Tsarin Suture na gama gari (2)
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.
D. Juyawa Tsarin
1. Cushing Suture
- Nau'inbambantakanci gaba da kwancen katifa sutures.
- Suture ya wuce tasubmucosa amma ba mucosa ba.
- Ana amfani da wannan dabara sau da yawa don rufe incision a cikim gabobinkamar ciki, mafitsara, da mahaifa.
- Suture yana shiga cikinsubmucosaba tare da shiga cikin gabobin lumen ba.
- Suture yana gudana daga ɓangarorin biyu na ƙaddamarwa, a layi daya da juna.
Amfani
- Rufe viscera mara kyau kamar mafitsara, ciki, ko mahaifa.
2. Connell Suture
- Mai kama daCushingsai dai cikakkeshiga cikin lumenna viscera.
- Ana amfani da wannan dabara sau da yawa don rufe incision a cikim gabobinkamar ciki, mafitsara, da mahaifa.
- Suture yana shiga cikinsubmucosa da mucosa.
- TheDabarar suture ta Connellkusan m daDabarar suturar cushing. Waɗannan fasahohin suture guda biyu sun rabu bisa ga nama da suke shiga yayin wucewar suture.
- Ana amfani da fasahar suture ta Connell donwuce ta cikin lumen.
Amfani
- Layer na farko na rufewar viscera mara kyau (ciki, mafitsara, ko mahaifa).
3. Lembert Suture
- Wannan shinekama da sutuwar katifa a tsayekuma ana amfani dashi don gyara gabobin da ba su da tushe.
- Kamar yadda ma'auni na gabobin jiki shinesubmucosa, allura ya kamata ya shiga cikin wannan zurfin kawai kuma kada ya shiga cikin lumen (Cikin shiga nasubmucosa amma ba mucosa ba).
- Yayin da aka danne suturar shiinverts da kyallen takarda.
Amfani
- Rufe viscera mara kyau kamar mafitsara, ciki, ko mahaifa.
- Fuskar fuska.
4. Tsage Suture
- Dabarar ainihin iri ɗaya ce da na asutuwar katifa a tsayesai dai a sanya sutuka guda biyu daidai gwargwado kafin a daure su.
- Wannan yana haifar da wanikatse tsarina cikinsa gefuna narauni suna jujjuyawa.
Amfani
- Layer na biyu na rufewa don viscera mara kyau.
5. Parker Kerr Suture
- Ahade da Cushing da Lembert suturetsari.
- An yi amfani da ƙulli mai Layer biyu a tarihi donkarkatar da hankaliViscus da aka haɗe, manne.
- Layer guda ɗaya naCushings dinkimatsi da matsawa yayin da aka cire matsi.
- Yana biye da tsarin jujjuyawar jima'i (Sunan mahaifi ma'anar Lembert).
Amfani
- Rufe kututturen viscera mara kyau.
6. Jakar Suture
- Bambancin madauwari na Lembert.
- Ana shan cizo akai-akai a kusa da kewayen buɗewa ta yadda idan an ja shi sosai, za a iya ƙarami ko kuma a rufe gaba ɗaya.
- Ana iya amfani da wannan fasaha donkusa da kututturen visceralkuma zuwaamintacce percutaneous bututua cikin viscus kamar yadda za a iya gani a cikigastrostomyda kuma tsarin cystostomy.
- Yana da amfani ga wurare kamar dubura (don gyara tsagewar).
Amfani
- Rufe kututturen kututturen viscera mara kyau ko adana bututu da catheters.