Itha Kuthandizira Tepi Yanu Yozungulira Kuchiritsa Bwino

Inde, tepi ya suture ikhoza kuthandizira chikhoto cha rotator kuchira bwino. Anthu ambiri amakhala ndi nkhawa za opaleshoni yamapewa. Madokotala tsopano amagwiritsa ntchito zida zatsopano ndi njira zomwe zimathandiza anthu kuchira bwino. Tepi ya suture ndi anangula opanda mfundo zimapangitsa kukonza mapewa kukhala olimba komanso otetezeka.

Odwala ayenera kuganizira za zosankhazi. Atha kufunsa dokotala ngati tepi ya suture ingathandize kuvulala pamapewa awo.

Zofunika Kwambiri

• Tepi ya Suture ndi yamphamvu komanso yosalala. Zimathandizira kukonza minyewa yong'ambika pamapewa. Izi zimapangitsa machiritso kukhala otetezeka komanso abwino. Kugwiritsa ntchito tepi ya suture mu opaleshoni kungapangitse kukonzanso mwamphamvu. Imafalitsa kukakamizidwa mofanana. Izi zimachepetsa mwayi wa tendon kung'ambika kachiwiri. Odwala nthawi zambiri amamva kupweteka kochepa ndi tepi ya suture . Akhoza kuchiza mofulumira kuposa ndi sutures wamba. Izi zimawathandiza kuti abwerere ku zochita zawo zachizolowezi msanga. Nangula wopanda mfundo amagwira ntchito ndi tepi ya suture kuti agwire tendon. Safuna mfundo. Izi zitha kuchepetsa mavuto ndikupangitsa kuti opareshoni ikhale yofulumira. Suture tepi ili ndi mfundo zambiri zabwino. Odwala ayenera kulankhula ndi dokotala wawo za kuopsa komanso ngati kuli koyenera kwa iwo asanachite opaleshoni.

Suture tepi mu kukonza makapu a rotator

Kodi suture tepi

Suture tepi ndi mtundu wapadera wa zinthu zomwe madokotala opaleshoni amagwiritsa ntchito kukonza matope ong'ambika pamapewa. Imawoneka yosalala komanso yotakata, pafupifupi ngati riboni yaying'ono, m'malo mozungulira ngati nsonga zokhazikika. Mapangidwe awa amathandiza kufalitsa mphamvu pa tendon. Tepi ya suture imapangidwa kuchokera ku ulusi wolimba, woluka. Ulusiwu umapatsa mphamvu kuposa waya wachikhalidwe. Madokotala ochita opaleshoni nthawi zambiri amasankha tepi ya suture chifukwa imatha kugwira tendon mwamphamvu popanda kudula mu minofu.

Tepi ya Suture imapatsa madokotala njira yatsopano yokonzera chikho cha rotator. Zimathandizira kukonza kulimba komanso kotetezeka kwa odwala.

Momwe tepi ya suture imagwiritsidwa ntchito

Madokotala amagwiritsa ntchito tepi ya suture pa opaleshoni ya rotator cuff kuti agwirizane ndi tendon yong'ambika ku fupa. Amalumikiza tepiyo kudzera mu tendon ndikuyiyika ku fupa pogwiritsa ntchito zipangizo zapadera. Anangula awa amagwira tepiyo m'malo mwake kuti tendon ichiritse.

Madokotala ochita opaleshoni nthawi zambiri amagwiritsa ntchito tepi ya suture yokhala ndi anangula opanda mfundo. Njira imeneyi imapewa kumanga mfundo, zomwe nthawi zina zingayambitse mavuto. Mawonekedwe athyathyathya a tepi ya suture amathandiza kuti tepiyo isakoke mu tendon. Izi zikutanthauza kuti kukonza sikungalephereke.

• Tepi ya suture imawonjezera malo olumikizana pakati pa tendon ndi fupa.

• Amapereka mphamvu zambiri kuposa waya wokhazikika wa suture.

• Tepiyo imathandiza kuti tendon ikhale yokhazikika pamene ikuchira.

Kafukufuku akuwonetsa kuti kukonza pogwiritsa ntchito tepi ya suture kumakhala ndi mwayi wopambana. Mapangidwe a tepi amalola machiritso abwino komanso chiopsezo chochepa cha kung'ambika kwa tendon kachiwiri. Madokotala ambiri tsopano amakonda tepi ya suture kuti akonzere makapu a rotator chifukwa amapereka mapindu ofunikirawa.

