Peb txhua tus nyiam qhov txias. Tab sis yog tias qhov txias ntawd dhau me ntsis? Xav txog koj nyob hauv ib qho chaw zoo li Nuwara Eliya rau hnub txias heev, lossis koj nyob txawv teb chaws rau kev kawm lossis ua haujlwm thiab muaj daus ntau heev. Koj puas tau xav txog qhov kev puas tsuaj uas tuaj yeem ua rau peb daim tawv nqaij thaum lub sijhawm zoo li no? Qhov ntawd yog qhov peb hu ua "Frostbite" hauv kev kho mob. Hais yooj yim, vim yog qhov txias heev, peb cov tawv nqaij thiab cov ntaub so ntswg khov, zoo li dej khov, thiab lawv puas tsuaj. Qhov no zoo li daim tawv nqaij raug hlawv los ntawm qhov txias. Yog li hnub no, cia peb kawm txhua yam txog Frostbite hauv txoj kev yooj yim thiab sib tham.
Qhov tseeb yog frostbite li cas?
Kab mob Frostbite yog kev puas tsuaj uas tshwm sim thaum peb daim tawv nqaij raug rau qhov kub qis dua 0 degrees Celsius (32 degrees Fahrenheit), uas qis dua qhov chaw khov ntawm dej. Peb daim tawv nqaij muaj ntau dua 60% dej. Yog li thaum nws txias dhau, cov dej no pib hloov mus ua cov dej khov. Cov dej khov no ua rau cov hlwb tawv nqaij puas tsuaj thiab txiav cov ntshav ntws mus rau cov chaw ntawd. Qhov no tuaj yeem ua rau cov nqaij tuag. Hauv kev kho mob, peb kuj hu qhov no ua kev tuag ntawm cov nqaij (necrosis) .
Muaj ntau qhov xwm txheej uas qhov xwm txheej no yuav tshwm sim ntau dua:
- Thaum lub caij ntuj no.
- Thaum muaj cua hlob heev.
- Nyob rau hauv cov chaw siab xws li cov roob siab.
- Thaum tsis muaj chaw nkaum los tiv thaiv koj tus kheej ntawm qhov txias.
Nco ntsoov tias, txawm tias koj hnav khaub ncaws sov los xij, qhov mob frostbite tseem tuaj yeem tshwm sim hauv qab koj cov khaub ncaws. Yog tias koj xav tias koj muaj mob frostbite, tawm hauv qhov txias thiab mus hauv tsev tam sim ntawd . Tom qab ntawd mus ntsib koj tus kws kho mob sai li sai tau. Los yog mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) . Kev kho mob thaum ntxov tuaj yeem tiv thaiv kev puas tsuaj loj.
Leej twg muaj feem yuav mob frostbite ntau dua?
Txhua tus neeg uas raug cua txias heev tuaj yeem mob no. Txawm li cas los xij, qee tus neeg muaj feem yuav mob ntau dua. Qhov no yog qhov tseeb tshwj xeeb rau cov ntiv tes, cov ntiv taw, qhov ntswg, thiab pob ntseg, uas yog cov feem ntawm peb lub cev uas raug cua txias tshaj plaws.
Cov pab pawg neeg uas muaj kev pheej hmoo siab tshaj plaws yog:
- Cov neeg hnub nyoog qis dua 18 xyoo thiab laus dua 65 xyoos: Cov menyuam yaus thiab cov neeg laus muaj peev xwm tswj tau lawv lub cev kub tsis zoo.
- Cov neeg uas nyob thiab ua haujlwm hauv cov tebchaws uas muaj huab cua txias: Vim tias lawv raug huab cua txias tas li.
- Cov neeg uas tsis muaj tsev nyob lossis tsis muaj chaw nyob zoo.
