Sutures Steel: izinhlobo kanye nezindlela ukukhanya

Emsebenzini walo, odokotela abahlinzayo zisebenzisa sutures, kunezinhlobo ezehlukene wabo, lokhu eyodwa yezindlela ezivamile asetshenziswe ngokujoyina kwezicubu yemvelo: ezindongeni zangaphakathi, emaphethelweni isilonda, nabanye. Basiza ukumisa ukopha, ngoba Bile, konke sibonga ukukhetha suture kwesokudla.

Eminyakeni yamuva, isimiso eyinhloko ukudalwa yiluphi uhlobo ngokuhlanganyela ubhekwa inhlonipho emaphethelweni isilonda ngamunye, kungakhathaliseki uhlobo yayo. I umphetho okumele asetshenziswe ukuze kunamaseli ncamashi ifaniswe emaphethelweni isilonda, ngamunye izingqimba isitho yangaphakathi, okudinga suturing. Namuhla lezi zimiso ehlangana igama elithi "ngobuciko".

Kuye ngokuthi yiziphi ithuluzi isetshenziswa ukudala umthungo, kanye nokusebenza art, umuntu angabona ukuhlukanisa izinhlobo ezimbili: sutures manual kanye lokukhanda. Ukuze Imbondela ukushisela inhlukano ngendlela usebenzisa inaliti ezivamile futhi esibuhlungu, abanikazi inaliti, udlawana kanye namanye amathuluzi. Ukuze crosslinking kungenziwa akhethiwe suture zokwenziwa absorbable noma imvelaphi yezinto eziphilayo, wire metal noma ezinye izinto.

Uphawu mechanical sisetshenziswa idivayisi ekhethekile lapho ukusetshenziswa metal ukudla.

Phakathi nemithungo amanxeba kanye kumiswa udokotela anastomoses may yaseZimbabwe ilandelana - ilandelana izingqimba - amabili, noma ngisho imigqa emine. Kanye yokuthi ezinkulu nempumalanga kuhlangane emaphethelweni ukulimaza, ngakho nazo ayeke kahle igazi. Kodwa ziyini izinhlobo ezahlukene suture impahla namuhla?

Ukwahlukanisa sutures kuhlinzwa

Njengoba sishilo, ezinkulu kungaba kokubili mathupha futhi mechanical, kodwa kukhona amakilasi eziningana division yabo:

• zingabantu isizinda, kanye inqubo eqhubekayo kwesicelo sabo;
• uma sabo ifomu - elula, nodal ezime noma P Z, esikhwameni string, i 8 ezimise-;
• e ukusebenza walo zingahlukaniswa zibe hemostatic futhi screwed;
• ngenani lemigqa - komunye futhi afika kwamane;
• Umnqamulajuqu ekutholeni ngaphakathi Indwangu - esikhiphekayo futhi egxilile Esimweni sokuqala, isikhathi esithile ngemva yaseZimbabwe ziyasuswa, futhi esimweni sesibili ahlale emzimbeni unaphakade.

Futhi Kuhle kokusho ukuthi sutures kuhlinzwa, imibono yabo zihlukaniswe, kuncike ezisetshenziswa: bangaba nobuhlobo naye babe absorbable uma esetshenziswa catgut - kohlobo kanye Vikram Dexon - kuyinto zokwenziwa. Lingena singene inesikhala umzimba - lolu hlobo umphetho ligamanxa izitho eziyize. Njalo - lawa izinhlobo emalungeni ezingenziwanga isuswe, azigcina emzimbeni phakade, futhi sizungezwe zezinzwa izicubu capsule.

izinto zokusetshenziswa for suturing

Suture impahla kuhlanganisa izinto ezihlukahlukene esetshenziselwa Ligation semithambo, ekusebenziseni sutures kuhlinzwa. Izinhlobo zethu ezingokwenyama suturing kwezicubu isikhumba nhlobonhlobo minyaka kakhulu kuye ngokuthi indlela ukuhlinzwa athuthukile. Ukuthi odokotela abahlinzayo kuphela akawasebenzisanga ukuxhuma izicubu yezitho zangaphakathi kanye isikhumba:

• ezincelisayo umsipha;
• esebenzisa isikhumba senhlanzi esomile;
• eyatholakala kusukela amagundane imisila ngentambo;
• izinzwa kwezilwane;
• Izinwele othathwe avuse amahhashi;
• umzanyana osanda kuzalelwa indoda;
• emapheshana imithambo;
• Hemp noma kakhukhunathi Imicu yotshani;
• iraba esihlahleni.

