Kev kub hnyiab tau muaj kev puas tsuaj los ntawm kev sib chwv nrog cov khoom txawb, nplaim taws, kub qhov cub los yog kua, lub sij hawm raug lub hnub ci, thiab lwm yam. Nyob ntawm seb lub txiaj ntsig ntawm kev puas tsuaj ntawm lub cev nqaij daim tawv thiab nws qhov kev siv, qhov tob ntawm qhov lesion tej zaum yuav txawv. Tawm los ntawm qhov no, plaub degrees ntawm thermal burns yog qhov txawv. Xav seb dab tsi yog cov cim qhia ntawm peb qhov chaw kawm ntawv hlawv, yuav kho nws li cas thiab nws tau zoo npaum li cas.
Cov tsos mob ntawm cov cua sov ntawm 3 degrees
Thermal kev puas tsuaj ntawm qhov kev kawm thib peb raug faib ua ob pawg.
Burns degree 3
Nyob rau hauv cov ntaub ntawv no, qhov tob ntawm qhov lesion cuam tshuam lub epidermis kom meej, thiab raws li cov feem pua ntawm lub dermis. Hauv qhov no, qhov tseem ceeb ntawm lub hauv paus los yog embryonic txheej ntawm cov epidermis tuag, uas tag nrho cov overlying tawv khaubncaws sab nraud povtseg. Cov qog nyob tob hauv cov tawv nqaij thiab lawv cov ntsiab lus (hws thiab sebaceous qog nrog ducts, hauv paus plaub hau).
Sab nraud tshwm sim tuaj yeem sib txawv:
- cov tsos mob ntawm daim tawv ntsej muag, uas muaj cov kab mob ntshav qab zib, cov phab ntsa uas ua los ntawm tag nrho cov exfoliated epidermis;
- qhov tsos ntawm ib tug nyias txheej ntawm parchment-zoo li scab (crust) ntawm lub teeb xim av xim.
Mob thiab tactile rhiab heev, raws li txoj cai, raug txo, tab sis nyob rau hauv ib co chaw yuav tau txais kev cawmdim. Qhov kev paub tseeb yog tsuas ua tau rau hauv cov chav kawm ntawm kev xyuas kev tsim dua tshiab ntawm qhov lesion.
Burns degree 3-b
Nrog xws li puas tsuaj, necrosis ntawm tag nrho tuab ntawm daim tawv nqaij yog pom, thiab nyob rau hauv qee - mob subcutaneous puas ntsoog puas (tag lossis ib nrab). Daim duab saib mob, raws li nyob rau hauv rooj plaub dhau los, tuaj yeem sib txawv:
- grey-white (feem ntau yog thaum raug dej tawm) los yog xim av dub (piv txwv li, thaum raug hluav taws), ib qho nqaij qaub ncaug nrog rau qib nrab thiab lub voos ntiv taw liab (qhov tshwm sim ntawm tus kab mob sib kis tau qhia tias thrombosis ntawm cov leeg);
- Npuas puv nrog hemorrhagic txheem, nrog ib qho hauv qab uas muaj suab npe los ntawm cov tshuaj daj uas muaj peev xwm tuaj yeem ua rau cov ntshav (piv txwv li feem ntau ntawm cov kua kub tshwm).
Qhov mob thiab tactile rhiab heev nyob rau hauv cov ntaub ntawv no yog tag nrho tsis tuaj. Nyob rau hauv cov cheeb tsam ntawm cov ntshav cov ntshav thiab metabolic kev yog tseem impaired.
Qhov kev tshwm sim ntawm kev kub ntxhov ntawm 3 degrees
Cov lus teb ntawm lub cev nrog tob tob ntawm 3 degrees, cuam tshuam ntau dua 10% ntawm lub cev, tuaj yeem yog ib yam kab mob uas ua rau cov theem hauv qab no yog qhov txawv:
- Hlawv poob siab - mob ntawm hemodynamics, ua rau kev cuam tshuam ntawm cov dej num ntawm tag nrho lub cev, nrog rau lub hauv paus ntawm lub paj hlwb (kav 12 txog 48 teev).
- Burns toxemia - tsim tawm los ntawm kev poob rau hauv cov ntshav ntawm cov khoom tsim los ntawm cov hlawv cov hlawv (ntev li 7 rau 9 hnub).
- Hlawv septicotoxemia - lub cev lo lus teb rau kev ua si tseem ceeb ntawm cov kab mob hauv lub qhov txhab (ntev li ob peb lub hlis).
- Restoration - pib tom qab kho thiab ntxuav ntawm qhov txhab.
Cov teeb meem tau tshwm sim tom qab peb qhov kev kub ntxov yuav ua tau:
- purulent cellulite;
- lymphadenitis;
- abscesses;
- gangrene .
Thawj pab rau kev kub nyhiab ntawm 3 degrees:
- Tshem tawm qhov zoo tshaj.
- Siv ib daim ntaub huv huv los ntawm daim ntaub los yog qhov ncauj los rau thaj tsam ntawm thaj chaw.
- Siv cov tshuaj mob thiab cov tshuaj sedatives (nyob rau hauv ntau zaus - antipyretic).
- Npaj kom muaj dej haus ntau ntau (nyiam dua me ntsis dej qab ntsev).
Nco ntsoov hu rau lub tsheb thauj neeg mob.
Kev kho mob ntawm cua sov ntawm 3 degrees
Vim tias kub hnyiab tau 3 degrees, kev kho tau nyob hauv tsev kho mob nrog rau lub sijhawm teem rau cov tshuaj nram qab no:
- analgesics;
- tshuaj tua kab mob;
- detoxicants.
Kev siv lub cev qhuav dej kuj tseem siv tau, txhaj tshuaj tiv thaiv kab mob tetanus. Cov mob hnyav, ua kom tsis txhob raug mob, kev phais mob, nrog rau kev hloov ntawm daim tawv nqaij.