauv lub ntsej muag. Lawv cov laj thawj yog cov ingress ntawm chav dej, boiling dej, los yog tshuaj Cheebtsam, thiab, nyob rau hauv tas li ntawd, cov txheej txheem kom hniav zoo nkauj ntxuav lub ntsej muag siv kev npaj uas muaj phenol. Nws tuaj yeem ua rau daim tawv nqaij puas tsuaj tom qab siv iodine, hydrogen peroxide, poov tshuaj permanganate thiab lwm yam tshuaj phem yog tias tsis ua raws li qhov tseeb concentration nrog rau kev ceev faj txog kev nyab xeeb.
Qhov kub thib ob uas hnyav tshaj plaws yog kev puas tsuaj rau lub qhov muag thiab txoj hlab pas. Qhov muag raug kev txom nyem los ntawm kev tuav tsis raug ntawm cov khoom siv tshuaj, cov kua ua kua, tawg cov qauv, thiab lwm yam. Kev kub nyhiab ntawm txoj hlab pas cuam tshuam kev puas tsuaj rau cov mucous thiab cov leeg nqaij. Kev raug mob li no tshwm sim vim raug tshuaj.
Kev kuaj pom pom thiab kho mob
Thawj feeb tom qab raug mob, qhov xwm txheej ntawm qhov chaw puas tuaj yeem qhia qhov mob hnyav. Thawj yam uas kws kho mob saib xyuas yog hlwv. Lawv lub xub ntiag qhia tias muaj qhov thib ob degree. Nyob rau hauv cov xwm txheej uas qhov kub hnyiab yog qhov dav, tom qab ntawd txhawm rau kuaj xyuas nws, koj yuav tsum hu rau lub tsev kho mob, uas tus kws kho mob combustiologist, raws li daim duab kho mob (qhov chaw ntawm qhov txhab, qhov muaj qhov o thiab mob), yuav txiav txim siab. lub degree. Tsis tas li ntawd xwb, yog tias muaj cov hlwv qhib, tus kws kho mob yuav muaj peev xwm tiv thaiv kev kis kab mob.
Qhov xwm txheej nyuaj dua nrog kev kub hnyiab sab hauv. Txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau ua pa, nws yuav tsum tau x-ray, nws yuav tsum tau kuaj xyuas cov ntshav thiab cov zis. Thiab twb ntxiv lawm, raws li cov txiaj ntsig, lawv tau txiav txim siab txog qhov tshwm sim ntawm qhov kub hnyiab ntawm cov kab mob hauv nruab nrog cev thiab sau cov kev kho kom tsim nyog.
Koj xav tau dab tsi pab rau qhov kub hnyiab thib 2?
Kev pab thawj zaug li cas?
Nws yog ib qho tseem ceeb kom nkag siab tias ntau nyob ntawm qhov tsim nyog pab thawj zaug. Nyob rau hauv cov ntaub ntawv no, nws yog ib qho tseem ceeb uas yuav tau xyuam xim rau qhov tob ntawm qhov kub hnyiab, thiab, nyob rau hauv tas li ntawd, mus rau theem ntawm qhov mob thiab lub sij hawm ntawm lub sij hawm rov qab, thiab, ntawm chav kawm, mus rau qhov tsis muaj los yog muaj ib tug caws pliav nyob rau hauv lub sij hawm. tawv nqaij. Yog li ntawd, nws yuav tsum tau kom meej meej paub yuav ua li cas yuav ua tau tom qab ib tug thib ob degree kub hnyiab, thiab dab tsi yog nruj me ntsis txwv tsis pub. Thiab yog li, txhawm rau muab kev pab thawj zaug rau tus neeg uas tau raug mob los ntawm qhov kub hnyiab thib ob, nws yog qhov tsim nyog raws li hauv qab no:
- Cov nplaim taws yuav tsum tau muab tshem tawm tam sim ntawm cov khaub ncaws thiab qhov chaw ntawm kev raug mob.
- Qhov chaw cuam tshuam ntawm lub cev tam sim ntawd muab tso rau hauv dej txias, nyiam dua hauv dej ntws, tab sis lub dav hlau tsis ncaj qha mus rau qhov txhab. Yog tias qhov no tsis tuaj yeem ua tau, ces lub thawv nrog dej txias tuaj yeem siv los ua kom txias. Vim qhov txias txias, qhov txo qis ntawm daim tawv nqaij ua tiav, uas tiv thaiv nws qhov kev puas tsuaj hauv qhov tob. Tsis tas li ntawd, qhov mob tshwm sim yog txo vim qhov tseeb tias cov hlab ntsha constrict nyob rau hauv tus ntawm qhov kub thiab txias. Txoj kev mob khaub thuas ua ib feem ntawm kev pab thawj zaug yuav tsum kav ntev li nees nkaum feeb, tab sis tej zaum ntev dua - txog ib teev, uas yog, kom txog rau thaum tus neeg raug mob pib hnov mob me ntsis.
