Thib peb thiab plaub qib kub kub yog qhov txaus ntshai tshaj plaws rau tib neeg lub neej thiab kev noj qab haus huv, tab sis tom kawg tau kuaj pom tsawg dua. Cia peb xav txog qhov nthuav dav nyob rau hauv cov xwm txheej dab tsi thiab los ntawm qhov koj tuaj yeem tau txais kev kub hnyiab thib peb, nws yog dab tsi, yuav ua li cas pab thawj zaug thiab yuav siv sijhawm ntev npaum li cas.
Kev faib tawm ntawm qhov kub hnyiab los ntawm qib
Raws li twb tau hais lawm, kev kub hnyiab feem ntau yog cais raws li qib, nyob ntawm qhov tob ntawm kev puas tsuaj rau daim tawv nqaij.
- First degree hlawv. Tom qab kev sib cuag nrog lub influencing yam, daim tawv nqaij me ntsis reddens thiab swells. Kev raug mob tsis tas yuav tsum tau kho tshwj xeeb thiab kho nws tus kheej tom qab 5-7 hnub. Tsis kub hnyiab lawm.
- Second degree hlawv. Redness thiab o yog nrog los ntawm o ntawm txheej sab sauv ntawm daim tawv nqaij thiab tsim cov hlwv uas muaj cov kua daj daj. Thaum lub zais zis raug tho, ib txheej liab ci ntawm daim tawv nqaij pom, kov nws ua rau mob hnyav rau tus neeg raug tsim txom. Lub qhov txhab feem ntau yuav kis tau, yog li lub sijhawm kho yog kwv yees li ob lub lis piam.
- Thib peb qib kub. Nws yog tus cwj pwm los ntawm kev tshem tawm ntawm cov ntaub so ntswg tseem ceeb (necrosis), lub qhov txhab npog nrog grey lossis xim av crust.
Plaub degree kub hnyiab. Qhov kev puas tsuaj loj tshaj plaws thiab tob rau ntawm daim tawv nqaij. Cov yam ntxwv nta yog blackening los yog charring ntawm qhov chaw raug mob, nyob rau hauv tej rooj plaub uas muaj cov pob txha nyob rau hauv tus txheej txheem. Lub sijhawm rov qab los yog ntev, cov nti tob tob tseem nyob ntawm qhov chaw raug
Yog ib tus neeg lub caj dab lossis pob qij txha raug cuam tshuam los ntawm kev kub hnyiab thib plaub, kev ua haujlwm ntawm lub cev yuav raug pom zoo thaum tsim cov caws pliav.
Thib peb degree hlawv cov duab
Nyob rau hauv tshuaj, nws yog kev cai cais qhov thib peb-degree kub.
Form 3-A
Thaum qhov kev raug mob no tshwm sim, tus neeg mob muaj qhov txhab ua tiav ntawm daim tawv nqaij. Lub dermis yog ib feem thiab ntiav cuam tshuam. Qhov tseem ceeb ntawm txheej basal nres nws cov haujlwm thiab tuag. Cov txheej txheem kab mob, uas yog lub luag haujlwm rau kev rov ua kom cov hlwb ntawm daim tawv nqaij, yog ib feem puas. Cov seem, cov txheej sib sib zog nqus, khaws tag nrho lawv lub peev xwm ua haujlwm.
Hauv cheeb tsam raug mob, tus neeg mob yuav luag tsis hnov tsw. Kev sib cuag tactile ntau ntxiv yog nrog los ntawm kev mob hnyav ntawm lub cev. Kev kuaj mob kom raug yuav tsum tau saib xyuas kev kho mob tas li thiab saib xyuas cov peev xwm ntawm daim tawv nqaij.
Form 3-B
Qhov swb yog qhov ua tiav ntawm daim tawv nqaij ntawm qhov chaw raug mob. Rau qhov teev nyob rau hauv lub degree ntawm 3-AKev puas tsuaj rau daim tawv nqaij koom nrog kev ua haujlwm tseem ceeb ntawm cov ntaub so ntswg subcutaneous.
Hauv daim duab kho mob, cov kws kho mob tau sau tseg tias qhov tsis muaj qhov mob tshwm sim thiab kev cuam tshuam rau kev sib cuag ntawm tus neeg mob. Cov txheej txheem ntawm cov ntshav ncig thiab cov metabolism hauv daim tawv nqaij cuam tshuam.
