Imbali yophuhliso lwee-microscopes zotyando

Nangonangemakroskopuziye zasetyenziswa kwiinkalo zophando lwezenzululwazi (ielabhoratri) kangangeenkulungwane, bekungekho de kwangoo-1920 xa i-otolaryngologists yaseSweden isebenzisa izixhobo ezinkulu ze-microscope yotyando lwe-laryngeal ukuba ukusetyenziswa kwe-microscopes kwiinkqubo zotyando kwaqala. Kwiminyaka engama-30 kamva (1953), uZeiss wavelisaimikroskopu yotyando, kwaye ukususela ngoko, i-microsurgery ikhule ngokukhawuleza: e-China,imikroskopu yotyando lwamathambozazisetyenziselwa utyando lokuphinda kutyalwe amalungu ekuqaleni kweminyaka yoo-1860; Phakathi kwiminyaka yee-1960,iimicroscopes neurosurgicalzazikwasetyenziswa kuqhaqho lwe-vascular and nerve anastomosis eUnited States; Ngowe-1970, uYasargil wasebenzisa iI-microscope ye-neurosurgicalukwenzela utyando lwe-lumbar disc. Emva koko, uWilliam noCaspar bapapasha amanqaku abo malunga nonyango lwe-microsurgical ye-lumbar disc disease, eyathi kamva yachazwa ngokubanzi. Namhlanje, ukusetyenziswa kweIimicroscopes ezisebenzayoiya isiba yinto eqhelekileyo. Kwintsimi yotyando ngokutsha okanye utyando lokufakelwa, oogqirha banokusebenzisaiimicroscopes yotyando lwe-neurosurgicalukuphucula izakhono zabo zokubona. Kwaye kwezinye iintlobo zotyando, njengotyando lwamazinyo, utyando lwamehlo, utyando lwe-otolaryngology, njl., oluhambelanayoimikroskopu yotyandonazo ziphuhlisiwe.

Oogqirha botyando kudala bekuqonda ukubaluleka kwezixhobo ezifanelekileyo zokukhulisa nokukhanyisa ukuze babone ngokucacileyo. Kwintsimi yotyando lomqolo, oogqirha abaninzi basebenzisa iiglasi zokukhulisa utyando kunye nokukhanya kwentloko ukuphucula imbonakalo. Xa kuthelekiswa nokusebenzisa aImikroskopu yotyando, ukusebenzisa iglasi yokwenza utyando kunye nesibane sentloko kunemiqobo emininzi. Ngethamsanqa,iimicroscopes zokusebenzazisetyenziswa ngokubanzi kwintsimi ye-neurosurgery (i-neurosurgery), kwaye bazimisele ukufaka isicelongemakroskopuukuya kuqhaqho lomqolo. Nangona kunjalo, oogqirha abaninzi kwintsimi ye-orthopedics bayathandabuza ukuyeka iiglasi zokukhulisa kwaye batshintsheImikroskopu yotyando lwamathambo, kunye noogqirha bamathambo kunye ne-neurosurgeons esele isetyenzisweiimicroscopes zamathambokuba utyando lomqolo abaqondi oku. Ngoogqirha botyando bamathambo abaqhubela phambili ukwenza i-microsurgery yesandla kunye ne-peripheral nerve microsurgery, oogqirha abahlala ngoku banokufikelela kwangoko kwitekhnoloji ye-microscopy kwaye bamkele ngakumbi ukusebenzisa.Iimicroscopes zeNeurosurgeryukwenzela utyando lomqolo. Kufuneka siqaphele ukuba xa kuthelekiswa ne-microsurgery ezandleni kunye nezinye izicubu ezingaphezulu, utyando lomgogodla luhlala lusebenza kwindawo enzulu. Ngoko ke, ukusebenzisa aNgemakroskopu yotyando lweplastikiinokubonelela ngokhanyiso olungcono kwaye yandise intsimi yotyando, yenza utyando olungenabungozi kancinci lwenzeke.

Isixhobo sokwandisa kunye nesikhanyisa aImikroskopu yotyandoinokubonelela ngezinto ezininzi eziluncedo zotyando, kwaye okona kubaluleke kakhulu, kunokwenza utyando lube luncinci. Ukunyuka kwe "keyhole" yotyando oluncinci luye lwabangela ukuba oogqirha botyando bahlalutye ngokuchanekileyo izizathu ezichanekileyo zokunyanzeliswa kwe-nerve kunye nokucacisa ngokuchanekileyo indawo yento yoxinzelelo kwi-spinal canal. Uphuhliso lotyando lwesitshixo lukwafuna ngokukhawuleza iseti entsha yemigaqo ye-anatomical njengesiseko.

Ngenxa yokuba indawo yokujonga yotyando yandiswe amaxesha amathandathu, oogqirha botyando kufuneka basebenze ngobunono kwizicubu zemithambo-luvo, kunye nokukhanya okubonelelwaI-microscope yokusebenzaingcono kakhulu kunayo yonke eminye imithombo yokukhanya, enceda kakhulu ekuvezeni izithuba zeethishu kwindawo yotyando. Ngoko ke, kunokuthiwa i-microsurgery ngugqirha kunye nokhuseleko oluphezulu lotyando!

Abaxhamli bokugqibela kwiinzuzo zeImikroskopu yotyandozizigulana.IMikroskopu yoCandoinokunciphisa ixesha lotyando, ukunciphisa ukungakhululeki kwesigulane emva kokuhlinzwa, kunye nokunciphisa iingxaki emva kokuhlinzwa. Isiphumo sotyando lwe-microdissection silungile njengotyando oluqhelekileyo lwe-discectomy.I-Microscopy yokusebenzakunokuvumela ukuba utyando oluninzi lwe-discectomy lwenziwe kwiindawo zokugula ngaphandle, ngokunciphisa iindleko zotyando.