- Cov neeg uas muaj tej yam mob uas twb muaj lawm: Piv txwv li, tej yam mob xws li kab mob ntawm cov hlab ntsha hauv lub cev, kev tsis noj zaub mov zoo, Raynaud's syndrome, hypothyroidism, mob pob qij txha, lossis ntshav qab zib.
- Cov neeg uas siv cov khoom haus luam yeeb: Kev haus luam yeeb ua rau cov hlab ntsha nqaim, txo cov ntshav ntws mus rau ceg.
Cov theem ntawm frostbite yog dab tsi?
Kab mob Frostbite tsis hnyav zuj zus ib zaug. Nws maj mam tshwm sim ua peb theem. Nws yog ib qho tseem ceeb uas yuav tsum paub txog peb theem no vim tias yog koj paub lawv thaum ntxov, koj tuaj yeem zam kev puas tsuaj loj.
| Theem | Lub npe kho mob | Txoj kev uas nws xav thiab zoo li cas |
|---|---|---|
| Theem 1 | Frostnip | Daim tawv nqaij yuav txias, liab los yog ntshav. Nws kuj tseem yuav daj ntseg. Nws zoo li mob me ntsis, loog. Qhov no yog ib qho cim ceeb toom. Kev puas tsuaj rau daim tawv nqaij tsuas yog ib ntus xwb. |
| Theem 2 | Kev Kho Mob Frostbite Sab Sauv | Daim tawv nqaij yuav kub, tab sis qhov tseeb tiag yog cov dej hauv daim tawv nqaij pib khov. Nws zoo li mob me ntsis. Daim tawv nqaij yuav o thiab o. Cov pob khaus uas muaj dej yuav tshwm sim hauv ib lossis ob hnub. |
| Theem 3 | Kev Khov Khov tob tob | Qhov no yog qhov teeb meem phem tshaj plaws. Txawm tias cov nqaij tob ('Subcutaneous tissue') hauv qab daim tawv nqaij kuj khov. Thaj chaw ntawd yuav loog tag, koj tsis hnov dab tsi li. Nws nyuaj rau txav qhov ntawd. Hauv ib lossis ob hnub, cov pob loj loj tshwm sim thiab daim tawv nqaij pib dub. Qhov ntawd txhais tau tias cov hlwb tuag lawm. |
Yog tias koj muaj cov tsos mob ntawm theem ob lossis peb, nrhiav kev kho mob tam sim ntawd.Qhov no yog qhov tseem ceeb, txwv tsis pub kev puas tsuaj mus tas li yuav tshwm sim.
Puas yog kuv tsis paub tias kuv puas muaj mob frostbite?
Yog, nws yeej yog li ntawd. Qhov phem tshaj plaws txog kev mob frostbite yog tias nws ua rau koj daim tawv nqaij loog, yog li koj tuaj yeem mus yam tsis hnov dab tsi. Tej zaum koj yuav tsis pom qhov txawv tom qab koj rov qab los tsev los ntawm qhov txias. Yog vim li cas nws thiaj li pom zoo kom txwv koj lub sijhawm sab nraum zoov thaum lub sijhawm txias heev.
Koj paub li cas yog tias cov menyuam yaus muaj mob frostbite?
Nws nyuaj me ntsis rau kev qhia seb tus menyuam yaus puas muaj tus mob no. Cov menyuam mos tsis tshee hnyo zoo li cov neeg laus. Cov menyuam loj dua zoo siab heev rau kev ua si uas lawv tsis paub tias lawv txias. Yog vim li ntawd peb, ua niam txiv, yuav tsum ceev faj heev.
Yog koj coj koj tus menyuam mus rau sab nraud thaum huab cua txias li ib ntus xwb, xws li 10 feeb xwb, ces xyuas nws kom zoo thaum koj coj nws rov qab los. Saib seb puas muaj kev hloov pauv ntawm nws daim tawv nqaij xim li liab, dawb, lossis dawb. Yog tias muaj kev hloov pauv, hu rau kws kho mob tam sim ntawd. Yog tias cov menyuam loj dua tau ua si hauv huab cua txias ntau tshaj ib nrab teev, hloov lawv cov khaub ncaws ntub, muab lawv cov khaub ncaws qhuav, thiab qhwv lawv kom nruj hauv ib daim pam. Nws kuj zoo rau da dej rau lawv hauv dej sov so . Tab sis tsis txhob siv dej kub .
