Xav txog koj tus me nyuam yaus uas rov qab los tsev kawm ntawv tom nws txhais tes thiab quaj. Los yog tej zaum nws tau sib ntaus me ntsis nrog nws cov phooj ywg thiab raug mob los ntawm kev tom nws txhais tes. Nws yog qhov txaus ntshai me ntsis thaum hnov tej yam zoo li no, puas yog? Puas yog kev raug tom los ntawm tib neeg txaus ntshai dua li kev raug tom los ntawm tsiaj? Qhov tseeb, vim yog cov kab mob hauv peb lub qhov ncauj, qhov kev raug mob zoo li no tuaj yeem txaus ntshai dua li qhov xav tau. Cia peb tham txog qhov no kom meej hnub no.
Qhov kev tom neeg no yog dab tsi?
Hais yooj yim xwb, 'Kev tom neeg' yog thaum ib tug neeg cov hniav ntaus rau lwm tus daim tawv nqaij. Muaj ob hom tseem ceeb. Nws yog ib qho tseem ceeb kom paub qhov txawv ntawm ob qho no, vim tias qhov kev puas tsuaj tuaj yeem sib txawv.
| Hom zom | Ua li cas ho ua li ntawd? |
|---|---|
| Kev zom ncaj qha (Occlusion Bites) | Nov yog hom uas peb pom ntau zaus. Ib tug neeg tom lwm tus neeg ncaj qha. Ib yam li cov menyuam yaus me me tom lwm tus menyuam thaum lawv npau taws. Qhov no feem ntau tshwm sim ntawm cov menyuam yaus. Lawv coj tus cwj pwm li no thaum lawv tsis tuaj yeem qhia lawv txoj kev xav xws li kev npau taws lossis kev tu siab hauv lus. |
| Tom Ntiv Tes Uas Kov/Kaw | Qhov no tshwm sim hauv txoj kev voj voog. Xav txog thaum ib tug neeg ntaus lwm tus, lub nrig ntaus rau lwm tus neeg cov hniav. Tom qab ntawd muaj ib qho txiav rau ntawm daim tawv nqaij ntawm tes. Qhov no feem ntau pom thaum sib ntaus. Qhov no txaus ntshai heev, vim nws tuaj yeem nkag mus tob rau hauv cov hniav thiab ua rau cov leeg thiab cov pob qij txha hauv tes puas tsuaj. |
Feem ntau, tib neeg tsis raug mob hnyav thaum lawv tom. Peb cov hniav tsis ntse npaum li tsiaj txhu. Yog li, feem ntau, txhua yam uas tshwm sim tsuas yog txiav lossis khawb me me xwb. Txawm li cas los xij, yog tias qhov tom ntawd tau tawg daim tawv nqaij, txhais tau tias daim tawv nqaij tawg thiab los ntshav, koj yuav tsum nrhiav kev kho mob. Qhov no yog vim muaj kev pheej hmoo ntawm kev kis kab mob.
Puas yog nws txaus ntshai rau tib neeg zom?
Yog, qee zaum nws tuaj yeem txaus ntshai dua li peb xav. Qhov teeb meem tsis yog qhov ntse ntawm cov hniav, tab sis yog cov kab mob hauv cov qaub ncaug hauv peb lub qhov ncauj. Muaj ntau lab hom kab mob sib txawv nyob hauv peb lub qhov ncauj. Yog tias cov kab mob no nkag mus rau hauv lub cev los ntawm qhov txhab, lawv tuaj yeem ua rau muaj kev kis kab mob loj heev.
Txawm hais tias qhov txhab yuav zoo li me me los ntawm sab nraud, cov kab mob uas tau nkag mus rau hauv tuaj yeem ua rau muaj kev kis kab mob hnyav thiab ua rau poob ib txhais ceg.
Cov tsos mob ntawm qhov kev raug mob no yog dab tsi?
Cov tsos mob no feem ntau pom ntawm qhov chaw tom. Kuj tseem muaj cov tsos mob sib cais uas tshwm sim yog tias muaj kev kis kab mob. Nws yog ib qho tseem ceeb heev kom paub qhov txawv ntawm ob qho no.
| Hom cwj pwm | Tej yam yuav tau saib |
|---|---|
| Cov tsos mob tshwm sim thaum lub sijhawm zom zaub mov |
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| Cov tsos mob ntawm kev kis kab mob ntawm qhov txhab |
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Yog koj tom koj tus ntiv tes thiab raug mob, yuav ua li cas?
