Nyob hauv lawv txoj haujlwm, cov kws phais siv phais phais, muaj ntau hom, qhov no yog ib txoj hauv kev siv los txuas cov ntaub so ntswg: cov phab ntsa ntawm cov kabmob sab hauv, qhov txhab, thiab lwm yam. Lawv kuj pab kom tsis txhob los ntshav, ntws cov kua tsib, ua tsaug rau cov khoom siv suture.
Tsis ntev los no, lub hauv paus ntsiab lus tseem ceeb ntawm kev tsim txhua hom suture yog xav kom ceev faj tus cwj pwm rau txhua ntug ntawm qhov txhab, tsis hais nws hom. Lub suture yuav tsum tau thov kom cov npoo ntawm lub qhov txhab thiab txhua txheej ntawm cov khoom nruab nrog cev uas yuav tsum tau suturing yog raws nraim matched. Niaj hnub no, cov ntsiab cai no tau sau ua ke los ua qhov tseeb.
Raws li cov cuab yeej siv los tsim cov seam, nrog rau cov txheej txheem kev ua tiav, ob hom tuaj yeem paub qhov txawv: phau ntawv qhia thiab tshuab xaws. Rau phau ntawv suturing, zoo tib yam thiab raug mob koob, koob tuav, tweezers thiab lwm yam khoom siv. Absorbable sutures ntawm hluavtaws los yog biological keeb kwm, hlau hlau los yog lwm yam ntaub ntawv yuav raug xaiv rau suturing.
Ib lub tshuab xaws yog siv nrog lub cuab yeej tshwj xeeb, qhov twgsiv hlau staples.
Thaum lub sijhawm stitching ntawm qhov txhab thiab tsim cov anastomoses, tus kws kho mob tuaj yeem ua ob qho tib si hauv ib kab - ib kab, thiab hauv txheej - hauv ob lossis plaub kab. Nrog rau qhov tseeb tias cov sutures txuas cov npoo ntawm lub qhov txhab ua ke, lawv kuj zoo heev ntawm kev tso ntshav. Tab sis hom sutures muaj nyob niaj hnub no?
Kev faib tawm ntawm kev phais phais
Raws li peb tau hais lawm, seams tuaj yeem yog phau ntawv thiab siv tshuab, tab sis muaj ob peb chav kawm ntxiv ntawm lawv qhov kev sib cais:
- raws li cov txheej txheem ntawm lawv qhov kev txiav txim, lawv yog cov nodal, thiab txuas ntxiv;
- yog tias koj faib lawv los ntawm cov duab - yooj yim, nodal, hauv cov duab ntawm tsab ntawv P lossis Z, hnab nyiaj-txoj hlua, 8-zoo li;
- raws li lawv txoj haujlwm, lawv tuaj yeem muab faib ua hemostatic thiab ntsia hlau-hauv;
- los ntawm cov kab - ntawm ib mus rau plaub;
- raws li lub sijhawm nyob hauv cov ntaub - tshem tau thiab tso rau hauv, thawj kis, cov seams raug tshem tawm tom qab lub sijhawm, thiab qhov thib ob lawv nyob hauv tib neeg lub cev mus ib txhis.
Nws tseem tsim nyog hais tias kev phais phais, lawv hom tau muab faib raws li cov khoom siv: lawv tuaj yeem nqus tau yog tias siv catgut - qhov no yog hom kab mob lom thiab vicryl, dexon - cov no yog hluavtaws. Erupting mus rau hauv lub lumen ntawm lub cev - hom suture yog superimposed nyob rau hauv hollow lub cev. Permanent - cov no yog hom sutures uas tsis raug tshem tawm, lawv nyob hauv lub cev mus ib txhis thiab nyob ib puag ncig los ntawm cov ntaub so ntswg capsule.
