Nhoroondo yebudiriro yemakorosikopu ekuvhiya

Nyangwemaikorosikopuyakashandiswa muminda yesainzi yekutsvagisa (marabhoritari) kwemazana emakore, yakanga isati yasvika kuma1920s apo Swedish otolaryngologists vakashandisa bulky maikorosikopu michina yekuvhiya laryngeal kuti kushandiswa kwemamaikorosikopu mukuvhiya kwakatanga. Makore makumi matatu gare gare (1953), Zeiss yakabudiswamaikorosikopu ekuvhiya, uye kubvira ipapo, microsurgery yakakura zvakanyanya: muChina,orthopedic kuvhiya maikorosikopudzaishandiswa pakuvhiyiwa kwekudyarazve mitezo mukutanga kwema1860; Pakati pema1960,neurosurgical maikorosikopudzaishandiswawo mukuvhiya kwetsinga uye nerve anastomosis muUnited States; Muna 1970, Yasargil akashandisa aneurosurgical microscopenokuda kwekuvhiya lumbar disc. Mushure mezvo, Williams naCaspar vakabudisa zvinyorwa zvavo pamusoro pekurapa microsurgical ye lumbar disc chirwere, iyo yakazotaurwa zvakanyanya. Nhasi, kushandiswa kweMamicroscopes anoshandairi kuwedzera kuwanda. Mumunda wekudyarazve kana kuvhiyiwa kwekudyara, vanachiremba vanogona kushandisaneurosurgical kuvhiya maikorosikopukuvandudza kugona kwavo kuona. Uye kune mamwe marudzi ekuvhiya, sekuvhiya mazino, ophthalmic kuvhiyiwa, otolaryngology kuvhiyiwa, nezvimwe, zvinoenderanamaikorosikopu ekuvhiyadzakagadzirwawo.

Vanachiremba vanovhiya vagara vachiziva kukosha kwekukudza kwakanaka uye michina yekuvhenekesa kuitira kuti vaone zvakajeka. Mundima yekuvhiya musana, vazhinji vanovhiya vanoshandisa magirazi ekusimudzira ekuvhiya uye kuvhenekera kwemusoro kuti vavandudze zvinoonekwa. Kuenzaniswa nekushandisa akuvhiya maikorosikopu, kushandisa girazi rinokudza rekuvhiya nemwenje wemberi kune zvakawanda zvinokanganisa. Sezvineiwo,kushanda maikorosikopuanoshandiswa zvakanyanya mumunda weurosurgery (neurosurgery), uye ivo vanoda kunyoreramaikorosikopukuvhiya yemuzongoza. Nekudaro, vanachiremba vazhinji vari mumunda we orthopedics vanozeza kusiya magirazi ekukudza uye kuchinjaOrthopedic kuvhiya maikorosikopu, uye vanachiremba vemapfupa uye neurosurgeons vakatoshandisaorthopedic maikorosikopunokuti kuvhiyiwa kwemusana havanzwisise izvi. Nevanachiremba vekuvhiya vemapfupa vari kuwedzera kuita ruoko uye peripheral nerve microsurgery, vanachiremba vanogara ikozvino vane ruzivo rwekutanga kune microscopy tekinoroji uye vanogamuchira zvakanyanya kushandisa.Neurosurgery maikorosikopuyekuvhiya musana. Tinofanira kuziva kuti kana tichienzanisa ne microsurgery pamaoko uye mamwe matushu epamusoro, kuvhiyiwa kwemusana nguva dzose kunoshanda mugomba rakadzika. Naizvozvo, kushandisa aKuvhiya kwepurasitiki maikorosikopuinogona kupa kuvhenekera kuri nani uye kuwedzera nzvimbo yekuvhiya, zvichiita kuti kuvhiyiwa kudiki kugone kuitika.

Iyo yekukudza uye yekuvhenekera mudziyo wekuvhiya maikorosikopuinogona kupa zvakawanda zviri nyore pakuvhiyiwa, uye zvinonyanya kukosha, inogona kuita kuti kuvhiyiwa kucheneswe kuve diki. Kusimuka kwe "keyhole" kuvhiyiwa kusinganyanyi kupindira kwakaita kuti vavhiyi vanyatsoongorora zvikonzero chaizvo zvekutsikirira kwetsinga uye kunyatsoona nzvimbo yechinhu chekumanikidza mugero remusana. Kuvandudzwa kwekuvhiyiwa kwe keyhole kunodawo nekukurumidza seti itsva yeatomical nheyo sehwaro.

Nekuti nzvimbo yekuvhiya yekuona inokwidziridzwa katanhatu, vanachiremba vanovhiya vanofanirwa kushanda zvinyoro-nyoro pane nerve tissue, uye kuvhenekera kunopiwa neMaikorosikopu inoshandairi nani kupfuura mamwe magetsi ese, ayo anonyatso kuburitsa pachena maburi ematishu panzvimbo yekuvhiya. Nokudaro, zvinogona kutaurwa kuti microsurgery chiremba ane kuchengetedzwa kwepamusoro kwekuvhiya!

Vabatsiri vekupedzisira vezvakanakiraKuvhiya maikorosikopuvari varwere.Kuvhiya Microscopyinogona kuderedza nguva yekuvhiya, kuderedza kusagadzikana kwevarwere mushure mekuvhiyiwa, uye kuderedza matambudziko epashure. Kuvhiya mhedzisiro ye microdissection yakanaka sekuvhiya kwakajairika discectomy.Kushanda Microscopyinogonawo kubvumira kuvhiyiwa kwakawanda kwe discectomy kuti kuitwe munzvimbo dzekunze, nekudaro kuderedza mari yekuvhiya.