Kuona Kwakarurama, Kuchinja Hunhu Hwako - Kukosha Kwakakosha kweMicroscopy Yekuvhiya muBrain Tumor Microsurgery
Mukamuri rekuvhiyira rine michina yekurapa yepamusoro, vanachiremba vaviri vari kuita kuvhiyiwa kwegomarara remuuropi vachishandisaMaikorosikopu yeASOM yeneurosurgicalyakagadzirwa neChengdu CORDER Optics&Electronics Co., Ltd. Pachiratidziro chemaikorosikopu yekuvhiya, nzvimbo yekuvhiya yakakura inoratidza zvakajeka ruzivo rwematumbu egomarara, kupararira kwetsinga dzeropa dzakapoteredza, uye nzira chaiyo yekushanda kwemidziyo. Chiitiko ichi chinoratidza zvakajeka pfungwa yemazuva ano yekurapa neurosurgical ye "microscopy uye kunyatsoongorora", uye zvakanakira maikorosikopu ekuvhiya sechishandiso chikuru zvinoratidzwa zvizere mukuvhiya uku kwakaoma zvikuru kwegomarara reuropi.
1. Kukwidziridzwa kwakanyanya, kuputsa muganhu weziso risina kusimba
Maumbirwo emabundu europi akaoma, uye zvakaoma kuti ziso rega rega rione miganhu iri pakati pemabundu netsinga dzeuropi dzakajairika, mitsipa yeropa, uye tsinga. Maikorosikopu yekuvhiya inokudza nzvimbo yekuvhiya kagumi kuburikidza nesystem yekuwedzera maginicha, zvichibvumira vanachiremba kuona zvakajeka chimiro chemasero ebundu, matavi madiki etsinga dzeropa, uye mafambiro etsinga. Semuenzaniso, pakubata nemabundu mu "nzvimbo dzisingabvumirwi" dzakadai se brainstem kana dehenya, basa rekuwedzera remakrosikopu rinobvumira vanachiremba kuziva nemazvo "nzvimbo yekupinda kwebundu" uye "nzvimbo inoshanda zvakanaka", vachidzivirira kusafunga zvisizvo.
2. Kuona kwe stereoscopic, kudzoreredza hunhu hwemuviri hwemativi matatu
Nzvimbo yekuonekwa kwekuvhiyiwa kwechinyakare yakavhurika yakati sandara, nepo kuona kwebinocular kuchipihwa nemaikorosikopu ekuvhiyainogona kutevedzera kona yekutarisa yemaziso emunhu uye kudzoreredza hukama hwenzvimbo hwematishu, mitsipa yeropa, uye tsinga. Mukubviswa kwegomarara reuropi, hunhu uhwu hwakakosha: vanachiremba vanogona kutonga zviri nyore hukama hwematishu e "gomarara retsinga yeropa", kuparadzanisa bundu nemazvo kubva kune zvakakosha (senge tsinga dzemagetsi nenzvimbo dzemutauro) se "bhomba", uye kuderedza zvakanyanya njodzi ye "kukuvara kwematishu akajairwa netsaona".
3. Kugadzirisa mwenje kubvisa nzvimbo dzisingaonekwe zvakanaka
Maikorosikopu yekuvhiya yeneurosurgical ine sisitimu yekuvheneka inotonhorera, iyo inogona kutarisisa chiedza panzvimbo yekuvhiya nemazvo, nekupenya kwakafanana uye pasina mimvuri yakajeka, uye inogona kuvhenekera zvakajeka bundu rakadzika kana nzvimbo dzakamanikana dzekuvhiya. Kana tichienzanisa nemwenje yenguva dzose yekuvhiya, kuvheneka kwemaikorosikopu kwakadzika uye "kwakapfava", izvo hazvingodziviriri chete kukuvara kwetsinga dzeuropi kunokonzerwa nechiedza chakasimba, asiwo zvinoita kuti vanachiremba vagone kuona zvinhu zvakajeka kubva chero kupi, kunyangwe mukuvhiyiwa kwakadzika.
