Thaum nws los txog rau kev tswj lub qhov txhab, cov txheej txheem tsim nyog thiab tsim nyog yog qhov tseem ceeb rau kev ua tiav qhov txiaj ntsig zoo tshaj plaws. Suturing yog qhov tseem ceeb ntawm cov qhov txhab kho kom zoo, siv kom kaw qhov txhab, tiv thaiv kab mob, thiab xyuas kom meej li cov ntaub so ntswg kho kom raug. Cov twj paj nruag siv hauv cov txheej txheem no tau tsim tshwj xeeb rau cov txheej txheem suturing, txhua tus ua tshwj xeeb. Hauv tsab xov xwm no, peb yuav tshawb txog ntau cov lus qhuab qhia kev siv hauv qhov txhab, lawv cov haujlwm, thiab ua li cas lawv pab txhawb kom muaj kev kho mob zoo.
Dab tsi yog suturing?
Suturing yog cov txheej txheem ntawm stitching lossis stitching lub qhov txhab lossis phais kom siv rab koob thiab xov (suture). Nws yog ib feem tseem ceeb ntawm kev phais cov txheej txheem thiab kuj tseem siv hauv kev tiv thaiv kev tu cov tawv nqaij. Suturing txhawb nqa kev kho kom zoo dua, txo cov kev nyuaj, thiab tiv thaiv kev tiv thaiv kab mob los ntawm kev ua kom lub qhov txhab ua ke ua ke.
Vim li cas cov khoom siv dag zog tseem ceeb?
Qhov kev xaiv ntawmsuturing ntsuasMuaj peev xwm cuam tshuam ntau yam cuam tshuam txog qhov tshwm sim ntawm cov txheej txheem. Cov cuab yeej tsim nyog kom meej meej stitching, txo cov ntxaij kev mob siab, thiab ua kom cov txheej txheem kho kom zoo. Cov twj paj nruag no tsim rau ntau hom ntawm cov ntaub so ntswg, qhov chaw mob, thiab kev xav tau kev kho mob.
Cov Khaub Tawv Cov Hlau Plasters
TSEEM CEEB SUETURING SQUULTING SIV NYOB RAU HAUV KEV TSWJ
1. Rab koob uas tuav
Koob tuav tau cov khoom siv tshwj xeeb siv los tuav rab koob thaum lub sijhawm suturing. Cov twj siv no tuaj rau ntau qhov ntau thiab tsawg, nyob ntawm qhov mob ntawm lub qhov txhab thiab thaj chaw muaj sutured.
Hom ntawm rab koob tuav:
Mayo - nws rab koob
Cryles -} cov koob weadle nrog: ib qho kev siv meej dua, feem ntau siv rau kev ua haujlwm tsis huv.
Castroviejo rab koob qhuav nrog: siv hauv microsurergy thiab muag suturing uas precision yog qhov tseem ceeb.
Muaj nuj nqi: Cov tuav koob yog qhov tseem ceeb rau gripping suture rab koob ruaj ntseg yam tsis muaj kev puas tsuaj, tso cai rau tus kws phais mob kom ua tau tus tswj hwm.
2. Suture koob
Suture rab koob yog siv los nqa lub suture xov los ntawm daim ntaub. Lawv tuaj nyob rau hauv ntau yam duab, suav nrog ncaj, nkhaus, thiab rov qab- nkhaus, kom haum sib txawv ntawm cov qhov txhab sib txawv.
Hom Suture koob:
Kev txiav ib qho: Cov no muaj cov ntse ntse, zoo tagnrho rau cov ntaub so ntswg tawv li tawv nqaij.
Tapered koob: siv rau cov ntaub so ntswg muag uas lub ntsej muag ntse tuaj yeem ua rau muaj kev puas tsuaj ntau dua.
Rov qab txiav ORGH: Tsim cov ntaub so ntswg nruj dua, zoo li pob txha mos, muab ib qho kev kaw ruaj ntseg ntau dua.
Muaj nuj nqi: Koob duab Suture yog tsim los rau nkag mus rau cov ntaub so ntswg ua tau zoo thaum kev txo qis kev raug mob rau thaj chaw ib puag ncig.
3. Scalpels
Scalfels yog phais cov riam tau siv los ua kom haum kev phais lossis txiav hauv daim tawv nqaij lossis nqaij. Lawv feem ntau yog siv los qhib lub qhov txhab rau lub ntxig ntawm sutures.
Hom Scalpels:
Cov khoom siv ntawm lub taub hau: feem ntau yog ib qho -}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} Kev muaj menyuam tsis muaj menyuam.
Reusable Scalpels: hniav hniav sib luag uas tuaj yeem rov ua dua nrog cov hniav tshiab.
Muaj nuj nqi: Scalpels yog qhov tseem ceeb rau kev phais mob pib nkag mus rau thaj chaw lub qhov muag, tso cai rau tus kws phais neeg kom huv thiab ntsuas qhov kev raug mob ua ntej suturing.
