หลักการลดปวดบวมเบื้องต้น RICE

หลักการลดปวดบวมเบื้องต้น RICE

    โดยปกติแล้วหลักการรักษาผู้ป่วยที่ได้รับการบาดเจ็บทางกระดูกและข้อเบื้องต้น ที่ครูบาอาจารย์ท่านสั่งสอนแพทย์และนักเรียนแพทย์มานาน รวมถึงตัวผมเองและได้ถ่ายทอดไปยังแพทย์รุ่นต่อไป ซึ่งมีประโยชน์อย่างมากและจดจำได้ง่าย ช่วยลดอาการปวดบวมก่อนที่จะมาพบแพทย์ได้ดีทีเดียว โดยเฉพาะ 24-48 ชั่วโมงแรก ก็คือหลัก RICE ย่อมาจาก R : Rest  I : Ice  C : Compression  E : Elevation เรามาลงรายละเอียดเกี่ยวกับแต่ละตัวกันซักเล็กน้อยนะครับ

R : Rest การพัก

    การพักใช้งานของอวัยวะที่ได้รับบาดเจ็บเป็นสิ่งแรกที่ควรทำเพื่อลดอาการปวดบวมเลยครับ ลดการออกกำลังกายตามปกติลง ลดการประกอบกิจกรรมที่ต้องเคลื่อนไหวร่างกายมาก ๆ หากบาดเจ็บที่ขา เข่า หรือข้อเท้า ก็ไม่ควรลงน้ำหนักที่เท้าข้างที่ได้รับบาดเจ็บครับ โดยเราอาจจะใช้ไม้เท้ามาช่วยพยุงไว้ก็ได้นะครับ

I : Ice ประคบเย็น

    การประคบน้ำแข็งหรือประคบเย็นช่วยได้อย่างมากที่เดียว จะใช้อะไรก็ได้นะครับ แผ่นประคบสำเร็จรูป น้ำแข็งในถุงพลาสติกทุบให้เป็นก้อนหยาบ ๆ แล้วห่อด้วยผ้า และอีกอย่างหนึ่งที่ส่วนใหญ่เราไม่ค่อยนึกถึงก็คือ สิ่งที่แช่ในช่องแช่แข็งในตู้เย็น เช่น ข้าวโพดแช่แข็ง ก็เอามาใช้ได้นะครับ โดยวิธีใช้ก็คือประคบบริเวณที่บาดเจ็บ ครั้งละ 20 นาที วันละ 4-8 ครั้ง

C : Compression

    การพันหรือกดบีบ พอแปลเป็นภาษาไทยแล้วเข้าใจยากทีเดียวใช่ไหมครับ จริง ๆ แล้วการทำ compression สามารถทำได้ง่าย ๆ เลยโดยการพันผ้ายืด (elastic bandage) รอบแขน ขา เข่า หรือข้อเท้า เพื่อเป็นการลดปวดบวม หรือใช้อุปกรณ์สำเร็จรูปเช่น รองเท้าบูทเข้ารูป (special boot, air cast) โดยเราไม่ควรพันแน่นมากจนเกินไปและไม่หลวมจนเกินไปครับ หลักการพักควรจะเริ่มจากส่วนปลายมาจนถึงส่วนต้นนะครับ

E : Elevation

    การยกสูง หลังได้รับบาดเจ็บเราควรยกแขน ขา หรือข้อเท้าที่ได้รับการบาดเจ็บสูงเหนือหัวใจประมาณ 10 เซนติเมตรครับ จะใช้หมอนรองก็ได้นะครับ จะช่วยลดอาการปวดบวมเช่นเดียวกันครับ

    ไม่ยากเลยใช่ไหมครับทุกคนสามารถทำได้เอง แล้วยังสามารถช่วยเหลือคนอื่น ๆ รอบตัวเองได้อีกด้วยครับ หลักการนี้ผมเน้นย้ำกับนักศึกษาที่มาเรียนกับผมอยู่เป็นประจำเพื่อในไปใช้กับผู้ป่วยและสอนรุ่นน้อง ๆ ต่อไปครับ

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130 thoughts on “หลักการลดปวดบวมเบื้องต้น RICE”

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ไขปัญหาข้องใจ “โรคกระดูกและข้อ”

กับหมอกสิสิน

นพ.กสิสิน กลั่นกลิ่น
โรงพยาบาลมหาราชนครเชียงใหม่ (สวนดอก)

อาจารย์แพทย์ผู้เชี่ยวชาญด้านกระดูกและข้อ ประจำภาควิชาออร์โทปิดิกส์
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หลักการลดปวดบวมเบื้องต้น RICE

