Bioresorbable sutures: hom, lub kho lub sij hawm

Nyob rau hauv tej rooj plaub, xws li thaum lub sij hawm kev phais, raws li zoo raws li tom qab yug tus me nyuam yuav tsum tau imposition ntawm resorbable sutures. Rau no tshwj xeeb cov ntaub ntawv uas yog siv. Muaj ntau ntau ntau ntau yam ntawm absorbable sutures. Lub sij hawm zoo xws li cov qhov txhab nyob ntawm ntau yam tseem ceeb. Yog li ntawd raws li bioresorbable sutures yaj?

Lub ntsiab ntawm ntau yam stitches

Yuav kom teb tau lo lus nug no, nws yog tsim nyog los qhia ntxiv li cas yog lub ntsiab ntawm ntau yam cov pob qij txha muaj. Feem ntau, nws:

1. Internal. Tej nqaws yog superimposed on qhov kev raug mob uas ua los ntawm cov neeg kho tshuab tej yam. Rau txuas cov ntaub so ntswg ntawm lub pob txha lov ua thov tej yam kev ntaub so ntswg. Cov bioresorbable sutures kho sai sai txaus. Lawv feem ntau muaj ntaub ntawv rau cov poj niam tom qab tau me nyuam lub ncauj tsev menyuam. Nyob rau hauv cov ntaub ntawv no, tshuaj loog yog tsis yuav tsum tau, vim qhov no yog ib feem ntawm lub genitals devoid ntawm rhiab heev.
2. Sab nrauv. Tej zaum lawv kuj raug muab pov siv resorbable khoom. Tom qab tus me nyuam, ua tej nqaws ntawm so los yog thaum lub sij hawm phais ntawm lub perineum, raws li zoo raws li tom qab phais. Yog hais tias koj siv ib tug dog dig khoom, nws yuav tsum tau tshem tawm cov nws rau 5-7 hnub tom qab phais.

Nws yog tsim nyog sau cia hais tias lub bioresorbable sutures yuav kho tom qab ib tug ob peb lub lis piam. Nws tag nrho cov nyob rau hauv lub ntau yam ntawm cov khoom thiab nws muaj pes tsawg leeg.

Yuav ua li cas yog absorbable sutures

Bioresorbable sutures ze li ntawm ib txwm sib tshooj. Nws yog tsis tshua muaj siv rau qhov txhab kho phais khoom uas yog resistant rau hydrolysis. Xam tias yog absorbable sutures, uas poob lawv lub dag lub zog twb nyob 60 teev. Dissolving lub filaments raws li ib tug tshwm sim ntawm kis:

1. Enzymes uas yog tam sim no nyob rau hauv cov ntaub so ntswg ntawm tib neeg lub cev. Nyob rau hauv lwm yam lus, cov proteins uas tswj thiab leeb tshuaj tshua.
2. Dej. Qhov no tshuaj cov tshuaj tiv thaiv yog hu ua hydrolysis. Nyob rau hauv cov xov no yuav raug rhuav tshem los ntawm dej, uas yog tam sim no nyob rau hauv tib neeg lub cev.

Synthetic wicker polyglycolide xov "MedPGA"

Analogs xws phais khoom yog "Safil", "Polisorb", "Vicryl".

Bioresorbable sutures tom qab phais los yog tom qab tau me nyuam tej zaum yuav sib tshooj nrog yarns "MedPGA". Qhov no phais khoom ua raws li poligidroksiatsetilovoy acid. Nyob rau hauv xws coated filaments ntawm ib tug resorbable polymer. Qhov no yog yuav tsum tau txo thiab wick capillarity, thiab kuj yuav txo cov sawing nyhuv tshwm sim los ntawm nqa cov ntaub ntawv uas los ntawm cov ntaub so ntswg.

Yuav ua li cas muaj ntau yam lawm xov "MedPGA"

Bioresorbable sutures uas tau teem siv hauv lub xov "MedPGA" yauv hydrolytic degradation, uas yog nruj me ntsis tiv thaiv tau. Nws yog ib nqi sau cia hais tias xws li cov ntaub ntawv uas yog sufficiently muaj zog. Tom qab 18 hnub yarns khaws li 50% lub zog zog.