hom raw khoom rau suturing
Suture khoom suav nrog ntau yam ntaub ntawv siv rau ligationcov hlab ntsha nrog phais sutures. Cov khoom siv rau suturing cov ntaub so ntswg thiab daim tawv nqaij tau hloov pauv txhua xyoo, nyob ntawm seb qhov kev phais tau tsim li cas. Dab tsi kws phais neeg tsis tau siv txhawm rau txuas cov ntaub so ntswg ntawm lub cev thiab daim tawv nqaij:
- mammalian tendons;
- ntses tawv nqaij;
- filaments tau los ntawm nas tails;
- ntsej kawg ntawm cov tsiaj;
- cov plaub hau coj los ntawm nees 'manes;
- -Umbilical qaum ntawm tus neeg yug tshiab tshiab;
- strips los ntawm nkoj;
- hemp lossis txiv maj phaub fibers;
- rubber tree.
Tab sis, ua tsaug rau kev txhim kho niaj hnub no, cov xov hluavtaws tam sim no tau nrov. Tseem muaj rooj plaub uas siv tau hlau.
Cov kev cai tshwj xeeb siv rau txhua yam khoom siv suture:
- siab zog;
- tiaj tus;
- elasticity;
- moderate stretch;
- khau khiab ntawm cov ntaub.
Tab sis ib qho tseem ceeb uas siv rau cov khoom siv suture yog kev sib raug zoo nrog cov ntaub so ntswg ntawm tib neeg lub cev. Tam sim no paub cov ntaub ntawv siv rau seams muaj antigenic thiab reactogenic zog. Tsis muaj hom tsiaj kiag li rau cov yam ntxwv no, tab sis lawv qhov kev qhia yuav tsum tsawg kawg.
Nws tseem ceeb heev uas cov suture yog sterilizable thiab khaws cia ntev li ntev tau, thaum tuav nws cov yam ntxwv tseem ceeb.pib. Cov xov suture yuav muaj ib los yog ntau fibers uas txuas ua ke los ntawm twisting, knitting los yog weaving, thiab kom ib tug du nto, lawv yog coated nrog wax, silicone los yog Teflon.
Resorbable thiab non-absorbable hom suture yog tam sim no siv nyob rau hauv kev phais. Kev faib tawm ntawm kev phais sutures, feem ntau ntawm nws suav nrog kev siv cov sutures absorbable - catgut, uas yog tsim los ntawm cov leeg nqaij ntawm cov hnyuv me ntawm yaj, thiab cov txheej submucosal kuj tuaj yeem siv los tsim nws. Niaj hnub no muaj 13 qhov ntau thiab tsawg ntawm catgut, uas txawv ntawm txoj kab uas hla.
Lub zog ntawm cov khoom siv seam nce nrog qhov loj me. Yog li, piv txwv li, lub zog ntawm peb-zero hom yog hais txog 1400 g, tab sis qhov thib rau loj yog 11500 g. Hom xov no tuaj yeem yaj ntawm 7 mus rau 30 hnub.
Los ntawm cov khoom siv tsis tuaj yeem nqus tau hauv kev phais, cov xov ntawm cov ntaub lo lo ntxhuav, paj rwb, linen thiab horsehair yog siv.
Nyob ntawm seams
Thaum suturing ntawm daim tawv nqaij, tus kws kho mob yuav tsum ua tib zoo saib seb qhov qhov txhab tob npaum li cas yog txiav los yog torn, nws ntev thiab ntev npaum li cas nws cov npoo tau diverged. Qhov chaw ntawm qhov txhab kuj raug coj mus rau hauv tus account. Qhov nrov tshaj plaws hauv kev phais yog xws li phais sutures, cov duab hauv kab lus yuav qhia tias lawv zoo li cas:
- subcutaneous nruam;
- subcutaneous nodules;
- cutaneous nodules;
- txuas ntxiv ntau kab thov hauv daim tawv nqaij;
- txuas ntxiv rau hauv ib kab, siv rau hauv daim tawv nqaij.
Qhov no yuav pab koj nkag siab qhov kev phais phais twg feem ntau yog siv thaum suturing qhov txhab sab nraud.