Kodwa sibonga ngentuthuko zanamuhla, manje babe zokwenziwa Imicu yotshani ethandwa. Kukhona amacala lapho insimbi ingaphinda isetshenziswe.

Ngoba noma yisiphi suture enamathiselwe nezimfuneko ezithile:

• amandla okusezingeni eliphezulu;
• surface bushelelezi;
• kuyaqina;
• ukunwebeka ngokulinganisela;
• ezingeni lelisetulu ukushelela emisipheni.

Kodwa omunye indlela ebalulekile ukuthi ukusebenzisa kwakho ezintweni suture iyahambisana izicubu womuntu. izinto Okwamanje aziwa esetshenziselwa amalunga omzimba, babe izakhiwo antigenic futhi reactogenic. amafomu Ingabe Ohulumeni Banalo Lonke kulezi zici alikho, kodwa kobukhulu kubo kumele zincishiswe.

Kubalulekile futhi ukuba suture wamelana inzalo, futhi wawugcina ukuba eside ngangokunokwenzeka, ngesikhathi esifanayo izici zako ezisemqoka okumele ahlale yasekuqaleni. Suture kungaba kuqukathe imicu eyodwa noma ngaphezulu zazo oxhumene by ukusonta, ukunitha noma ukwaluka, futhi ezindaweni zawo kwaba bushelelezi, basuke camera ngemakhilayoni, abicah noma Teflon.

Okwamanje, ukuhlinzwa isetshenziswa izinhlobo absorbable futhi okungezona absorbable suture impahla. Ukwahlukanisa sutures kuhlinzwa, iningi ke kuhilela ukusetshenziswa sesigcilikisha absorbable - catgut elenziwe kusukela Tunica muscularis imvu emathunjini amancane, kanye ukudala ke ungasebenzisa ungqimba submucosal. Namuhla kukhona 13 catgut osayizi ezingalingani bodwa ububanzi.

Amandla impahla weld luyanda kanye ubukhulu. Ngokwesibonelo, amandla trehnulevogo zilwane engaba ngu-1400 g, kodwa ubukhulu lesithupha - 11500 yalolu hlobo ngentambo absorbable kungaba phakathi 7 no-30.

Kulaba suture non-absorbable ekuhlinzeni usebenzisa lokuluhlaza ka, ukotini yefilakisi, behhashi.

izinhlobo yaseZimbabwe

Lapho suture udokotela isikhumba kufanele inake ngokujule kangakanani ukusika noma isilonda, ngokwezinga layo ziklebhukile, kanjani, zihlangene emaceleni ayo waphula. Futhi uyakucabangela indawo abalimala. I ukuhlinzwa ethandwa kakhulu kubhekwe njengento sutures kuhlinzwa, isithombe sihloko sizosibonisa ukuthi abukeka kanjani:

• ongama okuqhubekayo;
• Izigaxana ongama;
• nodular cutaneous;
• okuqhubekayo multi-irowu, isicelo ngaphakathi kwesikhumba;
• okuqhubekayo e umugqa owodwa, isicelo ngaphakathi kwesikhumba.

Lokhu kuzosiza baqonde kahle ukuthi izindlela sutures kuhlinzwa ngokuvamile usetshenziselwa ukwenza crosslinking lenxeba yangaphandle.

Okuqhubekayo intradermal uhlobo

muva yakhe Balisebenzisa kakhulu, ukuhlinzeka kube nomphumela omuhle kakhulu yezimonyo. Inzuzo yayo eyinhloko lithathelwe omuhle emaphethelweni ukulimaza, umphumela omuhle yezimonyo in kanye ukuphazamiseka sakugcina microcirculation, uma iqhathaniswa nezinye izinhlobo amalunga omzimba. Indikimba ukuze uthunge iqhutshwa dermis ungqimba indiza parallel nalokho. Nokho, i-kulula edonsa ngentambo kungcono ukuthatha monofilament impahla.

Uma kwenziwe ukuphathwa eyinhloko kuhlinzwa amanxeba, izinhlobo yaseZimbabwe kungenziwa kukhethwe ezahlukene, kodwa ngokuvamile odokotela uncamela sutures absorbable: Biosyns, monokrilu, polysorbate, Dexon nabanye. Futhi kusukela sesigcilikisha ezingenakho chaza, mahle monofilament polyamide noma polypropylene.

