Ukuqonda ithuluzi elisizayo le-microsurgery yomgogodla - isibonakhulu sokuhlinzwa

Nakubaizibonakhulusezisetshenziswe ocwaningweni lwesayensi elabhorethri amakhulu eminyaka, kwaze kwaba ngawo-1920 lapho izazi ze-otolaryngologists zaseSweden zaqala ukusebenzisa i-bulky.isibonakhulu sokuhlinzwaamadivaysi okuhlinzwa emphinjeni, okuphawula ukuqala kokusetshenziswa kwei-microscopes yokuhlinzwaezinqubweni zokuhlinza. Ngemva kwalokho, uWilliams noCaspar bashicilela izindatshana zabo mayelana nokusetshenziswa kwei-microsurgery yokuhlinzwayokwelapha isifo se-lumbar disc, okwashiwo kamuva kabanzi.

Okwamanje, ukusetshenziswaAma-microscopes asebenzayokuya ngokuya kuvame. Emkhakheni wokuhlinzwa kabusha noma ukufakelwa kabusha, odokotela bangasebenzisaImakroskopu yokuhlinzwa ye-Neurosurgicalukuthuthukisa amakhono abo okubuka. Kokunye ukuhlinzwa kwe-excision, okufana nezimila zesistimu yezinzwa ezimaphakathi, izifo zomlomo wesibeletho kanye ne-lumbar disc, kanye nokuhlinzwa kwamehlo, ukusetshenziswaImakroskopu yokuhlinzwa yezokwelaphaisithandwa ngokushesha.

Idivayisi yokukhulisa nokukhanyisa yeIsibonakhulu esisebenzayoingahlinzeka 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 sezokwelapha sokuhlinzwaingcono kakhulu kunayo yonke eminye imithombo yokukhanya, evumela kakhulu ukuveza izikhala zezicubu endaweni yokuhlinzwa. Ngakho-ke, kungashiwo ukuthi i-microsurgery iyindlela yokuhlinzwa ephephile.

Umzuzi wokugcina wezinzuzo zeama-microscopes okusebenza kwezokwelaphayiziguli.Izibonakhulu zokuhlinzainganciphisa isikhathi sokuhlinzwa, inciphise ukungakhululeki kwesiguli ngemva kokuhlinzwa, futhi inciphise izinkinga zangemva kokuhlinzwa. I-Microscopic discectomy iphumelela njengokuhlinzwa kwe-discectomy evamile, futhiIsibonakhulu segumbi lokuhlinzakungenza futhi ukuhlinzwa okuningi kwe-discectomy okwenziwa ezimweni zesiguli, ngaleyo ndlela kunciphise izindleko zokuhlinza.

Nakubai-microscopes yokuhlinzwazibiza kakhulu kunezinye izinto zokuhlinza, izinzuzo zazo zidlula kude ukonakala kwazo kwentengo yokuhlinzwa komgogodla. Ngemva kwezinkulungwane zokuhlinzwa, ngizwa sengathi lapho nginciphisa imithambo yomlomo wesibeletho noma ye-lumbar,Isibonakhulu sezokwelaphaakugcini nje ngokwenza ukuhlinzwa kusheshe kodwa futhi kuphephe esigulini.