Kunoma iyiphi inqubo yokuhlinzwa, ukuqinisekisa ukuthi izinto zokwelapha azinamagciwane kubaluleke kakhulu ekuphepheni nasekuphumeleleni kokuhlinzwa. Phakathi kwezinto ezihlukahlukene ezisetshenziswayo, i-polyester sutures iyindlela ethandwayo ngenxa yamandla ayo nokuqina kwayo. Kodwa-ke, njengazo zonke izinto zokuhlinzwa, kumele zihlanzwe kahle ukuze kuvinjelwe ukutheleleka nezinkinga. Kulesi sihloko, sizohlola izinqubo ezibalulekile zokuhlanza i-polyester sutures nokuthi kungani kubalulekile ukulandela imikhuba emihle.
Kungani Ukuhlanza InzaloI-Polyester SuturesKubalulekile
Ukubaluleka kokuhlanza inxeba nge-suture akunakuphikiswa ngokweqile. Ama-suture, njengoba ethintana ngqo namanxeba avulekile, asebenza njengesixhumanisi esibalulekile enkambisweni yokuhlinzwa. Noma yikuphi ukungcola kungaholela ekuthelelekeni, kwandise inqubo yokuphulukiswa futhi kubeke isiguli engozini yezinkinga ezinkulu. Ama-suture e-polyester, yize emelana namagciwane, kumele ahlanzwe inxeba ngokuqinile ukuqinisekisa ukuthi awanama-microorganisms ayingozi ngaphambi kokusetshenziswa.
Esimweni sezokwelapha, ukubulala amagciwane emithungweni ye-polyester akuyona nje indlela yokuphepha kodwa kuyimfuneko esemthethweni yokunamathela ezindinganisweni zezokwelapha. Ukusetshenziswa kwemithungo engahlanjulwanga kahle kungabangela ukutheleleka kwesiguli, ukuhlala isikhathi eside esibhedlela, noma ngisho nezimangalo zokungalungi. Ngakho-ke, ukuqonda nokulandela izinqubo zokubulala amagciwane kubalulekile kunoma yimuphi umhlinzeki wezempilo.
Izindlela Ezivamile Zokubulala Izifo Ze-Polyester Sutures
Izindlela eziningana zisetshenziswa ukuhlanza ama-polyester sutures ngempumelelo, ngayinye inezinzuzo zayo kuye ngezinsiza zesikhungo sezokwelapha kanye nezici ezithile ze-suture. Amasu avame kakhulu afaka phakathi ukuhlanza ngomusi (i-autoclaving), ukuhlanza ngegesi i-ethylene oxide (EtO), kanye nemisebe ye-gamma.
1. Ukuhlanza ngomusi (Ukuzibopha ngokuzenzakalelayo)
Ukuhlanza ngomusi, okwaziwa nangokuthi i-autoclaving, kungenye yezindlela ezisetshenziswa kakhulu ekuhlanzeni amathuluzi ezokwelapha, kufaka phakathi i-polyester sutures. Le ndlela ihilela ukuveza i-sutures kumusi oshisa kakhulu ngaphansi kwengcindezi. I-polyester sutures ifaneleka kahle kule nqubo ngoba ayimelani nokushisa futhi igcina ubuqotho bayo ngemva kokuhlanza.
I-Autoclaving iphumelela kakhulu ekubulaleni amabhaktheriya, amagciwane, kanye nezinhlamvu ezincane, okwenza kube ukukhetha okuthembekile. Kodwa-ke, kubalulekile ukuqinisekisa ukuthi i-polyester sutures ipakishwe kahle ngaphambi kokufakwa ku-autoclave. Ukupakishwa okungekuhle kungavumela umswakama noma umoya ukuthi ungene, okubeka engcupheni ukungabi namandla kwe-sutures.
2. Ukuhlanza nge-Ethylene Oxide (EtO)
Ukuhlanza nge-ethylene oxide (EtO) kungenye indlela esetshenziselwa ukuthunga nge-polyester, ikakhulukazi lapho kuhileleke izinto ezizwela ukushisa. Igesi le-EtO lingena entweni yokuthunga futhi libulale amagciwane ngokuphazamisa i-DNA yawo. Le ndlela ilungele ukuthunga nge-ethylene oxide (EtO) engakwazi ukumelana namazinga okushisa aphezulu e-autoclaving.
