Hlawv kab mob thiab nws cov ntsiab theem

Hlawv kab mob - yog ib lub general tshuaj tiv thaiv ntawm tus kab mob mus hlawv daim tawv nqaij thiab kev puas tsuaj rau sib sib zog nqus cov ntaub so ntswg. Nyob rau hauv cov ntaub ntawv no, muaj kev koom tes nyob rau hauv tus txheej txheem ntawm lub peripheral thiab central lub paj hlwb. Nyob rau hauv tej rooj plaub, qhov no syndrome ua rau txoj kev tuag.

Burns thiab lawv kev faib

Ua ntej xav tias cov theem ntawm hlawv syndrome, koj yuav tsum to taub hais tias nws yog ib tug hlawv. Qhov no cov ntaub so ntswg kev puas tsuaj, uas tshwm sim raws li qhov raug rau ntawm daim tawv mus rau high kub, tawg los yog txaus ntshai tshuaj, xws li feeb meej acids thiab alkalis. Muaj plaub yooj yim heev ntawm lub burn:

• thawj-degree hlawv tsawg txaus ntshai rau tib neeg lub cev. Nws muaj feem xyuam tsuas yog tus sab sauv khaubncaws sab nraud povtseg ntawm daim tawv nqaij thiab yog tsiag ntawv los ntawm cov tsos rau ntawm qhov chaw ntawm daim tawv nqaij liab thiab me me o;
• thib ob-degree burn - no twb muaj detachment ntawm lub sab sauv daim tawv nqaij txheej (epidermis) thiab tsim los ntawm me me npuas nrog lub kua;
• peb-degree Burns - daim ntawv no yog yus muaj los ntawm kev puas tsuaj rau tsis tsuas cov epidermis tab sis kuj lub dermis. Nyob rau hauv lub cheeb tsam ntawm hauv paus plaub hau, tawm hws thiab sebaceous qog dim me me feem ntawm noj nqaij. Qib 3 yam mob loj heev hlawv nrog lub tsos ntawm bubbles nrog cov kua thiab hemorrhagic necrosis raws tawv nqaij.
• plaub-degree burn yog yus muaj los ntawm kev puas tsuaj xwb tsis ntawm daim tawv nqaij, tiam sis cov ntaub so ntswg uas pw hauv qab nws, xws li nqaij thiab pob txha.

Thiab yog hais tias nyob rau hauv thawj ob zaum nws yog tsim nyog conservative kev kho mob, cov sib sib zog nqus kub yus yuav tsum tau ua sai li sai rov qab los ntawm daim tawv nqaij (cov hloov).

Hlawv kab mob thaum nws tshwm sim?

Qhov ntau yam ntawm kev tsim xws li ib tug tshuaj tiv thaiv kab mob ncaj qha nyob rau hauv lub tob ntawm Burns thiab lawv tis cheeb tsam. Nws yog ntseeg hais tias thaum nyob rau hauv tsawg kawg yog 10-15% ntawm tib neeg lub cev nto cuam tshuam los ntawm sib sib zog nqus kub nyhiab, ces muaj cov kev tshuaj tiv thaiv ntawm tus kab mob - hlawv tus kab mob. Cov heev ntawm lub syndrome nyob ntawm ntau yam, xws li qhov xwm ntawm kub nyhiab, muab lawv localization (e.g., hlawv nyob rau hauv lub inguinal cheeb tsam ua cov tshuaj tiv thaiv ntawm tus kab mob txawm tias thaum ib tug me me kev raug mob), muaj hnub nyoog ntawm tus neeg mob, xub ntiag ntawm lwm yam kab mob.

Hlawv tus kab mob thiab lub ntsiab theem ntawm nws kev loj hlob

Thaum lub sij hawm ib tug zoo xws li cov syndrome no tau muab faib mus rau hauv plaub lub ntsiab theem, txhua tus uas yog yus muaj los ntawm tej yam tsos mob thiab yog nrog los ntawm ib tug xov tooj ntawm kev hloov.

• Hlawv poob siab. Raws li yog lub npe hu, kub nyhiab ua rau mob heev, uas yog sau los ntawm tag nrho cov tshaj lub puas nto ntawm lub cev thiab pauv mus rau lub paj hlwb. Tej khaus paj impulses yuav ua rau ib lub xeev ntawm kev poob siab. Ua ntej, tus neeg yuav tsis tshua muaj neeg excitable, tom qab uas, nyob rau hauv tsis tooj, ib yam nkaus thiab muaj kev nyuaj siab. Lub cev kub ntawm lub nce sharply thiab ces ntog rau tsis muaj khees vim li cas. Shock muaj feem xyuam rau lwm yam chaw ntawm lub paj hlwb, nrog rau qhov chaw ntawm kev thiab respiration. Tus neeg mob hloov nyob tus yeees ntawm cov ntshav muaj, poob rau hauv cov ntshav siab, muaj teeb meem nrog lub ob lub raum.
• Qhov thib ob lub sij hawm. Nws yog kev cob cog rua mas nrog lub sij hawm tuaj txog ntawm cov ntshav ntawm tshuaj lom decomposition khoom ntawm lub burnt cov ntaub so ntswg. Cov co toxins cuam tshuam zoo tag nrho lub cev, obstructing lub siab thiab ob lub raum. Tom ntej no pib lub inflammatory txheej txheem nyob rau hauv lub ntsws. Tus neeg mob muaj cai ib tug kub taub hau. Qhov no lub sij hawm yog tsiag ntawv los ntawm txoj kev loj hlob ntawm post-burn anemia. Puas nto paug thiab yuav ib lub rooj vag nkag mus rau hauv lub attenuated kab theem nrab kab mob.
• Qhov thib peb lub sij hawm pib tom qab txog 10 hnub tom qab hlawv raug mob. Nws yog nrog los ntawm yam mob loj heev o thiab mob, xws li purulent nephritis, mob hlab ntsws thiab cov kab mob ntawm lwm yam kabmob thiab ntaub so ntswg.
• Qhov thib plaub lub sij hawm yog qeeb thiab yog lub txiaj ntsim ntawm qaug. Thaum lub sij hawm no, muaj cov purulent teeb meem thiab malnutrition ntawm ntaub so ntswg thiab kabmob, ua rau lawv qeeb Atrophy.

Nws yuav tsum tau muab sau tseg tias heev ntawm hlawv tus kab mob nyob rau yuav ua li cas sai sai thiab yog rau tus neeg mob kev pab kho mob tau muab.