Taitara miro hāparapara, matotoru, te rahi

Tetahi toharite tangata kotahi ara ranei tetahi i roto i to ratou ra i te iti rawa kotahi fehangahangai ki whara nui ranei ngā mahi. I roto i te wā e rua, sutured tākuta kino ki te whakatere i te tukanga whakaora. Te miro hāparapara rerekē i te noa tino?

A, no te ahau hiahiatia tuinga

motu hohonu me patunga, pokanga puku, atu whara - te nuinga o te iwi tonu fehangahangai ki te meka e whai tatou ki tuitui ratou kakahu mo pai me te tere whakaora. Hoki te wa roa tenei raruraru, me te tauturu te mamae whai hua ko te fakafaingata'a'ia'anga matua ki te whanaketanga atu o te pokanga.

I roto i te aamu i reira kua maha ngā wā o te ara, me te heke o te ako. Hei tauira, i roto i te pokanga Roma i tahito ite whanaketanga inä, me ko ia kura gladiator te tākuta nei tukinotia te whawhai patunga i muri i mahi tutuki. I roto i te rongoā Anotau rite te katoa, kua hinga i roto i o manakohia, me te matauranga katoa o te mua kua wareware, ki te kia whakahokia i roto i te Renaissance, a ngā wā hou.

Kua ora maha ora e kore e kore he take i roto i te whakaora patunga, no te mea puta noa i te aamu tangata whakahaere tonu te whawhai, a i roto i te rangimarie miro hāparapara horomata. Te aha i haere mai i te reira e pā ana ki?

kōrero

he tokomaha makona nui o tohu e te ngā mahi tuatahi, tae atu ki tino matatini, kawea i roa i mua i te taeraa mai o taputapu motuhake, me te mōhiotanga hohonu o te anatomy tangata Pūtaiao kua.

Ko te tuatahi te whakamahi tuhia o te suture puta 2000 tau i mua i to tatou era. Mā te miro me te ngira i whakaora o tunga i whakaahuatia i roto i te pukapuka Hainamana i rongoa. I aua ra, papaki te kiri horsehair, uaua kararehe, muka miro, rakau, me te tahi atu tipu. I roto i te 175 BC, Galen i tuatahi whakahuatia catgut, i hanga nei e o kiko tūhonohono o kararehe. Ki te rau tau XX, ko whakaritea e ia te kotahi suture anake. Heoi, i roto i te 1924, whakaaro ia te rauemi, i huaina i muri nairona. Kei te whakaaro ia ki te miro waihanga tuatahi, e tika ana mō te korenga patunga. A iti i muri mai ka puta ia pareaku me nairona, i timata tata tonu ki te whakamahi i roto i te pokanga. I roto i te waenganui o tenei rau tau i whakaaro ai polypropylene me 70 - waihanga muka absorbable.

I te wa ano e rite ana te miro hāparapara momo me te ngira kiri he kāhuarau. Ki te kahore kihai i rerekē i te mua motuhake i ratou, i mati ratou, ka traumatized ratou kikokiko, ka muri hokona e ratou he āhua kōpiko hou, kua riro he mohio, me te maheni. Contemporary ngira atraumatic tuku i runga i to ratou mata microroughness silicone tonu.

suture Modern

Ko te pokanga o te rau tau XXI tono whenu o takenga rerekē me ngā āhuatanga. Ka taea e kia ratou e rua māori, me te waihanga. He hunga hoki e etahi wa i muri te mahi i runga i to ratou ake faaotiraa, ka whakakore i te hiahia hoki ratou. Ki te to ratou awhina, maha sutured te kopa ā, i hoki te mahi waho taea te tono, e hiahiatia ana e te ki te tango i muri. tangohia te whakatau whakamutunga e te tākuta, i ngā āhuatanga rānei, te āhua o te patunga me te huru o te manawanui. Ia mauruuru hoki te rahi o sutures hāparapara, te kōwhiri i te matotoru tika ki te tautoko i te kikokiko, engari e kore e ki te kino ia kotahi ano ratou.

whakaritenga

He he maha o ngā āhuatanga e kia whai miro hāparapara hou. i whakatakoto ēnei whakaritenga suture i roto i 1965. Heoi, he tonu ratou hāngai tenei ra:

• sterilization Easy;
• hypoallergenic;
• utu iti;
• inertness;
• kaha;
• ātete ki mate;
• resorbability;
• ringa rehe e mo tetahi kikokiko;
• ngäwari, noho noa o te ringa, e kore kakawaea mahara;
• kore o te mahi hiko;
• tika pae.