Lub tswv yim thiab chaw kho mob ntawm thermal hlawv
kub kub tshwm sim thaum daim tawv nqaij los ntawm qhov kub thiab txias ntawm ntau lub hauv paus chiv keeb. Nrog kev puas tsuaj loj heev, cov ntaub so ntswg necrosis thiab liab liab tshwm sim. Qhov saum npoo ntawm thaj chaw cuam tshuam yog qhuav lossis ntub dej, nyob ntawm qhov xwm txheej ntawm thermal raug. Thaum sib cuag nrog cov ncu lossis dej npau npau, tus neeg mob yuav muaj cov necrosis ntub dej. Cov tawv nqaij ua xim liab-daj los yog xim liab-xim av thiab npog nrog cov kua dej uas muaj hlwv. Qhov xwm txheej ntawm kev puas tsuaj tuaj yeem muab piv rau cov txheej txheem ntawm cov ntaub so ntswg melting.
Thaum sib cuag nrog cov khoom kub, xws li hlau lossis hlau, qhuav-hom necrosis tshwm sim. Cov tawv nqaij ntawm qhov chaw ntawm qhov raug yog npog nrog ib tug ntom crust, muaj ib tug tsaus xim av, nyob rau hauv mob hnyav nws yuav tig dub. Cov ciam teb ntawm qhov txhab yog pom meej. Txhua qib ntawm thermal burns kho nrog rau tom qab tsim ntawm nti ntawm cov ntaub so ntswg. Hauv cov xwm txheej tshwj xeeb, thaum tswj xyuas txawm tias qhov me me ntawm cov txheej txheem epithelial, cov tawv nqaij rov tsim dua tshiab tau.
Lub tswv yim thiab chaw kho mob ntawm cov tshuaj hlawv
Nyob rau hauv tus neeg uas tau txais tshuaj tua kab mob, kev kho mob yuav tsum tau ua raws li cov lus qhia thiab tom qab kuaj tus neeg mob los ntawm kws kho mob. Cov kab mob ntawm daim tawv nqaij ntawm hom no tuaj yeem tau nrogkev sib cuag nrog cov khoom hnyav, xws li alkalis lossis acids. Yog hais tias ib tug neeg tau txais ib tug thib peb-degree tshuaj hlawv, tag nrho cov khaubncaws sab nraud povtseg ntawm daim tawv nqaij nyob rau hauv qhov chaw raug mob raug mob necrosis. Sab saum toj txheej ntawm lub qhov txhab yog them nrog ib qho tsaus, tawv, immovable crust. Tactile contact tsis yog rhiab heev.
Qhov kev kuaj mob zaum kawg hais txog qhov kev puas tsuaj tsuas yog ua tau tom qab kev tsis lees paub ntawm thaj chaw tuag. Feem ntau qhov kub hnyiab tau kuaj pom nyob rau qib peb.
Rau cov neeg uas tau txais tshuaj tua kab mob, kev kho thiab kho cov qhov txhab yog ntev. Kwv yees li peb lub lis piam yog xav tau rau qhov kev tsis lees paub tag nrho ntawm qhov scab. Yog li ntawd, cov caws pliav sib sib zog nqus ntawm qhov chaw ntawm qhov txhab.
yam ntxwv tshwm sim ntawm qhov kub hnyiab
Cov cim tseem ceeb ntawm kev kub nyhiab thib peb yog qhov hloov pauv ntawm cov txheej txheem ntawm daim tawv nqaij los ntawm cov xim ntuj mus rau xim liab tsaus. Hauv qhov chaw uas lub epithelium tau nres tag nrho nws cov haujlwm tseem ceeb, cov tawv nqaij xim dub, uas qhia tias cov nqaij mos necrosis. Qhov chaw ntawm kev sib cuag nrog qhov cuam tshuam cuam tshuam yog hyperpigmented.
nyob ntawm qhov xwm txheej ntawm kev hlawv, cov kua txiv ntoo uas puv, cov nyom thiab cov tshuaj ntsuab yuav tshwm sim ntawm thaj chaw raug mob.
Ib-degree kub ntawm qeb "A" yog cais raws li sab nrauv, qeb "B" yog qhov mob tob.
Third Degree Burn Clinic
Feem ntau, cov neeg mob uas tau txais qhov kub hnyiab thib peb, ntxiv rau cov cim tseem ceeb ntawm kev raug mob, yws txogdeterioration nyob rau hauv kev noj qab nyob zoo. Nrog rau qhov mob thoob ntiaj teb, lub cev kub tuaj yeem nce siab, muaj qhov xav tias xeev siab nrog ntuav.
Cov ntaub ntawv me me tshwm sim ntawm ciam teb ntawm thaj chaw raug mob ntawm daim tawv nqaij, uas tshwm sim kwv yees li 2 lub hlis tom qab qhov kub hnyiab. Qhov no yog vim lub epithelialization ntawm cov tawv nqaij puas thiab kev loj hlob ntawm ib tug tshiab txheej. Nws cov npoo yog convex, granular.
