{"id":10792,"date":"2021-07-06T00:50:41","date_gmt":"2021-07-05T21:50:41","guid":{"rendered":"https:\/\/katsanas.com\/?p=5554"},"modified":"2023-10-10T21:46:13","modified_gmt":"2023-10-10T21:46:13","slug":"pga-suturun-yapisal-degerlendirilmesi","status":"publish","type":"post","link":"https:\/\/www.katsanas.com\/en\/pga-suturun-yapisal-degerlendirilmesi\/","title":{"rendered":"PGA S\u00dcT\u00dcR\u00dcN YAPISAL DE\u011eERLEND\u0130R\u0130LMES\u0130"},"content":{"rendered":"<div class=\"row\">\n<div class=\"col-md-6\">\u00c7e\u015fitli kullan\u0131mlar i\u00e7in farkl\u0131 \u00f6zelliklere uygun olarak \u00fcretilen ayn\u0131 zamanda yara kenarlar\u0131n\u0131 kapatmak veya doku hasar\u0131n\u0131 onarmak i\u00e7in kullan\u0131lan bir\u00e7ok s\u00fct\u00fcr tipi bulunmaktad\u0131r. Cerrahi operasyonlar s\u0131ras\u0131nda kullan\u0131ma sunulan cerrahi s\u00fct\u00fcrler antijenik veya patojenik olmamal\u0131d\u0131r. Sahip oldu\u011fu farkl\u0131 \u00f6zelliklere g\u00f6re s\u0131n\u0131fland\u0131r\u0131lan s\u00fct\u00fcrler, en temel s\u0131n\u0131fland\u0131rmaya g\u00f6re emilebilir veya emilemeyen yap\u0131da olabilmektedir. Kan damarlar\u0131 aras\u0131ndaki anastomozlar gibi kal\u0131c\u0131 s\u00fct\u00fcrlerin bir gereklilik oldu\u011fu durumlar d\u0131\u015f\u0131nda genellikle emilebilir s\u00fct\u00fcrler cerrahlar taraf\u0131ndan tercih edilmektedir.<\/p>\n<p>Yara iyile\u015fmesinden sonra doktor yard\u0131m\u0131yla v\u00fccuttan \u00e7\u0131kar\u0131lan s\u00fct\u00fcrler emilemeyen cerrahi s\u00fct\u00fcrledir. Doktor m\u00fcdahalesine gerek kalmadan \u00e7e\u015fitli doku s\u0131v\u0131lar\u0131 yard\u0131m\u0131yla v\u00fccutta ayr\u0131\u015fabilen s\u00fct\u00fcrler ise emilebilir cerrahi s\u00fct\u00fcrler s\u0131n\u0131f\u0131ndad\u0131r.<\/p>\n<p>Cerrahi s\u00fct\u00fcrler ham madde kayna\u011f\u0131na g\u00f6re do\u011fal veya sentetik yollarla \u00fcretilebilmektedir. Sentetik olarak \u00fcretilen s\u00fct\u00fcrler i\u00e7in kullan\u0131lan poliglikolit olarak da bilinen PGA (poliglikolik asit) biyolojik olarak bozunabilir bir polyesterdir. Birka\u00e7 iplikten elde edilen multifilament ve PGA yap\u0131l\u0131 olarak \u00fcretilen emilebilir s\u00fct\u00fcr 1920 y\u0131l\u0131nda piyasaya s\u00fcr\u00fclen glikolik asitin (hidroksi asetik asit) bir homopolimeri olarak kabul edilir ve bu s\u00fct\u00fcr ilk geli\u015ftirilen sentetik ve emilebilir yap\u0131ya sahip cerrahi s\u00fct\u00fcrd\u00fcr.