Aikace-aikacen aikace-aikacen multidisciplinary da haɓaka na musamman na ingantattun ƙananan ƙwayoyin cuta na tiyata

 

Hanyoyin tiyata na zamani sun shiga cikin zamanin microsurgery. Themicroscope na tiyataYana haɓaka filin tiyata da sau 4-40 ta hanyar babban tsarin gani, coaxial sanyi tushen haske mai haske, da kuma hannun mutum-mutumi na fasaha, yana baiwa likitoci damar sarrafa microstructures kamar tasoshin jini da jijiyoyi tare da madaidaicin 0.1 millimeters, gabaɗaya yana jujjuya iyakokin aikin tiyata na gargajiya. Abubuwan buƙatu na musamman na fannoni daban-daban don fasahar microscope sun haifar da haɓaka na musamman namicroscopes na tiyata, Samar da nau'i-nau'i iri-iri na haɗin gwiwar fasahar juyin halitta.

 

ⅠBabban ƙirƙira na microscope na tiyata neurosurgical

Theneurosurgical microscopean ƙera shi musamman don tiyatar cranial da kashin baya. Babban fa'idodinsa sun ta'allaka ne a cikin:

1. Babban ma'anar hoto na filayen tiyata mai zurfi:Ta yin amfani da ruwan tabarau mai tsayi mai tsayi mai tsayi (200-400mm) da zurfin daidaitawa na fasahar filin (1-15mm daidaitacce), nama mai zurfi na kwakwalwa da hanyoyin sadarwa na jijiyoyin jini za a iya gabatar da su a fili;

2. Haɗin hoto mai aiki da yawa:haɗakar da bambanci mai haske (kamar alamar indocyanine kore) da kuma 4K ultra high definition imaging don bambanta ciwace-ciwacen ƙwayoyi daga kyallen takarda na al'ada a cikin ainihin lokacin aikin tiyata da kuma guje wa hadarin lalacewar jijiyoyin jini. Misali, sabon ƙarni namicroscope aiki neurosurgeryya sami 0.2mm matakin hoton jijiyoyin jini, rage zubar jini na ciki zuwa kasa da 30% na tiyata na al'ada;

3. Matsayin hankali na hannun mutum-mutumi:Matsayi shida na 'yanci na cantilever na lantarki yana goyan bayan 360 ° barga matsayi ba tare da matattun kusurwoyi ba. Mai aiki zai iya sarrafa motsi na microscope ta hanyar muryar murya ko ƙafa, cimma aikin "daidaita idanu na hannu".

 

Ⅱ、 Madaidaicin juyin halitta na ƙwayoyin cuta na ophthalmic tiyata

Na'urar tiyata ta idoya sami ci gaba a fagen aikin tiyata:

- Ayyukan kewayawa na 3D:Shan3D microscope mai aikia matsayin misali, yana haɗa OCT intraoperative (Optical Coherence Tomography) da kewayawa na dijital don bin diddigin kusurwar axial na ruwan tabarau na wucin gadi a cikin ainihin lokacin, yana rage kuskuren alamar gargajiya daga 5 ° zuwa cikin 1 °. A lokaci guda saka idanu tsayin baka na ruwan tabarau na kristal da ƙarfi don gujewa karkacewar matsayi na bayan aiki;

- Ƙananan haske mai guba:ta yin amfani da tushen haske mai sanyi na LED (zazzabi mai launi 4500-6000K) haɗe tare da jan haske mai jujjuyawar haske don rage haɗarin lalacewar hasken ido da haɓaka ta'aziyyar haƙuri yayin tiyata;

- Zurfin Fasaha Fadada Fage:A cikin ƙananan ayyuka kamar aikin tiyata na macular, babban zurfin yanayin filin zai iya kula da filin kallo a fili a girman girman 40x, yana samar da sararin aiki ga likitan tiyata.

 

Ⅲ、 Fasaha karbuwa na hakori da orthopedic microscopes tiyata

1. Filin hakori

Microscope na aikin hakoriba makawa a cikin jiyya na tushen canal:

- Tsarin girman girmansa na ninki 4-40 na iya fallasa microtubules na haɗin gwiwa a cikin magudanar ruwa mai ƙima, yana taimakawa wajen fitar da na'urori masu tsayi na milimita 18;

- Tsarin tushen haske na coaxial dual yana kawar da makãho a cikin rami na baka, kuma tare da taimakon katako mai rarraba prism, yana daidaita hangen nesa na likitan tiyata da mataimaki, inganta ingantaccen haɗin gwiwar ƙungiya.

