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打撲その後と冷やすことについてのＱ＆Ａ 2007年06月01日

その後、足の打撲はやはり打撲で、骨折ではない模様。「その歩き方だったら、たぶん骨折はしてないよ」とのこと。かなり痛かったけど、骨折していたらもっと痛いということ・・！？


昨日のお昼休み、打撲したところを見てみるとうっすら腫れていて、うっすら内出血もしている。押してみると痛いところがある。スタッフに聞くと、その日１日は出来るだけ冷やしておいた方がよいとのこと。

ひとくちに「冷やす」と言っても、一般人には具体的にどのくらい、どんな間隔で、など分からないことが結構あります。そこで、以下に「冷やす」ことについてのＱ＆Ａを今までの復習も含めてまとめてみました。

Ｑ：なにで冷やしたら良いのですか？
Ａ：必ず氷で冷やしてください。氷をビニールに入れたものとか、アイスノンとか、保冷剤とか。湿布はひんやり感じるだけで冷やす効果はないのでご注意。
　※ケーキなど買ったときについてくる保冷剤を捨てずに取って置いて、冷凍庫に常備しておくと便利！

Ｑ：どのくらい冷やしたらいいのですか？
Ａ：だいたい１５分～２０分です。その位経つと患部の感覚が無くなってきますので、そうしたら１～２分間隔をあけて、感覚が戻ってきたら再度１５分～２０分冷やしてください。

Ｑ：それを何セットやればよいのですか？
Ａ：何セットというか、内出血があったり腫れが引かない場合、痛めた日は１日中出来る限りこれを繰り返していた方がよいです。
　※症状によりけりだそうですが、今回私はそのようにアドバイスされました。わからなければ、電話でも結構ですので問い合わせてください。

Ｑ：痛めた（打撲した）直後は、氷を当てただけで患部がより痛いのですが、これも我慢して冷やしていくのですか？
　※今回、私がそうでした。
Ａ：はい。痛めた直後は皮膚や神経も敏感になり、冷やすことによって痛みの感受性も高まるので、より一層痛く感じるかもしれませんが、それを少し我慢していると、今度は患部が低温になり感覚がなくなってきますので、それほど長く苦痛は続きません。冷やすという処置には、患部を低温にさせることによって感覚を失くし、痛みを感じさせなくするという目的も含まれています。
　※・・・確かに、その通りだったような。

ざっとまとめてみましたが、冷やすのはあくまで自分でできる最初の応急処置です。圧迫や固定が必要な場合もありますので、応急処置をした後は出来るだけ早く来院してくださいね。
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