ʻoki lāʻau lapaʻau ka pae inoa, mānoanoa, ka nui

Kekahi awelika kanaka kekahi aoao a me kekahi i loko o kā lākou wa e ola ma ka liʻiliʻi kokeʻalo me ka nui nā palapū a hana. Ma nā hihia, poho kauka sutured e hōʻeleu i ke olaʻi kaʻina. Ka okoaʻoki lāʻau lapaʻau ka pae mai o ka loa, he pono ole?

I ka wa aʻu i pono stitches

Deepʻoki a me nāʻeha, abdominalʻoki kino, 'ē aʻe nā palapū - loa kanaka Heheʻalo me ka mea ana mākou i e humuhumu ko lakou mau lole no ka maikaʻi a me ka wikiwiki ho'ōla. No ka lōʻihi manawa keia pilikia, a me ka hoʻokōʻeha ke kokua i ka papa kuhikuhiE keʻakeʻa nei a hiki i ka hou 'ana o keʻoki kino.

Ma moʻolelo loaʻa i ua kekahi mau manawa o ka ala a me ka emi ana o ka hahau. No ka laʻana, i kahiko Romaʻoki kino ua hoano e launa kūpono 'ana, a me kela a me keia kula gladiator ua he kauka nana i hana i kaʻeha ikaika ma hope o ka nele hana. Ma ka Middle Ages lapaau like me ka a pau i haule iho mai o ka lokomaikaʻi, a me nā mea a pau ike ana o ka hala i ua poina, e e hoihoi hou ia i loko o ka pakebona a me kaʻiʻo nō o kēia manawa.

Aole loa i nele i loko o ka hoola ana i eha he nui, no ka mea, ma kanaka mōʻaukala mau hana i ke kaua, a ma ka peacetime sterileʻoki lāʻau lapaʻau ka pae i ola nui ola. Pehea i ka mea e hele mai ana?

moʻolelo

'Epekema ka mea he pono nui helu o nāʻikepili i ka mea mua ana, a me muli o kona kulana eiiieaen, lawe mai lōʻihi ma mua o ka Hekikai o kūikawā mea paahana a me ka hohonu ike o ke kanaka'anatomia.

Ka mua hoʻopaʻa pepa paʻi kiʻi hoʻohana o ka suture ana 2000 makahiki mua mākou'āina. E ho ohana i nā huakaʻi a me nā paipu ma ka hoola ana o ka eha, ua ho'ākāka 'ia ma ka Pākē hoonoho ma ka laau lapaau. I ia mau lā, i kaʻili No Lilo horsehair, holoholona olona, pulupulu puluniu, he laau, a me nā mea kanu. I ka 175 BC, Galen i catgut, a ua i mai o connective'aʻaʻa o ka holoholona mua i olelo ia. I ka XX kenekulia, oia ua kokoke i ka wale kekahi suture. Eia naʻe, ma ka makahiki 1924,ʻo ia invented ka mea, i ka hope kapa nylon. He ua noʻonoʻo i ka mua kemikalaʻulaʻula, e pono no ka stitching eha he nui. A iki ma hopeʻo ia iʻikeʻia polyester a me ka nylon, a aneane koke hoomaka ae la e e ia i loko oʻoki kino. Ma ka waena o keia keneturia mea i invented polypropylene a me 70 - kemikala absorbable olona.

I ka Ia manawa, e like me ka mea e lauwiliʻoki lāʻau lapaʻauʻulaʻula, a kui kele ma akaaka malu i ka metamorphosis. Inā ka mea, he mea kūikawā i ole oko mai o ka mau, ka mea, ua reusable a me ka lakou traumatized'aʻaʻa, laila, ma hope ka mea kuai i ka laekahi uma kinona, ua lilo lakou i poe maalea a me ka laumania. Contemporary disposable atraumatic paipu ma luna o lākouʻilikai microroughness piha mea pīlali.

Hoikehonua, suture

Keʻoki kino o ka XXI kenekulia noi kaula makalii o kekahi mau kêia kanaka a me ka waiwai. Ka mea hiki e nā maoli a me ka kemikala. He nui no hoi ka poe i kekahi manawa ma hope o ka hana ma luna o lākou iho i hoʻonā 'ia, i ka wa a ke kāpaeʻana i ka pono no ia. Me kā lākou kōkua, pinepine sutured na nā'aʻaʻa, oiai no ka mea mawaho oaeouee hiki ke hoopili, a ua koi 'ia e wehe i hope. Ka 'ōlelo hoʻoholo ua laweʻia e ke kauka, ke kaumaha ma muli likeʻole aʻe, i ke ano o kaʻeha a me ka hoʻomanawanui ka kulana. He pū Nui ka mahalo i ka nui o keʻoki lāʻau lapaʻau sutures, koho i ka mānoanoa kūpono e kākoʻo i ka'aʻaʻa, akā,ʻaʻole i ka hana ino koke hou ia.

koi

Aia nō i ka helu o ka waiwai i e i ke kālā noʻoki lāʻau lapaʻau ka pae. Mau koi suture i ua kālaiʻia i loko o 1965. Eia naʻe, eia nō pili ka mea, i keia la:

• Easy sterilization;
• hypoallergenic;
• haahaa kāki;
• inertness;
• ka ikaika;
• e kū'ē'ē i nā mea palahēhē;
• resorbability;
• versatility no kekahi'aʻaʻa;
• kohoʻia, nanea oe o ka lima,ʻaʻohe hoomanao filament;
• ka nele o ka uila aayoaeuiinoe;
• paena pono.