Modern, māori, me te waihanga suture hopoia whakatau te nuinga o enei whakaritenga. Nuinga o ngā wā ki te maimoatanga tika o ara nga tunga tino nui e taea te rongoa. A, no te mea o tenei pokanga ko ki angitu whakawhanake ake ki te rā, ka e kawea nga ngā mahi i roto i rua i te taumata moroiti, a maha ora whawhe uaua ki taua whekau nui rite te ngakau, me te roro, me tūroro i roto i te wa poto ngā.

matotoru

O te akoranga, mō te mano tau i te torutoru, kua pehia te miro hāparapara rerekētanga nui, me te kore e taea e kore rite e haere ki te mea i takoha ratou ki te whakamahi i te wā e mau taote.

I teie mahana, tākuta i te whānui ngohi o rauemi suture rerekē e tika ana mo te whānui o te kopa puta noa te tinana momo. Te nuinga mahinongofua mo te āhuatanga ke ko te matotoru o sutures hāparapara. pānga te reira i te kaha me te Weld ngaukino, me te i runga i, te marutanga whakaora wā.

E pā ana ki e rua tekau whenu e rerekē anake i roto i te matotoru. Ai rerekē nga uara i 0.01 ki te 0.9 mitamano. Ko te kupu, ko te tino tuatahi i roto i te raupapa o enei whenu kikokore atu i te makawe tangata ko e pā ana ki 8 ngā wā!

momo

I te tīmatanga tohatoha rua ngā momo o te suture:

• monofilament miro suture;
• multifilament, e, i roto i te tahuri, kia whiria ai te whiri ranei.

Ia o enei momo obadaet painga ake, drawbacks me peculiarities. Ko te kupu, he taua painga te monofilament:

1. Whakapati. E ai ki te hanganga o tenei momo, ko te iti ngaukino, te aperaa i atu toto.
2. Whakatākupe o te whawhe. Kei te maha whakamahia Monofilament mō sutures intradermal, no te mea e kore e piri te reira ki te kopa, a taea te ngāwari nekehia atu ki te tika.
3. Ko te ngaro o te pānga muka. takoto ana tēnei āhuatanga i roto i te meka e te pai wewete o nga muka ki tahi i te tahi e hanga e i waenganui i te moroiti-feāvaaki, e ki tonu ki nga tirotiro o te motu, te whakanui ake i te mōrea o te mate. A, no te reira he kahore monofilament ati taua.
4. Inertness. Ko iti irritating ki te kiri Monofilament miro, i te te whakamahi i iti tupono o whara mumura.

rauemi suture te kupu monofilametny me kua kotahi faana'oraa. He kaha āhua iti. Whakaritenga mō ngā ngangana hou e aha kia te maha mōkito o kōpuku - mukākā ratou te kikokiko, me te whakaora puhoi. Mai te monofilament he mata maheni, e pupuri ana i te reira e kore e tino pai waihanga uaua. A, no te whakamahi i tenei momo o te rauemi i ki kia whakamahia atu kōpuku ki te Weld pai ana tikanga.

Ki te whakapai ake kua pani nga āhuatanga o te kakawaea ki tito rerekē i roto i te tikanga ki te whakaiti i te tūponotanga o mate, ake i te whakapati me te biocompatibility. I tua atu, kei te mahi matou tonu i runga i muka hou, me ngā rauemi, na e kore e te taua pokanga tu tonu.

rauemi Catgut me cellulosic

Ka rite ki kua whakahuatia, te miro hāparapara, i takea nei i te punuatuna kararehe kīanga, ka tetahi o te tuatahi. I teie mahana, Ko nui atu tino atu i te aroaro o te hangarau o tona production, i reira te mea he rauemi suture ki Konqueror whakakikoruatia, te whakanui ake i te kaha me te resorption wā.

