Sterile suture hamwe nurushinge
Ibisobanuro bya Clinical:
Kubintu byakunzwe, niba hakenewe imbaraga nyinshi, umuntu arashobora guhitamo sture hamwe nigihe kirekire. Imyenda yo gukiza itinda, nka fascia hamwe nimitsi, igomba gufungwa na suture cyangwa itinda ikurura ibintu bikabije nkigifu, colon, hamwe nuburaro bisaba kwikuramo suture. Udupapuro twinshi n'ibirini bikunze gushiraho amabuye, bityo rero synthesitic desic zidasanzwe muriki gihe, mugihe sture ikunze kuba imitobe yo gupigisha igomba kuba igihe kimara igihe kirekire. Ubwiza busanzwe bukora nabi cyane muri tract
Amakuru y'ibicuruzwa:
Tekinike
Gufata
Ufite inshinge agomba kuba afite akazi gakomeye nkuko bigaragara ku gishushanyo cya 1. Ibi bituma urusaku rwinshi kuruta niba intoki zishyizwe mumaboko yintoki. Urushinge rugomba gufatwa hagati ya 1/3 kugeza 1/2 cyintera iri hagati yumuntu wa suture hamwe ninama y'urushinge.
Ipfundo ryo guhambira (kare kare)
Iherezo rirerire rya suture rizingiye ku isonga ryumusore ufunze kabiri mbere yo gufata iherezo rigufi rya suture hamwe numushishozi. Ipfundo ryambere risunika buhoro buhoro. Babiri (cyangwa batatu) kurundi ruhande rwongeye kongeramo imyambarire isa kugirango ipfuke. Buri nkota ikururwa muburyo bunyuranye hakurya yambaye igikomere. Reba Ishusho 2
Byoroshye guhagarika suture
Uruhande rwamavurungano rugomba kwitonda twitonze hamwe nimbaraga zibyinshi cyangwa uruhu rwuruhu. Urushinge rugomba kwinjiza perpendicular ku ruhu 3-5mm kuva ku nkombe. Reba ishusho ya 3. Kwinjira kuri perpendicular itera gukabya kwimbitse kugirango ushiremo ubwiza kuruta hejuru kandi bitera imbaraga zo gutwika kwaguka kandi zitera amakara menshi Ikosa risanzwe nukwinjira mu ruhu ku mfuruka ihagaze bivamo imbaraga nke cyane zo gukomeretsa
Ibisobanuro
1. Urushinge rwo kubaga ruswa hamwe nu mutwe
2. Uburebure bwa TOME: 45cm, 75cm, 100cm, 125cm, 150cm
3. Uburebure bw'Inkunga: 18mm, 22mm, 30mm, 35mm, 40m, 40m, 50mm
4. Imiterere y'ishingwe (isanzwe): 1/2 uruziga, 1/4 umuzenguruko, 3/8 uruziga, 5/8 uruziga, kugororotse
Urukurikirane rw'ibicuruzwa:
Ibikoresho bya sutura
Ibitekerezo bibiri binini mugihe uhisemo suture ni ahantu hamwe nindwara yibikomere. Ibindi bitekerezo byingenzi ni imbaraga zidasanzwe, ipfundo, gutunganya, na tissue reactivit. Sutures igabanijwemo amatsinda abiri akomeye:
Gusubirwaho - Gutakaza ubwinshi bwimbaraga za kanseri mugihe kitarenze 60. Mubisanzwe bikoreshwa mugushyingurwa kandi ntibisaba gukuraho.
Ntabwo ari ngombwa - komeza ubwinshi bwimbaraga za kanseri yiminsi irenga 60. Mubisanzwe bikoreshwa mumasoko yubuso kandi bisaba kuva kure.
Abashitsi ba sutura nabo baza muburyo butandukanye. Abashitsi bagoramye hafi ikoreshwa gusa kubagwa dematologiya. Gukata inshinge zinyura muri tissue byoroshye kandi birashobora kugira umwanya wambere wo gukata imbere yumurongo (gukata hagaragara) cyangwa hanze yumurongo). Inyungu zo guca intege nuko utuntu twakatiwe hasigaye na suture hafi yimbaraga bityo tunatanyagura ntabwo ari rusange. Inzitizi zidasenyuka zitera nubwo tissue nkeya kandi zirashobora kuba ingirakamaro cyane mubice byoroshye na fascia.
Catgut:
Ikozwe mu mara yinyamanswa nzima kandi irimo collagen, ntabwo rero bikenewe gukuraho suture nyuma yo gusunika. Intoki zubuvuzi zigabanijwemo: Catgut isanzwe na chrome Catgut, byombi bishobora gutwarwa. Uburebure bwigihe gikenewe kugirango ishishikarizwe biterwa nubunini bwikut na tissue. Mubisanzwe, birashobora kwishora muminsi 6 kugeza kuri 20, ariko itandukaniro ryumuntu ku barwayi rigira ingaruka kumikorere yinjira, ndetse ntakwemera. Amara yose ni ingaragu-gukoresha inganda zipimbano, byoroshye gukoresha.
Umurongo wa Synthesis (PGA, PGLA, PLA)
Ibikoresho bya polymer byakozwe hamwe nikoranabuhanga rya shimi ryakozwe nubu, ryakozwe nugushushanya urudodo, gushushanya nibindi bikorwa, muri rusange byinjijwe mu minsi 60-90, kandi ibyuma birahagaze. Niba biterwa niki gikorwa, hariho ibindi bigize bidashobora gutesha agaciro, kwinjiza ntibitunganye.
Urudodo rudasobanutse
Ni ukuvuga, suture ntishobora guhindurwa na tissue, niko suture igomba kuvaho nyuma yo kurwanira. Igihe cyihariye cyo gukuraho ibintu kiratandukanye bitewe nubushyuhe buhebuje, igikomere, numurwayi.
