Opaleshoni ya mafupa cholinga chake ndi kubwezeretsa ntchito ndi kuthetsa ululu, ndipo gawo limodzi lovuta ndilo kusankha kwa sutures zomwe zimagwiritsidwa ntchito kukonzanso minofu. Mwa mitundu yosiyanasiyana ya suture,polyester sutureszawonekera ngati njira yokondedwa chifukwa cha kukhalitsa kwawo ndi ntchito yodalirika muzochitika zovuta. M'nkhaniyi, tikufufuza chifukwa chake ma polyester sutures amayamikiridwa pa opaleshoni ya mafupa, ubwino wawo waukulu, ndi udindo wawo polimbikitsa kuchira bwino kwa odwala.
Chifukwa Chake Suture Material Imafunika Pa Opaleshoni Yamafupa
Kusankha suture yoyenera ndikofunikira pa opaleshoni ya mafupa chifukwa imakhudza mwachindunji machiritso. Njira zamafupa nthawi zambiri zimaphatikizapo kukonza mitsempha, tendon, kapena minofu, yomwe imafunikira ma sutures omwe amatha kupirira kupsinjika kwakukulu ndi kupsinjika. Pantchito zovutazi, ma polyester sutures amapereka mphamvu zofunikira komanso kukhazikika. Makhalidwe awo apadera amawapangitsa kukhala chisankho choyenera, makamaka pa maopaleshoni omwe kuthandizira kwa minofu kwa nthawi yayitali ndikofunikira.
Mwachitsanzo, pokonza ma rotator cuff, madokotala ochita opaleshoni amakonda kugwiritsa ntchito ma polyester sutures chifukwa cha mphamvu zawo zolimba, zomwe zimathandiza kuteteza tendon ku fupa panthawi yochira. Izi zimatsimikizira kukonzanso kokhazikika, kuchepetsa chiopsezo cha kuvulazidwanso ndikulimbikitsa kuchira msanga kwa wodwalayo.
Ubwino waukulu wa Polyester Sutures mu Orthopedics
1. Kuthamanga Kwambiri Mphamvu
Ma sutures a polyester amadziwika ndi awomkulu wamakokedwe mphamvu, kuwapanga kukhala oyenera njira zomwe zimafuna kusoka mwamphamvu komanso kolimba. Mosiyana ndi ma sutures omwe amawonongeka pakapita nthawi, ma sutures a polyester amapereka chithandizo chokhazikika ku minofu yokonzedwa. Chikhalidwechi chimakhala chopindulitsa makamaka m'madera opanikizika kwambiri monga bondo kapena phewa, kumene mitsempha yokonzedwayo imayenera kupirira kuyenda ndi kulemera kwa thupi.
Pomanganso anterior cruciate ligament (ACL), mwachitsanzo, ma polyester sutures amagwira ntchito yofunikira. Mphamvu za sutures izi zimathandiza kusunga umphumphu wa kukhazikitsidwa kwa graft, kupereka kukhazikika kofunikira pa kukonzanso bwino ndi kupambana kwa nthawi yaitali.
2. Maonekedwe Ochepa a Tissue
Ubwino wina wogwiritsa ntchitopolyester suture kwa orthopedicsndi biocompatibility yake. Ma polyester sutures ali ndi malo osalala, osasunthika omwe amachepetsa kukhudzidwa kwa minofu. Izi zimachepetsa chiopsezo cha kutupa ndi matenda, zomwe zimakhala zovuta kwambiri pochita opaleshoni.
Kafukufuku wofalitsidwa muJournal of Orthopedic Researchadapeza kuti odwala omwe adakonzanso ligament pogwiritsa ntchito polyester sutures adakumana ndi kuchepa kwa kutupa pambuyo pa opaleshoni poyerekeza ndi omwe adalandira ma sutures opangidwa kuchokera ku zipangizo zina. Izi zikuwonetsa kufunikira kosankha ma sutures omwe amalimbikitsa malo ochiritsira ochepa.
3. Kusinthasintha Kogwiritsidwa Ntchito
Ma polyester sutures ndi osinthasintha ndipo angagwiritsidwe ntchito pa maopaleshoni osiyanasiyana a mafupa, kuyambira kukonzanso ligament ndi tendon kupita kumalo olowa m'malo. Kukhazikika kwawo kumawapangitsa kukhala oyenera ku minofu yofewa komanso kukonza mafupa. Kuonjezera apo, kusinthasintha kwawo kumathandiza madokotala kuti athe kupeza mfundo zolondola komanso zotetezeka, ngakhale m'ma opaleshoni ovuta.
