Cov ntaub so ntswg granulation raug lwm yam hu ua "fibroplasias" cov ntaub ntawv ntawm qhov txhab ntawm qhov txhab raws li txheej txheem kho mob tshwm sim. Granulation tuaj yeem pab qhia cov kws paub txog kev saib xyuas kev noj qab haus huv hauv kev saib xyuas thiab tshuaj xyuas qhov ua tau zoo ntawm kev kho qhov txhab. Txawm hais tias, nws nyuaj rau ntsuas kom raug cov ntaub so ntswg, muaj qee cov lus qhia dav dav kom ua raws.
Cov kauj ruam
Ntu 1 ntawm 3: Ntsuas nrog Kev Ntsuas Siab Raug Mob Rau Kho
Kauj Ruam 1. Ntsuas qhov txhab ntawm qhov txhab
Kev tshuaj xyuas qhov txhab yuav tsum suav nrog keeb kwm ntawm qhov txhab tau txais, qhov chaw ntawm lub qhov txhab thiab theem lossis theem ntawm kev kho qhov txhab.
- Nws yog ib qho tseem ceeb kom nco ntsoov qhov ntev, dav thiab qhov tob ntawm qhov txhab hauv centimeters, ntxiv rau seb qhov txhab puas yog qhov nkag los lossis ua kom puas. Saib rau cov tsos mob ntawm tus kab mob xws li liab, mob thiab tso kua. Txheeb xyuas cov nqaij necrotic thiab granulation.
- Cov nqaij mos necrotic tau pom los ntawm cov xim av xim av tawg thiab ua rau tuab thiab tawv dub eschar (cov nqaij tuag). Feem ntau, qhov no npog qhov ncauj ntawm qhov pus los yog lub qhov quav.
- Lub caij no, cov nqaij mos noj qab nyob zoo tshwm tuaj zoo li ci, tsis sib xws lossis tawv, liab liab ntawm lub qhov txhab.
Kauj Ruam 2. Ntsuas qhov txhab qhov txhab siv qhov ntsuas qhov ntsuas qhov ntsuas kom zoo
Tau txais qhov ntev thiab dav ntawm qhov txhab hauv centimeters, ntsuas ntawm 0 txog 10. Nco tseg ntawm ib qho exudates (kua dej ntws los ntawm qhov txhab) thiab ntsuas 0 rau tsis muaj qis dua 3 thaum exudates hnyav.
- Kuj sau cov hom ntaub so ntswg uas siv 0 txog 4 qhov ntsuas ntsuas: 0 rau qhov kaw lossis rov ua qhov txhab, 1 rau cov ntaub so ntswg sab nrauv, 2 rau cov ntaub so ntswg granulation, 3 rau cov ntaub so ntswg uas muaj xim daj rau cov nqaij mos nrog cov mucous thiab 4 raws li necrotic cov ntaub so ntswg.
- Tau txais cov txiaj ntsig thiab muab tso rau ntawm kab ntawv los saib xyuas qhov kev hloov pauv lossis kev nce qib ntawm qhov mob.
Kauj Ruam 3. Ntsuas qhov tob ntawm qhov txhab vs kwv yees li feem pua ntawm qhov txhab granulation
Cov kws kho mob ntsuas lub qhov txhab tob tob siv cov ntaub so ntswg granulation. Qhov txo qis tseem ceeb hauv qhov txhab qhia tau hais tias muaj kev loj hlob zoo ntawm cov ntaub so ntswg. Qhov txo qis tseem ceeb tau ntsuas tsawg kawg yog 0.2 centimeter (0.1 in) hloov pauv qhov tob piv rau qhov ntsuas yav dhau los.
Kauj Ruam 4. Ntxuav lub qhov txhab
Ua ntej tshaj, ntxuav koj txhais tes nrog xab npum hauv qab dej kom tiv thaiv kev kis kab mob thiab lwm yam kab mob. Qhuav koj ob txhais tes nrog daim ntaub huv. Muab ob lub hnab looj hnab looj tes huv.
Tshem lub qhov txhab uas tau hnav thiab muab pov tseg kom zoo. Hnav qhov txhab nrog daim ntaub tshiab
Ntu 2 ntawm 3: Ntsuas nrog "Txheej Txheem Clock"
Kauj Ruam 1. Ntsuas qhov ntev ntawm qhov txhab uas siv txoj kab ntsuas lossis 'txheej txheem moos'
Tau txais qhov ntev tshaj plaws, dav thiab tob ntawm qhov txhab nrog lub cev raws li lub sijhawm xav hauv siab siv tus pas ntsuas ntsuas hauv centimeters.