Ko te tonu tenei he momo tino hira o te miro, ahakoa te meka e ai tona whakamahi i roto i ētahi wā oku tatau ki te okana transplantation me meinga he whakautu ārai tika. Otiia catgut he tino, ki te ko te tui tika mo te roa, no te mea i muri i te 10 ra, e taea tareka ia te hawhe, me te 2 marama i muri mai tino whakangaromia e whai tona whakarite.

muka cellulose hanga poliniti i huaina oktselon me katselon. E hoki ratou he wā poto ngā o absorption, e hanga mahuinga ratou i roto i te mimi, kirihou me te pokanga pediatric. Heoi, E ratou he painga nui - e kore e whakakahoretia ano ia e te tinana kia rite ki te kiko ke.

Ko te toenga o te absorbable

Ētahi atu miro hāparapara he wā whakakorenga roa, i te mea pai i roto i te whānui, rei me te matepukupuku. polidiaksanon roa whakaaroaronga - i roto i tona ngaro oti e 6-7 marama.

Ko te painga o muka waihanga ko e whai wāhi ratou ki te whakaora marutanga atu tere, me te pokekore, te whakaiti i te mōrea o tetahi pōauautanga me inflammations. Ko Ko te aha i te tapatu i o catgut, te kimi analogues haumaru.

Silk me te nairona

E rua o enei momo - sutures hāparapara, tamataraa absorbable. I roto i te mahi, tenei te tikanga e ratou tango i te tinana e rave rahi tau. Silk Kua roa kua whakaaro te paerewa koura, obaladaya ringa rehe i roto i te tono. Heoi, e tika ana ki te meka i ona muka e o te take mai tūturu, he maha nga kaimono, me tona whakamahi matia me rapu utu atu te aro. Ko ko ia rawa rapa, roa, me te ngawari, me kua roaa tenei te aroha o Surgeons.

Ngaiaku miro Ko hoki maha ai he whakautu inflammatory. Otiia, Kei te maha whakamahia ai mō te suturing te iohere me i Ophthalmology.

nonabsorbable

miro hāparapara, me ka e kia nekehia atu e te ringa, rerekē hoki nui momo. E etahi o ratou āhuatanga whawhe pai, engari reactogenic. Ētahi atu e mangere me te mahaki, engari whakararuraru ki te whakamahi i me te whai i te kaha iti. Otiia, tata katoa o ratou e whakamahia whānuitia e rua i roto i te whānui me te i roto i te pokanga motuhake.

Wehewehe i te rōpū e whai ake nei:

• Polyolefins - prolene, polypropylene. Ahakoa te meka e tata kore e suppurate taua hononga, he rawakore rawatanga anō, ka kua ki te here i te rota o knots.
• Ngā pūhui - nairona, me te pareaku. Te nuinga whakamahia ki te tautoko i nga kopa takoki me ngā mahi endoscopic.
• Fluoropolymers. Ko te rōpū tino tino - i ngā āhuatanga whawhe pai, me te rawaka kaha. Aita e titauhia ia te maha nui o kōpuku.

Steel me Titanium

Kia ara te mea te reira ke, engari kei te whakamahia tonu te whakarewa i roto i te tapuraa i te puka o te waea miro-rite me te taiapa mo te mīhini motuhake. He drawback nui - te whara ki te kopa e karapoti ana. Otiia, i roto i ētahi wā i roto i te orthopedics me wheua pokanga ki te whakakapi i te whakarewa e kore e taea e tetahi mea.

Heoi i reira he he momo nui o sutures. E whakamahia ratou mō ngā take rerekē, a he mea nui, he aha tīpakohia miro mutunga hāparapara te. Ko te ingoa, o te akoranga, i reira he kahore tūranga, engari e nga wa katoa te tākuta ki pūkete maha ngā āhuatanga ka whakatau he aha te mea pai mo te manawanui.