Stitch kuphazamisekile

Lona omunye izinhlobo ezidumile umphetho ongaphandle. Nge indalo yayo, isikhumba punctured engcono ahlabayo inaliti. Uma uyisebenzisa, ukubhoboza ifana unxantathu kabani base kuqondiswe isilonda. Le ndlela wokubhoboza kungaba thembeke ubambe suture. Inalidi sifakwe ungqimba EPITHELIAL eduze onqenqemeni ukulimaza, sandise 4 mm, bese athwalwa etshekile in the izicubu ongama ngenkathi kancane sisuka onqenqemeni, ngangokunokwenzeka.

Uma kufinyelelwa ezingeni elifanayo ngosiko isilonda, inaliti ijikeleziswa ngase umugca losemkhatsini esifubeni futhi injected iphuzu kwangempela isilonda. Inalidi kulokhu ubabonisa indwangu ngokuqinile ziyalingana nilimaza ngakolunye uhlangothi, kuphela Kulokhu, umphetho uthola inombolo efanayo izindwangu.

Ovundlile futhi mpo kumatilasi suture

Izinhlobo yaseZimbabwe kuhlinzwa ifindo akhethiwe nge udokotela ohlinzayo kuye ngobucayi isilonda, uma kukhona nobunzima Ngokuqhathanisa emaphethelweni isilonda, kutuswa ukusebenzisa suture kumatilasi ngesimo izinhlamvu P, edlulisela nendawo. Uma isicelo nodal eyinhloko suture kuhlinzwa isilonda esijulile, kulesi simo, ungakwazi ushiye ingaphakathi asalile. Kungaba ukuqoqa lokho ehlukanisa enxebeni kuholela ukuba kukhule. Lokhu kungagwenywa uma suture e izibuya eziningana. Le ndlela suturing kungenzeka kokubili ngesikhathi ihabhu futhi uhlobo okuqhubekayo.

umphetho Futhi ngokuvamile sisetshenziswa Donatti (mpo kumatilasi suture). Ekusebenziseni lwayo lokuqala wenziwa ngokusebenzisa wokubhoboza 2 cm kusukela emaphethelweni isilonda sisheshe siphole. Vykoli kuyinto ngakolunye uhlangothi futhi at elifanayo. Lapho ofeza wokubhoboza elilandelayo kanye nebanga vykoli kusukwa nilimaza isivele 0.5 cm. I lokuluhlaza uxhumano nomsebenzisi kuphela emva zonke ezivuzayo kuthiwa eziphoqelelwe Ngakho kungenzeka ukuba lula zokukhwabanisa ku lenxeba ukujula. Ukusebenzisa umphetho Donati kwenza kube nokwenzeka ukuba thunga isilonda nge diastasis ezinkulu.

Ukuze uthole yezimonyo, uma ikhona msebenzi kumelwe kwenziwe ngokucophelela yokwelapha eyinhloko kuhlinzwa amanxeba, izinhlobo yaseZimbabwe zikhethwa kahle. Uma umdlalo inobudlabha emaphethelweni ukulimaza, umphumela kuzoholela nezibazi ezinzima. Uma sisebenzisa eqile uma kokuqina engeyokuqala kuqala, kuyoba ugly transverse nemigoqo, zitholakala eduze obuphelele lonke sesibazi.

Kepha ifindo wokubopha, zonke zikasilika uxhumano nomsebenzisi ISIZINDA ezimbili, futhi zokwenziwa catgut - ezintathu.

Izinhlobo sutures kuhlinzwa nezindlela kwesicelo sabo

Lapho usebenzisa yiluphi uhlobo umthungo, nokusetshenziswa yabo eminingi ukuhlinzwa, kubalulekile banamathela ukwenza inqubo. Indlela efanele isicelo ifindo suture?

