Bioresorbable isi agịga Ma do: ụdị, ndị na-agwọ oge

Mgbe ụfọdụ, dị ka n'oge ịwa ahụ, nakwa dị ka mgbe amuchara nwa chọrọ imposition nke resorbable isi agịga Ma do. N'ihi na nke a pụrụ iche ihe na-eji. E nwere ọtụtụ iche absorbable isi agịga Ma do. The okwu na-agwọ ọrịa nke ndị dị otú ahụ ọnyá na-adabere na ọtụtụ ihe. Ya mere dị ka bioresorbable isi agịga Ma do igbari?

Isi iche stitches

Iji zaa ajụjụ a, ọ dị mkpa iji dokwuo anya ihe bụ isi iche nkwonkwo e. Na-emekarị, ọ:

1. Esịtidem. Dị otú ahụ seams na-karịrị on ọjọọ n'ihi n'ibu mmetụta. N'ihi na ejikọta anụ ahụ na mgbaji ọkpụkpụ etinye ụfọdụ iche iche nke anụ ahụ. Ndị a bioresorbable isi agịga Ma do agwọ ngwa ngwa-ezuru. Ha na-emekarị etinyere inyom mgbe na-amụ nwa na cervix. Na nke a, ná Nkụnwụ adịghị chọrọ, ebe ọ bụ na akụkụ a nke kenwe enweghị uche.
2. Mputa. Ha nwekwara ike na-igba iji resorbable ihe onwunwe. Mgbe nnyefe, ka ndị dị otú seams na ezumike ma ọ bụ n'oge dissection nke perineum, nakwa dị ka mgbe ịwa ahụ. Ọ bụrụ na ị na-eji ihe ndị nkịtị ihe onwunwe, ọ na-achọrọ iji wepụ ya maka 5-7 ụbọchị mgbe ịwa ahụ.

Ọ bụ uru arịba ama na bioresorbable isi agịga Ma do nwere ike ịgwọ mgbe a izu ole na ole. Ọ niile na-adabere dịgasị iche iche nke ihe na ya mejupụtara.

Gịnị bụ absorbable isi agịga Ma do

Bioresorbable isi agịga Ma do fọrọ nke nta mgbe niile yitewere. Ọ na-adịkarịghị eji maka emerụ na-agwọ ọrịa ịwa ahụ ihe onwunwe nke bụ eguzogide hydrolysis. Weere absorbable isi agịga Ma do, nke ida ike ha ugbua na awa 60. Dissolving na filaments dị ka a n'ihi nke ikpughe:

1. Enzymes nke bụ ugbu ke anụ ahụ nke ahụ mmadụ. Na ndị ọzọ okwu, na-edozi na-achịkwa ma mee ngwangwa ndị chemical Jeremaya mere.
2. Mmiri. Nke a chemical mmeghachi omume a na-akpọ hydrolysis. Na a na eri na-ebibi site na mmiri, nke bụ ugbu a na ahụ mmadụ.

Sịntetik wicker polyglycolide eri "MedPGA"

Analogs dị otú ahụ waa ihe onwunwe bụ "Safil", "Polisorb", "Vicryl".

Bioresorbable isi agịga Ma do mgbe ịwa ahụ ma ọ bụ mgbe na-amụ nwa nwere ike yitewere na yarns "MedPGA". Nke a ịwa ahụ ihe onwunwe e mere dabeere na poligidroksiatsetilovoy acid. N'ọnọdụ dị otú ntekwasa filaments nke a resorbable polima. Nke a ka a chọrọ iji belata na oriọna na capillarity, na-iji belata sawing mmetụta mere site ndị na-ebu ihe onwunwe site na anụ ahụ.

Olee otú ọtụtụ ndị ekwurịta eri "MedPGA"

Bioresorbable isi agịga Ma do nke e setịpụrụ eji eri "MedPGA" ata hydrolytic ùgwù ya, nke a na-nditịm na-achịkwa. Ọ bụ uru na-arịba ama na ndị dị otú ihe onwunwe bụ ya zuru ezu ike. Mgbe ụbọchị 18 yarns ejigide ruo 50% ike Njirimara.

