Utyando lwamathambo lujolise ekubuyiseleni umsebenzi kunye nokunciphisa intlungu, kwaye enye inxalenye ebalulekileyo kukukhetha i-sutures esetyenziselwa ukulungisa izicubu. Phakathi kwezixhobo ezahlukeneyo ze-suture,i-polyester suturesziye zavela njengendlela ekhethwayo ngenxa yokuqina kwazo kunye nokusebenza okuthembekileyo kwiinkqubo ezinzima. Kweli nqaku, sihlola ukuba kutheni i-polyester sutures ithandwa kutyando lwamathambo, izibonelelo zabo eziphambili, kunye nendima yazo ekukhuthazeni ukuchacha kwesigulane.
Kutheni i-Suture Material ibalulekile kwi-Orthopedic Surgery
Ukukhetha imathiriyeli ye-suture efanelekileyo kubalulekile kuqhaqho lwamathambo kuba luchaphazela ngokuthe ngqo inkqubo yokuphilisa. Iinkqubo ze-Orthopedic zihlala zibandakanya ukulungisa i-ligaments, i-tendon, okanye izihlunu, ezifuna i-sutures enokumelana noxinzelelo olukhulu kunye noxinzelelo. Kule misebenzi enzima, i-polyester sutures inika amandla ayimfuneko kunye no-elasticity. Iimpawu zabo ezikhethekileyo zibenza ukuba bakhethe ngokufanelekileyo, ngakumbi kuqhaqho apho ukuxhaswa kwezicubu zexesha elide kubalulekile.
Ngokomzekelo, kwiimeko zokulungiswa kwe-rotator cuff, oogqirha botyando bakhetha ukusebenzisa i-polyester sutures ngenxa yamandla abo aqinileyo, anceda ukukhusela i-tendon kwithambo ngexesha lokuphulukisa. Oku kuqinisekisa ukulungiswa okuzinzile, ukunciphisa umngcipheko wokulimala kwakhona kunye nokukhuthaza ukubuyiswa ngokukhawuleza kwesigulane.
Izinto ezilungileyo eziphambili zePolyester Sutures kwi-Orthopedics
1. Amandla Okuqina aphezulu
I-polyester sutures iyaziwa ngokuba yizoamandla aphezulu, okwenza ukuba zilungele iinkqubo ezifuna ukuthungwa okuqinileyo kunye nokuzinzileyo. Ngokungafaniyo ne-absorbeble sutures ehlayo ngokuhamba kwexesha, i-polyester sutures inikezela ngenkxaso esisigxina kwizicubu ezilungisiweyo. Olu phawu lunenzuzo ngakumbi kwiindawo ezinoxinzelelo oluphezulu njengedolo okanye igxalaba, apho imigqa elungisiweyo kufuneka imelane nokunyakaza kunye nobunzima bomzimba.
Kwi-anterior cruciate ligament (ACL) reconstruction, umzekelo, i-polyester sutures idlala indima ebalulekileyo. Amandla ala ma-sutures anceda ukugcina ingqibelelo yokulungiswa kwe-graft, ukubonelela ukuzinza okufunekayo ekubuyiseleni okusebenzayo kunye nempumelelo yexesha elide.
2. Ukusabela kweTissue encinci
Enye inzuzo yokusebenzisai-polyester suture ye-orthopedicskukuhambelana kwayo. I-polyester sutures inomphezulu ogudileyo, ongafunxekiyo onciphisa ukusabela kweethishu. Oku kunciphisa umngcipheko wokuvuvukala kunye nokusuleleka, okuyiengxaki eziqhelekileyo kwiinkqubo zotyando.
Uphononongo olupapashwe kwiIjenali yoPhando lwamathambobafumanisa ukuba izigulane eziye zalungisa i-ligament zisebenzisa i-polyester sutures zafumana amazinga aphantsi okuvuvukala emva kokuhlinzwa xa kuthelekiswa nalabo bafumana i-sutures eyenziwe kwezinye izinto. Oku kugxininisa ukubaluleka kokukhetha i-sutures ekhuthaza indawo yokuphilisa engaphantsi.
3. Ukuguquguquka kokusetyenziswa
I-polyester sutures inezinto ezininzi kwaye inokusetyenziswa kwiintlobo ezahlukeneyo zotyando lwamathambo, ukusuka kwi-ligament kunye nokulungiswa kwe-tendon ukuya kwiindawo ezidibeneyo. Ukuqina kwabo kubenza bafaneleke zombini izicubu ezithambileyo kunye nokulungiswa kwamathambo. Ukongeza, ukuba bhetyebhetye kwabo kuvumela oogqirha botyando ukuba bafezekise amaqhina achanekileyo nakhuselekileyo, nakwimimandla yotyando elucelomngeni.
