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1 month more than this with a pipe wound

2024/6/26 Edited to

... Read moreตอนเรารถล้ม แผลถลอกที่ข้อเท้า/หน้าแข้งมันดูน่ากลัวมาก เพราะช่วงแรกแดงชัด แถมมีสีผิวไม่สม่ำเสมอ กลัวจะกลายเป็นแผลเป็นถาวร เลยอยากมาเติมข้อมูลให้คนที่ค้นหา “แผลรถล้มที่ขาผู้หญิง” หรือ “ทำแผลที่หน้า” แบบทำตามได้จริงค่ะ 1) ช่วง 1–3 วันแรก: โฟกัส “ล้างให้สะอาด + กันติดเชื้อ” - ล้างแผลด้วยน้ำเกลือ (normal saline) หรือสบู่อ่อนกับน้ำสะอาดเบาๆ แล้วซับให้แห้ง - ถ้าเป็นแผลถลอกมีน้ำเหลือง แนะนำปิดแผลด้วยผ้าก๊อซ/แผ่นปิดแผลที่ไม่ติดแผล เพื่อกันเสียดสี (สำคัญมากถ้าแผลอยู่ที่ข้อเท้า/ขา เพราะเดินแล้วถูตลอด) - หลีกเลี่ยงแอลกอฮอล์/ไฮโดรเจนเปอร์ออกไซด์ลงแผลสดบ่อยๆ เพราะอาจระคายเคืองและทำให้แห้งเกิน 2) เมื่อแผลเริ่มปิด/ไม่มีน้ำเหลืองแล้ว: เริ่มดูแลรอยให้ “จางลง” พอแผลปิดสนิท (ไม่มีน้ำเหลือง ไม่แฉะ ไม่เจ็บแปลบ) เราถึงเริ่มเน้นเรื่องรอยค่ะ ตรงนี้หลายคนใจร้อนทาเจลลดรอยเร็วไปแล้วแสบ/ระคายเคืองได้ - ซิลิโคนเจลลดรอยแผลเป็น (เช่น Dermatix): เราทาบางๆ วันละ 2 ครั้งต่อเนื่อง ช่วยเรื่องความเรียบของผิวและความนูนได้ดี โดยเฉพาะรอยที่เริ่มเป็นแผลเป็น - Hirudoid: เราจะใช้สลับ/ทาตอนที่รู้สึกว่ารอยแดงๆ ม่วงๆ ยังชัด ช่วยให้รอยดูจางและผิวดูสม่ำเสมอขึ้น (แต่ต้องทาบนผิวที่ไม่เป็นแผลสดแล้ว) หมายเหตุ: ไม่จำเป็นต้องโบกหนาๆ ทาบางๆ แต่สม่ำเสมอเห็นผลกว่า 3) กันแดดคือคีย์ของ “รอยเข้ม” โดยเฉพาะแผลที่ขาและ “ทำแผลที่หน้า” ถ้าแผลโดนแดด รอยมักเข้มและอยู่ทนมาก เราเลยทำ 2 อย่างควบคู่ - กลางวันทากันแดดบริเวณรอย (SPF 50+ จะอุ่นใจ) และถ้าเป็นที่ขาใส่กางเกงขายาว/ถุงเท้าช่วยบัง - ถ้าเป็นแผลที่หน้า: เลี่ยงการสครับ/กรดแรงๆ ช่วงแรก และทากันแดดสม่ำเสมอ เพราะหน้ารับแสงตลอด 4) ทริคเล็กๆ ที่ช่วยให้รอยดูดีขึ้นไวขึ้น - อย่าแกะสะเก็ด: ยิ่งแกะยิ่งเสี่ยงเป็นหลุม/รอยเข้ม - ลดการเสียดสี: บริเวณข้อเท้าหรือรองเท้ากัด ให้ปิดด้วยพลาสเตอร์บางๆ กันถู - เติมความชุ่มชื้น: หลังแผลปิดแล้ว ทามอยส์เจอร์ช่วยให้ผิวเรียบและลดอาการคัน (คันแล้วเผลอเกา รอยจะเข้ม) 5) เมื่อไหร่ควรไปพบแพทย์ - แผลบวมแดงร้อน ปวดมากขึ้น มีหนอง กลิ่นผิดปกติ หรือมีไข้ - แผลที่หน้าแล้วลึก/มีรอยแยกชัด กลัวเป็นรอยบุ๋มหรือคีลอยด์ โดยรวมของเราคือพอทำแผลช่วงแรกให้สะอาดและไม่อักเสบ แล้วค่อยเริ่มซิลิโคนเจล (Dermatix) + ใช้ Hirudoid ต่อเนื่อง รอยแดงที่ขาก็ค่อยๆ จางลงจนแทบมองไม่เห็น เหลือแค่สีผิวไม่สม่ำเสมอเล็กน้อย ซึ่งต้องใช้เวลาอีกนิดค่ะ

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