Gabatarwa Orthopedic da shawarwarin sutures
Za a iya amfani da sutures a cikin abin da matakin orthopedics
Lokaci mai mahimmanci na warkar da rauni
Fatar jiki
-Kyakkyawan fata da kayan kwalliya bayan tiyata sune mafi mahimmancin damuwa.
-Akwai yawan tashin hankali tsakanin zubar jinin bayan tiyata da fata, kuma sutures kanana ne da kanana.
●shawarwari:
Sutures na tiyata marasa sha:
WEGO-Polypropylene - santsi, low lalacewa P33243-75
Sutures na tiyata mai yuwuwa:
WEGO-PGA —Kada ka fitar da sutures, taƙaitaccen lokacin asibiti, Rage haɗarin kamuwa da cuta.G33243
Subcutaneous nama
-Rage damar mutuwa da kamuwa da cuta, mai kyau kuma mai ƙarfi shine hanya mafi inganci don rage fatattakar fata.
-Yana yiwuwa ya faru a inda suture jiki dauki na waje ya kai ga kamuwa da cuta da xenogenous cysts.
Shawarwari: Sutures na tiyata mai yuwuwa - 2/0 WEGO-PGA sutures (Taper point) G21402-75, G21372-75
Fascia, Muscle Layer
-Fascia - Kumbun fibrous mai yawa na nama, rufe saman tsoka.Zai iya dawo da kashi 40 na tashin hankali a cikin watanni 2, Matsakaicin tashin hankali na watanni 12.
Amma ba za ta taɓa dawowa tashin hankalinta na farko ba.
-Tsoka-Dense fibrous nama.
-Dole ne a yi amfani da sutures na tashin hankali don ba da goyon baya mai ƙarfi da ake buƙata a lokacin
lokaci mai mahimmanci na warkar da rauni.
Shawara:
Sutures na tiyata mai yuwuwa - 2/0 WEGO-PGA sutures na tiyata (Taper point) G21402-75, G21372-75
Bukatun asali na orthopedics da suture
• Haɗin gwiwa: Ayyukan yana da ƙarfi, buƙatar babban tashin hankali.
• Kitsen da ke karkashin fata
- Wuri mai bakin ciki (misali.Ulna olecranon, patellar) Kar a taɓa kullin bayan tiyata.
– Wuri mai kauri (misali.Hip) Kada a yanke ƙungiyar a cikin suturing , Hana liquefaction mai mai.
– Kitsen subcutaneous yana da saurin kamuwa da cuta.
Rashin wadataccen jini
• Rashin kwanciyar hankali na ƙungiyoyi, Bai dace a zama daidai ba, Nama shine
taushi da sauki yaga .
• Wuce kitse, yankan wutar lantarki, cikin sauƙin ruwa.
• Fats suna da yawa a cikin ruwa, zaren siliki sun fi haifar da kwayoyin cuta.
Tendon
• Karyewar Suture: lokacin waraka na gyaran tendon ya fi tsayi.Matakin farko yana buƙatar yin aikin motsa jiki.Idan zaren tashin hankali ne
bai isa ba, karaya yana faruwa kuma ana buƙatar sake yin aiki .
• Mannewar tendon: bayan raunin jijiya ko tiyata, sau da yawa mannewa tare da nama da ke kewaye, mannewar jijiya, haske yana shafar zamewar jijiya, kuma aikin gyaran jijiyar ya gaza.
• Don sutura: 1. Ƙarfin tashin hankali
• 2. M dinki da ƙananan lalacewa
• Suture polypropylene da aka ba da shawarar: 2/0-5/0 (filin zagaye na kai biyu)
Nervus vascularis
•Don dinki:
• 1. M ɗinku mai laushi da ƙananan lalacewar nama
• 2. Rikicin dinki ya tsaya tsayin daka kuma ba zai karya layin ba.
• 3. Tallafi na dindindin
Nasihar dinki:
• Tasoshin jini -- WEGO-polypropylene dinkin zaren 6/0-10/0
• Jijiya - WEGO-polypropylene dinki zaren 8/0- 10/0
Sauyawa hip
Matsayin dinki daga ciki ne
1.Joint capsule: postoperatively, da bukatar farkon aikin motsa jiki na bukatar manyan stitches;Ana buƙatar rufe haɗin gwiwa kuma ya hana haɗin haɗin haɗin gwiwa tare da waje, haifar da kamuwa da cuta (WEGO-PGA).
2. Kafaffen ƙungiyar tsoka na juyawa na waje don hana haɓakawa: 1 # (WEGO-PGA anti-angle allura) ana buƙatar
3. Muscle fascia: yana buƙatar babban tashin hankali (WEGO-PGA)
4. Kitsen da ke cikin jiki: kitsen gindi ya fi kauri, sutu ba ya yanke kungiyar.Suture Layered, kawar da matattu rami (WEGO-PGA)
5. Fatar jiki: cututtukan fata na zahiri na iya haifar da kamuwa da cuta mai zurfi, wanda ke haifar da gazawar tiyata (WEGO-PGA).