Yog tias qhov kub hnyiab tsis tshaj li ob centimeters ntawm txoj kab uas hla, nws txoj kev kho tus kheej yog qhov tsim nyog, tab sis nws yog qhov tsim nyog los tsim cov xwm txheej los tiv thaiv kev kis kab mob, nrog rau kev qaug rau lub cev. Xws li kev kho mob nrog kev siv tshuaj tua kab mob yog ua nyob rau hauv ib lub tsev kho mob.
Thaum txheej kab mob puas lawm, cov kws kho mob nco ntsoov qhov tsim ntawm caws pliav.
Yuav ua li cas pab thawj tus neeg raug mob
Nws tsis tuaj yeem kho qhov kub thib peb ntawm koj tus kheej. Cov txheej txheem kho mob yog sawv cev los ntawm cov txheej txheem ntsuas uas pab txo qhov mob thiab kho cov tawv nqaij.
Vim cov yam ntxwv ntawm kev raug mob zoo li no, tus neeg raug tsim txom yuav tsum raug coj mus rau qhov chaw kub hnyiab sai li sai tau lossis hu rau kev saib xyuas xwm txheej ceev. Hauv kwv yees li 80% ntawm qhov chaw kho mob, tus neeg mob xav tau kev phais.
Kev pab thawj zaug yog ua raws li hauv qab no algorithm:
- cais tus neeg raug tsim txom los ntawm qhov cuam tshuam;
- nrog thaj chaw me me ntawm kev puas tsuaj, thaj chaw raug mob yuav tsum tau tsa kom deb li deb tau;
- muab ib daim ntaub sterile hla qhov hlawv.
Tom ntej no, nws tseem yuav hu lub tsheb thauj neeg mob.
Nws yuav tsum tau muab sau tseg tias tus neeg mob uas tau txais qhov kub hnyiab thib peb yog txwv tsis pub muab tshuaj tua kab mob. Qhov no tsuas yog ua rau cov txheej txheem ntawm kev noj anamnesis thiab ntxiv qhov tsis meej rau daim duab kho mob.
Kev kho mob ntawm peb qib kub kub
Yog tias tus neeg mob raug coj mus rau qhov chaw kub hnyiab, qhov no lav tias nws yuav tau txais kev kho mob raug raws sijhawm. Cov neeg mob uas raug mob li no raug kho hauv tsev kho mob. Kev kho tus kheej ntawm qhov kub hnyiab thib peb yog txwv nruj heev.
Qhov tseem ceeb, kws kho mob txo qhov mob. Rau qhov no, cov tshuaj tua kab mob ntawm cov tshuaj narcotic yog siv. Qhov chaw ntawm lub qhov txhab yog niaj zaus txau nrog tshuaj tua kab mob, cov tshuaj ntxiv yog muab tso rau hauv cov hlab ntsha raws li cov txheej txheem tsim.
Kev kub hnyiab thib peb tsuas yog kho tau yooj yim xwb, yog li, cov tshuaj kho mob tau sau tseg:
- Tshuaj uas thaiv kev tawm tsam ntawm kev poob siab anaphylactic.
- Glucocorticosteroids uas txo qhov mob.
- Kev hnav khaub ncaws tsis tu ncua.
- Kev npaj ntawm pawg sedative.
- Tshuaj uas tshem tawm kev poob siab tom qab.
- Droppers tshem tawm co toxins.
- Cov dej uas ua rau tsis muaj dej.
Yog tias qhov txhab mob loj, nws yuav tsum tau kho phais hauv ob peb theem ntawm qhov kub thib peb. Kev kho mob ntau npaum li cas nyob ntawm qhov chaw ntawm qhov txhab. Tom qab 20 hnub, cov txheej txheem ntawm kev kho ntawm daim tawv nqaij yuav pom tau, kev kho kom tiav yuav kav ntev li peb lub hlis. Nrog rau kev puas tsuaj rau daim tawv nqaij los ntawm kev siv tshuaj lom neeg los yog kev raug cua sov, cov caws pliav hlawv ib txwm nyob thiab zoo li caws pliav.
Kev saib tsis taus rau qhov kub hnyiab thib peb
Yog cov neeg nyob ze cov neeg raug tsim txom, lawv yuav tsum paub ntau yam uas yuav tsis pab tus neeg mob thiab ua rau kev kho mob hnyav.
Yog li, nrog kev kub hnyiab nws yog txwv:
- ntxuav thaj chaw cuam tshuam nrog dej txias, tshuaj tua kab mob thiab lwm yam tshuaj;
- siv cov zaub mov khov lossis dej khov rau thaj chaw cuam tshuam;
- tshem tawm cov khaub ncaws ntawm tus neeg raug tsim txom;
- muab tshuaj.
Tsuas yog qhov tseeb uas lwm tus tuaj yeem ua rau tus neeg raug tsim txom yog thauj nws mus rau qhov chaw kho mob sai li sai tau lossis hu rau lub tsheb thauj neeg mob.
