First vs Second vs Third Degree Burns
Kev kub hnyiab yog qhov raug mob rau lub cev los ntawm lub zog hluav taws xob vim hluav taws xob, qhib nplaim taws, tshuaj lom neeg, hluav taws xob lossis kev sib txhuam. Feem ntau tsuas yog ob txheej ntawm daim tawv nqaij koom nrog, tab sis qee zaus, cov leeg, cov hlab ntsha thiab cov nqaij mos kuj koom nrog. Kev kub hnyiab tuaj yeem kho nrog kev pab thawj zaug, tab sis yuav tsum tau ua raws li nyob ntawm seb qhov twg thiab qhov tob ntawm qhov kub hnyiab. Kev kub hnyiab tsuas yog ib qho kev raug mob me me los yog qhov tsis txaus ntseeg, ua rau muaj ntau yam teeb meem ntawm lub cev thiab lub hlwb. Qhov sib txawv ntawm 1st, 2nd thiab 3rd degree kub hnyiab yuav tau tham nyob rau hauv cov ntsiab lus ntawm qhov chaw ntawm qhov kub hnyiab, cov yam ntxwv ntawm qhov kub hnyiab thiab kev tswj lub tswv yim.
First Degree Hlawv
Ib qib kev kub hnyiab cuam tshuam nrog cov epidermis ntawm daim tawv nqaij, thiab muaj erythema ntawm cov ntaub so ntswg uas raug mob, rhiab, me me o thiab qhuav ntawm cov ntaub so ntswg. Kev kho mob tsuas yog siv li ib lub lis piam los yog li ntawd. Cov kev kub hnyiab no tsis muaj teeb meem.
Second Degree Hlawv
Ib theem ob kub hnyiab cuam tshuam nrog cov dermis ntawm daim tawv nqaij, uas muaj cov ntaub so ntswg sib txuas, cov hlab ntsha, thiab cov hlab ntsha. Hom kev hlawv no tuaj yeem muab faib ua ob pawg; superficial ib nrab thickness thiab sib sib zog nqus ib nrab thickness. Lub thickness ntawm ib feem ntawm lub ntsej muag, uas txuas mus rau papillary dermis nrog meej blister tsim nyob rau sab saum toj, thiab blanching cov ntaub so ntswg ntawm lub siab. Cov textures ntawm cov hlawv no feem ntau yog moist, thiab ua rau mob. Cov no kho los ntawm 3 lub lis piam ntev, thiab nws nyuaj los ntawm cov kab mob hauv zos thiab cellulitis. Cov pawg tom ntej no yog qhov sib sib zog nqus ntawm ib feem tuab hlawv hom, uas ntim tag nrho cov dermis mus txog rau txheej reticular, qhov twg muaj cov ntshav puv hlwv; lawv kuj ua rau mob tsawg dua. Qhov saum npoo ntawm cov ntaub so ntswg yog moist, thiab ua rau qee qhov mob. Rau txoj kev kho nws yuav siv sij hawm ntau tshaj 3 lub lis piam. Tej zaum nws yuav nyuaj nrog kev caws pliav thiab kev cog lus tsim, uas yuav xav tau kev txiav tawm thiab grafting.
Third Degree Hlawv
Ib qib peb qhov kub hnyiab suav nrog tag nrho cov dermis, uas ua rau cov chaw raug pom muaj tawv tawv qhuav. Tsis muaj qhov mob vim yog cauterization ntawm cov paj hlwb dawb kawg receptors. Qhov no yeej yuav tsum tau txiav tawm thiab rov tsim kho dua tshiab nrog cov tawv nqaij grafting, thiab nyuaj nrog kev cog lus thiab kev txiav tawm.
Qhov sib txawv ntawm Thawj thiab Thib Ob thiab Thib Peb Qib Kub Kub yog dab tsi?
Cov hom kab mob sib txawv no maj mam nce hauv cov teeb meem, thiab qhov tob ntawm qhov kub hnyiab cuam tshuam. Txhua qhov kub hnyiab yog mob, tshwj tsis yog rau qhov kub kub thib peb. Thawj qib kub hnyiab tsis tas yuav muaj kev phais vim nws kho tsis muaj caws pliav los ntawm 1 lub lis piam ntev. Qhov thib ob degree kub hnyiab daim ntawv caws pliav, tshwj tsis yog tias tshem tawm kom zoo, thiab qib thib peb yuav tsum muaj daim tawv nqaij graft. Kev tswj xyuas thawj zaug yog ib txwm muaj rau txhua qhov kev raug mob kub hnyiab, thiab kev tswj xyuas nrog kev kho mob thaum muaj mob. Vim yog qhov chaw ntawm lub cev, thiab vasodilatation thiab kua dej poob, resuscitation nrog hom kua dej tsim nyog yog qhov tseem ceeb heev. Kev nthuav tawm ntawm cov ntaub so ntswg tso cai rau inoculation ntawm kab mob xws li clostridia, uas tuaj yeem tiv thaiv los ntawm tetanus toxoid. Tsis tas li nyob ntawm seb qhov twg, kev pub mis yuav tsum tau pib sai li sai tau txhawm rau kho qhov sib npaug ntawm nitrogen.
Yog li, kev tswj hwm thawj zaug yog qhov sib txawv, thiab qhov sib txawv tsuas yog qhov tob, thiab cuam tshuam cov kev hloov pauv vim muaj kev cuam tshuam ntawm lub cev. Qhov tob tsis yog qhov kev txiav txim siab ntawm qhov hnyav, tab sis kuj yog qhov ntawm qhov kub hnyiab (qhov chaw saum npoo av).
