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imveliso

Iipateni zeSuture eziqhelekileyo (3)


Iinkcukacha zeMveliso

Iithegi zeMveliso

 

Uphuhliso lweubuchule obuhleifuna ulwazi kunye nokuqonda ubuchwephesha obunengqondo obubandakanyekayoukuthunga.

 

Xa uthatha i-tissue, inaliti kufuneka ityhale ngokusebenzisa kuphela aisenzo sesihlahla, ukuba kuba nzima ukudlula kwi-tissue, inaliti engalunganga inokuthi ikhethwe, okanye inaliti inokuba buthuntu.

 

Uxinzelelo lweimpahla yomthungokufuneka igcinwe yonke indawo ukukhusela i-slack sutures, kwaye umgama phakathi kweesutures kufuneka ulingane.

 

Ukusetyenziswa kwento ethile ipateni yomthungoinokwahluka ngokuxhomekeke kwindawo ethuthiweyo, ubude bokusikwa, ukutsaleka kumgca we-suture, kunye nemfuno ethilei-apposition, inversion,okanyeeversionkwezicubu.

Iipateni zeSutureingahlelwa ngokubanzi njengeuphazamisekile okanye uqhubekile.

 

E. Tension Sutures

 

1. Ukuphazamiseka kwe-Horizontal Mattress Suture

inaliti

 

 

  • Inaliti idluliselwa ukusuka kwelinye icala lenxeba ukuya kwelinye (2–5 mmkude nomgca wenxeba), emva koko ubuyele umva ngokuthe tye kwinxeba, ushiye umsantsa omfutshane (6–8 mm) phakathi kokulunywa.
  • Oku kudala aumthungo othe tyemacala omabini enxeba.
  • Iqhina ke libekwe ukudibanisa imathiriyeli yokuthunga kwicala lokuqala.
  • Le sutureisetyenziswa kakhulu ukuthoba uxinzelelo.
  • Ukulungelelaniswa kwipateni ye-everting suture ngokuxhomekeke kubunzima bokujula.
  • Ngabaukukrwitsha igazi.

Ukusetyenziswa

  • Ukuvalwa kwiindawo zoxinzelelo oluphezulu okanye ngamanye amaxesha kusetyenziswa ukuvalwa kweimisipha flatokanye isihlunu ngeiinqanawa ezincinci ze-fasciaemacaleni amanxeba.

2. I-Suture yeMatrasi eMisiweyo ephazamisekileyo

 

 

kude

  • Kuthathwe ukulunywa8–10 mmkude nenxeba kwaye udlulele kwi-umgama olinganayokude nenxeba kwelinye icala.
  • Umthungo ke uphinda ubuyele umva kwinxeba, kodwa ngeli xesha, ukulunywa kuthathwa ngokuthe nkqo kwindawo yokuqala.3–4 mmkude nenxeba,ukwenza i-suture ethe nkqongapha nangapha.
  • Iqhina ke libekwe ukudibanisa imathiriyeli yokuthunga kwicala lokuqala.
  • Lo mthungo usebenza kakhulu ekudambiseni uxinezeleko kunomandlalo othe tye.
  • Eyongezelelweyo kwi-everting.
  • Omelele kwizicubu eziphantsi koxinzelelokunomandlalo othe tye.
  • Kuncinci ukuvala iinqanawa ezincinci kumda wenxeba.

Ukusetyenziswa

  • Ukuvalwa kwiindawo ezinoxinzelelo oluphezulu (okt ezinye iimeko zokuvalwa kwesikhumba).

3. Kude-Kude-Kufuphi-Kufuphi-Kufuphi-Kude-Kufuphi-Kufuphi-Kude-Kude-Kude-Kude iPhatheni yeSuture

 ukwahluka

  • Ukwahluka komandlalo othe nkqo.
  • Inokubonelela ngoxinzelelo oluyimfunekouqikelelo lwenxebangaphandle koxinzelelo oluthe ngqo kumda wenxeba.

Ukusetyenziswa

  • Ulusu, i-subcutaneous, kunye nokuvalwa kwe-fascial phantsi koxinzelelo.

4. I-Interlocking Loop Suture

 

ubuqu

  • Umthungo wokuziqinisa 'itshixa' kwithishu.
  • Ifakiwe1/3 umgamaukusukaumphetho wethoni, iqhubele phambili ecaleni kwethenda, inqumle umsantsa, ijijelwe kwi-tendon, kwaye yadlula umva nge-1/3 ukusuka kwelinye icala, ibotshiwe kwaye ibotshelelwe.
  • Imisipha encinci ene-tendon
  • Ilophu yokutshixa kabini isetyenziswe kuyoi-gastrocnemius tendon
  • Incanyathiselwe kwi-calcaneus ngokucokisekileyogqobhoza umngxuma

Ukusetyenziswa

  • Ukulungiswa kwethenda.

5. Three Loop Pulley Suture

 

ijikeleza

  • Iilophu ezintathu ze-suture ezijolise120 degreeskwiluphu yangaphambili.
  • Ifana nohlobo lwepateni ekufutshane kodwaijikeleza i-tendon 360º.
  • Umjikelo wokuqala ngu akufuphi-kude,Okulandelayophakathi, yokugqibela ngukude-kufuphi.
  • Amandla okuqina aphezulukunye nokuchasana ngakumbi ekubunjweni kwe-gap kune-loop yokutshixa

Ukusetyenziswa

  • Ukulungiswa kwethenda.

F. Ezinye iipateni zeSuture

1. Ipateni ye-Suture Trap yaseTshayina

 ipateni

  • Olu hlobo lwe-suture lusetyenziselwaimibhobho ekhuselekileyo(ezifana nesifuba) kwindawo yazo yokungena emzimbeni.
  • Uxinzelelo kwityhubhuukwanda njengoko ityhubhu itsalwa, ngaloo ndlela ithintela ukususwa kwayo.
  • Ukuluma kuthathwa kwelinye icala letyhubhu kwaye aiqhina lesikwereibekwe ngeenxa zonke kumbhobho.
  • Iimpahla yomthungokuthathwa kwakhona kujikelezwe ityhubhu kwaye iqhina likagqirha wotyando libotshwe.
  • Oku kuphindaphindwa amaxesha angama-5-10 malunga netyhubhu ephela kunye nelinye iqhina lesikwere.

Ukusetyenziswa

  • Iityhubhu ezikhuselekileyo(ezifana nesifuba) kwindawo yazo yokungena emzimbeni

Naziiintlobo ezininzi zeepateni ze-sutureekhoyo ukuvala amanxeba kunye namanxeba afunyanwa imihla ngemihla ekusebenzeni.Kubalulekile ukukhetha uhlobo olufanelekileyo lwepateniukuphumeza hayi nje intsonkothileukupholisa amanxeba,kodwa kwakhona okulungileyoinkangeleko yezithambiso.

 


  • Ngaphambili:
  • Okulandelayo:

  • Bhala umyalezo wakho apha kwaye uwuthumele kuthi