Nco ntsoov tias qhov ntev yuav tsis yog qhov ntsuas ntev tshaj plaws ntawm no. Qee zaum, qhov dav yuav ntev dua qhov ntev nyob ntawm txoj haujlwm ntawm lub moos
Kauj Ruam 2. Muab tus pas ntsuas rau ntawm qhov dav tshaj plaws ntawm 3 teev rau 9 teev
Qhov no tso cai rau koj ntsuas qhov dav ntawm qhov txhab. Thaum tau txais qhov ntev, nco ntsoov tias cov luj taws nyob ntawm 12 teev thiab ntiv taw ntawm 6 teev. Muab tus pas ntsuas rau qhov ntev tshaj ntawm qhov txhab.
Kauj Ruam 3. Nrhiav qhov tob ntawm qhov txhab
Tau txais lub qhov txhab tob tob siv daim ntawv cog lus paj rwb lossis tus neeg thov siv dipped hauv cov kua ntsev ib txwm los ntsuas qhov tob tshaj ntawm lub qhov txhab.
- Tshem tus neeg tso npe thov thiab tuav nws tawm tsam tus pas ntsuas ntsuas qhov tob ntawm lub qhov txhab raws qhov cim pom hauv daim ntawv thov.
- Tom qab ntawd, kwv yees tus nqi ntawm qhov txhab granulation hauv qhov sib xws rau feem pua ntawm qhov txhab qhov txhab. Nco ntsoov sau koj li kev tshuaj ntsuam xyuas kom raug.
Ntu 3 ntawm 3: Paub txog Qhov Sib Txawv ntawm Qhov Kho Mob
Kauj Ruam 1. Kawm paub ntau theem sib txawv ntawm kev kho qhov txhab
Nws yog ib qho tseem ceeb kom nkag siab txog lub cev txheej txheem ntawm kev kho qhov txhab txhawm rau txhawm rau tswj hwm thiab kho qhov txhab kom raug.
Kauj Ruam 2. Paub txog theem mob
Cov txheej txheem mob yog lub cev thawj kab ntawm kev tiv thaiv kev raug mob. Nws tshwm sim thaum cov hlab ntshav sib cog lus thiab tso cov vasoconstrictors muaj zog lossis cov tshuaj sib xyaw uas ua rau cov hlab ntshav nruj kom txwv, yog tias tsis tso ntshav los.
- Txog tam sim no, lub cev xa cov qe ntshav dawb - tshwj xeeb yog cov tshuaj neutrophils thiab macrophages - mus rau qhov txhab ntawm qhov txhab kom tua cov kab mob thiab txhawb kev kho qhov txhab.
- Cov txheej txheem mob feem ntau kav ntev li ntawm 2 txog 4 hnub txij li lub sijhawm raug mob.
Kauj Ruam 3. Pom cov theem nthuav dav
Kev sib tshooj nrog cov txheej txheem mob, cov theem loj hlob pib nyob ib puag ncig hnub thib peb, ua ke nrog kev tso macrophages. Cov macrophages yog lub luag haujlwm rau nyiam ib qho ntawm cov tseem ceeb tshaj plaws ntawm tes, cov fibroblasts, uas pib ua cov collagen thiab cov ntaub so ntswg tsim.
- Cov ntaub so ntswg noj qab nyob zoo yuav tsum tsis txhob los ntshav yooj yim thiab yuav tshwm xim liab lossis xim liab. Cov ntaub so ntswg tsaus ua kom pom cov ntaub so ntswg tsis zoo lossis tsis txaus oxygen thiab qib khoom noj. Nws kuj tseem tuaj yeem qhia ischemia lossis kis kab mob.
- Ischemia yog tus yam ntxwv los ntawm cov xim daj nyob ib ncig ntawm lub qhov txhab uas qhia tias cov nqaij mos tsis zoo. Nws tshwm sim thaum cov ntshav ntws mus rau cov hlab ntshav lossis cov hlab ntshav me me thiab cov hlab ntshav cuam tshuam.
- Kev kho qhov txhab tau teeb tsa thaum homeostasis nruab nrab ntawm kev sib xyaw collagen thiab kev ua kom tawg tiav.
Kauj Ruam 4. Txheeb xyuas qhov hloov kho lossis theem ua kom tiav
Kev tsim cov collagen txuas ntxiv txawm tias tom qab kho qhov txhab. Collagen yog cov protein ua los ntawm cov amino acids. Nws pab txhim kho cov txheej txheem ntawm lub cev los ntawm kev ua zoo li cov cement.