2. Orthopedics da filin kashin baya

Microscope orthodontic tiyatada kuma na'urar tiyata ta kashin baya tana mai da hankali kan dabarun cin zarafi kaɗan:

- Ta hanyar fasahar hoto narrowband namicroscope aiki na kashin baya, Dual segment lumbar decompression (irin su aiki tare na L4 / 5 da L5 / S1 sassan) za'a iya samun su a cikin incision 2.5-centimeter;

- Lens na haƙiƙa na zuƙowa na lantarki (kamar Varioskop) ® Tsarin ya dace da canje-canjen matsayi na ciki kuma yana da kewayon nisa mai daidaitawa na 150-300mm, yana biyan bukatun ayyukan canal na kashin baya mai zurfi.

 

Ⅳ、 Na musamman karbuwa tsakanin otolaryngology da filastik tiyata

1. Filin kunne, hanci da makogwaro

Theent microscope na tiyataan tsara shi musamman don kunkuntar cavities:

- Haɗa ƙirar aiki tare da Laser don cimma daidaituwa ta atomatik na mayar da hankali ga laser da filin kallon microscope a cikin ƙananan ƙwayar cutar kansar laryngeal;

- Girman ma'auni mai ninki 12.5, haɗe tare da daidaitawar nesa na aiki na lantarki, ya dace da buƙatun yanayi da yawa kama daga tympanoplasty zuwa aikin buɗe ido na sinus.

2. A fagen tiyatar filastik

Jigon naaikin tiyata na filastik aiki microscopeAnastomosis na microscopic:

- Matsayin 0.3mm daidaitaccen anastomosis na jijiyoyin bugun jini, yana tallafawa ayyuka masu kyau kamar su anastomosis vein lymphatic;

- Madubin mataimakin mai raba katako da nunin waje na 3D sun cimma haɗin gwiwar ra'ayi da yawa, haɓaka ƙimar nasarar dashen fata.

 

Ⅴ、 Gabaɗaya sabon tsarin tallafi na asali

Ko ta yaya ƙwararrun su ne, na'urar microscope na tiyata damicroscope mai aikiraba abubuwa na asali guda uku:

1. Ƙirƙirar hanyar shigarwa:The tebur matsa aiki microscopeyana ba da sassaucin motsi, salon rufi yana adana sararin samaniya, kuma salon bene yana daidaita daidaito da 'yancin daidaitawa;

2. Haɓaka hulɗar ɗan adam ta kwamfuta:Ikon murya (kamar Muryar Muryar 4.0) da kariya ta atomatik suna rage tsangwama a aiki;

3. Fadada Dijital:Tsarin kyamarar 4K / 8K yana goyan bayan shawarwari mai nisa da lakabin AI na ainihi (kamar algorithms ganewar jirgin jini ta atomatik), tuki microsurgery zuwa zamanin haɗin gwiwar fasaha.

 

Yanayin gaba: daga ƙwarewa zuwa haɗin fasaha

Ƙwarewarmicroscopes na tiyatabai hana hadewar fasahohin zamani ba. Misali, an yi amfani da fasahar kewayawa mai haske a cikin neurosurgery don saka idanu kan tasoshin jini a cikin ido.ophthalmology aiki microscopes; Haƙori mai zurfi na gani na gani ana haɗa su cikinent microscope na tiyatadon haɓaka zurfin filin don aikin tiyata na hanci. A lokaci guda, sabbin abubuwa kamar haɓaka gaskiyar (AR) mai rufe hotuna na riga-kafi da sarrafa nesa na mutummutumi za su ci gaba da haɓaka ci gaban girma uku na microsurgery zuwa "madaidaici, hankali, da ƙarancin mamayewa".

 

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Juyin halitta na musamman namicroscopes masu aikiainihin ma'ana ne tsakanin buƙatun asibiti da ƙwarewar fasaha: yana buƙatar duka ƙarshen gabatarwar sifofin microscale ta hanyarduban dan tayi na tiyatada kuma sassaucin martani na manyan cavities ta hanyarmicroscope aiki na kashin baya. Kuma lokacin da ingancin sassa na musamman ya kai matsayi mai mahimmanci, tsarin haɗin gwiwar fasaha zai buɗe wani sabon tsari na microsurgery.