Absorbable suture zakuthupi. opaleshoni suture

Pa nthaŵi ya opaleshoni m'pofunika kugwirizana zimakhala, mitsempha ya magazi. Sutures kwa opaleshoni chinakwera kusanduka ena, ndipo lero iwo ali angapo katundu enieni omwe amalimbikitsa mofulumira kuchiritsa mabala. mankhwala amakono n'komwe ndi mbali zodzikongoletsera: ndi matabwa ndi osaonekera, ndi zina pawo, ndi kufufuza wakukhala.

Zochita za zipangizo crosslinking

Suture chuma kale angapo luso yeniyeni. Choyamba, zinthu sayenera poizoni, chifukwa thupi lawo siligwirizana. zofunika khalidwe lina - kukana kuti yolera yotseketsa, chifukwa ndi kusapezeka kwa tizilombo toyambitsa matenda ndi zofunika kwambiri pa opaleshoni. Ndipo, ndithudi, suture chuma ayenera kukhala amphamvu, osati kuvulaza minofu kudzera amene chitadutsa. Zofunika ndi elasticity ake ndi luso kupanga mfundo. zipangizo onse afanane ndi ulusi kapena kupangidwa zingapo (kupotoza, kumanga). Malinga ndi luso zakuthupi kuti biodegradation, gulu la suture ndi: absorbable suture, pang'onopang'ono absorbable, ndi anthu amene si kupasuka konse. Komanso mchitidwe opaleshoni ukhoza kukhala zachilengedwe ndi kupanga chiyambi.

Zida kuti musakhale kupasuka

zinthuzi ankagwiritsa ntchito pamaso pa Kubwera kwa Akhristu ambiri masiku ano. Komabe, iwo tsopano ankagwiritsa ntchito mu zochitika zonsezi pamene kuli kofunikira kupeza kugwirizana kwambiri ndi odalirika. Pankhaniyi, nsalu kwa nthawi yaitali udzachitike mu msoko ofanana. gulu Izi zikuphatikizapo ulusi silika (ndi absorbable kuyambira kukhala imperceptible pambuyo zaka zingapo), poliyesitala, polypropylene, polyvinyl, zipangizo zitsulo, zakudya zamtundu. Silika ali ndi mphamvu mokwanira lalikulu. ulusi n'zosavuta kwambiri kufuna zomangira mfundo. Nthawi anati anachita mu minofu. Nthawi zambiri ngati suture chuma ntchito pochiza matenda a maso opaleshoni pulasitiki, ntchito ziwalo m'mimba. Mwa filaments inert monga polypropylene. Chifukwa cha mphamvu yake yapamwamba ntchito kugwiritsa grids kukonza zinthu zosiyanasiyana. Waya zitsulo unapangidwa zosapanga dzimbiri, zikhoza kugwiritsidwa ntchito mu zigawo molumikizana sternum ndi m. P.

Dacron opaleshoni

Opaleshoni suture zinthu zochokera poliyesitala ali undoubted ubwino: mphamvu yapamwamba, wolunjika katundu pa mlingo. Komanso, kawirikawiri amachititsa zochita mu zimakhala ndi. Nthawi zambiri a mitundu yosiyanasiyana: nsalu, kuluka, TACHIMATA ndi fluororubber. Mtengo umenewu filament ndi wotsika. Nthawi zambiri, chotero suture ntchito pa minofu apulasitiki, ntchito mu zovuta m'madera machiritso, komanso m'madera pali mavuto nthawi zonse. Komabe, pali zina zovuta. Kukhala mu thupi kalekale, ulusi ngati zingachititse kutukusira.

