Kuvhiyiwa kwemwoyo inyaya yakaoma inoda zvinhu zvakanyatsonaka uye zvakavimbika kuti murwere awane mhedzisiro yakanaka. Pakati pezvinhu izvi, sutures dzinoita basa guru mukuchengetedza hutano hwekugadzirisa kuvhiyiwa, kunyanya mukurapa kwakaoma kunosanganisira mitsipa yeropa nemoyo. Muchinyorwa chino, tichaongorora zvinhu zvakanakisa zvekuvhiyiwa kwemwoyo, tichitarisa pahunhu hwazvo, mabhenefiti azvo, uye mashandisirwo azvo chaiwo kubatsira vanachiremba kuita sarudzo dzine ruzivo.
Sei Kusarudza Zvinhu Zvakakodzera zveSuture Zvichikosha?
Mukuvhiyiwa kwemwoyo, kusarudza suture yakakodzera kwakakosha nekuti kunokanganisa zvakananga kubudirira kwekuvhiyiwa uye kupora. Sutures dzinofanira kunge dzakasimba zvakakwana kuti dzibate nyama pamwe chete pasi pekumanikidzwa ukuwo dzichinyatsoita kuti dzisakuvadze. Pamusoro pezvo, dzinofanira kuva nehunhu hwakanaka hwekubata, kuita zvishoma kwenyama, uye kuchengetedzwa kwakanaka kwemapfundo kudzivirira matambudziko.
Zvinhu Zvepamusoro Zvekushandisa Pakurapa Mwoyo Neropa
1.Masutu ePolyester
Polyester ipurasitiki yakagadzirwa, isinganyungudike inoshandiswa zvakanyanya mukuvhiyiwa kwemwoyo. Inopa simba rakasimba rekusunga uye hunhu hwakanaka hwekubata, zvichiita kuti ive yakakodzera vascular anastomosis uye nzira dzekutsiva mavharuvhu. Polyester sutures inonyanya kufarirwa nekuda kwekugara kwayo kwenguva refu uye kusaita kwakanyanya kwemuviri, zvichideredza njodzi yekuzvimba. Semuenzaniso, mu coronary artery bypass grafting (CABG), polyester sutures inobatsira kuona kubatana kwakachengeteka uye kwenguva refu pakati pe grafts nemidziyo yeropa.
2.Zvishongo zvePolypropylene
Polypropylene imwe sarudzo yakakurumbira yekushandiswa kwemwoyo, inozivikanwa nekuchinjika kwayo uye kubatana kwayo nemuviri. Ichinhu chisinganyungudike, icho chinobatsira mukuvhiya kunoda rutsigiro rwenyama kwenguva refu. Pamusoro payo panyorova panoderedza kukuvara kwenyama panguva yekufamba, zvichiita kuti ive yakakodzera kugadziriswa kwetsinga dzeropa. Kusagona kwepolypropylene kurwisana nehutachiona uye kusashanda zvakanaka kwenyama kunoita kuti ive suture inofarirwa pakurapa senge kugadzirisa aortic aneurysm.
3.ePTFE (Expanded Polytetrafluoroethylene) Sutures
Masuture ePTFE haapindi mukuchinja kwetsinga, zvichiita kuti ave sarudzo yakanaka yekugadzirisa tsinga dzemwoyo dzine dambudziko guru. Anonyanya kubatsira mukuvhiya kunosanganisira magrafti ekugadzira, sezvo achipa kuenderana kwakanaka kwenyama uye kukweshana kushoma. Vanachiremba vanovhiya vanowanzo sarudza ePTFE nekuda kwekugona kwayo kubata ma anastomoses akaomarara etsinga pasina kucheka madziro etsinga, nokudaro ichidzivirira matambudziko emushure mekuvhiyiwa akadai sekubuda ropa mumutsara wesuture.
Zvishongo Zvinonyungudika vs. Zvisinganyungudike
Kunzwisisa musiyano uripo pakati pemachira anonyungudika neasinganyungudike kwakakosha pakusarudza zvinhu zvakakodzera zvekurapa chirwere chemwoyo.
•Masisitimu Anonyungudika:Masundi aya anopwanyika zvishoma nezvishoma mumuviri uye anonyudzwa nekufamba kwenguva. Anowanzo shandiswa mumamiriro ezvinhu apo rutsigiro rwemaronda rwenguva pfupi rwakakwana. Zvisinei, mukuvhiyiwa kwemwoyo, masundi anonyudzwa haawanzoitiki nekuti haapi rutsigiro rwechigarire runodiwa pakugadzirisa kwakakosha.
