Umlando wokuthuthukiswa kwama-microscope okuhlinzwa

Nakubaama-microscopeziye zasetshenziswa emikhakheni yocwaningo lwesayensi (emalabhorethri) amakhulu eminyaka, kwaze kwaba ngawo-1920 lapho odokotela bamehlo baseSweden basebenzisa amadivayisi amakhulu e-microscope ekuhlinzeni i-laryngeal lapho kwaqala khona ukusetshenziswa kwama-microscope ezinqubweni zokuhlinzwa. Eminyakeni engama-30 kamuva (1953), uZeiss wakhiqizaama-microscope okuhlinzwa, futhi kusukela ngaleso sikhathi, ukuhlinzwa okuncane kuye kwanda kakhulu: eShayina,ama-microscope okuhlinza amathambozazisetshenziselwa ukuhlinzwa kokufakelwa izitho ngasekuqaleni kwawo-1860; Maphakathi nawo-1960,ama-microscope okuhlinzwa kwemizwazasetshenziswa nasekuhlinzeni kwe-anastomosis yemithambo yegazi kanye nemizwa ngesandla e-United States; Ngo-1970, uYasargil wasebenzisa i-imakroskopu yokuhlinzwa kwemizwangokuhlinzwa kwe-lumbar disc. Ngemva kwalokho, uWilliams noCaspar bashicilela izihloko zabo mayelana nokwelashwa kwesifo se-lumbar disc ngokuhlinzwa okuncane, okwathi kamuva kwakhulunywa kabanzi. Namuhla, ukusetshenziswa kweAma-microscope asebenzayokuya ngokuya kuvama. Emkhakheni wokuhlinzwa kokufakelwa noma ukufakelwa, odokotela bangakwazi ukusebenzisaama-microscope okuhlinzwa kokuhlinzwa kwe-neurosurgicalukuthuthukisa amakhono abo okubona. Futhi kwezinye izinhlobo zokuhlinzwa, njengokuhlinzwa kwamazinyo, ukuhlinzwa kwamehlo, ukuhlinzwa kwe-otolaryngology, njll., okuhambisanayoama-microscope okuhlinzwanazo sezithuthukisiwe.

Odokotela abahlinzayo sebekuqaphele isikhathi eside ukubaluleka kwamadivayisi okukhulisa nokukhanyisa amahle ukuze babone ngokucacile. Emkhakheni wokuhlinzwa komgogodla, odokotela abaningi abahlinzayo basebenzisa izibuko zokukhulisa nokukhanyisa izibani zekhanda ukuze bathuthukise imiphumela yokubona. Uma kuqhathaniswa nokusebenzisa i-imakroskopu yokuhlinzwa, ukusebenzisa ingilazi yokukhulisa kanye nesibani sekhanda kunezinkinga eziningi. Ngenhlanhla,ama-microscope asebenzayozisetshenziswa kabanzi emkhakheni wokuhlinzwa kwemizwa (ukuhlinzwa kwemizwa), futhi zizimisele ukufaka isiceloama-microscopeukuhlinzwa komgogodla. Kodwa-ke, odokotela abaningi emkhakheni wezokwelapha ngamathambo bayanqikaza ukuyeka izibuko zokukhulisa bese beshintshelaAma-microscope okuhlinzwa kwamathambo, kanye nodokotela abahlinzayo bamathambo kanye nodokotela bezinzwa asebevele besebenziseama-microscope amathamboabahlinza umgogodla abakuqondi lokhu. Njengoba odokotela abahlinzayo bamathambo beqhubeka nokwenza ukuhlinzwa kwezandla kanye nemithambo yegazi, odokotela abahlala khona manje sebenokufinyelela kusenesikhathi kubuchwepheshe be-microscopy futhi basabela kakhulu ekusebenziseniAma-microscope okuhlinzwa kwe-neurosurgerykokuhlinzwa komgogodla. Kufanele siqaphele ukuthi uma kuqhathaniswa nokuhlinzwa okuncane ezandleni nakwezinye izicubu ezingajulile, ukuhlinzwa komgogodla kuhlala kusebenza emgodini ojulile. Ngakho-ke, kusetshenziswaI-microscope yokuhlinzwa kwepulasitikikunganikeza ukukhanya okungcono futhi kwandise insimu yokuhlinza, okwenza ukuhlinzwa kube lula kakhulu.

Idivayisi yokukhulisa nokukhanyisa ye-imakroskopu yokuhlinzwaingahlinzeka ngezinto eziningi ezilula zokuhlinzwa, futhi okubaluleke kakhulu, ingenza ukusikwa kokuhlinzwa kube kuncane. Ukwanda kokuhlinzwa "kwe-keyhole" okungangenisi kakhulu kuye kwashukumisela odokotela abahlinzayo ukuba bahlaziye ngokunembile izimbangela eziqondile zokucindezelwa kwemizwa futhi banqume ngokunembile indawo yento yokucindezela emgodini womgogodla. Ukuthuthukiswa kokuhlinzwa kwe-keyhole nakho kudinga ngokushesha isethi entsha yezimiso zomzimba njengesisekelo.

Ngenxa yokuthi insimu yokubuka yokuhlinzwa ikhuliswe izikhathi eziyisithupha, odokotela abahlinzayo kudingeka basebenze ngobumnene ezicutshini zemizwa, kanye nokukhanya okunikezwa yi-I-microscope esebenzayoingcono kakhulu kunayo yonke eminye imithombo yokukhanya, okuyinto evumela kakhulu ukuveza izikhala zezicubu endaweni yokuhlinzwa. Ngakho-ke, kungashiwo ukuthi ukuhlinzwa okuncane kungudokotela ophephile kakhulu ekuhlinzweni!

Abazuzi bokugcina bezinzuzo ze-Ama-microscope okuhlinzayiziguli.I-Microscopy Yokuhlinzwakunganciphisa isikhathi sokuhlinzwa, kunciphise ukungakhululeki kwesiguli ngemva kokuhlinzwa, futhi kunciphise izinkinga zangemva kokuhlinzwa. Umphumela wokuhlinzwa wokususwa kwezicubu ezincane muhle njengokuhlinzwa okuvamile kwe-discectomy.I-Microscopy Yokusebenzakungavumela futhi ukuhlinzwa okuningi kwe-discectomy ukuthi kwenziwe ezindaweni zokulaliswa esibhedlela, ngaleyo ndlela kuncishiswe izindleko zokuhlinzwa.