Nruam intradermal hom
Nws tau siv tsis ntev los no feem ntau, muab cov txiaj ntsig zoo nkauj zoo nkauj. Nws lub ntsiab kom zoo dua yog nyob rau hauv qhov zoo heev adaptation ntawm lub qhov txhab npoo, zoo heev cosmetic nyhuv thiab tsawg heev cuam tshuam microcirculation thaum piv nrog rau lwm hom sutures. Cov xov rau stitching yog nqa tawm nyob rau hauv txheej ntawm lub dav hlau tiag tiag ntawm daim tawv nqaij thaum uas tig mus rau nws. Txawm li cas los xij, kom yooj yim threading, nws yog qhov zoo dua los siv cov khoom siv monofilament.
Tom qab thawj qhov kev kho mob ntawm cov qhov txhab tau ua tiav, ntau hom sutures tuaj yeem xaiv, tab sis feem ntau cov kws kho mob nyiam cov khoom siv suture: biosin, monocryl, polysorb, dexon thiab lwm yam. Thiab los ntawm cov xov uas tsis yaj, monofilament polyamide los yog polypropylene yog zoo meej.
Knotted plooj
Nov yog lwm yam uas nyiam tshaj plaws ntawm cov seam sab nraud. Thaum tsim nws, daim tawv nqaij yog qhov zoo tshaj plaws pierced nrog ib rab koob txiav. Yog tias koj siv nws, ces qhov puncture zoo li daim duab peb sab, lub hauv paus ntawm uas yog coj mus rau lub qhov txhab. Qhov zoo li no ntawm cov puncture tso cai rau koj kom ruaj ntseg tuav cov ntaub ntawv suture. Lub koob yog muab tso rau hauv lub epithelial txheej kom ze li sai tau rau ntawm ntug qhov txhab, retreating tsuas yog 4 hli, tom qab uas nws yog nqa tawm obliquely nyob rau hauv cov ntaub so ntswg subcutaneous, thaum me ntsis txav deb ntawm ntug, kom deb li deb li sai tau.
Tom qab mus txogib theem nrog rau ntawm ntug ntawm lub qhov txhab, rab koob yog tig mus rau hauv nruab nrab thiab txhaj rau hauv qhov tob tshaj plaws ntawm qhov txhab. Lub koob nyob rau hauv cov ntaub ntawv no dhau nruj me ntsis symmetrically rau hauv cov ntaub so ntswg ntawm lwm sab ntawm lub qhov txhab, tsuas yog nyob rau hauv cov ntaub ntawv no tus nqi ntawm cov ntaub so ntswg yuav poob rau hauv lub suture.
Kab rov tav thiab ntsug suture
Hom kev phais thiab pob qhov rooj yog xaiv los ntawm tus kws phais mob nyob ntawm qhov mob ntawm qhov txhab, yog tias muaj teeb meem me ntsis hauv kev sib piv cov npoo ntawm lub qhov txhab, nws raug nquahu kom siv cov kab rov tav U-puab daim ntaub pua tsev suture. Yog hais tias ib tug nodal thawj phais suture yog siv rau ib tug sib sib zog nqus qhov txhab, ces nyob rau hauv cov ntaub ntawv no ib tug residual kab noj hniav yuav tsum tau sab laug. Nws tuaj yeem sau ib yam dab tsi uas sib cais los ntawm qhov txhab thiab ua rau suppuration. Qhov no tuaj yeem zam tau los ntawm kev siv lub seam hauv ntau lub plag tsev. Hom kev suturing no yog ua tau nrog ob qho tib si nodal thiab nruam hom.
Tsis tas li ntawd, ib qho Donatti suture (ntsug txaj suture) feem ntau yog siv. Hauv nws qhov kev siv, thawj puncture yog nqa tawm 2 cm ntawm ntug ntawm lub qhov txhab. Lub puncture yog ua rau sab nraud thiab ntawm tib qhov deb. Thaum lub sij hawm txhaj tshuaj thiab txhaj tshuaj tom ntej, qhov kev ncua deb ntawm lub qhov txhab yog 0.5 cm, cov xov yog khi tsuas yog tom qab tag nrho cov sutures tau siv, yog li, manipulations nyob rau hauv qhov tob heev ntawm lub qhov txhab yuav pab tau yooj yim. Kev siv Donatti suture ua rau nws muaj peev xwm suture qhov txhab nrog loj diastasis.