•Masisitimu Asinganyorovi:Sezvinoratidzwa nezita racho, machira aya akagadzirirwa kugara mumuviri zvachose kana kusvika abviswa. Machira asinganyoroveke akadai sepolyester, polypropylene, uye ePTFE ndiwo anoshandiswa pakurapa mwoyo, zvichipa kugadzikana kwenguva refu uye zvichideredza njodzi yekuwedzera kweaneurysmal.
Basa reSuture Size mukuvhiyiwa kwemwoyo
Kusarudza saizi chaiyo yesuture kwakakosha zvakaenzana nejira racho pacharo. Mukuvhiyiwa kwemwoyo, saizi dzakatetepa dzesuture (dzakadai se6-0 kana 7-0) dzinowanzo shandiswa nekuti dzinoderedza kukuvara kwenyama uye dzinowedzera kunyatsorongeka, kunyanya mutsinga dzeropa dzakatetepa. Zvisinei, saizi dzakakura dzinogona kushandiswa munzvimbo dzinoda simba rakawedzerwa uye rutsigiro, senge mukugadzirisa aorta.
Chidzidzo Chenyaya: Kubudirira muCoronary Artery Bypass Grafting (CABG)
Ongororo yakaitwa nevarwere veCABG yakaratidza kushanda kwe polyester sutures mukubudirira kwe graft. Vanachiremba vakaona kuti simba guru rekudhonza re polyester uye kusaita kwakanyanya kwenyama zvakabatsira kuderedza matambudziko mushure mekuvhiyiwa uye kuvandudza kugona kwe graft yese. Uchapupu uhwu hunoratidza kukodzera kwechinhu ichi pakurapa mwoyo nemwoyo uko sutu dzakasimba uye dzakavimbika dzinodiwa.
Mazano Ekuchengetedza Kuvimbika Kwesuture
Kubata zvakanaka machira ekusungirira panguva yekuvhiyiwa kunogona kukanganisa zvakanyanya mhedzisiro. Vanachiremba vanofanira kudzivirira kushushikana kwakanyanya pavanosunga mapfundo, sezvo izvi zvinogona kukonzera kukuvara kwenyama kana kutyoka kwemasutu. Pamusoro pezvo, kuve nechokwadi chekuti machira ekusungirira mashoma uye kushandisa nzira dzakakodzera dzekubatanidza mapfundo kunogona kubatsira kuchengetedza chimiro chemasutu, zvichivandudza mashandiro awo panguva yekupora.
Remangwana reZvishandiso zveSuture mukuvhiyiwa kwemwoyo
Kufambira mberi muhunyanzvi hwekugadzira suture kuri kuramba kuchichinja, kwakatarisana nekusimudzira kuchengetedzeka kwevarwere uye kuvandudza mhedzisiro yekuvhiyiwa. Zvinhu zvitsva zvakaita semachira anorwisa mabhakitiriya uye suture dzinoshanda dzinokurudzira kuporesa zviri kuongororwa pari zvino mukushandiswa kwemishonga yemwoyo. Izvi zvinangwa zvekuderedza huwandu hwehutachiona uye kukurudzira kubatana zviri nani nenyama, zvichipa mikana inonakidza yeramangwana rekuvhiyiwa kwemwoyo.
Kusarudza suture yakakodzera yekuvhiyiwa kwemwoyo chisarudzo chakakosha chinogona kukanganisa zvakanyanya mhedzisiro yemurwere. Zvinhu zvakaita sepolyester, polypropylene, uye ePTFE zvinopa simba rakanaka, kugara kwenguva refu, uye kuita zvishoma kwemuviri, zvichiita kuti zvive zvakanaka kune maitiro akaomarara emwoyo. Nekunzwisisa hunhu hwakasiyana hwemasuture aya uye kufunga nezvezvinhu zvakaita sehukuru hwemasuture uye nzira dzekubata nadzo, vanachiremba vanogona kuita sarudzo dzakangwara dzinosimudzira kubudirira kwekuvhiyiwa uye kukurudzira kupora kuri nani.
Kune nyanzvi dzezvehutano dziri kuda kuvandudza nzira dzavo dzekuvhiya nemigumisiro, kushandisa nguva pakusarudza suture yakakodzera kwakakosha. Kunyangwe uri kugadzirisa nguva dzose kana kugadzirisa tsinga dzeropa, suture chaiyo inogona kuita mutsauko mukuru.
Nguva yekutumira: Mbudzi-08-2024