Hoikehonua, ma kona ano maoli, a kemikala suture somehow hālāwai loa o kēia mau koi. Loa pinepine me ka pono lapaau ana a hiki i ka eha loa hoʻoponopono hiki ke hoolaia. A no ka mea, o keiaʻoki kino ka i ana hoʻomōhala i ka lā, i ka wa o ka hana e lawe mai nā ma ke anakahi iki kiʻekiʻe, a me nā luna 'manipulations me ka mea nui nā loko, e like me ka naau a me ka lolo, a me nā mea maʻi pinepine ola anei i loko o ka kŘpa a pōkole manawa.

mānoanoa

O ka papa, no ka makahiki kakaikahi tausani, keʻoki lāʻau lapaʻau pae i undergone nui loli, aʻaʻohe hoʻohālike hiki ole ke hele me ka mea a lakou i haʻakoiʻia e hoʻohana ana kauka.

I kēia lā, kauka i ke ākea e kaua ana o kekahi suture mea pono no ka laulāʻano o nā'aʻaʻa ma ke kino. Most maopopo no ka mea i loko o ano o ka mānoanoa o kaʻoki lāʻau lapaʻau sutures. Ua loli ai i ka ikaika a me ka weld traumatic, a pela, me kaʻeha ka hoola ana i manawa.

Aia nō ma kahi o iwakalua kaula makalii e OAOOUIEeE wale ma ka mānoanoa. Ma ke aha ka loina lauwili mai 0,01 a hiki i 0,9 millimeters. Penei, o ka loa mua i loko o ka moʻo o kēia mau kaula makalii thinner ma mua o kekahi kanaka lauoho mea e pili ana i 8 manawa!

? ueo

Initially līkaia mau ke ano o na suture:

• monofilament suture ka pae;
• multifilament, a, ma ka huli, i e ka hoʻoluli paha ¶ Ulana iho.

Kēlā me kēia no kēia mau 'ano obadaet mau pono, drawbacks a me peculiarities. Pela, ke monofilament he mea pono:

1. Smoothness. E like me ka 'ole o kēia' ano mea emi traumatic, ae ho'āʻo ana hou kahe ana ke koko.
2. Hooluolu aku au i ka manipulation. Monofilament ua pinepine hoʻohana no intradermal sutures, no ka mea, aole ia e hanohano malaila i na nā'aʻaʻa, a hiki ke hoopuni wehe inā pono.
3. I ka wa e kaawale aku o ka poʻe hewa, kanawai. O kŰia ke moe i loko o ka mea ana i ka moe kolohe pono o na olona, a hiki i kekahi i kekahi i hanaʻia ma waena o nā anakahi iki-voids, a i piha i kahi o ka eha, mahuahua i ka pilikia o ka maʻiʻaʻai. Ka wā,ʻaʻole nō he mea pilikia monofilament.
4. Inertness. Monofilament ka pae Ua emi o keʻano ukiuki i kaʻili, oiai ka hoʻohana emi wale o ka hewa li nui.

Penei monofilametny sutureʻia, a he hoʻokahiʻiʻoʻole. A kŘpa a uuku ikaika. Olelo no kēia huakaʻi i mea e ia i ka palena iki helu o nā aka wahi - ka mea, nāuki mai i ka'aʻaʻa a me ka lohi ho'ōla. Mai ka monofilament i ka Kaulu, ka mea malama i huikau? Ieoaeunoaa iauaeoia i loa maikai. I ka hoʻohana 'ana i kēia' ano o ka mea i ae e hoʻohana hou aka wahi e weld maikaʻi hoi.

E hoʻoikaika i ka waiwai o na filaments i kapa komo iā ia me kekahi mau mele i mea e emi i ka pilikia o nā mea palahēhē, hoonui i ka smoothness a me ka biocompatibility. Eia hou, ua e hana noke i hou olona, a me ka mea, no laila, iʻoki kino ua ole e ku malie oukou.

