Samfuran Suture gama gari (3)
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.
E. Sutures na tashin hankali
1. Suturen Katifa da aka Katse
- Ana wuce allurar daga gefe guda na raunin zuwa wancan (2-5 mmnesa da gefen rauni), sannan a kwance baya a fadin raunin, barin gajeriyar tazara (6-8 mm) tsakanin cizo.
- Wannan yana haifar da asuturar kwancea kowane gefen rauni.
- Ana sanya ƙulli don haɗa kayan suture a gefen asali.
- Wannan suture shineakasari ana amfani dashi don kawar da tashin hankali.
- Amincewa da tsarin suture mai jujjuyawa dangane da tsananin jifa.
- Canshakewar jini.
Amfani
- Rufewa a wuraren tashin hankali ko lokaci-lokaci ana amfani dashi a cikin rufewarlebur tendonsko tsoka daƙananan tasoshin fasciaa gefen raunuka.
2. Suturen Katifa Mai Tsaye Tsaye
- Ana shan cizo8-10 mmnesa da rauni kuma ya wuce zuwa ga wanidaidai nisanesa da rauni a gefe guda.
- Sa'an nan kuma a sake maimaita suturar a kan raunin, amma a wannan lokacin, ana ɗaukar cizo a tsaye daga ainihin cizon.3-4 mmnesa da ciwon,ƙirƙirar suturar tsayeta kowane bangare.
- Ana sanya ƙulli don haɗa kayan suture a gefen asali.
- Wannan sutuwar ta fi tasiri wajen kawar da tashin hankali fiye da katifar kwance.
- Godiya ga tabbatuwa.
- Ƙarfi a cikin kyallen takarda a ƙarƙashin tashin hankalifiye da katifar kwance.
- Yiwuwar rufe ƙananan jiragen ruwa a gefen rauni.
Amfani
- Rufewa a wuraren tashin hankali (watau wasu yanayi na rufewar fata).
3. Tsarin Suture na Nisa-Kusa-Kusa da Nisa
- Bambance-bambancen katifa na tsaye.
- Zai iya samar da tashin hankali mai mahimmanci donkusancin rauniba tare da tashin hankali kai tsaye zuwa gefen rauni ba.
Amfani
- Fatar jiki, subcutaneous, da rufewar fashe a ƙarƙashin tashin hankali.
4. Suture Maɗaukakin Maɗaukaki
- Suture mai ɗaure kai 'kulle' cikin tissue.
- Saka1/3 nisadagagefen tendon, ya ci gaba tare da jijiyoyi, ƙetare ratar, ya madauki a gefen tendon, kuma ya koma baya 1/3 daga kishiyar gefen, madauki da ɗaure.
- Ƙananan jijiyoyi masu sheki
- An yi amfani da madauki na kullewa sau biyugastrocnemius tendon
- Haɗe da ƙashin ƙugu sosairami rami
Amfani
- Gyaran tendon.
5. Suture Pulley Suture guda uku
- Madaukai uku na suture daidaitacce120 digirizuwa madauki na baya.
- Yayi kama da nau'in tsari mai nisa ammayana kewaye da tendon 360º.
- Madauki na farko shine akusa da nisa,na gabatsakiyar hanya, na karshe shinenisa-kusa.
- Ƙarfin ƙarfi mafi girmada ƙarin juriya ga samuwar rata fiye da madauki na kullewa
Amfani
- Gyaran tendon.
F. Sauran Siffofin Suture
1. Tsarin Suture na Yatsa na China
- Ana amfani da irin wannan suturar donamintattun bututu(kamar magudanar ƙirji) a wurin shigarsu cikin jiki.
- Damuwa akan bututuyana ƙaruwa yayin da ake jan bututu, don haka hana cire shi.
- Ana shan cizo a gefe guda na bututun kuma akullin murabba'ian sanya shi a kusa da bututu.
- Thekayan sutureana mayar da shi kusa da bututu kuma an ɗaure kullin likitan fiɗa.
- Ana maimaita wannan sau 5-10 a kusa da bututu yana ƙarewa tare da wani kullin murabba'i.
Amfani
- Amintattun bututu(kamar magudanar ƙirji) a wurin shigarsu cikin jiki
Akwaiyawancin nau'ikan tsarin suturasamuwa don rufe incisions da raunuka ci karo da kullum a aikace.Zaɓin nau'in ƙirar da ya dace yana da mahimmancidon cimma ba kawai uncomplicatedwarkar da raunuka,amma kuma mai kyaubayyanar kwaskwarima.