Bioresorbable sutures: ke ano, i ka hoola ana i manawa

Ma kekahi mau hihia, e like me ka manawa eʻoki kino, e like me ma hope o ka hānau koi 'ia i ke kau o resorbable sutures. No keia kūikawā mea ua hoʻohana 'ia. Ua nuiʻano likeʻole o ka absorbable sutures. Ke kau ho'ōla o na eha hilinaʻi nui ma luna o na mea he nui aʻe. No laila, me bioresorbable sutures hoike mai?

I ka papa kuhikuhiEʻano likeʻole o nā stitches

No ka pane i kēia nīnau, e mea pono e möakäka hou ka mea i ka papa kuhikuhiEʻano likeʻole o na ami ma laila. IeAUPIIe, IAa IO, ia:

1. Kūloko. Oia na nakaka i superimposed ma luna o ka ino mai ana me mechanical hopena. No ka ai pili aku'aʻaʻa ma ka fracture pili i kekahi mauʻano o nā'aʻaʻa. Mau bioresorbable sutures hoola koke lawa. Ua pinepine pili i nā wāhine ma hope o ka nahunahu hanau o ka cervix. Ma keia hihia, anesthesia ua i koi 'ia, mai keia hapa o ka wahine devoid o ka pā lonoaʻili.
2. I waho. Ka mea, i ke kiolaia'ku i hoʻohana resorbable mea. Ma hope o haawi, e like me na nakaka ma wanaao ae paha i dissection o ka perineum, e like me ma hope oʻoki kino. Inā 'oe e hoʻohana i ka maʻamau mea, ka mea, ua koi' ia, e lawe aku ia i 5-7 lā ma hope oʻoki kino.

It O ke kumukuai o 'ana i kumumanaʻo i ka bioresorbable sutures ke hoola ma hope o kekahi mau pule. Ua pau hilinaʻi nui ma luna o keʻano o ka mea a kona haku mele 'ana.

He aha ka absorbable sutures

Bioresorbable sutures aneane mau ano. Ua Ua kākaʻikahi hoʻohana no ke hooeha hoolaʻoki lāʻau lapaʻau mea i mea hoʻopale i ka hydrolysis. Noonoo absorbable sutures, a lilo aku ko lakou ikaika ia manawa ma ka 60 hola. Mea hoʻoheheʻeʻia nā filaments like me ka hopena o ka waiū.

1. Nā'ūhū i nā makana i loko o nā nā'aʻaʻa o ke kanaka kino. Ma nā hua'ōlelo, na nā polokina i ka pāʻana a me ka hōʻeleu i ke Nine Inch reactions.
2. Wai. Kēia Nine Inch naoh ua kapaia hydrolysis. Ma keia pae e luku e ka wai, i mea i loaʻa i loko o ke kanaka kino.

Kemikala wicker polyglycolide ka pae "MedPGA"

Analogs iaʻoki lāʻau lapaʻau mea i "Safil", "Polisorb", "Vicryl".

Bioresorbable sutures ma hope oʻoki kino a ma hope o ka nahunahu hanau ke ano me nā huakaʻi "MedPGA". Uaʻoki lāʻau lapaʻau mea ua i ka nānā 'ana ma luna o poligidroksiatsetilovoyʻakika. Ma na kapa komo iā ia filaments o ka resorbable pīlali. Keia ua koi e ho'ēmi i a me ka poʻe hewa, capillarity, a hoi e emi i ka i oloʻia ia, kena ae la ia e hali ana i ka mea ma ka'aʻaʻa.

Pehea nui ka noonoo ana ka pae "MedPGA"

Bioresorbable sutures i i hoonoho ia ka hoʻohana 'ana i ka pae "MedPGA" undergo hydrolytic hoʻololi iho, a ua pololei lāʻau. Ua mea waiwai 'ana i kumumanaʻo i ua mea nei i lawa ka ikaika. Ma hope o 18 mau lā nā huakaʻi aua mai i 50% ikaika waiwai.

