Sutures lossis staples? Qhov no tsis yog ib lo lus nug txog txij li tsib caug xyoo dhau los. Sutures tau siv txij li xyoo pua 16th BCE, thaum lub tswv yim ntawm stapling tsis tuaj kom tawg paj kom txog thaum pib ntawm xyoo pua 20 CE." txiv ntawm kev phais stapling," Tus kws kho mob Hungarian Hümér Hültl, tau tsim thawj lub tshuab phais mob thaum xyoo 1908, nrog tus qauv stapler uas hnyav li ntawm 8 phaus thiab yuav tsum tau siv ob teev los sib sau ua ke thiab thauj khoom. Los ntawm xyoo 1970, txawm li cas los xij, thev naus laus zis tau kho mus rau hauv cov khoom siv dav dav uas peb paub niaj hnub no.
HNUB NO TUS NTUJ CEEB TSHEEJ PLAUB
Ua los ntawm cov hlau tsis xeb lossis titanium (lossis qee zaus nickel, chromium, yas, lossis hlau), cov pob zeb phais feem ntau yog siv los kaw qhov sib sib zog nqus uas tsis tsim nyog rau txoj hlua khi zoo tib yam, lossis rau thaj chaw ntawm lub cev hauv qab siab. Staples yog qhov nkhaus, ncaj, lossis lub voj voos, thiab tsis zoo li "chaw ua haujlwm staples," uas xav kom muaj kev cuam tshuam uas staples tau nias tawm tsam los tsim kom tau nqe lauj, kev phais mob staples tau khoov duav tsis muaj qhov thaiv. Siv cov Staples rau ntawm lub plab, ceg, caj npab, tawv taub hau, lossis nraub qaum; txawm li cas los xij, lawv yuav tsum tsis txhob siv rau caj dab, ob txhais ceg, lossis ntsej muag.
Thaum staples tuaj yeem muab kev kho mob sai sai thiab tsim nyog "thaum muaj xwm txheej ceev, kev txwv ntawm qhov twg tuaj yeem siv rau ntawm lub cev tuaj yeem cuam tshuam loj rau cov thawj cov neeg teb, tshwj xeeb tshaj yog nyob rau qhov kev sib tsoo huab hwm loj thaum lawv xav tau txiav txim sai sai ntawm txoj kev zoo tshaj plaws ntawm qhov txhab kaw. cheem cov ntshav los. Txhua xyoo, kwv yees li 60,000 tus neeg Asmeskas tuag vim muaj ntshav nce siab, nrog ntau txog 1.5 lab ntawm cov neeg mob ntshav tuag no ua rau raug mob rau lub cev. Kev tshawb fawb tseem qhia ntxiv tias ntau tshaj 50% ntawm cov neeg muaj kev raug mob ntsig txog hemorrhaging tuag nyob rau hauv feeb ntawm kev sib tsoo lossis raug mob, yog li qhov tsim nyog thiab ceev qhov txhab kaw tseem ceeb heev.
3 QHOV TSEEB RAU LWM YAM TSHWJ XEEB THAUM SIV SIV NYEEM
1. DAIM NTAWV THOV DAIM DAWB THIAB TXHUA LUB SIJ HAWM
Niaj hnub no, kev thov rau cov kws phais mob lub sijhawm tseem yog qhov kev sib tw loj, thiab lub sijhawm siv sijhawm tau ua rau cov kws kho mob hlawv. Stapling tuaj yeem ua tau sai dua li kev sib tw, txuag tau ntev li 2-3 feeb ntawm lub sijhawm, uas yog vim li cas stapling yog qhov kev xaiv zoo dua rau kev saib xyuas kev mob uas cuam tshuam nrog kev mob hnyav, txawm hais tias nws yog kev puas tsuaj ntuj, kev sib tsoo loj, lossis tseem tua. Hauv ib tus kws kho mob lub chaw haujlwm. txawm li cas los xij, stapling yuav tsum siv ob tus kws tshaj lij kho mob (ib qho los kho cov tawv nqaij nrog forceps, thiab lwm qhov los siv staples) tiv thaiv tsuas yog ib qho rau suturing. Thiab thaum ob qho tib si stapling thiab feem ntau suturing yuav tsum tau rov qab mus rau kev tshem tawm, staple tshem tawm hauv kev tshwj xeeb yuav tsum tau siv cov cuab yeej tshwj xeeb piv rau cov txheej txheem yooj yim ntawm txiab rau sutures. Muaj qee lub sijhawm thaum staples tuaj yeem dhau los ua cov tawv nqaij, ua rau tshem tawm nyuaj; Ntawm qee lub sijhawm tsawg kawg, cov tshuaj staples tuaj yeem dhau mus rau sab hauv daim tawv nqaij, xav kom muaj qhov phais tshiab kom tshem tawm cov kab mob faus.
2. Kev pheej hmoo ntawm INFECTION
Cov mob kiav txhab yog ib qho ntawm cov kev mob tseem ceeb tom qab kev phais mob, txuas ntxiv rau tus neeg mob' s nyob hauv tsev kho mob lossis txawm tias ua rau rov nkag tau. Yuav kom paub seb qhov twg yog qhov tsawg dua uas yuav ua rau kis kab mob - stitches lossis staples - cov kws tshawb nrhiav soj ntsuam qhov tshwm sim ntawm rau qhov kev sim, piv rau ob txoj hauv kev tom qab kev phais dua 680 tus neeg laus. Lawv tau sib piv siv staples rau sutures ua raws cov txheej txheem orthopedic hauv cov laus. Lawv xaus lus? Txoj kev pheej hmoo ntawm kev tsim lub qhov txhab ntawm lub plhaw kis tau ntau dua peb zaug ntau dua tom qab kaw ruaj khov dua li suture kaw, thiab rau kev phais mob ntsag, tshwj xeeb, staples yog plaub npaug feem ntau yuav ua rau muaj tus kabmob.
3. KEV SAIB XYUAS
Ib yam li nrog sutures, staples tuaj yeem ua rau mob caws pliav. Vim tias staples tsis tso cai rau kev kho qhov mob kom meej meej, cov kws kho mob yuav tsum tsis txhob siv cov staples ntawm lub ntsej muag lossis caj dab (thiab tsis xis nyob ua rau lawv xaiv tsis zoo rau kev siv tes lossis taw). Hauv cov neeg mob uas yooj yim caws pliav, staples tuaj yeem ua rau lawv cov caws pliav ntau dua, tshwj xeeb tshaj yog tias cov staples tseem tshuav rau txhua lub sijhawm ntev (GG gt; 5 txog 15 hnub, nyob ntawm qhov chaw nyob). Thaum xyoo 2013 thiab 2016, 163 tus poj niam tau raug tshuaj ntsuam, suav nrog 84 tus neeg uas tau txais nyiaj thiab 79 tau txais sutures. Muaj qee qhov sib txawv hauv qhov hnyav thiab laus, tab sis cov poj niam uas muaj staples tshaj tawm cov qhab nia ua kom zoo nkauj nruab nrab, tsaus nti caws pliav xim, thiab ntau daim tawv nqaij piv rau cov poj niam nrog suture kaw. Kuj ceeb tias, tsis muaj ib pab pawg sib txawv txog kev txaus siab nrog lawv caws pliav.