Ngokomzekelo, kwi-hip replacement surgeries, i-polyester sutures isetyenziselwa ukuvala izihlunu ezinzulu. Ukuguquguquka kwabo kunye namandla aqinisekisa ukuba izicubu ze-muscle zibanjwe ngokuqinileyo, zinciphisa amathuba okutshatyalaliswa kwenxeba kunye nokuxhasa ukuhamba ngokukhawuleza kwesigulane emva kokuhlinzwa.
Iimpembelelo zePolyester Sutures ekuBuyiselweni kwesigulana
Ukukhethwa kwezinto ze-suture kunempembelelo ngokuthe ngqo ekubuyiseleni isigulane. I-polyester sutures, kunye nokuqina kwazo kunye nokuchasana nokwelula, zibonelela ngenkxaso efunekayo kwizicubu ezilungisiweyo, ezibanceda ukuba baphilise ngokufanelekileyo. Oku kubalulekile ekugcineni uzinzo kunye nokusebenza ngokubambisana.
Kwizigulane, oku kuthetha ukunciphisa umngcipheko weengxaki kunye nexesha eliqikelelwayo lokubuyisela. Kwiinkqubo zokuhlinzwa zamathambo ezifana nokulungiswa kwe-tendon, apho inkqubo yokuphulukisa ingaba yinde, ukusetyenziswa kwe-sutures ephezulu efana ne-polyester ingenza umehluko omkhulu kwisiphumo. Ukulungiswa kwe-tendon exhaswa kakuhle kunokukhokelela ekuphuculeni amandla, ukunciphisa intlungu, kunye nokuvuselelwa ngokukhawuleza, okwenza izigulane zibuyele kwimisebenzi yazo eqhelekileyo ngokukhawuleza.
Isifundo: I-Polyester Sutures kwi-ACL Reconstruction
Umzekelo osebenzayo wokusebenza kwe-polyester sutures unokubonwa kwi-ACL yokuhlinzwa ngokutsha. Le nkqubo yenziwa ukulungisa i-ACL ekrazukileyo, ukulimala okuqhelekileyo phakathi kwabadlali. Utyando lubandakanya ukudibanisa i-tendon ukuze ithathe indawo ye-ligament eyonakeleyo, kwaye i-polyester sutures isetyenziselwa ukukhusela le graft endaweni.
Uphononongo lweklinikhi olubandakanya izigulane ezili-100 ezijongene nokwakhiwa ngokutsha kwe-ACL zafumanisa ukuba abo bafumana i-polyester sutures bafumana iingxaki ezimbalwa ezinxulumene ne-graft slippage. Ukongezelela, ezi zigulana zichaze izinga eliphezulu lokwaneliseka kunye namaxesha okubuyisela ngokukhawuleza xa kuthelekiswa nalabo babenezixhobo ezahlukeneyo ze-suture. Oku kubonisa indima ebalulekileyo i-polyester sutures edlalayo ekuqinisekiseni impumelelo yeenkqubo ze-orthopedic.
I-Polyester sutures ibonakalise ukuba sisixhobo esiyimfuneko kutyando lwamathambo ngenxa yamandla azo, ukuthembeka, kunye nokusabela okuncinci kwezicubu. Ukusetyenziswa kwabo kwiinkqubo ezifana nokulungiswa kwe-ligament kunye nokutshintshwa ngokubambisana kunegalelo elikhulu kwimpumelelo yonke yotyando kunye nokuphucula ukubuyiswa kwesigulane. Ngokubonelela ngenkxaso eqinile yokuphilisa izicubu, i-polyester sutures inceda ukunciphisa iingxaki, ukuphucula iziphumo zokuhlinzwa, kunye nokuququzelela ukubuyisela ngokukhawuleza.
Kubasebenzi bezempilo, ukuqonda indima yei-polyester suture ye-orthopedicskubalulekile ekwenzeni izigqibo ezizizo eziluncedo ngokuthe ngqo kunyamekelo lwesigulana. Njengoko uphando kunye nobuchwepheshe buqhubeka buqhubela phambili, ukusetyenziswa kwezinto eziphezulu ze-suture ezifana ne-polyester kunokwenzeka ukuba kuxhaphake ngakumbi, kuphuculwe ngakumbi iziphumo zotyando lwamathambo.
Isishwankathelo, ukukhethwa kwe-polyester sutures kunokutshintsha umdlalo kwiinkqubo zamathambo, ukunika isisombululo esithembekileyo esixhasa ukuphulukiswa okusebenzayo kunye nokubuyisela ixesha elide. Kwizigulane ezenza utyando lwamathambo, olu khetho lunokuthetha umehluko phakathi kokubuyisela kakuhle kunye nokuvuselela ixesha elide, kugxininisa ukubaluleka kokusebenzisa izinto ezifanelekileyo kwiziphumo zokuhlinzwa eziyimpumelelo.
Ixesha lokuposa: Nov-13-2024
