umkhiqizo

Ukuthuthukiswa kweubuchwepheshe obuhlekudinga ulwazi kanye nokuqonda kwemishini enengqondo ehilelekileukuthunga.

Lapho uthatha ukulunywa kwezicubu, inaliti kufanele iphushwe ngokusebenzisa i-aisenzo sesihlakala, uma kuba nzima ukudlula izicubu, inaliti engalungile ingase ikhethwe, noma inaliti ingase ibe buthuntu.

Ukushuba kweimpahla ye-suturekufanele igcinwe yonke indawo ukuze kuvinjelwe ama-slack sutures, futhi ibanga phakathi kwama-sutures kufanele lilingane.

Ukusetshenziswa kwento ethile iphethini ye-suturekungase kwehluke kuye ngendawo eshutshulwayo, ubude bokusikeka, ukungezwani emgqeni we-suture, kanye nesidingo esithilei-apposition, inversion,nomai-eversionkwezicubu.

Amaphethini we-Suturezingahlukaniswa kabanzi ngokuthiukuphazamiseka noma okuqhubekayo.

D. Amaphethini Aguqulayo

1. I-Cushing Suture

• Uhlobo lweukushintshashintshakuama-mattress suture aqhubekayo avundlile.
• U-Suture udlulei-submucosa, kodwa hhayi i-mucosa.
• Le nqubo ivame ukusetshenziselwa ukuvala izimboboizitho ezingenaluthonjengesisu, isinye, kanye nesibeletho.
• I-suture ingena ngaphakathii-submucosangaphandle kokungena ku-lumen yesitho.
• I-suture igijima isuka ezinhlangothini zombili ze-incision, ihambisana komunye nomunye.

Ukusetshenziswa

• Ukuvala i-viscera engenalutho njengesinye, isisu, noma isibeletho.

2. UConnell Suture

• Fana noCushingngaphandle kokuqedwaukungena ku-lumenkwe-viscera.
• Le nqubo ivame ukusetshenziselwa ukuvala izimboboizitho ezingenaluthonjengesisu, isinye, kanye nesibeletho.
• I-suture ingena ngaphakathii-submucosa kanye ne-mucosa.
• II-Connell suture techniqueicishe ifane neI-Cushing suture technique. Lezi zindlela ezimbili ze-suture zihlukaniswa ngokusho kwezicubu ezingenayo ngesikhathi sokuhamba kwe-suture.
• I-Connell suture technique isetshenziselwadlula ku-lumen.

Ukusetshenziswa

• Ingqimba yokuqala yokuvalwa kwe-viscera engenalutho (isisu, isinye, noma isibeletho).

3. Lembert Suture

• Lokhuokufana ne-suture kamatilasi eqondilefuthi isetshenziselwa ukulungisa izitho ezingenalutho.
• Njengoba ungqimba olubambayo lwesitho yi-i-submucosa, inaliti kufanele ingene kuphela kulokhu kujula futhi ingalokothi ingene ku-lumen (Ukungena kwei-submucosa, kodwa hhayi i-mucosa).
• Njengoba i-suture iqinisiweiguqula izicubu.

Ukusetshenziswa

• Ukuvala i-viscera engenalutho njengesinye, isisu, noma isibeletho.
• I-imbrication ebusweni.

4. I-Halsted Suture

• Indlela yokusebenza iyafana neka-aumhlobiso we-mattress omilengaphandle kokuthi ama-suture amabili abekwe ngendlela efanayo ngaphambi kokuba aboshwe.
• Lokhu kukhiqiza iiphethini ephazanyiswelapho imiphetho yeisilonda sihlanekezelwe.

Ukusetshenziswa

• Isendlalelo sesibili sokuvala i-viscera engenalutho.

5. UParker Kerr Suture

• Ainhlanganisela ye-Cushing ne-Lembert sutureiphethini.
• Ukuvalwa kwezendlalelo ezimbili kusetshenziswa ngokomlando ukuzeguqula ngokwe-asethii-viscus enqanyuliwe, eboshiwe.
• Isendlalelo esisodwa seAma-Cushings athungwe ngaphezului-clamp futhi iqiniswe njengoba i-clamp isuswa.
• Kulandelwa iphethini ye-seromuscular inverting (Ibungazwe ngu- Lembert).

Ukusetshenziswa

• Ukuvalwa kweziphunzi ze-viscera ezingenalutho.

6. I-Purse String Suture

• Ukuhluka okuyisiyingi kwe-Lembert.
• Ukulunywa kuthathwa ngezikhathi ezijwayelekile eduze komjikelezo wembobo ukuze kuthi lapho kudonswa kuqine, kwenziwe kube kuncane noma kuvalwe ngokuphelele.
• Le nqubo ingase isetshenziselwevala iziphunzi ze-visceralfuthi kuamashubhu e-percutaneous avikelekileku-viscus njengoba kungase kubonakale kuyoi-gastrostomykanye nezinqubo ze-cystostomy.
• Iwusizo ezindaweni ezifana ne-rectum (ukulungisa i-prolapse).

Ukusetshenziswa

• Ukuvalwa kweziphunzi ze-viscera ezingenalutho noma ukuvikeleka kwamashubhu nama-catheter.