Izinaliti zesikhwamaiqukethe izinaliti ezimbili zokuthunga kanye nentambo eyodwa yokuthunga.Ngobude bentambo yokuthunga, ihlukaniswe yaba izici ezimbili.Intambo yokuthunga iyinombolo 0 engamubiyo enobubanzi obungu-Φ0.350-Φ0.399mm. ingu-Φ0.90-Φ1.04mm;Impahla yenaliti ingu-12Cr18Ni9, kanti i-suture material yi-polyamide 6 noma i-polyamide 6/6. Umkhiqizo unikezwa oyinyumba, ukhishwa inzalo ngokufaka imisebe, futhi usetshenziswa kanye.
Ibanga lohlelo lokusebenza lwezokwelapha/ukusetshenziswa okuhlosiwe
Isetshenziswe ngokuhambisana ne-suture forceps, ifanele i-purse string ligation ku-anastomosis.
Kulula ukusebenza:isikhwama esakhelwe ngaphakathi nezinzipho zokulungisa,
elungele isikhwama se-suturing ephezulu noma ephansi;
Ukuqeda ukutheleleka okuphambene: ukusetshenziswa kanyekanye;
Ukonga isikhathi kanye nokonga umsebenzi:isikhwama semali sakhiwe ngokuzenzakalelayo kusiqeshana esisodwa.
Iminyango esebenzayo:
Ukuhlinzwa kweThoracic,
ukuhlinzwa kwesisu,
ukuhlinzwa okujwayelekile, ukuhlinzwa kwe-anorectal.
Ukuhlinzwa okusebenzayo:
I-Esophagectomy.
I-gastrectomy ephelele kanye nesamba esiphelele.
i-gastric stromal tumor resection.
Ukukhishwa kwekholoni kanye ne-rectal.
IZINDLELA ZE-PURSE-STRING SUTURING
Isuture ye-purse string suture iyi-suture egijimayo esetshenziswa njengentambo yokuhlehlisa ephaketheni ukuvala okungenayo okuzungeze i-lumen.Isibonelo;ingasetshenziswa ukumisa izimpande ze-appendage emathunjini.I-purse string suture iyindlela elula engasetshenziswa ukuze kuzuzwe izibazi ezincane nokunciphisa indawo yamanxeba ayindilinga.Le suture ifakwa ngaphambi kokufakwa kweshubhu "stomy". ,noma ingase isetshenziselwe ukunciphisa i-rectal prolapse noma ukuvala okwesikhashana i-anal sphincter ngaphambi kokuhlinzwa kwe-rectal.Ingase futhi isetshenziselwe ukuvala imbobo odongeni lwesifuba ngemva kokufakwa into yangaphandle njengenduku.Uma kufakwa ama-sutures ngemva kokubekwa kweshubhu, i-lumen ingase iphazamiseke.Ukubeka iphakethe lomthungo eduze kwe-anal sphincter kuvimbela ukudlula kwendle engangcolisa indawo yokuhlinza.Uchungechunge lwamashubhu lubekwe eduze kweshubhu le-stoma, okuvumela inaliti ukuthi ifinyelele lapho iqale khona. .Uma isihlungiwe, isonga amathawula ephepha njengesikhwama sendwangu.Imithungo emide ishiywa ekugcineni ukuze ibambe i-suture taut ukuze ihlanganise.iziphetho ze-suture zidonswa eduze kweshubhu futhi ziboshwe ndawonye.Lokhu kuzodala uphawu eduze kweshubhu.Ithuluzi lingadingeka ukuze uvule imiphetho ukuze unikeze ukuguquguquka kwe-mucosal nokuvala okuqinile.Izintambo zesikhwama sesikhwama zivumela okuphelele noma okuyingxenye. Ukuvalwa kokukhubazeka kwesikhumba esiyindilinga ngemva kokuhlinzwa.Kungase kulungele ikakhulukazi iziguli esezikhulile ngenxa yesikhumba esixegayo.Ukuqina okuhlinzekwa yizinsimbi kuthuthukisa isikhumba ngokulinganayo kuso sonke isiyingi sesilonda, okuholela ekuncipheni okukhulu kobukhulu besici kanye nokwanda kwe-hemostasis emaphethelweni enxeba.Lapho ubuyekeza umlando, izinguquko zobuchwepheshe, izinzuzo, kanye nezinkinga ezingaba khona ze-purse string suture; kubonakala kunenzuzo ngemva kokukhishwa kabusha komdlavuza wesikhumba we-nonmelanoma kanye nangemuva kokukhishwa kwe-melanoma yendawo. Ngaphezu kwalokho, le nqubo iwusizo ngokukhethekile. ezigulini ezingakwazi ukushintsha indlela yokuphila esebenzayo phakathi nesonto elilodwa lokuhlinzwa, ezithola ama-anticoagulant ahambisanayo, ama-antiplatelet agents, noma kokubili, kanye neziguli ezinokukhubazeka okukhulu kwangemva kokuhlinzwa. Ngaphandle kwalokho ukuxhunyelelwa kwesikhumba noma i-flap enkulu. imiphumela yokusebenza kwethemu ngemva kokuvalwa okuyingxenye noma okuphelele nge-suture yentambo yesikhwama.I-purse string suture yachazwa okokuqala ekuhlinzweni kwesikhumba.Lena yindlela elula engasetshenziswa ukunciphisa indawo engaphezulu yesilonda esiyindilinga ukuze kuncishiswe izibazi.Ukuqedela ukwakha kabusha bese ufaka i-graft encane yesikhumba, inxeba liyathungwa ukuze kuncishiswe ubude ne-lateral dimension yesilonda.Ngaphezu kokuxhunyelelwa kwezicubu eziseduze kwamazwe amabili, kwasetshenziswa izintambo zesikhwama semali.Ngale nqubo, ukungapheleli okukhulu kobuso kungafihlwa noma kuncishiswe.I-Purse-string suture inconywa njengenqubo eyodwa yokuvala unomphela ukukhubazeka kwesikhumba esincane kuya kwesiphakathi, ikakhulukazi uma ukuvalwa kwezinhlangothi kunganconywa ngenxa yokuxega kwezicubu ezibuthakathaka. .Le nqubo iklanyelwe ukunciphisa noma ukuqeda usayizi wesilonda kuye ngezinga lokushuba kanye nobukhulu besilonda.Lena iwuhlelo lwe-niche njengoba umphumela wesikhwama sesikhwama uvame ukudala ukushwabana kancane kwesikhumba esizungezile (futhi kungase xazulula ngokuhamba kwesikhathi), okuyisici esamukelekayo ezindaweni ezifana nengalo nomhlane, kodwa ngendlela engathandeki kakhulu Ilungele izindawo ezibucayi ezifana nobuso.Imvelo yesu iphakamisa ukuthi nganoma yisiphi isikhathi phakathi nenqubo yokuthunga,ukwenziwa buthaka kwesutures. kungaholela ekuwohlokeni kwesilonda.Nokho, ngenxa yalesi sizathu osayizi abakhulu bezinto ze-suture bavame ukusetshenziswa.
Isikhathi sokuthumela: Nov-28-2022