- kauj ruam tom ntej yog ntxuav lub qhov txhab nrog tshuaj tua kab mob tsis muaj cawv, piv txwv li, Chlorhexidine lossis Furacilin yuav ua.
- Siv daim ntaub qhwv tsis muaj menyuam rau daim tawv nqaij puas.
- Thaum mob hnyav, nws raug nquahu kom noj cov tshuaj tua kab mob hauv daim ntawv ntsiav tshuaj lossis txhaj tshuaj.
Rau qhov ntsuas thib ob txwv tsis pub hlawv:
- Tua tawm ntawm daim tawv nqaij los ntawm qhov txhab, nws yuav tsum tau ua tib zoo txiav ib ncig ntawm ib puag ncig nrog txiab.
- Siv ntsuab lossis iodine ci ntsa iab.
- Kev siv cov khoom muaj roj thiab cov khoom ntuj tsim (hauv daim ntawv roj, roj, qaub cream).
- Tus kheej qhib qhov hlwv, tsuas yog kws kho mob tuaj yeem ua qhov no, raug tshwj xeeb tsis muaj menyuamxwm txheej.
Hloov tom tsev
Ntev npaum li cas 2 qhov kub hnyiab yuav kho tau zoo heev.
Tam sim tom qab kev pab thawj zaug, tus neeg mob yuav tsum raug qhia rau tus kws kho mob, leej twg yuav sau cov kev kho mob tsim nyog. Raws li txoj cai, nyob rau hauv lub xub ntiag ntawm tsis-kwv yees qhov thib ob-degree kub hnyiab, kev kho mob yog nqa tawm nyob rau hauv tsev, yuav tsum tau ua raws li cov lus pom zoo thiab cov kev cai uas tau txais los ntawm tus kws kho mob. Muaj tseeb tiag, kev kub hnyiab sab hauv tsuas yog kho hauv tsev kho mob xwb.
Kev kho mob
Yuav ua li cas kho 2nd degree kub hnyiab hauv tsev?
Kev kho kom txaus yuav txo tau lub sijhawm kho ntawm qhov txhab. Txog niaj hnub no, kev lag luam kws tshuaj muaj ntau yam hauv zos thiab dav siv tshuaj tiv thaiv kab mob. Txawm li cas los xij, kev tswj hwm tus kheej ntawm cov tshuaj tsis yog ib txwm tsim nyog. Txij li txhua qhov kev kho mob muaj nws tus kheej contraindications thiab indications, yog li ntawd nws yog zoo dua mus siv cov tshuaj uas tau muab los ntawm kws kho mob.
Nyob rau hauv kev kho mob ntawm qhov kub hnyiab thib ob, tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob yog qhov tseem ceeb heev. Antiseptics kho qhov txhab rau thawj hnub ntawm kev raug mob. Feem ntau siv "Miramistin" nrog "Chlorhexidine". Txhawm rau txo qhov mob thiab tiv thaiv kev txhim kho ntawm cov txheej txheem purulent, cov tshuaj pleev "Levomekol", "Syntomycin", "Furacilin", "Gentamicin" thiab lwm yam. Tsis tas li ntawd, ntau yam tshuaj pleev uas muaj panthenol yog nrov. Lawv muaj ib tug siab moisturizing thiab khoeffect.
Panthenol tshuaj tsuag tshwj xeeb tshaj yog nrov ntawm cov kws kho mob thiab cov neeg mob. Nws yog qhov yooj yim heev rau siv, ntxiv rau, nws tau tsim nws tus kheej los ua ib qho kev kho mob zoo hauv kev kho mob ntawm qhov kub hnyiab. Hauv kev kho mob kub hnyiab, cov tshuaj tiv thaiv kab mob kuj tau sau tseg. Lawv tuaj yeem txo qhov o, tshem tawm cov tawv nqaij khaus. Feem ntau, nws pom zoo kom haus cov ntsiav tshuaj Suprastin lossis Claritin.
Yog tias mob hnyav, koj tuaj yeem haus cov tshuaj tua kab mob, thiab yog tias tsim nyog, tus kws kho mob tuaj yeem sau tshuaj. Txhawm rau txhim kho cov txheej txheem ntawm kev tsim dua tshiab thiab tsim cov collagen, koj yuav tsum haus cov vitamins. Tsis tas li ntawd, nws raug nquahu kom noj zaub mov kom zoo. Tom qab tag nrho, lub cev xav tau lub zog kom rov zoo.
Ntev npaum li cas 2 qhov kub hnyiab yuav kho tau yog nyob ntawm seb lawv kho tau zoo npaum li cas.
Yuav ua li cas hlwv yuav kho?
Nrog kev kub hnyiab thib ob, qhov tshwm sim ntawm hlwv, hmoov tsis, yog qhov kev zam. Lawv yuav tsum tau ua tib zoo saib xyuas. Nyob rau tib lub sijhawm, nws yog ib qho tseem ceeb uas yuav tsum tau sim ua txhua yam kev hloov pauv kom tsis txhob ua rau lawv txoj kev ncaj ncees.
