I-Craniotomy Mill: Iyini, Isebenza Kanjani, kanye Nezicelo Zayo Zezokwelapha
I-Craniotomy Mill, eyaziwa nangokuthi i-cranial perforator, iyithuluzi lokuhlinza elikhethekile elisetshenziswa ku-neurosurgery ukwenza izimbobo eziqondile zogebhezi. Lesi sihloko sinikeza umbono obanzi wokuthi iyini isigayo se-craniotomy, ukuthi sisebenza kanjani, kanye nokusebenza kwayo kwezokwelapha.
Isingeniso
I-Neurosurgery iyingcweti yezokwelapha eyinkimbinkimbi futhi entekenteke edinga ukusetshenziswa kwamathuluzi akhethekile nemishini. Elinye lalawo mathuluzi umshini wokugaya i-craniotomy, osetshenziselwa ukwenza izimbobo ezigobile ogebhezini lwekhanda phakathi nezinqubo ezihlukahlukene zokuhlinza izinzwa. Leli thuluzi likuthuthukise kakhulu ukunemba nokuphepha kokuhlinzwa kwezinzwa, okulenza libe yingxenye ebaluleke kakhulu yokusebenza kwesimanje kokuhlinzwa kwezinzwa.
Iyini i-Craniotomy Mill?
I-craniotomy mill iyithuluzi lokuhlinza elikhethekile elisetshenziswa ku-neurosurgery ukwenza ama-burr holes ogebhezini. Iqukethe umshini wokubhoboza ophethwe ngesandla ongenza izimbobo eziqondile ogebhezini ngomonakalo omncane ezicutshini ezizungezile. I-drill bit esetshenziswa emshinini we-craniotomy ngokuvamile yenziwa nge-tungsten carbide, okuwumsebenzi oqinile futhi oqinile ongamelana nobunzima bezinqubo zokuhlinzwa kwemizwa.
Isebenza Kanjani I-Craniotomy Mill?
Isigayo se-craniotomy sisebenza ngokusebenzisa i-drill enenjini ukuze kwakhe izimbobo ze-burr ogebhezini. I-drill bit inamathiselwe kumshini wokugaya futhi ijikeleziswa ngesivinini esikhulu, ukuyivumela ukuthi yenze ukusikeka okunembile nokulawulwayo kugebhezi. Udokotela ohlinzayo usebenzisa isigayo se-craniotomy ukuze akhe izimbobo ezincane kugebhezi oluvumela ukufinyelela ebuchosheni phakathi nezinqubo ezihlukahlukene zokuhlinza izinzwa. Izimbobo ezidalwe isigayo se-craniotomy ngokuvamile zingaphansi kweyintshi elingu-1 ububanzi futhi zenziwa endaweni enembile ngokusekelwe ohlelweni lokuhlinza.
Izicelo Medical of Craniotomy Mill
Isigayo se-craniotomy sisetshenziswa ezinhlobonhlobo zezinqubo ze-neurosurgical, okuhlanganisa:
I-craniotomy: I-craniotomy inqubo yokuhlinzwa lapho kukhishwa ingxenye yogebhezi ukuze kufinyeleleke ebuchosheni. Isigayo se-craniotomy sisetshenziselwa ukudala izimbobo ze-burr ku-skull, ezivumela ukufinyelela ebuchosheni ngesikhathi senqubo.
Ukuvuselela ubuchopho obujulile (DBS): I-DBS iyinqubo ye-neurosurgical esetshenziselwa ukwelapha isifo sika-Parkinson, ukuthuthumela okubalulekile, kanye ne-dystonia. Isigayo se-craniotomy sisetshenziselwa ukudala izimbobo ze-burr ku-skull, ezivumela ukufinyelela ebuchosheni ukuze kubekwe ama-electrode.
I-Ventriculostomy: I-Ventriculostomy iyindlela yokuhlinzwa yezinzwa esetshenziselwa ukukhulula ingcindezi ebuchosheni ebangelwa izimo ezifana ne-hydrocephalus noma ukulimala kobuchopho okubuhlungu. I-craniotomy mill isetshenziselwa ukudala izimbobo ze-burr ku-skull, ezivumela ukufinyelela kuma-ventricles obuchopho.
