Tsarin Suture na gama gari (1)
Cin gabanfasaha mai kyauyana buƙatar ilimi da fahimtar makanikai masu hankali da ke cikisutura.
Lokacin shan cizon nama, yakamata a tura allurar ta amfani da kawaiaikin wuyan hannu, idan ya zama da wuya a wuce ta cikin nama, ƙila an zaɓi allurar da ba ta dace ba, ko kuma allurar na iya zama baƙar fata.
Tashin hankali nakayan sutureya kamata a kiyaye a ko'ina don hana sutures masu laushi, kuma nisa tsakanin sutures ya kamata ya zama daidai.
Amfani na musamman suture tsarinna iya bambanta dangane da wurin da ake suturta, da tsawon lokacin da aka yi, da tashin hankali a layin suture, da takamaiman buƙatun donyarda, inversion,koal'adana kyallen takarda.
Suture alamuana iya rarraba shi a fili kamarkatsewa ko ci gaba.
A. Abubuwan Katsewa
Sutures masu katsewaana amfani da su don rage tashin hankali, ko a wuraren da ake buƙatar ƙarin ƙarfi. Ba su da tattalin arziki kamar aci gaba da suturakamar akullidole ne a ɗaure bayan kowane suturar sutura, ta yin amfani da kayan suture mai yawa. Idan daya daga cikin sutures ya kasa, wannan ba zai shafi sauran suturar da aka sanya a cikin rauni ba.
- Cin lokaci.
- Yawan kayan suture.
- Kasancewar ƙarin adadinkayan suturecikin nama.
- Ikon kiyayewaƙarfi da matsayi na namaidan sashin layin suture ya kasa ko hawaye.
- Samar da mafi daidaitaccen gefen gefe zuwa gefe.
- Ƙananan tabosamuwar a cikin raunin da aka warkar
B. Tsarin Ci gaba
Nau'in ci gaba shine mafi sauri nau'in suturar sutura, ana amfani da su don wuraren da ba su da ƙarfi kamar rufe kogon jiki, yadudduka na tsoka, ƙwayar adipose, da fata, kuma sun fi tattalin arziki fiye da katsewar tsarin.
Idan an ja da ƙarfi sosai, duk da haka, raunin na iya yin ja. Idan wani ɓangare na raunin ya rushe saboda gazawar ci gaba da suture, sauran raunin na iya shafa kuma ya sake buɗewa tare da tsawonsa.
- Ƙananan cin lokaci.
- Ƙananan adadinkayan suture.
- Ƙananan kayan suture a cikin nama.
- Ba za a iya kiyayewa ba, idan kulli ɗaya ya zame, kasa ko yaga dukalayin suture ya zama sako-sako.
- Wahaladon samun daidaitaccen gefuna zuwa gefe.
- Ƙarin tabosamuwar nama.
C. Hanyoyin Neman Adalci
1. Suture Mai Sauƙin Katsewa
- Ana shan cizodaidaitaccena andaidai nisadaga ko wane gefen raunin kuma a ja da karfi.
- Akullian sanya shi, kuma an gyara kayan suture kafin a sake maimaita hanyar har sai an rufe rauni.
- Irin wannan suturar tana da amfani don rufe layin alba yayin tiyatar ciki ko wasu wuraren da ke buƙatar ƙarin ƙarfi.
- Sauƙi don amfani.
- Amintaccerufewar jiki.
- Yana ba da damar daidaitawa naSuture tashin hankali.
Amfani
- Fata, subcutaneous nama, fascia, tasoshin, jijiyoyi, gastrointestinal da urinary fili.
2. Suture Mai Sauƙi Mai Katsewa
- Juye sauƙaƙa ya katse zuwa 'binne kulli'.
- Ana sanya waɗannan a cikin tsari mai sauƙi da aka katse a ƙasan fata kuma cizon suture yana tsaye a tsaye zuwa ga yanke.
- Sun sabakawar da matattu sararikuma zuwarage tashin hankalia kan suturar fata.
- Suna da amfani don rage tsangwama na haƙuri da kuma zuwakawar da buƙatar cire suturaa cikin m yankunan.
