mankhwala

Mapangidwe anjira yabwinozimafunikira chidziwitso ndi kumvetsetsa kwamakanika omveka omwe akukhudzidwakuwotcha.

Mukaluma minofu, singano iyenera kukankhidwa pogwiritsa ntchito akuchita pa dzanja, ngati zimakhala zovuta kudutsa mu minofu, singano yolakwika ikhoza kusankhidwa, kapena singanoyo ingakhale yosamveka.

Mkangano wasuture zakuthupiziyenera kusamalidwa ponseponse kuti zisawonongeke, ndipo mtunda pakati pa ma sutures ukhale wofanana.

Kugwiritsa ntchito kwapadera suture chitsanzoZitha kusiyanasiyana kutengera dera lomwe likudulidwa, kutalika kwa chodulidwacho, kugwedezeka kwa mzere wa suture, komanso kufunikira kwapadera.kukhumudwa, kukhumudwa,kapenaeversionza tishu.

Mitundu ya sutureakhoza kugawidwa mozama ngatikusokonezedwa kapena mosalekeza.

E. Mavuto Sutures

1. Kusokonezedwa ndi Horizontal Mattress Suture

• Singano imadutsa mbali imodzi ya bala kupita mbali ina (2-5 mmkutali ndi m'mphepete mwa bala), kenako mopingasa kumbuyo kudutsa bala, ndikusiya kusiyana kwaufupi (6-8 mm) pakati pa kuluma.
• Izi zimapanga achopingasa suturembali zonse za bala.
• Kenako mfundo imayikidwa kuti ilumikizane ndi suture mbali yoyambirira.
• Suture iyi ndiamagwiritsidwa ntchito kwambiri pochotsa mikangano.
• Zosanjikiza kwa everting suture pattern kutengera kulimba kwa kuponyera.
• Muthastrangulate magazi.

Zogwiritsa

• Kutsekedwa m'madera ovuta kwambiri kapena nthawi zina amagwiritsidwa ntchito potsekatendons lathyathyathyakapena minofu ndizotengera zochepa za fasciam'mphepete mwa mabala.

2. Kusokoneza Vertical Mattress Suture

• Kuluma kumatengedwa8-10 mmkutali ndi bala ndikudutsa mpaka kumtunda wofananakutali ndi bala kumbali ina.
• Msutiwo umabwerezedwanso pabalalo, koma nthawi ino, kulumidwa kumatengedwa kuchokera kuluma koyambirira.3-4 mmkutali ndi chilonda,kupanga vertical suturembali iliyonse.
• Kenako mfundo imayikidwa kuti ilumikizane ndi suture mbali yoyambirira.
• Msuti uwu ndi wothandiza kwambiri pochepetsa kupsinjika kuposa matiresi opingasa.
• Zokhazikika ku everting.
• Amphamvu mu minofu pansi pa kupsyinjikakuposa matiresi yopingasa.
• Zochepa zotsekereza ziwiya zazing'ono m'mphepete mwa bala.

Zogwiritsa

• Kutsekedwa m'madera omwe ali ndi vuto lalikulu (mwachitsanzo, nthawi zina khungu lotsekedwa).

3. Kutali-Kutali-Pafupi-Pafupi ndi Kutali-Pafupi-Pafupi-Pafupi-Pafupi-Patali-Patali-Patali-Patali-Patali-Patali-Patali-Patali-Pafupi-Pafupi-Pafupi-Pafupi-Patali-Patali

• Kusiyanasiyana kwa matiresi ofukula.
• Ikhoza kupereka zovuta zofunika kwapafupifupi chilondapopanda kukanikiza kwachindunji m'mphepete mwa bala.

Zogwiritsa

• Khungu, subcutaneous, ndi kutseka kwa nkhope pansi pa kupsinjika.

4. Interlocking Loop Suture

• Msuti wodzilimbitsa wokha 'kutseka' mu minofu.
• Zolowetsedwa1/3 mtundakuchokeram'mphepete mwa tendon, patsogolo pa tendon, kudutsa kusiyana, kuyendayenda pa tendon, ndikudutsanso 1/3 kuchokera kumphepete kwina, kutsekedwa ndi kumangidwa.
• Mitsempha yocheperako kwambiri
• Loko yotsekera kawiri imagwiritsidwa ntchitogastrocnemius tendon
• Zophatikizidwa ndi calcaneus bwinokubowola dzenje

Zogwiritsa

• Kukonzekera kwa tendon.

5. Three Loop Pulley Suture

• Malupu atatu a suture oriented120 madigiriku lupu lakale.
• Amafanana ndi mtundu wapatali wapafupi komazimazungulira tendon 360º.
• Mtundu woyamba ndipafupi-fupi,Enapakati, womaliza ndipafupi-fupi.
• Mphamvu zapamwamba kwambirindi kukana kupangika kwa mipata kusiyana ndi chipika chotseka

Zogwiritsa

• Kukonzekera kwa tendon.

F. Zitsanzo Zina za Suture

1. Chinese Finger Trap Suture Pattern

• Mtundu uwu wa suture umagwiritsidwa ntchitomachubu otetezedwa(monga kukhetsa pachifuwa) pamalo awo olowera m'thupi.
• Kupanikizika pa chubukumawonjezeka pamene chubu kukoka, motero kuteteza ake kuchotsedwa.
• Kuluma kumatengedwa mbali imodzi ya chubu ndi alalikulu mfundoimayikidwa mozungulira chubu.
• Thesuture zakuthupiamabwezeretsedwa mozungulira chubu ndipo mfundo ya dotolo imamangidwa.
• Izi zikubwerezedwa 5-10 nthawi kuzungulira chubu kutha ndi lina lalikulu mfundo.

Zogwiritsa

• Machubu otetezedwa(monga kukhetsa pachifuwa) pamalo awo olowera m'thupi

Palimitundu yambiri ya suturekupezeka kuti atseke mabala ndi mabala omwe amakumana nawo tsiku ndi tsiku pochita.Kusankha mtundu woyenera wa chitsanzo ndikofunikakukwaniritsa osati zovutakuchiza chilonda,komanso zabwinomawonekedwe odzikongoletsera.