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Mekhoa e Tloaelehileng ea Suture (1)


Lintlha tsa Sehlahisoa

Li-tag tsa Sehlahisoa

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

pic10

  • 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

pic11

  • 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

pic12

  • 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

pic13

  • 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

pic14

  • 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)

pic15

  • 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

pic16

  • 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.

  • E fetileng:
  • E 'ngoe:

  • Ngola molaetsa wa hao mona mme o re romele wona

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