Complete absorption nke ịwa ahụ ihe pụtara nanị mgbe 60-90 ụbọchị. The mmeghachi omume nke ahụ na nsụkọrọ ka "MedPGA" eri bụ negligible.

Ọ bụ uru na-arịba ama na ndị dị otú a ịwa ahụ ihe onwunwe na ọtụtụ-eji maka mmechi nke niile anụ ahụ, ma e wezụga ndị na-n'okpuru erughị ala, nakwa dị ka a ogologo oge na-adịghị agwọ. Ọtụtụ mgbe "MedPGA" eri ji na thoracic na abdominal usiakidem, ọrịa ụmụ nwanyị, urology, plastic ịwa ahụ na orthopedics. Otú ọ dị, ọ na-adịghị emetụta na ụjọ na obi anụ ahụ.

Sịntetik wicker polyglycolide eri "MedPGA-R"

Analogs dị otú ahụ waa ihe onwunwe bụ "Safil Ndenye", "Vicryl Rapid".

"MedPGA-R" - a sịntetik yarn mere na ndabere nke poligliglaktina-910. Ndị dị otú ahụ nke ogwugwo resorbable ihe kpuchie a polima. Nke a na-ebelata esemokwu n'oge Itie nke yarn site ahụ anụ ahụ ma na-ebelata oriọna na capillarity. Site na nke a ịwa ahụ ihe nwere ike etinyere bioresorbable isi agịga Ma do.

Olee otú ọtụtụ ndị absorbable agịga "MedPGA-R"

"MedPGA-R" - ihe nke bụ susceptible ka hydrolytic decomposition. Ndị a uzo bụ ike. Mgbe ụbọchị ise nọgidere 50% ike ha Njirimara. Complete absorption pụtara nanị na 40-50 ụbọchị. Ọ bụ uru na-arịba ama na anụ ahụ mmeghachi omume nke ogwugwo ihe onwunwe "MedPGA-P" bụ negligible. Ke adianade do, eri ghara ime ka allergies.

Ọ na-emetụta a ihe maka agịga nke mucous membranes, anụ ahụ, adụ anụ ahụ, nakwa dị ka na ọnọdụ mgbe ị kwesịrị mkpụmkpụ-okwu nkwado nke ọnya. Otú ọ dị, e nwere wezụga. Dị otú ahụ yarns na-adịghị eji na ụjọ na obi anụ ahụ.

Sịntetik wicker polyglycolide eri "MedPGA-910"

Analogues nke ndị dị otú ahụ waa ihe onwunwe bụ "Safil", "Polisorb", "Vicryl".

"MedPGA-910" bụ absorbable agịga chepụtara si poligliglaktina-910. Nke ogwugwo ihe onwunwe a na-emeso ya na a pụrụ iche mkpuchi nke na-ebelata "sawing" mmetụta n'oge Itie nke ihe onwunwe site na anụ ahụ, ma belata capillarity na oriọna.

AFỌ resorption "MedPGA-910"

Ya mere, mgbe etinye obi gị dum bioresorbable isi agịga Ma do, "MedPGA-910" karịrị na-awa ahụ ihe onwunwe? Dị otú ahụ yarns nwere nnukwu ike. Otú ọ dị, ha na-isiokwu na-hydrolytic nkịtị. Mgbe ụbọchị 18 nke ogwugwo ihe nwere ike ịzọpụta ruo 75% ike Njirimara mgbe ụbọchị 21 - ka 50% mgbe ụbọchị 30 - ruo 25%, na mgbe 70 ụbọchị bụ ihe zuru ezu resorption nke filaments.