Yuav kom tau txais txiaj ntsig zoo nkauj, hauv txhua txoj haujlwm, kev kho mob thawj zaug ntawm qhov txhab yuav tsum tau ua tib zoo ua, cov hom sutures raug xaiv kom raug. Yog tsis carephim cov npoo ntawm qhov txhab, yog li ntawd qhov no yuav ua rau lub caws pliav ntxhib. Yog tias koj siv zog ntau dhau thaum zawm thawj pob, ces cov kab txaij tsis zoo yuav tshwm sim, nyob ntawm tag nrho qhov ntev ntawm qhov caws pliav.
Raws li cov hlua khi, txhua txoj hlua khi yog khi nrog ob lub pob, thiab cov hlua hluavtaws thiab catgut threads nrog peb.
Hom kev phais phais thiab txoj hauv kev ntawm lawv daim ntawv thov
Thaum thov txhua hom kev phais, thiab muaj ntau ntawm lawv hauv kev phais, nws tseem ceeb heev uas yuav tsum tau ua raws li cov txheej txheem ua tiav. Yuav ua li cas siv lub pob suture?
Siv ib rab koob ntawm rab koob, thawj zaug tho cov npoo ntawm qhov deb ntawm 1 centimeter, tuav nrog tweezers. Txhua qhov kev txhaj tshuaj yog nqa tawm ib qho rov qab rau lwm qhov. Lub koob tau tso cai kom dhau tam sim ntawd los ntawm ob lub npoo, tab sis nws tuaj yeem dhau los ntawm kev sib hloov, tom qab ntawd los ntawm ib qho, tom qab ntawd los ntawm lwm qhov. Tom qab ua tiav, qhov kawg ntawm cov xov yog tuav nrog tweezers thiab rab koob raug tshem tawm, thiab cov xov yog khi, thaum cov npoo ntawm lub qhov txhab yuav tsum tau coj mus rau lwm qhov kom ze li sai tau. Yog li ua cov seem ntawm cov seams thiab kom txog thaum lub qhov txhab tau sewn tag. Txhua seam yuav tsum yog 1-2 cm sib nrug. Qee zaum, cov pob qij txha yuav raug khi tom qab tag nrho cov stitches tiav lawm.
Yuav ua li cas khi ib pob kom raug
Feem ntau, cov kws phais mob siv cov pob txha yooj yim los khi sutures. Thiab lawv ua nws zoo li no: tom qab cov ntaub ntawv suture yog threaded rau hauv cov npoo ntawm lub qhov txhab, qhov kawg yog coj los ua ke thiab ib tug knot, thiab ib tug saum toj nws.
Cov pob txha phais tuaj yeem ua rau lwm txoj hauv kev: lawv kuj tau xov rau hauvqhov txhab, nrog ib txhais tes lawv muab ib qho kawg, thiab lwm yam tom qab lwm yam, thiab, tau coj cov npoo ntawm lub qhov txhab ua ke, ua ob lub pob caus, thiab twb dhau los ua ib qho yooj yim. Qhov kawg ntawm cov xov yog txiav ntawm qhov deb ntawm 1 cm ntawm lub pob.
Yuav ua li cas xaws lub qhov txhab zoo siv hlau staples
Hom kev phais thiab cov txheej txheem ntawm lawv daim ntawv thov yuav txawv, uas yog txiav txim los ntawm qhov chaw ntawm lub qhov txhab. Ib qho kev xaiv yuav yog staple nrog hlau staples.
Staples yog hlau daim hlau, ob peb hli dav thiab txog ib cm ntev, tab sis tej zaum ntau dua. Ob leeg ntawm lawv qhov kawg tau nthuav tawm nyob rau hauv daim ntawv ntawm cov nplhaib, thiab nyob rau hauv lawv muaj ib tug taw tes uas nkag mus rau hauv cov ntaub so ntswg thiab tiv thaiv cov staples ntawm slipping.
