{"id":1636,"date":"2020-07-05T20:21:47","date_gmt":"2020-07-05T17:21:47","guid":{"rendered":"http:\/\/katsanas.com\/?p=1636"},"modified":"2023-10-10T21:48:16","modified_gmt":"2023-10-10T21:48:16","slug":"devamli-sutur-teknigi","status":"publish","type":"post","link":"https:\/\/www.katsanas.com\/en\/devamli-sutur-teknigi\/","title":{"rendered":"DEVAMLI S\u00dcT\u00dcR TEKN\u0130\u011e\u0130"},"content":{"rendered":"

\"\"<\/p>\n

DEVAMLI S\u00dcT\u00dcR TEKN\u0130\u011e\u0130<\/h1>\n\n\n

Tek bir s\u00fct\u00fcr ile doku boyunca seri olarak s\u00fct\u00fcr at\u0131lmas\u0131d\u0131r. Basit aral\u0131kl\u0131 s\u00fct\u00fcr tekni\u011fi ile benzerdir ancak basit aral\u0131kl\u0131 s\u00fct\u00fcr\u00fcn aksine her diki\u015fte d\u00fc\u011f\u00fcm at\u0131lmaz. Sadece ilk ve son diki\u015flerde d\u00fc\u011f\u00fcm at\u0131larak sabitlenir. Uygulamas\u0131 kolay, s\u0131kl\u0131kla tercih edilen ve eversiyon sa\u011flayan bir s\u00fct\u00fcr tekni\u011fidir.<\/p>\n\n\n\n

Ba\u015flang\u0131\u00e7ta, yaran\u0131n bir ucuna basit aral\u0131kl\u0131 bir s\u00fct\u00fcr yerle\u015ftirilir. Bu s\u00fct\u00fcr d\u00fc\u011f\u00fcmlenir ama kesilmez. Basit devaml\u0131 diki\u015fler yaran\u0131n uzunlu\u011funca yerle\u015ftirilir, epidermise tekrar n\u00fcfuz eder ve dermal veya deri alt\u0131 olarak ge\u00e7irilir. Basit devaml\u0131 s\u00fct\u00fcr\u00fcn her aral\u0131\u011f\u0131n\u0131 e\u015fit yerle\u015ftirmek \u00f6nemlidir. Uygulama, diki\u015f sonunda dokudan \u00e7\u0131karken tek bir d\u00fc\u011f\u00fcm at\u0131larak sonland\u0131r\u0131l\u0131r. Bir yara, basit aral\u0131kl\u0131 ya da aral\u0131kl\u0131 horizontal matris s\u00fct\u00fcr ile kolayca kapat\u0131labilece\u011finden daha uzunsa, kapatmay\u0131 verimli bir \u015fekilde ger\u00e7ekle\u015ftirmek i\u00e7in s\u00fcrekli bir diki\u015f tekni\u011fi kullan\u0131labilir.<\/p>\n\n\n\n

En s\u0131k kullan\u0131lan devaml\u0131 s\u00fct\u00fcr tekni\u011fi, kilitli olmayan s\u00fct\u00fcr tekni\u011fidir. Bu teknik uygulan\u0131rken diki\u015fler aras\u0131ndaki mesafe yakla\u015f\u0131k 1 ila 1,5 cm\u2019dir. Kilitli olmayan devaml\u0131 bir s\u00fct\u00fcr uygulamas\u0131nda; bir sonraki doku ge\u00e7i\u015fi yap\u0131l\u0131rken, yerle\u015ftirilen s\u00fct\u00fcr ilme\u011fi \u00fczerinde hafif bir gerginlik sa\u011flamak yararl\u0131d\u0131r. Bu, herhangi bir ek diki\u015f i\u015flemi ger\u00e7ekle\u015ftirilirken de dokuda diki\u015fin gev\u015femesini \u00f6nler. Gerginlik, cerrah\u0131n eliyle veya asistan taraf\u0131ndan sa\u011flanabilir, i\u011fne tutucuyla gerginlik sa\u011flanmamal\u0131d\u0131r.<\/p>\n\n\n\n

Devaml\u0131 bir diki\u015f kilitlenebilir. Devaml\u0131 diki\u015fin kilitlenmesi tekni\u011fi, s\u00fct\u00fcr\u00fcn kalan k\u0131sm\u0131 yerle\u015ftirilirken diki\u015fin gev\u015feme e\u011filimini azaltmak i\u00e7in, yaran\u0131n uzunlu\u011fu boyunca s\u00fct\u00fcre s\u00fcrt\u00fcnme noktalar\u0131 yerle\u015ftirerek ger\u00e7ekle\u015ftirilir. Devam eden s\u00fct\u00fcr, kendinden \u00f6nceki s\u00fct\u00fcr\u00fcn i\u00e7inden ge\u00e7irilerek devam edilir. B\u00f6ylece, i\u015flem tamamlan\u0131rken, kilitlenen diki\u015fler, daha \u00f6nce at\u0131lan her bir diki\u015fi s\u0131k\u0131 tutmaya yard\u0131mc\u0131 olur. Kilitleme, s\u00fct\u00fcr\u00fcn \u00f6nceki diki\u015f d\u00f6ng\u00fcs\u00fc boyunca ge\u00e7irilmesiyle ger\u00e7ekle\u015ftirilir.<\/p>\n\n\n\n

