ibicuruzwa

INKINGI ZA SUTURE

Imwe mu mvune zikunze kugaragara mu bakinnyi ni igice cyangwa igice cyuzuye cya ligaments, imitsi hamwe na / cyangwa izindi ngingo zoroshye ziva mumagufwa yabo. Izi nkomere zibaho biturutse ku guhangayika gukabije gushyirwa kuri utwo turemangingo tworoshye. Mugihe gikabije cyo gutandukanya utwo turemangingo tworoshye, hashobora gusabwa kubagwa kugirango uhuze utwo turemangingo tworoheje kumagufwa yabo. Ibikoresho byinshi byo gukosora birahari kurubu kugirango bikosore uturemangingo tworoshye kumagufwa.

Ingero zirimo ibyingenzi, imigozi, ibyuma bya suture hamwe na tack.

Suture Anchor fixation nimwe mubintu byingenzi bishya mubikorwa byo kubaga arthroscopique. Ubwato bwa suture yumwimerere byavuzwe ko bwakozwe mumyaka mirongo itatu ishize. Hano haravugwa ibyuma bya suture bikozwe muri flax, ikivuguto n'umusatsi byakozwe na Sushruta, umuganga wa kera wo kubaga plastique wo mu Buhinde (AD c380-c450). Kuva icyo gihe, inanga ya suture yagiye ihinduka muburyo butandukanye mubishushanyo mbonera, ibikoresho byakoreshejwe, ingano nibindi. Anchors ya Suture ubu irakoreshwa cyane mugikorwa cyo kubaga ibyuzuye byuzuye rotator cuff amarira kuko bifasha mugukosora neza ingirangingo zoroshye kumagufwa . Inyungu zishobora kuba zirimo kugabanuka kwamagufwa.

Impera imwe ya suture ihambiriye ku rugingo rworoshye naho urundi rugana ku gikoresho gifata suture ku magufa.

Inanga zidoda zigizwe na:

1. Anchor - imiyoboro ya conical nk'imiterere, yinjizwa mu magufwa kandi igizwe n'ibyuma cyangwa ibinyabuzima bishobora kwangirika.

2. Ijisho - Iyi ni loop muri ankeri ihuza inanga na suture.

3. Suture - Iki nikintu gishobora kubora cyangwa kidashobora gukururwa gifatanye na ankeri binyuze mumaso ya ankeri.

Inkingi ya Suture iraboneka mubishushanyo bitandukanye, ingano, ibishushanyo nibikoresho byakoreshejwe. Ubwoko bubiri bwingenzi bwa Suture ni:

1. Bio-yakira Suture

Mubisanzwe bikoreshwa mubice byinshi byimbere byumubiri. Iyi suture yamenetse mubice muminsi icumi kugeza ibyumweru bine. Ibi bikoreshwa mugihe igikomere gikira vuba bityo ntagikenewe ibikoresho byamahanga bisigaye imbere mumubiri.Inyanja ya suture ishobora gukururwa nibikoresho byifuzwa byo gukosora kuko bifite amahirwe make yo gutera ibibazo nyuma yo kubagwa.

Biodegradable suture inanga ubu irakoreshwa muburyo butandukanye mubuvuzi bwa siporo.

2. Amashanyarazi adashobora gukururwa

Hano haribibazo bike, aho suture idashobora gukururwa cyane. Ubu bwoko bwa suture ntabwo bukoreshwa numubiri. Mubihe nkumutima nimiyoboro yamaraso bikenera igihe kinini cyo gukira, gukoresha suture idashobora gukurura birakwiye. Ariko rero, mugihe cyo kubaga ibitugu, inshuro nyinshi ibyatoranijwe ni ibyuma bya suture byinjira kuko bitanyunyujijwe bifite amahirwe yo gutera ingaruka za cocout scraper mugihe habaye dislodgement ishobora gutera impinduka zikomeye za rubagimpande bitewe ningaruka za scraper kuri igufwa. Ibyuma, Ubwoko bwa plastike ubwoko bwa suture ni ubu bwoko.

Inkingi ya Suture yabaye igikoresho ntagereranywa kubaga amagufwa.