Kuyo nayiphi na inkqubo yotyando, ukuqinisekisa ukuba izixhobo zonyango azinabungozi kubalulekile kukhuseleko nempumelelo yotyando. Phakathi kwezinto ezahlukeneyo ezisetyenziswayo, i-polyester sutures ziyindlela ethandwayo ngenxa yokuba zinamandla kwaye zihlala ixesha elide. Nangona kunjalo, njengazo zonke izixhobo zotyando kunye nezixhobo, kufuneka zicocwe ngokufanelekileyo ukuthintela usulelo kunye neengxaki. Kweli nqaku, siza kuhlola iinkqubo eziphambili zokubulala iintsholongwane kwi-polyester sutures kunye nesizathu sokuba kubalulekile ukulandela iindlela ezilungileyo.
Kutheni ukubulala iintsholongwaneIimpahla zePolyesterKubalulekile
Ukubaluleka kokubulala iintsholongwane nge-suture akunakugxininiswa kakhulu. Ii-suture, ezidibana ngqo namanxeba avulekileyo, zisebenza njengekhonkco elibalulekileyo kwinkqubo yotyando. Naluphi na ungcoliseko lunokukhokelela kwiintsholongwane, luqhube ixesha elide lokuphiliswa kwaye lubeke umguli esichengeni seengxaki ezinzima. Ii-suture ze-polyester, nangona zimelana neebhaktheriya, kufuneka zibulawe iintsholongwane ngokuqinileyo ukuqinisekisa ukuba azinazo kwaphela iintsholongwane eziyingozi ngaphambi kokuba zisetyenziswe.
Kwimeko yeklinikhi, ukubulala iintsholongwane kwi-polyester sutures akusiyondlela yokhuseleko kuphela kodwa yimfuneko esemthethweni yokuthobela imigangatho yezonyango. Ukusetyenziswa kwe-sutures ezingacocwanga kakuhle kunokubangela usulelo lwesigulane, ukuhlala ixesha elide esibhedlele, okanye nokuba amabango okungasebenzi kakuhle. Ke ngoko, ukuqonda nokulandela imigaqo yokubulala iintsholongwane kubalulekile kuye nawuphi na umboneleli wezempilo.
Iindlela Eziqhelekileyo Zokubulala Iintsholongwane Kwi-Polyester Sutures
Iindlela ezahlukeneyo zisetyenziswa ukubulala iintsholongwane kwi-polyester sutures ngokufanelekileyo, nganye ineengenelo zayo ngokuxhomekeke kwizixhobo zesikhungo sezonyango kunye neempawu ezithile ze-suture. Ezona ndlela zixhaphakileyo ziquka ukubulala iintsholongwane ngomphunga (i-autoclaving), ukubulala iintsholongwane ngegesi ye-ethylene oxide (EtO), kunye ne-gamma radiation.
1. Ukucoca ngomphunga (Ukuzibophelela nge-Autoclaving)
Ukubulala iintsholongwane ngomphunga, okwaziwa ngokuba yi-autoclaving, yenye yezona ndlela zisetyenziswa kakhulu ekubulaleni izixhobo zonyango, kuquka nee-polyester sutures. Le ndlela ibandakanya ukuveza ii-sutures kumphunga oshushu kakhulu phantsi koxinzelelo. Ii-polyester sutures zilungele le nkqubo kuba azitshisi ubushushu kwaye zigcina ukuthembeka kwazo emva kokubulala iintsholongwane.
I-Autoclaving isebenza kakhulu ekubulaleni iintsholongwane, iintsholongwane kunye ne-spores, nto leyo eyenza ukuba ibe lukhetho oluthembekileyo. Nangona kunjalo, kubalulekile ukuqinisekisa ukuba i-polyester sutures ipakishwe ngokuchanekileyo ngaphambi kokuba ifakwe kwi-autoclave. Ukupakishwa okungekho semgangathweni kunokuvumela ukufuma okanye umoya ukuba ungene, nto leyo enokubeka emngciphekweni ubuvuvu be-sutures.
2. Ukucoca nge-Ethylene Oxide (EtO)
Ukubulala iintsholongwane nge-ethylene oxide (EtO) yenye indlela esetyenziselwa ukuthungwa kwe-polyester, ingakumbi xa kubandakanyeka izinto ezinobuzwelo kubushushu. Igesi ye-EtO ingena kwi-suture material ize ibulale iintsholongwane ngokuphazamisa i-DNA yazo. Le ndlela ifanelekile kwi-sutures ezingenakumelana namaqondo obushushu aphezulu e-autoclaving.
