Mbiri ya chitukuko cha ma microscopes opangira opaleshoni
Ngakhalemaikulosikopuakhala akugwiritsidwa ntchito m'madera ofufuza asayansi (ma laboratories) kwa zaka mazana ambiri, sizinali mpaka zaka za m'ma 1920 pamene otolaryngologists a ku Sweden adagwiritsa ntchito zipangizo zazikulu za microscope pa opaleshoni ya laryngeal kuti kugwiritsa ntchito ma microscopes popanga opaleshoni kunayamba. Zaka 30 pambuyo pake (1953), Zeiss adatulutsamicroscopes opaleshoni, ndipo kuyambira pamenepo, microsurgery yakula kwambiri: ku China,ma microscopes opangira mafupa a mafupaankagwiritsidwa ntchito pa opaleshoni yobzalanso miyendo kumayambiriro kwa zaka za m'ma 1860; Chapakati pa zaka za m'ma 1960,ma microscopes a neurosurgicalankagwiritsidwanso ntchito pa maopaleshoni a mitsempha ndi mitsempha ya anastomosis ku United States; Mu 1970, Yasargil adagwiritsa ntchito amicroscope ya neurosurgicalkwa opaleshoni ya lumbar disc. Pambuyo pake, Williams ndi Caspar adasindikiza nkhani zawo zokhudzana ndi chithandizo cha microsurgical cha matenda a lumbar disc, omwe pambuyo pake adatchulidwa kwambiri. Masiku ano, kugwiritsa ntchitoMaikulosikopu ogwira ntchitozikuchulukirachulukira. Pankhani ya kubzalanso kapena kuyika opaleshoni, madokotala angagwiritse ntchitomicroscopes ya neurosurgical opaleshonikukulitsa luso lawo lowonera. Ndipo pamitundu ina ya maopaleshoni, monga opaleshoni ya mano, ophthalmic ophthalmic, otolaryngology, etc., ofananamicroscopes opaleshonizapangidwanso.
Madokotala ochita opaleshoni akhala akuzindikira kufunika kwa zida zabwino zokulitsa ndi zowunikira kuti athe kuwona bwino. Pankhani ya opaleshoni ya msana, madokotala ambiri opaleshoni amagwiritsa ntchito magalasi okulitsa opaleshoni ndi kuunikira kwamutu kuti asinthe maonekedwe. Poyerekeza ndi kugwiritsa ntchito amicroscope opaleshoni, kugwiritsa ntchito galasi lokulitsa maopaleshoni ndi nyali zakutsogolo kuli ndi zovuta zambiri. Mwamwayi,microscope ntchitoamagwiritsidwa ntchito kwambiri pankhani ya neurosurgery (neurosurgery), ndipo ali okonzeka kugwiritsa ntchitomaikulosikopuku opaleshoni ya msana. Komabe, madokotala ambiri a zachipatala safuna kusiya magalasi okulitsa ndikusinthaMa microscopes opangira opaleshoni ya mafupa, ndi madokotala ochita opaleshoni a mafupa ndi a neurosurgeon omwe adagwiritsapo kale ntchitoma microscopes a mafupapakuti opaleshoni ya msana samamvetsa izi. Ndi maopaleshoni a mafupa omwe akuchulukirachulukira kuchita opaleshoni yamanja ndi zotumphukira zamitsempha, madotolo okhalamo tsopano ali ndi mwayi wopeza ukadaulo wa microscope ndipo amalandila kugwiritsa ntchito.Ma microscopes a Neurosurgerykwa opaleshoni ya msana. Tiyenera kuzindikira kuti poyerekezera ndi microsurgery m'manja ndi minofu ina yapamtunda, opaleshoni ya msana nthawi zonse imagwira ntchito m'kati mwakuya. Chifukwa chake, kugwiritsa ntchito aMa microscope opangira opaleshoni ya pulasitikiikhoza kupereka chiwunikiro chabwino ndikukulitsa malo opangira opaleshoni, kupangitsa kuti maopaleshoni ochepa kwambiri atheke.
Chida chokulitsa ndi chowunikira cha amicroscope opaleshoniikhoza kupereka zambiri zothandizira opaleshoni, ndipo chofunika kwambiri, ikhoza kupangitsa kuti opaleshoniyo ikhale yaying'ono. Kuwuka kwa "keyhole" opaleshoni yochepetsetsa pang'ono kwachititsa madokotala kuti afufuze molondola zomwe zimayambitsa kupanikizika kwa mitsempha ndikudziwiratu malo a chinthu choponderezedwa mu ngalande ya msana. Kukula kwa opaleshoni ya keyhole kumafunanso mwamsanga ndondomeko yatsopano ya anatomical monga maziko.
Chifukwa mawonekedwe opangira opaleshoni amakulitsidwa kasanu ndi kamodzi, madokotala ochita opaleshoni amayenera kugwira ntchito pang'onopang'ono pa minofu ya minyewa, ndikuwunikira koperekedwa ndiMaikulosikopu ogwira ntchitondiabwino kwambiri kuposa magwero ena onse owunikira, omwe amathandiza kwambiri kuwonetsa mipata ya minofu pamalo opangira opaleshoni. Choncho, tinganene kuti microsurgery ndi dokotala wokhala ndi chitetezo chapamwamba cha opaleshoni!
Opindula mtheradi a ubwino waMa microscopes opangira opaleshonindi odwala.Opaleshoni ya Microscopyamatha kuchepetsa nthawi ya opaleshoni, kuchepetsa kukhumudwa kwa odwala pambuyo pa opaleshoni, komanso kuchepetsa mavuto omwe amabwera pambuyo pa opaleshoni. Opaleshoni ya microdissection ndi yabwino ngati opaleshoni wamba ya discectomy.Ma Microscopy OpaleshoniAngathenso kulola kuti maopaleshoni ambiri a discectomy achitidwe m'malo operekera odwala kunja, motero kuchepetsa ndalama za opaleshoni.
Nthawi yotumiza: Nov-14-2024