I-Cranioplasty: I-Cranioplasty iyinqubo yokuhlinzwa esetshenziselwa ukulungisa amaphutha noma ukukhubazeka ogebhezini. Isigayo se-craniotomy sisetshenziselwa ukudala izimbobo ze-burr ku-skull, ezivumela ukufinyelela endaweni yesici noma ukukhubazeka.
Izingozi Nezinkinga
Ukusetshenziswa kwesigayo se-craniotomy kunezingozi nezinkinga ezithile, okuhlanganisa:
Ukutheleleka: Ukwakhiwa kwezimbobo ze-burr ku-skull kungandisa ingozi yokutheleleka. Udokotela ohlinzayo uthatha izinyathelo zokuphepha ukuze anciphise le ngozi, okuhlanganisa ukusetshenziswa kwemishini eyinyumba kanye nokuphathwa kwemithi elwa namagciwane.
Ukulimala kwengqondo: I-drill bit esetshenziswa kumshini wokugaya i-craniotomy ingabangela ukulimala ebuchosheni uma ingasetshenziswa kahle. Udokotela ohlinzayo kufanele aqikelele kakhulu ukugwema ukulimaza izicubu ezizungezile phakathi nenqubo.
Ukopha: Ukwakhiwa kwezimbobo ze-burr ku-skull kungabangela ukopha. Udokotela ohlinzayo kufanele aqaphe isiguli ngokucophelela phakathi nenqubo ukuze aqinisekise ukuthi ukopha kuyalawuleka futhi akubi kakhulu.
Ukuvuza kwe-cerebrospinal fluid: Ukwakhiwa kwezimbobo ze-burr ku-skull nakho kungabangela ukuvuza kwe-cerebrospinal fluid (CSF). Lokhu kungandisa ingozi yokutheleleka nezinye izinkinga. Udokotela ohlinzayo uthatha izinyathelo zokuphepha ukuze anciphise le ngozi, okuhlanganisa ukusetshenziswa kwezinsimbi ezikhethekile nezinsimbi zokuthunga.
Isiphetho
I-craniotomy mill iyithuluzi elibalulekile ekuhlinzeni kwezinzwa zesimanje, okuvumela odokotela abahlinzayo ukuthi benze izimbobo eziqondile nezilawulwayo ogebhezini ngesikhathi sezinqubo ezihlukahlukene zokuhlinza izinzwa. Nakuba ukusetshenziswa kwaleli thuluzi kunezingozi nezinkinga ezithile, izinzuzo mayelana nokunemba okuthuthukisiwe nokuphepha zibalulekile. Njengoba izindlela zokuhlinza izinzwa ziqhubeka nokuvela, kungenzeka ukuthi umshini wokugaya i-craniotomy uzoqhubeka nokudlala indima ebalulekile ensimini.
Imibuzo Evame Ukubuzwa
1. Uyini umehluko phakathi kwe-craniotomy kanye ne-craniectomy?
I-craniotomy ihilela ukukhishwa kwengxenye yogebhezi ukuze kufinyeleleke ebuchosheni, kuyilapho i-craniotomy ihilela ukususwa okuphelele kwengxenye yogebhezi.
Kuthatha isikhathi esingakanani ukululama ku-craniotomy?
Isikhathi sokululama ngemva kwe-craniotomy siyahlukahluka kuye ngohlobo nezinga lenqubo. Ngokuvamile, iziguli zingalindela ukuchitha izinsuku ezimbalwa esibhedlela futhi zingadinga amasonto noma izinyanga ezimbalwa ukuze zipholele ngokugcwele.
Ingabe i-craniotomy iyinqubo eyingozi?
Njenganoma iyiphi inqubo yokuhlinzwa, i-craniotomy ithwala izingozi ezithile kanye nezinkinga. Kodwa-ke, uma kwenziwa udokotela ohlinzayo onesipiliyoni, ubungozi ngokuvamile buphansi.
Yini imbobo ye-burr?
I-burr hole imbobo encane eyenziwe ogebhezini kusetshenziswa ithuluzi lokuhlinza eliyisipesheli, njengesigayo se-craniotomy. Izimbobo ze-Burr zivumela ukufinyelela ebuchosheni phakathi nezinqubo ezihlukahlukene ze-neurosurgical.
Yimaphi amanye amathuluzi asetshenziswa ku-neurosurgery?
Amanye amathuluzi avame ukusetshenziswa ku-neurosurgery ahlanganisa ama-microscopes, ama-endoscopes, nama-laser okuhlinzwa.
