Bioresorbable sutures: iri, da warkar lokaci

A wasu lokuta, kamar lokacin tiyata, kazalika da bayan haihuwa bukata da danniyan daga resorbable sutures. Domin wannan na musamman kayan da ake amfani. Akwai su da yawa irin absorbable sutures. A lokaci waraka daga irin raunukan dogara a kan al'amurra da dama. Saboda haka kamar yadda bioresorbable sutures narke?

Babban irin stitches

Don amsa wannan tambaya, shi ne wajibi ne don bayyana abin da su ne babban iri na gidajen abinci a can. Yawancin lokaci, shi:

1. Ciki. Irin wannan seams ake superimposed a kan rauni sakamakon inji tasiri. Domin a haɗa nama a karaya nema wasu irin kyallen takarda. Wadannan bioresorbable sutures warkar da sauri isa. Suna sau da yawa amfani da mata bayan haihuwa da cervix. A wannan yanayin, maganin sa barci, ba a bukatar, tun da wannan ɓangare na al'aurar bã tãre da ji na ƙwarai.
2. Na waje. Suna iya ma za a jefa ta amfani da resorbable abu. Bayan delivery, yin irin wannan seams a hutu ko a lokacin dissection na perineum, kazalika da bayan tiyata. Idan ka yi amfani da wani talakawa abu, shi ake bukata don cire shi don 5-7 kwanaki bayan tiyata.

Yana kamata a lura cewa bioresorbable sutures iya warkar bayan 'yan makonni. A duk ya dogara da iri-iri daga cikin abu da kuma abun da ke ciki.

Mene ne absorbable sutures

Bioresorbable sutures kusan ko da yaushe zoba. An wuya amfani don rauni warkar da m abu wanda yake resistant zuwa hydrolysis. Dauke absorbable sutures, wanda rasa su ƙarfi riga at 60 hours. Dissolving da filaments a sakamakon daukan hotuna:

1. Enzymes waxanda suke da ba a kyallen takarda na jikin mutum. A wasu kalmomin, da sunadaran cewa sarrafa da kuma hanzarta da sinadaran halayen.
2. Ruwa. Wannan sunadarai dauki ake kira hydrolysis. A wannan thread an halaka su da ruwa, wanda shi ne yanzu a cikin jikin mutum.

Roba wicker polyglycolide thread "MedPGA"

Analogs irin wannan m abu ne "Safil", "Polisorb", "Vicryl".

Bioresorbable sutures bayan tiyata ko bayan haihuwa iya zoba da yarns "MedPGA". Wannan m abu ne sanya dangane poligidroksiatsetilovoy acid. A cikin irin wannan mai rufi filaments na wani resorbable polymer. Wannan ake bukata don rage da kuma lagwani capillarity, kuma ma a rage sawing sakamako lalacewa ta hanyar ɗauke da kayan ta cikin nama.

Ta yaya da yawa ke kawo thread "MedPGA"

Bioresorbable sutures wanda aka kafa ta amfani da thread "MedPGA" sha hydrolytic ƙasƙanci, wanda aka tsananin sarrafawa. Shi ne ya kamata a lura da cewa irin wannan abu ne isasshe da karfi. Bayan kwanaki 18 yarns riƙe up to 50% ƙarfi Properties.

Complete sha daga m abu ya auku ne kawai bayan 60-90 kwanaki. A dauki na jiki ta kyallen takarda zuwa "MedPGA" thread ne negligible.

Shi ne ya kamata a lura da cewa irin wannan m abu ne yadu amfani da ƙulli daga duk kyallen takarda, fãce waɗanda suke karkashin tashin hankali, kazalika da na dogon lokaci ba ya warkar. Sau da yawa "MedPGA" thread amfani a thoracic da kuma na ciki tiyata, gynecology, urology, roba tiyata da orthopedics. Duk da haka, shi ba ya amfani da juyayi da kuma zuciya da jijiyoyin jini kyallen takarda.

Roba wicker polyglycolide thread "MedPGA-R"

Analogs irin wannan m abu ne "Safil Quick", "Vicryl Rapid".

"MedPGA-R" - wani roba yarn sanya a kan tushen da poligliglaktina-910. Irin m resorbable kayan rufe tare da polymer. Wannan rage gogayya a lokacin da nassi daga cikin yarn ta wurin jikin nama da kuma ma rage lagwani da capillarity. Ta hanyar wannan m abu iya amfani bioresorbable sutures.

Yadda yawa absorbable dinki "MedPGA-R"

"MedPGA-R" - abu wanda yake mai saukin kamuwa zuwa hydrolytic bazuwar. Wadannan strands ne da isasshen ƙarfi. Bayan kwanaki biyar riƙe 50% na su ƙarfi Properties. Complete sha faruwa ne kawai a cikin 40-50 rana. Shi ne ya kamata a lura da cewa nama dauki ga m abu "MedPGA-P" ne negligible. Bugu da kari, da zaren ba sa allergies.