Nge inaliti ku umnikazi inaliti lokuqala abamhlaba onqenqemeni buqamama 1 cm, ubambe esebenzisa. Zonke eyodwa vkoly labetibambile iqondene lenye. Inalidi uvunyelwe ukuba afeze ngqo ngokusebenzisa kokubili imiphetho, kodwa esikhundleni salokho kungaba kwenziwe ke emva eyodwa, bese kwelinye. Ngemva kokuphothulwa ukuphela ntambo zibambe esebenzisa futhi inaliti luyasuswa, futhi intambo lihlotshaniswa, lapho emaphethelweni isilonda kufanele wafingqa komunye nomunye eduze ngangokunokwenzeka. Ngakho ukwenza ezivuzayo ukuphumula kanye nje isilonda akuyona ithungwe ngokuphelele. ngokuhlanganyela ngalinye kufanele at ibanga 1-2 cm kusuka komunye nomunye. Kwezinye izimo, ISIZINDA kungenziwa aboshiwe, lapho bonke ezivuzayo kuthiwa eziphoqelelwe.

Indlela uzobopha elikasofasilahlane

Ezimweni eziningi, odokotela abahlinzayo zisebenzisa iyunithi esilula ngibopha le suture. Futhi ukwenza kanjalo emva suture is threaded ku emaphethelweni isilonda, emaphethelweni basondelana futhi tie ifindo, nangaphezulu ke enye.

ifindo Surgeon sika zingenziwa ngenye indlela: njengoba intambo threaded esilondeni, loyedvwa ukuthatha ngakolunye uhlangothi abanye emva nezinye futhi waletha basondelana emaphethelweni isilonda, wenze ifindo double, futhi kakade phezu kwalo elula. Imikhawulo ngentambo bafa at ibanga 1 cm phakathi kwenhlangano.

Indlela thunga inxeba, usebenzisa ubakaki metal

Izinhlobo sutures kuhlinzwa nezindlela kwesicelo sabo zingase zihluke, okuyinto likalwa ezingeni kwasendaweni isilonda indawo. Omunye khetho kungenzeka cross-ukuxhumanisa esebenzisa metal ukudla.

Ukudla kukhona ipuleti metal whose banzi kuyinto mm eziningana, futhi ubude - mayelana amasentimitha, kodwa kungenzeka. Bobabili semikhawulweni yawo ethulwa ngesimo izindandatho, futhi ngaphakathi ikhaba, okuyinto angena kwezicubu akusho sehla off izingwegwe.

Ukuze ukwazi ukufaka isicelo ukuziqinisa isilonda kulandela emaphethelweni wasithatha udlawana ekhethekile, uzibuyise zihlangane, ukubophela kahle, ngakho ubambe ngesandla esisodwa, udinga ukuthatha elinye udlawana ubakaki. Ngemva kwalokho, silisebenzise emgqeni umthungo, ecindezela imikhawulo, wenze umzamo. Ngenxa yalokhu ubakaki zokukhwabanisa uzimisele futhi ihlanganisa emaphethelweni isilonda. Kufanele abeke ibanga 1 cm kusuka komunye nomunye.

Susa ukudla, kanye namalunga, ngemva kwezinsuku ezingu-7-8 of ukunqunywa yabo. Ngenxa yale njongo hook kanye pair olukhethekile udlawana. Ngemva ukususwa ubakaki kungenziwa siqondile, inzalo kanye esetshenziselwa suturing amanxeba futhi.

Izinhlobo yaseZimbabwe e Cosmetology

suture Muhle kuhlinzwa angenziwa yimiphi sutures ekhona: usilika, catgut, ngentambo yelineni, ucingo mncane, Michel izibopho noma behhashi. Phakathi zonke lezi izinto, kuphela suture ancibilikisa, futhi zonke ezinye azikwenzi lokho. I sutures zingaphansi kwamanzi noma esikhiphekayo.

Ngokuxubanisa amasu e Cosmetology wasebenzisa emalungeni okuqhubekayo kanye knotty, lona wamuva nakho kungenziwa olunye ihlukaniswe izinhlobo eziningana: ulwandle, abesifazane abavamile noma kuhlinzwa.

Ngo uhlobo nodular, kukhona omunye inzuzo main phezu okuqhubekayo: nilondekile ophethe emaphethelweni isilonda. Kodwa umphetho okuqhubekayo odingeka ngoba sisetshenziswa ngokushesha futhi kwezomnotho bawo nezinto ezasetshenziswa. Ngo Cosmetology, lezi zinhlobo ingasetshenziswa:

• kumatilasi;
• okuqhubekayo umphetho Reverdy;
• furrier okuqhubekayo;
• umthungi (magic);
• ongama (umphetho American Halsted).

