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.

E. I-Tension Sutures

1. I-Suture ye-Horizontal Horizontal

• Inaliti idluliswa isuka kolunye uhlangothi lwenxeba iye kolunye (2–5 mmkude nonqenqema lwenxeba), bese ibuyela emuva ivundlile ngaphesheya kwenxeba, ishiye igebe elifushane (6-8 mm) phakathi kokulunywa.
• Lokhu kwakha aumthungo ovundlilengapha nangapha kwesilonda.
• Ifindo libe selibekwa ukuze kuhlanganiswe impahla ye-suture ohlangothini lokuqala.
• Le sutureesetshenziswa kakhulu ukudambisa ukushuba.
• Imaphetheni e-everting suture kuye ngokucinana kokuphonswa.
• Angakwaziklinya igazi.

Ukusetshenziswa

• Ukuvalwa ezindaweni ezinengcindezi ephezulu noma esetshenziswa ngezikhathi ezithile ekuvaleniimisipha flatnoma umsipha ngeimikhumbi ye-fascia encaneemaphethelweni amanxeba.

2. I-Suture ye-Vertical Vertical Suture

• Kuthathwa ukulunywa8-10 mmkude nenxeba futhi idlulele ku-ibanga elilinganayokude nenxeba ngakolunye uhlangothi.
• Umthungo ube usuphindwa emuva enxebeni lonke, kodwa kulokhu, ukulunywa kuthathwa kubheke phezulu ekulunyweni kokuqala.3–4 mmkude nenxeba,ukudala umthungo oqondilengapha nangapha.
• Ifindo libe selibekwa ukuze kuhlanganiswe impahla ye-suture ohlangothini lokuqala.
• Le suture iphumelela kakhulu ekudambiseni ukungezwani kunomatilasi ovundlile.
• I-aphoyintimenti ku-everting.
• Kunamandla ezicutshini ezingaphansi kokucindezelekakunomatilasi ovundlile.
• Mancane amathuba okuthi avale imikhumbi emincane emaphethelweni enxeba.

Ukusetshenziswa

• Ukuvaleka ezindaweni ezinomfutho ophezulu (okungukuthi ezinye izimo zokuvaleka kwesikhumba).

3. Far-Far-Near-Near and Far-Near-Near-Near-Near-Far Suture Pattern

• Ukwehluka komatilasi ome mpo.
• Inganikeza ukungezwani okudingekayoukusondela kwenxebangaphandle kokucindezeleka okuqondile emaphethelweni enxeba.

Ukusetshenziswa

• Isikhumba, i-subcutaneous, kanye nokuvalwa kobuso ngaphansi kwengcindezi.

4. I-Interlocking Loop Suture

• Umthungo oziqinisayo 'ivala' izicubu.
• Kufakiwe1/3 ibangakusukaumphetho we-tendon, iqhubekele phambili nge-tendon, inqamule igebe, ijike inqamule i-tendon, futhi idlule emuva 1/3 ukusuka kolunye unqenqema, iboshwe futhi iboshwe
• Imisipha emincane eminingi ene-sheathed
• Iluphu yokukhiya kabili isetshenziswe kuyoi-gastrocnemius tendon
• Inamathiselwe ku-calcaneus ngokuphelelebhoboza imbobo

Ukusetshenziswa

• Ukulungiswa kwe-tendon.

5. Three Loop Pulley Suture

• Izihibe ezintathu ze-suture oriented120 degreesku-loop yangaphambilini.
• Ifana nohlobo lwephethini eseduze kodwaijikeleza i-tendon engu-360º.
• Iluphu yokuqala ingu-aeduze-kude,Olandelayophakathi nendawo, okokugcinaeduzane.
• Amandla okuqina aphakemekanye nokumelana okwengeziwe nokwakheka kwegebe kunelophu yokukhiya

Ukusetshenziswa

• Ukulungiswa kwe-tendon.

F. Amanye Amaphethini E-Suture

1. Chinese Finger Trap Suture Pattern

• Lolu hlobo lwe-suture lusetshenziselwaamashubhu avikelekile(njengamapayipi esifuba) endaweni yawo yokungena emzimbeni.
• Ukushuba kweshubhuiyanda njengoba ishubhu lidonswa, ngaleyo ndlela livimbele ukususwa kwalo.
• Ukulunywa kuthathwa ohlangothini olulodwa lweshubhu futhi aifindo lesikweleibekwe eduze kwe-tube.
• Iimpahla ye-suturekubuyiselwa epayipini bese kuboshwa ifindo likadokotela ohlinzayo.
• Lokhu kuphindwe izikhathi ezingu-5-10 ezungeze ishubhu eligcina elinye ifindo eliyisikwele.

Ukusetshenziswa

• Amashubhu avikelekile(njengamapayipi esifuba) endaweni yawo yokungena emzimbeni

Banguizinhlobo eziningi zamaphethini we-sutureetholakalayo ukuvala ukusikeka namanxeba atholakala nsuku zonke ekusebenzeni.Ukukhetha uhlobo olufanele lwephethini kubalulekileukufeza hhayi nje inkimbinkimbiukuphulukiswa kwesilonda,kodwa futhi kuhleukubukeka kwezimonyo.