imveliso

Uphuhliso lweubuchule obuhleifuna ulwazi kunye nokuqonda ubuchwephesha obunengqondo obubandakanyekayoukuthunga.

Xa uthatha ukuluma kwethishu, inaliti kufuneka ityhale ngokusebenzisa kuphela aisenzo sesihlahla, ukuba kuba nzima ukudlula kwi-tissue, inaliti engalunganga inokuthi ikhethwe, okanye inaliti inokuba buthuntu.

Uxinzelelo lweimpahla yomthungokufuneka igcinwe yonke indawo ukukhusela i-slack sutures, kwaye umgama phakathi kweesutures kufuneka ulingane.

Ukusetyenziswa kwento ethile ipateni yomthungoinokwahluka ngokuxhomekeke kwindawo ethuthiweyo, ubude bokusikeka, ukutsaleka kumgca we-suture, kunye nemfuno ethilei-apposition, inversion,okanyeeversionkwezicubu.

Iipateni zeSutureingahlelwa ngokubanzi njengeuphazamisekile okanye uqhubekile.

E. Tension Sutures

1. Ukuphazamiseka kwe-Horizontal Mattress Suture

• Inaliti idluliselwa ukusuka kwelinye icala lenxeba ukuya kwelinye (2–5 mmkude nomgca wenxeba), emva koko ubuyele umva ngokuthe tye kwinxeba, ushiye umsantsa omfutshane (6–8 mm) phakathi kokulunywa.
• Oku kudala aumthungo othe tyemacala omabini enxeba.
• Iqhina ke libekwe ukudibanisa imathiriyeli yokuthunga kwicala lokuqala.
• Le sutureisetyenziswa kakhulu ukuthoba uxinzelelo.
• Ukulungelelaniswa kwipateni ye-everting suture ngokuxhomekeke kubunzima bokujula.
• Ngabaukukrwitsha igazi.

Ukusetyenziswa

• Ukuvalwa kwiindawo zoxinzelelo oluphezulu okanye ngamanye amaxesha kusetyenziswa ukuvalwa kweimisipha flatokanye isihlunu ngeiinqanawa ezincinci ze-fasciaemacaleni amanxeba.

2. I-Suture yeMatrasi eMisiweyo ephazamisekileyo

• Kuthathwe ukulunywa8–10 mmkude nenxeba kwaye udlulele kwi-umgama olinganayokude nenxeba kwelinye icala.
• Umthungo ke uphinda ubuyele umva kwinxeba, kodwa ngeli xesha, ukulunywa kuthathwa ngokuthe nkqo kwindawo yokuqala.3–4 mmkude nenxeba,ukwenza i-suture ethe nkqongapha nangapha.
• Iqhina ke libekwe ukudibanisa imathiriyeli yokuthunga kwicala lokuqala.
• Lo mthungo usebenza kakhulu ekudambiseni uxinezeleko kunomandlalo othe tye.
• Eyongezelelweyo kwi-everting.
• Omelele kwizicubu eziphantsi koxinzelelokunomandlalo othe tye.
• Kuncinci ukuvala iinqanawa ezincinci kumda wenxeba.

Ukusetyenziswa

• Ukuvalwa kwiindawo ezinoxinzelelo oluphezulu (okt ezinye iimeko zokuvalwa kwesikhumba).

3. Kude-Kude-Kufuphi-Kufuphi-Kufuphi-Kude-Kufuphi-Kufuphi-Kude-Kude-Kude-Kude iPhatheni yeSuture

• Ukwahluka komandlalo othe nkqo.
• Inokubonelela ngoxinzelelo oluyimfunekouqikelelo lwenxebangaphandle koxinzelelo oluthe ngqo kumda wenxeba.

Ukusetyenziswa

• Ulusu, i-subcutaneous, kunye nokuvalwa kwe-fascial phantsi koxinzelelo.

4. I-Interlocking Loop Suture

• Umthungo wokuziqinisa 'itshixa' kwithishu.
• Ifakiwe1/3 umgamaukusukaumphetho wethoni, iqhubele phambili ecaleni kwethenda, inqumle umsantsa, ijijelwe kwi-tendon, kwaye idlule umva nge-1/3 ukusuka kwelinye icala, ijijelwe kwaye ibotshelelwe.
• Imisipha encinci ene-tendon
• Ilophu yokutshixa kabini ifakwe kuyoi-gastrocnemius tendon
• Incanyathiselwe kwi-calcaneus ngokucokisekileyogqobhoza umngxuma

Ukusetyenziswa

• Ukulungiswa kwethenda.

5. Three Loop Pulley Suture

• Iilophu ezintathu ze-suture zijolise120 degreeskwiluphu yangaphambili.
• Ifana nohlobo lwepateni ekufutshane kodwaijikeleza i-tendon 360º.
• Umjikelo wokuqala ngu akufuphi-kude,Okulandelayophakathi, yokugqibela ngukude-kufuphi.
• Amandla okuqina aphezulukunye nokuchasana ngakumbi ekubunjweni kwe-gap kune-loop yokutshixa

Ukusetyenziswa

• Ukulungiswa kwethenda.

F. Ezinye iipateni zeSuture

1. Ipateni ye-Suture Trap yaseTshayina

• Olu hlobo lwe-suture lusetyenziselwaimibhobho ekhuselekileyo(ezifana nesifuba) kwindawo yazo yokungena emzimbeni.
• Uxinzelelo kwityhubhuukwanda njengoko ityhubhu itsalwa, ngaloo ndlela ithintela ukususwa kwayo.
• Ukuluma kuthathwa kwelinye icala letyhubhu kwaye aiqhina lesikwereibekwe ngeenxa zonke kumbhobho.
• Iimpahla yomthungokuthathwa kwakhona kujikelezwe ityhubhu kwaye iqhina likagqirha wotyando libotshwe.
• Oku kuphindaphindwa amaxesha angama-5-10 malunga netyhubhu ephela kunye nelinye iqhina lesikwere.

Ukusetyenziswa

• Iityhubhu ezikhuselekileyo(ezifana nesifuba) kwindawo yazo yokungena emzimbeni

Naziiintlobo ezininzi zeepateni ze-sutureekhoyo ukuvala amanxeba kunye namanxeba afunyanwa imihla ngemihla ekusebenzeni.Kubalulekile ukukhetha uhlobo olufanelekileyo lwepateniukuphumeza hayi nje intsonkothileukupholisa amanxeba,kodwa kwakhona okulungileyoinkangeleko yezithambiso.