Nhoroondo yekukura kwema microscope ekuvhiya

Kunyangwe zvakadaromaikorosikopuzvave zvichishandiswa muminda yekutsvagisa kwesainzi (marabhoritari) kwemazana emakore, zvakatozosvika kuma1920 apo vanachiremba vekuSweden vemaziso vakashandisa michina mikuru yemakroskopu pakuvhiya kwepamuromo apo kushandiswa kwemakroskopu mukuvhiya kwakatanga. Makore makumi matatu gare gare (1953), Zeiss akagadziramaikorosikopu ekuvhiya, uye kubvira ipapo, microsurgery yakawedzera zvakanyanya: muChina,maikorosikopu ekuvhiya emapfupaakashandiswa pakuvhiya kutsiva nhengo mukutanga kwema1860; Pakati pema1960,maikorosikopu ekuvhiya netsingadzakashandiswawo mukuvhiya kweropa netsinga nemaoko muUnited States; Muna 1970, Yasargil akashandisamaikorosikopu yekuvhiya kwetsingayekuvhiyiwa kwedisc ye lumbar disc. Mushure mezvo, Williams naCaspar vakaburitsa zvinyorwa zvavo pamusoro pekurapwa kwechirwere che lumbar disc ne microsurgical, izvo zvakazotaurwa zvakanyanya. Mazuva ano, kushandiswa kweMamaikorosikopu ari kushandakuri kuramba kuchiitika. Munyaya yekuvhiyiwa kwekutsiva kana kuisirwa chimwe chirwere, vanachiremba vanogona kushandisamaikorosikopu ekuvhiya europikuti vavandudze kugona kwavo kuona. Uye kune mamwe marudzi ekuvhiya, akadai sekuvhiya mazino, kuvhiya maziso, kuvhiya kwemaziso, nezvimwewo, zvinoenderanamaikorosikopu ekuvhiyazvakagadzirwawo.

Vanachiremba vezvekuvhiya vagara vachiziva kukosha kwemidziyo yakanaka yekuwedzera uye yemwenje kuti vaone zvakajeka. Mubasa rekuvhiya musana, vanachiremba vazhinji vanoshandisa magirazi ekukudza musana uye chiedza chemwenje yemusoro kuti vavandudze mashandiro ekuona. Zvichienzaniswa nekushandisa amaikorosikopu yekuvhiya, kushandisa girazi rinokudza magirazi uye rambi rekuvhiya kune zvakawanda zvakaipira. Nerombo rakanaka,maikorosikopu ari kushandaanoshandiswa zvakanyanya mumunda wekuvhiyiwa kwetsinga (neurosurgery), uye vanoda kunyoreramaikorosikopukuvhiyiwa kwemusana. Zvisinei, vanachiremba vazhinji vari munyaya dzemapfupa havadi kurega magirazi ekukudza vobva vachinja kuenda kuMaikorosikopu ekuvhiya emapfupa, uye vanachiremba vemapfupa nemachiremba etsinga vakatoshandisamaikorosikopu emapfupaKuvhiya musana handizvinzwisisi. Nekunge vanachiremba vemapfupa vari kuramba vachiita kuvhiya kwemaoko netsinga dzemumativi, vanachiremba vanogara pano vava kuwana tekinoroji ye microscopy nekukurumidza uye vanogamuchira zviri nyore kushandisa.Maikorosikopu ekuvhiya kwetsingakuvhiyiwa kwemusana. Tinofanira kucherechedza kuti kana tichienzanisa nekuvhiyiwa kwemusana kwemaoko nemamwe matishu epamusoro, kuvhiyiwa kwemusana kunogara kuchishanda mugomba rakadzika. Nokudaro, uchishandisaMaikorosikopu yekuvhiya yepurasitikizvinogona kupa chiedza chiri nani uye kuwedzera nzvimbo yekuvhiyiwa, zvichiita kuti kuvhiyiwa kushoma kuitike.

Chishandiso chekukudza nekuvhenekera chemaikorosikopu yekuvhiyazvinogona kupa zvakawanda zviri nyore pakuvhiyiwa, uye chinonyanya kukosha, zvinogona kuita kuti kuchekwa kwekuvhiyiwa kuve kudiki. Kukwira kwekuvhiyiwa kwe "keyhole" kusingapindi zvakanyanya kwakaita kuti vanachiremba vaongorore zvakanyatsokodzera zvikonzero zvekumanikidzwa kwetsinga uye kunyatsoona nzvimbo yechinhu chinodzvanywa mumuzongoza. Kuvandudzwa kwekuvhiyiwa kwekeyhole kunodawo nekukurumidza seti itsva yenheyo dzemuviri sehwaro.

Nekuti nzvimbo yekuvhiya yakakura katanhatu, vanachiremba vanofanirwa kuvhiya zvinyoro nyoro patsinga, uye chiedza chinopihwa neMaikorosikopu iri kushandairi nani kupfuura mamwe manyuko ese echiedza, izvo zvinobatsira zvikuru pakuburitsa pachena mipata yenyama panzvimbo yekuvhiyiwa. Saka, zvinogona kutaurwa kuti microsurgery chiremba ane kuchengetedzeka kwakanyanya pakuvhiyiwa!

Vanhu vanowana mabhenefiti ekupedzisira eMaikorosikopu ekuvhiyavarwere.Microscopy yekuvhiyazvinogona kuderedza nguva yekuvhiyiwa, kuderedza kusagadzikana kwemurwere mushure mekuvhiyiwa, uye kuderedza matambudziko mushure mekuvhiyiwa. Mhedzisiro yekuvhiyiwa kwe microdissection yakanaka sekuvhiyiwa kwe discectomy kwakajairika.Microscopy Inoshandazvinogona zvakare kubvumira kuvhiyiwa kwakawanda kwe discectomy kuti kuitwe munzvimbo dzekurapa dziri kunze, nokudaro zvichideredza mari yekuvhiyiwa.