chigadzirwa

Development ofunyanzvi hwakanakainoda ruzivo uye kunzwisisa kweane musoro mechanics anobatanidzwasuturing.

Paunenge uchitora kuruma kwenyama, tsono inofanira kusundirwa kuburikidza uchishandisa chete awrist action, kana zvikava zvakaoma kudarika nepakati, tsono isina kururama inogona kunge yakasarudzwa, kana tsono inogona kunge isina kujeka.

The tension of thesuture zvinhuinofanira kuchengetedzwa mukati mese kudzivirira slack sutures, uye chinhambwe chiri pakati pe sutures chinofanira kuenzana.

Kushandiswa kweimwe chaiyo suture patternzvinogona kusiyana zvichienderana nenzvimbo iri kusudururwa, kureba kwekucheka, kukakavara pamutsetse we suture, uye kudiwa chaiko kweapposition, inversion,kanaeversionyematishu.

Suture maitiroinogona kukamurwa zvakafara sekuvhiringwa kana kuenderera mberi.

A. Yakavhiringwa Patani

Kuvhiringidzwa suturesanoshandiswa kuderedza kushushikana, kana munzvimbo dzinodiwa simba rakawanda. Havana hupfumi secontinuous suturese aknotinofanira kusungirirwa mushure mekuisa suture yega yega, uchishandisa yakawanda yakawanda suture material. Kana imwe yesutures ikakundikana, izvi hazvizokanganisa mamwe ese akaiswa muronda.

• Zvinotora nguva.
• Zvizhinji zvezvinhu zve suture.
• Kuvepo kwezvimwe zvitsama zvesuture zvinhumukati metishu.
• Kugona kuchengetedzasimba uye nzvimbo yetishukana chikamu che suture line chinokundikana kana misodzi.
• Ipa yakanyatsojeka edge kune kumucheto apposition.
• Mavanga mashomakuumbwa muronda rapora

B. Mienzaniso Inoenderera

Kuenderera mberi maitiro ndiyo inokurumidza mhando yemhando ye suture, inoshandiswa kune nzvimbo dzepasi tension dzakadai sekuvharwa kwemakumbo emuviri, mhasuru layers, adipose tissue, uye ganda, uye ane mari yakawanda kupfuura yakakanganiswa mapatani.

Kana rikadhonzwa zvakasimba, zvisinei, vanga racho rinogona kuputika. Kana chero chikamu cheronda chikaputsika nekuda kwekutadza kwe suture inoenderera, iyo yese yeronda inogona kukanganiswa uye kuvhurika zvakare nekureba kwayo.

• Nguva shoma inopedza.
• Nhamba shoma dzesuture zvinhu.
• Zvishoma suture zvinhu mukati metishu.
• Kutadza kuchengetedza, kana banga rimwe rikatsvedza, kutadza kana kubvarura rosesuture line inosunungurwa.
• Zvakaomakuti uwane mupendero wakarurama kusvika kumucheto apposition.
• More vangakuumbwa kwetishu.

C. Mienzaniso Yekugadzwa

1. Nyore Yakakanganiswa Suture

• Kuruma kunotorwasymmetricallypa annhambwe yakaenzanakubva kune rumwe rutivi rweronda ndokudhonzwa zvakasimba.
• Aknotinoiswa, uye suture material inochekwa isati yadzokorora nzira kusvikira ronda ravharwa.
• Mhando iyi ye suture inobatsira pakuvhara linea alba panguva yekuvhiyiwa kwemimba kana dzimwe nzvimbo dzinoda simba rakawanda.
• Nyore kushandisa.
• Secureanatomical kuvhara.
• Inobvumira kugadzirisa kwesuture tension.

Usages

• Ganda, subcutaneous tishu, fascia, midziyo, tsinga, gastrointestinal uye urinary turakiti.

2. Nyore Yakakanganiswa Intradermal Suture

• Kumusoro pasi nyore kukanganiswa ku 'vigai pfundo'.
• Izvi zvinoiswa mune yakapfava yakakanganiswa pateni pazasi peganda uye kurumwa kwesuture kunorara kwakamira kune incision.
• Vajairakubvisa nzvimbo yakafauye kukuderedza kushushikanapaganda sutures.
• Izvo zvinobatsira kuderedza kupindira kwevarwere uye kukubvisa kudiwa kwekubvisa suturemunzvimbo dzakaoma.
• Iyi pateni inofanira kushandiswa pamwe chete nepfundo (s) rakavigwa.
• Absorbable suturezvinhu zvinofanira kushandiswa.

