Suture oyinyumba ngenaliti
Ukubaluleka Komtholampilo:
Ukuze uthole ama-sutures angenakutholwa, uma kudingeka amandla amaningi, umuntu angakhetha i-suture enesikhathi eside sokutholwa. Izicubu zokuphulukisa kancane, njengeFascia nama-tendon, kufanele zivalwe ngama-sutures angabonakali noma anciphise amashubhu, ngenkathi izicubu ezisheshayo eziphulukisa ngokushesha, ngenkathi izicubu ezisheshayo zokuphulukisa ezifana nesisu, ikoloni, kanye nesikhafu zidinga ama-sutures angenamsoco. Amapheshana a-Urinary no-biliary athambekele ekubunjweni ngamatshe, ngakho-ke ama-suture ezenziwayo angenamatshe angcono kulesi simo, kanti ama-sutures athambekele ekufuyweni kokugaya ama-juices kufanele kube yilawo agcina isikhathi eside. Ukuthathwa kwemvelo kwenza kubi kakhulu ku-GI Tract.A Suture okungabonakali kungcono kakhulu lapho ukungezwani khona isikhathi eside (ukuvalwa kwe-Fascial, ukulungiswa kwe-tendon, noma ukulungiswa kwamathambo, noma ukulungiswa kwe-ligament) kuyadingeka ekuphulukeni okufanele
Imininingwane Yomkhiqizo:
Isu lokwenza umsebenzi
Xhakathisa
Umnikazi wenaliti kufanele aphethwe ngokubamba kwesundu njengoba kuboniswe kuMfanekiso 1. Lokhu kuvumela ukuhamba okuphezulu kwesihlakala kunalokho uma iminwe ibekwe ezingeni lesibambo. Inaliti kufanele ithathwe phakathi kuka-1/3 kuye ku-1/2 webanga phakathi kokunamathiselwe kwesutu kanye nethiphu yenaliti.
Ifile ukubopha (ifindo lesikwele)
Ukuphela kwesikhathi kwentuthuko kusongelwe eduze kwesihloko somnikazi wenaliti ovaliwe kabili ngaphambi kokuthola ukuphela okufushane kwe-suture nomnikazi wenaliti. Ifindo lokuqala eliphindwe kabili lidonswa kahle. Amabili (noma amathathu) aphonswa abanye okukodwa angezwa ngendlela efanayo yokuvikela ifindo. Ukuphonsa ngakunye kudonswa ngakolunye uhlangothi olungaphesheya onqenqemeni lwamanxeba. Bheka Umfanekiso 2
Isisulu esilula esiphazamisekile
Unqenqema lwamanxeba kufanele luzinze ngobumnene ngama-forceps anezinsolo noma isikhumba sesikhumba. Inaliti kufanele ifake i-perpendicular esikhunjeni 3-5mm kusuka emaphethelweni elonda. Bheka umfanekiso 3 Iphutha elijwayelekile ukufaka esikhunjeni e-angle ethambile eliphumela ekuchithekeni kwesilonda okukhulu njengoba kukhonjisiwe kuMfanekiso 4. Umfindo uphinde uboshwe njengoba ebonwa kuMfanekiso 2.
Ukucacisa
1. Inaliti yokuhlinzwa oyinyumba ngentambo
2. Ubude bentambo: 45cm, 75cm, 100cm, 125cm, 150cm
3. Ubude benaliti: 18mm, 22mm, 30mm, 35mm, 40mm, 50mm
4. Isimo senaliti (esivamile): 1/2 isiyingi, isiyingi esingu-1/4, isiyingi esingu-3/8, i-5/8
Uchungechunge Lomkhiqizo:
Izinto zokusungula
Ukucatshangelwa okubili kakhulu lapho ukhetha ukuthungu kwendawo kanye nokungezwani kwesilonda. Okunye ukucatshangelwa okubalulekile kukhona amandla ashubile, amandla efindo, ukuphathwa, kanye nokuvuselelwa kwezicubu. Ama-Stutere ahlukaniswe ngamaqembu amabili amakhulu:
I-ASMBAAble - ulahlekelwe iningi lamandla abo ashubile esikhathini esingaphansi kwezinsuku ezingama-60. Ngokuvamile zisetshenziselwa ama-sutures angcwatshwa futhi azidingi ukususwa.
Okungahambi kahle - gcina iningi lamandla abo ashubile izinsuku ezingaphezu kuka-60. Ngokuvamile zisetshenziselwa ukukhuphuka kwesikhumba ama-sutures futhi zidinga ukususwa kwe-postoperiatively.
Izinaliti ezisusayo nazo ziza ngezinhlobonhlobo zobunjwa nosayizi. Izinaliti ezigobile cishe zisetshenziswa kuphela ekuhlinzweni kwe-dermatological. Izinaliti zokusika zihamba ngezicubu kalula futhi zingaba namandla abo okusika okuyisisekelo ngaphakathi kwejika (ukusika okujwayelekile) noma ngaphandle kwejika (ukusika okubuyisela emuva). Inzuzo yokusika emuva ukuthi ukubhobozwa kwe-tapered okushiywe yi-suture kuqondiswe kude nomphetho wenxeba futhi ngenxa yalokho izicubu eziklebhu kuyajwayelekile. Izinaliti eziyindilinga ezingasikiwe zibangela ngisho nezicubu ezincane ezidwetshelwe futhi zingaba usizo kakhulu ezindaweni ezibuthakathaka kanye ne-fascia.
I-Catgut:
Kwenziwa kusuka kumathumbu ezilwane eziphilile ezinezilwane futhi kuqukethe i-collagen, ngakho-ke asikho isidingo sokususa i-suture ngemuva kokususelwa. I-Medical Catgut ihlukaniswe: I-Catgut ejwayelekile ne-Chrome Catgut, zombili ezingase zingene. Ubude besikhathi obudingekayo ukuze bamunyu kuya kubukhulu besisu kanye nesimo sezicubu. Ngokuvamile, kungadonswa ngezinsuku ezi-6 kuye kwezingama-20, kepha umehluko ngamunye ezigulini uthinte inqubo yokumunca, futhi kungabikwa. Amathumbu konke ukupakisha oyinyumba okukodwa, okulula ukuyisebenzisa.
I-Chemical synthesis Line (PGA, PGLA, PLA)
Izinto ezilayini ze-polymer ezenziwe ngobuchwepheshe bamakhemikhali zamanje, ezenziwe ngomdwebo wentambo, ukunamathela nezinye izinqubo, ngokuvamile zigxile ezinsukwini ezingama-60-90, futhi ukumunca kuyaziswa. Uma kungenxa yenqubo yokukhiqiza, kunezinye izingxenye zamakhemikhali ezingezinciniwe, ukumuncwa akuphelele.
Intambo engeyona engenamandla
Okusho ukuthi, i-suture ayikwazi ukudonswa yizicubu, ngakho-ke ukuthunjwa kudinga ukususwa ngemuva kokususelwa. Isikhathi esithile sokususwa se-stitch siyahluka ngokuya ngendawo yokususelwa, isilonda, kanye nesimo sesiguli.
