{"id":1618,"date":"2020-07-05T20:04:30","date_gmt":"2020-07-05T17:04:30","guid":{"rendered":"http:\/\/katsanas.com\/?p=1618"},"modified":"2023-10-10T21:48:18","modified_gmt":"2023-10-10T21:48:18","slug":"sutur-seciminde-dikkat-edilmesi-gerekenler","status":"publish","type":"post","link":"https:\/\/www.katsanas.com\/en\/sutur-seciminde-dikkat-edilmesi-gerekenler\/","title":{"rendered":"S\u00dcT\u00dcR SE\u00c7\u0130M\u0130NDE D\u0130KKAT ED\u0130LMES\u0130 GEREKENLER"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/katsanas.com\/wp-content\/uploads\/2020\/07\/sutur-seciminde-dikkat-edilmesi-gerekenler.jpg\" alt=\"\" style=\"margin: 0 25px 25px 0; float: left; width: 500px;\"><\/p>\n\n\n<h1 class=\"wp-block-heading\">S\u00dcT\u00dcR SE\u00c7\u0130M\u0130NDE D\u0130KKAT ED\u0130LMES\u0130 GEREKENLER<\/h1>\n\n\n\n<p>Diki\u015f materyali cerrahide yara iyile\u015fmesi s\u00fcresince yaray\u0131 bir arada tutmak ve gereken deste\u011fi sa\u011flamak ama\u00e7lar\u0131 ile kullan\u0131l\u0131r. Uygun diki\u015f ipli\u011finin se\u00e7ilebilmesi i\u00e7in yara iyile\u015fmesi s\u0131ras\u0131ndaki h\u00fccresel, fizyolojik ve biyokimyasal olaylar\u0131 i\u00e7eren dinamik diren\u00e7 ve bunlar\u0131 etkileyen fakt\u00f6rlerle birlikte ameliyat ipliklerinin yap\u0131sal \u00f6zellikleri iyi bilinmelidir. Yara iyile\u015fmesini etkileyen ba\u015fl\u0131ca fakt\u00f6rler;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>cerrahi teknik,<\/li><li>kan dola\u015f\u0131m\u0131,<\/li><li>mekanik stres,<\/li><li>s\u00fct\u00fcr materyali,<\/li><li>diki\u015f tekni\u011fi,<\/li><li>radyoterapi,<\/li><li>enfeksiyon ve<\/li><li>sistemik etkenlerdir.<\/li><\/ul>\n\n\n\n<p>S\u00fct\u00fcr materyali se\u00e7imini etkileyen ana fakt\u00f6rler;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>diki\u015f konulacak dokunun tipi ve g\u00fcc\u00fc,<\/li><li>dokunun iyile\u015fme s\u00fcresi, s\u00fct\u00fcr materyalinin \u00f6zellikleri,<\/li><li>s\u00fct\u00fcr ve doku aras\u0131ndaki etkile\u015fimdir.<\/li><\/ul>\n\n\n\n<p>S\u00fct\u00fcr materyali se\u00e7erken dikkat edilecek ba\u015fl\u0131ca \u00f6zellikler;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>gerilim g\u00fcc\u00fc,<\/li><li>dokudan ge\u00e7i\u015f kolayl\u0131\u011f\u0131,<\/li><li>d\u00fc\u011f\u00fcm emniyeti,<\/li><li>diki\u015fin dokuyu s\u00fcr\u00fcklemesi,<\/li><li>dokudaki k\u0131sa ve uzun d\u00f6nem reaksiyonlar<\/li><li>s\u00fct\u00fcr\u00fcn ele geli\u015fi, kullan\u0131m kolayl\u0131\u011f\u0131 ve paketten minimum haf\u0131za ile \u00e7\u0131kmas\u0131n\u0131 sa\u011flayacak paketleme \u00f6zelli\u011fi olarak s\u0131ralanabilir.<\/li><\/ul>\n\n\n\n<p>S\u00fct\u00fcr se\u00e7iminde as\u0131l ama\u00e7 i\u015flem s\u0131ras\u0131nda dokuya zarar vermemektir. Keskin diseksiyon, k\u00fcnt diseksiyondan daha az travmatiktir. Yara dudaklar\u0131n\u0131n sadece yakla\u015ft\u0131r\u0131lmas\u0131, gergin olmamas\u0131 iyile\u015fmeyi h\u0131zland\u0131r\u0131r.<\/p>\n\n\n\n<p>M\u00fckemmel diki\u015f yoktur, en uygun diki\u015f vard\u0131r. Uygun olmayan bir s\u00fct\u00fcrde d\u00fc\u011f\u00fcm s\u0131ras\u0131nda s\u00fct\u00fcr y\u00fczeyi tamamen deforme olabilir. S\u00fct\u00fcr boyunca \u00e7ap farkl\u0131l\u0131klar\u0131 olabilir, tiftiklenebilir, y\u00fczey b\u00fct\u00fcnl\u00fc\u011f\u00fc kaybolabilir. D\u00fc\u011f\u00fcmleme s\u0131ras\u0131nda flamanlar y\u00fczeyden ayr\u0131labilir.