Catgut a me ka cellulosic lako

E like me ua oleloia, keʻoki lāʻau lapaʻauʻulaʻula, i ua loko mai o ka hopuna'ōlelo holoholona gut, lilo ae la kekahi o ka mea mua. I kēia lā, mea nui, hemolele loa ma mua o ma mua o ka 'ike loea hou ana o kona-i? Iecaianoaaiiuo, aia no he sutureʻia me ka chrome waihoʻoluʻu paʻa, mahuahua i ka ikaika a me ka resorption manawa.

He mea nō he loa hanohanoʻano o ka pae, hoʻowahāwahā i ka mea i kona hoʻohana i loko o kekahi manawa tantamount i ka hui, transplantation, a hiki i ka kūpono'ōnaehana paleʻea pane. Aka catgut mea hemolele, ina o ka ulana mea pono no ka lōʻihi, no ka mea, ma hope o 10 mau lā,ʻo ia ke hoike mai i hapalua, a ma hope luku loa 2 mahina ma ka hahai ana i kona hookohu.

Kelulose olona, e poliniti kapa oktselon a me ka katselon. Lakou no hoi i ka kŘpa a pōkole wā o ke omo, aʻo ia paʻa mau ma ka urology, ea, a pediatricʻoki kino. Naʻe, ka mea, i ka lanakila nui - i hooleia ma ke kino e like me ka haole'aʻaʻa.

Ke koena o ka absorbable

Otherʻoki lāʻau lapaʻau ka pae mai i ka hou hoʻopau au, i ka pono ma ka mau, thoracic a me ka oncology. Kanalua polidiaksanon ka noonoo ana - i loko o kona piha nalowale ai 6-7 mahina.

I ka lanakila o ka kemikala olona, o ia ka mea, he hoʻonui i ka oi kokololio a me ka maemae eha hoola ana, emi i ka pilikia o kekahi complications a me aku aat. Ia mea ke kumu mai o ka phasing mai o catgut, loaa ia i pakele analogues.

Kilika a me ka nylon

Elua o kēia mau? Ueo -ʻoki lāʻau lapaʻau sutures, absorbable ka noho hoao ana. Ma ka hana pono, i kēia 'o ia hoʻi i kā lākou mau ana mai i ke kino i kekahi mau makahiki. Silika Ua lōʻihi ua noʻonoʻo i ke gula hae, obaladaya versatility ma ka palapala noi. Eia naʻe, ma muli o ia i ka mea i kona olona, i ka maoli ka molekumu o, na na nakaka, a me kona lawe mau pinepine wela ai, a koi hou noonoo. Akā,ʻo ia ka loa laholio, mau nō a me ka palupalu, a me keia ua hoʻolimalima i ke aloha o Surgeons.

Naelona ka pae Ua hoi pinepine ke kumu no ka hoʻoʻino pane. Aka hoi, ka mea, ua pinepine ia no ka suturing ka tendon, a ma ka ophthalmology.

nonabsorbable

ʻoki lāʻau lapaʻau pae holoʻokoʻa, a pono laila, e wehe 'ia ma ka lima, i oko lawaʻano. Kekahi o ia mau mea i maikai loa manipulation ka waiwai, akā, reactogenic. Other inert, a kolohe ole nae, akā, kekahi kaʻao ka e hana, a i ka ikaika haʻahaʻa. Aka hoi, kokoke e pau no ia i hoʻomano hoʻohana 'ia nā i ka nui, a ma ka hana kūikawāʻoki kino.

Hoomaopopo i ke kēia mau pūʻulu.

• Polyolefins - prolene, polypropylene. I loko nō o ka mea i na ami i kokoke loa suppurate, operability mea ilihune, a me ka i, e nakii i ka hailona o knots.
• Polyesters - nylon a me ka polyester. ʻano nui hoʻohana 'ia e kākoʻo i ka hoka ai nā'aʻaʻa a me endoscopic hana.
• Fluoropolymers. Ka loa hemolele pūʻulu - i maikai manipulation ka waiwai a me ka makou i ka ikaika. Ua 'Aʻole e koi i ka nui helu o nā aka wahi.

Steel a me ka titanium

Ua hiki i mea'ē, akā, hoʻohana 'ia ka mea hiki ke hooheheeia ua nō iʻoki kino i loko o ka palapala o ka pae-me uea a me ka māhele no ka kūikawā mīkini. A nui drawback - ka poino i puni nā'aʻaʻa. Aka hoi, ma kekahi hihia ma ka orthopedics a me ka iwiʻoki kino e puku i ka mea hiki ke hooheheeia hiki ole e kekahi mea.

No laila, he mea heʻano nui o sutures. Ka mea, i hoʻohana 'ia no kekahi hana, a me ia mea nui, mea ultimatelyʻoki lāʻau lapaʻau ka pae ua wae. I ka inoa, o ka papa, aole hoi he kūlana, akā, ke kauka mau lawe i ka mooolelo nui aʻe ka mea maikaʻi no ka hoʻomanawanui i ka wa a ka hoʻoholo '.