Purse stapler kapangidwe ndi zigawo zikuluzikulu

NJIRA ZA PURSE-STRING SUTURING

Njira ya thumba lachikwama la suture ndi suture yothamanga yomwe imagwiritsidwa ntchito ngati ulusi wochotsa thumba kuti atseke zolowera kuzungulira lumen.Mwachitsanzo;Ikhoza kugwiritsidwa ntchito kuyika mizu ya appendage m'matumbo.Chingwe cha thumba lachikwama ndi njira yosavuta yomwe ingagwiritsidwe ntchito kukwaniritsa zochepa zochepa komanso kuchepetsa malo a mabala ozungulira. ,kapena angagwiritsidwe ntchito kuchepetsa rectal prolapse kapena kutseka kwakanthawi kachidutswa kakang'ono musanayambe opaleshoni ya rectal.Ikhoza kugwiritsidwanso ntchito kuphimba dzenje pa khoma la chifuwa pambuyo pa chinthu chachilendo monga ndodo.Ngati sutures aikidwa. pambuyo pa kuyika kwa chubu, lumen ikhoza kusokonezeka.Kuyika thumba la suture kuzungulira anal sphincter kumalepheretsa kutuluka kwa ndowe zomwe zingathe kuwononga malo opangira opaleshoni.Zomwe zimapangidwira zimayikidwa mozungulira stoma chubu, kulola singano kuti ifike pamene idayambira. .Ikasefedwa, imakutira zopukutira zamapepala ngati thumba lansalu.Masoko aatali amasiyidwa kumapeto kuti agwire taut ya suture yolumikizira.malekezero a suture amakokedwa mozungulira chubu ndikumangirira pamodzi.Izi zidzapanga chisindikizo kuzungulira chubu.Tooling ingafunike kutembenuza m'mphepete kuti mupereke mucosal inversion ndi chisindikizo cholimba.Zingwe zachikwama zotchinga zimalola kuti zonse kapena zochepa. Zitha kukhala zoyenera makamaka kwa odwala okalamba chifukwa cha khungu lotayirira. Kukanika koperekedwa ndi sutures kumapititsa patsogolo khungu mozungulira kuchokera kuzungulira konse kwa bala, zomwe zimapangitsa kuchepa kwakukulu kwa chilema komanso kuchuluka kwa hemostasis. Mukawonanso mbiri yakale, kusintha kwaukadaulo, zabwino zake, komanso zovuta zomwe zingachitike chifukwa chazingwe zachikwama zachikwama, zikuwoneka kuti ndizothandiza pambuyo pochotsa khansa yapakhungu ya nonmelanoma komanso pambuyo pochotsa khansa yapakhungu. Kuphatikiza apo, njirayi ndiyothandiza kwambiri. kwa odwala omwe sangathe kusintha moyo wawo mkati mwa sabata imodzi atachitidwa opaleshoni, omwe akulandira ma anticoagulants, antiplatelet agents, kapena onse awiri, komanso kwa odwala omwe ali ndi vuto lalikulu pambuyo pa opaleshoni. zotsatira za nthawi yogwira ntchito pambuyo pa kutsekedwa pang'ono kapena kwathunthu ndi sutures ya thumba lachikwama.Chingwe cha thumba lachikwama chinayamba kufotokozedwa mu opaleshoni ya dermatological.Iyi ndi njira yosavuta yomwe ingagwiritsidwe ntchito kuchepetsa malo a chilonda chozungulira kuti achepetse zipsera.Kuti amalize kumanganso. ndikuyika kachikopa kakang'ono kachikopa, chilondacho chimadulidwa kuti chichepetse kutalika ndi mbali ya chilondacho.Kuphatikiza pa kuphatikizika kwa minofu yoyandikana nayo, zida zachikwama zachikwama zimagwiritsidwa ntchito.Ndi njirayi, zofooka zazikulu za nkhope zimatha kubisika kapena kuchepetsedwa. Suture ya Purse-string ikulimbikitsidwa ngati njira imodzi yotsekera zofooka zazing'ono kapena zazing'ono zapakhungu, makamaka pamene kutsekedwa kumbali ndi mbali sikuvomerezeka chifukwa cha kufooka kwa minofu yofooka. .Njirayi imapangidwira kuchepetsa kapena kuthetsa kukula kwa bala malingana ndi kuchuluka kwa kupsinjika ndi kukula kwa bala.Iyi ndi njira ya niche monga momwe thumba lachikwama lachikwama limapangitsa kuti khungu liwonongeke pang'ono (ndipo mwina kuthetsa pakapita nthawi), chomwe ndi chinthu chovomerezeka m'madera monga msana ndi kumbuyo, koma zochepa zodzikongoletsera Zabwino kwa madera ovuta monga nkhope. Zingayambitse kuwonongeka kwa chilonda.Komabe, pachifukwa ichi miyeso yayikulu ya suture imagwiritsidwa ntchito nthawi zambiri.