imveliso

I-ANKILE ZE-SUTURE

Enye yezona nzakala zixhaphakileyo phakathi kwembaleki yinxenye okanye iphelele yeligaments, tendon kunye/okanye nezinye izicubu ezithambileyo ezisuka kumathambo ahambelana nawo. Oku kwenzakala kwenzeka ngenxa yoxinzelelo olugqithisileyo olubekwe kwezi zicubu zithambileyo. Kwiimeko ezimandundu zokuqhawuka kwezi zicubu zithambileyo, utyando lunokufuneka ukuze luncamathele ezi zicubu zithambileyo kumathambo azo ahambelanayo. Izixhobo ezininzi zokulungisa zikhoyo ngoku ukulungisa ezi zicubu zithambileyo emathanjeni.

Imizekelo ibandakanya i-staples, izikrufu, iiankile ze-suture kunye neeteki.

Ukulungiswa kwe-Suture Anchor yenye yezona zinto zibalulekileyo kwi-arthroscopic surgeries. I-ankile yokuqala ye-suture kwaxelwa ukuba yaphuhliswa ngaphezu kwamashumi amathathu eminyaka eyadlulayo. Kukho ukukhankanywa kweehange ze-suture ezenziwe kwiflax, i-hemp kunye neenwele nguSushruta, i-Indian Plastic Surgeon yamandulo (AD c380-c450). Ukususela ngoko, iihange ze-suture ziye zafumana uhlengahlengiso oluhlukeneyo ngokwemigaqo yokuyila, izinto ezisetyenzisiweyo, ubungakanani njl njl. I-Suture Anchors ngoku isetyenziselwa ukulungiswa kotyando lwee-rotator cuff ezigcwele iinyembezi njengoko inceda ukulungiswa okusebenzayo kwezicubu ezithambileyo kwithambo. Iinzuzo ezinokubakho ziquka ukuncipha komonakalo wamathambo.

Esinye isiphelo se-suture sibotshelelwe kwi-tissue ethambileyo kunye nesinye isiphelo kwisixhobo esibambelela i-suture kwithambo.

Iiankile zeSuture zenziwe:

1. I-Anchor - i-conical screw efana nezakhiwo, ezifakwe kwithambo kwaye zenziwe ngentsimbi okanye izinto ezibolayo.

2. I-Eyelet – Le yiluphu kwi-ankile edibanisa i-ankile kumthungo.

3. I-Suture - Le yi-biodegradable okanye i-non-absorbable material efakwe kwi-anchor nge-eyelet ye-anchor.

Ii-anchors ze-Suture zifumaneka kwiindlela ezahlukeneyo zoyilo, ubungakanani, ulungelelwaniso kunye nezinto ezisetyenzisiweyo. Zimbini iintlobo eziphambili zeeankile zeSuture zezi:

1. I-Bio-absorbable Sutures

Ngokuqhelekileyo isetyenziswa kwiithishu ezininzi zangaphakathi zomzimba. La mathunga aqhekeka kwiithishu kwiintsuku ezilishumi ukuya kwiiveki ezine. Ezi zisetyenziselwa kwiimeko apho isilonda siphulukisa ngokukhawuleza kwaye ngoko akukho mfuneko yezinto zangaphandle ezisele ngaphakathi emzimbeni.Ii-anchors ze-suture absorbable ziyizixhobo ezikhethiweyo zokulungisa njengoko kunamathuba amancinci okubangela iingxaki emva kokuhlinzwa.

I-Biodegradable suture anchors ngoku isetyenziswa kakhulu kwiinkqubo ezahlukeneyo kumayeza ezemidlalo.

2. IiSutures ezingafunxwanga

Kukho iimeko ezimbalwa, apho ii-sutures ezingafunxwanga zifanelekile ngakumbi. Olu hlobo lwe-sutures alwenziwanga ngumzimba. Kwiimeko ezifana nentliziyo kunye nemithambo yegazi efuna ixesha elingakumbi lokuphola, ukusetyenziswa kweesutures ezingafunxayo kufanelekile. Nangona kunjalo, kuqhaqho lwamagxa, uninzi lwamaxesha akhethwayo zii-anchors ze-suture ezifunxayo njengoko ezo zingabambekiyo zinokuthi zibangele i-coconut scraper isiphumo kwimeko yokukhutshwa kokufakelwa okungakhokelela kutshintsho olukhulu lwe-arthritic ngenxa yesiphumo se-scraper kwithambo. Isinyithi, i-Plastiki yohlobo lwe-suture ankile zolu hlobo.

Ii-anchors ze-Suture ziye zaba sisixhobo esixabisekileyo koogqirha bamathambo.