- Ya kamata a yi amfani da wannan ƙirar tare da kulli da aka binne.
- Suture mai shaya kamata a yi amfani da kayan aiki.
Amfani
- Intradermal ko subcuticular rufe.
3. Katsewa Cruciate (CrosMattress)Suture
- An'X' siffaran halicce shi akan rauni.
- Ana ɗaukar cizo daga gefe ɗaya, a wuce zuwa wancan, kafin a ci gaba da gaba8-10 mmsannan a sake maimaita daga bangaren cizon na asali.
- Ana sanya ƙulli don haɗa ƙarshen suture, saman saman rauni.
- Don wannan suturar ta kasancemafi inganci, ya kamata a ƙirƙiri murabba'i tare da sasanninta na suture.
- Ana amfani da wannan suture dontashin hankali taimako.
- Mai ƙarfi da saurifiye da sutures masu sauƙi da aka katse, kamar yadda yawancin raunin da aka rufe tare da kowane sutura da aka sanya.
- Yana hanaal'ada.
Amfani
- Fatar jiki.
4. Suture Mai Sauƙi mai Ci gaba
- Sanya wani kullin farko.
- Dauki cizo0.5-1 cmdaga kowane bangare na rauni.
- Ja kayan suturem don haka rauni gefuna ne apppositional.
- Maimaita suture a ɗan nesa nesa da na farko; Cizon ya kamata ya fara daga gefe ɗaya kowane lokaci kamar yadda aka ciji na asali har sai an rufe raunin.
- Sanya kulli don amintar darauni ƙulli.
- Ya fi saurin katse suturealamu.
- Yana haɓakaSuture tattalin arziki.
- Yana ba da ƙarihana iskakoruwa-tsatsehatimi.
- Karawuyadon daidaita tashin hankali.
- Zai iya kasa gaba dayaidan kullin yana da rauni ko bai isa ba.
Amfani
- fata, subcutaneous nama,fascia, gastrointestinal da kuma urinary fili.
5. Ci gaba da Suture Intradermal
- Wanigyarana asauki ci gabakumagyaggyara suturar katifa a kwance.
- Suture ɗin yana wucewa a kwance ta cikin yadudduka na dermis, yana ɗaukar cizo daga ɓangarorin raunin rauni, kuma ana jan fata a rufe ba tare da ganin sutures ba.
- Wannan sutsi ne na ƙananan ƙarfi don haka yawanci ana amfani dashi a cikin yankunan da ke da ƙananan tashin hankali, duk da haka, a cikin rauni mafi girma, ana iya amfani da suturar fata a ƙari.
- Sutures na cikisun fi dacewa ga mai haƙuri kuma suna taimakawa wajen hana tsangwama na haƙuri, suna guje wa bin diddigin kamuwa da cuta a cikin rauni kuma akwai ƙarancin rauni.
- Yana haɓaka tattalin arzikin suture.
- Yana bayarwakyakkyawar fatar jiki.
- Mai rauni fiye da suturar fata.
- Babu suturar da za a cire.
Amfani
- Intradermal ko rufewar subcutaneous.
6. Ford Interlocking Suture (Reverdin – Blanket Stitch – Lock Stitch)
- Agyarana sutura mai ci gaba mai sauƙi.
- Tsare kayan suture tare da kulli.
- Ana ɗaukar cizo daga kowane gefen raunin.
- Kafin a ja suture da ƙarfi, ana zare kayan ta cikin madauki yana barin wani'L' mai siffar suture.
- Maimaita har sai darauni yana rufe.
- Wadannan halittamafi kyawun fata fatafiye da suture mai ci gaba mai sauƙi.
- Mafi wahalar cirewa.
Amfani
- Fatar jiki
7. Gambee Suture
- Agyara sauki katsewa, amma ya fi wahalar nema.
- Yana taimakawa sarrafawaciwon daji na mucosal.
- Kadanmai saukin kamuwa dana bakteriya.
- Wannan asuture na musammanamfani dashi wajen gyaran hanji.
- AGambee da aka gyaraana sanya shi ta hanya guda amma baya shiga cikin lumen na hanji.
Amfani
- Anastomosis na hanji.