Sau kom tiav haum ntawm phais khoom no tshwm sim tsuas yog tom qab 60-90 hnub. Cov tshuaj tiv thaiv ntawm lub cev nqaij los "MedPGA" xov yog negligible.

Nws yog ib nqi sau cia hais tias xws li ib tug phais khoom yog dav siv rau kaw ntawm tag nrho cov ntaub so ntswg, tsuas yog cov neeg uas nyob hauv nro, raws li zoo raws li rau ib ntev lub sij hawm tsis zoo. Feem ntau "MedPGA" xov siv nyob rau hauv thoracic thiab mob plab phais, Gynecology, urology, yas phais thiab orthopedics. Txawm li cas los, nws yuav tsis siv rau lub paj hlwb thiab kab ntaub so ntswg.

Synthetic wicker polyglycolide xov "MedPGA-R"

Analogs xws phais khoom yog "Safil ceev", "Vicryl Ceev ceev".

"MedPGA-R" - ib tug hluavtaws xov ua rau lub hauv paus ntawm poligliglaktina-910. Tej phais resorbable khoom them nrog ib tug polymer. Qhov no thiaj li tsis sib haum xeeb thaum lub sij hawm tso cai ntawm lub xov los ntawm lub cev nqaij thiab kuj thiaj li wick thiab capillarity. Los ntawm no phais khoom tej zaum yuav tsum muaj ntaub ntawv bioresorbable sutures.

Yuav ua li cas muaj ntau yam absorbable suture "MedPGA-R"

"MedPGA-R" - khoom uas yog raug rau hydrolytic decomposition. Cov strands muaj zog txaus. Tom qab tsib hnub muab khaws cia tseg 50% ntawm lawv lub zog zog. Sau kom tiav haum tshwm sim xwb nyob rau hauv lub 40-50 hnub. Nws yog ib nqi sau cia hais tias cov ntaub so ntswg tshuaj tiv thaiv rau tus phais khoom "MedPGA-P" yog negligible. Nyob rau hauv tas li ntawd, cov threads tsis ua rau ua xua.

Nws siv ib cov khoom rau cov suture ntawm lub qog ua kua week, daim tawv nqaij, nqaij mos, raws li zoo raws li nyob rau hauv lub sijhawm thaum koj xav tau luv luv-term them nyiaj yug ntawm lub qhov txhab. Txawm li cas los, muaj kev zam. Tej yarns tsis siv nyob rau hauv lub paj hlwb thiab kab cov ntaub so ntswg.

Synthetic wicker polyglycolide xov "MedPGA-910"

Analogues ntawm xws phais khoom yog "Safil", "Polisorb", "Vicryl".

"MedPGA-910" yog ib qho absorbable suture kev qhia los ntawm poligliglaktina-910. Cov phais khoom kuj kho nrog ib tug tshwj xeeb txheej twg thiaj li "sawing" nyhuv thaum lub sij hawm tso cai ntawm lub cov ntaub ntawv uas los ntawm cov ntaub so ntswg, thiab txo capillarity thiab wick.

Hnub resorption "MedPGA-910"

Yog li ntawd thaum yaim bioresorbable sutures, "MedPGA-910" superimposed nrog phais khoom? Tej yarns muaj siab muaj zog. Txawm li cas los, lawv kuj yuav raug hydrolytic degradation. Tom qab 18 hnub tus phais ntaub ntawv uas yuav txuag tau li 75% lub zog zog tom qab 21 hnub - txog li 50% tom qab 30 hnub - txog li 25%, thiab tom qab 70 hnub muaj ib tug ua tiav resorption ntawm lub filaments.

Cov khoom no yog siv rau kaw ntawm cov nqaij mos mos uas tsis nyob rau hauv nro, raws li zoo raws li cov neeg uas kho sai sai, rau hauv hnab yas, thoracic thiab mob plab phais, Gynecology, urology thiab orthopedics. Koj muaj peev xwm siv tsis tau "MedPGA-910" rau suturing lub paj thiab kab cov ntaub so ntswg.

