Imbali yophuhliso lwee-microscopes zotyando

Nangonaiimayikroskopuziye zasetyenziswa kwiinkalo zophando lwezenzululwazi (iilabhoratri) kangangeenkulungwane, kwaphela ngeminyaka yoo-1920 xa iingcali ze-otolaryngologists zaseSweden zasebenzisa izixhobo ezinkulu ze-microscope ukwenza utyando lwe-laryngeal apho kwaqala khona ukusetyenziswa kwee-microscope kwiinkqubo zotyando. Kwiminyaka engama-30 kamva (1953), uZeiss wavelisaiimayikroskopu zotyando, kwaye ukususela ngoko, utyando lwe-microsurgery lukhule kakhulu: eTshayina,iimicroscopes zotyando lwamathambozasetyenziswa kutyando lokufakelwa amalungu kwakhona ekuqaleni kweminyaka yoo-1860; Phakathi kwiminyaka yoo-1960,iimicroscopes ze-neurosurgicalzikwasetyenziswa kutyando lwe-anastomosis yemithambo-luvo eMelika; Ngo-1970, uYasargil wasebenzisa i-imakroskopu yotyando lwemithambo-luvongotyando lwediski ye-lumbar. Emva koko, uWilliams noCaspar bapapasha amanqaku abo malunga nonyango lwe-microsurgical lwesifo sediski ye-lumbar, awathi kamva akhankanywa kakhulu. Kule mihla, ukusetyenziswa kweIimakroskopu ezisebenzayokuyanda ukuxhaphaka. Kwicandelo lotyando lokuphinda kutyalwe okanye lokufakelwa isitho, oogqirha banokusebenzisaiimicroscopes zotyando lwe-neurosurgicalukuphucula izakhono zabo zokubona. Kwaye kwezinye iintlobo zotyando, ezinje ngotyando lwamazinyo, utyando lwamehlo, utyando lwe-otolaryngology, njl. njl., ezihambelanayoiimayikroskopu zotyandonazo ziye zaphuhliswa.

Oogqirha bebesoloko beqonda ukubaluleka kwezixhobo zokukhulisa nokukhanyisa ezifanelekileyo ukuze babone ngokucacileyo. Kwicandelo lotyando lomqolo, oogqirha abaninzi basebenzisa iiglasi zokukhulisa nokukhanyisa izibane zentloko ukuphucula imiphumo yokubona. Xa kuthelekiswa nokusebenzisa i-imakroskopu yotyando, ukusebenzisa iglasi yokukhulisa kunye nesibane sentloko kuneengxaki ezininzi. Ngethamsanqa,iimakroskopu ezisebenzayozisetyenziswa kakhulu kwicandelo le-neurosurgery (neurosurgery), kwaye zikulungele ukufaka isiceloiimayikroskopuutyando lomqolo. Nangona kunjalo, uninzi loogqirha kwicandelo le-orthopedics abafuni ukuyeka iiglasi zokukhulisa umzimba baze batshintshele kwiIimicroscopes zotyando lwamathambokunye noogqirha bamathambo kunye noogqirha bemithambo-luvo abasele besebenziseiimayikroskopu zamathamboAbagqirha botyando lomqolo abaqondi oku. Njengoko oogqirha bamathambo besenza utyando lwezandla nolwemithambo-luvo, oogqirha abahlala apho ngoku banokufikelela kwangethuba kwitekhnoloji ye-microscopy kwaye bayakwamkela ngakumbi ukusebenzisaIimicroscopes zotyando lwe-neurosurgeryngotyando lomqolo. Kufuneka siqaphele ukuba xa kuthelekiswa notyando oluncinci ezandleni nakwezinye izicwili ezingaphezulu, utyando lomqolo luhlala lusebenza kwindawo enzulu. Ke ngoko, kusetyenziswaimakroskopu yotyando lweplastikiinokubonelela ngokukhanya okungcono kwaye yandise indawo yotyando, nto leyo eyenza ukuba utyando lube lula kakhulu.

Isixhobo sokukhulisa nokukhanyisa seimakroskopu yotyandoinokubonelela ngezinto ezininzi ezilula zotyando, kwaye okona kubaluleke kakhulu, inokwenza utyando lube luncinci. Ukunyuka kotyando olungenamsebenzi "lwe-keyhole" kuye kwabangela ukuba oogqirha bahlalutye ngokuchanekileyo izizathu ezichanekileyo zokucinezelwa kwemithambo-luvo kwaye bamisele ngokuchanekileyo indawo yento yokucinezelwa kumjelo womgogodla. Uphuhliso lotyando lwe-keyhole lukwafuna ngokungxamisekileyo imigaqo emitsha ye-anatomical njengesiseko.

Ngenxa yokuba umbono wotyando ukhuliswe izihlandlo ezithandathu, oogqirha kufuneka basebenze kancinci kwizicubu zemithambo-luvo, kwaye ukukhanya okubonelelwa yiimakroskopu esebenzayoingcono kakhulu kuneminye imithombo yokukhanya, nto leyo enceda kakhulu ekuvezeni izikhewu zezicubu kwindawo yotyando. Ke ngoko, kunokuthiwa utyando oluncinci ngugqirha onokhuseleko oluphezulu lotyando!

Abazuzi bokugqibela beenzuzo zeIimakroskopu zotyandongabaguli.I-Microscopy yotyandoinokunciphisa ixesha lotyando, inciphise ukungonwabi kwesigulana emva kotyando, kwaye inciphise iingxaki emva kotyando. Isiphumo sotyando lwe-microdissection silungile njengotyando lwe-discectomy oluqhelekileyo.I-Microscopy yokusebenzaikwavumela uninzi lotyando lwe-discectomy ukuba lwenziwe kwiindawo zokulaliswa ngaphandle, ngaloo ndlela kunciphisa iindleko zotyando.