Ubwino wa tepi ya suture

Kukonza mwamphamvu

Tepi ya suture imapangitsa kukonza makapu ozungulira kukhala olimba. Maonekedwe ake osalala komanso otambalala amafalikira kukakamiza pa tendon yambiri. Izi zimathandiza kuti tepi isadulidwe mu minofu. Madokotala amawona kuti kukonza tepi ya suture kungatenge mphamvu zambiri musanathyole. Gome ili m'munsili likuwonetsa momwe tepi ya suture ndi ma suture achikhalidwe amafananizira:

Metric	Suture Tape (n=50)	Traditional Sutures (n=100)
Retear Rate	16% (8/50)	17% (17/100)
Footprint Contact Pressure (MPa)	0.33 ± 0.03	0.11 ± 0.03
Katundu Wolephera Kwambiri (N)	217 ± 28	144 ± 14

Tebulo ndi tchati zikuwonetsa kukonza kwa tepi ya suture kumakhala ndi kukhudzana kwakukulu. Angathenso kugwiritsira ntchito mphamvu zambiri asanathyole. Izi zikutanthauza kuti tendon imakhala yolumikizidwa ndi fupa bwino pochiritsa.

Kuwonongeka kwa minofu

Suture tepi imayambitsa kuwonongeka kochepa kwa minofu kusiyana ndi sutures wamba. Maonekedwe ake athyathyathya amapanga dzenje lalikulu poyamba, koma amateteza tendon kuti isagwe mukasuntha. Ochita kafukufuku anapeza zina zothandiza:

• Ma sutures amtundu wa tepi amapanga mabowo akuluakulu poyamba, koma mabowowa sakhala aakulu kwambiri pambuyo pake.

• Ma sutures okhazikika amayamba ndi mabowo ang'onoang'ono, koma mabowowa amakula ndikuyenda ndipo amatha kuvulaza tendon.

• Ma suture amtundu wa tepi amathandizira kuyimitsa kukokera kwa suture, chomwe ndi chifukwa chofala kukonzanso kumalephera.

Tepi ya suture imathandiza kuti tendon ikhale yolimba komanso yathanzi pamene ikuchiritsa.

Kuchiritsa bwino

Anthu omwe amapeza kukonza tepi ya suture nthawi zambiri amachiritsa bwino komanso amakhala ndi mapewa amphamvu. Kafukufuku akuwonetsa kuti kubweza kwa nangula kwa tepi ya suture ndi 11.1%. Kwa nangula wanthawi zonse wa suture, ndi 12.0%. Kusiyanitsa ndikochepa, koma njira zonsezi zimathandiza kuti tendon ichiritse bwino. Madokotala amagwiritsa ntchito MRI scans kuti awone machiritso pambuyo pa kukonza tepi ya suture. Mu kafukufuku wina, 5.56% yokha ya kukonzanso kunalephera, ndipo anthu ambiri anali ndi mapewa akuluakulu.

• Anthu ambiri omwe ali ndi suture tepi kukonza amaposa 80 pamayesero a mapewa.

• Kujambula kwa MRI kumawonetsa machiritso amphamvu a tendon nthawi zambiri.

Tepi ya Suture imapatsa anthu chisankho chabwino chokonzekera makapu a rotator, ndi machiritso amphamvu komanso kuyenda bwino kwa mapewa.

Suture tepi vs. sutures

Machiritso ndi zotsatira zake

Madokotala amayang'ana momwe tepi ya suture ndi sutures nthawi zonse zimathandiza machiritso. Njira zonsezi zimathandiza kuti tendon imamatire ku fupa. Pali kusiyana kwina pakati pawo. Miyezi isanu ndi umodzi pambuyo pa opaleshoni, gulu la tepilo linali ndi 25% yobwezera. Gulu lokhazikika la suture linali ndi 15% retear rate. Ofufuza amanena kuti manambalawa sali osiyana kwambiri ( P = 0.3). Anthu m'magulu onsewa ali ndi mwayi wofanana wa machiritso abwino.