Enye yezona nzuzo ziphambili zokubulala iintsholongwane kwi-EtO kukuba ingasetyenziswa kwizinto ezahlukeneyo, nto leyo eyenza ukuba isebenziseke lula. Nangona kunjalo, le nkqubo ifuna ixesha elide lokungenisa umoya ukuqinisekisa ukuba zonke iintsalela zegesi ze-EtO zisusiwe ngaphambi kokuba imithungo ithathwe njengekhuselekileyo ukusetyenziswa. Umoya ofanelekileyo ubalulekile ukuthintela iziphumo eziyingozi kwizigulana nakubasebenzi bezempilo.
3. Ukucoca ngemitha yeGamma
Imitha yeGamma yenye indlela esebenza kakhulu yokubulala iintsholongwane, ingakumbi kwii-polyester sutures ezipakishwe kwangaphambili kwizikhongozeli ezivaliweyo. Imitha yeGamma enamandla aphezulu ingena kwiphakheji ize itshabalalise naziphi na iintsholongwane ezikhoyo, iqinisekisa ukuba azinantsholongwane ngokupheleleyo ngaphandle kwesidingo sobushushu obuphezulu okanye iikhemikhali.
Le ndlela isetyenziswa kakhulu ekwenzeni izixhobo zonyango ezicocekileyo ngenxa yokusebenza kwayo kakuhle kunye nokukwazi kwayo ukubulala iintsholongwane kwiimveliso ngobuninzi. Ii-polyester sutures ezicociweyo kusetyenziswa i-gamma radiation zikhuselekile ukusetyenziswa ngoko nangoko, kuba akukho ntsalela okanye iigesi eziyingozi ezishiyekayo.
Iindlela ezilungileyo zokuphatha iiSutures zePolyester eziSetyhisiweyo
Nokuba emva kokususwa kweentsholongwane ngokufanelekileyo, ukugcina ii-polyester sutures zingabi nantsholongwane kubalulekile. Ababoneleli bezempilo kufuneka balandele iindlela ezilungileyo zokuqinisekisa ukuba ii-sutures zihlala zingenantsholongwane de zisetyenziswe kutyando. Oku kuquka ukugcina ii-sutures kwindawo ezingenanto, ukuziphatha ngeeglavu, kunye nokuqinisekisa ukuba ukupakisha akuchaphazeleki.
Ngaphezu koko, iingcali zonyango kufuneka zihlale zijonga umhla wokuphelelwa kweepakethe ze-suture ezicociweyo kwaye zijonge naziphi na iimpawu zomonakalo okanye ukungcola ngaphambi kokuba zisetyenziswe. Nakuphi na ukwaphuka kwiphakheji, ukutshintsha kombala, okanye ivumba elingaqhelekanga kunokubonisa ukuba i-sutures ayisabonakali.
Iukubulala iintsholongwane kwi-polyester suturesluphawu olubalulekileyo lokuqinisekisa ukhuseleko lwesigulane kunye neziphumo zotyando eziphumelelayo. Nokuba kungokusetyenziswa kokucoca ngomphunga, igesi ye-EtO, okanye imitha ye-gamma, kubalulekile ukuba ababoneleli bezempilo balandele iindlela ezifanelekileyo zokucoca ngomphunga ukuqinisekisa ukuba izihlangu azinazo izinto ezingcolisayo. Ukongeza ekucoceni ngomphunga, ukuphathwa ngononophelo kunye nokugcinwa kwezi zihlangu kubalulekile ekugcineni ukuthembeka kwazo zide zisetyenziswe kutyando.
Ngokulandela iinkqubo ezifanelekileyo, iingcali zonyango zinokunciphisa umngcipheko wosulelo kwaye ziphucule amaxesha okuchacha kwesigulana, zenze i-polyester sutures ibe lukhetho olukhuselekileyo noluthembekileyo kwiindlela ezahlukeneyo zotyando. Ukuqonda nokusebenzisa ezi ndlela zokubulala iintsholongwane kuqinisekisa indawo ekhuselekileyo nesebenzayo yotyando kubo bonke.
Ixesha leposi: Oktobha-17-2024