<\/p>\n<p>PGA s\u00fct\u00fcr monofilament yap\u0131da kat\u0131 olmas\u0131 nedeniyle kullan\u0131m kolayl\u0131\u011f\u0131 i\u00e7in \u00f6rg\u00fcl\u00fc ve multifilament yap\u0131da \u00fcretilir. <\/p><\/div>\n<div class=\"col-md-6\">PGA s\u00fct\u00fcr kullan\u0131ld\u0131\u011f\u0131 zaman dokuda olu\u015fan enflamatuvar reaksiyonun minimal seviyede olmas\u0131 nedeniyle a\u015f\u0131r\u0131 doku tahri\u015fine neden olmaz. Dokudaki emilim s\u0131ras\u0131nda bakterisidal etki g\u00f6stererek fibr\u00f6z ba\u011f dokusu taraf\u0131ndan enkaps\u00fcle edilir. <\/p>\n<p>Cerrah\u0131n hasta i\u00e7in sa\u011flamas\u0131 gereken g\u00fcvenli kullan\u0131m i\u00e7in PGA s\u00fct\u00fcr\u00fc yeterli uygunluktad\u0131r ve ideal bir cerrahi operasyon i\u00e7in gerekli olan ko\u015fullar\u0131 sa\u011flamaktad\u0131r. \u0130yi gerilme ve d\u00fc\u011f\u00fcm mukavemetine sahip olan PGA s\u00fct\u00fcr\u00fc hidroliz ile emilimi sa\u011flamaktad\u0131r. Ger\u00e7ekle\u015fen hidrolizden sonra yava\u015f yava\u015f mukavemetini kaybeder b\u00f6ylelikle emilim tamamen sa\u011flanm\u0131\u015f olur. <\/p>\n<p>PGA s\u00fct\u00fcr\u00fc p\u00fcr\u00fczs\u00fcz doku ge\u00e7i\u015fini ve d\u00fc\u011f\u00fcm ba\u011flamay\u0131 sa\u011flayabilmek i\u00e7in sentetik bir kaplama olan polikaprolakton ve Kalsiyum Strearat yap\u0131s\u0131 ile kaplanabilmektedir. 10 cm\u2019den 150 cm\u2019e kadar farkl\u0131 uzunluklarda \u00fcretilebilen \u00e7e\u015fitleri bulunmaktad\u0131r. <\/p>\n<p>Emilim s\u00fcresi 60-90 g\u00fcn aras\u0131nda olan bu cerrahi s\u00fct\u00fcr\u00fcn sterilizasyonu etilen oksit ile ger\u00e7ekle\u015ftirilmektedir. Genellikle yap\u0131lan ambalajlama i\u00e7in al\u00fcminyum folyo kullan\u0131l\u0131rken USP aral\u0131\u011f\u0131 6\/0 \u2013 3 aras\u0131nda de\u011fi\u015fmektedir. <\/p>\n<p>Cerrahi s\u00fct\u00fcr \u00fcretiminde sahip oldu\u011fu 45 y\u0131ll\u0131k tecr\u00fcbesi ve sa\u011flad\u0131\u011f\u0131 g\u00fcvenilir \u00fcr\u00fcn i\u00e7erikleriyle KATSAN\u2019\u0131n cerrahi s\u00fct\u00fcrlerini cerrahi operasyonlar s\u0131ras\u0131nda d\u00fc\u015f\u00fcnmeden kullanabilirsiniz.<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7e\u015fitli kullan\u0131mlar i\u00e7in farkl\u0131 \u00f6zelliklere uygun olarak \u00fcretilen ayn\u0131 zamanda yara kenarlar\u0131n\u0131 kapatmak veya&#8230;<\/p>\n","protected":false},"author":2,"featured_media":10755,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[50],"tags":[],"class_list":["post-10792","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-tr"],"_links":{"self":[{"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/posts\/10792","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/comments?post=10792"}],"version-history":[{"count":1,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/posts\/10792\/revisions"}],"predecessor-version":[{"id":10951,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/posts\/10792\/revisions\/10951"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/media\/10755"}],"wp:attachment":[{"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/media?parent=10792"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/categories?post=10792"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/tags?post=10792"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}