• Gulu la tepi ya Suture: 25% yobwereranso (7 mwa odwala 28)

• Gulu lodziwika bwino la suture: 15% yobwereranso (8 mwa odwala 53)

• Machiritso ndi ofanana kwa magulu onse awiri

Madokotala amaphunzirabe njira yomwe imagwirira ntchito bwino kwa munthu aliyense. Machiritso amadalira zinthu monga zaka, momwe muliri wokangalika, komanso kukula kwake.

Kuchira

Anthu amafuna kudziwa momwe phewa lawo lidzamvera pambuyo pa opaleshoni. Ululu ndi momwe amachiritsira mofulumira ndizofunikira kwa aliyense. Kafukufuku amasonyeza kuti anthu omwe ali ndi suture tepi kukonza amamva kupweteka kochepa m'mwezi woyamba. Gome ili m'munsili likuwonetsa zowawa ndi kugwiritsa ntchito mankhwala pagulu lililonse:

Anthu omwe ali ndi kukonza tepi ya suture amagwiritsa ntchito mankhwala opweteka ochepa. Amabwereranso ku moyo wabwinobwino mwachangu. Ambiri amabwerera ku masewera mu miyezi 5.71. Anthu omwe ali ndi sutures nthawi zonse amafunikira nthawi yambiri komanso mankhwala opweteka kwambiri.

Anthu omwe amasankha tepi ya suture akhoza kuvulaza pang'ono ndikuchiritsa mofulumira pambuyo pa opaleshoni ya rotator.

Nangula wopanda mfundo

Momwe anangula opanda mfundo amagwirira ntchito

Nangula wopanda mfundo amalola madokotala kumangirira tepi ya suture ku fupa. Safunika kumanga mfundo. Nangula amalowa bwino mu kabowo kakang'ono m'fupa. Ili ndi mabowo awiri a tepi ya suture. Adokotala amakoka tepi kudzera m'mabowo awa. Tepiyo imapita mu ngalande ya nangula. Mkati, gawo lotsekera limakankhira tepiyo ku nangula. Izi zimapangitsa kuti tepiyo isasunthe. Tendoni imakhalabe m'malo mwake. Dokotala amagwiritsa ntchito choyambitsa kuti akhazikitse nangula. Zitatha izi, tepiyo imakhala yotsekedwa. Imagwira tendon ku fupa.

• Nangula amalowa mwamphamvu mu dzenje la fupa.

• Mabowo awiri amalola tepi kulowa mkati mwa nangula.

• Loko mkati mwa nangula amasunga tepi yolimba.

• Choyambitsacho chimathandiza kutseka nangula ndi tepi pamodzi.

Ubwino pa mfundo

Nangula wopanda mfundo ali ndi mfundo zabwino zambiri pamwamba pa mfundo. Amathandiza kuthetsa mavuto monga kufinya kwambiri tendon. Mafundo amatha kukanikiza tendon mwamphamvu kwambiri. Izi zingachedwetse kutuluka kwa magazi ndi kuchira. Kafukufuku akuwonetsa kukonzanso kopanda mfundo kumachepetsa mwayi wamavuto a tendon.

Nangula zopanda mfundo zimapulumutsanso nthawi panthawi ya opaleshoni. Madokotala amathera nthawi yochepa pomanga mfundo. Kafukufuku wina adawonetsa kukonzanso kopanda mfundo kumatenga pafupifupi mphindi 67. Kukonza kopanga mfundo kunatenga pafupifupi mphindi 76. Nangula uliwonse wopanda mfundo unkatenga pafupifupi mphindi 26. Anangula olumikizidwa adatenga pafupifupi mphindi 31. Opaleshoni yaifupi ingatanthauze kupweteka kochepa komanso kuchira msanga.

Nangula zopanda mfundo zokhala ndi tepi ya suture zimathandiza kuteteza tendon, kuti magazi aziyenda, ndikupanga opaleshoni mwachangu komanso motetezeka.

Zowopsa ndi malingaliro

zotheka downsides

Tepi ya Suture ili ndi mfundo zambiri zabwino, koma palinso zoopsa zina. Madokotala apeza zinthu zingapo zomwe zingasokonekera pogwiritsa ntchito tepi ya suture pokonza makapu a rotator:

• Kuuma : Anthu ena amamva kuti mapewa awo amauma pambuyo pa opaleshoni. Kugwira mwamphamvu kwa tepi ya suture kungapangitse kuti zikhale zovuta kusuntha ngati simukuchita chithandizo choyenera.