Ngwaahịa a na-eji maka mmechi nke adụ anụ ahụ na-adịghị n'okpuru erughị ala, nakwa dị ka ndị na-agwọ ngwa ngwa, na plastic, thoracic na abdominal usiakidem, ọrịa ụmụ nwanyị, urology na orthopedics. Ị nwere ike iji "MedPGA-910" maka suturing akwara na obi anụ ahụ.

Monononit "PDO"

Analogues dị otú ahụ waa ihe onwunwe na-abụghị nke ukwuu. Nke a "Biosyns" nakwa dị ka PDS II. Dị otú ahụ filaments na-ji nnukwu ndu egosi inetrtnosti, nefitilny na noncapillary, hydrophobic, adịghị emerụ anụ ahụ n'oge Itie therethrough, resilient, nnọọ ike, na-kpara ma jide ọnụ.

Olee otú ọtụtụ mkpebi monofilament

Monofilament "PDO" susceptible ka hydrolysis. Dị ka a N'ihi nke a usoro emepụta digidroksietoksiuksusnaya acid, n'ụzọ zuru ezu excretes. 2 izu mgbe ịwa ahụ agịga ihe retains ruo 75% ike. Complete mgbasa emee n'ime yarns 180-210 ụbọchị.

N'ihe gbasara ngwa, nke ogwugwo ihe onwunwe "PDO" na-eji maka suturing na adụ anụ ahụ na njikọ nke ụdị ọ bụla, gụnyere maka cross-ejikọ obi nwatakịrị ahụ anụ ahụ, nke bụ isiokwu n'ihu ibu. Otú ọ dị, e nwere wezụga. Monofilaments adịghị adabara suturing anụ ahụ, ọnyá na-achọ nkwado maka ruo 6 izu, nakwa dị ka ndị na-doro elu ibu. Ị nwere ike ghara itinye na agịga mgbe wụnye implants, wuru obi valves, nakwa dị ka sịntetik vaskụla prostheses.

Ya mere, olee ihe ga-absorbable isi agịga Ma do?

Ọzọ, anya na niile dị ka ihe kasị a bioresorbable isi agịga Ma do mgbe amuchara nwa, mgbe etinye obi gị dum, ma na-elekọta. Echefula na ọtụtụ ihe na-emetụta usoro iheomume nke na-emerụ na-agwọ ọrịa na zuru ezu ofufe nke filaments. Mbụ niile mkpa ka ị mara, si ihe onwunwe mere ịwa ahụ ihe onwunwe. N'ọnọdụ ka ukwuu, na-eri na-amalite igbari 7-14 ụbọchị mgbe suturing. Iji expedite usoro, mgbe ndị na-agwọ nke ọnyá na-eweta nwere ike wepu nodules. Iji chọpụta oge nke absorption nke eri ga-ha ghọta site a dọkịta:

1. Gịnị stitches bu.
2. Ihe onwunwe e mepụtara yarn.
3. Kwesịrị Nṅomi mgbasa oge nke agịga.

Ná ngwụsị nke

Bioresorbable yarns na-eji maka suturing ọnyá na-arụ ọrụ, nke na-emi odude ke miri n'ígwé nke anụ ahụ, dị ka nke ọma dị ka na akpụkpọ elu. Ihe atụ, na ngwa transplants.

Otu ịwa ahụ ihe onwunwe na-eji maka suturing ọnyá na fractures nwetara n'oge na-amụ nwa. Na nke a, a otutu ọmụmụ e duziri. Ha pụta gosiri na agịga mere nke polyglycolic acid, kpamkpam kpamkpam na nanị ọnwa anọ, na ihe onwunwe na ndabere nke polyglactin - atọ. N'ihi ya bioresorbable isi agịga Ma do ga jide ọnya n'ọnụ tupu mezue na-agwọ ọrịa, na mgbe ahụ ji nwayọọ nwayọọ na-amalite imebi ala. Ọ bụrụ na eri ogologo oge na-echekwa ma napụta erughị ala, ị kwesịrị ị na-achọ enyemaka a dọkịta na-awa ma ọ bụ ịga dibịa.