Kulezo zimo, uma isiguli sine-ukungezwani enamandla kwezicubu, udokotela angase asebenzise ipuleti noma ukuhola ipuleti ezivuzayo futhi umphetho ezinamasondo, lapho kungenzeka ukuvala ukukhubazeka ezinkulu futhi ngokuphephile ubambe Indwangu endaweni eyodwa.

Ngo isigenco esiwela kwesokudla njengoba udokotela kwesinye isikhathi zisebenzisa apodaktilny umphetho. essence yayo itholakala iqiniso ukuthi sisetshenziswa futhi abopha kuphela ithuluzi ekhethekile: umnikazi inaliti, esebenzisa, futhi Pean torsion.

Horse izinwele - nansi best suture impahla. Izinhlobo sutures kuhlinzwa ISIZINDA ezikhona Cosmetology, okuhle ukuze udale nalo. Wayevame elisetshenziswa ENT imisebenzi, ngoba cishe akukho gciwane, okungezona kuyacasula isikhumba nezicubu, futhi ezindaweni hhayi ukukhanya suppuration kanye nezibazi. Horse izinwele nokunwebeka, ngakho ngokungafani usilika, ngeke uthathe isikhumba.

Ukusetshenziswa sutures amazinyo

Odokotela bamazinyo futhi usebenzise izinhlobo ezahlukene yaseZimbabwe ukumisa ukopha noma ukubopha emaphethelweni isilonda esikhulu. Zonke izinhlobo emalungeni amazinyo kuhlinzwa zifana kakhulu nalezo thina kakade kuchazwe, into kuphela ukuthi kunomehluko omncane izinhlobo amathuluzi. Suture ku ngalo ingaphakathi ngomlomo uvame esetshenziswa:

• umbambi inaliti;
• esebenzisa amehlo kuhlinzwa;
• bidentate hook elincane;
• iso sikelo.

Ukuze siqhube imisebenzi ku ngalo ingaphakathi ngomlomo kungaba nzima, futhi professional kuphela ibhizinisi bazokwazi ukwenza lo msebenzi ngendlela efanele, ngoba kubalulekile ukwelashwa hhayi kuphela eliphezulu eyinhloko amanxeba. Izinhlobo yaseZimbabwe amazinyo nakho kubalulekile ukukhetha ilungelo, kodwa ngaphezu kwakho konke - kungcono Stitch elula aphazamisekile. Futhi eziphoqelelwe kanje:

1. Ukungaguquguquki kuyadingeka ukuze ibhoboze zombili lenxeba buqamama eyanele komunye nomunye, le ntambo yokwelula ngangokunokwenzeka, kusale kuphela ekupheleni encane - 1-2 cm.
2. Ukuphela eside wentambo inaliti esiqhutshwa esandleni sobunxele, bese kudingeka bopha inaliti umnikazi ngokwewashi izikhathi 2.
3. Ngosizo umnikazi inaliti ukuthwebula ithiphu esifushane futhi donsa loop - lena ingxenye zokuqala zomhlangano, qinisa ngokucophelela, kancane ndawonye emaphethelweni isilonda.
4. Futhi, ebambe loop, kumelwe benze zokukhwabanisa efanayo, nje ukupheqa ngokubala kwewashi esisodwa.
5. Qinisa iyunithi bakheké ngokuphelele, qiniseka ukuqapha ukufana amaphaphu ntambo.
6. Shift iyunithi ngolayini cut, usike ekupheleni intambo, okungukuthi bonke ngomumo ukushisela.

Kubalulekile ukukhumbula ukuthi kahle yaseZimbabwe ezidingekayo kusukela maphakathi no-isilonda kanye yaseZimbabwe ungalilahli kaningi kakhulu ukuze hhayi abaphazamisa kwegazi igazi emisipheni. Ukuze ukuphulukisa wabe kancane kancane, ikakhulukazi ngoba izibazi ezibangelwa umuntu elimele, kubalulekile ukuba ufake izinsuku ezimbalwa amanzi phakathi ezivuzayo.

