Umlando wokuthuthukiswa kwama-microscopes okuhlinzwa

Nakubaizibonakhulusezisetshenziswe emikhakheni yocwaningo lwesayensi (ama-laboratories) amakhulu eminyaka, kwaze kwaba ngawo-1920 lapho izazi ze-otolaryngologists zaseSweden zisebenzisa amadivaysi amakhulu e-microscope ukuze kuhlinzwe i-laryngeal lapho ukusetshenziswa kwama-microscopes ezinqubweni zokuhlinzwa kwaqala. Eminyakeni engu-30 kamuva (1953), uZeiss wakhiqizai-microscopes yokuhlinzwa, futhi kusukela ngaleso sikhathi, ukuhlinza okuncane kuye kwanda kakhulu: e-China,ama-microscopes wokuhlinzwa wamathambozazisetshenziselwa ukuhlinzwa kokutshalwa kabusha kwezitho ekuqaleni kwawo-1860; Maphakathi nawo-1960,i-neurosurgical microscopeszabuye zasetshenziswa ekuhlinzeni kwe-vascular nenerve anastomosis e-United States; Ngo-1970, u-Yasargil wasebenzisa i-i-neurosurgical microscopengokuhlinzwa kwe-lumbar disc. Ngemva kwalokho, uWilliam noCaspar banyathelisa izihloko zabo mayelana nokwelashwa kwe-microsurgical ye-lumbar disc isifo, okwashiwo kamuva kabanzi. Okwamanje, ukusetshenziswaAma-microscopes asebenzayokuya ngokuya kuvame. Emkhakheni wokuhlinzwa kabusha noma ukufakelwa kabusha, odokotela bangasebenzisai-neurosurgical microscopesukuthuthukisa amakhono abo okubuka. Futhi kwezinye izinhlobo zokuhlinzwa, njengokuhlinzwa kwamazinyo, ukuhlinzwa kwe-ophthalmic, ukuhlinzwa kwe-otolaryngology, njll., okuhambisanayoi-microscopes yokuhlinzwanazo zathuthukiswa.

Sekuyisikhathi eside odokotela abahlinzayo beqaphela ukubaluleka kwemishini yokukhulisa kahle nokukhanyisa ukuze babone ngokucacile. Emkhakheni wokuhlinzwa komgogodla, odokotela abaningi abahlinzayo basebenzisa izibuko zokukhulisa ukuhlinzwa kanye nokukhanya kwekhanda ukuze bathuthukise imiphumela yokubuka. Uma kuqhathaniswa nokusebenzisa aisibonakhulu sokuhlinzwa, ukusebenzisa ingilazi ekhulisayo ngokuhlinzwa kanye nesibani sangaphambili kunezithiyo eziningi. Ngenhlanhla,ama-microscopes asebenzayozisetshenziswa kabanzi emkhakheni we-neurosurgery (i-neurosurgery), futhi zizimisele ukufaka isiceloizibonakhuluukuya ekuhlinzweni komgogodla. Kodwa-ke, odokotela abaningi emkhakheni wezokwelashwa kwamathambo bayanqikaza ukuyeka izibuko ezikhulisayo futhi bashintshele kuzo.Ama-microscopes wokuhlinzwa wamathambo, kanye nodokotela abahlinzayo bamathambo nodokotela abahlinza izinzwa asebesebenzise kakadei-orthopedic microscopesngoba ukuhlinzwa umgogodla abaqondi lokhu. Njengoba odokotela abahlinza amathambo baya ngokuya benza ukuhlinzwa kwezandla kanye nemithambo ye-peripheral, odokotela abangabahlali manje sebenokufinyelela kusenesikhathi kubuchwepheshe be-microscopy futhi sebekulungele ukusebenzisa.I-Neurosurgery microscopesukuhlinzwa komgogodla. Kufanele siqaphele ukuthi uma kuqhathaniswa ne-microsurgery ezandleni nezinye izicubu ezingaphandle, ukuhlinzwa komgogodla kuhlala kusebenza emgodini ojulile. Ngakho-ke, ukusebenzisa aIsibonakhulu sokuhlinzwa kwepulasitikiinganikeza ukukhanya okungcono futhi yandise inkundla yokuhlinza, yenze ukuhlinzwa okungenakuhlasela kancane kwenzeke.

Idivayisi yokukhulisa nokukhanyisa yeisibonakhulu sokuhlinzwaingahlinzeka ngezinsiza eziningi zokuhlinzwa, futhi okubaluleke kakhulu, ingenza ukusika kokuhlinzwa kube kuncane. Ukwenyuka kokuhlinzwa "kwembobo yokhiye" okungenele kancane kuye kwashukumisela odokotela abahlinzayo ukuba bahlaziye ngokunembe kakhudlwana izimbangela eziqondile zokucindezelwa kwezinzwa futhi banqume ngokunembe kakhudlwana isikhundla sento yokucindezela emseleni womgogodla. Ukuthuthukiswa kokuhlinzwa kwe-keyhole nakho kudinga ngokuphuthumayo isethi entsha yezimiso ze-anatomical njengesisekelo.

Ngenxa yokuthi indawo yokubuka yokuhlinzwa ikhuliswa izikhathi eziyisithupha, odokotela abahlinzayo kudingeka basebenze ngobumnene ezicubu zezinzwa, kanye nokukhanya okuhlinzekwaIsibonakhulu esisebenzayoingcono kakhulu kunayo yonke eminye imithombo yokukhanya, evumela kakhulu ukudalula izikhala zezicubu endaweni yokuhlinzwa. Ngakho-ke, kungashiwo ukuthi i-microsurgery ingudokotela onokuphepha okuphezulu kokuhlinzwa!

Abazuzi bokugcina bezinzuzo zeIzibonakhulu zokuhlinzayiziguli.I-Microscopy Yokuhlinzwainganciphisa isikhathi sokuhlinzwa, inciphise ukungakhululeki kwesiguli ngemva kokuhlinzwa, futhi inciphise izinkinga zangemva kokuhlinzwa. Umphumela wokuhlinzwa we-microdissection muhle njengokuhlinzwa kwe-discectomy evamile.I-Microscopy esebenzayoingaphinde ivumele ukuhlinza okuningi kwe-discectomy ukuthi kwenziwe ezimweni zesiguli, ngaleyo ndlela kuncishiswe izindleko zokuhlinza.