ibicuruzwa

Iterambere ryatekinike nzizabisaba ubumenyi no gusobanukirwa ubukanishi bushyize mu gaciro burimosuturing.

Mugihe ufata akantu, urushinge rugomba gusunikwa ukoresheje a gusaIgikorwa, niba bigoye kunyura mumyenda, urushinge rutari rwo rushobora kuba rwaratoranijwe, cyangwa urushinge rushobora kuba rudahwitse.

Impagarara zaibikoresho bya suturebigomba kubungabungwa hose kugirango wirinde kudoda, kandi intera iri hagati yubudodo igomba kuba ingana.

Gukoresha ikintu cyihariye sutureIrashobora gutandukana bitewe nubuso bwashizweho, uburebure bwikigero, impagarara kumurongo wa suture, nibikenewe byihariyegusaba, guhinduranya,cyangwaeversiony'imyenda.

Uburyo bwo kudodaBirashobora gushyirwa mubice nkaguhagarikwa cyangwa gukomeza.

E. Imyitwarire idahwitse

1. Guhagarika Matrase ya Horizontal

• Urushinge runyura kuruhande rumwe rw'igikomere rugana kurundi (Mm 2-5kure yinkomere yinkomere), hanyuma utambike gusubira inyuma hejuru y igikomere, hasigara icyuho gito (Mm 6-8) hagati yo kurumwa.
• Ibi birema asutureku mpande zombi z'igikomere.
• Ipfundo noneho rishyirwa kugirango rihuze ibikoresho bya suture kuruhande rwumwimerere.
• Iyi suture niahanini bikoreshwa mukugabanya impagarara.
• Bishyirwa kumurongo uhoraho suture ukurikije ubukana bwo guta.
• Birashobokakumena amaraso.

Imikoreshereze

• Gufunga ahantu hafite impagarara nyinshi cyangwa rimwe na rimwe bikoreshwa mugusozaimitsicyangwa imitsi hamweinzabya ntoyaku nkomere.

2. Guhagarika matelas ihagaritse

• HarafashweMm 8-10kure y igikomere kandi inyura kuri anintera inganakure y igikomere kuruhande.
• Suture noneho isubirwamo inyuma y igikomere, ariko iki gihe, kurumwa byafashwe bihagaritse bivuye kurumwa rwambere3-4 mmkure y'igikomere,kurema vertical verticalku mpande zombi.
• Ipfundo noneho rishyirwa kugirango rihuze ibikoresho bya suture kuruhande rwumwimerere.
• Iyi suture ikora neza mugukuraho impagarara kuruta matelas itambitse.
• Bikwiriye guhoraho.
• Mukomere mumyenda iri mubibazokuruta matelas.
• Ntibishoboka ko uhagarika imiyoboro mito kuruhande rw igikomere.

Imikoreshereze

• Gufunga ahantu hafite impagarara nyinshi (ni ukuvuga ibihe bimwe byo gufunga uruhu).

3. Kure-Kure-Hafi-Yegereye-Hafi-Yegereye-Hafi ya Suture

• Itandukaniro rya matelas ihagaritse.
• Irashobora gutanga impagarara zikenewe kuriKugereranya ibikomerenta mpagarara zitaziguye ku gikomere.

Imikoreshereze

• Uruhu, insimburangingo, hamwe no gufunga fassiya munsi yuburakari.

4. Guhuriza hamwe

• Kwikinisha wenyine 'gufunga' mubice.
• ByinjijweInteraKuvaimpande.
• Ibice byinshi bitarondoreka
• Gufunga inshuro ebyiri gukoreshwa kurigastrocnemius tendon
• Yifatanije na calcaneus nezaumwobo

Imikoreshereze

• Gusana.

5. Inzira eshatu

• Imirongo itatu ya suture yerekanweDogere 120Kuri i Ibihe Byambere.
• Irasa-hafi-yerekana ubwoko arikokuzenguruka kuri tendon 360º.
• Umuzingo wambere ni ahafi-kure,ubutahahagati, iheruka nikure-hafi.
• Imbaraga zo hejuruhamwe no kurwanya byinshi byo gutandukanya icyuho kuruta gufunga

Imikoreshereze

• Gusana.

F. Ibindi Byitegererezo

1. Igishinwa cy'Urutoki Umutego

• Ubu bwoko bwa suture bukoreshwa kuriimiyoboro itekanye(nk'amazi yo mu gatuza) aho binjirira mumubiri.
• Umujinya mwinshikwiyongera uko umuyoboro ukururwa, bityo ukabuza kuwukuraho.
• Kurumwa bifatwa kuruhande rumwe rwigituba na aipfundo rya kareBishyirwa hafi ya tube.
• Uwitekaibikoresho bya sutureisubizwa inyuma yigituba kandi ipfundo ryo kubaga rihambiriwe.
• Ibi bisubirwamo inshuro 5-10 kuzenguruka umuyoboro urangirana nindi pfundo.

Imikoreshereze

• Imiyoboro itekanye(nk'amazi yo mu gatuza) aho binjirira mumubiri

Harihoubwoko bwinshi bwa suturekuboneka kugirango ufunge ibice n'ibikomere bihura buri munsi mubikorwa.Guhitamo ubwoko bukwiye bw'icyitegererezo ni ngombwakugeraho ntabwo bigoye gusagukira ibikomere,ariko kandi ni byizakwisiga.