Piha omo oʻoki lāʻau lapaʻau mea ia lŘlŘ wale nō ma hope o 60-90 lā. Ke naoh o ke kino o nā'aʻaʻa e "MedPGA" ka pae Ua negligible.

Ua mea waiwai 'ana i kumumanaʻo ia ia keʻoki lāʻau lapaʻau mea ua hoʻomano hoʻohana no ka panina o nā mea a pau nā'aʻaʻa, koe wale no ka poe e noho ana ma lalo o hoʻopilikia, e like me ia no ka manawa lōʻihi, aole e hoola ia. Pinepine "MedPGA" ka pae hoʻohana ma thoracic a me ka abdominalʻoki kino, gynecology, urology, eaʻoki kino a me orthopedics. Naʻe, ka mea, aole ia e pili i ka ko mākou hopohopo a me ka mea'ōnaehana mānowai koko nā'aʻaʻa.

Kemikala wicker polyglycolide ka pae "MedPGA-R"

Analogs iaʻoki lāʻau lapaʻau mea i "Safil ola", "Vicryl Rapid".

"MedPGA-R" - he kemikala kālepa ma i ke kanaka ma muli o ke poligliglaktina-910. uhi iaʻoki lāʻau lapaʻau resorbable mea me ka pīlali. Kēia ho'ēmi i kā kū'ē i hooholo ia ana o ka huakaʻi ma ke kino'aʻaʻa, a me ho'ēmi i kā ka poʻe hewa, a me ka capillarity. Ma keiaʻoki lāʻau lapaʻau mea hiki ke hoopili bioresorbable sutures.

Pehea na absorbable suture "MedPGA-R"

"MedPGA-R" - mea i mea susceptible i hydrolytic decomposition. Mau kaula makalii e ikaika lawa. Mahope o elima mau lā hoopaa iho la o 50% o ko lākou ikaika waiwai. Piha omo ia lŘlŘ wale nō i loko o ka 40-50 lā. Ua mea waiwai 'ana i kumumanaʻo i ka'aʻaʻa naoh i kaʻoki lāʻau lapaʻau mea "MedPGA-P" Ua negligible. Eia hou, i ka pae mai mai i allergies.

Ua pili i kekahi mea no ka suture o ka mucous membranes,ʻili, palupalu'aʻaʻa, e like me ma ka wahi, i hiki ia oe Pono pōkole-makahiki kākoʻo mai o kaʻeha. Eia naʻe, he mau hewa. Na nā huakaʻi mea i hoʻohana 'ia ma luna o ka ko mākou hopohopo a me ka mea'ōnaehana mānowai koko'aʻaʻa.

Kemikala wicker polyglycolide ka pae "MedPGA-910"

Analogues o kaʻoki lāʻau lapaʻau mea i "Safil", "Polisorb", "Vicryl".

"MedPGA-910" mea he absorbable suture fabricated mai poligliglaktina-910. Keʻoki lāʻau lapaʻau mea ua pūʻia me ka kūikawā ka penaʻana i ho'ēmi i kā "i oloʻia" kanawai iloko o ka hooholo ia ana o mea ma ka'aʻaʻa, a emi capillarity a me ka poe hewa.

Hoʻouna 'resorption "MedPGA-910"

A i ka wa a ke kemu bioresorbable sutures, "MedPGA-910" superimposed meʻoki lāʻau lapaʻauʻia? Na nā huakaʻi i kiʻekiʻe ikaika. Eia naʻe, ka mea, ua i pili i ka hydrolytic hoʻololi iho. Ma hope o 18 mau lā kaʻoki lāʻau lapaʻau mea ke hoola mai i ka 75% ikaika waiwai ma hope o 21 lā - mai i ka 50% ma hope o 30 lā - mai i 25%, a ma hope o 70 mau lā ma laila mea i piha resorption o na filaments.

