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Very itchy wound without bandage, probably messy. Want to scratch very much🫳🥹

2024/4/18 Edited to

... Read moreช่วงแผลถลอกสดๆจากรถล้มหรือเข่าถลอก พอเริ่มแห้งจะ “คันแผลถลอก” หนักมาก โดยเฉพาะบริเวณขา/หัวเข่าที่ขยับบ่อยๆ ฉันเคยเผลอเกาจนแสบและเป็น “แผลจากการเกา” เพิ่ม เลยลองจัดการเป็นขั้นๆ แบบนี้ค่ะ 1) ทำไมแผลถึงคัน? โดยมากเป็นช่วงที่แผลกำลังสมานตัว มีการสร้างผิวใหม่ + ผิวแห้งตึง หรือแพ้/ระคายเคืองจากพลาสเตอร์ น้ำยาฆ่าเชื้อบางชนิด และถ้าพันแผลแน่น/อับชื้นเกินไปก็ยิ่งคันได้ 2) วิธีทำแผลรถล้ม (แผลถลอก) แบบที่ช่วยลดคัน - ล้างแผลด้วยน้ำสะอาดหรือน้ำเกลือให้เศษฝุ่นออกก่อน (สำคัญมากสำหรับ “ขาถลอกรถล้ม”) - ซับให้แห้งเบาๆ แล้วทายาบางๆตามที่แพทย์/เภสัชแนะนำ (หลีกเลี่ยงทาเยอะจนแฉะ) - ปิดแผลด้วยผ้าก๊อซหรือแผ่นปิดแผลที่ไม่ติดแผล เพื่อลดการเสียดสีจากกางเกง/ผ้าห่ม 3) พันแผลที่ขา/พันแผลที่เข่าให้ไม่หลุดและไม่แน่นเกิน - ถ้าเป็นหัวเข่า ให้พันแบบ “เลข 8” รอบเข่า จะช่วยให้ขยับได้และผ้าพันแผลไม่รูดง่าย - เช็กความแน่น: พันแล้วควรสอดนิ้วได้ 1 นิ้ว สีผิวปลายเท้าไม่เขียว/ไม่ชา - ถ้าคันเพราะกาวพลาสเตอร์ ลองเปลี่ยนเป็นผ้าพันแผลแบบยืดหรือใช้เทปสำหรับผิวแพ้ง่าย 4) กันเผลอเกาแบบได้ผล (ตอนคันมากๆ) - ประคบเย็นรอบๆแผล 5–10 นาที (อย่าให้โดนแผลโดยตรงถ้าแผลยังสด) - ใส่กางเกงขายาวผ้านิ่มหรือพันผ้าก๊อซเพิ่มชั้นเป็น “เกราะกันมือ” โดยเฉพาะตอนนอน - ตัดเล็บให้สั้น เผลอเกาจะไม่ขูดจนเกิดรอยแดงเพิ่ม 5) อะไรที่ควรเลี่ยง เพราะทำให้แผลเละ/คันกว่าเดิม - แกะสะเก็ดหรือเกาซ้ำๆ (เสี่ยงเป็นแผลเป็นและรอยดำ) - พันแผลอับชื้นทั้งวันโดยไม่เปลี่ยน (อาจเหม็น/ระคาย/ติดเชื้อ) - ใช้น้ำยาฆ่าเชื้อแรงๆบ่อยเกินจนผิวแห้งตึง (ถ้ารู้สึกแสบคันผิดปกติให้หยุดและถามผู้เชี่ยวชาญ) 6) สัญญาณที่ควรพบแพทย์ ปวดบวมแดงร้อนมากขึ้น มีหนอง ไข้ กลิ่นแรง แผลลาม หรือคันร่วมกับผื่นรอบๆแผลเหมือนแพ้ผ้าพันแผล/ยา ส่วนตัวพอ “ปิดแผลให้พอดี + เปลี่ยนผ้าพันแผลสม่ำเสมอ” อาการคันลดลงเยอะ และที่สำคัญคือช่วยกันไม่ให้เผลอเกาจนกลายเป็นแผลจากการเกาค่ะ

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