Txhawm rau siv cov staples rau lub qhov txhab, koj yuav tsum tuav nws cov npoo nrog cov tweezers tshwj xeeb, coj lawv los ua ke, txuas zoo, tuav nrog ib txhais tes, nrog rau lwm tus koj yuav tsum nqa cov staple nrog lwm cov tweezers. Tom qab ntawd, muab tso rau ntawm lub seam kab, squeezing qhov kawg, thov quab yuam. Raws li qhov tshwm sim ntawm xws li manipulation, staple khoov thiab qhwv ib ncig ntawm cov npoo ntawm qhov txhab. Thov ntawm qhov deb ntawm 1 cm ntawm ib leeg.
Cov Staples raug tshem tawm, nrog rau cov stitches, tom qab 7-8 hnub tom qab lawv thov. Rau qhov no, ib tug nuv thiab tshwj xeeb tweezers yog siv. Thaum tshem tawm, cov staple tuaj yeem ncaj nraim, ua kom tsis muaj menyuam, thiab rov qab siv tau rau qhov txhab txhab.
hom seams hauv cosmetology
Tshuaj pleev ib ce suture tuaj yeem ua nrog ib qho ntawm cov ntaub ntawv suture uas twb muaj lawm: txhob lo lo ntxhuav, catgut, linen xov, nplua hlau, Michel's staples lossis horsehair. Ntawm tag nrhontawm cov ntaub ntawv no, tsuas yog catgut yog resorbed, thiab tag nrho cov seem tsis yog. Seams yog dipped los yog tshem tau.
Raws li cov txheej txheem overlay nyob rau hauv cosmetology, nruam thiab knotted sutures yog siv, tom kawg kuj muab faib ua ob peb hom: marine, zoo tib yam poj niam los yog phais.
Qhov zoo li nodular muaj ib qho txiaj ntsig zoo tshaj qhov txuas ntxiv mus: nws ruaj ntseg tuav cov npoo ntawm qhov txhab. Tab sis qhov nruam seam yog nyob rau hauv kev thov vim nws yog thov sai thiab ntau economically raws li cov khoom siv. Hauv cosmetology, hom hauv qab no tuaj yeem siv tau:
- txaj;
- ncig Reverden plooj;
- tailor (magic);
- subcutaneous (American Halsted suture).
Thaum tus neeg mob muaj cov ntaub so ntswg muaj zog, tus kws kho mob tuaj yeem siv cov phaj lossis cov phaj txhuas, nrog rau cov suture nrog cov menyuam, ua tsaug uas nws tuaj yeem kaw qhov tsis xws luag thiab tuav cov ntaub so ntswg. nyob rau hauv ib qhov chaw.
Hauv kev phais yas kuj tus kws kho mob tej zaum yuav siv apodactyl suture. Nws lub ntsiab lus nyob rau hauv qhov tseeb tias nws yog siv thiab khi tsuas yog nrog kev pab los ntawm ib tug tshwj xeeb lub cuab tam: ib rab koob, tweezers thiab ib tug torsion pean.
Horsehair yog cov khoom siv zoo tshaj plaws. Nws yog qhov zoo los tsim hom kev phais sutures thiab knots uas muaj nyob hauv cosmetology nrog nws cov kev pab. Nws yog feem ntau siv hauv kev ua haujlwm ENT, vim tias nws xyaum tsis kis tus kab mob, tsis ua rau tawv nqaij thiab cov ntaub so ntswg, thiab tsis muaj suppurations thiab nti nyob rau hauv qhov chaw ntawm nws daim ntawv thov. plaub hau elastic,Yog li ntawd, tsis zoo li txhob lo lo ntxhuav, nws yuav tsis txiav rau hauv daim tawv nqaij.
