UKUSETSHENZISWA KWE-SUTURES EMUTHI WEZEMIDLALO
AMA-ANCHORS E-SUTURE
Okunye kokulimala okuvame kakhulu phakathi kwabasubathi ukuhlukaniswa okuyingxenye noma okuphelele kwemigqa, ama-tendon kanye / noma ezinye izicubu ezithambile ezivela emathanjeni abo ahlobene.Lokhu kulimala kwenzeka ngenxa yokucindezeleka ngokweqile okubekwe kulezi zicubu ezithambile.Ezimweni ezimbi kakhulu zokuhlukaniswa kwalezi zicubu ezithambile, kungase kudingeke ukuhlinzwa ukuze kuxhunywe kabusha lezi zicubu ezithambile emathanjeni azo ahlobene.Imishini eminingi yokulungisa iyatholakala okwamanje ukulungisa lezi zicubu ezithambile emathanjeni.
Izibonelo zihlanganisa ama-staples, izikulufu, amahange we-suture nama-tacks.
Ukulungiswa kwe-Suture Anchor kungenye yezinto ezintsha ezibaluleke kakhulu ekuhlinzeni kwe-arthroscopic.Ihange lokuqala le-suture kubikwa ukuthi lakhiwa eminyakeni engamashumi amathathu edlule.Kukhulunywa ngamahange we-suture enziwe ngefilakisi, i-hemp nezinwele ngu-Sushruta, uDokotela wasendulo wase-Indian Plastic Surgeon (AD c380-c450).Kusukela ngaleso sikhathi, amahange e-suture aye abhekana nokuguqulwa okuhlukahlukene ngokwemibandela yokuklama, izinto ezisetshenzisiwe, usayizi njll. Ama-Suture Anchors manje asesetshenziswa ngokwandayo ekuhlinzweni kokuhlinzwa kwezinyembezi ze-rotator cuff eziwugqinsi njengoba esiza ekulungiseni ngempumelelo izicubu ezithambile ethanjeni. .Izinzuzo ezingaba khona zihlanganisa ukuncipha kokulimala kwamathambo.
Ingxenye eyodwa ye-suture iboshelwe esicutshini esithambile kanti enye ekugcineni iboshelwe emshinini ogxilisa i-suture ethanjeni.
Amahange e-Suture akhiwe:
1. Ihange – isikulufu esiyikhonikhi njengezakhiwo, esishuthekwa ethanjeni futhi senziwe ngensimbi noma izinto ezibolayo.
2. Iso - Lena iluphu kuhange elixhumanisa ihange kumthungo.
3. I-Suture - Lena into ebolayo ephilayo noma engamuncwa exhunywe kwihange ngeso lesikhonkwane.
Amahange e-Suture ayatholakala ngemiklamo ehlukahlukene, osayizi, ukucushwa kanye nezinto ezisetshenziswayo.Izinhlobo ezimbili eziyinhloko zamahange e-Suture yilezi:
1. I-Bio-absorbable Sutures
Ngokujwayelekile isetshenziswa ezicutshini eziningi zangaphakathi zomzimba.Lezi zithunga zihlukaniswa zibe yizicubu ezinsukwini eziyishumi kuya emasontweni amane.Lezi zisetshenziswa ezimeni lapho isilonda siphola ngokushesha ngakho-ke akukho mfuneko yezinto zangaphandle ezisele ngaphakathi emzimbeni.Amahange we-suture amunca izinto ezikhethwayo zokulungisa njengoba anamathuba amancane okubangela izinkinga ngemva kokuhlinzwa.
Amahange e-Biodegradable suture manje asesetshenziswa ngokwandayo ezinkambisweni ezahlukahlukene emithini yezemidlalo.
2. Ama-Sutures angenakumuncwa
Kunezimo ezimbalwa, lapho ama-sutures angamunceki afaneleka kakhulu.Lezi zinhlobo ze-sutures azisetshenziswanga umzimba.Ezimeni ezifana nenhliziyo nemithambo yegazi edinga isikhathi esengeziwe ukuze ziphole, ukusetshenziswa kwama-sutures angamunceki kufanelekile.Kodwa-ke, ekuhlinzeni kwehlombe, izikhathi eziningi ezithandwayo yizikhonkwane ze-suture ezidonsayo njengoba ezingabambeki zinethuba lokubangela umphumela we-coconut scraper uma kwenzeka ukukhishwa kwe-implant kungaholela ekushintsheni okukhulu kwe-arthritic ngenxa yomphumela we-scraper ithambo.Izikhonkwane zensimbi, zePlastiki zohlobo lwe-suture zingalolu hlobo.
Izikhonkwane ze-Suture seziyithuluzi eliyigugu lodokotela abahlinzayo bamathambo.