Yana shafi wani abu ga dinki na mucous membranes, fata, taushi da nama, kazalika a yanayi a lokacin da kuke bukata gajere goyon bayan da rauni. Duk da haka, akwai ban. Irin wannan yarns ba amfani a kan juyayi da kuma zuciya da jijiyoyin jini nama.

Roba wicker polyglycolide thread "MedPGA-910"

Analogues na irin wannan m abu ne "Safil", "Polisorb", "Vicryl".

"MedPGA-910" shi ne wani absorbable dinki qirqiro daga poligliglaktina-910. A m abu ne kuma bi da tare da wani musamman shafi wanda rage "sawing" sakamako a lokacin da nassi daga abu ta hanyar da nama, da kuma rage capillarity da lagwani.

Dates resorption "MedPGA-910"

To, a lõkacin tunawa bioresorbable sutures, "MedPGA-910" superimposed tare da m kaya? Irin wannan yarns da high ƙarfi. Duk da haka, su ma batun hydrolytic ƙasƙanci. Bayan kwanaki 18 da m abu iya ajiye har zuwa 75% ƙarfi Properties bayan kwanaki 21 - har zuwa 50% bayan kwana 30 - har zuwa 25%, da kuma bayan 70 days akwai cikakken resorption na filaments.

Wannan samfurin ana amfani ga ƙulli daga cikin taushi tsokoki da cewa ba a karkashin tashin hankali, da waɗanda cewa warkar da sauri, a cikin roba, thoracic da kuma na ciki tiyata, gynecology, urology da orthopedics. Ba za ka iya amfani da "MedPGA-910" ga suturing da jijiya da kuma zuciya da jijiyoyin jini nama.

Monononit "PDO"

Analogues irin wannan m abu ne ba sosai. Wannan "Biosyns" kazalika PDS II. Irin wannan filaments ne halin da babban nazarin halittu nuna alama inetrtnosti, nefitilny da noncapillary, hydrophobic, ba cuta da nama a lokacin nassi therethrough, resilient, quite karfi, da kyau-knitted da kuma rike kumburi.

Yadda yawa yunkura monofilament

Monofilament "PDO" saukin kamuwa zuwa hydrolysis. A sakamakon wannan tsari samar digidroksietoksiuksusnaya acid, cikakken excretes. 2 makonni bayan da m dinki kayan rike har zuwa 75% ƙarfi. Complete rushe auku a cikin yarns 180-210 kwana.

Game da aikace-aikace, da m abu "PDO" da ake amfani da suturing da kuma taushi nama sadarwa na wani irin, ciki har da giciye-haxe zuciya da jijiyoyin jini yaro ta jikin kyallen takarda, wadda ne batun kara girma. Duk da haka, akwai ban. Monofilaments ba su dace ga suturing nama, raunuka bukata support for har zuwa 6 makonni, da waɗanda cewa an hõre high lodi. Ba za ka iya tambaya da dinki a lokacin da installing implants, wucin gadi zuciya bawuloli, kazalika da roba jijiyoyin bugun gini prostheses.

Saboda haka nawa zai zama absorbable sutures?

Next, dubi duk a matsayin abin da ya ƙunshi wani bioresorbable sutures bayan haihuwa, a lokacin da tunawa, ko ya damu. Kada ka manta cewa da yawa abubuwan shafi lokacin da rauni warkar da kuma cikakken bacewar na filaments. Da farko kana bukatar ka san, daga abin da abu sanya m abu. A mafi yawan lokuta, da zaren fara soke 7-14 kwanaki bayan suturing. Don ƙarin saurin aiwatar, bayan warkar da raunuka naka zai iya cire nodules. Don sanin lokaci na sha na zaren ya kamata a tabbatar da shi likita:

1. Abin da stitches sun.
2. Abin da kayan da aka samar yarn.
3. Exemplary rushe lokacin da dinki.

A karshen

Bioresorbable yarns sukan yi amfani for suturing raunuka a kan aiki, wanda aka located a cikin zurfi yadudduka na nama, kazalika a kan fata surface. Alal misali, a cikin sashin jiki transplants.

A wannan m kayan amfani ga suturing raunuka da kuma samu karaya samu a lokacin haihuwa. A wannan yanayin, da yawa daga nazarin da aka gudanar. Su sakamakon ya nuna cewa dinki sanya na polyglycolic acid, gaba daya vuya a kawai hudu watanni, da kuma kayan a kan tushen da polyglactin - uku. Kamar wancan bioresorbable sutures zai rike da rauni gefuna kafin kammala waraka, sa'an nan a hankali fara rushe. Idan thread na dogon lokaci ana ajiye da kuma isar da rashin jin daɗi, ya kamata ka nemi taimako daga likita ko halartar likita.