Yog koj tom ib qho chaw tshwj xeeb, xws li tus ntiv tes, koj yuav ua rau cov leeg lossis cov hlab ntsha hauv koj lub cev puas tsuaj. Yog qhov no tshwm sim, koj yuav muaj cov tsos mob xws li:
- Tsis muaj kev xav hauv cov ntiv tes.
- Nyuaj rau khoov lossis ncab tus ntiv tes tag nrho.
Leej twg muaj feem yuav kis tau tus kab mob ntau dua?
Tsis yog txhua tus neeg yuav kis tau kab mob tib yam. Muaj ib txhia neeg muaj feem yuav kis tau kab mob ntau dua. Qhov no nyob ntawm koj txoj kev noj qab haus huv thiab qhov chaw uas qhov txhab nyob. Yog tias cov yam no siv rau koj, tsis txhob tsis quav ntsej txawm tias yog qhov txhab me me xwb los xij.
- Yog tias qhov txhab nyob rau ntawm ib cheeb tsam xws li caj npab, ceg, ntsej muag, taub hau, lossis pob qij txha uas rhiab heev.
- Yog tias koj noj tshuaj uas ua rau koj lub cev tiv thaiv kab mob tsis muaj zog (piv txwv li, tshuaj rau mob qog noj ntshav lossis kev hloov pauv cev).
- Yog koj muaj mob ntshav qab zib .
- Yog koj quav yeeb quav tshuaj los yog haus dej cawv .
- Yog tias koj muaj kab mob vascular .
- Yog tias koj muaj hnub nyoog tshaj 50 xyoo .
Koj yuav tsum ua dab tsi thaum koj raug tom hauv tsev tom qab koj raug tom?
Yog tias muaj tej yam zoo li no tshwm sim sai sai, muaj ob peb yam uas koj ua tau hauv tsev ua ntej mus ntsib kws kho mob.
1. Tiv thaiv kom tsis txhob los ntshav: Yog tias qhov txhab los ntshav ntau, muab ib daim ntaub huv los npog qhov txhab thiab nias kom nruj.
2. Ntxuav qhov txhab kom huv si: Ntxuav qhov txhab maj mam nrog dej sov thiab xab npum me me. Yog tias ua tau, siv lub koob txhaj tshuaj los txhaj dej rau hauv. Qhov no yuav pab txo cov kab mob hauv qhov txhab. Tab sis tsis txhob txhuam qhov txhab hnyav dhau thiab ua rau nws puas ntxiv.
3. Ntxuav: Yog tias muaj daim tawv nqaij tuag lossis lwm yam khib nyiab nyob ib puag ncig qhov txhab, maj mam tshem nws tawm.
4. Siv tshuaj: Maj mam so qhov txhab nrog daim ntaub huv, so kom qhuav, thiab muab tshuaj pleev tua kab mob rau kom tiv thaiv kev kis kab mob.
5. Npog qhov txhab: Thaum kawg, npog qhov txhab nrog daim ntaub qhwv huv.
Qhov tseem ceeb tshaj plaws: Yog tias qhov tom tsis tau ua rau daim tawv nqaij tawg , txhais tau tias nws tsuas yog qhov mob thiab tsis yog qhov khawb, koj tsis tas yuav mus ntsib kws kho mob. Tab sis saib xyuas qhov txhab. Nrhiav cov cim qhia tias muaj kev kis kab mob, xws li liab thiab o.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Qhov no yog qhov tseem ceeb tshaj plaws. Zoo tshaj plaws mus ntsib kws kho mob hauv 24 teev tom qab muaj qhov txhab 'tom neeg' uas ua rau daim tawv nqaij tawg thiab los ntshav. Tshwj xeeb tshaj yog tias nws nyob rau ntawm qhov chaw rhiab heev xws li tes, ntsej muag, lossis caj dab.
Ntxiv mus, yog tias muaj ib qho ntawm cov mob hauv qab no tshwm sim, tam sim ntawd mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws.
- Yog tias tseem tsis tau nres qhov ntshav txawm tias tom qab nias ob peb feeb lawm los xij.
- Yog koj pom qhov txhab liab, o, thiab kua qaub tawm los .
- Yog koj pom cov kab liab tawm ntawm qhov txhab.
- Yog tias qhov txhab loj heev los yog tob .
- Yog tias pom cov pob txha lossis cov nqaij los ntawm sab hauv qhov txhab.
- Yog koj xav tias qhov txhab xav tau cov xov .
- Yog tias koj tsis tau txhaj tshuaj tiv thaiv kab mob tetanus hauv 5 xyoos dhau los lossis koj tsis paub meej txog nws.