Usages

• Intradermal kana subcuticular kuvhara.

3. Kuvhiringidzwa Cruciate (CrossMmutambi)Suture

• An'X' chimiroinosikwa pamusoro peronda.
• Kuruma kunotorwa kubva kune rumwe rutivi, kuchipfuura kune rumwe, kusati kwaenda mberi8–10 mmwozodzokorora kubva kudivi rekuruma kwepakutanga.
• Pfundo rinobva raiswa kuti ribatane nemigumo yesuture, pamusoro peronda.
• Kuti suture iyi iveinoshanda zvakanyanya, chikwere chinofanira kugadzirwa nemakona e suture.
• Iyi suture inoshandiswatension relief.
• Kusimba uye nekukurumidzakupfuura nyore interrupted sutures, sezvo ronda rakawanda rakavharwa neimwe suture yakaiswa.
• Zvinodziviriraeversion.

Usages

• Ganda.

4. Nyore Inopfuurira Suture

• Nzvimbo an kutanga knot.
• Tora zvishoma0.5–1 cmkubva kumativi ose eronda.
• Dhonza suture zvinhutight saka maronda edges are appositional.
• Dzokorora suture chinhambwe chipfupi kubva kune yekutanga; kurumwa kunofanira kutanga kubva kurutivi rumwe chete nguva imwe neimwe seyakatanga kuruma kusvikira ronda ravharwa.
• Isa banga kuti uchengetedzekuvharwa kweronda.
• Inokurumidza kupfuura kuvhiringidzwa suturemapatani.
• Anosimudzirasuture economy.
• Inopa zvimwemhepo-yakasimbakanamvura-yakasimbachisimbiso.
• Zvimwezvakaomakugadzirisa tension.
• Inogona kukundikana zvachosekana pfundo racho risina simba kana kuti risina kukwana.

Usages

• Ganda, subcutaneous tishu,fascia, gastrointestinal uye weti.

5. Inopfuurira Intradermal Suture

• Imwemodificationzve asimple inopfuurirauyeyakagadziridzwa horizontal metiresi suture.
• Iyo suture inopfuura yakatwasuka nepakati pezvikamu zvedermis, ichitora kuruma kubva pakuchinjisa maronda echeto, uye ganda rinodhonzwa rakavharika pasina sutures inooneka.
• Iri ndiro suture yesimba rakaderera saka inowanzoshandiswa munzvimbo dzine kuderera kwakaderera, zvisinei, mune ronda rakakwirira rekumanikidzika, sutures yeganda inogona kushandiswa kuwedzera.
• Intradermal suturesvakasununguka kumurwere uye vanobatsira kudzivirira kupindira kwevarwere, vanodzivirira kuronda utachiona muronda uye pane vanga shoma.
• Inosimudzira suture economy.
• Anopayakanaka ganda apposition.
• Simba kupfuura ganda sutures.
• Hapana sutures yekubvisa.

Usages

• Intradermal kana subcutaneous kuvhara.

6. Ford Interlocking Suture (Reverdin – Blanket Stitch – Lock Stitch)

• Amodificationyesuture iri nyore inoenderera.
• Chengetedza suture zvinhu nepfundo.
• Kuruma kunotorwa kubva kune rumwe rutivi rweronda.
• Usati wadhonza suture zvakasimba, zvinhu zvinoiswa mukati me loop kusiya an'L' yakaumbwa suture.
• Dzokorora kusvikiraronda ravharwa.
• Izvi zvinogadziranani ganda appositionkupfuura nyore inopfuurira suture.
• Zvakaoma kubvisa.

Usages

• Ganda

7. Gambee Suture

• Ayakagadziridzwa nyore yakakanganiswa, asi zvakanyanya kuoma kushandisa.
• Inobatsira kudzoramucosal eversion.
• Zvishomasusceptible tobhakitiriya ' wicking.
• Izvi aspecialized sutureinoshandiswa mukugadzirisa ura.
• AModified Gambeeinoiswa nenzira imwechete asi haipindi mu lumen yeura.

Usages

• Intestinal anastomosis.