Yuav ua li cas yog tias koj raug mob frostbite? Kev pab thawj zaug thiab kev kho mob.
Kev kho mob rau qhov mob frostbite sib txawv nyob ntawm theem uas nws nyob.
Yog tias koj muaj theem 1 (Frostnip):
Koj tuaj yeem tswj qhov no hauv tsev.
1. Tawm ntawm qhov txias tam sim ntawd: Mus rau hauv tsev lossis mus rau qhov chaw sov so sai li sai tau.
2. Tshem cov khaub ncaws txias: Maj mam tshem cov khoom xws li hnab looj tes, khau, thiab thom khwm. Tshem cov nplhaib lossis cov moos, yog tias muaj. Yog tias koj muaj khaub ncaws ntub, hnav cov khaub ncaws qhuav.
3. Maj mam ua kom sov: Muab daim tawv nqaij uas puas lawm tso rau hauv ib lub tais dej sov so (tsis yog dej kub) li 30 feeb. Qhov no yuav tsum ua maj mam.
4. Tsis txhob kov qhov kub ncaj qha: Tsis txhob kov dab tsi ncaj qha rau cov cua sov, nplaim taws, thiab lwm yam. Koj daim tawv nqaij loog thiab koj tsis hnov qhov kub, uas tuaj yeem ua rau kub hnyiab.
5. Tsis txhob txhuam: Tsis txhob txhuam daim tawv nqaij uas puas lawm. Ua li ntawd yuav ua rau cov nqaij puas ntxiv.
Yog tias muaj cov tsos mob ntawm theem ob lossis theem peb:
Tsis txhob sim kho qhov no hauv tsev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. Lub sijhawm yog qhov tseem ceeb ntawm no.
Hauv tsev kho mob, cov kws kho mob muab kev kho mob xws li:
- Ua kom lub cev sov: Ua kom daim tawv nqaij sov nrog dej sov so los yog daim ntaub sov so thiab ntub dej li 30 feeb.
- Siv tshuaj rau cov qhov txhab:Cov tawv nqaij uas puas lawm raug ntxuav kom huv si, siv tshuaj tua kab mob, thiab cov ntiv tes raug qhwv nyias nyias kom lawv tsis txhob lo ua ke.
- Kev kuaj xyuas cov ntshav ncig: Yog tias tsim nyog, yuav muab cov kua dej los ntawm txoj kab IV (saline) kom cov ntshav ncig zoo dua.
- Kev Muab Tshuaj: Cov tshuaj tua kab mob raug muab los tiv thaiv kev kis kab mob thiab cov tshuaj tua kab mob xws li Ibuprofen rau qhov mob.
- Kev kho mob siv oxygen: Qee zaum mob hnyav, koj yuav tau txais oxygen ntshiab hauv qab lub zog siab. Qhov no hu ua 'Hyperbaric Oxygen Therapy'. Qhov no pab cov nqaij kho sai dua.
- Kev Phais Mob: Hauv qee kis mob hnyav tshaj plaws, kev phais tshem tawm cov nqaij tuag yuav tsim nyog, qee zaum txawm tias yuav tsum tau txiav cov ntiv tes.
Yuav ua li cas tiv thaiv koj tus kheej ntawm frostbite?
Lawv hais tias, "Kev tiv thaiv zoo dua li kev kho mob." Yog li ntawd, nco ntsoov ua raws li cov lus qhia no kom tsis txhob muaj kab mob frostbite.
