Ukuqonda isixhobo esincedisayo kwi-spinal microsurgery - i-microscope yokuhlinzwa

Nangonangemakroskopusele isetyenzisiwe kuphando lwesayensi kwilabhoratri kangangeenkulungwane, bekungekho de kwangoo-1920s apho i-otolaryngologists yaseSweden yaqala ukusebenzisa i-bulky.Imikroskopu yotyandoizixhobo utyando emqaleni, ukuphawula isiqalo isiceloimikroskopu yotyandokwiinkqubo zotyando. Emva koko, uWilliam noCaspar bapapasha amanqaku abo malunga nokusetyenziswa kwei-microsurgery yotyandokunyango lwe-lumbar disc isifo, esathi kamva sachazwa ngokubanzi.

Namhlanje, ukusetyenziswa kweIimicroscopes ezisebenzayoiya ixhaphaka ngakumbi. Kwintsimi yotyando ngokutsha okanye utyando lokufakelwa, oogqirha banokusebenzisaImikroskopu yotyando lweNeurosurgicalukuphucula izakhono zabo zokubona. Ngolunye utyando lokukhupha, olufana nezicubu zenkqubo ye-nervous, izifo zomlomo wesibeleko kunye ne-lumbar disc, kunye nolunye utyando lwamehlo, ukusetyenziswa kwe-ophthalmic.Imikroskopu yotyando lwezonyangoikhula ngokukhawuleza.

Isixhobo sokwandisa kunye nesikhanyisa aI-microscope yokusebenzainokubonelela 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 okubonelelwaImakroskopu yonyango yotyandoingcono kakhulu kunayo yonke eminye imithombo yokukhanya, enceda kakhulu ekuvezeni izithuba zeethishu kwindawo yotyando. Ngoko ke, kunokuthiwa i-microsurgery yindlela ekhuselekileyo yotyando.

Umxhamli wokugqibela kwiinzuzo zeiimicroscopes zokusebenza kwezonyangongabaguli.Imikroskopu yotyandoinokunciphisa ixesha lotyando, ukunciphisa ukungakhululeki kwesigulane emva kokuhlinzwa, kunye nokunciphisa iingxaki emva kokuhlinzwa. I-Microscopic discectomy isebenza njengotyando oluqhelekileyo lwe-discectomy, kunyeImakroskopu yegumbi lokusebenzainokwenza kwakhona utyando oluninzi lwe-discectomy olwenziwe kwiindawo zokugula ngaphandle, ngokunciphisa iindleko zotyando.

Nangonaimikroskopu yotyandozibiza kakhulu kunezinye izixhobo zotyando, izibonelelo zabo zingaphezulu kakhulu kwexabiso labo elibi lotyando lomqolo. Emva kotyando lwamawakawaka, ndivakalelwa kukuba xa ndisenza uxinezeleko lomlomo wesibeleko okanye lwe-lumbar.Imakroskopu yonyangoayenzi nje utyando ngokukhawuleza kodwa ikhuseleke nakwisigulane.