Enye yezinzuzo eziyinhloko zokuhlanza i-EtO ukuthi ingasetshenziswa ezintweni eziningi ezahlukene, okwenza kube lula ukuyisebenzisa. Kodwa-ke, inqubo idinga isigaba eside sokungenisa umoya ukuqinisekisa ukuthi zonke izinsalela zegesi ze-EtO ziyasuswa ngaphambi kokuba imithungo ibhekwe njengephephile ukuyisebenzisa. Umoya ofanele ubalulekile ukuvimbela imiphumela eyingozi ezigulini nakubasebenzi bezempilo.
3. Ukuhlanza ngemisebe ye-Gamma
Imisebe ye-Gamma ingenye indlela ephumelela kakhulu yokubulala amagciwane, ikakhulukazi kuma-polyester sutures afakwe ezitsheni ezivaliwe. Imisebe ye-gamma enamandla aphezulu ingena ephaketheni futhi ibhubhise noma yiziphi izinto eziphilayo ezincane ezikhona, iqinisekisa ukuthi azinamagciwane ngokuphelele ngaphandle kwesidingo sokushisa okuphezulu noma amakhemikhali.
Le ndlela isetshenziswa kabanzi ekukhiqizeni izinto zokwelapha ezihlanzekile ngenxa yokusebenza kahle kanye nekhono layo lokuhlanza imikhiqizo ngobuningi. Ama-polyester sutures ahlanzwe kusetshenziswa imisebe ye-gamma aphephile ukusetshenziswa ngokushesha, njengoba kungekho zinsalela noma amagesi ayingozi ashiywa ngemuva.
Izindlela Ezinhle Zokuphatha I-Sterilized Polyester Sutures
Ngisho nangemva kokuhlanza kahle i-polyester sutures, kubalulekile ukugcina i-polyester sutures ihlanzekile. Abahlinzeki bezempilo kumele balandele imikhuba emihle yokuqinisekisa ukuthi i-sutures ihlala ihlanzekile kuze kube yilapho isetshenziswa ekuhlinzeni. Lokhu kuhlanganisa ukugcina i-sutures ezindaweni ezihlanzekile, ukuyiphatha ngamagilavu, nokuqinisekisa ukuthi ukupakishwa kwayo akuphazamiseki.
Ngaphezu kwalokho, ochwepheshe bezokwelapha kufanele bahlole usuku lokuphelelwa yisikhathi emaphaketheni e-suture ahlanziwe futhi babheke noma yiziphi izimpawu zomonakalo noma ukungcola ngaphambi kokusebenzisa. Noma yikuphi ukwephuka ephaketheni, ukushintsha kombala, noma iphunga elingavamile kungabonisa ukuthi i-sutures ayisahlanziwe.
Iukubulala amagciwane kwe-polyester sutureskuyisici esibalulekile sokuqinisekisa ukuphepha kwesiguli kanye nemiphumela yokuhlinzwa ephumelelayo. Kungakhathaliseki ukuthi ngokusebenzisa i-steam sterilization, i-EtO gas, noma imisebe ye-gamma, kubalulekile ukuthi abahlinzeki bezempilo balandele amasu afanele okubulala inzalo ukuqinisekisa ukuthi i-sutures ayinazo izinto ezingcolisayo. Ngaphezu kokubulala inzalo, ukuphathwa nokugcinwa ngokucophelela kwale misho kubalulekile ekugcineni ubuqotho bayo kuze kube yilapho isetshenziswa ekuhlinzeni.
Ngokulandela izinqubo ezifanele, ochwepheshe bezokwelapha banganciphisa ingozi yokutheleleka futhi bathuthukise izikhathi zokululama kwesiguli, okwenza i-polyester sutures ibe yindlela ephephile nethembekile ekusetshenzisweni okuhlukahlukene kokuhlinzwa. Ukuqonda nokusebenzisa lezi zindlela zokubulala inzalo kuqinisekisa indawo yokuhlinzwa ephephile nesebenza kahle kubo bonke.
Isikhathi sokuthunyelwe: Okthoba-17-2024
