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.

E. Tension Sutures

1. Khatiso ea Horizontal Mattress Suture

• Nale e fetisetsoa lehlakoreng le leng la leqeba ho ea ho le leng (2–5 limilimitharahole le leqeba), ebe o khutlela morao ka mose ho leqeba, a siea lekhalo le lekhutšoane (6–8 limilimithara) pakeng tsa ho longoa.
• Sena se theha amoroho o tshekaletsengka mahlakoreng a mabedi a leqeba.
• Joale lefito le behoa ho kopanya thepa ea suture ka lehlakoreng la pele.
• Suture ena kese sebedisoang haholo bakeng sa ho kokobetsa tsitsipano.
• E loketse ho everting suture pattern ho ipapisitsoe le ho tiea ha ho akhela.
• Kastrangulate madi.

Lisebelisoa

• Ho koaloa libakeng tse nang le tsitsipano e phahameng kapa ka linako tse ling ho sebelisoa ha ho koaloamesifa e sepharakapa mesifa e nang lelijana tse fokolang tsa fasciamathokong a maqeba.

2. Khatiso ea Materase a Emeng

• Ho loma8–10 limilimitharahole le leqeba ebe o fetela ho esebaka se lekananghole le leqeba ka nqa enngwe.
• Ka mor'a moo, suture e phetoa hape ho pholletsa le leqeba, empa lekhetlong lena, ho loma ho nkoa ka holimo ho tloha ho loma ha qalong.3–4 limilimitharahole le leqeba,ho etsa moketla o otlolohilengka nqa e nngwe le e nngwe.
• Joale lefito le behoa ho kopanya thepa ea suture ka lehlakoreng la pele.
• Suture ena e sebetsa hantle ho kokobetsa tsitsipano ho feta materase a rapameng.
• E khethehileng bakeng sa ho qetela.
• Matla a dinama tse tlasa tsitsipanohofeta materase a tshekaletseng.
• Ho na le monyetla o fokolang oa ho koala lijana tse nyane moeling oa leqeba.

Lisebelisoa

• Ho koala libakeng tse nang le tsitsipano e phahameng (ke hore, maemo a mang a ho koala ha letlalo).

3. Haufi-Haufi-Haufi-Haufi le Haufi-Haufi-Haufi-Haufi-Haufi-Haufi-Haufi-Haufi-Paterone ea Suture

• Mefuta e fapaneng ea materase a emeng.
• E ka fana ka tsitsipano e hlokahalang bakeng sakhakanyo ya leqebantle le tsitsipano e tobileng ho maqeba a maqeba.

Lisebelisoa

• Letlalo, subcutaneous, le ho koala sefahleho tlas'a tsitsipano.

4. Interlocking Loop Suture

• Boiketsi ba ho tiisa 'e koala' ka har'a lisele.
• Kenyelitsoe1/3 sebakaho tlohalehlakore la tendon, e tsoetse pele ho bapa le tendon, ka mose ho lekhalo, e pota-potile ka har'a tendon, 'me ea khutlela morao 1/3 ho tloha moeling o fapaneng, e lohiloeng le ho tlamelloa
• Li-tendon tse ngata tse kentsoeng ka bongata
• Lock ea ho notlela habeli e sebelisoa hogastrocnemius tendon
• E khomaretsoe ho calcaneus ka botlalophunya lesoba

Lisebelisoa

• Tokiso ea tendon.

5. Three Loop Pulley Suture

• Loops tse tharo tsa suture oriented120 likhatoho lupu e fetileng.
• E tšoana le mofuta o haufi haholo oa paterone empae pota-potile tendon ea 360º.
• Loop ea pele ke ahaufi-ufi,E 'ngoebohareng, ho qetela kehaufi-ufi.
• Matla a phahameng a tsitsipanole ho hanyetsa ho feta ho thehoa ha lekhalo ho feta loop ea ho notlela

Lisebelisoa

• Tokiso ea tendon.

F. Mehlala e Meng ea Suture

1. Sefi sa Monoana oa Sechaena Suture Pattern

• Mofuta ona oa suture o sebelisetsoa holi-tubes tse sireletsehileng(joalo ka li-drain tsa sefuba) sebakeng sa tsona sa ho kena 'meleng.
• tsitsipano holim'a tubee eketseha ha tube e huloa, kahoo e thibela ho tlosoa ha eona.
• Ho loma ka lehlakoreng le leng la tubing le alefito la sekweree behoa ho pota-pota tube.
• Thethepa ea suturee khutlisetsoa ho pota-potile tube 'me lefito la ngaka le tlameletsoe.
• Sena se phetoa ka makhetlo a 5-10 ho potoloha tube e qetellang ka lefito le leng la lisekoere.

Lisebelisoa

• Li-tubes tse sireletsehileng(joalo ka li-drain tsa sefuba) sebakeng sa tsona sa ho kena 'meleng

Ho na lemefuta e mengata ea mekhoa ea suturee fumanehang ho koala maqeba le maqeba a kopanang letsatsi le letsatsi ka ts'ebetso.Ho bohlokoa ho khetha mofuta o nepahetseng oa mohlalaho fihlella eseng feela e sa rarahanangpholiso ea maqeba,empa hape e ntleponahalo ya setlolo.