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.

D. Inverting Pateni

1. Cushing Suture

• Mhando yevariationoninoenderera yakachinjika metiresi sutures.
• Suture akapfuura nemusubmucosa asi kwete mucosa.
• Iyi tekinoroji inowanzo shandiswa kuvhara ma incision mukatimaburi nhengozvakadai sedumbu, dundira, uye chibereko.
• Iyo suture inopinda mukatisubmucosapasina kupinda munhengo lumen.
• Iyo suture inomhanya kubva kumativi maviri eiyo incision, yakaenzana kune mumwe nemumwe.

Usages

• Kuvhara hollow viscera sedundira, dumbu, kana chibereko.

2. Connell Suture

• Zvakafanana neCushingkunze kwekukwanakupinda mu lumenye viscera.
• Iyi tekinoroji inowanzo shandiswa kuvhara ma incision mukatimaburi nhengozvakadai sedumbu, dundira, uye chibereko.
• Iyo suture inopinda mukatisubmucosa uye mucosa.
• TheConnell suture tekinorojiyakada kufanana neCushing suture nzira. Aya maviri suture matekiniki akapatsanurwa zvichienderana nematishu avanopinza panguva yekupfuura.
• Connell suture tekinoroji inoshandiswa kuitapfuura nemu lumen.

Usages

• First layer ye hollow viscera kuvhara (dumbu, dundira, kana chibereko).

3. Lembert Suture

• Ichi chiyakafanana neiyo vertical metiresi sutureuye inoshandiswa kugadzirisa nhengo dzisina mhango.
• Sezvo danda rekubata renhengo ndirosubmucosa, tsono inofanira kupinda chete kune iyi yakadzika uye isambopinda mu lumen (Kupinda kwesubmucosa asi kwete mucosa).
• Sezvo suture yakasimbiswa iyoinverts the tissues.

Usages

• Kuvhara hollow viscera sedundira, dumbu, kana chibereko.
• Fascial imbrication.

4. Halsted Suture

• Iyo tekinoroji yakangofanana neyekuti avertical metiresi suturekunze kwekuti masutu maviri anoiswa nenzira yakafanana asati asungwa.
• Izvi zvinogadzirayakakanganiswa pateniumo magumo eronda rakapinduka.

Usages

• Yechipiri layer yekuvhara ye hollow viscera.

5. Parker Kerr Suture

• Akusanganiswa kweCushing uye Lembert suturemuenzaniso.
• Kuvharwa kwema-layer maviri kunoshandiswa kareaseptically invertyakachinjika, yakasungirirwa viscus.
• Chikamu chimwe chete cheCushings dzakasonerwa pamusorochisungiso uye chakasimbiswa sezvo chivharo chinobviswa.
• Inoteverwa ne inverting seromuscular pattern (Inotungamirwa naLembert).

Usages

• Kuvharwa kwehollow viscera stumps.

6. Purse String Suture

• Musiyano wedenderedzwa weLembert.
• Kurumwa kunotorwa nguva nenguva kutenderedza paburi repaburi kuitira kuti kana kudhonzwa zvakasimba, kunogona kuitwa kudiki kana kuvharika zvachose.
• Iyi tekiniki inogona kushandiswa kuitakuvhara visceral stumpsuye kuchengetedza percutaneous tubesmune viscus yakadai inogona kuonekwa mukatigastrostomyuye cystostomy maitiro.
• Inobatsira kune nzvimbo dzakadai serectum (kugadzirisa prolapse).

Usages

• Kuvharwa kwehollow viscera stumps kana kuchengetedza machubhu uye catheter.