chigadzirwa

Development ofunyanzvi hwakanakainoda ruzivo uye kunzwisisa kweane musoro mechanics anobatanidzwasuturing.

Paunenge uchitora kuruma kwenyama, tsono inofanira kusundirwa kuburikidza uchishandisa chete awrist action, kana zvikava zvakaoma kudarika nepakati, tsono isiriyo inogona kunge yakasarudzwa, kana tsono inogona kunge isina kujeka.

The tension of thesuture zvinhuinofanira kuchengetedzwa mukati mese kudzivirira slack sutures, uye chinhambwe chiri pakati pe sutures chinofanira kuenzana.

Kushandiswa kweimwe chaiyo suture patternzvinogona kusiyana zvichienderana nenzvimbo iri kusudururwa, kureba kwekuchekwa, tension pamutsetse we suture, uye kudiwa chaiko kweapposition, inversion,kanaeversionyematishu.

Suture maitiroinogona kukamurwa zvakafara sekuvhiringwa kana kuenderera mberi.

E. Tension Sutures

1. Yakakanganiswa Horizontal Metiresi Suture

• Tsono inopfuudzwa kubva kune rumwe rutivi rweronda kuenda kune rumwe (2–5 mmkure nemupendero weronda), wozodzokera kumashure paronda, uchisiya mukaha mupfupi (6–8 mm) pakati pekurumwa.
• Izvi zvinogadzira ahorizontal suturekumativi ose eronda.
• Knot rinozoiswa kuti ribatanidze suture material kudivi rekutanga.
• Suture iyiinonyanya kushandiswa kuderedza kushushikana.
• Kusarudzika kune everting suture pateni zvichienderana nekusimba kwekukanda.
• Inogonakudzipa ropa.

Usages

• Kuvharwa munzvimbo dzekunetsana kwakanyanya kana dzimwe nguva kushandiswa pakuvhara kweflat tendonskana tsandanyama nezvikepe zvishoma zvefasciapamicheto yeronda.

2. Yakapindirwa Vertical Mattress Suture

• Kuruma kunotorwa8–10 mmkure neronda uye opfuura kune annhambwe yakaenzanakure neronda kune rimwe divi.
• Iyo suture inobva yadzokororwa kumashure kweronda, asi panguva ino, kuruma kunotorwa kubva pakurumwa kwepakutanga.3–4 mmkure neronda,kugadzira suture yakatwasukakumativi ose.
• Knot rinozoiswa kuti ribatanidze suture material kudivi rekutanga.
• Iyi suture inoshanda zvakanyanya pakubvisa tension pane iyo horizontal metiresi.
• Inosarudzwa kune everting.
• Yakasimba mumatishu pasi pekunetsekanakupfuura horizontal metiresi.
• Kashoma kuvharira midziyo midiki pamupendero weronda.

Usages

• Kuvharwa munzvimbo dzekushushikana kwakanyanya (kureva mamwe mamiriro ekuvharwa kweganda).

3. Kure-Kure-Kure-Kure-Kure-Kure-Kure-Kure-Kure-Kure-Kure-Kure-Kure-Kure-Kure Suture Pattern

• Kusiyana kwemattresses.
• Inogona kupa tension inodiwakufungidzira kwerondapasina kukakavara kwakananga kumucheto weronda.

Usages

• Ganda, subcutaneous, uye fascial kuvharika pasi pekunetsekana.

4. Inopindirana Loop Suture

• Kuzvisimbisa suture 'inokiya' kuita tishu.
• Inseted1/3 chinhambwekubvatendon kumucheto, yakaenderera mberi netendon, yakayambuka gap, yakatenderedzwa nepamusoro pe tendon, uye yakapfuura kumashure 1/3 kubva kune yakatarisana kumucheto, yakasungwa uye yakasungwa.
• Mashoma akawanda insheathed tendons
• Kukiya kaviri kunoshandiswa pagastrocnemius tendon
• Yakanamatira kune calcaneus zvakakwanagomba gomba

Usages

• Tendon kugadzirisa.

5. Three Loop Pulley Suture

• Zvishwe zvitatu zve suture oriented120 madhigiriikune yakare loop.
• Inofanana nemhando yekure-pedyo yemhando asiinotenderera tendon 360º.
• Loop yekutanga ndeyepedyo-kure,inoteveramidway, wokupedzisira ndiyekure-pedyo.
• Higher tensile simbauye zvakanyanya kupikisa kuumbwa kwegap pane kukiya loop

Usages

• Tendon kugadzirisa.

F. Dzimwe Suture Patani

1. Chinese Finger Trap Suture Pattern

• Rudzi urwu rwe suture runoshandiswamachubhu akachengeteka(zvakadai semvura yechipfuva) panzvimbo yavo yekupinda mumuviri.
• Tension pachubhuinowedzera sezvo chubhu ichidhonzwa, nokudaro ichidzivirira kubviswa kwayo.
• Kuruma kunotorwa kune rimwe divi rehubhu uye asquare knotinoiswa kumativi echubhu.
• Thesuture zvinhuinodzoserwa kutenderedza chubhu uye pfundo rachiremba rinosungwa.
• Izvi zvinodzokororwa ka5-10 kutenderedza chubhu ichipera neimwe square knot.

Usages

• Machubhu akachengeteka(zvakadai semvura yechipfuva) panzvimbo yavo yekupinda mumuviri

Paneakawanda marudzi e suture mapataniiripo yekuvhara iyo incisions uye maronda anosangana zuva nezuva mukuita.Kusarudza rudzi rwakakodzera rwemuenzaniso kunokoshakuwana kwete chete zvisina kuomakupora ronda,asiwo zvakanakachitarisiko chekuzora.