Wosabala suture wokhala ndi singano
Kufunika Kwachipatala:
Kwa sutures absorbable, ngati mphamvu yowonjezera ikufunika, munthu akhoza kusankha suture ndi nthawi yayitali yoyamwa. Minofu yochiritsa pang'onopang'ono, monga fascia ndi tendon, iyenera kutsekedwa ndi ma sutures osayamwa kapena osayamwa pang'onopang'ono, pomwe minofu yochiritsa mwachangu ngati m'mimba, m'matumbo, ndi chikhodzodzo imafunikira ma sutures osunthika. Mkodzo ndi biliary thirakiti sachedwa kupangidwa mwala, kotero kupanga absorbable sutures ndi bwino pamenepa, pamene sutures sachedwa m`mimba timadziti ayenera kukhala kwa nthawi yaitali. Ma sutures achilengedwe amachita moyipa kwambiri mu thirakiti la GI. Msuti wosayamwa umakhala wabwino ngati kukanikizana kwanthawi yayitali (kutsekeka kwa nkhope, kukonza minyewa, kuyimitsa fupa, kapena kukonza minyewa) ndikofunikira kuti machiritsidwe oyenera.
Zambiri Zamalonda:
Njira
Kugwira
Choyika singano chiyenera kugwiridwa ndi chikhatho cha chikhatho monga momwe zasonyezedwera m'chithunzi 1. Izi zimathandiza kuti dzanja lisunthike kwambiri kusiyana ndi zala zitayikidwa mu malupu a chogwirira. Singano iyenera kugwidwa pakati pa 1/3 mpaka 1/2 ya mtunda pakati pa cholumikizira cha suture ndi nsonga ya singano.
Kumanga mfundo (Square mfundo)
Mapeto aatali a suture amakulungidwa pa nsonga ya singano yotsekedwa kawiri asanagwire kumapeto kwaufupi kwa suture ndi singano. Nsonga yapawiri yoyamba imakoka pang'onopang'ono molimba. Kuponya kuwiri (kapena katatu) kowonjezera kamodzi kumawonjezeredwa mofananamo kuti muteteze mfundoyo. Kuponya kulikonse kumakokedwa mbali ina kudutsa m'mphepete mwa bala. Onani Chithunzi 2
Msewu wosavuta wosokoneza
Mphepete mwa chilonda iyenera kukhazikika bwino ndi zida za mano kapena mbedza yapakhungu. Singano ayenera kulowa perpendicular khungu 3-5mm kuchokera bala m'mphepete. Onani Chithunzi 3. Kulowa perpendicular kumapangitsa kuti minofu yakuya ikhale yokulirapo kusiyana ndi pamwamba ndipo izi zimapangitsa kuti mabala awonongeke kwambiri ndipo pamapeto pake kumapangitsa kuti khungu likhale lokongola kwambiri lokhala ndi chipsera chocheperako. Cholakwika chofala ndikulowa pakhungu motsata njira yopyapyala zomwe zimapangitsa kuti m'mphepete mwa bala musakhale pang'onopang'ono monga momwe zasonyezedwera pa Chithunzi 4. mfundoyi imamangidwa monga momwe tawonera pachithunzi 2.
Kufotokozera
1. Wosabala opaleshoni singano ndi ulusi
2. kutalika kwa ulusi: 45cm, 75cm, 100cm, 125cm, 150cm
3. kutalika kwa singano: 18mm, 22mm, 30mm, 35mm, 40mm, 50mm
4. singano mawonekedwe (wamba): 1/2 bwalo, 1/4 bwalo, 3/8 bwalo, 5/8 bwalo, molunjika
Mndandanda wazinthu:
Suture zakuthupi
Mfundo ziwiri zazikulu posankha suture ndi malo ndi kupsinjika kwa bala. Zina zofunika kuziganizira ndi kulimba kwamphamvu, kulimba kwa mfundo, kugwira ntchito, komanso kuyambiranso kwa minofu. Sutures amagawidwa m'magulu awiri akuluakulu:
Zowonongeka - zimataya mphamvu zawo zambiri zosakwana masiku 60. Nthawi zambiri amagwiritsidwa ntchito ngati ma sutures okwiriridwa ndipo safuna kuchotsedwa.
Zosasunthika - sungani mphamvu zawo zambiri zolimba kwa masiku opitilira 60. Nthawi zambiri amagwiritsidwa ntchito popanga sutures pakhungu ndipo amafunika kuchotsedwa pambuyo pa opaleshoni.
Singano za suture zimabweranso m'mawonekedwe ndi makulidwe osiyanasiyana. Singano zokhotakhota pafupifupi amagwiritsidwa ntchito mu dermatological opaleshoni. Singano zodulira zimayenda mosavuta m'minofuyo ndipo zimatha kukhala ndi m'mphepete mwake mkati mwa kupindika (kudula mwachisawawa) kapena kunja kwa piringidzo (reverse cutting). Ubwino wa kudula m'mbuyo ndikuti kuphulika kwa tapered komwe kumasiyidwa ndi suture kumachokera pamphepete mwa bala ndipo chifukwa chake kung'ambika kwa minofu sikofala. Singano zozungulira zosadula zimang'ambika pang'ono ndipo zitha kukhala zothandiza makamaka m'malo osalimba komanso fascia.
Catgut:
Amapangidwa kuchokera kumatumbo a mbuzi athanzi ndipo amakhala ndi collagen, kotero palibe chifukwa chochotsera suture pambuyo pa suture. Medical catgut imagawidwa mu: catgut wamba ndi chrome catgut, zonse zomwe zimatha kuyamwa. Kutalika kwa nthawi yofunikira kuyamwa kumadalira makulidwe a m'matumbo komanso momwe minofuyo ilili. Nthawi zambiri, imatha kutengeka m'masiku 6 mpaka 20, koma kusiyana kwa odwala kumakhudza momwe mayamwidwe amayamwidwira, ngakhale osayamwa. Matumbo onse ali ndi phukusi limodzi losabala, lomwe ndi losavuta kugwiritsa ntchito.
Chemical synthesis line (PGA, PGLA, PLA)
Chida cha polima chopangidwa ndi ukadaulo wamakono wamankhwala, wopangidwa ndi kujambula ulusi, zokutira ndi njira zina, nthawi zambiri zimatengedwa mkati mwa masiku 60-90, ndipo kuyamwa kumakhala kokhazikika. Ngati ndi chifukwa cha kupanga, pali zinthu zina zosawonongeka za mankhwala, kuyamwa sikukwanira.
Ulusi wosayamwa
Ndiko kuti, suture silingathe kutengeka ndi minofu, choncho suture iyenera kuchotsedwa pambuyo pa suture. Nthawi yeniyeni yochotsa msoko imasiyanasiyana malinga ndi malo a suture, bala, ndi momwe wodwalayo alili.