Mwachitsanzo, pochita maopaleshoni obwezeretsa chiuno, ma polyester sutures amagwiritsidwa ntchito kutseka zigawo zakuya za minofu. Kusinthasintha kwawo ndi mphamvu zawo zimatsimikizira kuti minofu ya minofu imagwiridwa pamodzi mwamphamvu, kuchepetsa mwayi wa kuwonongeka kwa chilonda ndikuthandizira kuyenda mofulumira kwa odwala pambuyo pa opaleshoni.
Zotsatira za Polyester Sutures pa Kuchira kwa Odwala
Kusankhidwa kwa zinthu za suture kumakhudza mwachindunji kuchira kwa odwala. Ma polyester sutures, ndi kulimba kwawo komanso kukana kutambasula, amapereka chithandizo chofunikira cha minofu yokonzedwa, kuwathandiza kuchira moyenera. Izi ndizofunikira kuti mafupa azikhala okhazikika komanso magwiridwe antchito.
Kwa odwala, izi zikutanthauza kuchepa kwachiwopsezo chazovuta komanso nthawi yodziwikiratu yochira. M'maopaleshoni a mafupa monga kukonzanso kwa tendon, kumene machiritso amatha kukhala aatali, kugwiritsa ntchito ma sutures apamwamba monga polyester amatha kusintha kwambiri zotsatira zake. Kukonzekera kwa tendon kothandizidwa bwino kungapangitse mphamvu zowonjezera, kuchepetsa ululu, ndi kukonzanso mwamsanga, zomwe zimathandiza odwala kubwerera kuntchito zawo mwamsanga.
Nkhani Yophunzira: Polyester Sutures mu ACL Reconstruction
Chitsanzo chothandiza cha mphamvu ya polyester sutures chikhoza kuwonedwa mu maopaleshoni omanganso a ACL. Njirayi imapangidwira kukonza ACL yong'ambika, kuvulala kofala pakati pa othamanga. Opaleshoniyi imaphatikizapo kulumikiza tendon kuti ilowe m'malo mwa ligament yomwe yawonongeka, ndipo ma polyester sutures amagwiritsidwa ntchito kuti asungidwe m'malo mwake.
Kafukufuku wachipatala wokhudza odwala 100 omwe amamangidwanso ndi ACL adapeza kuti omwe adalandira ma polyester sutures adakumana ndi zovuta zochepa zokhudzana ndi kutsetsereka kwa graft. Kuphatikiza apo, odwalawa adanenanso za kukhutitsidwa kwakukulu komanso nthawi yochira mwachangu poyerekeza ndi omwe anali ndi zida zosiyanasiyana za suture. Izi zikuwonetsa ntchito yofunika kwambiri yomwe ma polyester sutures amachita powonetsetsa kuti njira zamafupa zikuyenda bwino.
Ma polyester sutures atsimikizira kuti ndi chida chofunikira kwambiri pa opaleshoni ya mafupa chifukwa cha mphamvu zawo, kudalirika, komanso kachitidwe kakang'ono ka minofu. Kugwiritsiridwa ntchito kwawo muzochita monga kukonza ligament ndi malo olowa m'malo kumathandizira kwambiri kuti opaleshoniyo apambane ndikuwonjezera kuchira kwa odwala. Popereka chithandizo champhamvu pamatenda ochiritsa, ma polyester sutures amathandizira kuchepetsa zovuta, kukonza zotulukapo za opaleshoni, ndikuthandizira kukonzanso mwachangu.
Kwa akatswiri azaumoyo, kumvetsetsa udindo wapolyester suture kwa orthopedicsn'kofunika kwambiri popanga zosankha mwanzeru zomwe zimapindulitsa mwachindunji chisamaliro cha odwala. Pamene kafukufuku ndi luso lamakono likupita patsogolo, kugwiritsa ntchito zipangizo zapamwamba za suture monga polyester zikhoza kuchulukitsidwa kwambiri, kupititsa patsogolo zotsatira za maopaleshoni a mafupa.
Mwachidule, kusankhidwa kwa polyester sutures kungakhale kusintha kwa masewera mu njira za mafupa, kupereka njira yodalirika yomwe imathandizira machiritso ogwira ntchito komanso kuchira kwa nthawi yaitali. Kwa odwala omwe akuchitidwa opaleshoni ya mafupa, kusankha kumeneku kungatanthauze kusiyana pakati pa kuchira bwino ndi kukonzanso kwa nthawi yaitali, kutsindika kufunika kogwiritsa ntchito zipangizo zoyenera kuti zitheke bwino opaleshoni.
Nthawi yotumiza: Nov-13-2024