Monononit "PDO"

Analogues xws phais khoom yog tsis yog li ntawd ntau npaum li cas. Qhov no "Biosyns" raws li PDS II. Tej filaments yog yus muaj los ntawm siab lom qhia inetrtnosti, nefitilny thiab noncapillary, hydrophobic, tsis txhob raug mob cov ntaub so ntswg thaum lub sij hawm zaj therethrough, resilient, muaj zog heev, zoo-knitted thiab tuav ntawm.

Yuav ua li cas muaj ntau yam thiaj Monofilament

Monofilament "PDO" raug rau hydrolysis. Raws li ib tug tshwm sim ntawm txoj kev no ua digidroksietoksiuksusnaya acid, siab excretes. 2 lub lis piam tom qab lub phais suture khoom khaws mus txog 75% lub zog. Sau kom tiav nyias mus nyias tshwm sim nyob rau yarns 180-210 hnub.

Nrog hais txog hauv daim ntawv thov, cov kev phais khoom "PDO" yog siv rau suturing thiab nqaij mos kev sib txuas ntawm txhua yam, xws li tus ntoo khaub lig-txuas plawv tus me nyuam lub cev nqaij, uas yog kev kawm mus rau kev loj hlob ntxiv. Txawm li cas los, muaj kev zam. Monofilaments yog tsis haum rau suturing ntaub so ntswg, qhov txhab yuav tsum them nyiaj yug rau mus txog 6 lub lis piam, raws li zoo li cov neeg uas raug mus rau high loads. Koj yuav tsis thov lub suture thaum txhim kho kev cog hniav, dag lub plawv li qub, raws li zoo raws li hluavtaws vascular prostheses.

Yog li ntawd ntau npaum li cas yuav tsum tau absorbable sutures?

Tom ntej no, saib tag nrho cov ua li cas yuav muab ib tug bioresorbable sutures tom qab yug tus me nyuam, thaum absorbed, seb puas yuav tu. Tsis txhob hnov qab hais tias muaj ntau yam tseem ceeb muaj feem xyuam rau lub sij yawm ntawm lub qhov txhab kho neeg mob thiab tag disappearance ntawm lub filaments. Ua ntej ntawm tag nrho cov koj yuav tsum paub, los ntawm dab tsi cov khoom ua phais khoom. Nyob rau hauv Feem ntau, lub threads pib yaj 7-14 hnub tom qab suturing. Yuav kom expedite tus txheej txheem, tom qab txoj kev kho zoo ntawm cov qhov txhab mob tej zaum yuav tshem tawm nodules. Yuav kom txiav txim seb lub sij hawm ntawm haum ntawm threads yuav tsum tau clarified los ntawm ib tug kws kho mob:

1. Yuav ua li cas stitches twb.
2. Yuav ua li cas cov ntaub ntawv uas tau ua xov.
3. Zoo Heev xaus lub sij hawm ntawm lub suture.

Qhov kawg ntawm

Bioresorbable yarns yog feem ntau siv rau suturing txhab rau kev khiav hauj lwm, uas yog nyob rau hauv lub tob khaubncaws sab nraud povtseg ntawm cov ntaub so ntswg, raws li zoo raws li nyob rau ntawm daim tawv nqaij saum npoo av. Piv txwv li, nyob rau hauv nruab nrog cev hloov.

Cov tib phais khoom siv rau suturing txhab thiab pob txha lov tau thaum lub sij hawm yog tau me nyuam. Nyob rau hauv cov ntaub ntawv no, ib tug ntau ntawm cov kev tshawb fawb tau tau ua. Lawv tau pom hais tias tus suture ua los ntawm polyglycolic acid, kiag li disappears nyob rau hauv cia li plaub lub hlis, thiab cov khoom nyob rau hauv lub hauv paus ntawm polyglactin - peb. Yog li bioresorbable sutures yuav tuav lub kiav txhab sawv ua ntej mus ua kom tiav tom qab, thiab ces maj mam pib mus ua txhaum down. Yog hais tias qhov xov no rau ib tug ntev lub sij hawm dim thiab xa tsis xis nyob, koj yuav tsum nrhiav kev pab los ntawm ib tug kws phais neeg los yog tus kws kho mob.