Mekhoa e Tloaelehileng ea Suture (1)
Tsoelopele eamokhoa o motlee hloka tsebo le kutloisiso ea mechanics e utloahalang e amehang hosuturing.
Ha u loma lesela, nale e lokela ho phunyeletsoa ho sebelisoa feelaketso ya letsoho, haeba ho e-ba thata ho feta ka har'a lesela, nalete e fosahetseng e ka 'na eaba e khethiloe, kapa nale e ka ba lerootho.
tsitsipano eathepa ea suturee lokela ho bolokoa hohle ho thibela li-slack sutures, 'me sebaka se pakeng tsa li-suture se lokela ho lekana.
Tšebeliso e khethehileng mohlala oa suturee ka fapana ho ea ka sebaka se sutured, bolelele ba ho seha, tsitsipano moleng oa suture, le tlhoko e khethehileng eaho hanyetsa, ho kheloha,kapaeversionea lisele.
Mekhoa ea suturee ka aroloa ka bophara e lesitisoa kapa e tsoelang pele.
A. Lipaterone tse Khatisoang
Li-suture tse kentsoengdi sebedisoa ho kokobetsa tsitsipano, kapa dibakeng tseo ho hlokehang matla a eketsehileng. Ha ba na moruo joalo ka asuture e tsoelang pelejoalo kalefitoe tlameha ho tlamelloa ka mor'a ho behoa ha suture ka 'ngoe, ho sebelisoa thepa e ngata ea suture. Haeba e 'ngoe ea li-suture e ka hlōleha, sena se ke ke sa ama li-suture tse ling tse behiloeng leqeba.
- E nka nako.
- Lisebelisoa tse ngata tsa suture.
- Ho ba teng ha chelete e eketsehileng eathepa ea sutureka har'a lesela.
- Bokhoni ba ho bolokamatla le boemo ba dithishuhaeba karolo ea suture line e hloleha kapa e lla.
- Fana ka ntlha e nepahetseng ho feta ea ho qetela.
- Leqeba le fokolangsebopeho leqebeng le fodileng
B. Mehlala e Tsoelang Pele
Mekhoa e tsoelang pele ke mofuta o potlakileng oa mokhoa oa suture, o sebelisetsoang libaka tse nang le tsitsipano e tlaase e kang ho koaloa ha likoti tsa 'mele, lihlopha tsa mesifa, lisele tsa adipose le letlalo,' me li na le moruo ho feta mekhoa e sitisitsoeng.
Leha ho le joalo, haeba e huloa ka thata haholo, leqeba le ka 'na la phunya. Haeba karolo leha e le efe ea leqeba e senyeha ka lebaka la ho hlōleha ha suture e tsoelang pele, karolo e setseng ea leqeba e ka 'na ea ameha' me ea buloa hape ka bolelele ba eona.
- Nako e fokolang.
- Lichelete tse fokolang tsathepa ea suture.
- Lisebelisoa tse fokolang tsa suture ka har'a lesela.
- Ha o khone ho hlokomela, haeba lefito le le leng le thella, le hlolehe kapa le tabole kaofelasuture line ea hlephisoa.
- Thataho fumana monyetla o motle oa ho etsa liqeto.
- Leqeba le eketsehilengsebopeho sa dinama.
C. Mekhoa ea Boikhethelo
1. Bonolo bo Khatisoang Suture
- Ho lomaka ho lekanakasebaka se lekanangho tloha mahlakoreng a mabedi a leqeba mme a hule ka thata.
- Alefitoe behiloe, 'me thepa ea suture e fokotsoe pele e pheta mokhoa oo ho fihlela leqeba le koaloa.
- Mofuta ona oa suture o thusa ho koala linea alba nakong ea ho buuoa ka mpeng kapa libakeng tse ling tse hlokang matla a eketsehileng.
- Ho bonolo ho kenya kopo.
- Sireletsehileho koaloa ha anatomical.
- E lumella tokiso eatsitsipano ea suture.
Lisebelisoa
- Letlalo, lithane tse ka tlas'a letlalo, fascia, lijana, methapo, mala le moroto.
2. Bonolo bo Haretsoeng ka Intradermal Suture
- Ho ea holimo ho bonolo ho sitisoa ho 'pata lefito'.
- Tsena li behoa ka mokhoa o bonolo o sitisoeng ka tlas'a letlalo 'me ho longoa ha suture ho robala ho ea holimo ho ea ho seha.
- Ba tloaetse hofelisa sebaka se shoelengle hokokobetsa tsitsipanoletlalong la sutures.
