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The car wound

2025/9/11 Edited to

... Read moreถ้า “รถล้มแล้วแผลถลอก” สิ่งที่สำคัญที่สุดคือทำให้แผลสะอาดตั้งแต่ครั้งแรก เพราะเศษดิน/ทรายที่ติดอยู่ทำให้แผลอักเสบและเป็นแผลเป็นง่ายมาก เราเคยมีแผลที่แขนจากมอเตอร์ไซค์ล้ม เลยอยากแชร์ขั้นตอนทำแผลแบบเข้าใจง่าย (แนวเดียวกับที่เห็นในคลินิก/ตอนมีรถทำแผลทำหัตถการ) เผื่อใครกำลังหาข้อมูลว่าจะทำแผลรถล้มยังไงดี 1) ประเมินก่อนว่า “ควรไปโรงพยาบาลไหม” - เลือดออกไม่หยุดเกิน ~10 นาทีทั้งที่กดห้ามเลือดแล้ว - แผลลึก เห็นชั้นไขมัน/เนื้อ แผลฉีกกว้าง หรืออยู่บริเวณหน้า/ใกล้ข้อแล้วอ้าปากแผล - มีเศษหิน/ทรายฝังแน่น ล้างไม่ออก หรือสงสัยสิ่งแปลกปลอมในแผล - ปวดมาก บวมเร็ว ชา ขยับแขน/ขาแล้วเจ็บผิดปกติ (อาจมีปัญหากระดูก/เอ็น) - มีไข้ แผลแดงลาม ร้อน มีหนอง/กลิ่น - ไม่ได้ฉีดบาดทะยักมานาน (ส่วนใหญ่ถ้าเกิน 5–10 ปี หรือจำไม่ได้ ควรปรึกษา รพ.) 2) ล้างแผลรถล้มให้ถูกวิธี (หัวใจของการหายไว) - ล้างมือก่อนทุกครั้ง - ล้างแผลด้วยน้ำเกลือ (NSS) หรือ “น้ำสะอาดไหลผ่าน” จำนวนมากเพื่อไล่สิ่งสกปรกออก (วิธีนี้ช่วยมากกับแผลถลอก) - ถ้ามีเศษทรายติด ให้ใช้ผ้าก๊อซชุบน้ำเกลือค่อยๆ เช็ดออก ไม่ต้องถูแรงจนแผลถลอกเพิ่ม - หลีกเลี่ยงการเทแอลกอฮอล์/ไฮโดรเจนเปอร์ออกไซด์ลงแผลสดบ่อยๆ เพราะระคายเคืองและทำให้แสบมาก (ใช้เฉพาะตามคำแนะนำแพทย์) 3) ใส่ยา/ปิดแผล - ถ้าเป็นแผลถลอกตื้นๆ หลังล้างสะอาด อาจทายาฆ่าเชื้อบางๆ แล้วปิดด้วยผ้าก๊อซปลอดเชื้อ หรือใช้แผ่นปิดแผลชนิดไม่ติดแผล (ช่วยตอนเปลี่ยนผ้าพันแผลไม่เจ็บ) - ถ้าแผลมีน้ำเหลืองมาก เปลี่ยนผ้าปิดแผลบ่อยขึ้นเพื่อไม่ให้อับชื้น 4) แผลรถล้มต้องล้างแผลทุกวันไหม? ของเรา ช่วง 1–3 วันแรกจะล้างและเปลี่ยนแผลทุกวัน (หรือวันละ 1–2 ครั้งถ้าเปียก/สกปรก) พอแผลเริ่มแห้ง สะอาด ไม่มีน้ำเหลือง ก็อาจลดความถี่ได้ แต่หลักคือ “สกปรก/เปียกเมื่อไหร่ เปลี่ยนเมื่อนั้น” 5) รถล้มแผลถลอก ห้ามกินอะไร? จริงๆ ไม่มีของต้อง “ห้ามแบบตายตัว” สำหรับแผลถลอกทั่วไป แต่เราเลี่ยงของที่ทำให้คันหรือแพ้ง่ายสำหรับตัวเอง (เช่นบางคนแพ้อาหารทะเล) เพราะเกาแล้วแผลหายช้า ที่ช่วยคือกินโปรตีนให้พอ (ไข่ ปลา อกไก่ เต้าหู้) ดื่มน้ำเยอะๆ และนอนให้พอ 6) ทริคเล็กๆ ให้แผลหายไวและเป็นแผลเป็นน้อยลง - รักษาความชุ่มชื้นพอดี ไม่ปล่อยให้แผลแห้งแตก - อย่าแกะสะเก็ด - เมื่อแผลปิดสนิทแล้ว ค่อยเริ่มดูแลรอย (เช่นกันแดดบริเวณแผล) เพราะแดดทำให้รอยคล้ำชัด ถ้าคุณทำแผลแล้ว “ยังปวดมากขึ้น แดงลาม หรือมีหนอง” แนะนำให้ไปล้างแผลที่โรงพยาบาล/คลินิกเลย จะปลอดภัยสุด โดยเฉพาะแผลสดจากรถล้มที่เจอฝุ่นถนนเยอะๆ

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