หลักการลดปวดบวมเบื้องต้น RICE

    โดยปกติแล้วหลักการรักษาผู้ป่วยที่ได้รับการบาดเจ็บทางกระดูกและข้อเบื้องต้น ที่ครูบาอาจารย์ท่านสั่งสอนแพทย์และนักเรียนแพทย์มานาน รวมถึงตัวผมเองและได้ถ่ายทอดไปยังแพทย์รุ่นต่อไป ซึ่งมีประโยชน์อย่างมากและจดจำได้ง่าย ช่วยลดอาการปวดบวมก่อนที่จะมาพบแพทย์ได้ดีทีเดียว โดยเฉพาะ 24-48 ชั่วโมงแรก ก็คือหลัก RICE ย่อมาจาก R : Rest  I : Ice  C : Compression  E : Elevation เรามาลงรายละเอียดเกี่ยวกับแต่ละตัวกันซักเล็กน้อยนะครับ

R : Rest การพัก

    การพักใช้งานของอวัยวะที่ได้รับบาดเจ็บเป็นสิ่งแรกที่ควรทำเพื่อลดอาการปวดบวมเลยครับ ลดการออกกำลังกายตามปกติลง ลดการประกอบกิจกรรมที่ต้องเคลื่อนไหวร่างกายมาก ๆ หากบาดเจ็บที่ขา เข่า หรือข้อเท้า ก็ไม่ควรลงน้ำหนักที่เท้าข้างที่ได้รับบาดเจ็บครับ โดยเราอาจจะใช้ไม้เท้ามาช่วยพยุงไว้ก็ได้นะครับ

I : Ice ประคบเย็น

    การประคบน้ำแข็งหรือประคบเย็นช่วยได้อย่างมากที่เดียว จะใช้อะไรก็ได้นะครับ แผ่นประคบสำเร็จรูป น้ำแข็งในถุงพลาสติกทุบให้เป็นก้อนหยาบ ๆ แล้วห่อด้วยผ้า และอีกอย่างหนึ่งที่ส่วนใหญ่เราไม่ค่อยนึกถึงก็คือ สิ่งที่แช่ในช่องแช่แข็งในตู้เย็น เช่น ข้าวโพดแช่แข็ง ก็เอามาใช้ได้นะครับ โดยวิธีใช้ก็คือประคบบริเวณที่บาดเจ็บ ครั้งละ 20 นาที วันละ 4-8 ครั้ง

C : Compression

    การพันหรือกดบีบ พอแปลเป็นภาษาไทยแล้วเข้าใจยากทีเดียวใช่ไหมครับ จริง ๆ แล้วการทำ compression สามารถทำได้ง่าย ๆ เลยโดยการพันผ้ายืด (elastic bandage) รอบแขน ขา เข่า หรือข้อเท้า เพื่อเป็นการลดปวดบวม หรือใช้อุปกรณ์สำเร็จรูปเช่น รองเท้าบูทเข้ารูป (special boot, air cast) โดยเราไม่ควรพันแน่นมากจนเกินไปและไม่หลวมจนเกินไปครับ หลักการพักควรจะเริ่มจากส่วนปลายมาจนถึงส่วนต้นนะครับ

E : Elevation

    การยกสูง หลังได้รับบาดเจ็บเราควรยกแขน ขา หรือข้อเท้าที่ได้รับการบาดเจ็บสูงเหนือหัวใจประมาณ 10 เซนติเมตรครับ จะใช้หมอนรองก็ได้นะครับ จะช่วยลดอาการปวดบวมเช่นเดียวกันครับ

    ไม่ยากเลยใช่ไหมครับทุกคนสามารถทำได้เอง แล้วยังสามารถช่วยเหลือคนอื่น ๆ รอบตัวเองได้อีกด้วยครับ หลักการนี้ผมเน้นย้ำกับนักศึกษาที่มาเรียนกับผมอยู่เป็นประจำเพื่อในไปใช้กับผู้ป่วยและสอนรุ่นน้อง ๆ ต่อไปครับ

อ.นพ.กสิสิน กลั่นกลิ่น

130 thoughts on “หลักการลดปวดบวมเบื้องต้น RICE”

  1. Have you ever thought about including a little bit more than just
    your articles? I mean, what you say is important and everything.
    But think about if you added some great images or video clips to give
    your posts more, “pop”! Your content is excellent but with pics and videos,
    this website could certainly be one of the most beneficial in its niche.
    Wonderful blog!

  2. Our skillset in digital wallets and electronic payments means we’re
    ideally suited to tackle your QIWI wallet issues.

    Have peace of mind, we use advanced techniques and are well-versed in the newest security
    protocols.

    For those who’ve been hit with unauthorized transactions or errors that caused a loss of funds, you’ve got an ally in us.

  3. Retrieving your lost funds shouldn’t be complicated.
    That’s why our process is simple and open.
    You just need to supply your transaction details, and we’ll take care of the rest.

    Don’t let technical problems keep you from your savings.
    We’re committed to help you recover every penny.

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