Kev siv cov sutures hauv kev kho hniav
Cov kws kho hniav kuj siv ntau hom kev phais kom tsis txhob los ntshav lossis kaw cov npoo ntawm qhov txhab loj. Txhua hom sutures hauv kev phais hniav yog qhov zoo ib yam li cov uas peb tau piav qhia, qhov tsuas yog qhov sib txawv me ntsis ntawm cov twj paj nruag. Rau suturing hauv qhov ncauj kab noj hniav, feem ntau siv:
- needle tuav;
- qhov muag phais forceps;
- me me ob lub pas nrig;
- qhov muag txiab.
Nws tuaj yeem nyuaj rau kev ua haujlwm hauv lub qhov ncauj, thiab tsuas yog ib tus kws tshaj lij hauv lawv daim teb tuaj yeem ua haujlwm tau zoo, vim tias tsis yog tsuas yog kev saib xyuas qhov txhab zoo xwb tseem ceeb ntawm no. Nws tseem yog ib qho tseem ceeb uas yuav tau xaiv cov hom sutures hauv kev kho hniav, tab sis feem ntau nws yog ib qho yooj yim cuam tshuam suture. Thiab nws yog superimposed zoo li no:
- Txoj kev sib tw yuav tsum tau tho ob sab ntawm qhov txhab ntawm qhov deb txaus ntawm ib leeg, cov xov yuav tsum tau ncab kom ntau li ntau tau, tsuas yog qhov kawg me me - 1-2 cm.
- Txoj xov ntev ntev thiab rab koob tuav ntawm sab laug tes, tom qab ntawd lawv yuav tsum qhwv lub koob tuav clockwise 2 zaug.
- Siv ib rab koob, tuav lub hau luv thiab rub nws los ntawm lub voj tsim - qhov no yog thawj feem ntawm lub pob caus, maj mam muab nws maj mam, maj mam nqa cov npoo ntawm qhov txhab ua ke.
- Tsis tas li, thaum tuav lub voj, koj yuav tsum ua tib yam kev tswj hwm, tsuas yog scroll counterclockwise ib zaug.
- Tighten ib tug tag nrho tsim knot, nco ntsoov ua rawstxawm xov nro.
- Txhob lub pob qhov rooj tawm ntawm txoj kab txiav, txiav qhov kawg ntawm txoj xov, yog li ntawd, cov seam yog npaj.
Nws tseem tsim nyog nco ntsoov tias nws yuav tsum tau ua kom zoo ntawm qhov nruab nrab ntawm qhov txhab thiab stitches yuav tsum tsis txhob ua ntau zaus kom tsis txhob cuam tshuam cov ntshav ncig hauv cov ntaub so ntswg. Yuav kom kho tau mus tsis tu ncua, tshwj xeeb tshaj yog rau cov qhov txhab uas tshwm sim los ntawm kev raug mob, nws yog ib qho tsim nyog yuav tsum tau nruab cov kua dej ntawm cov sutures rau ob peb hnub.
Ntau yam ntawm kev phais sutures thiab txoj hauv kev siv cov sutures sab hauv
Tsis yog cov seams sab nrauv yuav tsum tau sewn kom zoo, cov ntaub sab hauv yuav tsum tau sewn kom ruaj ntseg. Sab hauv phais suture kuj tseem muaj ntau hom, thiab txhua tus ntawm lawv yog tsim los xaws qee qhov chaw ua ke. Cia peb saib txhua yam kom nkag siab zoo dua txhua yam.
Aponeurosis Suture
Aponeurosis yog qhov chaw uas cov ntaub so ntswg fuse, uas muaj zog thiab elasticity. Qhov chaw classic ntawm aponeurosis yog kab nruab nrab ntawm lub plab - qhov twg sab xis thiab sab laug peritoneum fused. Tendon cov ntaub so ntswg muaj cov qauv fiber ntau, uas yog vim li cas lawv cov splicing raws cov fibers ua rau lawv sib txawv, ntawm lawv tus kheej cov kws phais hu rau cov nyhuv no cov nyhuv saw.