- Tsis txhob cia muaj huab cua txias: Saib cov xov xwm huab cua thiab nyob hauv tsev ntau li ntau tau rau hnub txias heev.
- Txwv koj txoj kev mus ncig: Yog tias koj yuav tsum tawm mus sab nraud, tuaj rau qhov chaw sov txhua 15-20 feeb, nyob ib pliag, thiab tom qab ntawd mus dua.
- Hnav Khaub Ncaws Kom Zoo: Hnav khaub ncaws ntau txheej. Hnav khaub ncaws xoob, xoob uas haum yuav ua rau huab cua ncig tau ntawm cov txheej, pab kom koj sov. Npog koj pob ntseg, qhov ntswg, thiab qhov ncauj nrog cov thom khwm sov, lub kaus mom, hnab looj tes (hnab looj tes zoo dua li hnab looj tes), thiab lub phuam qhwv caj dab.
- Hloov cov khaub ncaws ntub tam sim ntawd: Yog tias koj cov khaub ncaws ntub, txawm yog los ntawm hws lossis daus, hloov mus rau cov khaub ncaws qhuav tam sim ntawd.
- Ua kom koj cov ntshav ncig zoo: Tsis txhob hnav khaub ncaws lossis khau nruj. Tsis txhob nyob ib qho chaw, txav mus los thiab taug kev ncig.
- Tsis txhob haus dej cawv thiab haus luam yeeb: Txawm hais tias haus dej cawv yuav ua rau koj kub, nws ua rau koj lub cev poob qhov kub sai dua. Haus luam yeeb ua rau cov hlab ntsha nqaim.
Qhov txawv ntawm Frostbite, Chilblains thiab Hypothermia yog dab tsi?
Txawm hais tias tag nrho peb yam mob no yog los ntawm mob khaub thuas, lawv txawv ntawm ib leeg.
- Kab mob Frostbite: Raws li peb tau hais lawm, kev raug rau qhov kub thiab txias (qis dua 0°C) ua rau cov nqaij tawv puas tsuaj.
- Chilblains: Qhov no tshwm sim thaum koj raug rau qhov kub siab tshaj qhov khov, tab sis txias dua . Lawv ua rau daim tawv nqaij liab, khaus, thiab o. Cov no feem ntau tsis loj heev thiab kho tau lawv tus kheej.
- Hypothermia: Qhov no yog qhov txaus ntshai tshaj plaws ntawm peb yam no. Qhov no yog thaum qhov kub ntawm tag nrho lub cev, tsis yog daim tawv nqaij xwb, poob qis tsis zoo (qis dua 95°F lossis 35°C). Qhov no yog xwm txheej ceev hauv kev kho mob uas tuaj yeem ua rau tuag taus.
Nws muaj peev xwm rau ib tus neeg muaj ob qho tib si Frostbite thiab Hypothermia tib lub sijhawm.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Frostbite yog ib qho kev raug mob hnyav uas tshwm sim los ntawm kev khov ntawm cov nqaij tawv nqaij vim yog qhov txias heev.
- Yog koj xav tias koj raug mob frostbite, tawm hauv qhov txias thiab mus rau qhov chaw sov tam sim ntawd. Tsis txhob txhuam qhov chaw raug mob.
- Thaum pib mob (frostnip), koj maj mam siv dej sov so kom sov daim tawv nqaij. Txawm li cas los xij, yog tias muaj cov pob liab liab los yog daim tawv nqaij loog, mus ntsib kws kho mob lossis mus rau ETU tam sim ntawd.
- Qhov no tuaj yeem tiv thaiv tau los ntawm kev hnav khaub ncaws ntau txheej, hnav lub kaus mom, hnab looj tes, thiab tsis txhob hnav khaub ncaws ntub thaum mus ncig rau thaj chaw txias.
- Cov menyuam yaus thiab cov neeg laus, nrog rau cov neeg uas muaj tej yam mob, muaj feem yuav mob ntau dua.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus