mankhwala

Mapangidwe anjira yabwinozimafunikira chidziwitso ndi kumvetsetsa kwamakanika omveka omwe akukhudzidwakuwotcha.

Mukaluma minofu, singano iyenera kukankhidwa pogwiritsa ntchito akuchita pa dzanja, ngati zimakhala zovuta kudutsa mu minofu, singano yolakwika ikhoza kusankhidwa, kapena singanoyo ingakhale yosamveka.

Mkangano wasuture zakuthupiziyenera kusamalidwa ponseponse kuti zisawonongeke, ndipo mtunda pakati pa ma sutures ukhale wofanana.

Kugwiritsa ntchito kwapadera suture chitsanzoZitha kusiyanasiyana kutengera dera lomwe likudulidwa, kutalika kwa chodulidwacho, kugwedezeka kwa mzere wa suture, komanso kufunikira kwapadera.kukhumudwa, kukhumudwa,kapenaeversionza tishu.

Mitundu ya sutureakhoza kugawidwa mozama ngatikusokonezedwa kapena mosalekeza.

D. Njira Zosinthira

1. Cushing Suture

• Mtundu wakusinthapamosalekeza yopingasa matiresi sutures.
• Suture anadutsa musubmucosa koma osati mucosa.
• Njira imeneyi nthawi zambiri imagwiritsidwa ntchito kutseka ma incisionsziwalo zakuyamonga m'mimba, chikhodzodzo, ndi chiberekero.
• The suture amalowa musubmucosapopanda kulowa mu lumen ya chiwalo.
• Suture imayenda kuchokera kumbali zonse ziwiri za incision, yofanana wina ndi mzake.

Zogwiritsa

• Kutsekeka kwa viscera monga chikhodzodzo, m'mimba, kapena chiberekero.

2. Connell Suture

• Zofanana ndiCushingkupatula zonsekulowa mu lumenwa viscera.
• Njira imeneyi nthawi zambiri imagwiritsidwa ntchito kutseka ma incisionsziwalo zakuyamonga m'mimba, chikhodzodzo, ndi chiberekero.
• The suture amalowa musubmucosa ndi mucosa.
• TheConnell suture njirandi pafupifupi zofanana ndiCushing suture njira.Njira ziwirizi za suture zimasiyanitsidwa molingana ndi minofu yomwe imalowa mkati mwa njira ya suture.
• Njira ya Connell suture imagwiritsidwa ntchitokudutsa lumen.

Zogwiritsa

• Gawo loyamba la kutsekeka kwa viscera (m'mimba, chikhodzodzo, kapena chiberekero).

3. Lembert Suture

• Izi ndizofanana ndi suture ya matiresi yowongokandipo amagwiritsidwa ntchito kukonzanso ziwalo zakuya.
• Monga wosanjikiza wa chiwalo ndisubmucosa, singano iyenera kulowa mozama uku osati mu lumen (Kulowa kwasubmucosa koma osati mucosa).
• Monga suture imalimbitsainverts matishu.

Zogwiritsa

• Kutsekeka kwa viscera monga chikhodzodzo, m'mimba, kapena chiberekero.
• Kusokonezeka kwa Fascial.

4. Halsted Suture

• Njirayi ndiyofanana ndi ya aofukula matiresi sutureKupatulapo kuti ma suture awiri amaikidwa mofanana asanamangidwe.
• Izi zimapangakusokoneza chitsanzomomwe m'mphepete mwabala ndi inverted.

Zogwiritsa

• Wachiwiri wosanjikiza wa kutseka kwa dzenje viscera.

5. Parker Kerr Suture

• Akuphatikiza kwa Cushing ndi Lembert suturechitsanzo.
• Kutseka kwa zigawo ziwiri kumagwiritsidwa ntchito kalesintha mwasepticviscus yodutsa, yothina.
• Chigawo chimodzi chaCushings zosokedwachomangira ndi chomangika pamene chochepetsa chikuchotsedwa.
• Kutsatiridwa ndi inverting seromuscular pattern (Wokondedwa ndi Lembert).

Zogwiritsa

• Kutseka kwa zitsa za viscera.

6. Purse String Suture

• Kusintha kozungulira kwa Lembert.
• Kuluma kumatengedwa nthawi ndi nthawi mozungulira kuzungulira kwa pobowo kotero kuti kukakoka molimba, kungathe kuchepetsedwa kapena kutsekedwa kwathunthu.
• Njira iyi ikhoza kugwiritsidwa ntchitopafupi ndi zitsa za visceralndi kuchitetezo percutaneous machubumu viscus monga momwe mungawonerematenda a gastrostomyndi cystostomy ndondomeko.
• Zothandiza madera monga rectum (kukonza prolapse).

Zogwiritsa

• Kutseka kwa zitsa za viscera kapena kutetezedwa kwa machubu ndi catheter.