ibicuruzwa

Iterambere ryatekinike nzizabisaba ubumenyi no gusobanukirwa ubukanishi bushyize mu gaciro burimosuturing.

Mugihe ufata akantu, urushinge rugomba gusunikwa ukoresheje a gusaIgikorwa, niba bigoye kunyura mumyenda, urushinge rutari rwo rushobora kuba rwaratoranijwe, cyangwa urushinge rushobora kuba rudahwitse.

Impagarara zaibikoresho bya suturebigomba kubungabungwa hose kugirango wirinde kudoda, kandi intera iri hagati yubudodo igomba kuba ingana.

Gukoresha ikintu cyihariye sutureIrashobora gutandukana bitewe nubuso bwashizweho, uburebure bwikigero, impagarara kumurongo wa suture, nibikenewe byihariyegusaba, guhinduranya,cyangwaeversiony'imyenda.

Uburyo bwo kudodaBirashobora gushyirwa mubice nkaguhagarikwa cyangwa gukomeza.

A. Inzira zahagaritswe

Suture yahagaritswezikoreshwa mu kugabanya impagarara, cyangwa ahantu hasabwa imbaraga nyinshi. Ntabwo ari ubukungu nkubwa asuturenka aipfundobigomba guhambirwa nyuma ya buri suture yashyizwe, ukoresheje ibintu byinshi byo kudoda. Mugihe imwe muri suture yananiwe, ibi ntibizagira ingaruka kubindi bisigaye byashyizwe mubikomere.

• Gutwara igihe.
• Umubare munini wibikoresho bya suture.
• Kuba hari amafaranga yinyongera yaibikoresho bya sutureimbere.
• Ubushobozi bwo kubungabungaimbaraga n'umwanyaniba igice cyumurongo wa suture cyananiranye cyangwa amarira.
• Tanga ibisobanuro nyabyo kuruhande.
• Agace gato k'inkovukwibumbira mu gikomere cyakize

B. Uburyo bukomeza

Uburyo bukomeza nubwoko bwihuse bwuburyo bwa suture, bukoreshwa mubice byumuvuduko muke nko gufunga imyanya yumubiri, imitsi, imitsi ya adipose, nuruhu, kandi bifite ubukungu kuruta uburyo bwahagaritswe.

Niba ikwegejwe cyane, ariko, igikomere gishobora gutera. Niba igice icyo ari cyo cyose cy igikomere kimenetse kubera kunanirwa kudoda bikomeje, igikomere gisigaye gishobora kugira ingaruka hanyuma kikongera gufungura uburebure bwacyo.

• Gutwara igihe gito.
• Umubare mutoibikoresho bya suture.
• Ibikoresho bike byo kudoda muri tissue.
• Ntibishobora kubungabunga, niba ipfundo rimwe ryanyerera, kunanirwa cyangwa gusenya byoseumurongo wa suture urekurwa.
• Biragoyekugirango ubone inyungu nyayo kuruhande.
• Inkovu nyinshiImiterere.

C. Ibishushanyo mbonera

1. Byoroheje byahagaritswe

• Harafashwemu buryo bumwekuri anintera inganauhereye ku mpande zombi z'igikomere no gukurura cyane.
• A.ipfundoishyirwa, kandi ibikoresho bya suture byateguwe mbere yo gusubiramo uburyo kugeza igikomere gifunze.
• Ubu bwoko bwa suture ni ingirakamaro mu gufunga umurongo alba mugihe cyo kubaga inda cyangwa ahandi bisaba imbaraga nyinshi.
• Biroroshye gusaba.
• Umutekanogufunga anatomiki.
• Emerera guhindukasuture.

Imikoreshereze

• Uruhu, uduce duto duto, fassiya, imiyoboro, imitsi, gastrointestinal na urina.

2. Byoroheje Byaciwe Byimbere Byimbere

• Kuruhande rworoshye rwahagaritswe kuri 'gushyingura ipfundo'.
• Ibi bishyirwa muburyo bworoshye bwahagaritswe munsi yuruhu kandi kurumwa kwa suture biryamye bihagaritse.
• Bamenyereyekura umwanya wapfuyena Kurikugabanya impagararaku ruhu.
• Nibyiza kugabanya kwivanga kwabarwayi no kurikuvanaho gukenera gukuramo sutureahantu hagaragara.
• Ubu buryo bugomba gukoreshwa bufatanije n ipfundo ryashyinguwe.
• Sutureibikoresho bigomba gukoreshwa.