- Li na le thuso ho fokotsa tšitiso ea mokuli le hofelisa tlhokahalo ea ho tlosa suturedibakeng tse hlokolosi.
- Mokhoa ona o lokela ho sebelisoa hammoho le (ma)fito a patiloeng.
- Monyetla o monyehanglintho tse bonahalang li lokela ho sebelisoa.
Lisebelisoa
- Ho koaloa ha letlalo la letlalo kapa subcuticular.
3. Thibelo ea Cruciate (CrosaMsets'oants'o)Suture
- An'X' sebopehoe bopiloeng hodima leqeba.
- Ho loma ho nkoa ka lehlakoreng le leng, ho fetela ho le leng, pele ho fetela pele8–10 limilimitharaebe o pheta ho tloha lehlakoreng la pele la ho loma.
- Joale ho behoa lefito ho kopanya lipheletsong tsa leqeba, ka holim'a leqeba.
- Hore suture ena e bee sebetsang ka ho fetisisa, sekoere se lokela ho bōptjoa ka likhutlo tsa suture.
- Suture ena e sebelisetsoa hoho kokobetsa tsitsipano.
- E matla le kapeleho feta li-sutures tse sitisang tse bonolo, kaha leqeba le lengata le koetsoe ka suture ka 'ngoe e behiloeng.
- E thibelaeversion.
Lisebelisoa
- Letlalo.
4. Bonolo bo Tsoelang Pele Suture
- Beha e lefito la pele.
- Nka ho loma0.5-1 cmho tloha mahlakoreng a mabedi a leqeba.
- Hula thepa ea suturee tiileng hoo maqeba a maqeba a sa rateheng.
- Pheta suture sebaka se sekhutšoanyane ho tloha ho ea pele; ho loma ho lokela ho qala ka lehlakoreng le le leng nako le nako ha ho loma pele ho fihlela leqeba le koetsoe.
- Beha lefito ho tiisaho koala leqeba.
- E potlakile hofeta ho sitisoa ke ho suturedipaterone.
- Phatlalatsomoruo oa suture.
- E fana ka ho fetae thibelang moeakapametsi-thatatiiso.
- Hapeboimaho lokisa tsitsipano.
- E ka hlōleha ka ho feletsenghaeba lefito le fokola kapa le sa lekana.
Lisebelisoa
- Letlalo, subcutaneous tishu,fascia, mala le moroto.
5. Tsoelo-pele ea Intradermal Suture
- E 'ngoephetohoea ae bonolo e tswelang pelelematerase a rapameng a suture.
- The suture e feta ka holimo ka likarolo tsa dermis, e nka ho loma ho tloha maqeba a maqeba a chenchana, 'me letlalo le huloa le koetsoe ho se na li-sutures tse bonahalang.
- Ena ke suture ea matla a tlaase kahoo hangata e sebelisoa libakeng tse nang le tsitsipano e tlaase, leha ho le joalo, ka leqeba le phahameng la tsitsipano, li-sutures tsa letlalo li ka sebelisoa ho phaella.
- Li-suture tsa Intradermalba phutholohile ho mokuli mme ba thusa ho thibela ho kena-kenana le mokuli, ba qoba ho latella tšoaetso leqebeng 'me ho na le maqeba a fokolang.
- E khothalletsa moruo oa suture.
- E fana kae ntle ea letlalo.
- E fokola hofeta letlalo la sutures.
- Ha ho li-sutures tse lokelang ho tlosoa.
Lisebelisoa
- Ho koaloa ha letlalo ka tlas'a letlalo kapa ka tlas'a letlalo.
6. Ford Interlocking Suture (Reverdin – Blanket Stitch – Lock Stitch)
- Aphetohoya mosehla o bonolo o tswelang pele.
- Sireletsa thepa ea suture ka lefito.
- Ho longoa lehlakoreng ka leng la leqeba.
- Pele o hula suture ka thata, thepa e kenngoa ka har'a lupu e siea e'L' sebopeho sa lesela.
- Pheta ho fihlela holeqeba le koetsoe.
- Tsena li thehamolemo letlalo appositionhofeta lesela le bonolo le tsoelang pele.
- Ho thata ho tlosa.
Lisebelisoa
- Letlalo
7. Gambee Suture
- Afetotsoeng bonolo sitisoa, empa ho thata le ho feta ho e sebelisa.
- E thusa ho laolamucosal eversion.
- Nyanesusceptable toho ruruha ha baktheria.
- Sena kesuture e khethehilengse sebedisoang ho lokisa mala.
- AGambee e fetotsoenge behiloe ka tsela e ts'oanang empa ha e kene ka har'a lumen ea mala.
Lisebelisoa
- Anastomosis ea mala.