4. Force
Lub zogYog gripping cov twj paj nruag siv los tuav cov ntaub so ntswg lossis plab hnyuv siab raum nyob rau hauv qhov chaw thaum phais. Lawv tseem tuaj yeem pab tswj tau thiab muab cov lus qhia thiab qhov nyuaj {{1}- mus txog thaj chaw.
Hom Foldps:
Adson Fortps: paub rau lawv qhov tseeb, feem ntau siv hauv cov nqaij mos ua haujlwm.
Debiney force: feem ntau siv rau cov ntaub so ntswg muag zoo li cov hlab ntsha.
Allis Kaus: Siv rau tuav cov ntaub so ntswg nrog cov qauv ruaj khov.
Muaj nuj nqi: Force muab cov kev tuav tsim nyog thiab precision los tuav cov ntaub so ntswg thiab kom lub suture tau muab tso kom raug.
5. Hemostats
Hemostats yog clamping twj siv los tswj kom ntshav thaum phais. Lawv feem ntau ua haujlwm los tuav cov hlab ntshav lossis cov ntaub so ntswg ua ke ib ntus thaum cov lus hais tau muab tso rau.
Hom hemostats:
Kelly Force: Loj dua Hemostats siv rau kev tswj cov hlab ntshav loj.
Yoov Tshaj Tawm Lub pob zeb: Cov pob zeb me me kom zoo tswj tau thaj chaw zoo nkauj.
Muaj nuj nqi: hemostats tsis txhob ntshav thaum phais, ua kom pom tseeb thiab tswj ib puag ncig rau suturing.
6. Txiab
Kev phais mob txiab yog siv los txiav cov sutures, ntaub so ntswg, lossis lwm cov ntaub ntawv thaum lub sijhawm kaw. Lawv tuaj hauv ntau hom, txhua tus tsim los ua haujlwm tshwj xeeb.
Hom Txiab:
Mayo txiab: siv rau kev txiav dej ntom ntom cov ntaub so ntswg zoo li fascia lossis cov leeg.
Mentzaum txiab: txiab txiab: cov txiab txiab siv rau kev txiav cov ntaub so ntswg uas tsis yog lossis rau dissection.
Suture Txiab: tshwj xeeb tsim los txiav cov suture xov kom huv.
Muaj nuj nqi: Txiab yog siv los txiav cov ntaub so ntswg thiab suture cov khoom nrog precision, muab cov npoo huv si thiab du rau lub qhov txhab kaw.
7. Cov tawv nqaij Staplers
Daim tawv nqaij staplersyog lwm txoj kev xaiv rau cov ib txwm suturing rau qhov txhab kaw. Lawv raug siv los ua kom ze rau kev kaw sai lossis ntev, tshwj xeeb tshaj yog thaum muaj xwm txheej ceev lossis muaj xwm txheej ceev.
Hom ntawm staplers tawv nqaij:
Phau Ntawv Staplers: Ua haujlwm ntawm tus kheej, zoo tagnrho rau me, tswj cov qhov txhab.
Tsis siv neeg Staplers: siv rau kev phais qhov loj dua qhov twg ceev yog qhov tseem ceeb heev.
Muaj nuj nqi: Cov tawv nqaij tawv tau nrawm dua li cov kev coj noj coj ua kom nrawm nrawm thaum txo kev pheej hmoo kis mob.
Yuav ua li cas xaiv cov cuab yeej yog?
Xaiv cov kev tsim nyog cov kev ua tau zoo yog qhov tseem ceeb rau kev tswj lub qhov txhab zoo. Xav txog:
Qhov txhab qhov chaw: qee cov cuab yeej ua tau zoo dua rau qee thaj chaw, xws li cov npliag meej ntsej muag vuturing tiv thaiv plab plab.
Cov nqaij mos: Hom nqaij yog sutured (piv txwv, tawv nqaij, leeg, lossis khoom noj) yuav dictate qhov kev xaiv ntawm cov twj paj nruag.
Tus txheej txheem nyuaj: Cov kev phais mob nyuaj yuav xav tau cov twj paj nruag tshwj xeeb, xws li cov rau microsurgery.
Tus kws phais neeg txoj kev nyiam: feem ntau muaj cov twj paj nruag nyiam raws lawv cov kev paub thiab cov tshwj xeeb ntawm cov txheej txheem.
Cov txiaj ntsig ntawm kev siv cov khoom siv yog txoj cai
Precision hauv kev kaw: Cov cuab yeej tsim nyog kom raug thiab siv tau zoo, txhawb kev kho kom zoo dua.
Txo qhov kev pheej hmoo ntawm tus kab mob: cov cuab yeej siv kom raug siv tau tsawg rau cov ntaub so ntswg, txo qis kev kis tus kab mob.
Kev them rov qab sai: cov cuab yeej siv tau zoo sutur txo cov scarring thiab txhim kho kev kho kom zoo tag nrho.