Makhalidwe a zinthu angathe kumwazikana. catgut

Zinthu za mtundu zingakhale achilengedwe kapena kupanga. Kunyamula catgut achilengedwe. Izi opaleshoni suture chuma ku matumbo ka nyama (wathanzi), amene kukonzedwa m'njira yapadera. Poyamba, chuma umenewu ndi mphamvu zokwanira, koma mosakhalitsa anataya. Kwa mlungu umodzi kapena iwiri akalozera ake ndi kuchepetsedwa ndi theka. Kuti resorption nthawi kuchuluka pang'ono ndi mankhwala ndi mchere catgut chromium. mpheto ichi kumawonjezera kuvunda nthawi mu theka. Nkofunika kudziwa chakuti suture ngati odzipereka mosiyana malinga minofu yomwe anaikidwa, ndi mphamvu ya kusowa magazi malo, makhalidwe munthu wa chamoyo. The kuipa ndi chinthu chimodzimodzi ndi ulusi, komanso kuthekera kwa thupi lawo siligwirizana. Main ntchito - matenda achikazi, urology, opaleshoni ziwalo kupuma ndi m'mimba, namkulunga, kutsekedwa.

Kupanga sutures absorbable

mtundu Izi zikuphatikizapo zinthu zomwe ndi katundu mulingo woyenera. Mu ntchito yawo n'zosavuta kuneneratu nthawi ya imfa ya mphamvu. Komanso, yarns awa ndi yosavuta kugwiritsa ntchito, ndi yamphamvu kwambiri. yotsimikizika kuphatikiza wina - ndi inertia ndi kusowa kwa thupi lawo siligwirizana. mtundu umodzi - polyglycolic absorbable suture zakuthupi. Iwo amakhala ndi durability mkulu ndipo amatha kusunga yovuta bala machiritso nthawi. Dexon - mmodzi wa zipangizo ambiri ntchito opaleshoni komanso matenda achikazi, urology. zomangira kupanga ali ndi magwero ofanana. Iwo - ma polima asidi lactic. Pambuyo ulusi ali mu minofu kumachitika hydrolysis ndondomeko. Akamaliza mosiyanasiyana onse mankhwala suture izo linawola kuti zamoyo madzi ndi mpweya wa carbon dioxide. The kaŵirikaŵiri ntchito kupanga absorbable suture kwa minofu ndi m'mimba pleural patsekeke. Kumalo amenewa, nthawi kubadwanso kwa mlungu umodzi kuti mwezi, pamene chikugwirizana ndi zizindikiro za kuchepetsedwa mphamvu zakuthupi.

Vicryl - suture kwa kujowina minofu

Kuti mankhwala a zimakhala zofewa ndi malo amene popanda thandizo yaitali, pogwiritsira ntchito zinthu zamakono vicryl. Iwo ali magwero kupanga ndi wapangidwa ndi glycolide ndi L-lactide. zochita minofu pamene ntchito ngati otsika, mphamvu yafupika pambuyo masabata 4. Complete kuvunda mu chamoyo kumachitika hydrolysis atapita masiku 50-80. Ikani yarns amenewa ndi pochiza matenda a maso ndi matenda achikazi. Koma m'madera amenewa amene ntchito yake ndi zosayenera - neurosurgery ndi opaleshoni ya mtima. Vicryl - suture zinthu sipangakhalenso amaperekedwa mu mawonekedwe unpainted, ndipo ndi chibakuwa. Ulusi kulibe makulidwe osiyana ndi kutalika. Zigawo mwina monga zosapanga dzimbiri singano.

Kusungiramo sutures opaleshoni

Kuti imange kusunga katundu wawo thupi, ndikofunika kutsatira kutentha zolondola. Sutures opaleshoni kutaya mphamvu pamene kusungidwa kutentha kuposa 30º C kapena zizindikiro negative. Ngati ulusi chachotsedwa ma CD, koma osati ntchito, ziyenera kutayidwa. Nkofunika liyang'anire ndi masiku atapita. Malinga ndi katundu pambuyo kusintha pang'ono. Lumikizanani ndi chinyezi ndipo kwambiri osafunika. Pewani mobwerezabwereza yolera yotseketsa ndondomeko suture.