• Kukwiya : Tepi kapena anangula nthawi zina amatha kusokoneza minofu kapena fupa. Izi zingayambitse kupweteka kapena kutupa m'deralo.

• Mavuto a Nangula : Nthawi zina, nangula wogwirizira tepi amatha kumasuka kapena kusuntha. Izi zikachitika, kukonza sikungagwire ntchito.

• Mtengo : Suture tepi ndi nangula zopanda mfundo zimatha kuwononga ndalama zambiri kuposa sutures wamba. Inshuwaransi ikhoza kusalipira ndalama zowonjezera.

Chidziwitso: Anthu ambiri alibe mavuto akulu, koma aliyense ayenera kudziwa za zoopsazi asanachite opaleshoni.

Tebulo ili m'munsiyi likuwonetsa zovuta zina zomwe zingachitike:

Pamene osagwiritsa ntchito tepi ya suture

Madokotala sagwiritsa ntchito tepi ya suture kwa munthu aliyense. Nthawi zina zimapangitsa kuti izi zisakhale zothandiza kapena zowopsa:

• Misozi yaying'ono kwambiri : Kwa misozi yaying'ono yozungulira, ma sutures okhazikika amathanso kugwira ntchito.

• Mafupa ofooka : Fupa lofooka kapena lochepa thupi silingagwire nangula bwino. Izi zitha kupangitsa kukonza kulephera.

• Zosagwirizana ndi Ziweto : Anthu ena akhoza kukhala osagwirizana ndi zomwe zili mu tepi kapena nangula.

• Kuopsa kwa matenda : Ngati wina ali ndi matenda, madokotala sagwiritsa ntchito implant, kuphatikizapo tepi ya suture.

Madokotala nthawi zonse amayang'ana zosowa za wodwala aliyense. Amasankha njira yabwino yokonzera phewa kwa munthu aliyense.

Odwala ayenera kukambirana ndi dokotala wawo za zoopsazi. Dokotala angathandize kusankha ngati tepi ya suture ndiyo yabwino kwambiri.

Suture tepi ndi anangula opanda mfundo zimapangitsa kukonzanso kukhala kolimba. Zimayambitsanso kuwonongeka kochepa kwa minofu. Kuchiritsa ndikwabwino kuvulala kwa ma rotator cuff. Tebulo ili m'munsiyi likuwonetsa momwe mphamvu yolumikizirana ndi kukakamiza zimakokera bwino poyerekeza ndi mawaya:

Odwala amamva kupweteka pang'ono pambuyo pa opaleshoni. Mapewa awo amagwira ntchito bwino. Anthu ambiri amasangalala ndi zotsatira zawo. Odwala ayenera kulankhula ndi dokotala wawo wa opaleshoni za zosankha. Zida zatsopano ndi njira zikuyenda bwino. Izi zikutanthawuza kuti kuchira kwa mapewa kudzakhala bwino m'tsogolomu.

FAQ

Kodi chimapangitsa tepi ya suture kukhala yosiyana ndi chiyani?

Suture tepi ndi yosalala ndipo imawoneka ngati riboni yaying'ono. Ma sutures okhazikika amawoneka ngati zingwe zopyapyala. Tepiyo imafalitsa kukakamizidwa kudera lalikulu. Izi zimathandiza kuti tendon ikhale yotetezeka komanso imapangitsa kuti kukonzanso kukhala kolimba.

Kodi aliyense angagwiritse ntchito tepi ya suture kukonza makapu ozungulira?

Si odwala onse omwe angapeze tepi ya suture. Madokotala amayang'ana kukula kwake kwa misozi. Amaonanso ngati fupa lili lamphamvu komanso ngati muli ndi ziwengo. Dokotala amasankha zomwe zili zabwino kwa munthu aliyense.

Kodi tepi ya suture imafulumizitsa kuchira?

Anthu ambiri amamva kupweteka pang'ono ndi tepi ya suture. Atha kubwereranso kuntchito posachedwa. Tepiyo imagwira mwamphamvu tendon. Izi zimathandiza kuti phewa likhale bwino.

Kodi pali zoopsa ndi tepi ya suture ndi anangula opanda mfundo?

Anthu ena amatha kumva kuuma kapena kumva kuwawa pambuyo pa opaleshoni. Nthawi zina, nangula amatha kusuntha kapena kuvulaza. Madokotala amakamba za zoopsazi musanachite opaleshoni.