Cov Keeb Kwm Ntawm Kev Phais Surgery.

Kev tsis haum yog hais txog lub peev xwm ntawm lub cev kom degrade lub sijhawm. Yog li, cov xov ntxiv tau muab faib ua cov kab uas tsis muaj qhov ntxaum thiab tsis muaj kabmob. Cov kab mob nqus tau yog siv los hais txog cov khoom siv uas yuav poob rau lub zog ntawm lub cev ntau tshaj 60 hnub. Kev nqus ntawm cov khoom siv yog tau los ntawm cov tshuaj tiv thaiv ntawm cov ntaub so ntswg mus rau lub suture. Cov pov npav uas yuav tsum tau faus hauv lub cev thiab tob hauv lub qhov txhab yog feem ntau xaiv tau ua cov kab uas tsis txaus nyiam, thaum cov kab uas tsis yog-absorbable siv los kaw qhov mob thiab nws thiaj li raug tshem tawm. Feem ntau, cov kab uas tsis yog-absorbable kuj siv thaum sib sib zog nqus cov ntaub so ntswg yuav tsum tuav lub zog tensile ntev.

Rau ntau txhiab xyoo, cov ntawv sib txawv ntawm cov ntaub ntawv sib txawv tau siv thiab tawm tswv yim, tiam sis tseem ua tsis tau zoo dua. Lub koob yog tsim los ntawm pob txha los yog hlau (xws li nyiaj, tooj liab, txhuas bronze hlau). Sutures yog tsim los ntawm cov khoom siv cog (flax, hemp thiab paj rwb) los yog cov khoom siv tsiaj (plaub hau, tendons, hlab ntsha, mob strips lossis qab haus huv, txhob lo lo ntxhuav, thiab plab). Neeg Asmeskas cov kev cai siv thorns, thaum lwm leej lwm tus siv ntsaum rau lub plhuav, uas yog tswv yim rau cov kab ua rau tom ob sab ntawm lub qhov txhab thiab tom qab lawv sib tw.

Cov ntaub ntawv ntxov ntawm kev phais plab yog siv mus rau ancient Egypt 3000 BC, thiab qhov paub tshaj plaws ntawm lub plhaub yog mummy ntawm 1100 BC. Thawj cov ntaub ntawv sau tau ntawm lub qhov txhab ntawm qhov mob thiab siv cov khoom xa tuaj ntawm tus neeg hu ua Indian sage thiab tus kws kho mob, hnub xya, hauv 500 BC. Hippocrates, leej txiv ntawm tshuaj nyob rau hauv Greece, thiab olus Cornelius celsus ntawm Rome tom qab piav qhia cov qauv kev suture. Thawj zaug piav qhia txog plab hnyuv yog lub xyoo pua Roman kws kho hniav qeej, uas tau xav tias yog xyoo 10th tus kws kho mob thiab tus kws phais plawv tuag raug tua tuag. Nws tau sau tseg tias cov hlua ntawm ib lub pas dej tau nqos tau los ntawm ib tug liab, thiab nws pom qhov xwm txheej ntawm lub plab hnyuv ntxwm. Txij thaum ntawd los, cov muas noj plab yog tsim tau.

Yauxej tus neeg sau tau piav txog cov kev hloov hauv cov kev xav ntawm kev sib txuas lus, thiab nws tau tawm tswv yim txog kev tu cev txhua txhua lub cev. Nyob rau hauv 1860s, nws thawj zaug sim sterilize lub "calcium carbonate gut", thiab 20 xyoo tom qab nws sterilized lub chromium gut. Nyob rau xyoo 1906, muaj ib lub cev nqaij tawv me me ua rau iodine.

Tus tom ntej loj leap coj qhov chaw nyob rau hauv lub xyoo pua 20th. Nrog rau txoj kev lag luam hauv kev lag luam, thawj kab hluavtaws tau ua nyob rau xyoo 1930, thiab ntau txoj kev nqus thiab cov kab uas tsis yog-absorbable synthesis tsim tau sai. Thawj cov kab hluavtaws yog tsim los ntawm polyvinyl cawv hauv xyoo 1931. Cov kab Polyester tsim tau tsim nyob rau xyoo 1950, thiab hluav taws xob ua kom lub plab thiab polyester tau tsim. Polyglycolic acid tau tshwm sim nyob rau hauv 1960s, thiab nws tau siv nyob rau hauv qhuav ntawm sutures nyob rau hauv lub xyoo 1970s. [1] tam sim no, feem ntau ntawm cov khoom siv yog ua los ntawm polymer fibers. Tsuas txhob lo lo ntxhuav thiab plab hnyuv kab tau tseem siv nyob rau hauv cov khoom qub - tab sis tsis ntau. Hauv Tebchaws Europe thiab Nyij Pooj, lub plab yog banned rau bovine spongiform encephalopathy, thiab kabmob no qee zaum siv hauv cov hlab ntsha thiab otolaryngology.