Okunhlobonhlobo sutures kuhlinzwa nezindlela ephoqelela ezivuzayo yangaphakathi

Nje amalunga kuphela kudingeka abeke kahle ngaphakathi izicubu futhi kumele ithungwe ngokuphepha. suture Yangaphakathi kuhlinzwa kungenzeka ngezinhlobo eziningi futhi ngamunye yakhelwe ukuze uthunge izingxenye ezithile. Ake sibheke ngamunye izinhlobo ukuze kangcono ukuqonda.

aponeurosis umphetho

Aponeurosis - yindawo lapho izicubu Splice tendinous ezithinta amandla okusezingeni eliphezulu futhi kuyaqina. A zakudala indawo aponeurosis ubhekwa isilinganiso umugqa esiswini - lapho spliced sokunene nesobunxele of the peritoneum. Imisipha esengxenyeni Indwangu akheke fibre, yingakho splicing yabo kanye imicu kwandisa kwehlukana kwabo phakathi odokotela abahlinzayo, lo mphumela ibizwa ngokuthi umphumela okwabonwa.

Ngenxa yokuthi lezi kwezicubu anda inqaba lesiphambano lixhunyaniswe zabo kuyadingeka ukusebenzisa uhlobo oluthile amalunga omzimba. Kuthathwa enokwethenjelwa kakhulu okuqhubekayo ozungeza Stitch, okuyinto eyenza usebenzisa zokwenziwa sutures absorbable. Ukuze labo zihlanganisa "Polisorb", "Biosyns" "Vicryl". Ngokusetshenziswa sutures absorbable kungavimbela fistulas ligature. Futhi, ngokudala ngokuhlanganyela anjalo lungasetshenziswa ngentambo non-absorbable - "Lavsan". Ngosizo lwabo, ungagwema kumiswa hernias.

I omhlophe izicubu adipose kanye peritoneum

Eminyakeni yamuva, kakhulu kuyaqabukela sutured lezi izinhlobo izindwangu, ngoba nabo ukunikeza Fusion kakhulu nokwelashwa ngokushesha. Ngaphezu kwalokho, ukungabi bikho kokukhanya ezivuzayo akusho ukuphazamisa ukugeleza kwegazi endaweni isibanda kumiswa. Kulezo zimo, uma kungekho umphetho Awukwazi ukwenza, udokotela ukukusebenzisa usebenzisa sutures absorbable - ". Crystal eyodwa"

ezivuzayo emathunjini

Ukuze stapling kwezitho eziyize zisebenzisa amalunga omzimba amaningi:

• Single irowu sero-kwemisipha submucosal suture Pirogov, okuyinto inhlangano ubekwe yangaphandle igobolondo umzimba.
• Mateshuka umthungo, isici salo yokuthi isayithi ngesikhathi indalo yayo uhlala ngaphakathi emzimbeni, e mucosa yayo.
• Single irowu umphetho Gumby isetshenziswa lapho udokotela omkhulu ohlinzayo usebenza emathunjini ezinkulu, okuyinto inqubo bayo ufana kakhulu umphetho Donati.

ezivuzayo isibindi

Ngenxa yokuthi umzimba ngokwanele "crumbly" nangesandla esivulekile ofakwe igazi Bile, ukwenza on ubuso bayo umphetho kunzima kakhulu ngisho udokotela ohlinzayo okhokhelwayo. Ngokuvamile, kuleli cala, lo dokotela ubeka umthungo okuqhubekayo ngaphandle izihibe noma eqhubekayo kumatilasi suture.

Gallbladder usebenzisa U emise noma eziyisishiyagalombili emise sutures kuhlinzwa.

Ezivuzayo emikhunjini

Izinhlobo sutures kuhlinzwa elisetshenziswa traumatology, anezici yabo. Uma ufuna thunga izitsha, kulesi simo kanye ngangokunokwenzeka kusiza umphetho okuqhubekayo ngaphandle singabanjwa, iqinisekisa ukubekwa uphawu okuthembekile. Ukusebenzisa ngokuvamile kuholela ekwakhekeni "bunching", kodwa ukuze agweme lo mphumela, unga, uma usebenzisa eyodwa irowu suture ihange.

sutures Steel izinhlobo ezisetshenziswayo ekuhlinzeni kabi ngendlela efanayo. Ngamunye zilwane nezihibe kanye nezinzuzo, kodwa uma efanele ukunqunywa zabo bese ukhetha okungcono kukho string, iyiphi ngokuhlanganyela ongenza imisebenzi yayo futhi uvikelekile isilonda noma ukuthunga umzimba. Timing ekususweni suture esimweni ngasinye zinqunywa ngamunye, kodwa ngokuvamile 8-10 amahora kakade basuke isuswe.