Avantajlar\u0131<\/strong><\/p>\n\n\n\n

Bu tekni\u011fin birincil avantaj\u0131, di\u011fer tekniklere g\u00f6re kolayl\u0131\u011f\u0131 ve diki\u015f yerle\u015ftirme h\u0131z\u0131d\u0131r. Kullan\u0131lan s\u00fct\u00fcr uzunlu\u011fu azd\u0131r. Gerginli\u011fin s\u00fct\u00fcr hatt\u0131 boyunca e\u015fit da\u011f\u0131lmas\u0131n\u0131 sa\u011flar. D\u00fczg\u00fcn yerle\u015ftirilmi\u015f derin diki\u015flerle, yara gerginli\u011finin en aza indirildi\u011fi uzun yaralar i\u00e7in kullan\u0131\u015fl\u0131d\u0131r. Ayr\u0131ca tam veya k\u0131smi kal\u0131nl\u0131kta bir deri greftinin sabitlenmesinde de faydal\u0131d\u0131r. Basit aral\u0131kl\u0131 s\u00fct\u00fcr tekni\u011fine k\u0131yasla daha az skar olas\u0131l\u0131\u011f\u0131 vard\u0131r. Basit devaml\u0131 s\u00fct\u00fcr tekni\u011fi kullanarak dokunun kapat\u0131lmas\u0131, hemostatik \u00f6zellikleri ve doku bozulmas\u0131n\u0131n azalmas\u0131 nedeniyle avantajl\u0131 bir tekniktir. Bu tekni\u011fi kullan\u0131rken, her diki\u015f i\u00e7in bir d\u00fc\u011f\u00fcm yap\u0131lmas\u0131 gerekmez; bu, uzun bir yaran\u0131n dikilmesini daha h\u0131zl\u0131 hale getirir ve d\u00f6k\u00fcnt\u00fc toplamak i\u00e7in daha az d\u00fc\u011f\u00fcm b\u0131rak\u0131r.<\/p>\n\n\n\n

Dezavantajlar\u0131<\/strong><\/p>\n\n\n\n

Sadece ba\u015fta ve sonda d\u00fc\u011f\u00fcm at\u0131lmas\u0131 sebebiyle, doku ayr\u0131lmas\u0131 olas\u0131l\u0131\u011f\u0131 bu teknikle kapat\u0131lan dokularda daha y\u00fcksek olabilmektedir. D\u00fc\u011f\u00fcmlerden biri zarar g\u00f6r\u00fcrse ya da a\u00e7\u0131l\u0131rsa t\u00fcm s\u00fct\u00fcr hatt\u0131 zarar g\u00f6r\u00fcr. Devaml\u0131 diki\u015fin s\u00fct\u00fcr hatt\u0131 boyunca enfeksiyon ta\u015f\u0131nmas\u0131na imk\u00e2n sa\u011flamas\u0131 dezavantajl\u0131 durumlardan biridir. Enfekte dokularda devaml\u0131 s\u00fct\u00fcr tekni\u011fi kullan\u0131lacaksa s\u00fct\u00fcr tipi olarak monofilament bir materyal tercih edilerek enfeksiyon ta\u015f\u0131nmas\u0131 riski azalt\u0131labilir. Monofilament s\u00fct\u00fcrler, multifilament s\u00fct\u00fcrler gibi mikroorganizmalar\u0131n yerle\u015febilece\u011fi bir yap\u0131da de\u011fildir. S\u00fcrekli s\u00fct\u00fcr tekni\u011finin bir dezavantaj\u0131 da bir s\u00fct\u00fcr\u00fcn dokudan i\u00e7eri girmesi veya k\u0131r\u0131lmas\u0131 halinde s\u00fct\u00fcr\u00fcn tamam\u0131n\u0131n gev\u015fetilmesi ya da \u00e7\u0131kar\u0131lmak zorunda kalmas\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

Tek bir s\u00fct\u00fcr ile doku boyunca seri olarak s\u00fct\u00fcr at\u0131lmas\u0131d\u0131r. Basit aral\u0131kl\u0131 s\u00fct\u00fcr tekni\u011fi ile benzerdir…<\/p>\n","protected":false},"author":2,"featured_media":1637,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[50],"tags":[],"class_list":["post-1636","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\/1636","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=1636"}],"version-history":[{"count":1,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/posts\/1636\/revisions"}],"predecessor-version":[{"id":11091,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/posts\/1636\/revisions\/11091"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/media\/1637"}],"wp:attachment":[{"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/media?parent=1636"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/categories?post=1636"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/tags?post=1636"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}