Tus kws kho mob muab kev kho mob zoo li cas?
Thaum koj mus rau tsev kho mob, tus kws kho mob yuav kuaj xyuas qhov txhab thiab pib kho mob. Cov no yog cov kauj ruam uas feem ntau ua raws li:
- Kev Ntxuav: Tus kws kho mob yuav rov qab ntxuav qhov txhab kom huv si siv cov kua tshwj xeeb. Nws kuj tseem yuav kuaj xyuas seb puas muaj kev puas tsuaj rau cov hlab ntsha, cov leeg, lossis cov pob txha sab hauv.
- Kev Ntsuas: Yuav muab ib qho qauv me me ntawm qhov txhab (kev kuaj kab mob ntawm cov nqaij) coj mus rau chav kuaj mob kom paub tseeb tias yog cov kab mob twg ua rau muaj kev kis kab mob. Kev kuaj ntshav lossis X-ray kuj tseem yuav ua tau yog tias muaj kev xav tias cov pob qij txha raug mob.
- Txoj kev npaj kho mob: Kev kho mob yog txiav txim siab los ntawm qhov xwm txheej ntawm qhov raug mob.
- Cov qhov txhab tob tuaj yeem raug xaws .
- Yog tias muaj kev kis kab mob hnyav, yuav tsum tau phais tshem cov nqaij tuag tawm (debridement).
- Tej zaum yuav tsum tau phais yog tias muaj pob txha tawg, pob qij txha puas, lossis muaj kev kis kab mob hnyav.
- Yog koj tsis tau txhaj tshuaj tiv thaiv kab mob tetanus raws sijhawm, koj yeej yuav tau txhaj tshuaj tiv thaiv kab mob tetanus .
- Cov tshuaj tua kab mob raug sau tseg kom tiv thaiv lossis kho kev kis kab mob. Feem ntau, cov tshuaj zoo li "Amoxicillin" raug muab rau. Lwm cov tshuaj zoo li "Clindamycin" raug sau tseg rau cov neeg uas ua xua rau penicillin.
Tom qab kho mob tas, lawv yuav hais kom koj rov qab los saib qhov txhab li ib lossis ob hnub. Yog tias muaj cov cim qhia tias muaj kab mob, lawv yuav hais kom koj rov qab los ua ntej.
Puas muaj tej yam tshwm sim los ntawm qhov no?
Yog. Yog tias tsis kho kom zoo, tej zaum yuav muaj teeb meem loj tshwm sim. Kev raug mob rau thaj chaw xws li tes, qhov ntswg, thiab pob ntseg yog qhov muaj feem yuav muaj teeb meem tshwj xeeb.
- Kev kis kab mob ntawm pob txha (Osteomyelitis)
- Kev kis kab mob ntawm cov pob qij txha (Septic arthritis)
- Tenosynovitis (kev kis kab mob ntawm cov leeg nqaij)
Cov kab mob no tej zaum yuav ua rau qhov chaw ntawm lub cev puas tsuaj mus tas li. Hauv cov xwm txheej hnyav tshaj plaws, yog tias tsis tuaj yeem tswj tau qhov kab mob, qhov chaw ntawd yuav tsum tau phais tshem tawm (amputation). Qhov no yog vim li cas kev kho mob sai sai yog qhov tseem ceeb.
Txawm hais tias muaj cov lus ceeb toom tias tib neeg kis tau cov kab mob xws li HIV/AIDS thiab Hepatitis B los ntawm kev zom, lawv tsis tshua muaj thiab qhov tshwm sim tsawg heev. Tsis tas yuav txhawj ntau dhau txog nws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tsis txhob xav tias kev tom ib tug neeg yog ib yam me me, tshwj xeeb tshaj yog tias daim tawv nqaij tawg thiab raug mob.
- Ntxuav qhov txhab kom huv si nrog xab npum thiab dej huv sai li sai tau. Qhov no yog thawj kauj ruam zoo tshaj plaws los tiv thaiv kev kis kab mob.
- Mus ntsib kws kho mob tsis pub dhau 24 teev tom qab muaj qhov txhab ntawm daim tawv nqaij tawg. Tsis txhob maj.
- Yog tias qhov txhab liab, o, muaj kua paug, lossis muaj cov tsos mob xws li kub taub hau, mus rau tsev kho mob tam sim ntawd.
- Nco ntsoov xyuas kom koj cov tshuaj tiv thaiv kab mob tetanus tau hloov tshiab tas li.
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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