Kēia huahana ua hoʻohana 'ia no ka panina o ka pahee nā'aʻaʻa i mea ma lalo o hoʻopilikia ole, e like me ka pono me ka poe i hoola koke aku, ma ka ea, thoracic a me abdominalʻoki kino, gynecology, urology a me orthopedics. Oe hiki ole ke hoʻohana "MedPGA-910" no ka suturing ke aʻalolo a me ka mea'ōnaehana mānowai koko'aʻaʻa.

Monononit "PDO"

Analogues iaʻoki lāʻau lapaʻau mea i ole pela nui. Kēia "Biosyns" like hoʻi me PDS II. Oia filaments i wehewehe aku e kiʻekiʻe liluwelo anakahi inetrtnosti, nefitilny a me noncapillary, hydrophobic, mai iki i ka'aʻaʻa i hooholo therethrough, resilient, loa ai ka ikaika, pono-knitted a paa mai ia wahi.

Pehea nui hoʻonā ai i ka monofilament

Monofilament "PDO" susceptible i ka hydrolysis. E like me ka hopena o kēia kaʻina hua digidroksietoksiuksusnayaʻakika, oo excretes. 2 pule ma hope o kaʻoki lāʻau lapaʻau suture mea i hoopaa mai ai i ka 75% ikaika. Piha noho male 'ia lŘlŘ i loko o nā huakaʻi 180-210 lā.

Me ka pili ana i ka noi, keʻoki lāʻau lapaʻau nā "PDO 'ua hoʻohana' ia no suturing a me ka pahee'aʻaʻa pili 'o Randy o kekahi' ano, a me no keʻa-e kuhikuhi ana mea'ōnaehana mānowai koko keiki ka kino nā'aʻaʻa, i mea malama i ka ulu hou. Eia naʻe, he mau hewa. Monofilaments mea,ʻaʻole e pono no ka suturing'aʻaʻa,ʻeha e noi ana kākoʻo no i ke 6 pule, like hoʻi me ka poʻe i i ke kanaka me ke kiʻekiʻe wahie. Oe hiki ole pili i ka suture ka wā a hāpai implants,ʻimi hoʻopunipuni naʻau kiwikā, e like me kemikala vascular prostheses.

No laila, pehea ka nui o e e absorbable sutures?

Next, nānā i nā mea a pau i ka mea kūpono i ka bioresorbable sutures ma hope o ka hanau ana, i ka wa a ke kemu, ina paha e malama. Mai poina i nui aʻe aloha ia i ka manawa o ke hooeha e olaʻi, a me ka piha nalowale ana o na filaments. Mua o nā mea a pau e pono ai, e ike, mai ka mea iʻoki lāʻau lapaʻau mea. Ma ka hapanui o na hihia, o ka pae hoʻomaka e hoike mai 7-14 lā ma hope o suturing. E hōʻeleu i ke kaʻina hana, ma hope o ka hoola ana o ka eha pūnaewele ke wehe i nodules. E hoʻoholo i ka wā o ke omo o ka pae e e möakäka hou ia e ke kauka.

1. He aha stitches lakou.
2. He ahaʻia i hua kālepa.
3. Maikaʻi loa noho male 'manawa o ka suture.

I ka pau ana o

Bioresorbable nā huakaʻi i pinepine hoʻohana no ka suturing eha ma ka pae'ōnaehana, a i aia i loko o kaʻoi papa o ka'aʻaʻa, e like me ia ma ka ili ili honua. No ka laʻana, ma ka hui, transplants.

ʻO iaʻoki lāʻau lapaʻau mea hoʻohana no ka suturing eha a me fractures loaa i hānau. Ma keia hihia, he puu o ka haʻawina i ua hana. Lākou i nā hualoaʻa hōʻike i ka suture i o polyglycolicʻakika, pau loa ke kino i loko o pono eha mahina, a me ka mea ma luna o ke kumu o ka polyglactin - ekolu. Penei bioresorbable sutures, e hoopaa i kaʻeha kihi mamua e ke hoʻokō 'hoola, a laila, i nā olalo e uhai ia. Inā ka pae no ka lōʻihi manawa e ola, a hoopakele mai ia discomfort, oe e imi kōkua mai i ka surgeon a hele kauka.