4. Kunyatsoshanda zvakanaka, kusvika pakubvisa "millimeter level" kana "sub millimeter level" resection
Chimwe chezvinhu zvikuru zvinonetsa pakuvhiyiwa kwegomarara remuuropi "kuwedzera kubviswa kwegomarara rakachengeteka" - kubvisa gomarara zvakanyanya sezvinobvira uku uchichengetedza mashandiro ehuropi akajairwa. Kubudirira kwepamusoro uye kukura kwemakroskopu ekuvhiya kunogonesa vanachiremba kuwedzera kururama kwavo pakushanda kubva pa "centimeter level" kusvika pa "millimeter level" kana kutoti "sub millimeter level": zvishandiso zvakaita sema microscope scissors, ma suction devices, uye electrocoagulation forceps zvinogona kupatsanura nemazvo "false capsule" yemagomarara kubva kuuropi hwakajairika pasi pe microscope, kusungirira mitsipa midiki yeropa, uye kutogadzira blood throughout ne 0.1-0.2mm chete, zvichideredza kubuda ropa uye kukuvara kwetsinga zvakanyanya sezvinobvira.
5. Kupa simba kudzidzisa nekushandira pamwe chete kusimudzira nhaka yetekinoroji
Mukamuri rekuvhiyira, basa rekuongorora rinobuda mumaikorosikopu ari kushandavanogona kugovana nzvimbo yakakura yekuona panguva chaiyo nechikwata kana mudzidzisi anoongorora. Vanachiremba vechidiki vanogona kudzidza matanho akakosha akadai sekuonekwa kwebundu, kupatsanurwa kwetsinga dzeropa, uye kudzivirira tsinga dzeropa zvakajeka kuburikidza nechidzitiro; Matimu ehunyanzvi hwakasiyana-siyana (akadai seanesthesia uye neuroelectrophysiological monitoring) anogonawo kutarisa panguva imwe chete maitiro ekuvhiya uye kushanda pamwe chete kugadzirisa maitiro (akadai sekumisa mashandiro zvichibva pamhinduro yemagetsi kuchengetedza mashandiro etsinga). Ichi chinhu che "kuona + kugovera" chinokurumidza nhaka yetekinoroji uye kushanda zvakanaka kwechikwata.
6. Kuderedza kukuvara, zvichiita kuti murwere apore nekukurumidza
Chinangwa chekuvhiya kwe microsurgery "hachina kupindira zvakanyanya" - maikorosikopu ekuvhiya anobvumira vanachiremba kupedzisa kuvhiya nekucheka kudiki uye maronda asina kudzika. Nekuda kwekuona kwakajeka uye kuvhiya kwakanyatsojeka, hapana chikonzero chekutambanudza zvakanyanya tsinga dzeuropi, zvichikonzera kudzikira kwenjodzi yekuzvimba kweuropi mushure mekuvhiyiwa uye hutachiona, uye kupora nekukurumidza kune varwere. Iyi ndiyo zvakare rutsigiro rukuru rwekushandurwa kwekuvhiya kwegomarara reuropi remazuva ano kubva ku 'giant trauma' kuenda ku 'minimally invasive'.
Mhedziso: Unyanzvi Hwehupenyu Pasi peMaikorosikopu
Munguva yekuvhiyiwa uku, nzvimbo yakajeka yekuona yakakudzwa nemaikorosikopu uye kuratidzwa kwakadzama pamonitor zvakatsanangura pamwe chete kukosha kwemaikorosikopu yekuvhiya mukuvhiyiwa kwemicrobundu reuropi - kuwedzera kweziso, zvichibvumira vanachiremba kupfuura miganhu yemuviri; 'Mutongi chaiwo' unodzivirira mhedzisiro yebasa retsinga; Ndiyo zvakare injini yekuchinja kushoma, ichitungamira kukura kwekurapwa kwebundu reuropi kuenda kune nzira dzakachengeteka uye dzinoshanda zviri nani.
Nekuvandudzwa kuri kuitwa tekinoroji ye optical uye digital imaging (yakadai se 3D microscopes uye fluorescence navigation), ma surgical microscopes acharamba achiita basa guru mukuvhiya kwetsinga, zvichiunza tariro ye "kubviswa kwetsinga nemazvo, kuchengetedza mashandiro, uye kupora nekukurumidza" kune varwere vakawanda vane bundu reuropi.
Nguva yekutumira: Chivabvu-11-2026