Vim qhov tseeb tias cov ntaub no muaj zog ntxiv, nws yog ib qho tsim nyog yuav tsum siv qee hom seams los xaws lawv. Qhov feem ntau txhim khu kev qha yog suav hais tias yog ib qho txuas txuas txuas ntxiv, uas yog tsim los ntawm cov khoom siv hluavtaws absorbable threads. Cov no suav nrog "Polysorb", "Biosin", "Vikril". Los ntawm kev sivabsorbable threads tuaj yeem tiv thaiv kev tsim ntawm ligature fistulas. Tsis tas li ntawd, txhawm rau tsim cov seam zoo li no, koj tuaj yeem siv cov xov uas tsis yog-absorbable - "Lavsan". Nrog lawv pab, koj tuaj yeem zam qhov tsim ntawm hernias.
Suture on adipose ntaub so ntswg thiab peritoneum
Tsis ntev los no, cov ntaub so ntswg no tsis tshua muaj sewn ua ke, vim lawv lawv tus kheej muab adhesion zoo thiab kho sai. Tsis tas li ntawd, qhov tsis muaj sutures tsis cuam tshuam nrog cov ntshav ncig ntawm qhov chaw ntawm qhov caws pliav. Nyob rau hauv cov ntaub ntawv uas ib tug suture yog indispensable, tus kws kho mob siv tau nws siv absorbable threads - "Monocryl".
plab hnyuv sutures
ntau lub sutures yog siv los xaws cov kabmob hollow:
- Ib-kab serous-muscular-submucosal suture ntawm Pirogov, nyob rau hauv uas lub pob caus yog nyob rau ntawm lub plhaub sab nraud ntawm lub cev.
- Mateshuk's suture, nws qhov tshwj xeeb yog qhov tseeb tias lub pob caus, thaum nws tsim, tseem nyob hauv lub cev, ntawm nws cov mucous membrane.
- Ib kab Gumby suture yog siv thaum tus kws phais neeg ua haujlwm ntawm txoj hnyuv loj, uas zoo ib yam hauv cov txheej txheem rau Donatti suture.
daim siab sutures
Vim qhov tseeb tias lub cev nqaij daim tawv no "friable" thiab saturated nrog cov ntshav thiab cov kua tsib, nws tuaj yeem nyuaj heev los ua seam ntawm nws qhov chaw txawm tias tus kws phais neeg. Feem ntau nyob rau hauv cov ntaub ntawv no, tus kws kho mob siv ib tug tas mus li suture yam tsis muaj overlapse los yog ib tug tas mus li ntaub pua tsev suture.
U-zoo li lossis 8-zoo li cov phais phais yog siv rau ntawm lub zais zis.
Sutures ntawm nkoj
Hom kev phais phais siv hauv kev puas tsuaj muaj lawv tus kheejpeculiarities. Yog hais tias koj xav tau xaws cov hlab ntsha, ces nyob rau hauv cov ntaub ntawv no, ib tug nruam seam tsis sib tshooj, uas ua kom ntseeg tau ruaj khov, yuav pab tau raws li qhov ua tau. Kev siv nws feem ntau ua rau tsim "accordion", tab sis cov nyhuv no tuaj yeem zam tau yog tias koj siv ib kab ib kab knotted plooj.
Kev phais phais, hom siv hauv kev puas tsuaj thiab kev phais zoo ib yam. Txhua hom muaj nws qhov tsis zoo thiab qhov zoo, tab sis yog tias koj ua raws li lawv qhov kev txiav txim siab thiab xaiv qhov zoo tshaj plaws ntawm cov xov, ces txhua qhov seam yuav muaj peev xwm ua tiav cov dej num uas tau muab rau nws thiab ruaj ntseg kho qhov txhab lossis xaws lub cev. Lub sij hawm ntawm kev tshem tawm cov ntaub ntawv suture nyob rau hauv txhua rooj plaub yog txiav txim los ntawm tus kheej, tab sis qhov yooj yim lawv raug tshem tawm nyob rau hauv 8-10th hnub.