<\/p>\n\n\n\n<p>S\u00fct\u00fcr malzemeleri genelde kullan\u0131m \u00f6zelliklerini kolayla\u015ft\u0131rmak, \u00f6zellikle de i\u011fne yolundan ge\u00e7erken doku hasar\u0131nda azalma sa\u011flamak ve d\u00fc\u011f\u00fcmleme s\u0131ras\u0131nda d\u00fc\u011f\u00fcm g\u00fcvenirli\u011fini artt\u0131rmak ama\u00e7lar\u0131 ile kaplan\u0131rlar. Emilebilir s\u00fct\u00fcr kaplama maddeleri suda \u00e7\u00f6z\u00fcn\u00fcr veya \u00e7\u00f6z\u00fcnmez formda olabilir. Suda \u00e7\u00f6z\u00fcnmeyen maddeler s\u00fct\u00fcr y\u00fczeyinde daha uzun kalabilir, hidrolizle \u00e7\u00f6z\u00fcn\u00fcr ve s\u00fct\u00fcr\u00fcn etken maddesine daha yak\u0131n kimyasal bile\u015fiklerden \u00fcretilirler. Multifilament s\u00fct\u00fcrlerde kaplama daha s\u0131k kullan\u0131l\u0131r, genellikle monofilament s\u00fct\u00fcrler kaplama gerektirmezler. Her ne kadar s\u00fct\u00fcr malzemelerinin kaplanmas\u0131 dokudan rahat ge\u00e7i\u015fi ve kullan\u0131m \u00f6zelliklerini kolayla\u015ft\u0131rsa da d\u00fc\u011f\u00fcm g\u00fcvenirlili\u011fini azalt\u0131rlar.<\/p>\n\n\n\n<p>\u0130deal s\u00fct\u00fcr se\u00e7iminde;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>hastan\u0131n ya\u015f\u0131,<\/li><li>yaran\u0131n v\u00fccutta bulundu\u011fu yer,<\/li><li>yaraya \u00f6zg\u00fc karakteristikler,<\/li><li>enfeksiyonun bulunup bulunmamas\u0131,<\/li><li>cerrah\u0131n ki\u015fisel s\u00fct\u00fcr tercihi ve<\/li><li>s\u00fct\u00fcr malzemesi kullan\u0131m\u0131ndaki tecr\u00fcbesi gibi fakt\u00f6rler de g\u00f6z \u00f6n\u00fcnde bulundurulmal\u0131d\u0131r.<\/li><\/ul>\n\n\n\n<p>Uygun s\u00fct\u00fcr tercihi operasyon sonras\u0131 komplikasyon riskini ciddi bir \u015fekilde d\u00fc\u015f\u00fcrmekte ve buna ba\u011fl\u0131 olarak ikincil operasyon gereklili\u011fini azaltmaktad\u0131r. Ayn\u0131 zamanda, hastalar\u0131 tedavi etmek i\u00e7in gerekli s\u00fcre k\u0131salmakta ve tedavi masraflar\u0131 azalmaktad\u0131r.<\/p>\n\n\n\n<p>Yaray\u0131 tutan bir ameliyat ipli\u011findeki bozunuma ra\u011fmen, cerrahi m\u00fcdahalenin ilk an\u0131 ile yaran\u0131n iyile\u015fti\u011fi zamana kadar ge\u00e7en s\u00fcre i\u00e7indeki herhangi bir anda, ipli\u011fin ve dokunun toplam dayan\u0131kl\u0131l\u0131\u011f\u0131, en az\u0131ndan dokunun mukavemetine e\u015fit olmal\u0131d\u0131r. Ameliyat ipli\u011finin biyolojik ortamdaki bozunum zaman\u0131, dokunun iyile\u015fmi\u015f haldeki dayan\u0131kl\u0131l\u0131\u011f\u0131n\u0131 kazanmas\u0131n\u0131 sa\u011flamaya yetecek kadar uzun olmal\u0131d\u0131r. Ameliyat ipli\u011fi e\u011fer \u00e7ok zay\u0131fsa, iyile\u015fmeyi sa\u011flayacak s\u00fcre kadar dokuyu tutamaz, e\u011fer \u00e7ok g\u00fc\u00e7l\u00fcyse dokuyu bir u\u00e7tan di\u011fer uca kesebilir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Diki\u015f materyali cerrahide yara iyile\u015fmesi s\u00fcresince yaray\u0131 bir arada tutmak ve gereken deste\u011fi&#8230;<\/p>\n","protected":false},"author":2,"featured_media":1619,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[50],"tags":[],"class_list":["post-1618","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\/1618","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=1618"}],"version-history":[{"count":1,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/posts\/1618\/revisions"}],"predecessor-version":[{"id":11097,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/posts\/1618\/revisions\/11097"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/media\/1619"}],"wp:attachment":[{"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/media?parent=1618"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/categories?post=1618"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/tags?post=1618"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}