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.

D. Guhindura Ibishushanyo

1. Cushing Suture

• Ubwoko bwagutandukanakumatelas ikomeza itambitse.
• Suture yanyuze kurisubucosa ariko ntabwo ari mucosa.
• Ubu buhanga bukoreshwa kenshi mugufunga ibice muriingingo zidafite akamaronk'igifu, uruhago rw'inkari, na nyababyeyi.
• Suture yinjira murisubucosautiriwe winjira mu ngingo.
• Ikidodo kiva kumpande zombi zo gutemagura, kibangikanye.

Imikoreshereze

• Gufunga viscera yuzuye nk'uruhago, igifu, cyangwa nyababyeyi.

2. Guhuza Suture

• Bisa naCushingusibye byuzuyekwinjira muri lumenya viscera.
• Ubu buhanga bukoreshwa kenshi mugufunga ibice muriingingo zidafite akamaronk'igifu, uruhago rw'inkari, na nyababyeyi.
• Suture yinjira murisubucosa na mucosa.
• UwitekaGuhuza suture tekinikeni Nka KuriCushing tekinike. Ubu buryo bubiri bwo kudoda butandukanijwe ukurikije tissue binjira mugihe cyo kudoda.
• Guhuza suture tekinike ikoreshwa kuriunyure muri lumen.

Imikoreshereze

• Igice cya mbere cyo gufunga viscera yuzuye (igifu, uruhago, cyangwa nyababyeyi).

3. Suture ya Lembert

• Ubu nibisa na matelas ihagaritsekandi ikoreshwa mugusana ingingo zidafite akamaro.
• Nka gufata urwego rwingingo nisubucosa, inshinge zigomba kwinjira muri ubujyakuzimu gusa kandi ntizigere zinjira muri lumen (Kwinjira kwasubucosa ariko ntabwo mucosa).
• Nka suture irakomeyeihindura imyenda.

Imikoreshereze

• Gufunga viscera yuzuye nk'uruhago, igifu, cyangwa nyababyeyi.
• Imbrication.

4. Kureka

• Tekinike mubyukuri ni kimwe na amatelas verticalusibye ko suture ebyiri zishyizwe muburyo bubangikanye mbere yo guhambirwa.
• Ibi bitanga anicyitegererezoin i Impande zaigikomere gihindagurika.

Imikoreshereze

• Igice cya kabiri cyo gufunga viscera yuzuye.

5. Parker Kerr Suture

• A.guhuza Cushing na Lembert sutureicyitegererezo.
• Gufunga ibice bibiri byakoreshejwe mumatekaineptically invertviscus yahinduwe, ifunze.
• Igice kimwe cyaImyenda idodaimpamba kandi igakomera nkuko clamp yakuweho.
• Bikurikiranye nuburyo bwa seromuscular ihindagurika (Kurengana na Lembert).

Imikoreshereze

• Gufunga ibibyimba bya viscera.

6. Isakoshi yikurikiranya

• Guhinduranya kuzenguruka kwa Lembert.
• Kurumwa bifatwa mugihe gisanzwe kizengurutse impande zose zifungura kugirango iyo bikwegejwe neza, bishobora gukorwa bito cyangwa bifunze burundu.
• Ubu buhanga bushobora gukoreshwafunga ibibyimbana Kuriumutekano utujemuri viscus nkibishobora kugaragara murigastrostomyna cystostomy.
• Nibyiza kubice nka rectum (gukosora prolaps).

Imikoreshereze

• Gufunga ibibyimba bya viscera byuzuye cyangwa kurinda tebes na catheters.