Analimbikitsa Gynecologic ndi Obstetric opaleshoni suture
Opaleshoni ya Gynecologic ndi Obstetric imatanthawuza njira zomwe zimachitidwa pofuna kuchiza matenda osiyanasiyana okhudza ziwalo zoberekera zachikazi.
Gynecology ndi gawo lalikulu, loyang'ana kwambiri chisamaliro chaumoyo wa amayi komanso kuchiza matenda omwe amakhudza ziwalo zoberekera za akazi. Obstetrics ndi nthambi yamankhwala yomwe imayang'ana kwambiri amayi panthawi yoyembekezera, yobereka, komanso nthawi yobereka.
Pali njira zambiri zopangira opaleshoni zomwe zapangidwa kuti zithetse matenda osiyanasiyana omwe amakhudza ziwalo zoberekera za amayi. Njira zina zodziwika bwino za opaleshoni ndi izi:
1.Perineal Incision ndi Suturing Technique. Ndilo opaleshoni yodziwika kwambiri yoberekera. Cholinga chake ndikuchepetsa kutsekeka pakubereka kuti asawononge kwambiri perineum kapena kukulitsa kuwona kwa opaleshoniyo.
Lateral episiotomy
Kutupa mucosa ya vaginal
Suturing minofu wosanjikiza
Suturing khungu
WEGO PGA Rapid suture imapangidwa ndi 100% Polyglycolic Acid pansi pa USP2#-USP6/0. Masiku osungira mphamvu zake ndi masiku 7 mutabzala 55% ndi masiku 14 mutabzala 20% ndi masiku 21 mutabzala 5%. Ndiwothandiza pochiritsa mabala a perineal side cut and suturing layers. Zotsatirazi ndizosiyana za WEGO RPGA sutures zamagulu osiyanasiyana a suturing.
| Suturing zigawo | Zolemba za minofu | Zida za ulusi | USP | Kutalika kwa ulusi | Singano | Singano | Suture kodi |
| Khoma lakumaliseche perineal mucosa | Zokwanira, zolimba komanso zodzaza thupi lonse | WEGO RPGA | 2/0 | 90cm pa | Taper point | 1/2 kuzungulira 37 mm pa | K21372 |
| WEGO RPGA | 2/0 | 90cm pa | Taper kudula | 1/2 kuzungulira 37 mm pa | K27372 | ||
| Fascia minofu wosanjikiza | Minofu yowundana ya fibrous ndi subcutaneous | WEGO RPGA | 2/0 | 90cm pa | Taper point | 1/2 cindi 37mm | K21372 |
| WEGO RPGA | 2/0 | 90cm pa | Taper kudula | 1/2 cindi 37mm | K27372 | ||
| Khungu | Khungu ndi lopyapyala koma lowundana komanso losavuta kumva | WEGO RPGA | 3/0 | 90cm pa | Reverse kudula | 3/8 cindi 24 mm | K33243 |
2. Gawo la Kaisara. Ndi opaleshoni yochotsa mwana ndi zina kuchokera pakhoma la m'mimba ndi khoma la chiberekero pamene mimba ili yoposa masabata 28. Amagwiritsidwanso ntchito kwambiri pochita opaleshoni yachipatala ndikukhala njira imodzi yofunika kwambiri yothanirana ndi chiopsezo chachikulu komanso kutenga mimba kwachilendo. Pamlingo wina, amachepetsa chiwopsezo cha kufa kwa amayi apakati ndi amayi ndi ana obadwa.
WEGO PGA& Polypropylene sutures ndi oyenera opaleshoniyi. Zotsatirazi ndizosiyana za sutures zamagulu osiyanasiyana a suturing.
| Suturing zigawo | Zida za ulusi | USP | Kutalika kwa ulusi | singano | Data ya singano | Suture kodi |
| Chiberekero | PGA | 0 | 90cm pa | Taper point | 1/2 kuzungulira 40 mm | G11402 |
| 1 | 90cm pa | Taper point | 1/2 kuzungulira 40 mm | GB1402 | ||
| M'mimba peritoneum | PGA | 0 | 90cm pa | Taper point | 1/2 kuzungulira 40mm | G11402 |
| PGA | 1 | 90cm pa | Taper point | 1/2 kuzungulira 40 mm | GB1402 | |
| Rectus abdominis | PGA | 2/0 | 90cm pa | Taper point | 1/2 kuzungulira 40 mm | G21402 |
| PGA | 2/0 | 90cm pa | Taper point | 1/2 kuzungulira 37 mm | G21372 | |
| Fascia | PGA | 2/0 | 90cm pa | Taper point | 1/2 kuzungulira 40 mm | G21402 |
| PGA | 2/0 | 90cm pa | Taper point | 1/2 kuzungulira 37 mm | G21372 | |
| Sub minofu ya pakhungu | PGA | 2/0 | 90cm pa | Taper point | 1/2 kuzungulira 37 mm | G21372 |
| Khungu | PGA | 3/0 | 75cm pa | Reverse kudula | 3/8 kuzungulira 24 mm | G33243 |
| PGA | 4/0 | 75cm pa | Reverse kudula | 3/8 kuzungulira 19 mm | G43193 | |
| PP | 3/0 | 45cm pa | Reverse kudula | 3/8 kuzungulira 24 mm | P33243 | |
| PP | 4/0 | 45cm pa | Reverse kudula | 3/8 kuzungulira 19 mm | P43193 |
3.Kuchotsa chotupa cha ovarian. Chotupa cha Ovarian ndi chofala cha gynecological fibroids chomwe chimatenga pafupifupi 33% ya fibroids pa maliseche a akazi. Ndipo, m'zaka zaposachedwa za 40, chiwopsezo cha chotupa choyipa cha ovarian chimawonjezeka kawiri mpaka katatu kuposa kale ndikuwonjezera chiopsezo pakapita nthawi. Ndi 20% ya ma gynecological fibroids omwe alibe, ndipo chiwopsezo chake cha imfa chili pamwamba pa ma gynecological fibroids. Ovarian chotupa ndi chimodzi mwa zotupa zabwino za m'chiberekero chomwe ndi 75% ya zotupa zam'mimba ndipo mawonekedwe ake ndi cystic. Zotsatirazi ndizosiyana za sutures zamagulu osiyanasiyana a suturing.
| Udindo | Zogulitsa zikulimbikitsidwa | USP | NANGANO | DATA YA NANGANO | Utalitali Wa UCHI | KODI |
| Kutuluka kwa ovary | PGA | 2/0 | Taper point | 1/2 kuzungulira 37 mm pa | 90cm pa | G21372 |
| PGA | 3/0 | Taper point | 1/2 kuzungulira 22 mm | 75cm pa | G31222 | |
| Trocar suturing | PGA | 2/0 | Taper point | 5/8 kuzungulira 26 mm | 75cm pa | G21265 |
| PGA | 0 | Taper point | 5/8 kuzungulira 26 mm | 75cm pa | G11265 | |
| Khungu | PGA | 4/0 | Reverse kudula | 3/8 kuzungulira 19 mm | 75cm pa | G43193 |
| PGA | 3/0 | Reverse kudula | 3/8 kuzungulira 24 mm | 75cm pa | G33243 |