Imikoreshereze

• Gufunga imbere cyangwa munsi yubutaka.

3. Guhagarika umusaraba (C.rossMumwambaro)Suture

• AnImiterere 'X'irema hejuru y igikomere.
• Kurumwa byafashwe kuruhande rumwe, bikanyura kurundi, mbere yo gutera imbere imbereMm 8-10hanyuma usubiremo uhereye kuruhande rwumwimerere.
• Hashyizweho ipfundo kugirango rihuze suture, hejuru y igikomere.
• Kugirango iyi suture ibebyiza cyane, kare igomba gushirwaho hamwe nu mfuruka ya suture.
• Iyi suture ikoreshwa kurikugabanya impagarara.
• Mukomere kandi byihusekuruta suture yoroshye yahagaritswe, nkibikomere byinshi bifunze hamwe na buri suteri yashyizwe.
• Irindeeversion.

Imikoreshereze

• Uruhu.

4. Kwiyoroshya Byoroshye Gukomeza

• Shira an ipfundo ryambere.
• Fata akantu0,5-1 cmuhereye ku mpande zombi z'igikomere.
• Kuramo ibikoresho bya suturegukomera rero impande zomugongo zirashirwaho.
• Subiramo suture intera ngufi kure yambere; kurumwa bigomba gutangirira kuruhande rumwe buri gihe nkuko kurumwa kwumwimerere kugeza igikomere gifunze.
• Shira ipfundo kugirango urinde umutekanogufunga ibikomere.
• Byihuta kuruta guhagarika sutureingero.
• Guteza imbereubukungu.
• Itanga byinshiikirerecyangwaamazikashe.
• IbindibiragoyeGuhindura impagarara.
• Birashobora kunanirwa rwoseniba ipfundo rifite intege nke cyangwa ridahagije.

Imikoreshereze

• Uruhu, inyama zo munsi,fasia, gastrointestinal na inkari.

5. Gukomeza Kwikuramo Imbere

• UndiGuhinduraBya aByorohejenayahinduwe matelas ya matelas suture.
• Suture inyura mu buryo butambitse binyuze mu bice bya dermis, ifata akantu kavuye ku mpande z’ibikomere, kandi uruhu rukururwa rufunze nta suture igaragara.
• Iyi ni suture yimbaraga nke kuburyo isanzwe ikoreshwa mubice bifite impagarara nke, nyamara, mugikomere cyinshi, suture yuruhu irashobora gukoreshwa hiyongereyeho.
• Imbere idasanzwebyoroheye umurwayi kandi bifasha mukurinda kwivanga kwabarwayi, birinda gukurikirana kwandura mu gikomere kandi hari inkovu nkeya.
• Guteza imbere ubukungu bwa suture.
• Itangauruhu rwiza.
• Intege nke kuruta suture yuruhu.
• Nta suture yo gukuraho.

Imikoreshereze

• Gufunga imbere cyangwa munsi yubutaka.

6. Ford Guhuza Suture (Reverdin - Ubudodo bwa Blanket - Gufunga)

• A.Guhinduraya suture yoroheje ikomeza.
• Shira ibikoresho bya suture ukoresheje ipfundo.
• Kurumwa byafashwe kuri buri ruhande rw'igikomere.
• Mbere yo gukurura suture neza, ibikoresho byahinduwe mumuzinga bisiga an'L' ishusho.
• Subiramo kugeza iigikomere gifunze.
• Ibi biremauruhu rwizakuruta suture yoroheje ikomeza.
• Biragoye gukuraho.

Imikoreshereze

• Uruhu

7. Gambee Suture

• A.Byahinduwe byoroshye byahagaritswe, ariko biragoye kubishyira mubikorwa.
• Ifasha kugenzuramucosal eversion.
• Bikebyoroshyebagiteri.
• Iyi ni asuture kabuhariweikoreshwa mugusana amara.
• A.Yahinduwe na Gambeeishyirwa muburyo bumwe ariko ntabwo yinjira mumyanya yo mara.

Imikoreshereze

• Anastomose yo munda.