Yog tias qhov hlwv me me, ces, yog tias qhov kub hnyiab tau kho zoo nrog kev pab los ntawm cov cuab yeej tshwj xeeb, lawv dhau ntawm lawv tus kheej. Tab sis nws kuj tshwm sim tias cov hlwv ua ke ua ib qho, tsim cov npuas loj, hauv cov kua dej pos huab. Lawv yuav tsum qhib, tab sis tsuas yog ib tus kws kho mob tuaj yeem ua qhov no kom raug, saib xyuas cov xwm txheej tshwj xeeb tsis muaj menyuam.
Thaum hlwvrhuav tshem lawv tus kheej, qhov qhib qhov chaw yuav tsum tau kho nrog tshuaj tua kab mob, thiab lub plhaub yuav tsum tau txiav tawm nrog txiab ua ntej sterilized. Nyob rau hauv cov kev tshwm sim uas yog vim li cas ib tug inflammatory txheej txheem tshwm sim nyob rau hauv lub qhov txhab thiab suppuration pib, ces tus kws kho mob yuav tsum tau hu rau tam sim ntawd. Nyob rau hauv cov xwm txheej zoo li no, yuav tsum muaj kev kho mob ntxiv nrog tshuaj tua kab mob.
Hauv cov txheej txheem inflammatory, tus neeg raug mob kub taub hau, ua daus no thiab qaug zog. Kev phom sij ntawm lub xeev no yog tias qhov kev txiav txim tsis raws sijhawm, cov txheej txheem purulent yog qhov txaus ntshai heev thiab tuaj yeem ua rau tuag.
2nd degree kub hnyiab ntawm tus menyuam
Lub hauv paus ntsiab lus ntawm kev ua thaum muaj qhov kub hnyiab hauv cov menyuam mos yog zoo ib yam rau kev pab cov neeg laus. Qhov txawv tsuas yog nyob rau hauv qhov ntau npaum thiab concentration ntawm cov tshuaj. Tsis tas li ntawd, muaj teeb meem puas siab puas ntsws hauv kev pab thawj zaug thiab kev kho mob tom ntej. Txij li thaum cov me nyuam muaj kev xav, lawv hnov mob heev, thiab muaj cov hlwv uas tsis pom kev tuaj yeem ua rau muaj kev ntxhov siab ntxiv rau lawv. Yog li ntawd, tus cwj pwm ntawm cov niam txiv yuav tsum tau ceev faj, thiab tib lub sij hawm raug. Tom qab kev pab thawj zaug, tus menyuam raug qhia rau tus kws kho mob, leej twg yuav sau cov tshuaj tsim nyog. Nws tsis pom zoo kom noj nws tus kheej nrog kev kub hnyiab nrog dej kub ntawm qhov 2nd degree, thiab ntau dua yog li siv cov txheej txheem pej xeem.
Ntev npaum li cas qhov kub hnyiab thib ob yuav kho tau?
Kev kub hnyiab thib ob tsis cuam tshuam los ntawm cov txheej txheem sib kis, raws li txoj cai,kho tsis pub dhau kaum plaub hnub. Yog tias muaj teeb meem tshwm sim, ces cov txheej txheem rov qab tau qeeb lawm.
Kho kom raug
Cov tshuaj raug cai txawv peb theem ntawm thermal burns ntawm 2nd degree. Thawj yog suav tias yog purulent-necrotic, tawm tsam nws keeb kwm yav dhau, kev tsis lees paub ntawm cov ntaub so ntswg puas tshwm sim nrog rau kev tsim cov hlwv. Nyob rau theem no, kev kho mob antiseptic tsis tu ncua ntawm lub qhov txhab thiab kho nrog tshuaj tiv thaiv kab mob yog nqa tawm. Nrog kev kho kom raug, theem no tuaj yeem txav mus rau qhov thib ob (granulation theem). Nws yog yus muaj los ntawm qhov ploj ntawm hlwv thiab o. Nyob rau theem no, cov ntaub so ntswg rov qab tau pom nyob rau hauv cov neeg mob, yog li qhov chaw kub hnyiab tau txuas ntxiv kho nrog cov tshuaj pleev kom zoo. Qhov thib peb theem muaj cov txheej txheem ntawm epithelialization. Qhov hlawv yog kho nrog daim tawv nqaij tshiab. Cov theem no yog tus yam ntxwv los ntawm kev rov zoo tag nrho.
Nws yog ib qho tseem ceeb kom nkag siab tias cov khoom kho mob xaiv tau zoo, thiab, ntxiv rau, kev kho mob raws sij hawm ntawm qhov txhab kub hnyiab nrog cov tshuaj tua kab mob ntau zaus txo lub sijhawm kho thiab kho cov tawv nqaij.
Peb saib yuav ua li cas 2nd degree kub kho.
